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"content": "\u003cp>Families of people with intellectual and developmental disabilities say Gov. Gavin Newsom is reneging on a scheduled raise for the workers who care for their loved ones, and advocates warn of potential lawsuits if disability services become harder to get.\u003c/p>\n\u003cp>Citing California’s budget deficit, the Democratic governor wants to save around \u003ca href=\"https://abgt.assembly.ca.gov/system/files/2024-02/asm-budget-sub-2-agenda-feb-28-2024-dds-and-dor.pdf#page=20\">$613 million\u003c/a> in state funds by delaying pay increases for a year for about 150,000 disability care workers. The state will forgo an additional $408 million in Medicaid reimbursements, reducing funding by over $1 billion.\u003c/p>\n\u003cp>Some lawmakers say this decision will increase staff turnover and vacancies, leaving thousands of children and adults with disabilities without critical services at home and in residential facilities. Disability advocates warn it could violate the \u003ca href=\"https://www.dds.ca.gov/transparency/laws-regulations/lanterman-act-and-related-laws/\">Lanterman Act\u003c/a>, California’s landmark law that says the state must provide services and resources to people with disabilities and their families.\u003c/p>\n\u003cp>Newsom is “breaking a promise,” says Felisa Strickland, 60, who has been searching for more than a year for a day program for her 23-year-old daughter, Lily, who has autism and cerebral palsy. “It’s creating a lot of physical and mental health problems for people, and it’s a lot of undue stress on aging parent caregivers like myself.”\u003c/p>\n\u003cp>Disability care workers, known as direct support professionals, provide daily, hands-on caregiving to help children and adults with intellectual and developmental disabilities, such as autism, cerebral palsy, and epilepsy, remain independent and integrated into their communities.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In California, \u003ca href=\"https://www.gov.ca.gov/2024/03/01/governor-newsom-proclaims-developmental-disabilities-awareness-month/\">more than 400,000 people\u003c/a> with disabilities need accommodation, and this population, along with seniors, is increasing. It’s unclear how big the worker shortage is because the state hasn’t released workforce data. As the demand for these workers grows generally, \u003ca href=\"https://www.chcf.org/wp-content/uploads/2022/12/CaliforniaDirectCareWorkforce.pdf\">experts predict\u003c/a> a shortage of between 600,000 and 3.2 million direct care workers by 2030.\u003c/p>\n\u003cp>Advocates say California pays most providers from \u003ca href=\"https://thearcca.org/direct-support-professionals-overlooked-for-wage-increases-by-governor-and-legislature/#:~:text=Meanwhile%2C%20California's%20100%2C000%20direct%20support,without%20any%20guarantee%20of%20increases\">$16 to $20 an hour\u003c/a>, which meets the state’s minimum wage but falls short of what some economists consider a \u003ca href=\"https://livingwage.mit.edu/states/06\">living wage\u003c/a>. In 2021, the state committed to raising wages after identifying a \u003ca href=\"https://www.burnshealthpolicy.com/wp-content/uploads/2019/03/DDS-Vendor-Rate-Study-Report.pdf#=page8\">$1.8 billion gap\u003c/a> between the rates received by nonprofits that contract with the state to provide care and the rates deemed adequate.\u003c/p>\n\u003cp>[aside postID=\"news_11980719,news_11984163\" label=\"Related Stories\"]Thus far, the state has provided around half that total, most of which has gone to raising wages and benefits. Workers had been expecting one more increase of $2–$4 an hour in July until Newsom proposed a delay.\u003c/p>\n\u003cp>Also, nonprofits say California has made it harder to compete for workers after raising wages in other service and health industries. Newsom approved a \u003ca href=\"https://www.dir.ca.gov/dlse/Fast-Food-Minimum-Wage-FAQ.htm\">$20 minimum wage for fast-food workers\u003c/a> that went into effect in April, and he struck a deal last year with unions and hospitals to begin raising health care workers’ wages to a minimum of \u003ca href=\"https://kffhealthnews.org/news/article/california-lawmakers-approve-nation-leading-25-minimum-wage-for-health-workers/\">$25 an hour\u003c/a>.\u003c/p>\n\u003cp>Ricardo Zegri says Taco Bell would pay him more than the $19 an hour he makes as a disability care worker in a supervisory position.\u003c/p>\n\u003cp>“Every paycheck, it’s a discussion at home about what bills we need to prioritize and whether it’s time to start looking for work that pays more,” says Zegri, who works a second job as a musician in the San Francisco Bay Area.\u003c/p>\n\u003cfigure id=\"attachment_11984827\" class=\"wp-caption aligncenter\" style=\"max-width: 2083px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/Sign_01-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11984827\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/Sign_01-scaled.jpg\" alt='A woman wearing a hat, glasses and a pink shirt holds a sign in from of her that reads \"Reject the Guts\" with a stop sign at the bottom.' width=\"2083\" height=\"2560\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/Sign_01-scaled.jpg 2083w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/Sign_01-800x983.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/Sign_01-1020x1254.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/Sign_01-160x197.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/Sign_01-1250x1536.jpg 1250w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/Sign_01-1666x2048.jpg 1666w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/Sign_01-1920x2360.jpg 1920w\" sizes=\"(max-width: 2083px) 100vw, 2083px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Gov. Gavin Newsom has proposed delaying pay increases for disability care workers, but advocates warn it would increase turnover and vacancies, leaving thousands of people with disabilities without critical services at home and in residential facilities. \u003ccite>(Vanessa G. Sánchez/KFF Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Newsom wants \u003ca href=\"https://ebudget.ca.gov/2024-25/pdf/BudgetSummary/HealthandHumanServices.pdf\">to preserve key health initiatives\u003c/a>, including the state expansion of Medi-Cal to low-income immigrants regardless of legal status, and CalAIM, an ambitious $12 billion experiment to transform Medi-Cal into both a health insurer and a social services provider. However, the rate delay for providing disability care is the largest savings in the Health and Human Services budget as Newsom and legislative leaders look to \u003ca href=\"https://www.latimes.com/california/story/2024-04-04/newsom-and-democratic-lawmakers-release-17b-plan-to-cut-budget\">cuts, delays, and shifts in funding\u003c/a> to close a deficit estimated between \u003ca href=\"https://www.latimes.com/california/story/2024-03-21/newsom-and-lawmakers-announce-plan-to-cut-at-least-12-billion-off-deficit-with-no-details\">$38 billion\u003c/a> and \u003ca href=\"https://lao.ca.gov/Publications/Report/4850?utm_source=substack&utm_medium=email\">$73 billion\u003c/a>.\u003c/p>\n\u003cp>Dozens of legislators from both parties are asking Newsom and legislative leaders to preserve the increase. Assemblymember Stephanie Nguyen, a Democrat from Elk Grove, signed a \u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2024/04/Disability-Service-Provider-Rate-Budget-Request-Letter.pdf\">letter supporting the raise\u003c/a>. Although lawmakers are negotiating with the administration, she says reversing the decision to delay the pay boost is unlikely. Everybody “has to take a hit somewhere,” Nguyen says.\u003c/p>\n\u003cp>Krystyne McComb, a spokesperson for the Department of Developmental Services, says that even though the state would lose federal matching funds this year, it would resume drawing funds when it reinstates the plan in 2025.\u003c/p>\n\u003cp>The department did not respond to questions about how it plans to retain workers and fill vacancies.\u003c/p>\n\u003cp>Newsom’s proposal risks a collapse of the disability service system, which would violate the Lanterman Act and make the state vulnerable to lawsuits, says Jordan Lindsey, executive director of the Arc of California, a statewide disability rights advocacy organization.\u003c/p>\n\u003cp>Families say the state has already fallen short of the services they need. Strickland quit her job to care for Lily, the Santa Barbara mother, says. “It’s not reasonable to expect someone to care for somebody else 24 hours a day, seven days a week,” she says.\u003c/p>\n\u003cp>Lily graduated from high school and, in 2022, completed a program that prepares youth with disabilities to transition into adult life. She had been looking forward to joining a day program to make new friends but has yet to find a spot. And due to a shortage of workers, Lily receives only four hours a week at home with a provider, who is paid around $16 an hour.\u003c/p>\n\u003cp>When Lily hangs out with the provider, her demeanor changes to the happy person she used to be, Strickland says.\u003c/p>\n\u003cp>“The system is already in crisis,” she says. “There are tons and tons of people that are sitting at home because there’s nowhere for them to go.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://kffhealthnews.org/about-us\">KFF Health News\u003c/a> is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about\u003c/em> \u003ca href=\"https://www.kff.org/about-us\">KFF\u003c/a>.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Families of people with intellectual and developmental disabilities say Gov. Gavin Newsom is reneging on a scheduled raise for the workers who care for their loved ones, and advocates warn of potential lawsuits if disability services become harder to get.\u003c/p>\n\u003cp>Citing California’s budget deficit, the Democratic governor wants to save around \u003ca href=\"https://abgt.assembly.ca.gov/system/files/2024-02/asm-budget-sub-2-agenda-feb-28-2024-dds-and-dor.pdf#page=20\">$613 million\u003c/a> in state funds by delaying pay increases for a year for about 150,000 disability care workers. The state will forgo an additional $408 million in Medicaid reimbursements, reducing funding by over $1 billion.\u003c/p>\n\u003cp>Some lawmakers say this decision will increase staff turnover and vacancies, leaving thousands of children and adults with disabilities without critical services at home and in residential facilities. Disability advocates warn it could violate the \u003ca href=\"https://www.dds.ca.gov/transparency/laws-regulations/lanterman-act-and-related-laws/\">Lanterman Act\u003c/a>, California’s landmark law that says the state must provide services and resources to people with disabilities and their families.\u003c/p>\n\u003cp>Newsom is “breaking a promise,” says Felisa Strickland, 60, who has been searching for more than a year for a day program for her 23-year-old daughter, Lily, who has autism and cerebral palsy. “It’s creating a lot of physical and mental health problems for people, and it’s a lot of undue stress on aging parent caregivers like myself.”\u003c/p>\n\u003cp>Disability care workers, known as direct support professionals, provide daily, hands-on caregiving to help children and adults with intellectual and developmental disabilities, such as autism, cerebral palsy, and epilepsy, remain independent and integrated into their communities.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In California, \u003ca href=\"https://www.gov.ca.gov/2024/03/01/governor-newsom-proclaims-developmental-disabilities-awareness-month/\">more than 400,000 people\u003c/a> with disabilities need accommodation, and this population, along with seniors, is increasing. It’s unclear how big the worker shortage is because the state hasn’t released workforce data. As the demand for these workers grows generally, \u003ca href=\"https://www.chcf.org/wp-content/uploads/2022/12/CaliforniaDirectCareWorkforce.pdf\">experts predict\u003c/a> a shortage of between 600,000 and 3.2 million direct care workers by 2030.\u003c/p>\n\u003cp>Advocates say California pays most providers from \u003ca href=\"https://thearcca.org/direct-support-professionals-overlooked-for-wage-increases-by-governor-and-legislature/#:~:text=Meanwhile%2C%20California's%20100%2C000%20direct%20support,without%20any%20guarantee%20of%20increases\">$16 to $20 an hour\u003c/a>, which meets the state’s minimum wage but falls short of what some economists consider a \u003ca href=\"https://livingwage.mit.edu/states/06\">living wage\u003c/a>. In 2021, the state committed to raising wages after identifying a \u003ca href=\"https://www.burnshealthpolicy.com/wp-content/uploads/2019/03/DDS-Vendor-Rate-Study-Report.pdf#=page8\">$1.8 billion gap\u003c/a> between the rates received by nonprofits that contract with the state to provide care and the rates deemed adequate.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Thus far, the state has provided around half that total, most of which has gone to raising wages and benefits. Workers had been expecting one more increase of $2–$4 an hour in July until Newsom proposed a delay.\u003c/p>\n\u003cp>Also, nonprofits say California has made it harder to compete for workers after raising wages in other service and health industries. Newsom approved a \u003ca href=\"https://www.dir.ca.gov/dlse/Fast-Food-Minimum-Wage-FAQ.htm\">$20 minimum wage for fast-food workers\u003c/a> that went into effect in April, and he struck a deal last year with unions and hospitals to begin raising health care workers’ wages to a minimum of \u003ca href=\"https://kffhealthnews.org/news/article/california-lawmakers-approve-nation-leading-25-minimum-wage-for-health-workers/\">$25 an hour\u003c/a>.\u003c/p>\n\u003cp>Ricardo Zegri says Taco Bell would pay him more than the $19 an hour he makes as a disability care worker in a supervisory position.\u003c/p>\n\u003cp>“Every paycheck, it’s a discussion at home about what bills we need to prioritize and whether it’s time to start looking for work that pays more,” says Zegri, who works a second job as a musician in the San Francisco Bay Area.\u003c/p>\n\u003cfigure id=\"attachment_11984827\" class=\"wp-caption aligncenter\" style=\"max-width: 2083px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/Sign_01-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11984827\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/Sign_01-scaled.jpg\" alt='A woman wearing a hat, glasses and a pink shirt holds a sign in from of her that reads \"Reject the Guts\" with a stop sign at the bottom.' width=\"2083\" height=\"2560\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/Sign_01-scaled.jpg 2083w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/Sign_01-800x983.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/Sign_01-1020x1254.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/Sign_01-160x197.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/Sign_01-1250x1536.jpg 1250w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/Sign_01-1666x2048.jpg 1666w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/Sign_01-1920x2360.jpg 1920w\" sizes=\"(max-width: 2083px) 100vw, 2083px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Gov. Gavin Newsom has proposed delaying pay increases for disability care workers, but advocates warn it would increase turnover and vacancies, leaving thousands of people with disabilities without critical services at home and in residential facilities. \u003ccite>(Vanessa G. Sánchez/KFF Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Newsom wants \u003ca href=\"https://ebudget.ca.gov/2024-25/pdf/BudgetSummary/HealthandHumanServices.pdf\">to preserve key health initiatives\u003c/a>, including the state expansion of Medi-Cal to low-income immigrants regardless of legal status, and CalAIM, an ambitious $12 billion experiment to transform Medi-Cal into both a health insurer and a social services provider. However, the rate delay for providing disability care is the largest savings in the Health and Human Services budget as Newsom and legislative leaders look to \u003ca href=\"https://www.latimes.com/california/story/2024-04-04/newsom-and-democratic-lawmakers-release-17b-plan-to-cut-budget\">cuts, delays, and shifts in funding\u003c/a> to close a deficit estimated between \u003ca href=\"https://www.latimes.com/california/story/2024-03-21/newsom-and-lawmakers-announce-plan-to-cut-at-least-12-billion-off-deficit-with-no-details\">$38 billion\u003c/a> and \u003ca href=\"https://lao.ca.gov/Publications/Report/4850?utm_source=substack&utm_medium=email\">$73 billion\u003c/a>.\u003c/p>\n\u003cp>Dozens of legislators from both parties are asking Newsom and legislative leaders to preserve the increase. Assemblymember Stephanie Nguyen, a Democrat from Elk Grove, signed a \u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2024/04/Disability-Service-Provider-Rate-Budget-Request-Letter.pdf\">letter supporting the raise\u003c/a>. Although lawmakers are negotiating with the administration, she says reversing the decision to delay the pay boost is unlikely. Everybody “has to take a hit somewhere,” Nguyen says.\u003c/p>\n\u003cp>Krystyne McComb, a spokesperson for the Department of Developmental Services, says that even though the state would lose federal matching funds this year, it would resume drawing funds when it reinstates the plan in 2025.\u003c/p>\n\u003cp>The department did not respond to questions about how it plans to retain workers and fill vacancies.\u003c/p>\n\u003cp>Newsom’s proposal risks a collapse of the disability service system, which would violate the Lanterman Act and make the state vulnerable to lawsuits, says Jordan Lindsey, executive director of the Arc of California, a statewide disability rights advocacy organization.\u003c/p>\n\u003cp>Families say the state has already fallen short of the services they need. Strickland quit her job to care for Lily, the Santa Barbara mother, says. “It’s not reasonable to expect someone to care for somebody else 24 hours a day, seven days a week,” she says.\u003c/p>\n\u003cp>Lily graduated from high school and, in 2022, completed a program that prepares youth with disabilities to transition into adult life. She had been looking forward to joining a day program to make new friends but has yet to find a spot. And due to a shortage of workers, Lily receives only four hours a week at home with a provider, who is paid around $16 an hour.\u003c/p>\n\u003cp>When Lily hangs out with the provider, her demeanor changes to the happy person she used to be, Strickland says.\u003c/p>\n\u003cp>“The system is already in crisis,” she says. “There are tons and tons of people that are sitting at home because there’s nowhere for them to go.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://kffhealthnews.org/about-us\">KFF Health News\u003c/a> is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about\u003c/em> \u003ca href=\"https://www.kff.org/about-us\">KFF\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>At least a dozen people in California and Washington have been sickened with E. coli food poisoning linked to organic walnuts sold in bulk in 19 states, U.S. health officials said Tuesday.\u003c/p>\n\u003cp>Natural food and co-op stores like Whole Foods and Market of Choice sold the nuts.\u003c/p>\n\u003cp>Seven people have been hospitalized and two have developed a dangerous kidney disease known as hemolytic uremic syndrome, officials with the Centers for Disease Control and Prevention said.\u003c/p>\n\u003cp>Gibson Farms Inc. of Hollister, California, has recalled potentially affected walnuts with expiration dates between May 21, 2025, and June 7, 2025, the Food and Drug Administration said. Some stores may have repackaged bulk walnut pieces into clamshells or bags.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.fda.gov/media/178182/download?attachment\">FDA has posted a list of stores\u003c/a> across the U.S. that sold the nuts, including numerous stores in the Bay Area.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The nuts are potentially contaminated with dangerous E. coli bacteria that can cause severe stomach cramps, diarrhea, including bloody diarrhea and vomiting. Symptoms start three to four days after consuming the food. Most people recover within five to seven days.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Consumers who bought organic walnuts from bulk containers should check to see if they’re part of the recall. Recalled nuts should not be sold or served, the CDC said. Wash items and surfaces that may have come in contact with the nuts using hot, soapy water or a dishwasher. Contact a health care provider about any symptoms.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>At least a dozen people in California and Washington have been sickened with E. coli food poisoning linked to organic walnuts sold in bulk in 19 states, U.S. health officials said Tuesday.\u003c/p>\n\u003cp>Natural food and co-op stores like Whole Foods and Market of Choice sold the nuts.\u003c/p>\n\u003cp>Seven people have been hospitalized and two have developed a dangerous kidney disease known as hemolytic uremic syndrome, officials with the Centers for Disease Control and Prevention said.\u003c/p>\n\u003cp>Gibson Farms Inc. of Hollister, California, has recalled potentially affected walnuts with expiration dates between May 21, 2025, and June 7, 2025, the Food and Drug Administration said. Some stores may have repackaged bulk walnut pieces into clamshells or bags.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.fda.gov/media/178182/download?attachment\">FDA has posted a list of stores\u003c/a> across the U.S. that sold the nuts, including numerous stores in the Bay Area.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The nuts are potentially contaminated with dangerous E. coli bacteria that can cause severe stomach cramps, diarrhea, including bloody diarrhea and vomiting. Symptoms start three to four days after consuming the food. Most people recover within five to seven days.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Consumers who bought organic walnuts from bulk containers should check to see if they’re part of the recall. Recalled nuts should not be sold or served, the CDC said. Wash items and surfaces that may have come in contact with the nuts using hot, soapy water or a dishwasher. Contact a health care provider about any symptoms.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp class=\"p1\">\u003ca href=\"#episode-transcript\">\u003ci>View the full episode transcript.\u003c/i>\u003c/a>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Some of the state’s sickest patients are stranded in hospitals rooms for weeks, months, and even years as they wait to be moved into nursing homes and psychiatric facilities. The backup is caused by nursing home staffing shortages, coupled with a rapidly aging population. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">KQED’s Lesley McClurg tells us the story of one Berkeley resident’s struggle to find adequate care for his wife.\u003c/span>\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC2746021185\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cb>Links:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/science/1991871/systemic-neglect-how-staffing-shortages-in-nursing-homes-leave-patients-trapped-in-hospitals\">Systemic Neglect: How Staffing Shortages In Nursing Homes Leave Patients Trapped in Hospitals\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch2 id=\"episode-transcript\">Episode Transcript\u003c/h2>\n\u003cp class=\"p1\">\u003ci>This is a computer-generated transcript. While our team has reviewed it, there may be errors.\u003c/i>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I’m Ericka Cruz Guevarra and welcome to the Bay. Local news to keep you rooted. If you have a loved one who needs 24 over seven medical care, getting them into a nursing home in California can be really difficult. Nursing homes and psychiatric facilities are dealing with a huge staffing shortage, and it’s leaving some of the sickest, neediest patients with few options.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>As a society, we’re not set up in a way to care for people. At a certain point.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>While patients wait for their chance to get into a nursing home, they’re increasingly getting trapped in hospitals for weeks, months, and even years. Today, we’ll hear about a man in Berkeley who tried for years to get his wife into a nursing home and why the hospital has become one of the only choices left.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>David and Lisa Alter are a couple who met, I think, in their early 20s.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Lesley McClurg is a health correspondent for KQED.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>They live in Berkeley. They were a lively, well-connected, community oriented couple. They did a lot of adventuring.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>Where you go skiing and mountain biking and camping and stuff like that.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>And they love to go to live concerts.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>Chris, Isaac and one. You know, it’s like a lot of Tina Turner. And at one point it was, you know, there’s a Joan Jett phase, you know.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>They ended up having two kids. And I looked back just last night actually at some family videos and, you know, really sweet, kind of very conventional sweet family videos. And then things started to go a little bit awry.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>Once the kids were born and stuff, she was starting to struggle.