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"content": "\u003cp>A new team of officers from the California Highway Patrol and the California National Guard will step in to train and assist San Francisco Police in \u003ca href=\"https://www.kqed.org/news/11947448/there-to-save-a-life-san-francisco-bars-fight-fentanyl-overdoses-with-narcan\">disrupting fentanyl\u003c/a> dealing and trafficking, Gov. Gavin Newsom announced Friday.\u003c/p>\n\u003cp>The mobilization comes as overdose rates in the city have increased 41% across \u003ca href=\"https://sf.gov/sites/default/files/2023-04/2023%2004_OCME%20Overdose%20Report_0.pdf\">the first three months of this year (PDF)\u003c/a> compared with \u003ca href=\"https://sf.gov/sites/default/files/2023-03/2022_OCME%20Overdose%20Report_0.pdf\">the same time period in 2022 (PDF)\u003c/a>, when the city was operating a supervised consumption site. Trained staff at \u003ca href=\"https://sf.gov/data/reducing-fatal-and-non-fatal-overdoses-tenderloin#overdoses-reversed-at-the-tenderloin-center\">the facility reversed 333 overdoses in 11 months\u003c/a> before the facility closed, according to city data.\u003c/p>\n\u003cp>“Those who traffic drugs, guns, and human beings are not welcome in our communities,” said Newsom in a press release. “That’s why we’re launching this operation. This is not about criminalizing people struggling with substance use — this is about taking down the prominent poison peddlers and their connected crime rings that prey on the most vulnerable, and harm our residents. While it’s true that San Francisco is safer than many cities its size, we cannot let rampant crime continue.”\u003c/p>\n\u003cfigure id=\"attachment_11948099\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11948099\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut.jpg\" alt=\"A photo of a politician in a navy blue suit with navy and white tie, stands speaking from a podium with the U.S. and California state flags behind him.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Gov. Gavin Newsom announced on Friday, April 28, 2023, that a new team of officers from the California Highway Patrol and the California National Guard will step in to train and assist San Francisco police in disrupting fentanyl dealing and trafficking. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Starting May 1, CHP officers will help investigate opioid trafficking cases and train local police in identifying intoxicated drivers, city officials said on Friday. The effort will have a particular focus on the Tenderloin neighborhood, where the majority of overdose deaths have occurred this year.\u003c/p>\n\u003cp>Additional CHP units will also patrol hot spots for drug dealing in the city “as workload allows,” according to the press release about the plan. So far, 75 CHP officers have been stationed in the San Francisco area, CHP Commissioner Sean Duryee told reporters at a press conference on Friday. He said he expects that number to increase to 84 in the coming weeks.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Meanwhile, 14 members of the California National Guard (Cal Guard) will work remotely with SFPD on non-patrol operations such as improving administrative systems and responses to drug-related crime.\u003c/p>\n\u003cp>Since January, San Francisco police have made more than 300 arrests for possession with intent to sell and seized 150% more fentanyl in the first three months of 2023 compared to 2022, according to the mayor’s office. On Tuesday, District Attorney Brooke Jenkins announced multiple charges against a 23-year-old arrested for carrying 11 pounds of fentanyl, an opioid about 50 times more potent than heroin.\u003c/p>\n\u003cp>Fentanyl has been involved in the vast majority of recent overdose deaths in San Francisco, data from the Office of the Medical Examiner shows.\u003c/p>\n\u003cp>Officials on Friday did not state what the long-term plan for the intervention would entail, but seemed aware of how \u003ca href=\"https://sfstandard.com/politics/city-hall/analysis-political-history-haunts-mayor-breed-as-she-attempts-another-tenderloin-cleanup/\">similar crackdown efforts\u003c/a> in the neighborhood in the past and even \u003ca href=\"https://sfstandard.com/criminal-justice/da-jenkins-threatens-drug-dealers-with-more-jail-time-harsher-penalties-as-sf-fentanyl-crackdown-expands/\">more recently\u003c/a> have \u003ca href=\"https://www.sfchronicle.com/sf/article/drug-overdose-deaths-2023-17904060.php#:~:text=Quarterly%20accidental%20overdose%20deaths%20in%20San%20Francisco&text=Deaths%20reached%20a%20peak%20of,in%20Quarter%201%20of%202023.&text=Fentanyl%2Drelated-,The%20numbers%20are%20preliminary%20and%20subject%20to,more%20death%20investigations%20are%20completed.\">not shown success at slowing down sales, public drug use or overdose deaths\u003c/a> in the long run.\u003c/p>\n\u003cp>[aside label='More Stories on Fentanyl' tag='fentanyl']\u003c/p>\n\u003cp>“When we deploy large amounts of officers, the problem tends to go away while we are there,” said San Francisco Police Chief Bill Scott. “The last thing we want to do is clean the streets up for a week, a month, then everyone goes back to what they were doing again.”\u003c/p>\n\u003cp>The California Department of Justice and the San Francisco District Attorney’s Office, both of which have called for tougher enforcement around drug dealing as public scrutiny over the overdose crisis mounts, are also supportive of the plan.\u003c/p>\n\u003cp>“The fentanyl crisis is impacting our residents, workers, and businesses, and it requires all of us working together to disrupt the flow of drugs in San Francisco while also making sure we have treatment for those struggling with addiction,” San Francisco Mayor London Breed said in a press release.\u003c/p>\n\u003cp>“This will send a strong message to those who are perpetrating these crimes,” she later said at Friday’s press conference.[pullquote size=\"medium\" align=\"right\" citation=\"San Francisco Mayor London Breed\"]‘The fentanyl crisis is impacting our residents, workers, and businesses, and it requires all of us working together to disrupt the flow of drugs in San Francisco while also making sure we have treatment for those struggling with addiction.’[/pullquote]The proclamation Friday was reminiscent of Breed’s bold claim in 2021 that the city would crack down on the “bulls— that has destroyed our city,” which she said in \u003ca href=\"https://www.cbsnews.com/sanfrancisco/news/mayor-london-breed-declares-state-of-emergency-in-san-franciscos-troubled-tenderloin/\">announcing an emergency plan\u003c/a> to address the drug and overdose crisis in the Tenderloin.\u003c/p>\n\u003cp>That effort brought together multiple city agencies to ramp up enforcement of dealing, clear sidewalks and offer new public health responses to drug use such as opening what became a supervised consumption site called the Tenderloin Center.\u003c/p>\n\u003cp>The facility closed at the end of 2022, a few months after Newsom vetoed legislation that would have allowed San Francisco, Los Angeles and Oakland to pilot safe consumption sites. Breed said the plan was only meant to be temporary and, on Friday, added the center “didn’t quite work out.”\u003c/p>\n\u003cfigure id=\"attachment_11948101\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11948101\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\" alt='A blue and yellow sign reads, \"Tenderloin Linkage Center Entrance.\"' width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Residents wait in line to get into the Tenderloin Linkage Center (also known as the Tenderloin Center), a now-defunct safe consumption site in San Francisco, on Feb. 8, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After the closing of the Tenderloin Center and the emergency plan’s winding down, overdose rates have again increased in 2023, data from the Office of the Medical Examiner shows.\u003c/p>\n\u003cp>Meanwhile, public safety advocates applauded the governor’s decision to increase law enforcement around the issue, at a time when the \u003ca href=\"https://missionlocal.org/2023/03/police-staffing-crisis-san-francisco/\">San Francisco Police Department is struggling\u003c/a> to recruit and retain a full workforce.\u003c/p>\n\u003cp>“Just the mere presence of our officers we believe will help deter and disrupt criminal activity,” Duryee said.\u003c/p>\n\u003cp>Newsom said that his plan “will not seek to criminalize those struggling with substance use and instead focus on disrupting the supply fueling the fentanyl crisis by holding drug suppliers and traffickers accountable,” according to a press release on the plan.\u003c/p>\n\u003cp>But addiction experts and advocates for people who use drugs say the move could nonetheless have unintended consequences, and negatively affect people who struggle with addiction and lack access to housing, health care or other support systems.[pullquote size=\"medium\" align=\"right\" citation=\"Dan Ciccarone, professor, UCSF\"]‘The outcome they want is to disturb the fentanyl supply. But usually these events are short-lived, and when they go away, the drug supply rebounds.’[/pullquote]“The outcome they want is to disturb the fentanyl supply. But usually these events are short-lived, and when they go away, the drug supply rebounds,” said Dan Ciccarone, professor and expert in addiction at UCSF. “When that happens, people die. People reduce their tolerance during the prohibition and go back to normal use when the supply rebounds and overdose rates shoot up.”\u003c/p>\n\u003cp>Reporters on Friday asked Breed whether she shared concerns from some community members that the federal support and stricter law enforcement approach could replicate some of the devastation of the war on drugs, which \u003ca href=\"https://ldi.upenn.edu/our-work/research-updates/the-war-on-drugs-as-structural-racism/\">fueled overrepresentation\u003c/a> of Black and Latino people imprisoned for drug-related crimes.\u003c/p>\n\u003cp>“I have more concerns about the number of people who are dying of drug overdoses and the families and people struggling in their neighborhoods,” Breed responded. “I want the streets to be safe … and part of that includes all of the great programs we are doing, but there has to be accountability attached to this.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"title": "Newsom Taps California Highway Patrol, National Guard to Fight San Francisco’s Fentanyl Crisis | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A new team of officers from the California Highway Patrol and the California National Guard will step in to train and assist San Francisco Police in \u003ca href=\"https://www.kqed.org/news/11947448/there-to-save-a-life-san-francisco-bars-fight-fentanyl-overdoses-with-narcan\">disrupting fentanyl\u003c/a> dealing and trafficking, Gov. Gavin Newsom announced Friday.\u003c/p>\n\u003cp>The mobilization comes as overdose rates in the city have increased 41% across \u003ca href=\"https://sf.gov/sites/default/files/2023-04/2023%2004_OCME%20Overdose%20Report_0.pdf\">the first three months of this year (PDF)\u003c/a> compared with \u003ca href=\"https://sf.gov/sites/default/files/2023-03/2022_OCME%20Overdose%20Report_0.pdf\">the same time period in 2022 (PDF)\u003c/a>, when the city was operating a supervised consumption site. Trained staff at \u003ca href=\"https://sf.gov/data/reducing-fatal-and-non-fatal-overdoses-tenderloin#overdoses-reversed-at-the-tenderloin-center\">the facility reversed 333 overdoses in 11 months\u003c/a> before the facility closed, according to city data.\u003c/p>\n\u003cp>“Those who traffic drugs, guns, and human beings are not welcome in our communities,” said Newsom in a press release. “That’s why we’re launching this operation. This is not about criminalizing people struggling with substance use — this is about taking down the prominent poison peddlers and their connected crime rings that prey on the most vulnerable, and harm our residents. While it’s true that San Francisco is safer than many cities its size, we cannot let rampant crime continue.”\u003c/p>\n\u003cfigure id=\"attachment_11948099\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11948099\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut.jpg\" alt=\"A photo of a politician in a navy blue suit with navy and white tie, stands speaking from a podium with the U.S. and California state flags behind him.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS31296_GettyImages-968048630-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Gov. Gavin Newsom announced on Friday, April 28, 2023, that a new team of officers from the California Highway Patrol and the California National Guard will step in to train and assist San Francisco police in disrupting fentanyl dealing and trafficking. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Starting May 1, CHP officers will help investigate opioid trafficking cases and train local police in identifying intoxicated drivers, city officials said on Friday. The effort will have a particular focus on the Tenderloin neighborhood, where the majority of overdose deaths have occurred this year.\u003c/p>\n\u003cp>Additional CHP units will also patrol hot spots for drug dealing in the city “as workload allows,” according to the press release about the plan. So far, 75 CHP officers have been stationed in the San Francisco area, CHP Commissioner Sean Duryee told reporters at a press conference on Friday. He said he expects that number to increase to 84 in the coming weeks.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Meanwhile, 14 members of the California National Guard (Cal Guard) will work remotely with SFPD on non-patrol operations such as improving administrative systems and responses to drug-related crime.\u003c/p>\n\u003cp>Since January, San Francisco police have made more than 300 arrests for possession with intent to sell and seized 150% more fentanyl in the first three months of 2023 compared to 2022, according to the mayor’s office. On Tuesday, District Attorney Brooke Jenkins announced multiple charges against a 23-year-old arrested for carrying 11 pounds of fentanyl, an opioid about 50 times more potent than heroin.\u003c/p>\n\u003cp>Fentanyl has been involved in the vast majority of recent overdose deaths in San Francisco, data from the Office of the Medical Examiner shows.\u003c/p>\n\u003cp>Officials on Friday did not state what the long-term plan for the intervention would entail, but seemed aware of how \u003ca href=\"https://sfstandard.com/politics/city-hall/analysis-political-history-haunts-mayor-breed-as-she-attempts-another-tenderloin-cleanup/\">similar crackdown efforts\u003c/a> in the neighborhood in the past and even \u003ca href=\"https://sfstandard.com/criminal-justice/da-jenkins-threatens-drug-dealers-with-more-jail-time-harsher-penalties-as-sf-fentanyl-crackdown-expands/\">more recently\u003c/a> have \u003ca href=\"https://www.sfchronicle.com/sf/article/drug-overdose-deaths-2023-17904060.php#:~:text=Quarterly%20accidental%20overdose%20deaths%20in%20San%20Francisco&text=Deaths%20reached%20a%20peak%20of,in%20Quarter%201%20of%202023.&text=Fentanyl%2Drelated-,The%20numbers%20are%20preliminary%20and%20subject%20to,more%20death%20investigations%20are%20completed.\">not shown success at slowing down sales, public drug use or overdose deaths\u003c/a> in the long run.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“When we deploy large amounts of officers, the problem tends to go away while we are there,” said San Francisco Police Chief Bill Scott. “The last thing we want to do is clean the streets up for a week, a month, then everyone goes back to what they were doing again.”\u003c/p>\n\u003cp>The California Department of Justice and the San Francisco District Attorney’s Office, both of which have called for tougher enforcement around drug dealing as public scrutiny over the overdose crisis mounts, are also supportive of the plan.\u003c/p>\n\u003cp>“The fentanyl crisis is impacting our residents, workers, and businesses, and it requires all of us working together to disrupt the flow of drugs in San Francisco while also making sure we have treatment for those struggling with addiction,” San Francisco Mayor London Breed said in a press release.\u003c/p>\n\u003cp>“This will send a strong message to those who are perpetrating these crimes,” she later said at Friday’s press conference.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The proclamation Friday was reminiscent of Breed’s bold claim in 2021 that the city would crack down on the “bulls— that has destroyed our city,” which she said in \u003ca href=\"https://www.cbsnews.com/sanfrancisco/news/mayor-london-breed-declares-state-of-emergency-in-san-franciscos-troubled-tenderloin/\">announcing an emergency plan\u003c/a> to address the drug and overdose crisis in the Tenderloin.\u003c/p>\n\u003cp>That effort brought together multiple city agencies to ramp up enforcement of dealing, clear sidewalks and offer new public health responses to drug use such as opening what became a supervised consumption site called the Tenderloin Center.\u003c/p>\n\u003cp>The facility closed at the end of 2022, a few months after Newsom vetoed legislation that would have allowed San Francisco, Los Angeles and Oakland to pilot safe consumption sites. Breed said the plan was only meant to be temporary and, on Friday, added the center “didn’t quite work out.”\u003c/p>\n\u003cfigure id=\"attachment_11948101\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11948101\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg\" alt='A blue and yellow sign reads, \"Tenderloin Linkage Center Entrance.\"' width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS53605_010_SanFrancisco_TLLinkageCenter_02082022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Residents wait in line to get into the Tenderloin Linkage Center (also known as the Tenderloin Center), a now-defunct safe consumption site in San Francisco, on Feb. 8, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After the closing of the Tenderloin Center and the emergency plan’s winding down, overdose rates have again increased in 2023, data from the Office of the Medical Examiner shows.\u003c/p>\n\u003cp>Meanwhile, public safety advocates applauded the governor’s decision to increase law enforcement around the issue, at a time when the \u003ca href=\"https://missionlocal.org/2023/03/police-staffing-crisis-san-francisco/\">San Francisco Police Department is struggling\u003c/a> to recruit and retain a full workforce.\u003c/p>\n\u003cp>“Just the mere presence of our officers we believe will help deter and disrupt criminal activity,” Duryee said.\u003c/p>\n\u003cp>Newsom said that his plan “will not seek to criminalize those struggling with substance use and instead focus on disrupting the supply fueling the fentanyl crisis by holding drug suppliers and traffickers accountable,” according to a press release on the plan.\u003c/p>\n\u003cp>But addiction experts and advocates for people who use drugs say the move could nonetheless have unintended consequences, and negatively affect people who struggle with addiction and lack access to housing, health care or other support systems.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The outcome they want is to disturb the fentanyl supply. But usually these events are short-lived, and when they go away, the drug supply rebounds,” said Dan Ciccarone, professor and expert in addiction at UCSF. “When that happens, people die. People reduce their tolerance during the prohibition and go back to normal use when the supply rebounds and overdose rates shoot up.”\u003c/p>\n\u003cp>Reporters on Friday asked Breed whether she shared concerns from some community members that the federal support and stricter law enforcement approach could replicate some of the devastation of the war on drugs, which \u003ca href=\"https://ldi.upenn.edu/our-work/research-updates/the-war-on-drugs-as-structural-racism/\">fueled overrepresentation\u003c/a> of Black and Latino people imprisoned for drug-related crimes.\u003c/p>\n\u003cp>“I have more concerns about the number of people who are dying of drug overdoses and the families and people struggling in their neighborhoods,” Breed responded. “I want the streets to be safe … and part of that includes all of the great programs we are doing, but there has to be accountability attached to this.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Disability Groups Claim California's Assisted Suicide Law Discriminates Against Them",