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>Lisa started to forget things. She started to struggle at work. She started to struggle to parent in a sense that she would just kind of disappear, literally, physically kind of erratic behavior that David really couldn’t figure out what was going on. And then in 2011, she was diagnosed with Huntington’s disease. When Lisa was diagnosed, she was 45 years old.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Tell me a little bit more about Huntington’s disease. I’m actually not super familiar.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>Yeah, so it’s a neurodegenerative disease. And over time, basically the brain and the body stop working. So very slowly over time, you know, you kind of lose function. It’s marked by kind of writhing and twitching. That’s sort of the characteristics that are kind of most known. But today, you know, Lisa can’t walk, she can’t eat, she can’t talk, she can’t communicate. It’s a slow and painful decline.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I know over time, David was sort of doing a lot of things to try and help Lisa when things I guess started to go awry. What were some of the things that he was doing to try and help her situation?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>They were really fortunate in the sense that they have a big family. They have a lot of friends. They were quite well connected to their community in Berkeley and she was quite active.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>I had an email list with over 40 people on it. Here’s the things that you know. Can you take her to the Y? Can you you know, she she wants to get her hair cut.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>And then over time she lost, you know, kind of the ability to walk. But he would still try to walk with her. So he had this sort of large belt that he would help kind of keep her upright with. And he would, you know, as much as possible, try to give her a good quality of life. You know, over time, that group of friends and family and support system kind of dwindled as the work became more challenging and for some, you know, kind of physically impossible.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>In September of 2020, Lisa had a really terrible accident. What happened?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>It was that fall that we can all kind of remember when the state was on fire. There was the Orange Day. We were in the middle of the pandemic. David was kind of losing his mind before this.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>It’s kind of like when you have an infant, when you know those first few months and you’re kind of always exhausted and you frequently feel like you’re just not making great decisions. It’s like that, but it’s not getting easier. It’s getting harder.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>The way he remembers that is he was in the kitchen and he saw Lisa out of the corner of his eye, which worried him. She shouldn’t have been sort of moving around the house without assistance. And so he was going to dry his hands off at the kitchen sink. And then he turned to to look at her. And by the time he made that turn, he heard her head crack on the linoleum floor.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>And so he immediately went to try to find some bandages to wrap her up, and then race to the emergency room. This was not an unusual, though occurrence. You know, that was a particularly bad occurrence, and that she was diagnosed at the hospital with a brain bleed. But he said at that time, it wasn’t unusual for them to go to the E.R. twice a week because she was falling.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>We wouldn’t go to the E.R. for all of these because they were too frequent. So I get up and I patch her up. I would use suture strips or even sometimes Krazy Glue to take close cuts. You know, and we deal with it in the morning because it was just is too frequent. You know, I mean, these things happened a lot.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>It seems like at this point, David sort of comes to realize that he needs more help, that Lisa needs more help. What kind of help did Lisa really need, exactly?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>I mean, I think at this point he was at the breaking point, I think a year or two earlier than that, he realized that he needed help. And David was in the process of attempting to do that in the sense that he had reached out to literally, he says, every nursing home in the state and written them letters.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>I want you to meet my my wife, Lisa. See picture above a vibrant woman, wife, teacher and mother of two beautiful children who is diagnosed with Huntington’s disease.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>And he showed me sort of, you know, personal letters with pictures that made, you know, Lisa and in his family look like a really beautiful, beautiful couple with two kids and living this sort of vibrant life. And now she needed help because she was in this, you know, stage of her disease. And he received letter after letter after letter denying their request for a bed for Lisa.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>It’s funny, you know, at first you’re thinking, oh, you know, I’m going to go shop for a facility. But I had heard all the stories about how this, you know, how hard this was and stuff, but it didn’t sink in. And then I’m calling and people are very nice and polite, but I’m going nowhere.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>So he knew that she needed, you know, 24 hour basically supervision. And then at this point she needed help. You know, bathing, going to the bathroom, eating anything, basically because he hurt her limbs at that point and her brain were not functioning. You know, at one point he hired a consultant to help him. That didn’t work.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>If any hired a lawyer to help him, that didn’t work. Then he reached out to his legislators. That didn’t help, all to try to get into a nursing home. Right? Because he has insurance, he does qualify. Lisa qualifies, to get that kind of care. And yet, the centers, the nursing homes were telling him that they didn’t have any long term beds for Lisa, and so he didn’t know what to do.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>So he started reaching out to advocates for the Huntington’s Disease Society. And at that point, they started to tell him that really, the only option that he might have is to leave Lisa at the hospital.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What does David say about what that was like for him to hear that that is his only real option?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>I think the fairest way is sort of flabbergasted. And I think at that point he was sobered, right. He had tried everything else. And so he when he heard that, he thought, Jesus, that’s awful. But maybe that’s what I have to do.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>I remember sitting in the car in the parking lot at Kaiser and calling one of the social workers I know, and like, just crying like, this isn’t right. Like I shouldn’t be doing this. Are you sure this is, you know, and just trying to get talked down? I mean, it’s just nothing about it feels right.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I mean, he chooses to leave his wife at the hospital even though she’s ready to be discharged. Right. And this is something that even advocates are telling people to do. Why is that? Why are advocates saying that this is the best option for people in this situation?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>It’s often their only option.\u003c/p>\n\u003cp>\u003cstrong>Maura Gibney: \u003c/strong>Pretty much the only way that you can get into a nursing home in California is if you’re being discharged from the hospital.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>Maura Gibney: is the executive director for California Advocates for Nursing Home Reform, and she told me that this is, unfortunately, advice that they give fairly often. Sometimes it’s the only way to take care of a patient like Lisa.\u003c/p>\n\u003cp>\u003cstrong>Maura Gibney: \u003c/strong>And people are really disappointed when they call us, because they’re calling to help, you know, for us to help them find a nursing home for their loved one. I mean, I’m just thinking about the last few years of me talking to consumers. I don’t know anybody that’s gotten into a nursing home any other way.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>A hospital is going to have more resources. They have a whole discharge team that can take care of this. They’re going to have more connections. They’re going to be able to work with the insurers easier potentially, and hopefully, you know, find a bed. Advocates know that that patient will be safe in the hospital, even though it’s a burden and not necessarily a fair burden. It’s a broken system to put that burden on the hospital. But that is sort of the the situation that we’re in.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Coming up, why patients like Lisa are being left behind. Stay with us.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Are there a lot of people in this situation, Leslie? Like how common, I guess, are stories like Lisa’s, where these patients are waiting for the care that they actually need?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>That’s definitely becoming more common in 2022. The average length of stay in a hospital across the country increased by about 20%. That’s according to the American Hospital Association. And every day in California, 4500 patients are stranded inside hospitals. That’s according to the California Hospital Association.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>So this problem, this problem of people getting stuck in hospitals is getting worse. The data shows that nearly 10% of hospital patients are facing discharge delays of at least three days. So you’re cleared to go home and you get stuck for about three days.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>I visited a hospital in San Diego, and that hospital has a psychiatric patient with some physical issues as well, who’s been there for more than two years. And the California Hospital Association estimates that this is costing about $3.25 billion per year in avoidable costs. Right. These people shouldn’t be in the hospital.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What we’re talking about here are lots of patients with high medical needs waiting in hospitals to get the care that they actually need, right. But why is it so hard to get patients that care that they need in these nursing homes, in these psychiatric facilities?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>I think it’s a two fold issue. The demographics of the country are changing. Boomers are getting older. You know, they’re aging. They’ve got more health issues. They need more care. Simultaneously, we haven’t trained enough people to take care of that population. And this was true pre-pandemic. Right. And then for the last four years, we’ve heard about the staffing shortages in health care.\u003c/p>\n\u003cp>\u003cstrong>Craig Cornett: \u003c/strong>But the problem got significantly worse during Covid and we have not yet recovered.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>Craig Cornett is the CEO of the California Association of Health Facilities, which is the industry group that represents nursing homes.\u003c/p>\n\u003cp>\u003cstrong>Craig Cornett: \u003c/strong>Before Covid, there were about 142,000 of workers in skilled nursing facilities in California. That number dropped to 125,000 during Covid.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>The work is challenging. The patient population is difficult. The pay is not as good. It’s not as glamorous as other sectors of the healthcare industry. And so it’s been challenging to staff these parts of the industry, and they are trying to improve the situation. But unfortunately it is a major, major issue that’s not going to go away anytime soon.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Lesley, what factors affect a patient’s ability to get into a nursing home faster? Like are there types of patients that nursing homes would prefer to have that maybe wouldn’t cost as much?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>The ideal patient for a nursing home is someone who is on Medicare. So a senior my aunt is a perfect example. Recently she fell. She broke her hip. She’s 89 years old. She went to the hospital. She was discharged in a couple of days. She went to a nursing home.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>She was in and out of the nursing home in two weeks. Her Medicare paid for that, which reimbursed at about $1,250 a day. And then that bed can be turned over for someone else two weeks later. Unfortunately, Lisa is the least attractive kind of patient because she could be there for a very long time.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>She’s not on Medicare because she’s not a senior. She’s on Medi-Cal, which is the state’s insurance. And when she goes in, Medicare will reimburse at about $350 a day. And she’s a very high needs patient.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>And so she just costs more.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>Yes. Maura Gibney says this is not a bed issue. She said this is a money issue.\u003c/p>\n\u003cp>\u003cstrong>Maura Gibney: \u003c/strong>And so it really is just a profits issue. How much money are they going to make off of this person?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>And this is based on how much money a nursing home can make. And a short term Medicare patient is going to be much more attractive than a long term Medi-Cal or Medicaid patient.\u003c/p>\n\u003cp>\u003cstrong>Maura Gibney: \u003c/strong>Like they they’re going to make more money by keeping the bed open for a few days, avoiding a long term Medi-Cal patient, and then just getting, you know, a short term person instead.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>And the industry denies that they’re doing this right?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>Absolutely. It’s illegal. They have been reprimanded by the state a few times in the last year for doing this. So the industry says they’re not doing it. The state says stop doing it. And the advocates say you’re absolutely doing it.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I mean, what’s being done then to solve this problem?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>Craig Cornett told me that there are a couple positive things happening. California is spending about $26 million to recruit more health care workers to help kind of fill this gap. This will hopefully attract about 5500 certified nursing assistants by 2027. That’s not nearly enough, but it’s, you know, 5500 people.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>State lawmakers are also considering a new bill that would allow select community college districts to offer nursing degrees. This kind of lowers the bar for entry, and that would make it easier for workers to enter the health care industry. Again, he said that neither one of these are, you know, completely going to solve the issue.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>How then, I guess, do you get a patient into a nursing home given all of this? Leslie.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>In this particular case, David decided to, you know, leave his wife in the hospital. She ended up staying there for four months. Eventually they did find her a home, but it wasn’t in a nursing home. They found her care in what’s called a, boarding care or a assisted living facility, where she’s unfortunately not getting the care that she really needs.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>It’s more like an apartment building than what I would think of as a medical facility. And they don’t offer any medical care, so they do feed her there. She does have supervision. There are aides, but but not technical nurses.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>So they will monitor if you have to take pills or you have to take medicine throughout the day. But if you need any particular treatment, you need to call and arrange to have doctors or nurses come to you.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>You actually went there to visit her with David, right? What was that like?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>You know, she’s 60 to 70 pounds. Her body was very contorted into a position that you couldn’t even imagine the body could be in. She was nearly asleep when we got there, so I didn’t really get to interact with her, but it was a very, very sad situation. You know, and in David’s opinion, he thinks, you know, that she’s probably not getting nearly the nutrition that she needs to sort of sustain.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>It’s very depressing for him to visit her, although he does try to go once a week because he doesn’t think that she’s getting enough social interaction. He tried to put a movie on for her. He tries to make that visit, you know, an enjoyable experience. But I think he would say, and from what I could see, she’s not really there.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>I don’t know, there’s, there’s I mean, there’s nothing good about this situation. There’s nothing is the disease. I mean, she could she could be in that bed for five more years. She has no quality of life. It’s not like she can. She can even watch TV or, you know, she can’t operate a remote. It’s like I come there and I turn on some music for her. I come there, I put on a movie, but, you know, it’s like the people in the facility. I asked them to do that, but I don’t know if that happens, so I kind of think it doesn’t.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Yeah. I mean, I was going to ask like, how is David’s spirit or her mood?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>To David’s credit, he has an incredible person and has a very strong constitution. And I really saw that during the interview and in ensuing weeks of getting to know him. But he’s crushed. I mean, he’s crushed by the system. He’s crushed by his efforts going nowhere. He’s really, really, really trying to get her good care. He’s really trying to do what’s best for her.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>And he feels really, really stuck. And defeated was the word he used. He’s got the financial resources, he’s got the familial resources, he’s got friends. And he was, you know, working a full time job as a software engineer, raising two kids. And he still couldn’t find her care.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>As a society, we’re not set up in a way to care for people at a certain point.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I mean, what do you make of this story? Leslie? As a as a health reporter. I mean, I just feel like we’re talking about some of the sickest, some of the neediest patients in our society. And you would hope that those folks could get the care that they need, but it just sounds so impossible. Like and concerning. Frankly, I.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>Left this story very deeply questioning whether we care about this population. If you can’t really fight for yourself, you’re definitely not going to get care. And even when you can really fight for yourself, this is a great example of that. You’re not going to get the right care. So I think as a society, we really have to ask ourselves, do all people deserve to have, you know, some kind of quality of life?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>The other main thing that I really got in talking to David about this story is, you know, he knows that Lee says quality of life is not good right now. You know, he really grappled with the question about whether or not she should still be alive. Should she be still getting care?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>Now, obviously, that’s a very sensitive and challenging conversation to have, but it’s way harder to have right now than it would have been if they would have had that conversation 20 years ago when she was first diagnosed, and when she was still lucid enough to have put it in her own request for what kind of quality of life she would want. So I really think this underlines for all of us that we should have those conversations with our family members when we’re in good health.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Leslie, thank you so much for sharing your reporting with us. I appreciate it.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>Yeah. Thank you.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>That was Lesley McClurg, a health correspondent for KQED. This 30 minute conversation with Leslie was cut down and edited by senior editor Alan Montecillo. Ellie Prickett-Morgan is our intern. They added all the tape. Additional production support by Marie Esquinca and me. Music courtesy of the Audio Network. The Bay’s a production of listener supported KQED in San Francisco. I’m Ericka Cruz Guevarra. Thanks for listening. Talk to you next time.\u003c/p>\n\n",
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"title": "Nursing Home Staff Shortages Leave Patients Waiting in Hospitals | KQED",
"description": "View the full episode transcript. Some of the state’s sickest patients are stranded in hospitals rooms for weeks, months, and even years as they wait to be moved into nursing homes and psychiatric facilities. The backup is caused by nursing home staffing shortages, coupled with a rapidly aging population. KQED’s Lesley McClurg tells us the story of one Berkeley resident’s struggle to find adequate care for his wife. Links: Systemic Neglect: How Staffing Shortages In Nursing Homes Leave Patients Trapped in Hospitals Episode Transcript This is a computer-generated transcript. While our team has reviewed it, there may be errors. Ericka",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp class=\"p1\">\u003ca href=\"#episode-transcript\">\u003ci>View the full episode transcript.\u003c/i>\u003c/a>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Some of the state’s sickest patients are stranded in hospitals rooms for weeks, months, and even years as they wait to be moved into nursing homes and psychiatric facilities. The backup is caused by nursing home staffing shortages, coupled with a rapidly aging population. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">KQED’s Lesley McClurg tells us the story of one Berkeley resident’s struggle to find adequate care for his wife.\u003c/span>\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC2746021185\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cb>Links:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/science/1991871/systemic-neglect-how-staffing-shortages-in-nursing-homes-leave-patients-trapped-in-hospitals\">Systemic Neglect: How Staffing Shortages In Nursing Homes Leave Patients Trapped in Hospitals\u003c/a>\u003c/li>\n\u003c/ul>\u003c/div>",
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"content": "\u003cdiv class=\"post-content post-body\">\u003ch2 id=\"episode-transcript\">Episode Transcript\u003c/h2>\n\u003cp class=\"p1\">\u003ci>This is a computer-generated transcript. While our team has reviewed it, there may be errors.\u003c/i>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I’m Ericka Cruz Guevarra and welcome to the Bay. Local news to keep you rooted. If you have a loved one who needs 24 over seven medical care, getting them into a nursing home in California can be really difficult. Nursing homes and psychiatric facilities are dealing with a huge staffing shortage, and it’s leaving some of the sickest, neediest patients with few options.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>As a society, we’re not set up in a way to care for people. At a certain point.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>While patients wait for their chance to get into a nursing home, they’re increasingly getting trapped in hospitals for weeks, months, and even years. Today, we’ll hear about a man in Berkeley who tried for years to get his wife into a nursing home and why the hospital has become one of the only choices left.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>David and Lisa Alter are a couple who met, I think, in their early 20s.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Lesley McClurg is a health correspondent for KQED.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>They live in Berkeley. They were a lively, well-connected, community oriented couple. They did a lot of adventuring.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>Where you go skiing and mountain biking and camping and stuff like that.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>And they love to go to live concerts.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>Chris, Isaac and one. You know, it’s like a lot of Tina Turner. And at one point it was, you know, there’s a Joan Jett phase, you know.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>They ended up having two kids. And I looked back just last night actually at some family videos and, you know, really sweet, kind of very conventional sweet family videos. And then things started to go a little bit awry.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>Once the kids were born and stuff, she was starting to struggle.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>Lisa started to forget things. She started to struggle at work. She started to struggle to parent in a sense that she would just kind of disappear, literally, physically kind of erratic behavior that David really couldn’t figure out what was going on. And then in 2011, she was diagnosed with Huntington’s disease. When Lisa was diagnosed, she was 45 years old.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Tell me a little bit more about Huntington’s disease. I’m actually not super familiar.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>Yeah, so it’s a neurodegenerative disease. And over time, basically the brain and the body stop working. So very slowly over time, you know, you kind of lose function. It’s marked by kind of writhing and twitching. That’s sort of the characteristics that are kind of most known. But today, you know, Lisa can’t walk, she can’t eat, she can’t talk, she can’t communicate. It’s a slow and painful decline.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I know over time, David was sort of doing a lot of things to try and help Lisa when things I guess started to go awry. What were some of the things that he was doing to try and help her situation?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>They were really fortunate in the sense that they have a big family. They have a lot of friends. They were quite well connected to their community in Berkeley and she was quite active.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>I had an email list with over 40 people on it. Here’s the things that you know. Can you take her to the Y? Can you you know, she she wants to get her hair cut.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>And then over time she lost, you know, kind of the ability to walk. But he would still try to walk with her. So he had this sort of large belt that he would help kind of keep her upright with. And he would, you know, as much as possible, try to give her a good quality of life. You know, over time, that group of friends and family and support system kind of dwindled as the work became more challenging and for some, you know, kind of physically impossible.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>In September of 2020, Lisa had a really terrible accident. What happened?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>It was that fall that we can all kind of remember when the state was on fire. There was the Orange Day. We were in the middle of the pandemic. David was kind of losing his mind before this.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>It’s kind of like when you have an infant, when you know those first few months and you’re kind of always exhausted and you frequently feel like you’re just not making great decisions. It’s like that, but it’s not getting easier. It’s getting harder.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>The way he remembers that is he was in the kitchen and he saw Lisa out of the corner of his eye, which worried him. She shouldn’t have been sort of moving around the house without assistance. And so he was going to dry his hands off at the kitchen sink. And then he turned to to look at her. And by the time he made that turn, he heard her head crack on the linoleum floor.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>And so he immediately went to try to find some bandages to wrap her up, and then race to the emergency room. This was not an unusual, though occurrence. You know, that was a particularly bad occurrence, and that she was diagnosed at the hospital with a brain bleed. But he said at that time, it wasn’t unusual for them to go to the E.R. twice a week because she was falling.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>We wouldn’t go to the E.R. for all of these because they were too frequent. So I get up and I patch her up. I would use suture strips or even sometimes Krazy Glue to take close cuts. You know, and we deal with it in the morning because it was just is too frequent. You know, I mean, these things happened a lot.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>It seems like at this point, David sort of comes to realize that he needs more help, that Lisa needs more help. What kind of help did Lisa really need, exactly?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>I mean, I think at this point he was at the breaking point, I think a year or two earlier than that, he realized that he needed help. And David was in the process of attempting to do that in the sense that he had reached out to literally, he says, every nursing home in the state and written them letters.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>I want you to meet my my wife, Lisa. See picture above a vibrant woman, wife, teacher and mother of two beautiful children who is diagnosed with Huntington’s disease.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>And he showed me sort of, you know, personal letters with pictures that made, you know, Lisa and in his family look like a really beautiful, beautiful couple with two kids and living this sort of vibrant life. And now she needed help because she was in this, you know, stage of her disease. And he received letter after letter after letter denying their request for a bed for Lisa.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>It’s funny, you know, at first you’re thinking, oh, you know, I’m going to go shop for a facility. But I had heard all the stories about how this, you know, how hard this was and stuff, but it didn’t sink in. And then I’m calling and people are very nice and polite, but I’m going nowhere.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>So he knew that she needed, you know, 24 hour basically supervision. And then at this point she needed help. You know, bathing, going to the bathroom, eating anything, basically because he hurt her limbs at that point and her brain were not functioning. You know, at one point he hired a consultant to help him. That didn’t work.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>If any hired a lawyer to help him, that didn’t work. Then he reached out to his legislators. That didn’t help, all to try to get into a nursing home. Right? Because he has insurance, he does qualify. Lisa qualifies, to get that kind of care. And yet, the centers, the nursing homes were telling him that they didn’t have any long term beds for Lisa, and so he didn’t know what to do.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>So he started reaching out to advocates for the Huntington’s Disease Society. And at that point, they started to tell him that really, the only option that he might have is to leave Lisa at the hospital.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What does David say about what that was like for him to hear that that is his only real option?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>I think the fairest way is sort of flabbergasted. And I think at that point he was sobered, right. He had tried everything else. And so he when he heard that, he thought, Jesus, that’s awful. But maybe that’s what I have to do.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>I remember sitting in the car in the parking lot at Kaiser and calling one of the social workers I know, and like, just crying like, this isn’t right. Like I shouldn’t be doing this. Are you sure this is, you know, and just trying to get talked down? I mean, it’s just nothing about it feels right.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I mean, he chooses to leave his wife at the hospital even though she’s ready to be discharged. Right. And this is something that even advocates are telling people to do. Why is that? Why are advocates saying that this is the best option for people in this situation?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>It’s often their only option.\u003c/p>\n\u003cp>\u003cstrong>Maura Gibney: \u003c/strong>Pretty much the only way that you can get into a nursing home in California is if you’re being discharged from the hospital.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>Maura Gibney: is the executive director for California Advocates for Nursing Home Reform, and she told me that this is, unfortunately, advice that they give fairly often. Sometimes it’s the only way to take care of a patient like Lisa.\u003c/p>\n\u003cp>\u003cstrong>Maura Gibney: \u003c/strong>And people are really disappointed when they call us, because they’re calling to help, you know, for us to help them find a nursing home for their loved one. I mean, I’m just thinking about the last few years of me talking to consumers. I don’t know anybody that’s gotten into a nursing home any other way.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>A hospital is going to have more resources. They have a whole discharge team that can take care of this. They’re going to have more connections. They’re going to be able to work with the insurers easier potentially, and hopefully, you know, find a bed. Advocates know that that patient will be safe in the hospital, even though it’s a burden and not necessarily a fair burden. It’s a broken system to put that burden on the hospital. But that is sort of the the situation that we’re in.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Coming up, why patients like Lisa are being left behind. Stay with us.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Are there a lot of people in this situation, Leslie? Like how common, I guess, are stories like Lisa’s, where these patients are waiting for the care that they actually need?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>That’s definitely becoming more common in 2022. The average length of stay in a hospital across the country increased by about 20%. That’s according to the American Hospital Association. And every day in California, 4500 patients are stranded inside hospitals. That’s according to the California Hospital Association.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>So this problem, this problem of people getting stuck in hospitals is getting worse. The data shows that nearly 10% of hospital patients are facing discharge delays of at least three days. So you’re cleared to go home and you get stuck for about three days.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>I visited a hospital in San Diego, and that hospital has a psychiatric patient with some physical issues as well, who’s been there for more than two years. And the California Hospital Association estimates that this is costing about $3.25 billion per year in avoidable costs. Right. These people shouldn’t be in the hospital.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What we’re talking about here are lots of patients with high medical needs waiting in hospitals to get the care that they actually need, right. But why is it so hard to get patients that care that they need in these nursing homes, in these psychiatric facilities?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>I think it’s a two fold issue. The demographics of the country are changing. Boomers are getting older. You know, they’re aging. They’ve got more health issues. They need more care. Simultaneously, we haven’t trained enough people to take care of that population. And this was true pre-pandemic. Right. And then for the last four years, we’ve heard about the staffing shortages in health care.\u003c/p>\n\u003cp>\u003cstrong>Craig Cornett: \u003c/strong>But the problem got significantly worse during Covid and we have not yet recovered.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>Craig Cornett is the CEO of the California Association of Health Facilities, which is the industry group that represents nursing homes.\u003c/p>\n\u003cp>\u003cstrong>Craig Cornett: \u003c/strong>Before Covid, there were about 142,000 of workers in skilled nursing facilities in California. That number dropped to 125,000 during Covid.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>The work is challenging. The patient population is difficult. The pay is not as good. It’s not as glamorous as other sectors of the healthcare industry. And so it’s been challenging to staff these parts of the industry, and they are trying to improve the situation. But unfortunately it is a major, major issue that’s not going to go away anytime soon.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Lesley, what factors affect a patient’s ability to get into a nursing home faster? Like are there types of patients that nursing homes would prefer to have that maybe wouldn’t cost as much?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>The ideal patient for a nursing home is someone who is on Medicare. So a senior my aunt is a perfect example. Recently she fell. She broke her hip. She’s 89 years old. She went to the hospital. She was discharged in a couple of days. She went to a nursing home.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>She was in and out of the nursing home in two weeks. Her Medicare paid for that, which reimbursed at about $1,250 a day. And then that bed can be turned over for someone else two weeks later. Unfortunately, Lisa is the least attractive kind of patient because she could be there for a very long time.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>She’s not on Medicare because she’s not a senior. She’s on Medi-Cal, which is the state’s insurance. And when she goes in, Medicare will reimburse at about $350 a day. And she’s a very high needs patient.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>And so she just costs more.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>Yes. Maura Gibney says this is not a bed issue. She said this is a money issue.\u003c/p>\n\u003cp>\u003cstrong>Maura Gibney: \u003c/strong>And so it really is just a profits issue. How much money are they going to make off of this person?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>And this is based on how much money a nursing home can make. And a short term Medicare patient is going to be much more attractive than a long term Medi-Cal or Medicaid patient.\u003c/p>\n\u003cp>\u003cstrong>Maura Gibney: \u003c/strong>Like they they’re going to make more money by keeping the bed open for a few days, avoiding a long term Medi-Cal patient, and then just getting, you know, a short term person instead.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>And the industry denies that they’re doing this right?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>Absolutely. It’s illegal. They have been reprimanded by the state a few times in the last year for doing this. So the industry says they’re not doing it. The state says stop doing it. And the advocates say you’re absolutely doing it.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I mean, what’s being done then to solve this problem?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>Craig Cornett told me that there are a couple positive things happening. California is spending about $26 million to recruit more health care workers to help kind of fill this gap. This will hopefully attract about 5500 certified nursing assistants by 2027. That’s not nearly enough, but it’s, you know, 5500 people.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>State lawmakers are also considering a new bill that would allow select community college districts to offer nursing degrees. This kind of lowers the bar for entry, and that would make it easier for workers to enter the health care industry. Again, he said that neither one of these are, you know, completely going to solve the issue.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>How then, I guess, do you get a patient into a nursing home given all of this? Leslie.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>In this particular case, David decided to, you know, leave his wife in the hospital. She ended up staying there for four months. Eventually they did find her a home, but it wasn’t in a nursing home. They found her care in what’s called a, boarding care or a assisted living facility, where she’s unfortunately not getting the care that she really needs.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>It’s more like an apartment building than what I would think of as a medical facility. And they don’t offer any medical care, so they do feed her there. She does have supervision. There are aides, but but not technical nurses.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>So they will monitor if you have to take pills or you have to take medicine throughout the day. But if you need any particular treatment, you need to call and arrange to have doctors or nurses come to you.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>You actually went there to visit her with David, right? What was that like?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>You know, she’s 60 to 70 pounds. Her body was very contorted into a position that you couldn’t even imagine the body could be in. She was nearly asleep when we got there, so I didn’t really get to interact with her, but it was a very, very sad situation. You know, and in David’s opinion, he thinks, you know, that she’s probably not getting nearly the nutrition that she needs to sort of sustain.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>It’s very depressing for him to visit her, although he does try to go once a week because he doesn’t think that she’s getting enough social interaction. He tried to put a movie on for her. He tries to make that visit, you know, an enjoyable experience. But I think he would say, and from what I could see, she’s not really there.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>I don’t know, there’s, there’s I mean, there’s nothing good about this situation. There’s nothing is the disease. I mean, she could she could be in that bed for five more years. She has no quality of life. It’s not like she can. She can even watch TV or, you know, she can’t operate a remote. It’s like I come there and I turn on some music for her. I come there, I put on a movie, but, you know, it’s like the people in the facility. I asked them to do that, but I don’t know if that happens, so I kind of think it doesn’t.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Yeah. I mean, I was going to ask like, how is David’s spirit or her mood?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>To David’s credit, he has an incredible person and has a very strong constitution. And I really saw that during the interview and in ensuing weeks of getting to know him. But he’s crushed. I mean, he’s crushed by the system. He’s crushed by his efforts going nowhere. He’s really, really, really trying to get her good care. He’s really trying to do what’s best for her.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>And he feels really, really stuck. And defeated was the word he used. He’s got the financial resources, he’s got the familial resources, he’s got friends. And he was, you know, working a full time job as a software engineer, raising two kids. And he still couldn’t find her care.\u003c/p>\n\u003cp>\u003cstrong>David Alter: \u003c/strong>As a society, we’re not set up in a way to care for people at a certain point.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I mean, what do you make of this story? Leslie? As a as a health reporter. I mean, I just feel like we’re talking about some of the sickest, some of the neediest patients in our society. And you would hope that those folks could get the care that they need, but it just sounds so impossible. Like and concerning. Frankly, I.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>Left this story very deeply questioning whether we care about this population. If you can’t really fight for yourself, you’re definitely not going to get care. And even when you can really fight for yourself, this is a great example of that. You’re not going to get the right care. So I think as a society, we really have to ask ourselves, do all people deserve to have, you know, some kind of quality of life?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>The other main thing that I really got in talking to David about this story is, you know, he knows that Lee says quality of life is not good right now. You know, he really grappled with the question about whether or not she should still be alive. Should she be still getting care?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>Now, obviously, that’s a very sensitive and challenging conversation to have, but it’s way harder to have right now than it would have been if they would have had that conversation 20 years ago when she was first diagnosed, and when she was still lucid enough to have put it in her own request for what kind of quality of life she would want. So I really think this underlines for all of us that we should have those conversations with our family members when we’re in good health.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Leslie, thank you so much for sharing your reporting with us. I appreciate it.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg: \u003c/strong>Yeah. Thank you.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>That was Lesley McClurg, a health correspondent for KQED. This 30 minute conversation with Leslie was cut down and edited by senior editor Alan Montecillo. Ellie Prickett-Morgan is our intern. They added all the tape. Additional production support by Marie Esquinca and me. Music courtesy of the Audio Network. The Bay’s a production of listener supported KQED in San Francisco. I’m Ericka Cruz Guevarra. Thanks for listening. Talk to you next time.\u003c/p>\n\n\u003c/div>"
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"title": "California Partners with New Jersey Firm to Buy Generic Opioid Overdose Reversal Drug",
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"content": "\u003cp>California is partnering with a New Jersey-based pharmaceutical company to purchase a generic version of Narcan, the drug that can save someone’s life during an opioid overdose, under a deal announced Monday by Democratic Gov. Gavin Newsom.\u003c/p>\n\u003cp>Amneal Pharmaceuticals will sell naloxone to California for $24 per pack, or about 40% cheaper than the market rate. California will give the packs away for free to first responders, universities and community organizations through the state’s Naloxone Distribution Project.\u003c/p>\n\u003cp>The deal is significant because it means California can buy a lot more naloxone — 3.2 million packs in one year instead of 2 million — for the same total cost.\u003c/p>\n\u003cp>The deal means naloxone will eventually be available under the CalRx label. Newsom first proposed CalRx back in 2019 as an attempt to force drug companies to lower their prices by \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/article/fbf567dda715d7b277b1d7e161340ea5\">offering much cheaper, competing versions\u003c/a> of life-saving medication.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>He \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/general-news-0ce04b7e398408b760904d212af44104\">signed a law\u003c/a> in 2020 that gave authority to the state.\u003c/p>\n\u003cp>California governments and businesses will be able to purchase naloxone outside of the Naloxone Distribution Project, the Newsom administration said, adding the state is working on a plan to make it available for sale to individuals.\u003c/p>\n\u003cp>“California is disrupting the drug industry with CalRx — securing life-saving drugs at lower and transparent prices,” Newsom said in an statement provided by his office.\u003c/p>\n\u003cp>Naloxone has been available in the U.S. without a prescription since March of 2023 when the \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/article/narcan-naloxone-overdose-opioids-9ad693795ce31e3a867a4dd4b65dbde8\">U.S. Food and Drug Administration approved Narcan\u003c/a>, a nasal spray brand produced by the Maryland-based pharmaceutical company Emergent BioSolutions.\u003c/p>\n\u003cp>Amneal Pharmaceuticals makes a generic equivalent to Narcan, which won FDA approval last week.[aside postID=news_11958577 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/08/230818-NARCAN-AP-MR-KQED-1020x680.jpg']The naloxone packs purchased by California initially will be available under the Amneal label. The naloxone will move to the CalRx label once the U.S. Food and Drug Administration approves it, a process the Newsom administration said could take several months.\u003c/p>\n\u003cp>Opioid overdose deaths, which are caused by heroin, fentanyl and oxycodone, have increased dramatically in California and across the country. Annual opioid overdose deaths in California have more than doubled since 2019, reaching 7,385 deaths at the end of 2022.\u003c/p>\n\u003cp>California began giving away naloxone kits for free in 2018. State officials said the Naloxone Distribution Project has given out 4.1 million kits, which have reversed a reported 260,000 opioid overdoses. The money has come from taxpayers and portions of a nationwide settlement agreement with some other pharmaceutical companies.\u003c/p>\n\u003cp>Last year, California lawmakers agreed to spend $30 million to partner with a drug company to make its own version of naloxone. However, they ended up not needing to spend that money on this deal since Amneal Pharmaceutical was already so far along in the FDA approval process that it did not require up-front funding from the state.\u003c/p>\n\u003cp>Instead, California will use a portion of the revenue it receives from a national opioid settlement to purchase the drugs.\u003c/p>\n\u003cp>Naloxone is just one drug the Newsom administration is targeting.\u003c/p>\n\u003cp>Last year, California \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/article/california-newsom-insulin-pharmaceutical-prices-5326fdbba52efe68e160ae6c72a53e71\">signed a 10-year agreement\u003c/a> with the nonprofit Civica to produce CalRx-branded insulin used to treat diabetes. California has set aside \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/article/health-california-diabetes-government-and-politics-f846c58d4cb327578d1c7b3a9495d496\">$100 million for that project\u003c/a>, with $50 million to develop the drugs and the rest set aside to invest in a manufacturing facility. Newsom said a 10-milliliter vial of state-branded insulin would sell for $30.