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"content": "\u003cp>A group of people with disabilities is suing to upend California’s assisted suicide law, saying the bias they faced trying to get health care during the pandemic shows the system is too quick to offer death as an appropriate outcome.\u003c/p>\n\u003cp>The \u003ca href=\"https://endassistedsuicide.org/wp-content/uploads/2023/04/Complaint_Accessible.pdf\">lawsuit, filed against state officials and agencies (PDF)\u003c/a>, argues that California’s 7-year-old law that allows terminally ill people to choose to get lethal drugs to end their life — the \u003ca href=\"https://www.cdph.ca.gov/programs/chsi/pages/end-of-life-option-act-.aspx#:~:text=The%20End%20of%20Life%20Option,of%20Public%20Health%20(CDPH).\">End of Life Option Act\u003c/a> — puts disabled people at greater risk of being coerced into seeking assisted suicide.\u003c/p>\n\u003cp>The lawsuit says people with disabilities often face a denial of the medical care they need and, as a result, may be quick to seek assisted suicide as an option.\u003c/p>\n\u003cp>Ingrid Tischer, who is one of the plaintiffs in the lawsuit, says she experienced that.\u003c/p>\n\u003cp>Tischer, who lives with a form of muscular dystrophy, has been around doctors her entire life. In 2021, in the middle of the pandemic, Tischer was hospitalized for pneumonia. When she asked for therapy to regain her strength, the doctor said she didn’t qualify.\u003c/p>\n\u003cp>“He kind of looked at me and said, ‘Well, I mean, look at you, there’s nothing we can do for you. And you’ve known this is coming for a long time. So why are you surprised?'” Tischer says.\u003c/p>\n\u003cp>Tischer, who was 55 then, says she was devastated. She thought she was facing the end of her life. “For me, it was a very solid gut punch,” she says.\u003c/p>\n\u003cp>If a doctor had told her she should apply for California’s assisted suicide law, she says she might well have said yes.[pullquote align=\"right\" size=\"medium\" citation=\"Michael Bien, constitutional and civil rights attorney\"]‘Is it really a choice when society makes it very difficult to access home health care support?’[/pullquote]No doctor ever suggested that to Tischer. The lawsuit doesn’t mention any cases of that kind of coercion.\u003c/p>\n\u003cp>Tischer, instead, got another doctor, who gave her a different diagnosis. She left the hospital and recovered.\u003c/p>\n\u003cp>Tischer and the other plaintiffs raise fears of a subtle kind of discrimination — what Michael Bien, the lawyer who filed the challenge, calls “steering.” Bien says people who have difficulty getting the care they need may feel compelled, instead, to see assisted suicide as their best option.\u003c/p>\n\u003cp>The End of Life Option Act requires people to make a clear choice to end their lives. But, Bien argues, the choice of people with disabilities gets clouded by whether they get the medical care and support that helps them live.\u003c/p>\n\u003cp>“Is it really a choice,” Bien asks, “when society makes it very difficult to access home health care support?”\u003c/p>\n\u003cp>For many people in California with disabilities, there are long waits — often months long — to get a direct support professional to provide the in-home support that allows them to live independently. California is known to have a generous program. But a \u003ca href=\"https://www.auditor.ca.gov/pdfs/reports/2020-109.pdf\">report by the state auditor (PDF)\u003c/a> in 2021 found that even when people get into the In-Home Supportive Services Program, some 40,000 a month don’t get all the care they require. For someone with quadriplegia, getting an attendant to help them get in and out of bed may determine whether they can go to school or work, and stay out of a nursing home.\u003c/p>\n\u003cp>Lonnie VanHook, another individual plaintiff in the lawsuit, has quadriplegia and needs round-the-clock assistance, including people who can move him in his bed or wheelchair to prevent him from getting painful bedsores. But when he couldn’t get enough hours of care, he became depressed and considered assisted suicide.\u003c/p>\n\u003cp>Jules Steimnitz, a rehabilitation doctor, calls this “attendant deficiency diagnosis, that you can’t get attendants.” Steimnitz, who first treated VanHook more than three decades ago, kept in touch and helped talk him through that desperation. “This is his main problem. This is what’s causing his depression. He doesn’t need suicide. He needs attendants.”\u003c/p>\n\u003cp>“Over the years, it has been a continuous uphill battle” to get that assistance, VanHook told NPR. “It’s a mental drain. It’s debilitating.”\u003c/p>\n\u003cp>The lawsuit says VanHook, as a Black man with little income, is at an increased risk because of racial disparities in health care.\u003c/p>\n\u003cp>The limits of health care systems became more clear early in the pandemic. When health care providers feared possible shortages of ventilators and other treatments, \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8957387/\">states issued guidelines\u003c/a> — called “crisis standards of care” — that sometimes gave doctors and hospitals permission to put disabled and elderly people at the back of the line if care got scarce.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The U.S. Department of Health and Human Services stepped in and stopped it.\u003c/p>\n\u003cp>Among several states that agreed to rewrite their triage guidelines: \u003ca href=\"https://public3.pagefreezer.com/content/HHS.gov/31-12-2020T08:51/https:/www.hhs.gov/about/news/2020/06/26/ocr-resolves-complaint-tennessee-after-it-revises-its-triage-plans-protect-against-disability.html\">Tennessee\u003c/a> revised rules that let care be denied to people who already use a ventilator, those with advanced neuromuscular conditions like ALS, and some people with dementia and traumatic brain injuries. Officials in \u003ca href=\"https://public3.pagefreezer.com/content/HHS.gov/31-12-2020T08:51/https:/www.hhs.gov/about/news/2020/04/16/ocr-resolves-civil-rights-complaint-against-pennsylvania-after-it-revises-its-pandemic-health-care.html\">Pennsylvania\u003c/a> changed standards that told hospitals it was OK to cut off care to some people with chronic lung disease or cancer. \u003ca href=\"https://public3.pagefreezer.com/content/HHS.gov/31-12-2020T08:51/https:/www.hhs.gov/about/news/2020/04/08/ocr-reaches-early-case-resolution-alabama-after-it-removes-discriminatory-ventilator-triaging.html\">Alabama\u003c/a> rewrote rules that allowed the denial of ventilators to people with “moderate to severe dementia.”\u003c/p>\n\u003cp>People who work with California’s assisted suicide law acknowledge that disabled people often struggle to get adequate medical care, but they say the state’s end-of-life law is set up to avoid precisely that kind of discrimination.\u003c/p>\n\u003cp>“Having a disability would not qualify someone for aid-in-dying,” says Nathan Fairman, a psychiatrist and palliative care doctor who oversees cases at UC Davis Health in Sacramento. “Someone who’s disabled and has end-stage cancer would potentially qualify. And they would have to step through all of the safeguards that are set out in the law.”\u003c/p>\n\u003cp>Two doctors, he notes, need to confirm that someone is terminally ill and mentally competent to choose to die. Health care systems like his, Fairman says, add psychological and other evaluations that go beyond the state law to further protect against abuse.\u003c/p>\n\u003ch2>Oregon went first and other states followed\u003c/h2>\n\u003cp>The lawsuit was filed by four disability rights groups — United Spinal Association, which advocates for veterans and others with spinal cord injuries; Not Dead Yet and the Institute for Patients’ Rights, two groups that oppose assisted suicide laws; and CALIF, a Los Angeles nonprofit run by people with disabilities.\u003c/p>\n\u003cp>A spokesperson for the California Department of Public Health, the agency that keeps the statistics on who uses the assisted suicide law, said it “does not comment on litigation.”\u003c/p>\n\u003cp>Oregon was the first state to implement a right-to-die law, in 1997. Washington state was next, in 2009. Since then, such laws have spread quickly. Now, 10 states and the District of Columbia allow assisted suicide for terminally ill people who are competent to make that choice.\u003c/p>\n\u003cp>In California, between 2016, when the law took effect, and the end of 2021, 3,766 people got prescriptions for the medications and 64.3% of them are known to have taken those pills, according to the most recent \u003ca href=\"https://www.cdph.ca.gov/Programs/CHSI/CDPH%20Document%20Library/CDPH_End_of_Life%20_Option_Act_Report_2021_FINAL.pdf\">annual report (PDF)\u003c/a> by the California Department of Public Health.\u003c/p>\n\u003cp>The lawsuit, filed in the U.S. District Court for the Central District of California, argues that the state’s assisted suicide law violates due process protections guaranteed by the U.S. Constitution and violates the anti-discrimination provisions of the Americans with Disabilities Act.\u003c/p>\n\u003ch2>Some want to use the law to end their lives — but can’t\u003c/h2>\n\u003cp>But that’s not the only challenge to the law under the ADA. Dr. Lonny Shavelson, a proponent of assisted suicide laws, recently sued California on behalf of \u003ca href=\"https://www.bloomberg.com/news/features/2021-12-17/death-with-dignity-right-to-die-laws-leave-patients-with-impossible-choice\">disabled people who want to use the law to end their lives but can’t\u003c/a>.\u003c/p>\n\u003cp>The End of Life Option Act says that a person who gets lethal medications must be able to take those pills themselves. That’s a common safeguard in assisted suicide laws, to prevent coercion by family members or others.\u003c/p>\n\u003cp>But Shavelson, a co-founder of the American Clinicians Academy on Medical Aid in Dying, says it ends up discriminating against some of the people who most clearly want to use the law — but can’t take the pills themselves because of the progression of their disease, such as people with ALS and Parkinson’s.\u003c/p>\n\u003cp>They are denied “the same access to the law that able-bodied people receive because they’re unable to self-administer the medications, ” he says. “We’ve denied them assistance to a legal medical procedure.”\u003c/p>\n\u003cp>Shavelson’s lawsuit was rejected by one U.S. District Court in California and is now on appeal.\u003c/p>\n\u003cp>Today, Ingrid Tischer is working again, helping nonprofits do fundraising. She looks back at the time two years ago when she was hospitalized, having difficulty breathing and ready to give up. She says she was driven then by fear — of dying or moving to a nursing home and of a “mass of misplaced guilt” that she’d become a burden to her husband. “I just wanted out,” she says. “I don’t think I was thinking very clearly.”\u003c/p>\n\u003cp>But Tischer had resources that turned her around — that supportive spouse, a solid family income, a house, reliable health insurance and her long personal experience navigating the medical system.\u003c/p>\n\u003cp>“There are many people in this world who are a lot more vulnerable than I,” she says, and — as a result — more likely, she believes, to seek assisted suicide.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A group of people with disabilities is suing to upend California’s assisted suicide law, saying the bias they faced trying to get health care during the pandemic shows the system is too quick to offer death as an appropriate outcome.\u003c/p>\n\u003cp>The \u003ca href=\"https://endassistedsuicide.org/wp-content/uploads/2023/04/Complaint_Accessible.pdf\">lawsuit, filed against state officials and agencies (PDF)\u003c/a>, argues that California’s 7-year-old law that allows terminally ill people to choose to get lethal drugs to end their life — the \u003ca href=\"https://www.cdph.ca.gov/programs/chsi/pages/end-of-life-option-act-.aspx#:~:text=The%20End%20of%20Life%20Option,of%20Public%20Health%20(CDPH).\">End of Life Option Act\u003c/a> — puts disabled people at greater risk of being coerced into seeking assisted suicide.\u003c/p>\n\u003cp>The lawsuit says people with disabilities often face a denial of the medical care they need and, as a result, may be quick to seek assisted suicide as an option.\u003c/p>\n\u003cp>Ingrid Tischer, who is one of the plaintiffs in the lawsuit, says she experienced that.\u003c/p>\n\u003cp>Tischer, who lives with a form of muscular dystrophy, has been around doctors her entire life. In 2021, in the middle of the pandemic, Tischer was hospitalized for pneumonia. When she asked for therapy to regain her strength, the doctor said she didn’t qualify.\u003c/p>\n\u003cp>“He kind of looked at me and said, ‘Well, I mean, look at you, there’s nothing we can do for you. And you’ve known this is coming for a long time. So why are you surprised?'” Tischer says.\u003c/p>\n\u003cp>Tischer, who was 55 then, says she was devastated. She thought she was facing the end of her life. “For me, it was a very solid gut punch,” she says.\u003c/p>\n\u003cp>If a doctor had told her she should apply for California’s assisted suicide law, she says she might well have said yes.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>No doctor ever suggested that to Tischer. The lawsuit doesn’t mention any cases of that kind of coercion.\u003c/p>\n\u003cp>Tischer, instead, got another doctor, who gave her a different diagnosis. She left the hospital and recovered.\u003c/p>\n\u003cp>Tischer and the other plaintiffs raise fears of a subtle kind of discrimination — what Michael Bien, the lawyer who filed the challenge, calls “steering.” Bien says people who have difficulty getting the care they need may feel compelled, instead, to see assisted suicide as their best option.\u003c/p>\n\u003cp>The End of Life Option Act requires people to make a clear choice to end their lives. But, Bien argues, the choice of people with disabilities gets clouded by whether they get the medical care and support that helps them live.\u003c/p>\n\u003cp>“Is it really a choice,” Bien asks, “when society makes it very difficult to access home health care support?”\u003c/p>\n\u003cp>For many people in California with disabilities, there are long waits — often months long — to get a direct support professional to provide the in-home support that allows them to live independently. California is known to have a generous program. But a \u003ca href=\"https://www.auditor.ca.gov/pdfs/reports/2020-109.pdf\">report by the state auditor (PDF)\u003c/a> in 2021 found that even when people get into the In-Home Supportive Services Program, some 40,000 a month don’t get all the care they require. For someone with quadriplegia, getting an attendant to help them get in and out of bed may determine whether they can go to school or work, and stay out of a nursing home.\u003c/p>\n\u003cp>Lonnie VanHook, another individual plaintiff in the lawsuit, has quadriplegia and needs round-the-clock assistance, including people who can move him in his bed or wheelchair to prevent him from getting painful bedsores. But when he couldn’t get enough hours of care, he became depressed and considered assisted suicide.\u003c/p>\n\u003cp>Jules Steimnitz, a rehabilitation doctor, calls this “attendant deficiency diagnosis, that you can’t get attendants.” Steimnitz, who first treated VanHook more than three decades ago, kept in touch and helped talk him through that desperation. “This is his main problem. This is what’s causing his depression. He doesn’t need suicide. He needs attendants.”\u003c/p>\n\u003cp>“Over the years, it has been a continuous uphill battle” to get that assistance, VanHook told NPR. “It’s a mental drain. It’s debilitating.”\u003c/p>\n\u003cp>The lawsuit says VanHook, as a Black man with little income, is at an increased risk because of racial disparities in health care.\u003c/p>\n\u003cp>The limits of health care systems became more clear early in the pandemic. When health care providers feared possible shortages of ventilators and other treatments, \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8957387/\">states issued guidelines\u003c/a> — called “crisis standards of care” — that sometimes gave doctors and hospitals permission to put disabled and elderly people at the back of the line if care got scarce.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The U.S. Department of Health and Human Services stepped in and stopped it.\u003c/p>\n\u003cp>Among several states that agreed to rewrite their triage guidelines: \u003ca href=\"https://public3.pagefreezer.com/content/HHS.gov/31-12-2020T08:51/https:/www.hhs.gov/about/news/2020/06/26/ocr-resolves-complaint-tennessee-after-it-revises-its-triage-plans-protect-against-disability.html\">Tennessee\u003c/a> revised rules that let care be denied to people who already use a ventilator, those with advanced neuromuscular conditions like ALS, and some people with dementia and traumatic brain injuries. Officials in \u003ca href=\"https://public3.pagefreezer.com/content/HHS.gov/31-12-2020T08:51/https:/www.hhs.gov/about/news/2020/04/16/ocr-resolves-civil-rights-complaint-against-pennsylvania-after-it-revises-its-pandemic-health-care.html\">Pennsylvania\u003c/a> changed standards that told hospitals it was OK to cut off care to some people with chronic lung disease or cancer. \u003ca href=\"https://public3.pagefreezer.com/content/HHS.gov/31-12-2020T08:51/https:/www.hhs.gov/about/news/2020/04/08/ocr-reaches-early-case-resolution-alabama-after-it-removes-discriminatory-ventilator-triaging.html\">Alabama\u003c/a> rewrote rules that allowed the denial of ventilators to people with “moderate to severe dementia.”\u003c/p>\n\u003cp>People who work with California’s assisted suicide law acknowledge that disabled people often struggle to get adequate medical care, but they say the state’s end-of-life law is set up to avoid precisely that kind of discrimination.\u003c/p>\n\u003cp>“Having a disability would not qualify someone for aid-in-dying,” says Nathan Fairman, a psychiatrist and palliative care doctor who oversees cases at UC Davis Health in Sacramento. “Someone who’s disabled and has end-stage cancer would potentially qualify. And they would have to step through all of the safeguards that are set out in the law.”\u003c/p>\n\u003cp>Two doctors, he notes, need to confirm that someone is terminally ill and mentally competent to choose to die. Health care systems like his, Fairman says, add psychological and other evaluations that go beyond the state law to further protect against abuse.\u003c/p>\n\u003ch2>Oregon went first and other states followed\u003c/h2>\n\u003cp>The lawsuit was filed by four disability rights groups — United Spinal Association, which advocates for veterans and others with spinal cord injuries; Not Dead Yet and the Institute for Patients’ Rights, two groups that oppose assisted suicide laws; and CALIF, a Los Angeles nonprofit run by people with disabilities.\u003c/p>\n\u003cp>A spokesperson for the California Department of Public Health, the agency that keeps the statistics on who uses the assisted suicide law, said it “does not comment on litigation.”\u003c/p>\n\u003cp>Oregon was the first state to implement a right-to-die law, in 1997. Washington state was next, in 2009. Since then, such laws have spread quickly. Now, 10 states and the District of Columbia allow assisted suicide for terminally ill people who are competent to make that choice.\u003c/p>\n\u003cp>In California, between 2016, when the law took effect, and the end of 2021, 3,766 people got prescriptions for the medications and 64.3% of them are known to have taken those pills, according to the most recent \u003ca href=\"https://www.cdph.ca.gov/Programs/CHSI/CDPH%20Document%20Library/CDPH_End_of_Life%20_Option_Act_Report_2021_FINAL.pdf\">annual report (PDF)\u003c/a> by the California Department of Public Health.\u003c/p>\n\u003cp>The lawsuit, filed in the U.S. District Court for the Central District of California, argues that the state’s assisted suicide law violates due process protections guaranteed by the U.S. Constitution and violates the anti-discrimination provisions of the Americans with Disabilities Act.\u003c/p>\n\u003ch2>Some want to use the law to end their lives — but can’t\u003c/h2>\n\u003cp>But that’s not the only challenge to the law under the ADA. Dr. Lonny Shavelson, a proponent of assisted suicide laws, recently sued California on behalf of \u003ca href=\"https://www.bloomberg.com/news/features/2021-12-17/death-with-dignity-right-to-die-laws-leave-patients-with-impossible-choice\">disabled people who want to use the law to end their lives but can’t\u003c/a>.\u003c/p>\n\u003cp>The End of Life Option Act says that a person who gets lethal medications must be able to take those pills themselves. That’s a common safeguard in assisted suicide laws, to prevent coercion by family members or others.\u003c/p>\n\u003cp>But Shavelson, a co-founder of the American Clinicians Academy on Medical Aid in Dying, says it ends up discriminating against some of the people who most clearly want to use the law — but can’t take the pills themselves because of the progression of their disease, such as people with ALS and Parkinson’s.\u003c/p>\n\u003cp>They are denied “the same access to the law that able-bodied people receive because they’re unable to self-administer the medications, ” he says. “We’ve denied them assistance to a legal medical procedure.”\u003c/p>\n\u003cp>Shavelson’s lawsuit was rejected by one U.S. District Court in California and is now on appeal.\u003c/p>\n\u003cp>Today, Ingrid Tischer is working again, helping nonprofits do fundraising. She looks back at the time two years ago when she was hospitalized, having difficulty breathing and ready to give up. She says she was driven then by fear — of dying or moving to a nursing home and of a “mass of misplaced guilt” that she’d become a burden to her husband. “I just wanted out,” she says. “I don’t think I was thinking very clearly.”\u003c/p>\n\u003cp>But Tischer had resources that turned her around — that supportive spouse, a solid family income, a house, reliable health insurance and her long personal experience navigating the medical system.\u003c/p>\n\u003cp>“There are many people in this world who are a lot more vulnerable than I,” she says, and — as a result — more likely, she believes, to seek assisted suicide.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Supporters of a proposal to raise the minimum wage for California health workers point to Inglewood, where last fall voters approved a wage hike that primarily applied to staff at dialysis clinics and the city’s only hospital. But the implementation of that local measure has been bumpy, signaling potential problems for the larger effort.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2022/10/health-care-workers/\">Inglewood’s ordinance\u003c/a> went into effect Jan. 1, raising the minimum wage for those workers to $25 an hour. Then in March, Centinela Hospital Medical Center, a 362-bed acute care facility owned by Prime Healthcare, \u003ca href=\"https://calmatters.org/wp-content/uploads/2022/06/CA_SUP_LAX_23STCV08047_d126900179e341_Complaint.pdf\">laid off 48 workers and reduced hours for others (PDF)\u003c/a>, according to a complaint filed earlier this month by Service Employees International Union-United Healthcare Workers West. The local union led Inglewood’s measure, and its parent organization, SEIU California, is sponsoring the statewide bill.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Renee Saldaña, spokesperson, SEIU-UHW\"]‘It’s not asking for the moon. This is just the baseline of a fair wage for the people who provide vital treatment.’[/pullquote]The union alleges hospital administrators made the cuts in retaliation for the newly implemented wage increase, even though \u003ca href=\"https://calmatters.org/wp-content/uploads/2022/06/Inglewood-Ordinance-23-10.pdf\">the city ordinance prohibits health facilities from funding the pay increase by laying off workers or reducing their benefits (PDF)\u003c/a>.\u003c/p>\n\u003cp>Centinela officials maintain that the hospital is complying with Inglewood’s minimum wage ordinance. They say they laid off workers after a thorough assessment that determined the hospital was overstaffed in certain units. Centinela offered nearly half of the affected staff other positions within the hospital and many accepted, according to a hospital spokesperson.\u003c/p>\n\u003cp>“The recent reduction in force was entirely unrelated to the ordinance and affected 2% of the staff,” Susan Lowe, Centinela’s spokesperson, said in an email. “It was related to strategic changes in operational needs and improvement measures, and staff have been added in areas that positively impact patient care and address community needs.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>While the lawsuit is pending, the union is advocating for a broader pay hike for California health workers via \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB525\">Senate Bill 525\u003c/a>, by Los Angeles Democratic Sen. Maria Elena Durazo, a longtime labor leader. Durazo’s bill calls for a minimum hourly wage of $25 that would be adjusted annually for inflation. California’s minimum wage is currently $15.50, although it’s higher in some cities and counties.\u003c/p>\n\u003cp>If the proposal becomes law, the new minimum wage would go into effect in January 2024 and benefit an estimated 469,000 health workers. It would include people who make slightly more than $25, \u003ca href=\"https://laborcenter.berkeley.edu/wp-content/uploads/2023/04/Proposed-health-care-minimum-wage-increase-FINAL.pdf\">who would likely get a corresponding pay increase (PDF)\u003c/a>, according to an analysis by UC Berkeley’s Labor Center.\u003c/p>\n\u003cp>Qualifying workers would receive an average increase of $5.74 per hour, which would increase operating costs at health facilities by about 3%, the report said. Some lower-paid workers in health facilities include nursing assistants, patient aides, medical technicians and janitorial workers.\u003c/p>\n\u003cp>The proposal faces a great deal of opposition from industry heavy hitters, including hospital executives, clinic leaders and the doctors lobby, which argue this isn’t something all providers can afford or easily implement, especially when they’re dealing with other stressors in their budgets. The California Chamber of Commerce lists \u003ca href=\"https://advocacy.calchamber.com/policy/bill-tracking/2023-job-killers/\">the bill as a “job killer.”\u003c/a>\u003c/p>\n\u003cp>[aside postID=\"news_11947102,news_11936507,forum_2010101892748\" label=\"Related Posts\"]But union leaders say the time is now, especially as the industry grapples with workforce shortages that are burning out current staff.\u003c/p>\n\u003cp>“Twenty-five dollars an hour breaks down to roughly $50,000 a year,” said Renee Saldaña, spokesperson for SEIU-UHW. “It’s not asking for the moon. This is just the baseline of a fair wage for the people who provide vital treatment.”\u003c/p>\n\u003ch2>Who would benefit\u003c/h2>\n\u003cp>Eneryk Santana last month joined the tens of thousands of people who commute daily across the San Diego-Tijuana border for work or school. He’s a medical assistant at San Ysidro Health Center in Chula Vista and the high cost of living on the U.S. side, he said, forced him to look for housing in Mexico.\u003c/p>\n\u003cp>To avoid rush-hour traffic at the border crossing, he tries to leave his place by 4 a.m. While the border cities are less than 20 miles apart, the process of crossing the border can take up to a few hours on busy days. The commute has been an adjustment, but, he said, his monthly rent in Tijuana is about $1,000 less than what he was paying in Chula Vista — a significant difference for someone making $22 an hour.\u003c/p>\n\u003cp>For Santana, a boost in pay would allow him to consider moving back to the U.S., he said. Ideally it could also mean more people being attracted to this type of work. “Being short-staffed, when someone calls off, we don’t have much staff who can cover,” Santana said. “And it’s hard not only for workers, but also for the patients, who sometimes have long wait times.”\u003c/p>\n\u003cp>Workers in clinics and hospitals account for about half of all workers who would see a boost in pay under Durazo’s bill, according to the analysis from the UC Berkeley Labor Center. Because of their current low earnings, workers in home health services and nursing homes would see the biggest difference — approximately a 40% increase.\u003c/p>\n\u003cp>Three-fourths of the workforce who would receive a raise under the bill are women, and almost half are Latino, according to the report.\u003c/p>\n\u003ch2>The fight against industry\u003c/h2>\n\u003cp>Hospitals are leading the opposition to the wage hike, arguing that some facilities are in precarious financial situations. A handful of \u003ca href=\"https://calmatters.org/health/2023/04/hospital-closures-california/\">hospitals in the state have reduced or plan to reduce services\u003c/a>. Last week, \u003ca href=\"https://www.latimes.com/california/story/2023-04-20/beverly-hospital-in-montebello-files-for-bankruptcy-in-effort-to-avoid-closure\">a Montebello hospital filed for bankruptcy\u003c/a>, and \u003ca href=\"https://calmatters.org/health/2023/01/hospital-closure/\">a hospital in the San Joaquin Valley closed its doors\u003c/a> at the beginning of this year.\u003c/p>\n\u003cp>Having to boost minimum wage pay, hospital leaders say, would only add to that strain. A wage hike at this time “takes a very serious problem and makes it impossible,” Carmela Coyle, president of the California Hospital Association, recently said in a call with reporters.\u003c/p>\n\u003cp>Punctuating its point, the hospital association released a report earlier this month that found that \u003ca href=\"https://www.kaufmanhall.com/sites/default/files/2023-04/CHA-Financial-Impact-Report.pdf?utm_source=CalMatters+Newsletters&utm_campaign=248c284920-WHATMATTERS&utm_medium=email&utm_term=0_faa7be558d-248c284920-150460103&mc_cid=248c284920&mc_eid=099a508f5c\">1 in 5 hospitals are in an “unsustainable financial position” and at risk of closing (PDF)\u003c/a>. Hospitals are considered at risk if their incomes aren’t covering costs, meaning they are losing money and have increasing debt, said the report, which sampled 114 hospitals.\u003c/p>\n\u003cp>Union leaders have pushed back on hospitals’ arguments, noting that most hospitals are part of large health systems that can weather rough patches.\u003c/p>\n\u003cp>Health economists have described the current landscape of California hospitals as a mixed bag, with independent and rural hospitals especially experiencing severe financial pressures.\u003c/p>\n\u003cp>During the peak of the pandemic, hospitals had increased expenses, but also received \u003ca href=\"https://www.kff.org/coronavirus-covid-19/issue-brief/funding-for-health-care-providers-during-the-pandemic-an-update/\">financial aid from the federal government\u003c/a>. That funding phased out in 2022. The state has not yet audited totals for this last fiscal year, but in 2021 California hospitals \u003ca href=\"https://data.chhs.ca.gov/dataset/hospital-annual-financial-data-selected-data-pivot-tables/resource/29bacfe7-a98d-4183-9282-a5803a3d4c6e\">posted total earnings of $11.9 billion\u003c/a>, up from the \u003ca href=\"https://data.chhs.ca.gov/dataset/hospital-annual-financial-data-selected-data-pivot-tables/resource/84d0a088-3689-40b4-ab82-6b04e8c0b213\">$8.5 billion hospitals recorded in 2019\u003c/a>, according to financial data from the Department of Health Care Access and Information.\u003c/p>\n\u003cp>A coalition of counties has also \u003ca href=\"https://calmatters.org/wp-content/uploads/2022/06/Counties-SB-525-Durazo-Sen-Labor-Oppose.pdf\">voiced its opposition to the bill (PDF)\u003c/a>, noting it would apply to workers at county public health and mental health departments, as well as clinics and hospitals operated by counties.\u003c/p>\n\u003cp>Implementing such a bill would cost the counties hundreds of millions of dollars annually, said Kalyn Dean, legislative advocate with the California State Association of Counties. To absorb that cost, she said, counties could be forced to reduce services and cut jobs in other government departments.\u003c/p>\n\u003cp>Meanwhile, clinic leaders say that while they support the idea of boosting pay for their workers, they are subject to strict reimbursement rules that do not allow them to take on the additional expense. \u003ca href=\"https://www.chcf.org/wp-content/uploads/2022/05/MediCalExplainedHealthCentersPaid.pdf\">The vast majority of community health centers’ patients are covered by Medi-Cal (PDF)\u003c/a>, the health insurance program for people with lower incomes. Medi-Cal pays these centers a fixed amount per patient visit. Modifying that amount to afford a wage increase would require both state and federal approval, said Dennis Cuevas-Romero, vice president of government affairs at the California Primary Care Association, which represents health centers.\u003c/p>\n\u003cp>“Unlike other businesses, we can’t just say, ‘OK, the state requires us to increase the minimum wage, let’s just increase the cost of our services.’ We are prohibited from doing so,” he said.\u003c/p>\n\u003cp>Some provider groups are likely to seek an exemption from this bill, but community health centers say they would like to find a way to make this work because a “nightmare” scenario would be for their clinic employees to leave for better-paying jobs at a nearby hospital.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“Our health centers want to get there,” Cuevas-Romero said. “I think the questions are: Where’s the money coming from? And how do we implement it?”\u003c/p>\n\n",
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"excerpt": "As hospitals and other health care facilities struggle with staffing shortages, health workers could get a wage increase under a legislative proposal. But some smaller facilities already struggling financially say they can’t afford it.",