\u003c/p>\n\u003cp>Civica has been meeting with the FDA and “has a clear path forward,” the Newsom administration said.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California is partnering with a New Jersey-based pharmaceutical company to purchase a generic version of Narcan, the drug that can save someone’s life during an opioid overdose, under a deal announced Monday by Democratic Gov. Gavin Newsom.\u003c/p>\n\u003cp>Amneal Pharmaceuticals will sell naloxone to California for $24 per pack, or about 40% cheaper than the market rate. California will give the packs away for free to first responders, universities and community organizations through the state’s Naloxone Distribution Project.\u003c/p>\n\u003cp>The deal is significant because it means California can buy a lot more naloxone — 3.2 million packs in one year instead of 2 million — for the same total cost.\u003c/p>\n\u003cp>The deal means naloxone will eventually be available under the CalRx label. Newsom first proposed CalRx back in 2019 as an attempt to force drug companies to lower their prices by \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/article/fbf567dda715d7b277b1d7e161340ea5\">offering much cheaper, competing versions\u003c/a> of life-saving medication.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>He \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/general-news-0ce04b7e398408b760904d212af44104\">signed a law\u003c/a> in 2020 that gave authority to the state.\u003c/p>\n\u003cp>California governments and businesses will be able to purchase naloxone outside of the Naloxone Distribution Project, the Newsom administration said, adding the state is working on a plan to make it available for sale to individuals.\u003c/p>\n\u003cp>“California is disrupting the drug industry with CalRx — securing life-saving drugs at lower and transparent prices,” Newsom said in an statement provided by his office.\u003c/p>\n\u003cp>Naloxone has been available in the U.S. without a prescription since March of 2023 when the \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/article/narcan-naloxone-overdose-opioids-9ad693795ce31e3a867a4dd4b65dbde8\">U.S. Food and Drug Administration approved Narcan\u003c/a>, a nasal spray brand produced by the Maryland-based pharmaceutical company Emergent BioSolutions.\u003c/p>\n\u003cp>Amneal Pharmaceuticals makes a generic equivalent to Narcan, which won FDA approval last week.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The naloxone packs purchased by California initially will be available under the Amneal label. The naloxone will move to the CalRx label once the U.S. Food and Drug Administration approves it, a process the Newsom administration said could take several months.\u003c/p>\n\u003cp>Opioid overdose deaths, which are caused by heroin, fentanyl and oxycodone, have increased dramatically in California and across the country. Annual opioid overdose deaths in California have more than doubled since 2019, reaching 7,385 deaths at the end of 2022.\u003c/p>\n\u003cp>California began giving away naloxone kits for free in 2018. State officials said the Naloxone Distribution Project has given out 4.1 million kits, which have reversed a reported 260,000 opioid overdoses. The money has come from taxpayers and portions of a nationwide settlement agreement with some other pharmaceutical companies.\u003c/p>\n\u003cp>Last year, California lawmakers agreed to spend $30 million to partner with a drug company to make its own version of naloxone. However, they ended up not needing to spend that money on this deal since Amneal Pharmaceutical was already so far along in the FDA approval process that it did not require up-front funding from the state.\u003c/p>\n\u003cp>Instead, California will use a portion of the revenue it receives from a national opioid settlement to purchase the drugs.\u003c/p>\n\u003cp>Naloxone is just one drug the Newsom administration is targeting.\u003c/p>\n\u003cp>Last year, California \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/article/california-newsom-insulin-pharmaceutical-prices-5326fdbba52efe68e160ae6c72a53e71\">signed a 10-year agreement\u003c/a> with the nonprofit Civica to produce CalRx-branded insulin used to treat diabetes. California has set aside \u003ca style=\"font-weight: var(--font-weight-reg)\" href=\"https://apnews.com/article/health-california-diabetes-government-and-politics-f846c58d4cb327578d1c7b3a9495d496\">$100 million for that project\u003c/a>, with $50 million to develop the drugs and the rest set aside to invest in a manufacturing facility. Newsom said a 10-milliliter vial of state-branded insulin would sell for $30.\u003c/p>\n\u003cp>Civica has been meeting with the FDA and “has a clear path forward,” the Newsom administration said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "California Regulators Just Approved New Rule to Cap Health Care Costs. Here's How It Works",
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"content": "\u003cp>You won’t notice it right away, but a new California state agency took a major step this week toward \u003ca href=\"https://calmatters.org/health/2024/02/health-care-costs-cap/\">reining in the seemingly uncontrollable costs of health care\u003c/a>.\u003c/p>\n\u003cp>The \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB184\">Office of Health Care Affordability\u003c/a> approved the state’s first cap on health industry spending increases, limiting growth to 3% by 2029. This means that hospitals, doctors and health insurers will need to find ways to cut costs to prevent annual per capita spending from exceeding the target. Between 2015 and 2020, per capita health spending in California grew more than 5% each year, according to federal data.\u003c/p>\n\u003cp>A board appointed by Gov. Gavin Newsom and the Legislature on Wednesday approved the new regulations in a 6–1 vote.\u003c/p>\n\u003cp>Health and Human Services Secretary Dr. Mark Ghaly, who chairs the board, said the regulations recognize that Californians are struggling every day to pay for\u003ca href=\"https://calmatters.org/category/health/\"> health care\u003c/a> and that the state has a role in helping them.\u003c/p>\n\u003cp>“We have a place in making sure it becomes more affordable,” Ghaly said.\u003c/p>\n\u003cp>Hospitals, doctors and insurers battled over the regulations for months, arguing that rising inflation and labor costs would make the target impossible to achieve. An earlier proposal would have moved more aggressively to cap costs. The final version gives the industry time to rein in spending.\u003c/p>\n\u003cp>Ghaly said he is confident that health care industry leaders will be able to find solutions to meet the new target. “When that happens, it’s going to be great for Californians.”\u003c/p>\n\u003ch2 id=\"h-how-does-it-work\" class=\"wp-block-heading\">How does it work?\u003c/h2>\n\u003cp>Increased health spending most often translates to higher out-of-pocket costs for consumers through premiums, deductibles and copays. The annual spending benchmark would require health care providers to limit spending growth to 3.5% next year, decreasing to 3% by 2029. Providers — including hospitals, doctors groups and health insurers — must submit spending data to the state to demonstrate that they comply with the cap.\u003c/p>\n\u003cp>The affordability office also has the authority to enforce penalties, including performance improvement plans and fines, for organizations that exceed the benchmark. It will not enforce penalties until 2029.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Assemblymember Jim Wood, a Democrat from Ukiah, at the meeting, urged the board to send a clear message to Californians that the state is taking affordability seriously. Wood spearheaded the legislation that created the office in 2022.\u003c/p>\n\u003cp>“It is not an exaggeration to say that people are deciding whether to get food on the table or get their medicines,” Wood said. “This is not an exercise. This is an effort to impact the real-life experiences of people in California.”\u003c/p>\n\u003ch2 id=\"h-how-will-providers-lower-health-care-costs\" class=\"wp-block-heading\">How will providers lower health care costs?\u003c/h2>\n\u003cp>Ultimately, it’s up to the health care organizations.\u003c/p>\n\u003cp>The board hopes health care organizations will crack down on inefficient and wasteful health spending, such as administrative inefficiency and redundant or poorly coordinated testing. But it doesn’t want to discourage spending on primary care and behavioral health. The affordability office will monitor spending in those areas to ensure organizations do not reduce services or access to preventative care.\u003c/p>\n\u003ch2 id=\"h-will-californians-see-cheaper-health-care\" class=\"wp-block-heading\">Will Californians see cheaper health care?\u003c/h2>\n\u003cp>Yes, but it may not feel like it.\u003c/p>\n\u003cp>The growth cap is not a mandate for providers to lower prices. Californians will not pay less for health insurance next year than they did this year. For those who already can’t afford health care — some estimates peg that number at \u003ca href=\"https://www.chcf.org/publication/2024-chcf-california-health-policy-survey/\" target=\"_blank\" rel=\"noreferrer noopener\">more than 50% of Californians \u003c/a>— the cap won’t bring any immediate relief.\u003c/p>\n\u003cp>The goal of the cap is to prevent future prices from increasing uncontrollably. This year, health insurance premiums on the state’s Affordable Care Act Exchange increased by 9.6% statewide, with double-digit increases in many regions. Personal health care spending shot up 60% between 2010 and 2020, reaching $405 billion, according to federal data. That’s $10,299 per person. \u003ca href=\"https://www.healthsystemtracker.org/brief/tracking-the-rise-in-premium-contributions-and-cost-sharing-for-families-with-large-employer-coverage/#Cumulative%20growth%20in%20out-of-pocket%20and%20total%20health%20spending%20for%20people%20with%20large%20employer%20coverage,%202007-2017\" target=\"_blank\" rel=\"noreferrer noopener\">Household health spending\u003c/a> has also grown twice as fast as wages, according to the Kaiser Family Foundation.\u003c/p>\n\u003cp>In an effort to recognize how many Californians can’t pay for health care, the affordability office tied the cap to the average annual median household income growth, which has historically been about 3% over the past two decades.\u003c/p>\n\u003ch2 id=\"h-will-california-succeed\" class=\"wp-block-heading\">Will California succeed?\u003c/h2>\n\u003cp>California is not the first state to try to lower health care costs. \u003ca href=\"https://www.chcf.org/publication/cost-commissions-eight-states-address-cost-growth/\" target=\"_blank\" rel=\"noreferrer noopener\">Eight other states\u003c/a> have similar cost benchmarks, although California’s is one of the more aggressive targets.\u003c/p>\n\u003cp>Massachusetts, the first state to set a health spending benchmark, has largely met its target growth rate of 3.6% over the past 10 years.\u003c/p>\n\u003cp>However, in recent years, with the impact of the COVID-19 pandemic, states have found it harder to contain costs. \u003ca href=\"https://www.healthaffairs.org/content/forefront/6-29-angeles-piece\" target=\"_blank\" rel=\"noreferrer noopener\">Connecticut, Delaware and Massachusetts\u003c/a> significantly surpassed their spending targets between 2020 and 2021 primarily because of increased health care use, according to a report by the policy journal Health Affairs.\u003c/p>\n\u003ch2 id=\"h-who-opposed-the-spending-cap\" class=\"wp-block-heading\">Who opposed the spending cap?\u003c/h2>\n\u003cp>Former state Sen. Dr. Richard Pan was the sole no-vote on the new regulations, arguing that the state needed to recognize how changing population needs, such as aging, would affect future health care spending.\u003c/p>\n\u003cp>Pan and groups representing hospitals and doctors have argued that the state should have set a more “realistic” target rather than one most organizations will fail to achieve.\u003c/p>\n\u003cp>In a letter to the board, the California Hospital Association proposed a 6.3% target for 2025 and urged state regulators to consider how inflation, aging and a new law that raises the state \u003ca href=\"https://calmatters.org/health/2023/11/california-health-care-minimum-wage-cost/#:~:text=While%20the%20original%20bill%20would,because%20of%20the%20new%20law.\" target=\"_blank\" rel=\"noreferrer noopener\">minimum wage for health care workers\u003c/a> would drive up costs. Association President Carmela Coyle said in a statement after the vote that the new regulations will worsen access to care as organizations are forced to make cuts.\u003c/p>\n\u003cp>“The office is charged by law to do more than limit spending,” Coyle said. “It’s imperative that the board analyze the impact of its decision on patients and create a process to reconsider future targets to protect access to equitable, quality care for every Californian.”\u003c/p>\n\u003cp>The California Association of Health Plans, representing most insurers, and the California Medical Association, representing doctors, voiced support for the phased-in 3% target this week but have previously pushed the affordability office to consider other options.\u003c/p>\n\u003cp>“Adopting a 3% health care spending growth target, which most physician practices and health care entities will be unable to meet, will negatively impact access to health care for Californians,” medical association President Dr. Tanya Spirtos wrote ahead of the vote.\u003c/p>\n\u003ch2 id=\"h-who-supported-the-health-spending-cap\" class=\"wp-block-heading\">Who supported the health spending cap?\u003c/h2>\n\u003cp>The new regulations are largely supported by unions, employers and consumer advocates. Supporters turned up in force at the vote to give examples of how housekeepers, bartenders, teachers, carpenters, nurses and other workers cannot afford health care even with insurance and frequently forgo raises to pay for ever-growing medical spending.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11975284,science_1991871,news_11983752\"]“Consumers, particularly people of color, are burdened by record medical debt and are making daily choices between health care, housing, and food,” said Kiran Savage-Sangwan, executive director of the California Pan-Ethnic Health Network, at the meeting. “If we want a different outcome, we need to change the incentives in our system.”\u003c/p>\n\u003cp>Anthony Wright, executive director of Health Access California, said the new spending target was “long-awaited, but welcome news for Californians.”\u003c/p>\n\u003cp>“California consumers, patients and payers have been screaming for years about the cost,” Wright said. “This will provide some downward pressure on what has been ever-increasing hikes in our health care costs.”\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>You won’t notice it right away, but a new California state agency took a major step this week toward \u003ca href=\"https://calmatters.org/health/2024/02/health-care-costs-cap/\">reining in the seemingly uncontrollable costs of health care\u003c/a>.\u003c/p>\n\u003cp>The \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB184\">Office of Health Care Affordability\u003c/a> approved the state’s first cap on health industry spending increases, limiting growth to 3% by 2029. This means that hospitals, doctors and health insurers will need to find ways to cut costs to prevent annual per capita spending from exceeding the target. Between 2015 and 2020, per capita health spending in California grew more than 5% each year, according to federal data.\u003c/p>\n\u003cp>A board appointed by Gov. Gavin Newsom and the Legislature on Wednesday approved the new regulations in a 6–1 vote.\u003c/p>\n\u003cp>Health and Human Services Secretary Dr. Mark Ghaly, who chairs the board, said the regulations recognize that Californians are struggling every day to pay for\u003ca href=\"https://calmatters.org/category/health/\"> health care\u003c/a> and that the state has a role in helping them.\u003c/p>\n\u003cp>“We have a place in making sure it becomes more affordable,” Ghaly said.\u003c/p>\n\u003cp>Hospitals, doctors and insurers battled over the regulations for months, arguing that rising inflation and labor costs would make the target impossible to achieve. An earlier proposal would have moved more aggressively to cap costs. The final version gives the industry time to rein in spending.\u003c/p>\n\u003cp>Ghaly said he is confident that health care industry leaders will be able to find solutions to meet the new target. “When that happens, it’s going to be great for Californians.”\u003c/p>\n\u003ch2 id=\"h-how-does-it-work\" class=\"wp-block-heading\">How does it work?\u003c/h2>\n\u003cp>Increased health spending most often translates to higher out-of-pocket costs for consumers through premiums, deductibles and copays. The annual spending benchmark would require health care providers to limit spending growth to 3.5% next year, decreasing to 3% by 2029. Providers — including hospitals, doctors groups and health insurers — must submit spending data to the state to demonstrate that they comply with the cap.\u003c/p>\n\u003cp>The affordability office also has the authority to enforce penalties, including performance improvement plans and fines, for organizations that exceed the benchmark. It will not enforce penalties until 2029.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Assemblymember Jim Wood, a Democrat from Ukiah, at the meeting, urged the board to send a clear message to Californians that the state is taking affordability seriously. Wood spearheaded the legislation that created the office in 2022.\u003c/p>\n\u003cp>“It is not an exaggeration to say that people are deciding whether to get food on the table or get their medicines,” Wood said. “This is not an exercise. This is an effort to impact the real-life experiences of people in California.”\u003c/p>\n\u003ch2 id=\"h-how-will-providers-lower-health-care-costs\" class=\"wp-block-heading\">How will providers lower health care costs?\u003c/h2>\n\u003cp>Ultimately, it’s up to the health care organizations.\u003c/p>\n\u003cp>The board hopes health care organizations will crack down on inefficient and wasteful health spending, such as administrative inefficiency and redundant or poorly coordinated testing. But it doesn’t want to discourage spending on primary care and behavioral health. The affordability office will monitor spending in those areas to ensure organizations do not reduce services or access to preventative care.\u003c/p>\n\u003ch2 id=\"h-will-californians-see-cheaper-health-care\" class=\"wp-block-heading\">Will Californians see cheaper health care?\u003c/h2>\n\u003cp>Yes, but it may not feel like it.\u003c/p>\n\u003cp>The growth cap is not a mandate for providers to lower prices. Californians will not pay less for health insurance next year than they did this year. For those who already can’t afford health care — some estimates peg that number at \u003ca href=\"https://www.chcf.org/publication/2024-chcf-california-health-policy-survey/\" target=\"_blank\" rel=\"noreferrer noopener\">more than 50% of Californians \u003c/a>— the cap won’t bring any immediate relief.\u003c/p>\n\u003cp>The goal of the cap is to prevent future prices from increasing uncontrollably. This year, health insurance premiums on the state’s Affordable Care Act Exchange increased by 9.6% statewide, with double-digit increases in many regions. Personal health care spending shot up 60% between 2010 and 2020, reaching $405 billion, according to federal data. That’s $10,299 per person. \u003ca href=\"https://www.healthsystemtracker.org/brief/tracking-the-rise-in-premium-contributions-and-cost-sharing-for-families-with-large-employer-coverage/#Cumulative%20growth%20in%20out-of-pocket%20and%20total%20health%20spending%20for%20people%20with%20large%20employer%20coverage,%202007-2017\" target=\"_blank\" rel=\"noreferrer noopener\">Household health spending\u003c/a> has also grown twice as fast as wages, according to the Kaiser Family Foundation.\u003c/p>\n\u003cp>In an effort to recognize how many Californians can’t pay for health care, the affordability office tied the cap to the average annual median household income growth, which has historically been about 3% over the past two decades.\u003c/p>\n\u003ch2 id=\"h-will-california-succeed\" class=\"wp-block-heading\">Will California succeed?\u003c/h2>\n\u003cp>California is not the first state to try to lower health care costs. \u003ca href=\"https://www.chcf.org/publication/cost-commissions-eight-states-address-cost-growth/\" target=\"_blank\" rel=\"noreferrer noopener\">Eight other states\u003c/a> have similar cost benchmarks, although California’s is one of the more aggressive targets.\u003c/p>\n\u003cp>Massachusetts, the first state to set a health spending benchmark, has largely met its target growth rate of 3.6% over the past 10 years.\u003c/p>\n\u003cp>However, in recent years, with the impact of the COVID-19 pandemic, states have found it harder to contain costs. \u003ca href=\"https://www.healthaffairs.org/content/forefront/6-29-angeles-piece\" target=\"_blank\" rel=\"noreferrer noopener\">Connecticut, Delaware and Massachusetts\u003c/a> significantly surpassed their spending targets between 2020 and 2021 primarily because of increased health care use, according to a report by the policy journal Health Affairs.\u003c/p>\n\u003ch2 id=\"h-who-opposed-the-spending-cap\" class=\"wp-block-heading\">Who opposed the spending cap?\u003c/h2>\n\u003cp>Former state Sen. Dr. Richard Pan was the sole no-vote on the new regulations, arguing that the state needed to recognize how changing population needs, such as aging, would affect future health care spending.\u003c/p>\n\u003cp>Pan and groups representing hospitals and doctors have argued that the state should have set a more “realistic” target rather than one most organizations will fail to achieve.\u003c/p>\n\u003cp>In a letter to the board, the California Hospital Association proposed a 6.3% target for 2025 and urged state regulators to consider how inflation, aging and a new law that raises the state \u003ca href=\"https://calmatters.org/health/2023/11/california-health-care-minimum-wage-cost/#:~:text=While%20the%20original%20bill%20would,because%20of%20the%20new%20law.\" target=\"_blank\" rel=\"noreferrer noopener\">minimum wage for health care workers\u003c/a> would drive up costs. Association President Carmela Coyle said in a statement after the vote that the new regulations will worsen access to care as organizations are forced to make cuts.\u003c/p>\n\u003cp>“The office is charged by law to do more than limit spending,” Coyle said. “It’s imperative that the board analyze the impact of its decision on patients and create a process to reconsider future targets to protect access to equitable, quality care for every Californian.”\u003c/p>\n\u003cp>The California Association of Health Plans, representing most insurers, and the California Medical Association, representing doctors, voiced support for the phased-in 3% target this week but have previously pushed the affordability office to consider other options.\u003c/p>\n\u003cp>“Adopting a 3% health care spending growth target, which most physician practices and health care entities will be unable to meet, will negatively impact access to health care for Californians,” medical association President Dr. Tanya Spirtos wrote ahead of the vote.\u003c/p>\n\u003ch2 id=\"h-who-supported-the-health-spending-cap\" class=\"wp-block-heading\">Who supported the health spending cap?\u003c/h2>\n\u003cp>The new regulations are largely supported by unions, employers and consumer advocates. Supporters turned up in force at the vote to give examples of how housekeepers, bartenders, teachers, carpenters, nurses and other workers cannot afford health care even with insurance and frequently forgo raises to pay for ever-growing medical spending.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Consumers, particularly people of color, are burdened by record medical debt and are making daily choices between health care, housing, and food,” said Kiran Savage-Sangwan, executive director of the California Pan-Ethnic Health Network, at the meeting. “If we want a different outcome, we need to change the incentives in our system.”\u003c/p>\n\u003cp>Anthony Wright, executive director of Health Access California, said the new spending target was “long-awaited, but welcome news for Californians.”\u003c/p>\n\u003cp>“California consumers, patients and payers have been screaming for years about the cost,” Wright said. “This will provide some downward pressure on what has been ever-increasing hikes in our health care costs.”\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>San Francisco emergency dispatchers — already dangerously understaffed and overworked — say that sporadic outages in their aging computer system are making their jobs even harder.\u003c/p>\n\u003cp>Under normal circumstances, dispatchers answering 911 calls type the information they get into the Computer Aided Dispatch System. That information goes to the dispatch center’s radio operators and emergency responders via the computers inside city police cars, fire trucks and ambulances.\u003c/p>\n\u003cp>But sometimes, like in the early hours of Thursday morning, the CAD system goes down, usually for hours at a time. When that happens, call-takers switch to handwritten notes, which other workers then run over to dispatchers on the radios, relaying the call information to first responders. All communications are then done over radio.\u003c/p>\n\u003cp>“A three- to five-minute call might end up being a five- to eight-minute call,” said Burt Wilson, president of the dispatchers union chapter. “So if you’re the next person, waiting for a dispatcher, calling 911, it could delay response to the calls.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Some workers also have to be removed from their current assignments to run those notes back and forth. This could fall on supervisors or trainees, but in some cases, a dispatcher has to be removed from phone duty to run the notes, meaning calls get answered even slower.\u003c/p>\n\u003cp>“So it could work,” Wilson said. “But like I said, it’s just a little bit more tedious for us and a lot more work.”\u003c/p>\n\u003cp>Wilson said he believes there have been three outages in the past week, all lasting more than three hours, though he didn’t personally witness all of them. And this isn’t a new problem. \u003ca href=\"https://abc7news.com/san-francisco-emergency-dispatch-system-office-of-management-outage/1134441/\">News stories\u003c/a> about CAD problems go back to \u003ca href=\"https://abc7news.com/archive/8129222/\">at least 2011.\u003c/a>\u003c/p>\n\u003ch2>A system that is ‘end of life’\u003c/h2>\n\u003cp>The Department of Emergency Management said the current system is functional but acknowledged it is “end of life” and said a replacement is coming.\u003c/p>\n\u003cp>“We know outdated infrastructure has limitations, and interruptions are unpredictable, which is why investing in new technology and infrastructure is critical and important,” DEM said in a statement.\u003c/p>\n\u003cp>The department aims to get the new system fully up and running by late 2026, according to a \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=12667002&GUID=59D1ABDD-93AA-4EA8-BA22-891D5F7290D8\">February memo (PDF)\u003c/a>.\u003c/p>\n\u003cp>In 2019, a DEM official told city supervisors the projected completion date was late 2023. It was unclear why the project was delayed three years, though the pandemic likely played a part.\u003c/p>\n\u003cfigure id=\"attachment_11984230\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11984230\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/IMG_3701-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1920\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/IMG_3701-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/IMG_3701-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/IMG_3701-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/IMG_3701-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/IMG_3701-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/IMG_3701-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/IMG_3701-1920x1440.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">DEM Executive Director Mary Ellen Carroll speaks at a press conference for the reopening of the newly renovated dispatch center with San Francisco Mayor London Breed to her left on Wednesday, April 24, 2024. \u003ccite>(Juan Carlos Lara/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The department has not answered questions about the frequency of outages or the process and timeline for replacing the existing system.\u003c/p>\n\u003cp>Motorola’s new system will cost $22.2 million, with another $22.6 million over 11 years to cover annual maintenance, according to a report from the \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=12743296&GUID=3545170E-B577-45EC-BAF6-A70F12FFAC8C\">Budget and Legislative Analyst’s Office (PDF). \u003c/a>\u003c/p>\n\u003cp>San Francisco first bought its current CAD system from Tiburon Inc. in 1999. Starting in 2012, the city contracted with the same company for upgrades and maintenance, with that contract being extended twice. It’s now set to expire in late 2027.\u003c/p>\n\u003cp>According to a 2019 report from the \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=7813829&GUID=131A840B-1748-4DA5-91D6-529E1E9F2668\">Budget and Legislative Analyst’s Office (PDF)\u003c/a>, DEM chose to contract Tiburon Inc. because upgrading the system would be cheaper than replacing it.\u003c/p>\n\u003ch2>Not meeting standards\u003c/h2>\n\u003cp>Even without unpredictable outages, city response times are not what they should be. San Francisco strives to answer 95% of incoming 911 calls within 15 seconds, but in \u003ca href=\"https://sfgov.org/scorecards/public-safety/911-call-volume-and-response\">February, dispatchers only managed that in 73% of calls. \u003c/a>\u003c/p>\n\u003cp>“We’ve been very open about not meeting those standards for the last probably year or so, but that is all about our staffing,” said Mary Ellen Carroll, executive director of DEM. The city has not met that standard since June of 2020.\u003c/p>\n\u003cp>Carroll spoke in front of the city’s dispatch center on Wednesday to celebrate its newly completed renovation, just one day before the most recent CAD outage. She said the city is working to increase staffing. A soon-to-start academy class, with 14 trainees, is the biggest the department has seen since the start of the pandemic.\u003c/p>\n\u003cfigure id=\"attachment_11984231\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11984231\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/133A1608-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/133A1608-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/133A1608-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/133A1608-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/133A1608-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/133A1608-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/133A1608-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/133A1608-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">A view of the emergency dispatch center in San Francisco. \u003ccite>(Courtesy of Department of Emergency Management)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The city said its goal is 160 to 165 fully trained dispatchers; currently, there are about 124. However, new trainees will need about two years to be fully ready for the job, and some of the current workers may retire or switch jobs in that time.\u003c/p>\n\u003cp>And while the department works to get fully staffed, dispatchers are working long days, in many cases involving mandatory overtime, to fill the gaps.\u003c/p>\n\u003cp>Valerie Tucker, who has been a dispatcher for eight years, said she works an average of 14- to 16-hour days, four days a week, and often comes in on days off to help cover for coworkers.\u003c/p>\n\u003cp>“It’s difficult. It’s not sustainable on any kind of long-term basis. And quite honestly, I think we are getting to the end of our rope on it,” Tucker said. “I basically wake up, come to work. I eat three meals a day here, brush my teeth and hygiene myself here occasionally, go home, get in bed, turn around and come back and do it all over again. That’s what my day looks like. That’s what I’ve been doing for pretty much the last two years here.”\u003c/p>\n\u003ch2>Adjusting to outages\u003c/h2>\n\u003cp>Dispatchers also aren’t the only city workers who feel hampered by CAD outages. Police access the CAD system from their cruisers and rely on that information as they respond to calls.\u003c/p>\n\u003cp>Tracy McCray, president of the San Francisco Police Officers Association, said an outage could present a safety issue for officers who can’t receive information in a timely manner. In some cases, police have even called off pursuits if the system is down.\u003c/p>\n\u003cp>“It’s not only tracking the calls for service … but our ability to access other databases like the DOJ database when we run people,” McCray said. “Well, if CAD goes down, we can’t do that. We can’t run people because there’s no access. So we don’t know who we may be dealing with on the street.”\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11977185,news_11473803,news_10780569\"]An outage would also prevent officers from running a license plate to determine whether a car is stolen, McCray said.\u003c/p>\n\u003cp>McCray said that she thinks the outages have become more frequent since last year but did not provide concrete figures.\u003c/p>\n\u003cp>The department said in a statement, “Our dispatchers are trained and equipped to respond to 911 calls in the event of outages and service interruptions, which have not impacted the public’s ability to call 911 or our ability to dispatch emergency services.”\u003c/p>\n\u003cp>Wilson, the dispatch union leader, agreed that they are very used to adjusting to outages due to their frequency.\u003c/p>\n\u003cp>The fire department also has to adjust when outages happen, including having one person monitoring the radio at all times. But SFFD Rescue Capt. Justin Schorr said he doesn’t feel they impact their response times.\u003c/p>\n\u003cp>“It’s going back to how we used to do things before the computers came along and reminding ourselves that we can pass this information from A to B,” Schorr said. “It is so much more accurate to be able to do it on the computers now, but we still need to be able to know how to do it when the computers aren’t there.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "The Department of Emergency Management acknowledged that the current dispatch system is 'end of life.' A new system was expected to be in place by 2023, but it has been delayed for three years to late 2026.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Some workers also have to be removed from their current assignments to run those notes back and forth. This could fall on supervisors or trainees, but in some cases, a dispatcher has to be removed from phone duty to run the notes, meaning calls get answered even slower.\u003c/p>\n\u003cp>“So it could work,” Wilson said. “But like I said, it’s just a little bit more tedious for us and a lot more work.”\u003c/p>\n\u003cp>Wilson said he believes there have been three outages in the past week, all lasting more than three hours, though he didn’t personally witness all of them. And this isn’t a new problem. \u003ca href=\"https://abc7news.com/san-francisco-emergency-dispatch-system-office-of-management-outage/1134441/\">News stories\u003c/a> about CAD problems go back to \u003ca href=\"https://abc7news.com/archive/8129222/\">at least 2011.\u003c/a>\u003c/p>\n\u003ch2>A system that is ‘end of life’\u003c/h2>\n\u003cp>The Department of Emergency Management said the current system is functional but acknowledged it is “end of life” and said a replacement is coming.\u003c/p>\n\u003cp>“We know outdated infrastructure has limitations, and interruptions are unpredictable, which is why investing in new technology and infrastructure is critical and important,” DEM said in a statement.\u003c/p>\n\u003cp>The department aims to get the new system fully up and running by late 2026, according to a \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=12667002&GUID=59D1ABDD-93AA-4EA8-BA22-891D5F7290D8\">February memo (PDF)\u003c/a>.\u003c/p>\n\u003cp>In 2019, a DEM official told city supervisors the projected completion date was late 2023. It was unclear why the project was delayed three years, though the pandemic likely played a part.\u003c/p>\n\u003cfigure id=\"attachment_11984230\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11984230\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/IMG_3701-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1920\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/IMG_3701-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/IMG_3701-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/IMG_3701-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/IMG_3701-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/IMG_3701-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/IMG_3701-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/IMG_3701-1920x1440.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">DEM Executive Director Mary Ellen Carroll speaks at a press conference for the reopening of the newly renovated dispatch center with San Francisco Mayor London Breed to her left on Wednesday, April 24, 2024. \u003ccite>(Juan Carlos Lara/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The department has not answered questions about the frequency of outages or the process and timeline for replacing the existing system.\u003c/p>\n\u003cp>Motorola’s new system will cost $22.2 million, with another $22.6 million over 11 years to cover annual maintenance, according to a report from the \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=12743296&GUID=3545170E-B577-45EC-BAF6-A70F12FFAC8C\">Budget and Legislative Analyst’s Office (PDF). \u003c/a>\u003c/p>\n\u003cp>San Francisco first bought its current CAD system from Tiburon Inc. in 1999. Starting in 2012, the city contracted with the same company for upgrades and maintenance, with that contract being extended twice. It’s now set to expire in late 2027.\u003c/p>\n\u003cp>According to a 2019 report from the \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=7813829&GUID=131A840B-1748-4DA5-91D6-529E1E9F2668\">Budget and Legislative Analyst’s Office (PDF)\u003c/a>, DEM chose to contract Tiburon Inc. because upgrading the system would be cheaper than replacing it.\u003c/p>\n\u003ch2>Not meeting standards\u003c/h2>\n\u003cp>Even without unpredictable outages, city response times are not what they should be. San Francisco strives to answer 95% of incoming 911 calls within 15 seconds, but in \u003ca href=\"https://sfgov.org/scorecards/public-safety/911-call-volume-and-response\">February, dispatchers only managed that in 73% of calls. \u003c/a>\u003c/p>\n\u003cp>“We’ve been very open about not meeting those standards for the last probably year or so, but that is all about our staffing,” said Mary Ellen Carroll, executive director of DEM. The city has not met that standard since June of 2020.\u003c/p>\n\u003cp>Carroll spoke in front of the city’s dispatch center on Wednesday to celebrate its newly completed renovation, just one day before the most recent CAD outage. She said the city is working to increase staffing. A soon-to-start academy class, with 14 trainees, is the biggest the department has seen since the start of the pandemic.\u003c/p>\n\u003cfigure id=\"attachment_11984231\" class=\"wp-caption alignnone\" style=\"max-width: 2560px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11984231\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/133A1608-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/133A1608-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/133A1608-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/133A1608-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/133A1608-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/133A1608-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/133A1608-2048x1365.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/133A1608-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003cfigcaption class=\"wp-caption-text\">A view of the emergency dispatch center in San Francisco. \u003ccite>(Courtesy of Department of Emergency Management)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The city said its goal is 160 to 165 fully trained dispatchers; currently, there are about 124. However, new trainees will need about two years to be fully ready for the job, and some of the current workers may retire or switch jobs in that time.\u003c/p>\n\u003cp>And while the department works to get fully staffed, dispatchers are working long days, in many cases involving mandatory overtime, to fill the gaps.\u003c/p>\n\u003cp>Valerie Tucker, who has been a dispatcher for eight years, said she works an average of 14- to 16-hour days, four days a week, and often comes in on days off to help cover for coworkers.\u003c/p>\n\u003cp>“It’s difficult. It’s not sustainable on any kind of long-term basis. And quite honestly, I think we are getting to the end of our rope on it,” Tucker said. “I basically wake up, come to work. I eat three meals a day here, brush my teeth and hygiene myself here occasionally, go home, get in bed, turn around and come back and do it all over again. That’s what my day looks like. That’s what I’ve been doing for pretty much the last two years here.”\u003c/p>\n\u003ch2>Adjusting to outages\u003c/h2>\n\u003cp>Dispatchers also aren’t the only city workers who feel hampered by CAD outages. Police access the CAD system from their cruisers and rely on that information as they respond to calls.\u003c/p>\n\u003cp>Tracy McCray, president of the San Francisco Police Officers Association, said an outage could present a safety issue for officers who can’t receive information in a timely manner. In some cases, police have even called off pursuits if the system is down.\u003c/p>\n\u003cp>“It’s not only tracking the calls for service … but our ability to access other databases like the DOJ database when we run people,” McCray said. “Well, if CAD goes down, we can’t do that. We can’t run people because there’s no access. So we don’t know who we may be dealing with on the street.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>An outage would also prevent officers from running a license plate to determine whether a car is stolen, McCray said.\u003c/p>\n\u003cp>McCray said that she thinks the outages have become more frequent since last year but did not provide concrete figures.\u003c/p>\n\u003cp>The department said in a statement, “Our dispatchers are trained and equipped to respond to 911 calls in the event of outages and service interruptions, which have not impacted the public’s ability to call 911 or our ability to dispatch emergency services.”\u003c/p>\n\u003cp>Wilson, the dispatch union leader, agreed that they are very used to adjusting to outages due to their frequency.\u003c/p>\n\u003cp>The fire department also has to adjust when outages happen, including having one person monitoring the radio at all times. But SFFD Rescue Capt. Justin Schorr said he doesn’t feel they impact their response times.\u003c/p>\n\u003cp>“It’s going back to how we used to do things before the computers came along and reminding ourselves that we can pass this information from A to B,” Schorr said. “It is so much more accurate to be able to do it on the computers now, but we still need to be able to know how to do it when the computers aren’t there.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Arizona doctors could give their patients abortions in California under a proposal announced Wednesday by Gov. Gavin Newsom as part of an effort to circumvent a \u003ca href=\"https://apnews.com/article/arizona-abortion-ban-what-to-know-797a4bbbc738497fe2284d6870c5be24\">ban on nearly all abortions\u003c/a> in that state.\u003c/p>\n\u003cp>It would apply only to doctors licensed in good standing in Arizona and their patients and last only through the end of November. Newsom said protecting access to abortions is “just about basic decency” and “respect for women and girls.”\u003c/p>\n\u003cp>Arizona’s long-defunct 1864 law banning nearly all abortions except if the mother’s life is in jeopardy goes into effect on June 8 — although the Arizona House on Wednesday \u003ca href=\"https://apnews.com/article/arizona-abortion-1864-ban-repeal-lawmakers-84b0cd9a8c44ddaefed2c45e9eff1c79\">advanced a repeal of the law\u003c/a>.\u003c/p>\n\u003cp>“This Arizona law is the first border-state law that will directly impact the state of California,” the governor said. “Rather than just acknowledging that fate and future, we’re trying to get ahead of this law.”\u003c/p>\n\u003cp>Newsom joined the California Legislative Women’s Caucus and pro-choice advocates to announce the proposal. Lawmakers called the Arizona law “draconian” and said California had an obligation to get involved. The bill would need to pass by a two-thirds vote in each house of the state Legislature before reaching Newsom’s desk. After he signs it, it will go into effect immediately.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Dr. Tanya Spirtos, a gynecologist and president of the California Medical Association, said it is unfortunate that Arizona abortion patients will have to travel out-of-state, but she’s proud to see California step in to assist them.\u003c/p>\n\u003cp>“All personal medical decisions, including those around abortion, should be made by patients in consultation with their health care providers,” Spirtos said. “By banning virtually all abortions in the state, the ruling will put physicians in harm’s way for simply providing often lifesaving medical care to their patients.”[aside label=\"more abortion coverage\" tag=\"abortion\"]The Arizona Supreme Court cleared the way earlier this month for the near-total ban to move forward. Besides Arizona, \u003ca href=\"https://apnews.com/article/arizona-abortion-restrictions-1864-9c68866d69dca38c728dd27b80592e8f\">14 other states\u003c/a> have banned abortion at all stages of pregnancy.\u003c/p>\n\u003cp>While abortion access in California has never been under serious threat in recent history, Newsom — widely seen as a potential presidential candidate beyond 2024 — has made defending that access a priority of his administration.\u003c/p>\n\u003cp>Newsom pushed for abortion access to be enshrined into the California Constitution. He \u003ca href=\"https://apnews.com/article/abortion-us-supreme-court-california-gavin-newsom-729c1df436b5efa69d1cbff438f5905c\">approved $20 million\u003c/a> of taxpayer money to help pay for women in other states to come to California for abortions. And he has signed \u003ca href=\"https://apnews.com/article/abortion-us-supreme-court-health-california-df6dd40a7e2af65a1c6a4042e4ffa485\">dozens of laws\u003c/a> aimed at making it harder for other states to investigate women for coming to California for abortions, including banning social media companies from \u003ca href=\"https://apnews.com/article/california-abortion-pill-gavin-newsom-b7e392be628411230319215d7c010f21\">complying with subpoenas\u003c/a> or warrants.\u003c/p>\n\u003cp>His actions have endeared him to the Democratic Party’s core constituencies despite some of the state’s other problems — including homelessness, wildfire insurance and a pair of multibillion-dollar budget deficits.\u003c/p>\n\u003cp>In 2022, months after the U.S. Supreme Court overturned Roe v. Wade, California launched a \u003ca href=\"https://apnews.com/article/abortion-travel-health-gavin-newsom-state-budgets-98f36da0cf3219d01e4564ba61a0a6fb\">publicly-funded website\u003c/a> to promote the state’s abortion services, including information about financial help for travel expenses and letting teenagers in other states know that California does not require them to have their parents’ permission to get an abortion in the state.\u003c/p>\n\u003cp>It has also become a chief talking point in Newsom’s role as a top surrogate for President Joe Biden’s reelection campaign. Using money left over from his 2022 reelection campaign, Newsom started a political action committee he calls the “ \u003ca href=\"https://apnews.com/article/california-governor-newsom-president-democrats-2024-843877ca6aca701a5a68b8cb022203a2\">Campaign for Democracy\u003c/a> ” that has paid for billboards and TV ads in Republican-led states to criticize their leaders’ attempts to outlaw or restrict access to abortions. In February, he launched \u003ca href=\"https://apnews.com/article/california-governor-newsom-abortion-politics-travel-67ac67b4fed8434c5908ae89ca2a01f9\">ads in multiple states\u003c/a> to criticize proposals there that aimed to prohibit out-of-state travel for abortions.\u003c/p>\n\u003cp>When an Alabama lawmaker introduced a bill to make it a crime to help someone under 18 get an abortion without telling their parents or guardians, Newsom paid for an ad depicting a young woman trying to leave the state only to be stopped by a police officer who demands that she take a pregnancy test.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Associated Press writer Adam Beam contributed to this report.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Arizona doctors could give their patients abortions in California under a proposal announced Wednesday by Gov. Gavin Newsom as part of an effort to circumvent a \u003ca href=\"https://apnews.com/article/arizona-abortion-ban-what-to-know-797a4bbbc738497fe2284d6870c5be24\">ban on nearly all abortions\u003c/a> in that state.\u003c/p>\n\u003cp>It would apply only to doctors licensed in good standing in Arizona and their patients and last only through the end of November. Newsom said protecting access to abortions is “just about basic decency” and “respect for women and girls.”\u003c/p>\n\u003cp>Arizona’s long-defunct 1864 law banning nearly all abortions except if the mother’s life is in jeopardy goes into effect on June 8 — although the Arizona House on Wednesday \u003ca href=\"https://apnews.com/article/arizona-abortion-1864-ban-repeal-lawmakers-84b0cd9a8c44ddaefed2c45e9eff1c79\">advanced a repeal of the law\u003c/a>.\u003c/p>\n\u003cp>“This Arizona law is the first border-state law that will directly impact the state of California,” the governor said. “Rather than just acknowledging that fate and future, we’re trying to get ahead of this law.”\u003c/p>\n\u003cp>Newsom joined the California Legislative Women’s Caucus and pro-choice advocates to announce the proposal. Lawmakers called the Arizona law “draconian” and said California had an obligation to get involved. The bill would need to pass by a two-thirds vote in each house of the state Legislature before reaching Newsom’s desk. After he signs it, it will go into effect immediately.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Dr. Tanya Spirtos, a gynecologist and president of the California Medical Association, said it is unfortunate that Arizona abortion patients will have to travel out-of-state, but she’s proud to see California step in to assist them.\u003c/p>\n\u003cp>“All personal medical decisions, including those around abortion, should be made by patients in consultation with their health care providers,” Spirtos said. “By banning virtually all abortions in the state, the ruling will put physicians in harm’s way for simply providing often lifesaving medical care to their patients.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The Arizona Supreme Court cleared the way earlier this month for the near-total ban to move forward. Besides Arizona, \u003ca href=\"https://apnews.com/article/arizona-abortion-restrictions-1864-9c68866d69dca38c728dd27b80592e8f\">14 other states\u003c/a> have banned abortion at all stages of pregnancy.\u003c/p>\n\u003cp>While abortion access in California has never been under serious threat in recent history, Newsom — widely seen as a potential presidential candidate beyond 2024 — has made defending that access a priority of his administration.\u003c/p>\n\u003cp>Newsom pushed for abortion access to be enshrined into the California Constitution. He \u003ca href=\"https://apnews.com/article/abortion-us-supreme-court-california-gavin-newsom-729c1df436b5efa69d1cbff438f5905c\">approved $20 million\u003c/a> of taxpayer money to help pay for women in other states to come to California for abortions. And he has signed \u003ca href=\"https://apnews.com/article/abortion-us-supreme-court-health-california-df6dd40a7e2af65a1c6a4042e4ffa485\">dozens of laws\u003c/a> aimed at making it harder for other states to investigate women for coming to California for abortions, including banning social media companies from \u003ca href=\"https://apnews.com/article/california-abortion-pill-gavin-newsom-b7e392be628411230319215d7c010f21\">complying with subpoenas\u003c/a> or warrants.\u003c/p>\n\u003cp>His actions have endeared him to the Democratic Party’s core constituencies despite some of the state’s other problems — including homelessness, wildfire insurance and a pair of multibillion-dollar budget deficits.\u003c/p>\n\u003cp>In 2022, months after the U.S. Supreme Court overturned Roe v. Wade, California launched a \u003ca href=\"https://apnews.com/article/abortion-travel-health-gavin-newsom-state-budgets-98f36da0cf3219d01e4564ba61a0a6fb\">publicly-funded website\u003c/a> to promote the state’s abortion services, including information about financial help for travel expenses and letting teenagers in other states know that California does not require them to have their parents’ permission to get an abortion in the state.\u003c/p>\n\u003cp>It has also become a chief talking point in Newsom’s role as a top surrogate for President Joe Biden’s reelection campaign. Using money left over from his 2022 reelection campaign, Newsom started a political action committee he calls the “ \u003ca href=\"https://apnews.com/article/california-governor-newsom-president-democrats-2024-843877ca6aca701a5a68b8cb022203a2\">Campaign for Democracy\u003c/a> ” that has paid for billboards and TV ads in Republican-led states to criticize their leaders’ attempts to outlaw or restrict access to abortions. In February, he launched \u003ca href=\"https://apnews.com/article/california-governor-newsom-abortion-politics-travel-67ac67b4fed8434c5908ae89ca2a01f9\">ads in multiple states\u003c/a> to criticize proposals there that aimed to prohibit out-of-state travel for abortions.\u003c/p>\n\u003cp>When an Alabama lawmaker introduced a bill to make it a crime to help someone under 18 get an abortion without telling their parents or guardians, Newsom paid for an ad depicting a young woman trying to leave the state only to be stopped by a police officer who demands that she take a pregnancy test.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Associated Press writer Adam Beam contributed to this report.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "california-proposes-law-to-allow-arizona-doctors-to-perform-abortions-amid-ban",