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"title": "California Health Workers Want Higher Wages. Industry Leaders Are Pushing Back | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Supporters of a proposal to raise the minimum wage for California health workers point to Inglewood, where last fall voters approved a wage hike that primarily applied to staff at dialysis clinics and the city’s only hospital. But the implementation of that local measure has been bumpy, signaling potential problems for the larger effort.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/2022/10/health-care-workers/\">Inglewood’s ordinance\u003c/a> went into effect Jan. 1, raising the minimum wage for those workers to $25 an hour. Then in March, Centinela Hospital Medical Center, a 362-bed acute care facility owned by Prime Healthcare, \u003ca href=\"https://calmatters.org/wp-content/uploads/2022/06/CA_SUP_LAX_23STCV08047_d126900179e341_Complaint.pdf\">laid off 48 workers and reduced hours for others (PDF)\u003c/a>, according to a complaint filed earlier this month by Service Employees International Union-United Healthcare Workers West. The local union led Inglewood’s measure, and its parent organization, SEIU California, is sponsoring the statewide bill.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The union alleges hospital administrators made the cuts in retaliation for the newly implemented wage increase, even though \u003ca href=\"https://calmatters.org/wp-content/uploads/2022/06/Inglewood-Ordinance-23-10.pdf\">the city ordinance prohibits health facilities from funding the pay increase by laying off workers or reducing their benefits (PDF)\u003c/a>.\u003c/p>\n\u003cp>Centinela officials maintain that the hospital is complying with Inglewood’s minimum wage ordinance. They say they laid off workers after a thorough assessment that determined the hospital was overstaffed in certain units. Centinela offered nearly half of the affected staff other positions within the hospital and many accepted, according to a hospital spokesperson.\u003c/p>\n\u003cp>“The recent reduction in force was entirely unrelated to the ordinance and affected 2% of the staff,” Susan Lowe, Centinela’s spokesperson, said in an email. “It was related to strategic changes in operational needs and improvement measures, and staff have been added in areas that positively impact patient care and address community needs.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>While the lawsuit is pending, the union is advocating for a broader pay hike for California health workers via \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB525\">Senate Bill 525\u003c/a>, by Los Angeles Democratic Sen. Maria Elena Durazo, a longtime labor leader. Durazo’s bill calls for a minimum hourly wage of $25 that would be adjusted annually for inflation. California’s minimum wage is currently $15.50, although it’s higher in some cities and counties.\u003c/p>\n\u003cp>If the proposal becomes law, the new minimum wage would go into effect in January 2024 and benefit an estimated 469,000 health workers. It would include people who make slightly more than $25, \u003ca href=\"https://laborcenter.berkeley.edu/wp-content/uploads/2023/04/Proposed-health-care-minimum-wage-increase-FINAL.pdf\">who would likely get a corresponding pay increase (PDF)\u003c/a>, according to an analysis by UC Berkeley’s Labor Center.\u003c/p>\n\u003cp>Qualifying workers would receive an average increase of $5.74 per hour, which would increase operating costs at health facilities by about 3%, the report said. Some lower-paid workers in health facilities include nursing assistants, patient aides, medical technicians and janitorial workers.\u003c/p>\n\u003cp>The proposal faces a great deal of opposition from industry heavy hitters, including hospital executives, clinic leaders and the doctors lobby, which argue this isn’t something all providers can afford or easily implement, especially when they’re dealing with other stressors in their budgets. The California Chamber of Commerce lists \u003ca href=\"https://advocacy.calchamber.com/policy/bill-tracking/2023-job-killers/\">the bill as a “job killer.”\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But union leaders say the time is now, especially as the industry grapples with workforce shortages that are burning out current staff.\u003c/p>\n\u003cp>“Twenty-five dollars an hour breaks down to roughly $50,000 a year,” said Renee Saldaña, spokesperson for SEIU-UHW. “It’s not asking for the moon. This is just the baseline of a fair wage for the people who provide vital treatment.”\u003c/p>\n\u003ch2>Who would benefit\u003c/h2>\n\u003cp>Eneryk Santana last month joined the tens of thousands of people who commute daily across the San Diego-Tijuana border for work or school. He’s a medical assistant at San Ysidro Health Center in Chula Vista and the high cost of living on the U.S. side, he said, forced him to look for housing in Mexico.\u003c/p>\n\u003cp>To avoid rush-hour traffic at the border crossing, he tries to leave his place by 4 a.m. While the border cities are less than 20 miles apart, the process of crossing the border can take up to a few hours on busy days. The commute has been an adjustment, but, he said, his monthly rent in Tijuana is about $1,000 less than what he was paying in Chula Vista — a significant difference for someone making $22 an hour.\u003c/p>\n\u003cp>For Santana, a boost in pay would allow him to consider moving back to the U.S., he said. Ideally it could also mean more people being attracted to this type of work. “Being short-staffed, when someone calls off, we don’t have much staff who can cover,” Santana said. “And it’s hard not only for workers, but also for the patients, who sometimes have long wait times.”\u003c/p>\n\u003cp>Workers in clinics and hospitals account for about half of all workers who would see a boost in pay under Durazo’s bill, according to the analysis from the UC Berkeley Labor Center. Because of their current low earnings, workers in home health services and nursing homes would see the biggest difference — approximately a 40% increase.\u003c/p>\n\u003cp>Three-fourths of the workforce who would receive a raise under the bill are women, and almost half are Latino, according to the report.\u003c/p>\n\u003ch2>The fight against industry\u003c/h2>\n\u003cp>Hospitals are leading the opposition to the wage hike, arguing that some facilities are in precarious financial situations. A handful of \u003ca href=\"https://calmatters.org/health/2023/04/hospital-closures-california/\">hospitals in the state have reduced or plan to reduce services\u003c/a>. Last week, \u003ca href=\"https://www.latimes.com/california/story/2023-04-20/beverly-hospital-in-montebello-files-for-bankruptcy-in-effort-to-avoid-closure\">a Montebello hospital filed for bankruptcy\u003c/a>, and \u003ca href=\"https://calmatters.org/health/2023/01/hospital-closure/\">a hospital in the San Joaquin Valley closed its doors\u003c/a> at the beginning of this year.\u003c/p>\n\u003cp>Having to boost minimum wage pay, hospital leaders say, would only add to that strain. A wage hike at this time “takes a very serious problem and makes it impossible,” Carmela Coyle, president of the California Hospital Association, recently said in a call with reporters.\u003c/p>\n\u003cp>Punctuating its point, the hospital association released a report earlier this month that found that \u003ca href=\"https://www.kaufmanhall.com/sites/default/files/2023-04/CHA-Financial-Impact-Report.pdf?utm_source=CalMatters+Newsletters&utm_campaign=248c284920-WHATMATTERS&utm_medium=email&utm_term=0_faa7be558d-248c284920-150460103&mc_cid=248c284920&mc_eid=099a508f5c\">1 in 5 hospitals are in an “unsustainable financial position” and at risk of closing (PDF)\u003c/a>. Hospitals are considered at risk if their incomes aren’t covering costs, meaning they are losing money and have increasing debt, said the report, which sampled 114 hospitals.\u003c/p>\n\u003cp>Union leaders have pushed back on hospitals’ arguments, noting that most hospitals are part of large health systems that can weather rough patches.\u003c/p>\n\u003cp>Health economists have described the current landscape of California hospitals as a mixed bag, with independent and rural hospitals especially experiencing severe financial pressures.\u003c/p>\n\u003cp>During the peak of the pandemic, hospitals had increased expenses, but also received \u003ca href=\"https://www.kff.org/coronavirus-covid-19/issue-brief/funding-for-health-care-providers-during-the-pandemic-an-update/\">financial aid from the federal government\u003c/a>. That funding phased out in 2022. The state has not yet audited totals for this last fiscal year, but in 2021 California hospitals \u003ca href=\"https://data.chhs.ca.gov/dataset/hospital-annual-financial-data-selected-data-pivot-tables/resource/29bacfe7-a98d-4183-9282-a5803a3d4c6e\">posted total earnings of $11.9 billion\u003c/a>, up from the \u003ca href=\"https://data.chhs.ca.gov/dataset/hospital-annual-financial-data-selected-data-pivot-tables/resource/84d0a088-3689-40b4-ab82-6b04e8c0b213\">$8.5 billion hospitals recorded in 2019\u003c/a>, according to financial data from the Department of Health Care Access and Information.\u003c/p>\n\u003cp>A coalition of counties has also \u003ca href=\"https://calmatters.org/wp-content/uploads/2022/06/Counties-SB-525-Durazo-Sen-Labor-Oppose.pdf\">voiced its opposition to the bill (PDF)\u003c/a>, noting it would apply to workers at county public health and mental health departments, as well as clinics and hospitals operated by counties.\u003c/p>\n\u003cp>Implementing such a bill would cost the counties hundreds of millions of dollars annually, said Kalyn Dean, legislative advocate with the California State Association of Counties. To absorb that cost, she said, counties could be forced to reduce services and cut jobs in other government departments.\u003c/p>\n\u003cp>Meanwhile, clinic leaders say that while they support the idea of boosting pay for their workers, they are subject to strict reimbursement rules that do not allow them to take on the additional expense. \u003ca href=\"https://www.chcf.org/wp-content/uploads/2022/05/MediCalExplainedHealthCentersPaid.pdf\">The vast majority of community health centers’ patients are covered by Medi-Cal (PDF)\u003c/a>, the health insurance program for people with lower incomes. Medi-Cal pays these centers a fixed amount per patient visit. Modifying that amount to afford a wage increase would require both state and federal approval, said Dennis Cuevas-Romero, vice president of government affairs at the California Primary Care Association, which represents health centers.\u003c/p>\n\u003cp>“Unlike other businesses, we can’t just say, ‘OK, the state requires us to increase the minimum wage, let’s just increase the cost of our services.’ We are prohibited from doing so,” he said.\u003c/p>\n\u003cp>Some provider groups are likely to seek an exemption from this bill, but community health centers say they would like to find a way to make this work because a “nightmare” scenario would be for their clinic employees to leave for better-paying jobs at a nearby hospital.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Our health centers want to get there,” Cuevas-Romero said. “I think the questions are: Where’s the money coming from? And how do we implement it?”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Tika Hall was at a music show in San Francisco’s Mission District in February when around 10 p.m. someone yelled out, “Does anyone have Narcan?”\u003c/p>\n\u003cp>Hall, who is an artist, a musician and a longtime San Francisco resident, understood this meant someone had overdosed, and that their survival could depend on finding Narcan, a naloxone nasal spray that reverses opioid overdoses.\u003c/p>\n\u003cp>Hall and a friend ran to the nearest bar, one of the few places still open that might carry it.\u003c/p>\n\u003cp>“When I go into crisis mode, I get a lizard brain, and I was like, ‘What we have to do is go get this thing,’” Hall said.\u003c/p>\n\u003cp>When the first bar did not have Narcan, they tried the next one, The Eagle, which did. The bartender gave them the medicine, no questions asked, and the Narcan was used to revive the person who had overdosed.\u003c/p>\n\u003cfigure id=\"attachment_11947461\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947461\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut.jpg\" alt=\"A closed white box with a pink asterisk logo hangs on a wall in a dimly lit bar with a bar counter further back and a bartender and two patrons.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A harm-reduction box created by Josh Yule hangs on the wall at Mothership bar in San Francisco on April 11, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“If this had happened somewhere there wasn’t a bar that had Narcan nearby, or if this had happened during the day when a bar wasn’t open, I don’t know what would have happened,” Hall said.\u003c/p>\n\u003cp>Now Hall carries Narcan with her everywhere, and the incident underscores the importance of making the antidote available for the public in places like bars. \u003ca href=\"https://sf.gov/sites/default/files/2023-04/2023%2004_OCME%20Overdose%20Report_0.pdf\">Two hundred people have fatally overdosed in San Francisco in the first three months of this year (PDF)\u003c/a>, and nationwide there has been a steep \u003ca href=\"https://apnews.com/article/health-opioids-synthetic-government-and-politics-8f64b776b82d6e8bc2e324b732e4b6e2\">rise in accidental overdoses\u003c/a>, as other illicit drugs — like cocaine and methamphetamines — have been increasingly \u003ca href=\"https://www.npr.org/2021/07/05/1013203805/party-drugs-are-being-increasingly-laced-with-fentanyl\">laced with fentanyl\u003c/a>.\u003c/p>\n\u003cp>Bay Area bar owners, staff and advocates are taking the initiative to keep patrons and the community safe. The nonprofit \u003ca href=\"https://fentcheck.org/\">FentCheck\u003c/a> brings Narcan and fentanyl test strips to bars and other community spaces, and bars are stocking the life-saving medication, as well as hosting trainings on how to administer it. Those promoting harm reduction in the nightlife community say the effort has also opened up a necessary conversation about the risks and realities of drug use.\u003c/p>\n\u003ch2>Harm-reduction boxes offer ‘a beacon for conversation’\u003c/h2>\n\u003cp>That push to reduce stigma and save lives is why Josh Yule has been building harm-reduction boxes and delivering them to bars since December. The bright, medical-white boxes contain Narcan; a neon pink, three-step guide to administering it; and fentanyl test strips.\u003c/p>\n\u003cp>Yule, a former bartender at The Knockout who still books shows there, makes the boxes at a friend’s woodshop in San Leandro. Nine San Francisco establishments house the boxes so far, including The Knockout, The Phone Booth, The Make Out Room and Mothership.\u003c/p>\n\u003cfigure id=\"attachment_11947458\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947458\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut.jpg\" alt=\"A white man with glasses looks at the camera as he gestures toward three white boxes with asterisk logos on them lined up next to each other in a bar.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Josh Yule shows a group of bar employees gathered for a Narcan training session the harm-reduction boxes he hopes to distribute to other Bay Area bars, at The Knockout in San Francisco on Dec. 15, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Each box is dedicated to Yule’s mother, Roberta Damron, who fatally overdosed on fentanyl in 2021. He signs the inside doors of the boxes “For Mom.”\u003c/p>\n\u003cp>“It is there to save a life. First and foremost, that’s what it does,” Yule said. “But it’s also there so people can talk to one another. People can feel safe that they know it’s there.”\u003c/p>\n\u003cp>Yule said his mother’s death, at age 66, was a shock. His mother was religious, straightlaced and hilarious.\u003c/p>\n\u003cp>“She was awesome,” Yule said.\u003c/p>\n\u003cp>He remembered how, when he was in middle school, his mom tore down a poster in his room of Sid Vicious, the bassist for The Sex Pistols who died of a drug overdose.\u003c/p>\n\u003cp>“She would be really embarrassed that this is how she passed away. I just know that. And I think about that often,” Yule said. “I never really understood what was going on. Maybe I didn’t really want to understand. I’m still figuring that one out.”\u003c/p>\n\u003cp>Yule had been studying graphic design at California College of the Arts, when he decided to pour his energy into work focused on destigmatizing opioid use disorders.\u003c/p>\n\u003cfigure id=\"attachment_11947463\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947463\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut.jpg\" alt=\"Two hands holding a few photos, with a mother and child in the topmost photo.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Josh Yule looks through the few photos he has of his mother, at his home in San Francisco on April 21, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>He designed posters and stickers, but also wanted to create something physical that could become a “beacon for conversation.” The harm-reduction boxes became his thesis project.\u003c/p>\n\u003cp>Before his mother’s death, Yule had also lost two friends to fatal overdoses.\u003c/p>\n\u003cp>“We should be destigmatizing this disorder. It’s the only way to get anywhere. We’re just taking baby steps,” Yule said. “I wish that there was something that beckoned me to talk to my friend, or something I had seen. Maybe he would still be around. Maybe I would have put two and two together about my mom.”\u003c/p>\n\u003ch2>Bar staff train and prepare for emergencies\u003c/h2>\n\u003cp>Then, last winter, bar staff and community members were pushed to action after a string of near fatal overdoses in Mission District bars. Anita Ellis, a bartender at The Phone Booth and Pop’s Bar, organized a training for any interested bartenders in learning about Narcan as well as fentanyl test strips.\u003c/p>\n\u003cfigure id=\"attachment_11947611\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut.jpg\" alt=\"A white woman stands behind a dimly lit bar as an older white man with a white beard speaks smilingly to her\" width=\"1920\" height=\"1280\" class=\"size-full wp-image-11947611\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A harm reduction box made by Josh Yule and painted by artist Chelsea Wong hangs at the end of the bar at the Phone Booth while Anita Ellis bartends. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At least 50 people showed up at The Knockout for the December training, many more than a similar training Ellis had organized years before.\u003c/p>\n\u003cp>“I felt a lot of community spirit, this feeling of, ‘Let’s take care of one another.’” Ellis said. “The idea of somebody losing their life because they want to do a little blow in the bathroom because it’s their birthday or whatever occasion, or no occasion at all, I find that to be ludicrous. That shouldn’t be happening.”\u003c/p>\n\u003cp>Yule talked about the harm-reduction boxes during the event, and about 20 people signed up for them. He’s still working through that list, and more people have signed up since then. He’s also looking to expand to restaurants, and hopes to gain enough traction that the city or state takes over to continue the effort.\u003c/p>\n\u003cfigure id=\"attachment_11947609\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut.jpg\" alt=\"People stand and listen at a bar\" width=\"1920\" height=\"1280\" class=\"size-full wp-image-11947609\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A group of bar employees gathered for a Narcan training session listen to Josh Yule discuss harm reduction boxes he created to help prevent fentanyl overdoses in bars at The Knockout in San Francisco on Dec. 15, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Joanna Lioce, staff manager at Vesuvio Cafe in North Beach, picked up one of the harm-reduction boxes during that training. Years before, in response to overdoses in the alley outside the bar, Vesuvio staff were trained in administering Narcan. Lioce was able to reverse an overdose in the alleyway with Narcan.\u003c/p>\n\u003cp>“It’s like anything — if you see someone fall in a pool and you can get out and save them, you’re going to do it,” Lioce said.\u003c/p>\n\u003cp>She says Narcan is essential for bars in the age of fentanyl, like carrying a fire extinguisher.\u003c/p>\n\u003cp>Yule’s boxes alert patrons that Narcan is available in emergencies.\u003c/p>\n\u003cp>“We all kind of sound like grandmas now. Like, at least me and my friends are like, ‘Back in my day, you could buy cocaine in the Tenderloin and didn’t even have to worry about it.’ Now it’s like, ‘No, you can’t do anything like that,’” Lioce said.\u003c/p>\n\u003cfigure id=\"attachment_11947459\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947459\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut.jpg\" alt=\"A white man with glasses and a sweater opens a white wooden box with "How to Administer Naloxone" written in red on the inside of the box lid, as two women look on from the man's left.