"title": "California Proposes Law to Allow Arizona Doctors to Perform Abortions Amid Ban",
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"content": "\u003cp>California Gov. Gavin Newsom said the state is working on emergency legislation that would allow doctors from Arizona to come to California to provide abortions.\u003c/p>\n\u003cp>The announcement comes days after the \u003ca href=\"https://www.npr.org/2024/04/09/1243679136/arizona-abortion-court-decision-ban\">Arizona Supreme Court ruled\u003c/a> that the state should follow a law from the 1860s that outlaws abortions in all cases except when the pregnant person’s life is in danger.\u003c/p>\n\u003cp>Newsom, a Democrat, \u003ca href=\"https://twitter.com/GavinNewsom/status/1782157977069428900\">said Sunday\u003c/a> during an appearance on MSNBC’s \u003cem>Inside with Jen Psaki\u003c/em> that California is in a position to help those who are set to lose the ability to have an abortion in neighboring Arizona.\u003c/p>\n\u003cp>“I think really we need to start focusing on making the kind of progress that’s needed,” Newsom said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>On Monday, Newsom spokesperson Brandon Richards told NPR via email that the administration was working closely with the California legislature on the proposal and also coordinating with the offices of Arizona Gov. Katie Hobbs and Arizona Attorney General Kris Mayes, both of whom are Democrats.\u003c/p>\n\u003cp>“Arizona AG Kris Mayes identified a need to expedite the ability for Arizona abortion providers to continue to provide care to Arizonans as a way to support patients in their state seeking abortion care in California,” Richards said. “We are responding to this call and will have more details to share in the coming days.”\u003c/p>\n\u003cp>The Arizona Supreme Court justices stayed enforcement of their April 9 ruling for 14 days and possibly longer, permitting abortions to continue for now.[aside label='Related Coverage' tag='abortion-ban']Since the U.S. Supreme Court \u003ca href=\"https://www.npr.org/2022/06/24/1102305878/supreme-court-abortion-roe-v-wade-decision-overturn\">reversed \u003cem>Roe v. Wade\u003c/em>\u003c/a> in 2022 and eliminated the constitutional right to an abortion, a number of more conservative states have been limiting or banning the procedure, while other states \u003ca href=\"https://www.npr.org/2023/06/23/1183646356/dobbs-roe-abortion-protections-illinois-maryland-michigan-colorado-minnesota\">have taken steps to protect\u003c/a> reproductive rights, including California.\u003c/p>\n\u003cp>Over the weekend, Newsom also \u003ca href=\"https://twitter.com/GavinNewsom/status/1782082600368283715\">debuted a new TV ad\u003c/a> through his Campaign for Democracy PAC that depicts a fictional scene of two women being pulled over by a police officer and asked to take a pregnancy test just before they can drive out of state.\u003c/p>\n\u003cp>\u003ca href=\"https://act.gavinnewsom.com/signup/right_to_travel/\">According to the PAC\u003c/a>, lawmakers in Alabama, Tennessee and Oklahoma have introduced legislation to bar minors from traveling out of state to get an abortion without parental consent.\u003c/p>\n\u003cp>All three states have among the “most restrictive” laws against abortion, \u003ca href=\"https://states.guttmacher.org/policies/\">according to the Guttmacher Institute\u003c/a>, a research group that supports abortion rights and tracks abortion laws across the U.S.\u003c/p>\n\u003cp>“Alabama’s abortion ban has no exceptions for rape or incest. Now, Republicans are trying to criminalize young women’s travel to receive abortion care,” Newsom \u003ca href=\"https://twitter.com/GavinNewsom/status/1782082600368283715\">said in a post on X\u003c/a>. “We cannot let them get away with this.”\u003c/p>\n\u003cp>In November, a federal judge \u003ca href=\"https://apnews.com/article/idaho-abortion-trafficking-travel-ban-270a403d7b4a5e99e566433556614728\">temporarily blocked\u003c/a> an Idaho law that was intended to prevent minors from going out of state to obtain abortions without parental consent.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California Gov. Gavin Newsom said the state is working on emergency legislation that would allow doctors from Arizona to come to California to provide abortions.\u003c/p>\n\u003cp>The announcement comes days after the \u003ca href=\"https://www.npr.org/2024/04/09/1243679136/arizona-abortion-court-decision-ban\">Arizona Supreme Court ruled\u003c/a> that the state should follow a law from the 1860s that outlaws abortions in all cases except when the pregnant person’s life is in danger.\u003c/p>\n\u003cp>Newsom, a Democrat, \u003ca href=\"https://twitter.com/GavinNewsom/status/1782157977069428900\">said Sunday\u003c/a> during an appearance on MSNBC’s \u003cem>Inside with Jen Psaki\u003c/em> that California is in a position to help those who are set to lose the ability to have an abortion in neighboring Arizona.\u003c/p>\n\u003cp>“I think really we need to start focusing on making the kind of progress that’s needed,” Newsom said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>On Monday, Newsom spokesperson Brandon Richards told NPR via email that the administration was working closely with the California legislature on the proposal and also coordinating with the offices of Arizona Gov. Katie Hobbs and Arizona Attorney General Kris Mayes, both of whom are Democrats.\u003c/p>\n\u003cp>“Arizona AG Kris Mayes identified a need to expedite the ability for Arizona abortion providers to continue to provide care to Arizonans as a way to support patients in their state seeking abortion care in California,” Richards said. “We are responding to this call and will have more details to share in the coming days.”\u003c/p>\n\u003cp>The Arizona Supreme Court justices stayed enforcement of their April 9 ruling for 14 days and possibly longer, permitting abortions to continue for now.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Since the U.S. Supreme Court \u003ca href=\"https://www.npr.org/2022/06/24/1102305878/supreme-court-abortion-roe-v-wade-decision-overturn\">reversed \u003cem>Roe v. Wade\u003c/em>\u003c/a> in 2022 and eliminated the constitutional right to an abortion, a number of more conservative states have been limiting or banning the procedure, while other states \u003ca href=\"https://www.npr.org/2023/06/23/1183646356/dobbs-roe-abortion-protections-illinois-maryland-michigan-colorado-minnesota\">have taken steps to protect\u003c/a> reproductive rights, including California.\u003c/p>\n\u003cp>Over the weekend, Newsom also \u003ca href=\"https://twitter.com/GavinNewsom/status/1782082600368283715\">debuted a new TV ad\u003c/a> through his Campaign for Democracy PAC that depicts a fictional scene of two women being pulled over by a police officer and asked to take a pregnancy test just before they can drive out of state.\u003c/p>\n\u003cp>\u003ca href=\"https://act.gavinnewsom.com/signup/right_to_travel/\">According to the PAC\u003c/a>, lawmakers in Alabama, Tennessee and Oklahoma have introduced legislation to bar minors from traveling out of state to get an abortion without parental consent.\u003c/p>\n\u003cp>All three states have among the “most restrictive” laws against abortion, \u003ca href=\"https://states.guttmacher.org/policies/\">according to the Guttmacher Institute\u003c/a>, a research group that supports abortion rights and tracks abortion laws across the U.S.\u003c/p>\n\u003cp>“Alabama’s abortion ban has no exceptions for rape or incest. Now, Republicans are trying to criminalize young women’s travel to receive abortion care,” Newsom \u003ca href=\"https://twitter.com/GavinNewsom/status/1782082600368283715\">said in a post on X\u003c/a>. “We cannot let them get away with this.”\u003c/p>\n\u003cp>In November, a federal judge \u003ca href=\"https://apnews.com/article/idaho-abortion-trafficking-travel-ban-270a403d7b4a5e99e566433556614728\">temporarily blocked\u003c/a> an Idaho law that was intended to prevent minors from going out of state to obtain abortions without parental consent.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "nurses-warn-patient-safety-at-risk-as-ai-use-spreads-in-health-care",
"title": "Nurses Warn Patient Safety at Risk as AI Use Spreads in Health Care",
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"content": "\u003cp>As the use of artificial intelligence proliferates in the health care industry, Bay Area unionized nurses call for greater transparency and say in how the technologies are deployed to minimize risks to patients.\u003c/p>\n\u003cp>At a protest on Monday outside of Kaiser Permanente’s San Francisco Medical Center, many in the estimated crowd of about 200 members of the California Nurses Association held red signs that read “Patients are not algorithms” and “Trust nurses, not AI.”\u003c/p>\n\u003cp>“All health care corporations need to make sure that the technology is tested, it’s valid, and it’s not harmful to patients,” said Michelle Gutierrez Vo, a president at CNA, representing 24,000 nurses at Kaiser Permanente. “And before they deploy it, they need to sit down with nurses so that the nurses can review and make sure it’s congruent with patient safety.”\u003c/p>\n\u003cfigure id=\"attachment_11983730\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11983730\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-scaled.jpg\" alt=\"A woman wearing sun glasses and a red shirt holds a microphone in front of people while she stands behind a podium with a red sign in the background.\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Michelle Gutierrez Vo, a registered nurse at Kaiser Permanente Medical Center in Fremont and a California Nurses Association president, speaks during a rally alongside fellow nurses from across California at Kaiser Permanente on Geary Blvd in San Francisco on April 22, 2024, to advocate for patient safety in the face of artificial intelligence technology. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Gutierrez Vo and other nurses worry that without proper oversight and accountability, health care employers will use AI to replace nurses and other medical professionals for profit, to the detriment of patient care. The nurses are calling for health care organizations to hit pause on the rollout of new AI technologies.\u003c/p>\n\u003cp>This comes as state and federal regulators race to catch up with the explosive growth of generative AI tools, which experts say also have great potential to improve health care delivery.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[aside postID=\"news_11976097,news_11980719,news_11982218\" label=\"Related Stories\"]Kaiser Permanente, one of the largest employers in San Francisco, Alameda and other Bay Area counties, has been an early adopter of AI. Company officials \u003ca href=\"https://about.kaiserpermanente.org/news/fostering-responsible-ai-in-health-care\">have said\u003c/a> they rigorously test the tools they use for safety, accuracy and equity.\u003c/p>\n\u003cp>“Our physicians and care teams are always at the center of decision-making with our patients,” a Kaiser Permanente statement said in response to a KQED request for comment. “We believe that AI may be able to help our physicians and employees and enhance our members’ experience. As an organization dedicated to inclusiveness and health equity, we ensure the results from AI tools are correct and unbiased; AI does not replace human assessment.”\u003c/p>\n\u003cp>One program in use at 21 Kaiser hospitals in Northern California is the Advance Alert Monitor, which analyzes electronic health data to notify a nursing team when a patient’s health is at risk of serious decline. The program saves about 500 lives per year, according to the company.\u003c/p>\n\u003cfigure id=\"attachment_11983733\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11983733\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-scaled.jpg\" alt='Many people dressed in scrubs hold red signs that say \"Trust Nurses Not AI\" in the street.' width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nurses from across California rally at Kaiser Permanente on Geary Blvd in San Francisco on April 22, 2024, to advocate for patient safety in the face of artificial intelligence technology. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But Gutierrez Vo said nurses have flagged problems with the tool, such as producing inaccurate alarms or failing to detect all patients whose health is quickly deteriorating.\u003c/p>\n\u003cp>“There’s just so much buzz right now that this is the future of health care. These health care corporations are using this as a shortcut, as a way to handle patient load. And we’re saying ‘No. You cannot do that without making sure these systems are safe,’” said Gutierrez Vo, a nurse with 25 years of experience at the company’s Fremont Adult Family Medicine clinic. “Our patients are not lab rats.”\u003c/p>\n\u003cp>The U.S. Food and Drug Administration has authorized some AI-generated services before they go to market, but mostly \u003ca href=\"https://www.politico.com/news/2023/10/28/ai-doctors-healthcare-regulation-00124051\">without the comprehensive data\u003c/a> required for new medicines. Last fall, President Joe Biden issued an \u003ca class=\"c-link\" href=\"https://www.whitehouse.gov/briefing-room/presidential-actions/2023/10/30/executive-order-on-the-safe-secure-and-trustworthy-development-and-use-of-artificial-intelligence/\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://www.whitehouse.gov/briefing-room/presidential-actions/2023/10/30/executive-order-on-the-safe-secure-and-trustworthy-development-and-use-of-artificial-intelligence/\" data-sk=\"tooltip_parent\">executive order\u003c/a> on the safe use of AI, which includes a directive to develop policies for AI-enabled technologies in health services that promote “the welfare of patients and workers.”\u003c/p>\n\u003cp>“It’s very good to have open discussions because the technology is moving at such a fast pace, and everyone is at a different level of understanding of what it can do and [what] it is,” said Dr. Ashish Atreja, Chief Information and Digital Health Officer at UC Davis Health. “Many health systems and organizations do have guardrails in place, but perhaps they haven’t been shared that widely. That’s why there’s a knowledge gap.”\u003c/p>\n\u003cfigure id=\"attachment_11983727\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11983727\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-scaled.jpg\" alt=\"A woman wearing sun glasses and a red shirt stands in a crowd with red signs in the background.\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sandra Larkin listens to speakers alongside fellow nurses from across California during a rally at Kaiser Permanente on Geary Blvd in San Francisco on April 22, 2024, to advocate for patient safety in the face of artificial intelligence technology. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>UC Davis Health is part of a \u003ca href=\"https://health.ucdavis.edu/news/headlines/uc-davis-health-and-leading-health-systems-launch-valid-ai/2023/10\">collaboration\u003c/a> with other health systems to implement generative and other types of AI with what Atreja referred to as “intentionality” to support their workforce and improve patient care.\u003c/p>\n\u003cp>“We have this mission that no patient, no clinician, no researcher, no employee gets left behind in getting advantage from the latest technologies,” Atreja said.\u003c/p>\n\u003cp>Dr. Robert Pearl, a lecturer at the Stanford Graduate Business School and a former CEO of The Permanente Medical Group (Kaiser Permanente), told KQED he agreed with the nurses’ concerns about the use of AI at their workplace.\u003c/p>\n\u003cp>“Generative AI is a threatening technology but also a positive one. What is the best for the patient? That has to be the number one concern,” said Pearl, author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine,” which he said he co-wrote with the AI system.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I’m optimistic about what it can do for patients,” he said. “I often tell people that generative AI is like the iPhone. It’s not going away.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As the use of artificial intelligence proliferates in the health care industry, Bay Area unionized nurses call for greater transparency and say in how the technologies are deployed to minimize risks to patients.\u003c/p>\n\u003cp>At a protest on Monday outside of Kaiser Permanente’s San Francisco Medical Center, many in the estimated crowd of about 200 members of the California Nurses Association held red signs that read “Patients are not algorithms” and “Trust nurses, not AI.”\u003c/p>\n\u003cp>“All health care corporations need to make sure that the technology is tested, it’s valid, and it’s not harmful to patients,” said Michelle Gutierrez Vo, a president at CNA, representing 24,000 nurses at Kaiser Permanente. “And before they deploy it, they need to sit down with nurses so that the nurses can review and make sure it’s congruent with patient safety.”\u003c/p>\n\u003cfigure id=\"attachment_11983730\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11983730\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-scaled.jpg\" alt=\"A woman wearing sun glasses and a red shirt holds a microphone in front of people while she stands behind a podium with a red sign in the background.\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-33-BL-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Michelle Gutierrez Vo, a registered nurse at Kaiser Permanente Medical Center in Fremont and a California Nurses Association president, speaks during a rally alongside fellow nurses from across California at Kaiser Permanente on Geary Blvd in San Francisco on April 22, 2024, to advocate for patient safety in the face of artificial intelligence technology. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Gutierrez Vo and other nurses worry that without proper oversight and accountability, health care employers will use AI to replace nurses and other medical professionals for profit, to the detriment of patient care. The nurses are calling for health care organizations to hit pause on the rollout of new AI technologies.\u003c/p>\n\u003cp>This comes as state and federal regulators race to catch up with the explosive growth of generative AI tools, which experts say also have great potential to improve health care delivery.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Kaiser Permanente, one of the largest employers in San Francisco, Alameda and other Bay Area counties, has been an early adopter of AI. Company officials \u003ca href=\"https://about.kaiserpermanente.org/news/fostering-responsible-ai-in-health-care\">have said\u003c/a> they rigorously test the tools they use for safety, accuracy and equity.\u003c/p>\n\u003cp>“Our physicians and care teams are always at the center of decision-making with our patients,” a Kaiser Permanente statement said in response to a KQED request for comment. “We believe that AI may be able to help our physicians and employees and enhance our members’ experience. As an organization dedicated to inclusiveness and health equity, we ensure the results from AI tools are correct and unbiased; AI does not replace human assessment.”\u003c/p>\n\u003cp>One program in use at 21 Kaiser hospitals in Northern California is the Advance Alert Monitor, which analyzes electronic health data to notify a nursing team when a patient’s health is at risk of serious decline. The program saves about 500 lives per year, according to the company.\u003c/p>\n\u003cfigure id=\"attachment_11983733\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11983733\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-scaled.jpg\" alt='Many people dressed in scrubs hold red signs that say \"Trust Nurses Not AI\" in the street.' width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-02-BL-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nurses from across California rally at Kaiser Permanente on Geary Blvd in San Francisco on April 22, 2024, to advocate for patient safety in the face of artificial intelligence technology. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But Gutierrez Vo said nurses have flagged problems with the tool, such as producing inaccurate alarms or failing to detect all patients whose health is quickly deteriorating.\u003c/p>\n\u003cp>“There’s just so much buzz right now that this is the future of health care. These health care corporations are using this as a shortcut, as a way to handle patient load. And we’re saying ‘No. You cannot do that without making sure these systems are safe,’” said Gutierrez Vo, a nurse with 25 years of experience at the company’s Fremont Adult Family Medicine clinic. “Our patients are not lab rats.”\u003c/p>\n\u003cp>The U.S. Food and Drug Administration has authorized some AI-generated services before they go to market, but mostly \u003ca href=\"https://www.politico.com/news/2023/10/28/ai-doctors-healthcare-regulation-00124051\">without the comprehensive data\u003c/a> required for new medicines. Last fall, President Joe Biden issued an \u003ca class=\"c-link\" href=\"https://www.whitehouse.gov/briefing-room/presidential-actions/2023/10/30/executive-order-on-the-safe-secure-and-trustworthy-development-and-use-of-artificial-intelligence/\" target=\"_blank\" rel=\"noopener noreferrer\" data-stringify-link=\"https://www.whitehouse.gov/briefing-room/presidential-actions/2023/10/30/executive-order-on-the-safe-secure-and-trustworthy-development-and-use-of-artificial-intelligence/\" data-sk=\"tooltip_parent\">executive order\u003c/a> on the safe use of AI, which includes a directive to develop policies for AI-enabled technologies in health services that promote “the welfare of patients and workers.”\u003c/p>\n\u003cp>“It’s very good to have open discussions because the technology is moving at such a fast pace, and everyone is at a different level of understanding of what it can do and [what] it is,” said Dr. Ashish Atreja, Chief Information and Digital Health Officer at UC Davis Health. “Many health systems and organizations do have guardrails in place, but perhaps they haven’t been shared that widely. That’s why there’s a knowledge gap.”\u003c/p>\n\u003cfigure id=\"attachment_11983727\" class=\"wp-caption aligncenter\" style=\"max-width: 2560px\">\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11983727\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-scaled.jpg\" alt=\"A woman wearing sun glasses and a red shirt stands in a crowd with red signs in the background.\" width=\"2560\" height=\"1707\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-scaled.jpg 2560w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-2048x1366.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240422-NursesAI-19-BL-1920x1280.jpg 1920w\" sizes=\"(max-width: 2560px) 100vw, 2560px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sandra Larkin listens to speakers alongside fellow nurses from across California during a rally at Kaiser Permanente on Geary Blvd in San Francisco on April 22, 2024, to advocate for patient safety in the face of artificial intelligence technology. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>UC Davis Health is part of a \u003ca href=\"https://health.ucdavis.edu/news/headlines/uc-davis-health-and-leading-health-systems-launch-valid-ai/2023/10\">collaboration\u003c/a> with other health systems to implement generative and other types of AI with what Atreja referred to as “intentionality” to support their workforce and improve patient care.\u003c/p>\n\u003cp>“We have this mission that no patient, no clinician, no researcher, no employee gets left behind in getting advantage from the latest technologies,” Atreja said.\u003c/p>\n\u003cp>Dr. Robert Pearl, a lecturer at the Stanford Graduate Business School and a former CEO of The Permanente Medical Group (Kaiser Permanente), told KQED he agreed with the nurses’ concerns about the use of AI at their workplace.\u003c/p>\n\u003cp>“Generative AI is a threatening technology but also a positive one. What is the best for the patient? That has to be the number one concern,” said Pearl, author of “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine,” which he said he co-wrote with the AI system.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I’m optimistic about what it can do for patients,” he said. “I often tell people that generative AI is like the iPhone. It’s not going away.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Why Nearly 50 California Hospitals Were Forced to End Maternity Ward Services",