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Josh Yule shows local bar employee Joanna Lioce a harm-reduction box he created to help prevent fentanyl overdoses, after a Narcan training session at The Knockout in San Francisco on Dec. 15, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But there are still barriers to accessing Narcan for free, and Yule said one of the biggest challenges in completing his project was figuring out where to get Narcan. Now he goes to the city’s Community Behavioral Health Services pharmacy, where the public can get Narcan for free.\u003c/p>\n\u003ch2>A potential policy solution, and barriers in supply\u003c/h2>\n\u003cp>A bill from Assemblymember Matt Haney, \u003ca href=\"https://legiscan.com/CA/text/AB24/2023#:~:text=California%20Assembly%20Bill%2024&text=Bill%20Title%3A%20Emergency%20response%3A%20opioid%20antagonist%20kits.&text=An%20act%20to%20add%20Chapter,Code%2C%20relating%20to%20emergency%20response\">Assembly Bill 24\u003c/a>, could require libraries, gas stations, residential hotels and bars in areas hardest hit by drug overdoses to carry Narcan, or face $100 fines.\u003c/p>\n\u003cp>“There is enough Narcan to put in all of these establishments and also get into the hands of organizations who work directly with people who are using drugs. They really need to be in both places,” Haney said in an interview. “And we have to stop nickel-and-diming this if we are going to save lives.”[aside label=\"Related Stories\" postID=\"news_11944267,science_1982214,news_11945418\"]In a statement, San Francisco Entertainment Commission Senior Analyst Dylan Rice said the commission is identifying policy, supply chain and consumer price considerations that would make it possible to achieve a vision for Narcan to be available behind every bar in San Francisco.\u003c/p>\n\u003cp>Some harm reduction advocates remain worried about resources. Laura Guzman, acting executive director of the National Harm Reduction Coalition, said their organization primarily distributes overdose reversal medication to syringe exchange programs that serve residents most vulnerable to overdoses.\u003c/p>\n\u003cp>“In San Francisco, we are still waiting to see if there will be additional allocation of naloxone that we could be distributing throughout all of the supportive housing, shelters, etcetera,” Guzman said. “There hasn’t been in San Francisco or in the state yet an amplification of naloxone access.”\u003c/p>\n\u003cp>Gov. Gavin Newsom has pledged \u003ca href=\"https://www.kqed.org/news/11944267/newsom-doubles-down-on-naloxone-distribution-in-new-master-plan-to-curb-overdose-deaths\">$79 million to go toward distributing Narcan\u003c/a>.\u003c/p>\n\u003cp>The medication could also become available over the counter later this year, though the manufacturer has said it could cost as much as $50 per kit, \u003ca href=\"https://www.washingtonpost.com/health/2023/04/20/narcan-price-over-the-counter/\">a price tag advocates say puts it out of reach for people who need it most\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Laura Thomas, director of HIV and harm reduction policy at the San Francisco AIDS Foundation who also sits on the San Francisco Entertainment Commission, said she wants to see a day where all venues have Narcan, but is also concerned about diverting scarce resources. She said the AIDS Foundation uses its own organizational funds to buy Narcan because it does not get enough supplies from the state.\u003c/p>\n\u003cp>“And that is a huge problem because we are distributing Narcan to people who are the most likely to be at the scene of an overdose and the most likely to reverse an overdose,” Thomas said.\u003c/p>\n\u003ch2>The community continues to educate each other\u003c/h2>\n\u003cp>If you’re looking to access Narcan or learn how to use it, you could also try \u003ca href=\"https://www.sfoasis.com/princess\">Princess\u003c/a>, the weekly Saturday night dance party and drag spectacular at Oasis.[pullquote align=\"right\" size=\"medium\" citation=\"Anita Ellis, bartender\"]‘The idea of somebody losing their life because they want to do a little blow in the bathroom … That shouldn’t be happening.’[/pullquote]Virtually every weekend for about 18 months, Cary Escovedo has offered overdose prevention education during the show, usually for about five minutes after intermission. Escovedo, whose drag name is Kochina Rude and who co-hosts the event with Lisa Frankenstein, has partnered with the \u003ca href=\"https://harmreduction.org/our-work/action/dope-project-san-francisco/\">Drug Overdose Prevention and Education\u003c/a> Project on the effort, and distributes about 24 doses of Narcan per show.\u003c/p>\n\u003cp>She starts off by asking the audience if they know what Narcan is, and then outlines a scenario that could happen in any club where a hypothetical person is found unresponsive.\u003c/p>\n\u003cp>In the scenario, friends call 911, administer Narcan and provide rescue breathing.\u003c/p>\n\u003cp>When the overdose is reversed, the audience cheers. Kochina Rude ends on a high note, focusing on how queer people are in a unique position to take care of each other.\u003c/p>\n\u003cp>“Because historically we have had to do so out of necessity,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11947483\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947483\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut.jpg\" alt=\"Two white men with glasses talk over a white box in process of completion in a furniture store with carpentry equipment around them.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Josh Yule (left) and Jeremiah Nielsen work to make harm-reduction boxes at the Oakland handmade furniture manufacturing shop Jeremiah Collection, on Dec. 7, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Even if some bar owners may want to pretend drug use does not happen, bartenders can still come to Kochina Rude and access Narcan on their own, she said. During the weekly shows, she reminds the audience that they should not be scared to act.\u003c/p>\n\u003cp>“By taking this Narcan today, you now are serving as a community first responder in the event of an overdose, wherever you are,” she tells the audience. “And it can happen anytime and anywhere.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "With the fentanyl epidemic showing no signs of abating, bar staff and nonprofits are pushing for Narcan to be widely available in bars as they train and prepare for a spike in fatal opioid overdoses on the San Francisco nightlife scene.",
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"title": "'There to Save a Life': San Francisco Bars Fight Fentanyl Overdoses With Narcan | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Tika Hall was at a music show in San Francisco’s Mission District in February when around 10 p.m. someone yelled out, “Does anyone have Narcan?”\u003c/p>\n\u003cp>Hall, who is an artist, a musician and a longtime San Francisco resident, understood this meant someone had overdosed, and that their survival could depend on finding Narcan, a naloxone nasal spray that reverses opioid overdoses.\u003c/p>\n\u003cp>Hall and a friend ran to the nearest bar, one of the few places still open that might carry it.\u003c/p>\n\u003cp>“When I go into crisis mode, I get a lizard brain, and I was like, ‘What we have to do is go get this thing,’” Hall said.\u003c/p>\n\u003cp>When the first bar did not have Narcan, they tried the next one, The Eagle, which did. The bartender gave them the medicine, no questions asked, and the Narcan was used to revive the person who had overdosed.\u003c/p>\n\u003cfigure id=\"attachment_11947461\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947461\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut.jpg\" alt=\"A closed white box with a pink asterisk logo hangs on a wall in a dimly lit bar with a bar counter further back and a bartender and two patrons.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64549_006_KQED_MothershipHarmReduction_04112023-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A harm-reduction box created by Josh Yule hangs on the wall at Mothership bar in San Francisco on April 11, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“If this had happened somewhere there wasn’t a bar that had Narcan nearby, or if this had happened during the day when a bar wasn’t open, I don’t know what would have happened,” Hall said.\u003c/p>\n\u003cp>Now Hall carries Narcan with her everywhere, and the incident underscores the importance of making the antidote available for the public in places like bars. \u003ca href=\"https://sf.gov/sites/default/files/2023-04/2023%2004_OCME%20Overdose%20Report_0.pdf\">Two hundred people have fatally overdosed in San Francisco in the first three months of this year (PDF)\u003c/a>, and nationwide there has been a steep \u003ca href=\"https://apnews.com/article/health-opioids-synthetic-government-and-politics-8f64b776b82d6e8bc2e324b732e4b6e2\">rise in accidental overdoses\u003c/a>, as other illicit drugs — like cocaine and methamphetamines — have been increasingly \u003ca href=\"https://www.npr.org/2021/07/05/1013203805/party-drugs-are-being-increasingly-laced-with-fentanyl\">laced with fentanyl\u003c/a>.\u003c/p>\n\u003cp>Bay Area bar owners, staff and advocates are taking the initiative to keep patrons and the community safe. The nonprofit \u003ca href=\"https://fentcheck.org/\">FentCheck\u003c/a> brings Narcan and fentanyl test strips to bars and other community spaces, and bars are stocking the life-saving medication, as well as hosting trainings on how to administer it. Those promoting harm reduction in the nightlife community say the effort has also opened up a necessary conversation about the risks and realities of drug use.\u003c/p>\n\u003ch2>Harm-reduction boxes offer ‘a beacon for conversation’\u003c/h2>\n\u003cp>That push to reduce stigma and save lives is why Josh Yule has been building harm-reduction boxes and delivering them to bars since December. The bright, medical-white boxes contain Narcan; a neon pink, three-step guide to administering it; and fentanyl test strips.\u003c/p>\n\u003cp>Yule, a former bartender at The Knockout who still books shows there, makes the boxes at a friend’s woodshop in San Leandro. Nine San Francisco establishments house the boxes so far, including The Knockout, The Phone Booth, The Make Out Room and Mothership.\u003c/p>\n\u003cfigure id=\"attachment_11947458\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947458\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut.jpg\" alt=\"A white man with glasses looks at the camera as he gestures toward three white boxes with asterisk logos on them lined up next to each other in a bar.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62179_002_KQED_KnockoutNarcanTraining_12152022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Josh Yule shows a group of bar employees gathered for a Narcan training session the harm-reduction boxes he hopes to distribute to other Bay Area bars, at The Knockout in San Francisco on Dec. 15, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Each box is dedicated to Yule’s mother, Roberta Damron, who fatally overdosed on fentanyl in 2021. He signs the inside doors of the boxes “For Mom.”\u003c/p>\n\u003cp>“It is there to save a life. First and foremost, that’s what it does,” Yule said. “But it’s also there so people can talk to one another. People can feel safe that they know it’s there.”\u003c/p>\n\u003cp>Yule said his mother’s death, at age 66, was a shock. His mother was religious, straightlaced and hilarious.\u003c/p>\n\u003cp>“She was awesome,” Yule said.\u003c/p>\n\u003cp>He remembered how, when he was in middle school, his mom tore down a poster in his room of Sid Vicious, the bassist for The Sex Pistols who died of a drug overdose.\u003c/p>\n\u003cp>“She would be really embarrassed that this is how she passed away. I just know that. And I think about that often,” Yule said. “I never really understood what was going on. Maybe I didn’t really want to understand. I’m still figuring that one out.”\u003c/p>\n\u003cp>Yule had been studying graphic design at California College of the Arts, when he decided to pour his energy into work focused on destigmatizing opioid use disorders.\u003c/p>\n\u003cfigure id=\"attachment_11947463\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947463\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut.jpg\" alt=\"Two hands holding a few photos, with a mother and child in the topmost photo.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64677_004_KQED_JoshYuleMomPhotos_04212023-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Josh Yule looks through the few photos he has of his mother, at his home in San Francisco on April 21, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>He designed posters and stickers, but also wanted to create something physical that could become a “beacon for conversation.” The harm-reduction boxes became his thesis project.\u003c/p>\n\u003cp>Before his mother’s death, Yule had also lost two friends to fatal overdoses.\u003c/p>\n\u003cp>“We should be destigmatizing this disorder. It’s the only way to get anywhere. We’re just taking baby steps,” Yule said. “I wish that there was something that beckoned me to talk to my friend, or something I had seen. Maybe he would still be around. Maybe I would have put two and two together about my mom.”\u003c/p>\n\u003ch2>Bar staff train and prepare for emergencies\u003c/h2>\n\u003cp>Then, last winter, bar staff and community members were pushed to action after a string of near fatal overdoses in Mission District bars. Anita Ellis, a bartender at The Phone Booth and Pop’s Bar, organized a training for any interested bartenders in learning about Narcan as well as fentanyl test strips.\u003c/p>\n\u003cfigure id=\"attachment_11947611\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut.jpg\" alt=\"A white woman stands behind a dimly lit bar as an older white man with a white beard speaks smilingly to her\" width=\"1920\" height=\"1280\" class=\"size-full wp-image-11947611\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64686_007_KQED_HarmReductionPhoneBooth_04172023-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A harm reduction box made by Josh Yule and painted by artist Chelsea Wong hangs at the end of the bar at the Phone Booth while Anita Ellis bartends. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At least 50 people showed up at The Knockout for the December training, many more than a similar training Ellis had organized years before.\u003c/p>\n\u003cp>“I felt a lot of community spirit, this feeling of, ‘Let’s take care of one another.’” Ellis said. “The idea of somebody losing their life because they want to do a little blow in the bathroom because it’s their birthday or whatever occasion, or no occasion at all, I find that to be ludicrous. That shouldn’t be happening.”\u003c/p>\n\u003cp>Yule talked about the harm-reduction boxes during the event, and about 20 people signed up for them. He’s still working through that list, and more people have signed up since then. He’s also looking to expand to restaurants, and hopes to gain enough traction that the city or state takes over to continue the effort.\u003c/p>\n\u003cfigure id=\"attachment_11947609\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut.jpg\" alt=\"People stand and listen at a bar\" width=\"1920\" height=\"1280\" class=\"size-full wp-image-11947609\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64693_018_KQED_KnockoutNarcanTraining_12152022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A group of bar employees gathered for a Narcan training session listen to Josh Yule discuss harm reduction boxes he created to help prevent fentanyl overdoses in bars at The Knockout in San Francisco on Dec. 15, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Joanna Lioce, staff manager at Vesuvio Cafe in North Beach, picked up one of the harm-reduction boxes during that training. Years before, in response to overdoses in the alley outside the bar, Vesuvio staff were trained in administering Narcan. Lioce was able to reverse an overdose in the alleyway with Narcan.\u003c/p>\n\u003cp>“It’s like anything — if you see someone fall in a pool and you can get out and save them, you’re going to do it,” Lioce said.\u003c/p>\n\u003cp>She says Narcan is essential for bars in the age of fentanyl, like carrying a fire extinguisher.\u003c/p>\n\u003cp>Yule’s boxes alert patrons that Narcan is available in emergencies.\u003c/p>\n\u003cp>“We all kind of sound like grandmas now. Like, at least me and my friends are like, ‘Back in my day, you could buy cocaine in the Tenderloin and didn’t even have to worry about it.’ Now it’s like, ‘No, you can’t do anything like that,’” Lioce said.\u003c/p>\n\u003cfigure id=\"attachment_11947459\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947459\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut.jpg\" alt=\"A white man with glasses and a sweater opens a white wooden box with "How to Administer Naloxone" written in red on the inside of the box lid, as two women look on from the man's left.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62181_012_KQED_KnockoutNarcanTraining_12152022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Josh Yule shows local bar employee Joanna Lioce a harm-reduction box he created to help prevent fentanyl overdoses, after a Narcan training session at The Knockout in San Francisco on Dec. 15, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But there are still barriers to accessing Narcan for free, and Yule said one of the biggest challenges in completing his project was figuring out where to get Narcan. Now he goes to the city’s Community Behavioral Health Services pharmacy, where the public can get Narcan for free.\u003c/p>\n\u003ch2>A potential policy solution, and barriers in supply\u003c/h2>\n\u003cp>A bill from Assemblymember Matt Haney, \u003ca href=\"https://legiscan.com/CA/text/AB24/2023#:~:text=California%20Assembly%20Bill%2024&text=Bill%20Title%3A%20Emergency%20response%3A%20opioid%20antagonist%20kits.&text=An%20act%20to%20add%20Chapter,Code%2C%20relating%20to%20emergency%20response\">Assembly Bill 24\u003c/a>, could require libraries, gas stations, residential hotels and bars in areas hardest hit by drug overdoses to carry Narcan, or face $100 fines.\u003c/p>\n\u003cp>“There is enough Narcan to put in all of these establishments and also get into the hands of organizations who work directly with people who are using drugs. They really need to be in both places,” Haney said in an interview. “And we have to stop nickel-and-diming this if we are going to save lives.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In a statement, San Francisco Entertainment Commission Senior Analyst Dylan Rice said the commission is identifying policy, supply chain and consumer price considerations that would make it possible to achieve a vision for Narcan to be available behind every bar in San Francisco.\u003c/p>\n\u003cp>Some harm reduction advocates remain worried about resources. Laura Guzman, acting executive director of the National Harm Reduction Coalition, said their organization primarily distributes overdose reversal medication to syringe exchange programs that serve residents most vulnerable to overdoses.\u003c/p>\n\u003cp>“In San Francisco, we are still waiting to see if there will be additional allocation of naloxone that we could be distributing throughout all of the supportive housing, shelters, etcetera,” Guzman said. “There hasn’t been in San Francisco or in the state yet an amplification of naloxone access.”\u003c/p>\n\u003cp>Gov. Gavin Newsom has pledged \u003ca href=\"https://www.kqed.org/news/11944267/newsom-doubles-down-on-naloxone-distribution-in-new-master-plan-to-curb-overdose-deaths\">$79 million to go toward distributing Narcan\u003c/a>.\u003c/p>\n\u003cp>The medication could also become available over the counter later this year, though the manufacturer has said it could cost as much as $50 per kit, \u003ca href=\"https://www.washingtonpost.com/health/2023/04/20/narcan-price-over-the-counter/\">a price tag advocates say puts it out of reach for people who need it most\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Laura Thomas, director of HIV and harm reduction policy at the San Francisco AIDS Foundation who also sits on the San Francisco Entertainment Commission, said she wants to see a day where all venues have Narcan, but is also concerned about diverting scarce resources. She said the AIDS Foundation uses its own organizational funds to buy Narcan because it does not get enough supplies from the state.\u003c/p>\n\u003cp>“And that is a huge problem because we are distributing Narcan to people who are the most likely to be at the scene of an overdose and the most likely to reverse an overdose,” Thomas said.\u003c/p>\n\u003ch2>The community continues to educate each other\u003c/h2>\n\u003cp>If you’re looking to access Narcan or learn how to use it, you could also try \u003ca href=\"https://www.sfoasis.com/princess\">Princess\u003c/a>, the weekly Saturday night dance party and drag spectacular at Oasis.\u003c/p>\u003c/div>",
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"content": "‘The idea of somebody losing their life because they want to do a little blow in the bathroom … That shouldn’t be happening.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Virtually every weekend for about 18 months, Cary Escovedo has offered overdose prevention education during the show, usually for about five minutes after intermission. Escovedo, whose drag name is Kochina Rude and who co-hosts the event with Lisa Frankenstein, has partnered with the \u003ca href=\"https://harmreduction.org/our-work/action/dope-project-san-francisco/\">Drug Overdose Prevention and Education\u003c/a> Project on the effort, and distributes about 24 doses of Narcan per show.\u003c/p>\n\u003cp>She starts off by asking the audience if they know what Narcan is, and then outlines a scenario that could happen in any club where a hypothetical person is found unresponsive.\u003c/p>\n\u003cp>In the scenario, friends call 911, administer Narcan and provide rescue breathing.\u003c/p>\n\u003cp>When the overdose is reversed, the audience cheers. Kochina Rude ends on a high note, focusing on how queer people are in a unique position to take care of each other.\u003c/p>\n\u003cp>“Because historically we have had to do so out of necessity,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11947483\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11947483\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut.jpg\" alt=\"Two white men with glasses talk over a white box in process of completion in a furniture store with carpentry equipment around them.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS62150_020_KQED_HarmReductionBoxes_12072022-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Josh Yule (left) and Jeremiah Nielsen work to make harm-reduction boxes at the Oakland handmade furniture manufacturing shop Jeremiah Collection, on Dec. 7, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Even if some bar owners may want to pretend drug use does not happen, bartenders can still come to Kochina Rude and access Narcan on their own, she said. During the weekly shows, she reminds the audience that they should not be scared to act.\u003c/p>\n\u003cp>“By taking this Narcan today, you now are serving as a community first responder in the event of an overdose, wherever you are,” she tells the audience. “And it can happen anytime and anywhere.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Hundreds of workers at UCSF Benioff Children’s Hospital Oakland walked off the job Wednesday in a one-day strike over job security and protecting medical services in the East Bay, chanting, “UC, UC, you can’t hide … We can see your greedy side!”\u003c/p>\n\u003cp>Vocational nurses, mental health staff, physical therapists and housekeepers were among the broad swath of workers represented by the National Union of Healthcare Workers, who formed an early morning picket line as the sun rose outside the North Oakland hospital — in what the union is calling the largest strike in the hospital’s history.\u003c/p>\n\u003cp>The workers have been without contracts since last year, amid stalled negotiations with UCSF Health, which took over most hospital operations in 2014.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Since then, the union says, UCSF has cut crucial services and failed to adequately invest in its workforce, resulting in severe staffing shortages in some departments and reduced access to a variety of programs and procedures that many lower-income East Bay families have long relied on.\u003c/p>\n\u003cp>“Job security is the one thing that seems at the heart of all of this,” said Susana Yerian, a Spanish medical interpreter who translates for families who come in for pediatric surgery. “We just want to be able to provide care and not have anxiety about losing our job or not having a job.”\u003c/p>\n\u003cp>Fears of further cutbacks have only increased after UCSF recently projected a $200 million budget shortfall in 2023 and warned that it must “operate more efficiently,” according to the union.\u003c/p>\n\u003cfigure id=\"attachment_11947188\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11947188 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/018_KQED_UCSFBenioffChildrensHospStrike_04192023.jpg\" alt=\"Throngs of protestors in red T-shirts hold red and yellow picket signs outside of UCSF Benioff Children's Hospital Oakland.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/018_KQED_UCSFBenioffChildrensHospStrike_04192023.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/018_KQED_UCSFBenioffChildrensHospStrike_04192023-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/018_KQED_UCSFBenioffChildrensHospStrike_04192023-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/018_KQED_UCSFBenioffChildrensHospStrike_04192023-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/018_KQED_UCSFBenioffChildrensHospStrike_04192023-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Hospital employees and supporters gather for a rally outside UCSF Benioff Children’s Hospital in Oakland on April 19, 2023, during a one-day strike authorized by more than 1,200 members of the National Union of Healthcare Workers at the Oakland and Walnut Creek hospitals. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We’re understaffed, and patients are underserved,” said Stephanie Lum Ho, an office associate at the hospital’s Walnut Creek outpatient center, where workers also picketed on Wednesday.\u003c/p>\n\u003cp>Along with a push for expanded services at the facility, the union says UCSF has rejected its key demands that workers receive the same compensation as their counterparts at UCSF facilities in San Francisco and be guaranteed comparable jobs if the company takes full control of the hospital.\u003c/p>\n\u003cp>Wednesday’s walkout follows a long succession of recent local and national labor actions, particularly in the health care sector, including a \u003ca href=\"https://www.kqed.org/news/11929713/kaiser-mental-health-workers-appove-new-contract-ending-10-week-strike\">10-week strike last fall\u003c/a> waged by Kaiser Permanente mental health workers in Northern California, and a shorter walkout in late December \u003ca href=\"https://www.sfchronicle.com/bayarea/article/Nurses-at-Alta-Bates-Summit-plan-to-strike-17652715.php\">among registered nurses\u003c/a> at Alta Bates Summit Medical Center in Oakland and Berkeley.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Jackie Schalit, children’s mental health clinician, UCSF Benioff Children’s Hospital Oakland\"]‘We love the population that we work with. We love the kids. But to be disrespected by UCSF, and to be told they know better than the folks on the front lines, is just really, really upsetting.’[/pullquote]\u003c/p>\n\u003cp>Jackie Schalit, a children’s mental health clinician at the hospital and part of the union’s bargaining team, says staffing in her department has been slashed in half under UCSF’s leadership, with a growing number of programs squeezed, shut down altogether or relocated to offices in San Francisco.\u003c/p>\n\u003cp>“We love the population that we work with. We love the kids,” she said. “But to be disrespected by UCSF, and to be told they know better than the folks on the front lines, is just really, really upsetting.”\u003c/p>\n\u003cp>UCSF Benioff Children’s Hospital Oakland is one of five Level One pediatric trauma centers in California; the hospital accepts all patients no matter their income level or insurance status, and more than 70% of patients get their health coverage through Medi-Cal.\u003c/p>\n\u003cp>Schalit, who has worked at the hospital for more than 20 years, said she was drawn to the Oakland institution for the community-centered services it has historically provided.\u003c/p>\n\u003cp>“I felt so proud to work there. And it’s changed,” she said, noting that many of her young patients now have to wait months for services like occupational therapy — and are forced to travel to San Francisco for an increasing number of other basic services, like speech therapy.\u003c/p>\n\u003cfigure id=\"attachment_11947189\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11947189 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/013_KQED_UCSFBenioffChildrensHospStrike_04192023.jpg\" alt=\"Throngs of protestors in red T-shirts hold red and yellow picket signs outside of UCSF Benioff Children's Hospital Oakland.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/013_KQED_UCSFBenioffChildrensHospStrike_04192023.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/013_KQED_UCSFBenioffChildrensHospStrike_04192023-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/013_KQED_UCSFBenioffChildrensHospStrike_04192023-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/013_KQED_UCSFBenioffChildrensHospStrike_04192023-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/013_KQED_UCSFBenioffChildrensHospStrike_04192023-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A rally outside UCSF Benioff Children’s Hospital in Oakland on April 19, 2023. Workers staged a one-day strike demanding better working conditions and preserving services in the East Bay for their patients. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“How do you afford that? That’s not easy for a family that’s impacted by lots of different things,” Schalit said.\u003c/p>\n\u003cp>The hospital will continue to provide critical health care services throughout the day, with the help of replacement staff, and its emergency room will remain open, but all outpatient services throughout the region will be closed, UCSF said in a statement.[aside label='More Stories on Health Care' tag='health-care']In the statement, UCSF also said it had made its “last, best, and final offer” to the union on Friday, one that would provide most NUHW-represented employees a pay increase of at least 13%. The company said it had also agreed to most of the union’s job-security and enhanced severance demands.\u003c/p>\n\u003cp>“We worked hard to develop a proposal that honors the excellent work of our employees while preserving our ability to continue caring for children in our community,” UCSF said. “We’re disappointed the union rejected our final offer late Sunday night and is choosing to engage in a costly and disruptive strike.”\u003c/p>\n\u003cp>The union’s claim that UCSF was not committed to serving Oakland and East Bay communities was “simply not true,” the company said. It noted that the number of NUHW-represented employees at the hospital has steadily increased since 2018 and that UCSF is now investing $1.5 billion in modernizing its Oakland facilities and constructing a new hospital building to expand services.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s April Dembosky.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Hundreds of workers at UCSF Benioff Children’s Hospital Oakland walked off the job Wednesday in a one-day strike over job security and protecting medical services in the East Bay, chanting, “UC, UC, you can’t hide … We can see your greedy side!”\u003c/p>\n\u003cp>Vocational nurses, mental health staff, physical therapists and housekeepers were among the broad swath of workers represented by the National Union of Healthcare Workers, who formed an early morning picket line as the sun rose outside the North Oakland hospital — in what the union is calling the largest strike in the hospital’s history.\u003c/p>\n\u003cp>The workers have been without contracts since last year, amid stalled negotiations with UCSF Health, which took over most hospital operations in 2014.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Since then, the union says, UCSF has cut crucial services and failed to adequately invest in its workforce, resulting in severe staffing shortages in some departments and reduced access to a variety of programs and procedures that many lower-income East Bay families have long relied on.\u003c/p>\n\u003cp>“Job security is the one thing that seems at the heart of all of this,” said Susana Yerian, a Spanish medical interpreter who translates for families who come in for pediatric surgery. “We just want to be able to provide care and not have anxiety about losing our job or not having a job.”\u003c/p>\n\u003cp>Fears of further cutbacks have only increased after UCSF recently projected a $200 million budget shortfall in 2023 and warned that it must “operate more efficiently,” according to the union.\u003c/p>\n\u003cfigure id=\"attachment_11947188\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11947188 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/018_KQED_UCSFBenioffChildrensHospStrike_04192023.jpg\" alt=\"Throngs of protestors in red T-shirts hold red and yellow picket signs outside of UCSF Benioff Children's Hospital Oakland.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/018_KQED_UCSFBenioffChildrensHospStrike_04192023.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/018_KQED_UCSFBenioffChildrensHospStrike_04192023-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/018_KQED_UCSFBenioffChildrensHospStrike_04192023-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/018_KQED_UCSFBenioffChildrensHospStrike_04192023-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/018_KQED_UCSFBenioffChildrensHospStrike_04192023-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Hospital employees and supporters gather for a rally outside UCSF Benioff Children’s Hospital in Oakland on April 19, 2023, during a one-day strike authorized by more than 1,200 members of the National Union of Healthcare Workers at the Oakland and Walnut Creek hospitals. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We’re understaffed, and patients are underserved,” said Stephanie Lum Ho, an office associate at the hospital’s Walnut Creek outpatient center, where workers also picketed on Wednesday.\u003c/p>\n\u003cp>Along with a push for expanded services at the facility, the union says UCSF has rejected its key demands that workers receive the same compensation as their counterparts at UCSF facilities in San Francisco and be guaranteed comparable jobs if the company takes full control of the hospital.\u003c/p>\n\u003cp>Wednesday’s walkout follows a long succession of recent local and national labor actions, particularly in the health care sector, including a \u003ca href=\"https://www.kqed.org/news/11929713/kaiser-mental-health-workers-appove-new-contract-ending-10-week-strike\">10-week strike last fall\u003c/a> waged by Kaiser Permanente mental health workers in Northern California, and a shorter walkout in late December \u003ca href=\"https://www.sfchronicle.com/bayarea/article/Nurses-at-Alta-Bates-Summit-plan-to-strike-17652715.php\">among registered nurses\u003c/a> at Alta Bates Summit Medical Center in Oakland and Berkeley.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘We love the population that we work with. We love the kids. But to be disrespected by UCSF, and to be told they know better than the folks on the front lines, is just really, really upsetting.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Jackie Schalit, a children’s mental health clinician at the hospital and part of the union’s bargaining team, says staffing in her department has been slashed in half under UCSF’s leadership, with a growing number of programs squeezed, shut down altogether or relocated to offices in San Francisco.\u003c/p>\n\u003cp>“We love the population that we work with. We love the kids,” she said. “But to be disrespected by UCSF, and to be told they know better than the folks on the front lines, is just really, really upsetting.”\u003c/p>\n\u003cp>UCSF Benioff Children’s Hospital Oakland is one of five Level One pediatric trauma centers in California; the hospital accepts all patients no matter their income level or insurance status, and more than 70% of patients get their health coverage through Medi-Cal.\u003c/p>\n\u003cp>Schalit, who has worked at the hospital for more than 20 years, said she was drawn to the Oakland institution for the community-centered services it has historically provided.\u003c/p>\n\u003cp>“I felt so proud to work there. And it’s changed,” she said, noting that many of her young patients now have to wait months for services like occupational therapy — and are forced to travel to San Francisco for an increasing number of other basic services, like speech therapy.\u003c/p>\n\u003cfigure id=\"attachment_11947189\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11947189 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/013_KQED_UCSFBenioffChildrensHospStrike_04192023.jpg\" alt=\"Throngs of protestors in red T-shirts hold red and yellow picket signs outside of UCSF Benioff Children's Hospital Oakland.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/013_KQED_UCSFBenioffChildrensHospStrike_04192023.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/013_KQED_UCSFBenioffChildrensHospStrike_04192023-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/013_KQED_UCSFBenioffChildrensHospStrike_04192023-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/013_KQED_UCSFBenioffChildrensHospStrike_04192023-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/013_KQED_UCSFBenioffChildrensHospStrike_04192023-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A rally outside UCSF Benioff Children’s Hospital in Oakland on April 19, 2023. Workers staged a one-day strike demanding better working conditions and preserving services in the East Bay for their patients. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“How do you afford that? That’s not easy for a family that’s impacted by lots of different things,” Schalit said.\u003c/p>\n\u003cp>The hospital will continue to provide critical health care services throughout the day, with the help of replacement staff, and its emergency room will remain open, but all outpatient services throughout the region will be closed, UCSF said in a statement.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In the statement, UCSF also said it had made its “last, best, and final offer” to the union on Friday, one that would provide most NUHW-represented employees a pay increase of at least 13%. The company said it had also agreed to most of the union’s job-security and enhanced severance demands.\u003c/p>\n\u003cp>“We worked hard to develop a proposal that honors the excellent work of our employees while preserving our ability to continue caring for children in our community,” UCSF said. “We’re disappointed the union rejected our final offer late Sunday night and is choosing to engage in a costly and disruptive strike.”\u003c/p>\n\u003cp>The union’s claim that UCSF was not committed to serving Oakland and East Bay communities was “simply not true,” the company said. It noted that the number of NUHW-represented employees at the hospital has steadily increased since 2018 and that UCSF is now investing $1.5 billion in modernizing its Oakland facilities and constructing a new hospital building to expand services.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED’s April Dembosky.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "long-covid-patients-feel-swept-under-the-rug-by-end-to-pandemic-emergencies",