"headTitle": "Why Nearly 50 California Hospitals Were Forced to End Maternity Ward Services | KQED",
"content": "\u003cp>In just the first few months of 2024, four California hospitals have closed or announced plans to close their maternity wards.\u003c/p>\n\u003cp>The closures are part of an accelerating trend unfolding across the state, creating maternity care deserts and decreasing access to prenatal care. In the past three years, 29 hospitals stopped delivering babies, according to a \u003ca href=\"https://calmatters.org/health/2023/11/california-hospitals-close-maternity-wards/\">CalMatters investigation on maternity ward closures\u003c/a>. Nearly 50 obstetrics departments have closed over the past decade.\u003c/p>\n\u003cp>Now, California lawmakers are trying to slow the trend.\u003c/p>\n\u003cp>Assemblymember \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/akilah-weber-165432\">Akilah Weber\u003c/a> and Sen. \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/dave-cortese-164699\">Dave Cortese\u003c/a> are pursuing legislation to increase transparency around planned maternity ward closures, potentially giving counties and the state time to intervene.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Weber, a Democrat from La Mesa, wants hospitals to notify the state a year in advance if labor and delivery services are at risk of ending. The measure would also require the state to conduct a community impact report when a hospital indicates that it may lose maternity care.\u003c/p>\n\u003cp>Cortese, a Democrat from Campbell, wants to increase the public notification requirement of an impending closure from 90 days to 120 days and require the hospital to analyze how a closure could increase costs for the county health system, where the next-closest maternity wards are located and who is most likely to be affected.\u003c/p>\n\u003cp>Cortese’s bill would also require increased notification for planned closures of inpatient psychiatric services.\u003c/p>\n\u003cp>“We cannot continue to just discuss these issues and not implement policies to prevent or mitigate the harms and the continued disparities,” Weber said during an Assembly Health Committee hearing on Tuesday.\u003c/p>\n\u003cp>Groups representing doctors and reproductive health advocates support the measure. Nurses and consumer health advocates support Cortese’s bill.\u003c/p>\n\u003ch2>Why are California maternity wards closing?\u003c/h2>\n\u003cp>Ryan Spencer, a lobbyist for the regional chapter of the American College of Obstetricians and Gynecologists who testified in support of Weber’s measure, said there are often situations during birth where “every minute can be the difference between life and death.”\u003c/p>\n\u003cp>“What if you are a patient like this and literally had nowhere to go, who had to drive hours upon hours to get care? We have to find a way to end this crisis,” Spencer said during his testimony.[aside postID=news_11968835 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-021-JY-qut-1020x680.jpg']Maternity wards are closing for several reasons, according to hospital administrators. They cite labor shortages, increasing costs, low reimbursements and declining birth rates.\u003c/p>\n\u003cp>The California Hospital Association opposes Cortese’s bill and has registered “concerns” about Weber’s. The group argues that neither bill will address the underlying reasons for maternity ward closures and may cause hospitals to terminate services sooner as employees leave and patients look elsewhere for care, said Kirsten Barlow, vice president of policy with the hospital association, during a Senate hearing earlier this month.\u003c/p>\n\u003cp>Current law requires hospitals to notify the public 90 days before a proposed service cut but doesn’t require the state to receive additional notification. Weber said that 90 days is “clearly not sufficient for the state to be able to intervene.”\u003c/p>\n\u003ch2>Maternity care deserts emerge\u003c/h2>\n\u003cp>CalMatters found that 12 counties have no hospital delivering babies, including Madera County, where the sudden closure of the county’s only hospital in 2022 spurred a flurry of emergency legislation supporting \u003ca href=\"https://calmatters.org/health/2023/08/california-hospitals-bailout-loans/\">distressed hospitals\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2024/02/madera-hospital-reopen/\">Madera Community Hospital\u003c/a> is now on track to reopen but without a maternity ward. The company reopening the hospital, American Advanced Management, has indicated that low insurance reimbursement rates factored into its decision to open without labor and delivery.[aside postID=news_11976372 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/02/010423-MaderaCommunityHospital-LV_CM_07-copy-1020x680.jpg']“Reopening maternity would be like reopening two hospitals at the same time,” Matthew Beehler, chief strategy officer at American Advanced Management, previously told CalMatters.\u003c/p>\n\u003cp>Still, the bill authors and advocates are adamant that access to maternity care is a necessity. National studies indicate that \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5885848/\">rates of preterm birth increase,\u003c/a> and \u003ca href=\"https://corey-white.com/assets/docs/frw_reduced_form_manuscript_AEJ_R1.pdf\">women receive less prenatal care\u003c/a> when labor and delivery units shut down, particularly in rural areas. CalMatters found that maternity closures in California disproportionately impact low-income and Latino communities.\u003c/p>\n\u003cp>“This is really a very simple bill. It doesn’t do much. It creates a public hearing opportunity at the local level to deal with issues that are …absolutely vital to the survival of our constituents,” Cortese said during a Senate Health Committee hearing on his measure.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In just the first few months of 2024, four California hospitals have closed or announced plans to close their maternity wards.\u003c/p>\n\u003cp>The closures are part of an accelerating trend unfolding across the state, creating maternity care deserts and decreasing access to prenatal care. In the past three years, 29 hospitals stopped delivering babies, according to a \u003ca href=\"https://calmatters.org/health/2023/11/california-hospitals-close-maternity-wards/\">CalMatters investigation on maternity ward closures\u003c/a>. Nearly 50 obstetrics departments have closed over the past decade.\u003c/p>\n\u003cp>Now, California lawmakers are trying to slow the trend.\u003c/p>\n\u003cp>Assemblymember \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/akilah-weber-165432\">Akilah Weber\u003c/a> and Sen. \u003ca href=\"https://digitaldemocracy.calmatters.org/legislators/dave-cortese-164699\">Dave Cortese\u003c/a> are pursuing legislation to increase transparency around planned maternity ward closures, potentially giving counties and the state time to intervene.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Weber, a Democrat from La Mesa, wants hospitals to notify the state a year in advance if labor and delivery services are at risk of ending. The measure would also require the state to conduct a community impact report when a hospital indicates that it may lose maternity care.\u003c/p>\n\u003cp>Cortese, a Democrat from Campbell, wants to increase the public notification requirement of an impending closure from 90 days to 120 days and require the hospital to analyze how a closure could increase costs for the county health system, where the next-closest maternity wards are located and who is most likely to be affected.\u003c/p>\n\u003cp>Cortese’s bill would also require increased notification for planned closures of inpatient psychiatric services.\u003c/p>\n\u003cp>“We cannot continue to just discuss these issues and not implement policies to prevent or mitigate the harms and the continued disparities,” Weber said during an Assembly Health Committee hearing on Tuesday.\u003c/p>\n\u003cp>Groups representing doctors and reproductive health advocates support the measure. Nurses and consumer health advocates support Cortese’s bill.\u003c/p>\n\u003ch2>Why are California maternity wards closing?\u003c/h2>\n\u003cp>Ryan Spencer, a lobbyist for the regional chapter of the American College of Obstetricians and Gynecologists who testified in support of Weber’s measure, said there are often situations during birth where “every minute can be the difference between life and death.”\u003c/p>\n\u003cp>“What if you are a patient like this and literally had nowhere to go, who had to drive hours upon hours to get care? We have to find a way to end this crisis,” Spencer said during his testimony.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Maternity wards are closing for several reasons, according to hospital administrators. They cite labor shortages, increasing costs, low reimbursements and declining birth rates.\u003c/p>\n\u003cp>The California Hospital Association opposes Cortese’s bill and has registered “concerns” about Weber’s. The group argues that neither bill will address the underlying reasons for maternity ward closures and may cause hospitals to terminate services sooner as employees leave and patients look elsewhere for care, said Kirsten Barlow, vice president of policy with the hospital association, during a Senate hearing earlier this month.\u003c/p>\n\u003cp>Current law requires hospitals to notify the public 90 days before a proposed service cut but doesn’t require the state to receive additional notification. Weber said that 90 days is “clearly not sufficient for the state to be able to intervene.”\u003c/p>\n\u003ch2>Maternity care deserts emerge\u003c/h2>\n\u003cp>CalMatters found that 12 counties have no hospital delivering babies, including Madera County, where the sudden closure of the county’s only hospital in 2022 spurred a flurry of emergency legislation supporting \u003ca href=\"https://calmatters.org/health/2023/08/california-hospitals-bailout-loans/\">distressed hospitals\u003c/a>.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2024/02/madera-hospital-reopen/\">Madera Community Hospital\u003c/a> is now on track to reopen but without a maternity ward. The company reopening the hospital, American Advanced Management, has indicated that low insurance reimbursement rates factored into its decision to open without labor and delivery.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Reopening maternity would be like reopening two hospitals at the same time,” Matthew Beehler, chief strategy officer at American Advanced Management, previously told CalMatters.\u003c/p>\n\u003cp>Still, the bill authors and advocates are adamant that access to maternity care is a necessity. National studies indicate that \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5885848/\">rates of preterm birth increase,\u003c/a> and \u003ca href=\"https://corey-white.com/assets/docs/frw_reduced_form_manuscript_AEJ_R1.pdf\">women receive less prenatal care\u003c/a> when labor and delivery units shut down, particularly in rural areas. CalMatters found that maternity closures in California disproportionately impact low-income and Latino communities.\u003c/p>\n\u003cp>“This is really a very simple bill. It doesn’t do much. It creates a public hearing opportunity at the local level to deal with issues that are …absolutely vital to the survival of our constituents,” Cortese said during a Senate Health Committee hearing on his measure.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Opill — the \u003ca href=\"https://opill.com/\">over-the-counter birth control pill\u003c/a> that was \u003ca href=\"https://apnews.com/article/birth-control-pills-without-prescription-fda-b6728e98af5f1625520e0fa5fbc911c3\">approved by the Food and Drug Administration last year\u003c/a> — is \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">now available\u003c/a>.\u003c/p>\n\u003cp>This means people now have access to a birth control pill without needing a prescription from a doctor or requiring health insurance — making it accessible “over-the-counter,” like a painkiller like Tylenol.[pullquote size=\"medium\" align=\"right\" citation=\"Sophia Yen, clinical associate professor, Stanford Medical School\"]‘I think it’s really important for people to know that this is the best, most efficacious method available over the counter.’[/pullquote]\u003c/p>\n\u003cp>“I think it’s really important for people to know that this is the best, most efficacious method available over the counter,” said Sophia Yen, a clinical associate professor at Stanford Medical School and \u003ca href=\"https://www.pandiahealth.com/dr-sophia-yen/\">co-founder of Pandia Health\u003c/a>, an organization specializing in reproductive care.\u003c/p>\n\u003cp>Back in 2019, the American College of Obstetrics and Gynecology recommended that all birth control methods — \u003ca href=\"https://www.usatoday.com/story/news/health/2019/09/26/birth-control-should-sold-over-counter-gynecologists-without-prescription-acog/2439101001/\">including the ring, patch, and the pill\u003c/a> — should become available over-the-counter, as Opill now is. And now, this pill is becoming readily \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">available at a time\u003c/a> when reproductive rights — like access to abortion — have been under \u003ca href=\"https://www.kqed.org/news/tag/abortion\">legal attacks throughout the country after the Supreme Court overturned Roe v. Wade\u003c/a>.\u003c/p>\n\u003cp>If you are a person who wants to start taking birth control but may not have health insurance or access to a prescriber, keep reading to find out what to know about the over-the-counter birth control pill.\u003c/p>\n\u003ch3>Who can buy Opill, and where is it available?\u003c/h3>\n\u003cp>You can buy Opill in the following ways in California, with no insurance required:\u003c/p>\n\u003cul>\n\u003cli>Over-the-counter at a pharmacy like Walgreens or CVS.\u003c/li>\n\u003cli>In the family planning aisles of a major retail store (for example, Walmart).\u003c/li>\n\u003cli>Online at \u003ca href=\"http://opill.com\">opill.com\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>There is \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">no age restriction on sales\u003c/a>, and the packaging is described by the company as “discreet,” for buyer’s privacy.\u003c/p>\n\u003cp>According to the manufacturer, you \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">should not use Opill\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>If you have ever had breast cancer.\u003c/li>\n\u003cli>Together with another birth control pill, vaginal ring, patch, implant, injection or an IUD.\u003c/li>\n\u003cli>If you are allergic to ingredients in Opill (for example, some people allergic to aspirin are also allergic to tartrazine, which is the color additive in Opill).\u003c/li>\n\u003c/ul>\n\u003ch3>How much does Opill cost?\u003c/h3>\n\u003cp>According to Opill’s website, a month’s supply retails for $19.99. A three-pack supply of Opill costs \u003ca href=\"https://opill.com/products/opill?variant=47067484487984\">around $50\u003c/a>, and a six-pack costs $90.\u003c/p>\n\u003cp>As of August 2023, California passed \u003ca href=\"https://www.americanprogress.org/article/the-first-over-the-counter-birth-control-pill-marks-a-pivotal-moment-in-birth-control-access/#:~:text=Is%20Opill%20covered%20by%20insurance,prescription%20and%20without%20cost%20sharing.\">a law requiring state-regulated private health insurers\u003c/a> to cover over-the-counter contraception without a prescription and without cost sharing. But as NPR notes, “\u003ca href=\"https://www.npr.org/sections/health-shots/2024/03/04/1235404522/opill-over-counter-birth-control-pill-contraceptive-shop\">not everyone wants their birth control pill to show up on their insurance\u003c/a>, so they may choose to pay out of pocket” rather than having insurance cover those costs.\u003c/p>\n\u003cp>Opill is also eligible for reimbursement through a \u003ca href=\"https://opill.com/pages/faqs?topic=buying-opill\">Flexible Spending Account or Health Savings Account\u003c/a> — meaning the \u003ca href=\"https://hr.nih.gov/about/news/benefits/difference-between-flexible-spending-account-fsa-and-health-savings-account-hsa\">money people set aside in their employee benefits\u003c/a> can potentially be used to purchase Opill.\u003c/p>\n\u003cp>There is also \u003ca href=\"https://opill.com/pages/cost-assistance-program\">a cost assistance program for low-income folks who want to purchase Opill\u003c/a>. In order to be eligible for the cost assistance program, a person must:\u003c/p>\n\u003cul>\n\u003cli>Reside in the United States or its territories, and\u003c/li>\n\u003cli>Not be covered by commercial or public insurance (like Medicaid/Medi-Cal, Medicare, VA health care), and\u003c/li>\n\u003cli>Have a household income at or below \u003ca href=\"https://www.medicaidplanningassistance.org/federal-poverty-guidelines/\">200% of the Federal Poverty Level\u003c/a> (For one person, that is at or below $30,120. For a household of two people, it is $40,880.)\u003c/li>\n\u003c/ul>\n\u003ch3>How does Opill work to prevent pregnancy?\u003c/h3>\n\u003cp>Opill is a daily progestin-only pill, also known as a “mini-pill.”\u003c/p>\n\u003cp>Progestin-only pills work by \u003ca href=\"https://www.thewomens.org.au/health-information/contraception/contraceptive-pills#:~:text=The%20combined%20pill%20contains%20two,through%20to%20fertilise%20the%20egg.\">thickening the mucus at the entrance of the uterus\u003c/a> so sperm cannot pass through to fertilize an egg and result in pregnancy. \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">Opill takes 48 hours to become effective\u003c/a>, so extra protection — such as condoms — should be used for those first two days.\u003c/p>\n\u003cp>There are a few things to consider about choosing a progestin-only pill like Opill, Yen said. Other prescription birth control pills typically both include estrogen and progestin, and are known as the “combined pill”, because they contain two hormones that \u003ca href=\"https://www.thewomens.org.au/health-information/contraception/contraceptive-pills#:~:text=The%20combined%20pill%20contains%20two,through%20to%20fertilise%20the%20egg.\">prevent the ovaries from releasing an egg each month\u003c/a>. This means they are \u003ca href=\"https://gynraleigh.com/birth-control-progestin-only-pills-vs-combination-pills/#:~:text=One%20of%20the%20main%20advantages,women%20who%20cannot%20take%20estrogen.\">slightly more effective than the progestin-only counterparts\u003c/a> like Opill.\u003c/p>\n\u003cp>Bleeding patterns on the progestin-only pills can also be unpredictable, Yen said. However, some people — like \u003ca href=\"https://gynraleigh.com/birth-control-progestin-only-pills-vs-combination-pills/#:~:text=One%20of%20the%20main%20advantages,women%20who%20cannot%20take%20estrogen.\">individuals over the age of 35, people breastfeeding, or those who are at higher risk of blood clots\u003c/a> — may want to avoid estrogen and, therefore, seek out a progestin-only pill anyway.\u003c/p>\n\u003cp>Research from \u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK430882/\">Louisiana State University Health Sciences Center\u003c/a> has found that when either pill is used perfectly — meaning every day, on time — “less than one woman out of 100 will become pregnant in the first year of use.”\u003c/p>\n\u003cp>But “perfect” use isn’t always realistic. This is why research notes that \u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK430882/\">the failure rate for “typical use” of combined oral contraceptive pills\u003c/a> — that is, pills not always used consistently — is 9% “due to human error.\u003c/p>\n\u003cp>That means timing is important. A person using birth control pills needs to take one pill at the same time every day for maximum effectiveness at preventing pregnancy — but “any birth control pill has a window of forgiveness,” Yen said.\u003c/p>\n\u003cp>A combination pill, she explained, has “a 24-hour window of forgiveness, generally.”\u003c/p>\n\u003cp>“Usually we say: ‘You miss one pill? Take it as soon as you remember it. If you miss three pills, [the] game’s up, and you need emergency contraception.'”\u003c/p>\n\u003cp>However, a progestin-only pill like Opill has a smaller window of forgiveness because “you don’t have estrogen as the backup” as you do with the combination pill, Yen said, “so the window of forgiveness is three hours, technically.”\u003c/p>\n\u003cp>But “who hasn’t been late taking their birth control by three hours?” Yen said, acknowledging how unexpected schedule changes or straight-up forgetfulness can impact a person’s pill regimen. If you do find you’re taking your progestin-only pill three hours late or more, “you will need to abstain from sex for at least the next 48 hours,” she recommends, “while the hormone level gets [back] up to a level that can protect you.” \u003ca href=\"https://opill.com/pages/faqs?topic=taking-opill\">Opill’s own FAQs also note that you should “use a condom\u003c/a> each time you have sex for the next two days” if you don’t abstain.\u003c/p>\n\u003cp>What if a person is three or more hours late in taking their pill and they’ve had sex in the past three to five days? Since sperm can live for up to five days, in this case, Yen suggests seeking out emergency contraception as soon as possible.\u003c/p>\n\u003cp>Often, confusion over when to take birth control can arise when a person is traveling and arriving in a new time zone. In this case, the next pill needs to be taken 24 hours after you last took a pill, advised Yen.\u003c/p>\n\u003ch3>What should I do if I miss the ‘window of forgiveness’ with my birth control pill?\u003c/h3>\n\u003cp>Emergency contraception \u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/emergency-contraception#:~:text=Emergency%20contraception%20(EC)%20can%20prevent,assault%20if%20without%20contraception%20coverage.\">can prevent 95% of pregnancies within five days\u003c/a> of unprotected sex, like a broken condom or missing the window of forgiveness. Options include \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/whats-plan-b-morning-after-pill\">morning-after pills like Plan B\u003c/a>, \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/non-hormonal-copper-iud\">the copper IUD\u003c/a> and \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/hormonal-iuds#:~:text=The%20hormonal%20IUD%20releases%20a,while%20you're%20using%20it.\">the hormonal IUD\u003c/a>. You can find a clinic that offers these services \u003ca href=\"https://www.plannedparenthood.org/get-care\">using Planned Parenthood’s search tool\u003c/a>.[aside tag=\"health\" label=\"More Health Stories\"]\u003c/p>\n\u003cp>Yen said emergency contraception that is prescribed “beats any over-the-counter emergency contraception and efficacy at every single time point,” Yen said. “And thanks to the Affordable Care Act, if you have insurance, it’s available with no co-pay, no deductible, aka free.”\u003c/p>\n\u003cp>However, Yen said a person’s body mass index does factor in whether or not the over-the-counter emergency contraception is effective. For example, if a person’s BMI is greater than 26 — a medication like Plan B may not work as well. If it is greater than 30, Yen said, it “doesn’t work at all.”