"title": "Long COVID Patients Feel ‘Swept Under the Rug’ by End to Pandemic Emergencies",
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"content": "\u003cp>Lost careers. Broken marriages. Family and friends who dismiss and don’t believe.\u003c/p>\n\u003cp>These are some of the emotional and financial struggles long COVID patients face years after their infections. Physically, they are debilitated and in pain: unable to walk up stairs, focus on a project or hold down a job. Facing the end of the federal public health emergency in May, many people experiencing lingering effects of the virus say they feel angry and abandoned by policymakers eager to move on.\u003c/p>\n\u003cp>“Patients are losing hope,” said Shelby Hedgecock, a self-described long COVID survivor from Knoxville, Tennessee, who now advocates for patients like herself. “We feel swept under the rug.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention estimated in March that \u003ca href=\"https://www.cdc.gov/nchs/covid19/pulse/long-covid.htm\">6% of U.S. adults\u003c/a>, or about 16 million people, were experiencing long COVID, or ongoing health problems that continue or emerge after a bout of COVID-19. Researchers estimate that 1.6% of U.S. adults, or about 4 million people, have symptoms that have significantly reduced their ability to carry out day-to-day activities.\u003c/p>\n\u003cp>While patients are no longer contagious, their health issues can stretch on and affect almost every system in the body. More than 200 symptoms and conditions, including fatigue and depression, are linked to long COVID, said Linda Geng, a physician who treats patients at Stanford Medicine’s \u003ca href=\"https://stanfordhealthcare.org/medical-clinics/post-covid-clinic.html\">Post-Acute COVID-19 Syndrome Clinic\u003c/a>.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Shelby Hedgecock, long COVID survivor\"]‘Patients are losing hope. We feel swept under the rug.’[/pullquote]\u003c/p>\n\u003cp>The severity and duration of long COVID vary. Some people recover in a few weeks, while a smaller number have debilitating and lingering health issues. There is currently no test, treatment or cure. There’s not even an accepted medical definition.\u003c/p>\n\u003cp>“When you don’t have any tests that show that anything’s abnormal, it can be quite invalidating and anxiety-provoking,” Geng said.\u003c/p>\n\u003cp>The physical and emotional toll have left some feeling hopeless. A 2022 study of adults in Japan and Sweden found that those with post-COVID conditions were \u003ca href=\"https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-022-03874-7\">more than twice as likely to develop mental health issues\u003c/a>, including depression, anxiety and post-traumatic stress, as people without them.\u003c/p>\n\u003cfigure id=\"attachment_11946940\" class=\"wp-caption aligncenter\" style=\"max-width: 744px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11946940\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/Long_covid_Shelby_Hedgecock_4.jpg\" alt='A woman stands in front of a billboard pictured in the distance. It reads, \"I was a healthy person before this. Shelby, age 29, covid-19 survivor.\"' width=\"744\" height=\"726\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/Long_covid_Shelby_Hedgecock_4.jpg 744w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/Long_covid_Shelby_Hedgecock_4-160x156.jpg 160w\" sizes=\"auto, (max-width: 744px) 100vw, 744px\">\u003cfigcaption class=\"wp-caption-text\">Shelby Hedgecock stands in front of a billboard from a Los Angeles County public health campaign that features her as a long COVID patient. \u003ccite>(Courtesy Gustavo Sosa)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“One of my friends committed suicide in May of 2021,” Hedgecock said. “She had a mild COVID infection, and she progressively had medical complications continuously pop up, and it just got so bad that she decided to end her life.”\u003c/p>\n\u003cp>In Los Angeles County, 46% of adults who contracted COVID had fully recovered a month later, but the rest — a majority — reported one or more continuing symptoms, according to a \u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2023/03/Long-Covid-Study-Graphic.jpg\">675-patient study\u003c/a> by the University of Southern California’s COVID-19 Pandemic Research Center. The researchers found that chronic fatigue topped the list of health issues, followed by brain fog and a persistent cough, all of which affect people’s daily lives.\u003c/p>\n\u003cp>Among the respondents who identified as living with long COVID, 77% said their condition limited daily activities such as going to school or work or socializing. One-quarter reported experiencing severe limitations.\u003c/p>\n\u003cp>Taking antivirals cuts the risk of developing long COVID in people who are newly infected. But for people already suffering, medical science is trying to catch up.\u003c/p>\n\u003cp>Here’s a look at Hedgecock and two other patients who have had long COVID for years.\u003c/p>\n\u003ch2>A debilitating brain injury\u003c/h2>\n\u003cp>Before contracting COVID during spring 2020, Hedgecock’s life revolved around fitness. She worked as a personal trainer in Los Angeles and competed in endurance competitions on the weekends. At 29, she was about to launch an online wellness business. Then she started having trouble breathing.\u003c/p>\n\u003cp>“One of the scariest things that happened to me was I couldn’t breathe at night,” Hedgecock said. “I did go to the emergency room on three different occasions, and each time I was told, ‘You’re up and you’re moving. You’re young, you’re healthy. It’s going to be fine.’”\u003c/p>\n\u003cfigure id=\"attachment_11946939\" class=\"wp-caption aligncenter\" style=\"max-width: 744px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946939 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/Long_covid_Shelby_Hedgecock_3.jpg\" alt=\"A white woman in a blue mask lies in a hospital bed with monitors stuck to her chest alongside a floral shoulder tattoo and a small gold chain with a white gemstone pendant.\" width=\"744\" height=\"906\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/Long_covid_Shelby_Hedgecock_3.jpg 744w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/Long_covid_Shelby_Hedgecock_3-160x195.jpg 160w\" sizes=\"auto, (max-width: 744px) 100vw, 744px\">\u003cfigcaption class=\"wp-caption-text\">Shelby Hedgecock, a personal trainer, was about to launch an online wellness business before contracting COVID in spring 2020. \u003ccite>(Courtesy Shelby Hedgecock)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Her primary care physician at the time told her she didn’t need supplemental oxygen even though her oxygen saturation dipped below normal at night, leaving her gasping for breath and crying in frustration.\u003c/p>\n\u003cp>Her condition kept her from one of her favorite hobbies, reading, for 19 months.\u003c/p>\n\u003cp>“I couldn’t look at a page and tell you what it said. It was like there was a disconnect between the words and my brain,” she said. “It was the strangest, most discouraging thing ever.”[pullquote size=\"medium\" align=\"right\" citation=\"Shelby Hedgecock, long COVID survivor\"]‘I couldn’t look at a page and tell you what it said. It was like there was a disconnect between the words and my brain. It was the strangest, most discouraging thing ever.’[/pullquote]Months later, under the direction of a specialist, Hedgecock underwent a test measuring electrical activity in the brain. It revealed that her brain had been starved of oxygen for months, damaging the section controlling memory and language.\u003c/p>\n\u003cp>Since then, she has moved back to Tennessee to be close to family. She doesn’t leave her apartment without a medical alert button that can instantly call an ambulance. She works with a team of specialists, and she feels lucky — she knows people in online long COVID groups who are losing health coverage as \u003ca href=\"https://californiahealthline.org/news/article/medicaid-unwinding-coverage-loss-california-post-pandemic/\">Medicaid pandemic protections expire\u003c/a>, while others remain unable to work.\u003c/p>\n\u003cp>“A lot of them have lost their life savings. Some are experiencing homelessness,” she said.\u003c/p>\n\u003ch2>In bed for a year\u003c/h2>\n\u003cp>Julia Landis led a fulfilling life as a therapist before contracting COVID in spring 2020.\u003c/p>\n\u003cp>“I was really able to help people, and it was great work and I loved my life, and I’ve lost it,” said the 56-year-old, who lives with her husband and dog in Ukiah.\u003c/p>\n\u003cp>In 2020, Landis was living in an apartment in Phoenix and received treatment via telehealth for her COVID-related bronchitis. What started out as a mild case of COVID spiraled into severe depression.\u003c/p>\n\u003cp>“I just stayed in bed for about a year,” she said.\u003c/p>\n\u003cp>Her depression has continued, along with debilitating pain and anxiety. To make up for her lost income, Landis’ husband works longer hours, which in turn exacerbates her loneliness.\u003c/p>\n\u003cfigure id=\"attachment_11946941\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946941 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/LongCovid.jpg\" alt=\"A photo spread of three images of women's faces: one smiles with long, gray hair and a pink and purple floral top; one has short, brown hair and cat eye glasses and a blue blouse; the last woman has a shoulder of floral tattoos exposed as she wears a black workout tank top as she smiles at the camera with earbuds in and her hair pulled back.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/LongCovid.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/LongCovid-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/LongCovid-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/LongCovid-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/LongCovid-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Linda Rosenthal, Julia Landis and Shelby Hedgecock share their stories of long COVID. \u003ccite>(California Healthline)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It would be nice to be living somewhere where there were people around seven days a week so I wouldn’t have to go through days of being just terrified to be alone all day,” Landis said. “If this were cancer, I’d be living with family. I’m sure of it.”[pullquote size=\"medium\" align=\"right\" citation=\"Julia Landis, long COVID survivor\"]‘It’s terrifying because there’s just no way of knowing if this is going to be for the rest of my existence.’[/pullquote]Landis refers to herself as a professional patient, filling her days with physical therapy and medical appointments. She’s gradually improving and can socialize on occasion, though it leaves her exhausted, and it can take days to recover.\u003c/p>\n\u003cp>“It’s terrifying because there’s just no way of knowing if this is going to be for the rest of my existence,” she said.\u003c/p>\n\u003ch2>‘I felt betrayed’\u003c/h2>\n\u003cp>Linda Rosenthal, a 65-year-old retired high school paraprofessional, has long COVID symptoms, including inflammation in her chest that makes breathing difficult. She has found it hard to get medical care.[aside label='More on Health' tag='health']She called and set up a treatment plan with a local cardiologist near her home in Laguna Woods, Orange County, but received a letter five days later telling her he would no longer be able to provide her medical services. The letter gave no reason for the cancellation.\u003c/p>\n\u003cp>“I was so surprised,” she said. “And then I felt betrayed because it is terrible to get a letter where a doctor, although within their rights, says that they don’t want you for a patient anymore, because it causes self-doubt.”\u003c/p>\n\u003cp>Rosenthal found another cardiologist willing to do telehealth visits and who has staff wear masks in the office even though the state rule has expired. The practice, however, is more than an hour’s drive from where she lives.\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">California Healthline is a service of the California Health Care Foundation produced by Kaiser Health News.\u003c/span>\u003c/i>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Facing the end of the federal public health emergency in May, many people experiencing lingering effects of COVID-19 say they feel angry and abandoned by policymakers eager to move on.",
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"title": "Long COVID Patients Feel ‘Swept Under the Rug’ by End to Pandemic Emergencies | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Lost careers. Broken marriages. Family and friends who dismiss and don’t believe.\u003c/p>\n\u003cp>These are some of the emotional and financial struggles long COVID patients face years after their infections. Physically, they are debilitated and in pain: unable to walk up stairs, focus on a project or hold down a job. Facing the end of the federal public health emergency in May, many people experiencing lingering effects of the virus say they feel angry and abandoned by policymakers eager to move on.\u003c/p>\n\u003cp>“Patients are losing hope,” said Shelby Hedgecock, a self-described long COVID survivor from Knoxville, Tennessee, who now advocates for patients like herself. “We feel swept under the rug.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention estimated in March that \u003ca href=\"https://www.cdc.gov/nchs/covid19/pulse/long-covid.htm\">6% of U.S. adults\u003c/a>, or about 16 million people, were experiencing long COVID, or ongoing health problems that continue or emerge after a bout of COVID-19. Researchers estimate that 1.6% of U.S. adults, or about 4 million people, have symptoms that have significantly reduced their ability to carry out day-to-day activities.\u003c/p>\n\u003cp>While patients are no longer contagious, their health issues can stretch on and affect almost every system in the body. More than 200 symptoms and conditions, including fatigue and depression, are linked to long COVID, said Linda Geng, a physician who treats patients at Stanford Medicine’s \u003ca href=\"https://stanfordhealthcare.org/medical-clinics/post-covid-clinic.html\">Post-Acute COVID-19 Syndrome Clinic\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The severity and duration of long COVID vary. Some people recover in a few weeks, while a smaller number have debilitating and lingering health issues. There is currently no test, treatment or cure. There’s not even an accepted medical definition.\u003c/p>\n\u003cp>“When you don’t have any tests that show that anything’s abnormal, it can be quite invalidating and anxiety-provoking,” Geng said.\u003c/p>\n\u003cp>The physical and emotional toll have left some feeling hopeless. A 2022 study of adults in Japan and Sweden found that those with post-COVID conditions were \u003ca href=\"https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-022-03874-7\">more than twice as likely to develop mental health issues\u003c/a>, including depression, anxiety and post-traumatic stress, as people without them.\u003c/p>\n\u003cfigure id=\"attachment_11946940\" class=\"wp-caption aligncenter\" style=\"max-width: 744px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11946940\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/Long_covid_Shelby_Hedgecock_4.jpg\" alt='A woman stands in front of a billboard pictured in the distance. It reads, \"I was a healthy person before this. Shelby, age 29, covid-19 survivor.\"' width=\"744\" height=\"726\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/Long_covid_Shelby_Hedgecock_4.jpg 744w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/Long_covid_Shelby_Hedgecock_4-160x156.jpg 160w\" sizes=\"auto, (max-width: 744px) 100vw, 744px\">\u003cfigcaption class=\"wp-caption-text\">Shelby Hedgecock stands in front of a billboard from a Los Angeles County public health campaign that features her as a long COVID patient. \u003ccite>(Courtesy Gustavo Sosa)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“One of my friends committed suicide in May of 2021,” Hedgecock said. “She had a mild COVID infection, and she progressively had medical complications continuously pop up, and it just got so bad that she decided to end her life.”\u003c/p>\n\u003cp>In Los Angeles County, 46% of adults who contracted COVID had fully recovered a month later, but the rest — a majority — reported one or more continuing symptoms, according to a \u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2023/03/Long-Covid-Study-Graphic.jpg\">675-patient study\u003c/a> by the University of Southern California’s COVID-19 Pandemic Research Center. The researchers found that chronic fatigue topped the list of health issues, followed by brain fog and a persistent cough, all of which affect people’s daily lives.