\u003c/p>\n\u003cp>Yen said Ella — a \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/whats-ella-morning-after-pill\">prescription emergency contraception\u003c/a> (also known as a “morning-after pill”) — is effective with BMIs up to 35. Planned Parenthood has \u003ca href=\"https://www.plannedparenthood.org/online-tools/emergency-contraception\">a quiz for people to see which method of emergency contraception could work for them\u003c/a>.\u003c/p>\n\u003ch3>Can a birth control pill prevent STIs?\u003c/h3>\n\u003cp>No, pills \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">cannot prevent sexually transmitted infections\u003c/a>.\u003c/p>\n\u003cp>If a person is aged 12 to 19 in California, \u003ca href=\"https://www.teensource.org/condoms/free\">the Condom Access Project has a search tool to find free condoms\u003c/a>.\u003c/p>\n\u003cp>You can \u003ca href=\"https://www.sfcityclinic.org/patient-education-resources/all-about-condoms\">also get condoms\u003c/a> in the \u003ca href=\"https://www.sfcityclinic.org/services/sti-and-hiv-testing\">San Francisco City Clinic\u003c/a>, which provides low-cost STI testing. Free or low-cost condoms are also available at the Public Health Division on Van Ness Avenue.\u003c/p>\n\u003cp>Your county may also provide free condoms as \u003ca href=\"https://publichealth.sccgov.org/services/community-resources#3925188384-263336965\">Santa Clara County does at the Crane Center\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Opill — the \u003ca href=\"https://opill.com/\">over-the-counter birth control pill\u003c/a> that was \u003ca href=\"https://apnews.com/article/birth-control-pills-without-prescription-fda-b6728e98af5f1625520e0fa5fbc911c3\">approved by the Food and Drug Administration last year\u003c/a> — is \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">now available\u003c/a>.\u003c/p>\n\u003cp>This means people now have access to a birth control pill without needing a prescription from a doctor or requiring health insurance — making it accessible “over-the-counter,” like a painkiller like Tylenol.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I think it’s really important for people to know that this is the best, most efficacious method available over the counter,” said Sophia Yen, a clinical associate professor at Stanford Medical School and \u003ca href=\"https://www.pandiahealth.com/dr-sophia-yen/\">co-founder of Pandia Health\u003c/a>, an organization specializing in reproductive care.\u003c/p>\n\u003cp>Back in 2019, the American College of Obstetrics and Gynecology recommended that all birth control methods — \u003ca href=\"https://www.usatoday.com/story/news/health/2019/09/26/birth-control-should-sold-over-counter-gynecologists-without-prescription-acog/2439101001/\">including the ring, patch, and the pill\u003c/a> — should become available over-the-counter, as Opill now is. And now, this pill is becoming readily \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">available at a time\u003c/a> when reproductive rights — like access to abortion — have been under \u003ca href=\"https://www.kqed.org/news/tag/abortion\">legal attacks throughout the country after the Supreme Court overturned Roe v. Wade\u003c/a>.\u003c/p>\n\u003cp>If you are a person who wants to start taking birth control but may not have health insurance or access to a prescriber, keep reading to find out what to know about the over-the-counter birth control pill.\u003c/p>\n\u003ch3>Who can buy Opill, and where is it available?\u003c/h3>\n\u003cp>You can buy Opill in the following ways in California, with no insurance required:\u003c/p>\n\u003cul>\n\u003cli>Over-the-counter at a pharmacy like Walgreens or CVS.\u003c/li>\n\u003cli>In the family planning aisles of a major retail store (for example, Walmart).\u003c/li>\n\u003cli>Online at \u003ca href=\"http://opill.com\">opill.com\u003c/a>.\u003c/li>\n\u003c/ul>\n\u003cp>There is \u003ca href=\"https://apnews.com/article/birth-control-pill-pharmacy-contraceptive-add40fec7589dae8ba26eb29bee36b8b\">no age restriction on sales\u003c/a>, and the packaging is described by the company as “discreet,” for buyer’s privacy.\u003c/p>\n\u003cp>According to the manufacturer, you \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">should not use Opill\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>If you have ever had breast cancer.\u003c/li>\n\u003cli>Together with another birth control pill, vaginal ring, patch, implant, injection or an IUD.\u003c/li>\n\u003cli>If you are allergic to ingredients in Opill (for example, some people allergic to aspirin are also allergic to tartrazine, which is the color additive in Opill).\u003c/li>\n\u003c/ul>\n\u003ch3>How much does Opill cost?\u003c/h3>\n\u003cp>According to Opill’s website, a month’s supply retails for $19.99. A three-pack supply of Opill costs \u003ca href=\"https://opill.com/products/opill?variant=47067484487984\">around $50\u003c/a>, and a six-pack costs $90.\u003c/p>\n\u003cp>As of August 2023, California passed \u003ca href=\"https://www.americanprogress.org/article/the-first-over-the-counter-birth-control-pill-marks-a-pivotal-moment-in-birth-control-access/#:~:text=Is%20Opill%20covered%20by%20insurance,prescription%20and%20without%20cost%20sharing.\">a law requiring state-regulated private health insurers\u003c/a> to cover over-the-counter contraception without a prescription and without cost sharing. But as NPR notes, “\u003ca href=\"https://www.npr.org/sections/health-shots/2024/03/04/1235404522/opill-over-counter-birth-control-pill-contraceptive-shop\">not everyone wants their birth control pill to show up on their insurance\u003c/a>, so they may choose to pay out of pocket” rather than having insurance cover those costs.\u003c/p>\n\u003cp>Opill is also eligible for reimbursement through a \u003ca href=\"https://opill.com/pages/faqs?topic=buying-opill\">Flexible Spending Account or Health Savings Account\u003c/a> — meaning the \u003ca href=\"https://hr.nih.gov/about/news/benefits/difference-between-flexible-spending-account-fsa-and-health-savings-account-hsa\">money people set aside in their employee benefits\u003c/a> can potentially be used to purchase Opill.\u003c/p>\n\u003cp>There is also \u003ca href=\"https://opill.com/pages/cost-assistance-program\">a cost assistance program for low-income folks who want to purchase Opill\u003c/a>. In order to be eligible for the cost assistance program, a person must:\u003c/p>\n\u003cul>\n\u003cli>Reside in the United States or its territories, and\u003c/li>\n\u003cli>Not be covered by commercial or public insurance (like Medicaid/Medi-Cal, Medicare, VA health care), and\u003c/li>\n\u003cli>Have a household income at or below \u003ca href=\"https://www.medicaidplanningassistance.org/federal-poverty-guidelines/\">200% of the Federal Poverty Level\u003c/a> (For one person, that is at or below $30,120. For a household of two people, it is $40,880.)\u003c/li>\n\u003c/ul>\n\u003ch3>How does Opill work to prevent pregnancy?\u003c/h3>\n\u003cp>Opill is a daily progestin-only pill, also known as a “mini-pill.”\u003c/p>\n\u003cp>Progestin-only pills work by \u003ca href=\"https://www.thewomens.org.au/health-information/contraception/contraceptive-pills#:~:text=The%20combined%20pill%20contains%20two,through%20to%20fertilise%20the%20egg.\">thickening the mucus at the entrance of the uterus\u003c/a> so sperm cannot pass through to fertilize an egg and result in pregnancy. \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">Opill takes 48 hours to become effective\u003c/a>, so extra protection — such as condoms — should be used for those first two days.\u003c/p>\n\u003cp>There are a few things to consider about choosing a progestin-only pill like Opill, Yen said. Other prescription birth control pills typically both include estrogen and progestin, and are known as the “combined pill”, because they contain two hormones that \u003ca href=\"https://www.thewomens.org.au/health-information/contraception/contraceptive-pills#:~:text=The%20combined%20pill%20contains%20two,through%20to%20fertilise%20the%20egg.\">prevent the ovaries from releasing an egg each month\u003c/a>. This means they are \u003ca href=\"https://gynraleigh.com/birth-control-progestin-only-pills-vs-combination-pills/#:~:text=One%20of%20the%20main%20advantages,women%20who%20cannot%20take%20estrogen.\">slightly more effective than the progestin-only counterparts\u003c/a> like Opill.\u003c/p>\n\u003cp>Bleeding patterns on the progestin-only pills can also be unpredictable, Yen said. However, some people — like \u003ca href=\"https://gynraleigh.com/birth-control-progestin-only-pills-vs-combination-pills/#:~:text=One%20of%20the%20main%20advantages,women%20who%20cannot%20take%20estrogen.\">individuals over the age of 35, people breastfeeding, or those who are at higher risk of blood clots\u003c/a> — may want to avoid estrogen and, therefore, seek out a progestin-only pill anyway.\u003c/p>\n\u003cp>Research from \u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK430882/\">Louisiana State University Health Sciences Center\u003c/a> has found that when either pill is used perfectly — meaning every day, on time — “less than one woman out of 100 will become pregnant in the first year of use.”\u003c/p>\n\u003cp>But “perfect” use isn’t always realistic. This is why research notes that \u003ca href=\"https://www.ncbi.nlm.nih.gov/books/NBK430882/\">the failure rate for “typical use” of combined oral contraceptive pills\u003c/a> — that is, pills not always used consistently — is 9% “due to human error.\u003c/p>\n\u003cp>That means timing is important. A person using birth control pills needs to take one pill at the same time every day for maximum effectiveness at preventing pregnancy — but “any birth control pill has a window of forgiveness,” Yen said.\u003c/p>\n\u003cp>A combination pill, she explained, has “a 24-hour window of forgiveness, generally.”\u003c/p>\n\u003cp>“Usually we say: ‘You miss one pill? Take it as soon as you remember it. If you miss three pills, [the] game’s up, and you need emergency contraception.'”\u003c/p>\n\u003cp>However, a progestin-only pill like Opill has a smaller window of forgiveness because “you don’t have estrogen as the backup” as you do with the combination pill, Yen said, “so the window of forgiveness is three hours, technically.”\u003c/p>\n\u003cp>But “who hasn’t been late taking their birth control by three hours?” Yen said, acknowledging how unexpected schedule changes or straight-up forgetfulness can impact a person’s pill regimen. If you do find you’re taking your progestin-only pill three hours late or more, “you will need to abstain from sex for at least the next 48 hours,” she recommends, “while the hormone level gets [back] up to a level that can protect you.” \u003ca href=\"https://opill.com/pages/faqs?topic=taking-opill\">Opill’s own FAQs also note that you should “use a condom\u003c/a> each time you have sex for the next two days” if you don’t abstain.\u003c/p>\n\u003cp>What if a person is three or more hours late in taking their pill and they’ve had sex in the past three to five days? Since sperm can live for up to five days, in this case, Yen suggests seeking out emergency contraception as soon as possible.\u003c/p>\n\u003cp>Often, confusion over when to take birth control can arise when a person is traveling and arriving in a new time zone. In this case, the next pill needs to be taken 24 hours after you last took a pill, advised Yen.\u003c/p>\n\u003ch3>What should I do if I miss the ‘window of forgiveness’ with my birth control pill?\u003c/h3>\n\u003cp>Emergency contraception \u003ca href=\"https://www.who.int/news-room/fact-sheets/detail/emergency-contraception#:~:text=Emergency%20contraception%20(EC)%20can%20prevent,assault%20if%20without%20contraception%20coverage.\">can prevent 95% of pregnancies within five days\u003c/a> of unprotected sex, like a broken condom or missing the window of forgiveness. Options include \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/whats-plan-b-morning-after-pill\">morning-after pills like Plan B\u003c/a>, \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/non-hormonal-copper-iud\">the copper IUD\u003c/a> and \u003ca href=\"https://www.plannedparenthood.org/learn/birth-control/iud/hormonal-iuds#:~:text=The%20hormonal%20IUD%20releases%20a,while%20you're%20using%20it.\">the hormonal IUD\u003c/a>. You can find a clinic that offers these services \u003ca href=\"https://www.plannedparenthood.org/get-care\">using Planned Parenthood’s search tool\u003c/a>.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Yen said emergency contraception that is prescribed “beats any over-the-counter emergency contraception and efficacy at every single time point,” Yen said. “And thanks to the Affordable Care Act, if you have insurance, it’s available with no co-pay, no deductible, aka free.”\u003c/p>\n\u003cp>However, Yen said a person’s body mass index does factor in whether or not the over-the-counter emergency contraception is effective. For example, if a person’s BMI is greater than 26 — a medication like Plan B may not work as well. If it is greater than 30, Yen said, it “doesn’t work at all.”\u003c/p>\n\u003cp>Yen said Ella — a \u003ca href=\"https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception/whats-ella-morning-after-pill\">prescription emergency contraception\u003c/a> (also known as a “morning-after pill”) — is effective with BMIs up to 35. Planned Parenthood has \u003ca href=\"https://www.plannedparenthood.org/online-tools/emergency-contraception\">a quiz for people to see which method of emergency contraception could work for them\u003c/a>.\u003c/p>\n\u003ch3>Can a birth control pill prevent STIs?\u003c/h3>\n\u003cp>No, pills \u003ca href=\"https://cdn.shopify.com/s/files/1/0719/3211/7296/files/Opill-CIL.pdf?v=1707506323\">cannot prevent sexually transmitted infections\u003c/a>.\u003c/p>\n\u003cp>If a person is aged 12 to 19 in California, \u003ca href=\"https://www.teensource.org/condoms/free\">the Condom Access Project has a search tool to find free condoms\u003c/a>.\u003c/p>\n\u003cp>You can \u003ca href=\"https://www.sfcityclinic.org/patient-education-resources/all-about-condoms\">also get condoms\u003c/a> in the \u003ca href=\"https://www.sfcityclinic.org/services/sti-and-hiv-testing\">San Francisco City Clinic\u003c/a>, which provides low-cost STI testing. Free or low-cost condoms are also available at the Public Health Division on Van Ness Avenue.\u003c/p>\n\u003cp>Your county may also provide free condoms as \u003ca href=\"https://publichealth.sccgov.org/services/community-resources#3925188384-263336965\">Santa Clara County does at the Crane Center\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "'Not What I Signed Up For': SF Librarians Demand More Security Guards",
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"content": "\u003cp>About 100 librarians and their supporters rallied outside San Francisco’s Main Library on Tuesday to demand the city hire security guards for every branch. Workers decried a lack of security at most of the city’s branches and said they are often forced to de-escalate volatile situations and step into the role of providing security themselves.\u003c/p>\n\u003cp>“I am a librarian, I am a branch manager — I am not a policewoman, I am not a security guard,” said Nicole Germain, manager of the Portola Branch Library and president of the Library Guild of SEIU 1021, the union which represents San Francisco library workers.\u003c/p>\n\u003cp>As public spaces, libraries — and the people who work in them — often directly face the city’s most difficult social challenges, like homelessness and substance use disorder.\u003c/p>\n\u003cp>Currently, eight of the city’s 28 public libraries have at least one security guard.\u003c/p>\n\u003cp>Germain said on one occasion, she had to intervene when a half-naked and “mentally unstable” man began wielding a sharp metal object and yelling at people. She chose to physically put herself between the man and a group of preschoolers.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“This is not what I signed up for when I became a librarian,” Germain said. “However, as a branch manager and children’s librarian, that is the position I find myself in.”\u003c/p>\n\u003cp>Union negotiators have asked for more security for the city’s libraries for years. In 2019, the city agreed to hire three more security guards, including at the Portola branch.\u003c/p>\n\u003cp>Germain said it makes a difference and works as a preventative measure. “People are more apt to behave,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11982522\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11982522 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Nicole Germain speaks at Tuesday’s rally in front of San Francisco’s Main Library. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>San Francisco Supervisor Connie Chan joined Tuesday’s rally to support library workers’ demands.\u003c/p>\n\u003cp>“If San Francisco can advocate for our corporations, for our pharmacies, for our downtown stores to be staffed up with guards and police and deputy sheriffs — why can’t we guard our libraries?” Chan said.\u003c/p>\n\u003cp>Chan is also chair of the city’s Budget and Finance Committee. She said San Francisco’s youth commissioners recently came to a committee meeting to talk about their priorities for the city.\u003c/p>\n\u003cp>“They talk about what they want to see in the budget, as they are our future, and where they want the city to invest our money,” Chan said. “And the one place they mentioned is the library.”\u003c/p>\n\u003cfigure id=\"attachment_11982523\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11982523 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">District 1 Supervisor Connie Chan speaks at Tuesday’s rally in front of San Francisco’s Main Library on Larkin Street. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Jessica Choy, who works part-time at the Park Branch Library in the city’s Haight-Ashbury neighborhood, said she’s also fighting for full-time employment.\u003c/p>\n\u003cp>“Our public libraries rely on a huge number of part-time workers like me. Even when we get raises, it’s not enough to get by in one of the most expensive cities in the world,” Choy said. “We’re only guaranteed 20 hours a week. So we’re hustling to get extra hours every day, some of us waking up at midnight checking our apps, trying to pick up a shift.”\u003c/p>\n\u003cp>The rally comes as San Francisco’s contracts across 10 unions, representing more than 25,000 city workers, are set to expire June 30. And for the first time in decades, negotiations over those contracts are happening against a backdrop of potential strikes. In July, the California Public Employment Relations Board \u003ca href=\"https://missionlocal.org/2023/07/strike-san-francisco-perb/\">struck down a 50-year-old city rule prohibiting city workers from striking\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Tuesday’s rally is the latest in a series of union actions, with \u003ca href=\"https://www.kqed.org/news/11980278/sf-social-welfare-workers-protest-proposition-f-saying-it-will-worsen-agencys-staffing-crisis\">workers across city departments\u003c/a> seeking to draw attention to what they say is a pervasive understaffing crisis. At these actions, the unions have also been collecting signatures from city employees pledging to join a strike if one is called.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>About 100 librarians and their supporters rallied outside San Francisco’s Main Library on Tuesday to demand the city hire security guards for every branch. Workers decried a lack of security at most of the city’s branches and said they are often forced to de-escalate volatile situations and step into the role of providing security themselves.\u003c/p>\n\u003cp>“I am a librarian, I am a branch manager — I am not a policewoman, I am not a security guard,” said Nicole Germain, manager of the Portola Branch Library and president of the Library Guild of SEIU 1021, the union which represents San Francisco library workers.\u003c/p>\n\u003cp>As public spaces, libraries — and the people who work in them — often directly face the city’s most difficult social challenges, like homelessness and substance use disorder.\u003c/p>\n\u003cp>Currently, eight of the city’s 28 public libraries have at least one security guard.\u003c/p>\n\u003cp>Germain said on one occasion, she had to intervene when a half-naked and “mentally unstable” man began wielding a sharp metal object and yelling at people. She chose to physically put herself between the man and a group of preschoolers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“This is not what I signed up for when I became a librarian,” Germain said. “However, as a branch manager and children’s librarian, that is the position I find myself in.”\u003c/p>\n\u003cp>Union negotiators have asked for more security for the city’s libraries for years. In 2019, the city agreed to hire three more security guards, including at the Portola branch.\u003c/p>\n\u003cp>Germain said it makes a difference and works as a preventative measure. “People are more apt to behave,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11982522\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11982522 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-14-KQED-4-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Nicole Germain speaks at Tuesday’s rally in front of San Francisco’s Main Library. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>San Francisco Supervisor Connie Chan joined Tuesday’s rally to support library workers’ demands.\u003c/p>\n\u003cp>“If San Francisco can advocate for our corporations, for our pharmacies, for our downtown stores to be staffed up with guards and police and deputy sheriffs — why can’t we guard our libraries?” Chan said.\u003c/p>\n\u003cp>Chan is also chair of the city’s Budget and Finance Committee. She said San Francisco’s youth commissioners recently came to a committee meeting to talk about their priorities for the city.\u003c/p>\n\u003cp>“They talk about what they want to see in the budget, as they are our future, and where they want the city to invest our money,” Chan said. “And the one place they mentioned is the library.”\u003c/p>\n\u003cfigure id=\"attachment_11982523\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11982523 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240409-SF-LIBRARY-RALLY-MD-19-KQED-4-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">District 1 Supervisor Connie Chan speaks at Tuesday’s rally in front of San Francisco’s Main Library on Larkin Street. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Jessica Choy, who works part-time at the Park Branch Library in the city’s Haight-Ashbury neighborhood, said she’s also fighting for full-time employment.\u003c/p>\n\u003cp>“Our public libraries rely on a huge number of part-time workers like me. Even when we get raises, it’s not enough to get by in one of the most expensive cities in the world,” Choy said. “We’re only guaranteed 20 hours a week. So we’re hustling to get extra hours every day, some of us waking up at midnight checking our apps, trying to pick up a shift.”\u003c/p>\n\u003cp>The rally comes as San Francisco’s contracts across 10 unions, representing more than 25,000 city workers, are set to expire June 30. And for the first time in decades, negotiations over those contracts are happening against a backdrop of potential strikes. In July, the California Public Employment Relations Board \u003ca href=\"https://missionlocal.org/2023/07/strike-san-francisco-perb/\">struck down a 50-year-old city rule prohibiting city workers from striking\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Tuesday’s rally is the latest in a series of union actions, with \u003ca href=\"https://www.kqed.org/news/11980278/sf-social-welfare-workers-protest-proposition-f-saying-it-will-worsen-agencys-staffing-crisis\">workers across city departments\u003c/a> seeking to draw attention to what they say is a pervasive understaffing crisis. At these actions, the unions have also been collecting signatures from city employees pledging to join a strike if one is called.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"marketplace": {
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"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
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"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.",
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},
"mindshift": {
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"planet-money": {
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"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
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"pri-the-world": {
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"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
"airtime": "SAT 4pm-5pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/reveal300px.png",
"officialWebsiteLink": "https://www.revealnews.org/episodes/",
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"rss": "http://feeds.revealradio.org/revealpodcast"
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"source": "kqed",
"order": 16
},
"link": "/podcasts/rightnowish",
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},
"science-friday": {
"id": "science-friday",
"title": "Science Friday",
"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Science-Friday-Podcast-Tile-360x360-1.jpg",
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},
"snap-judgment": {
"id": "snap-judgment",
"title": "Snap Judgment",
"tagline": "Real stories with killer beats",
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"isFetching": false,
"fetchFailed": false,
"hasFetched": true,
"promos": {
"news": {},
"podcasts-radio": {},
"video-tv": {},
"events": {},
"support": {}
}
}
}