\u003c/p>\n\u003cp>Among the respondents who identified as living with long COVID, 77% said their condition limited daily activities such as going to school or work or socializing. One-quarter reported experiencing severe limitations.\u003c/p>\n\u003cp>Taking antivirals cuts the risk of developing long COVID in people who are newly infected. But for people already suffering, medical science is trying to catch up.\u003c/p>\n\u003cp>Here’s a look at Hedgecock and two other patients who have had long COVID for years.\u003c/p>\n\u003ch2>A debilitating brain injury\u003c/h2>\n\u003cp>Before contracting COVID during spring 2020, Hedgecock’s life revolved around fitness. She worked as a personal trainer in Los Angeles and competed in endurance competitions on the weekends. At 29, she was about to launch an online wellness business. Then she started having trouble breathing.\u003c/p>\n\u003cp>“One of the scariest things that happened to me was I couldn’t breathe at night,” Hedgecock said. “I did go to the emergency room on three different occasions, and each time I was told, ‘You’re up and you’re moving. You’re young, you’re healthy. It’s going to be fine.’”\u003c/p>\n\u003cfigure id=\"attachment_11946939\" class=\"wp-caption aligncenter\" style=\"max-width: 744px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946939 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/Long_covid_Shelby_Hedgecock_3.jpg\" alt=\"A white woman in a blue mask lies in a hospital bed with monitors stuck to her chest alongside a floral shoulder tattoo and a small gold chain with a white gemstone pendant.\" width=\"744\" height=\"906\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/Long_covid_Shelby_Hedgecock_3.jpg 744w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/Long_covid_Shelby_Hedgecock_3-160x195.jpg 160w\" sizes=\"auto, (max-width: 744px) 100vw, 744px\">\u003cfigcaption class=\"wp-caption-text\">Shelby Hedgecock, a personal trainer, was about to launch an online wellness business before contracting COVID in spring 2020. \u003ccite>(Courtesy Shelby Hedgecock)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Her primary care physician at the time told her she didn’t need supplemental oxygen even though her oxygen saturation dipped below normal at night, leaving her gasping for breath and crying in frustration.\u003c/p>\n\u003cp>Her condition kept her from one of her favorite hobbies, reading, for 19 months.\u003c/p>\n\u003cp>“I couldn’t look at a page and tell you what it said. It was like there was a disconnect between the words and my brain,” she said. “It was the strangest, most discouraging thing ever.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Months later, under the direction of a specialist, Hedgecock underwent a test measuring electrical activity in the brain. It revealed that her brain had been starved of oxygen for months, damaging the section controlling memory and language.\u003c/p>\n\u003cp>Since then, she has moved back to Tennessee to be close to family. She doesn’t leave her apartment without a medical alert button that can instantly call an ambulance. She works with a team of specialists, and she feels lucky — she knows people in online long COVID groups who are losing health coverage as \u003ca href=\"https://californiahealthline.org/news/article/medicaid-unwinding-coverage-loss-california-post-pandemic/\">Medicaid pandemic protections expire\u003c/a>, while others remain unable to work.\u003c/p>\n\u003cp>“A lot of them have lost their life savings. Some are experiencing homelessness,” she said.\u003c/p>\n\u003ch2>In bed for a year\u003c/h2>\n\u003cp>Julia Landis led a fulfilling life as a therapist before contracting COVID in spring 2020.\u003c/p>\n\u003cp>“I was really able to help people, and it was great work and I loved my life, and I’ve lost it,” said the 56-year-old, who lives with her husband and dog in Ukiah.\u003c/p>\n\u003cp>In 2020, Landis was living in an apartment in Phoenix and received treatment via telehealth for her COVID-related bronchitis. What started out as a mild case of COVID spiraled into severe depression.\u003c/p>\n\u003cp>“I just stayed in bed for about a year,” she said.\u003c/p>\n\u003cp>Her depression has continued, along with debilitating pain and anxiety. To make up for her lost income, Landis’ husband works longer hours, which in turn exacerbates her loneliness.\u003c/p>\n\u003cfigure id=\"attachment_11946941\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946941 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/LongCovid.jpg\" alt=\"A photo spread of three images of women's faces: one smiles with long, gray hair and a pink and purple floral top; one has short, brown hair and cat eye glasses and a blue blouse; the last woman has a shoulder of floral tattoos exposed as she wears a black workout tank top as she smiles at the camera with earbuds in and her hair pulled back.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/LongCovid.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/LongCovid-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/LongCovid-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/LongCovid-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/LongCovid-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Linda Rosenthal, Julia Landis and Shelby Hedgecock share their stories of long COVID. \u003ccite>(California Healthline)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It would be nice to be living somewhere where there were people around seven days a week so I wouldn’t have to go through days of being just terrified to be alone all day,” Landis said. “If this were cancer, I’d be living with family. I’m sure of it.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Landis refers to herself as a professional patient, filling her days with physical therapy and medical appointments. She’s gradually improving and can socialize on occasion, though it leaves her exhausted, and it can take days to recover.\u003c/p>\n\u003cp>“It’s terrifying because there’s just no way of knowing if this is going to be for the rest of my existence,” she said.\u003c/p>\n\u003ch2>‘I felt betrayed’\u003c/h2>\n\u003cp>Linda Rosenthal, a 65-year-old retired high school paraprofessional, has long COVID symptoms, including inflammation in her chest that makes breathing difficult. She has found it hard to get medical care.\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cem>This episode contains descriptions of drug addiction and attempted suicide. The national crisis and suicide hotline is 988.\u003c/em>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In 2021, about 1 in 5 deaths among people ages 15-24 were from fentanyl overdoses in California. As this crisis worsens, doctors are seeing more and more demand for life-saving addiction treatment.\u003c/span>\u003c/p>\n\u003cp>One crucial piece of the puzzle is a medication called Suboxone, or buprenorphine. It helps block withdrawal symptoms and can allow people to go to school, work, and maintain relationships while recovering.\u003c/p>\n\u003cp>But patients under the age of 18 can’t access Suboxone without parental consent. Assemblymember Matt Haney thinks that should change, and has filed a bill that would lower the age to 16.\u003c/p>\n\u003cp>\u003ca href=\"https://drive.google.com/file/d/1KxC5mCJ-ttspMlniQlBQPnFS_LDI-qHj/view?usp=share_link\">\u003cem>Episode transcript\u003c/em>\u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Guest: \u003c/strong>Lesley McClurg, KQED health correspondent\u003c/p>\n\u003cdiv class=\"card card--enclosed grey\">\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\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=KQINC2009616004&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003c/div>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Links:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/about/17653/help-make-the-bay-even-better\">The Bay Survey\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.kqed.org/science/1982214/new-bill-could-ease-teenagers-access-to-opioid-treatment-amid-ongoing-fentanyl-epidemic\">New Bill Could Ease Teenagers’ Access to Opioid Treatment Amid Ongoing Fentanyl Epidemic\u003c/a>\u003c/li>\n\u003c/ul>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This episode contains descriptions of drug addiction and attempted suicide. The national crisis and suicide hotline is 988.\u003c/em>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In 2021, about 1 in 5 deaths among people ages 15-24 were from fentanyl overdoses in California. As this crisis worsens, doctors are seeing more and more demand for life-saving addiction treatment.\u003c/span>\u003c/p>\n\u003cp>One crucial piece of the puzzle is a medication called Suboxone, or buprenorphine. It helps block withdrawal symptoms and can allow people to go to school, work, and maintain relationships while recovering.\u003c/p>\n\u003cp>But patients under the age of 18 can’t access Suboxone without parental consent. Assemblymember Matt Haney thinks that should change, and has filed a bill that would lower the age to 16.\u003c/p>\n\u003cp>\u003ca href=\"https://drive.google.com/file/d/1KxC5mCJ-ttspMlniQlBQPnFS_LDI-qHj/view?usp=share_link\">\u003cem>Episode transcript\u003c/em>\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Guest: \u003c/strong>Lesley McClurg, KQED health correspondent\u003c/p>\n\u003cdiv class=\"card card--enclosed grey\">\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\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=KQINC2009616004&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003c/div>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Links:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/about/17653/help-make-the-bay-even-better\">The Bay Survey\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.kqed.org/science/1982214/new-bill-could-ease-teenagers-access-to-opioid-treatment-amid-ongoing-fentanyl-epidemic\">New Bill Could Ease Teenagers’ Access to Opioid Treatment Amid Ongoing Fentanyl Epidemic\u003c/a>\u003c/li>\n\u003c/ul>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>On Friday, a federal \u003ca href=\"https://www.npr.org/2023/04/07/1159220452/abortion-pill-drug-mifepristone-judge-texas-amarillo\">judge in Texas ruled\u003c/a> that the Food and Drug Administration didn’t properly approve a drug which has been on the market for more than 20 years in the U.S. for medical abortions. The drug in question, mifepristone, is used along with one other drug in most medication abortions in the U.S.\u003c/p>\n\u003cp>The fallout of the ruling could mean that mifepristone becomes unavailable in the U.S. in the near future, though the ruling is being challenged in court. Depending how legal battles play out and how the FDA responds, the effects of this ruling may apply only in certain states, or may indeed curtail mifepristone use around the country.\u003c/p>\n\u003cp>If this happens, doctors say they will continue to offer medication abortions without mifepristone, using only the other drug, misoprostol. Here’s what to know about how misoprostol-only abortions work, how safe they are and how patients would access them.\u003c/p>\n\u003ch2>How does the single-drug protocol differ from the current standard of care which uses two drugs?\u003c/h2>\n\u003cp>Most medication abortions in the U.S. currently use both mifepristone and misoprostol because patients experience fewer side effects when the medications are combined. A regimen involving both medications is also used for miscarriages.\u003c/p>\n\u003cp>But misoprostol alone can be used effectively for abortions — and is commonly prescribed in some countries.\u003c/p>\n\u003cp>“This regimen is still incredibly safe and effective,” says \u003ca href=\"https://www.acog.org/about/leadership-and-governance/get-involved/darney-landy-fellows\">Dr. Kristyn Brandi\u003c/a>, a New Jersey family planning specialist and spokesperson for the American College of Obstetricians and Gynecologists. “Medication abortion and miscarriage management will not go away with the loss of mifepristone, but it may look a little different.”\u003c/p>\n\u003cp>With the two-drug regimen, patients first take mifepristone — which blocks the hormone progesterone — to end the pregnancy. Patients then take misoprostol 24–48 hours later, which causes the uterus to expel the pregnancy tissue. Patients experience bleeding and cramping, and usually pass the pregnancy within four to six hours after taking the misoprostol.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"https://societyfp.org/wp-content/uploads/2023/03/Medication-abortion-with-misoprostol-only_A-sample-protocol_2023.pdf\">In a misoprostol-alone abortion (PDF)\u003c/a>, patients start the process with misoprostol, using the same amount as is used in the two-drug regimen. Three hours later, they take misoprostol again, causing the uterus to contract. They repeat this for three to four doses until the pregnancy passes, which usually takes between nine and 12 hours.\u003c/p>\n\u003cp>In both cases, patients typically see a doctor or nurse, either in person or online, and then take the drugs at home.\u003c/p>\n\u003ch2>Is the misoprostol-alone regime safe? What can patients expect to experience?\u003c/h2>\n\u003cp>There’s lots of research that shows the misoprostol-only protocol \u003ca href=\"https://journals.lww.com/greenjournal/Abstract/2019/01000/Efficacy_of_Misoprostol_Alone_for_First_Trimester.19.aspx\">is as safe \u003c/a>as the two-medication protocol — but it does tend to cause more side effects.\u003c/p>\n\u003cp>Even though the two-drug protocol is still preferred when possible, there’s ample evidence that misoprostol alone is a very effective alternative, \u003ca href=\"https://societyfp.org/wp-content/uploads/2023/02/SFP_ScienceSays_misoprostol.pdf\">according to the Society of Family Planning (PDF)\u003c/a>, an abortion research organization.\u003c/p>\n\u003cp>Multiple organizations, like the \u003ca href=\"https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2020/10/medication-abortion-up-to-70-days-of-gestation\">American College of Obstetricians and Gynecologists\u003c/a> and the \u003ca href=\"https://srhr.org/abortioncare/chapter-3/abortion-3-4/medical-management-of-induced-abortion-recommendations-27-30-3-4-2/\">World Health Organization\u003c/a>, say the one-medication protocol is an acceptable choice, particularly when mifepristone isn’t available.\u003c/p>\n\u003cp>Patients using misoprostol alone, however, tend to experience more nausea, vomiting, and diarrhea, and a longer duration of cramping and bleeding. That’s why it’s usually the second choice regimen.\u003c/p>\n\u003cp>The misoprostol-only protocol is actually faster than the two-medication protocol, which takes about 30 hours total since patients take the second drug at least 24-hours after the first. In the misoprostol-alone regimen, the process usually only takes 9-12 hours, but patients typically experience cramping and bleeding for longer.\u003c/p>\n\u003ch2>When might a patient need to seek further medical help for a medication abortion?\u003c/h2>\n\u003cp>With either regimen, the reasons to seek follow up care are the same.[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Kristyn Brandi, spokesperson, American College of Obstetricians and Gynecologists\"]‘This regimen is still incredibly safe and effective … Medication abortion and miscarriage management will not go away with the loss of mifepristone, but it may look a little different.’[/pullquote]If patients experience heavy or prolonged bleeding – spotting that persists for over 2 weeks, for example, or bleeding so heavy they soak through more than two pads an hour for over two hours – they might need a procedure to complete the abortion.\u003c/p>\n\u003cp>A prolonged fever above 100.4 degrees Fahrenheit is also a reason to seek medical care. While low-grade fevers and chills are an expected side effect of misoprostol and aren’t life threatening, if a fever persists for more than 24 hours after taking misoprostol, it could be a sign of infection.\u003c/p>\n\u003cp>Also, if a patient does not experience \u003cem>any \u003c/em>bleeding or cramping, the medication may not have worked to end the pregnancy, and she might need more misoprostol or a procedure to have a complete abortion.\u003c/p>\n\u003ch2>How far along into the pregnancy does medication abortion work?\u003c/h2>\n\u003cp>The Food and Drug Administration has approved the two-drug regimen to \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/information-about-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\">end pregnancies up to 10 weeks\u003c/a> gestational age, but the World Health Organization \u003ca href=\"https://srhr.org/abortioncare/chapter-3/abortion-3-4/medical-management-of-induced-abortion-recommendations-27-30-3-4-2/\">endorses it up to 12 weeks\u003c/a>. After that, they’re less likely to be effective and may cause more bleeding and cramping.\u003c/p>\n\u003cp>For misoprostol-only abortion, it’s less clear cut. There’s some data showing that the regimen can be effective in ending pregnancies up to 22 weeks. That’s \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9359894/\">according to one study\u003c/a> that looked at patients having self-managed abortions, without the direct involvement of a doctor in countries that have had restrictive abortion laws.\u003c/p>\n\u003cp>But in U.S. states where second trimester abortion is allowed, Brandi says, doctors will typically recommend a procedural abortion in a hospital rather than a medication-based abortion to end pregnancies after 12 weeks. That’s because second trimester misoprostol-only abortions can involve more bleeding and prolonged cramping. Doctors would probably only recommend misoprostol-alone in the second trimester in states where patients don’t have other legal options.\u003c/p>\n\u003ch2>How do patients get prescriptions for medication abortions? Would they be able to get them for the one-drug regimen?\u003c/h2>\n\u003cp>In states where abortion is legal in the first trimester, patients can speak to a health care provider and get a prescription for medication abortion via \u003ca href=\"https://www.npr.org/sections/health-shots/2022/05/20/1099179361/telehealth-abortions-are-simple-and-private-but-restricted-in-many-states\">telehealth abortion companies\u003c/a>, in-person at clinics that provide abortion like Planned Parenthood, and at many general OB/GYN and family medicine clinics.\u003c/p>\n\u003cp>As long as mifepristone is still available, providers will usually give the two-drug regimen. If it becomes unavailable, many providers have indicated they’d start prescribing misoprostol alone.[aside label=\"Related Stories\" postID=\"news_11946193,news_11946073,news_11938516\"]Dr. Jamie Phifer, the medical director of \u003ca href=\"https://abortionondemand.org/\">Abortion on Demand\u003c/a>, says her team is waiting to see how the courts ultimately rule on mifepristone. They will continue to provide mifepristone and misoprostol combination abortions to their patients unless it becomes illegal.\u003c/p>\n\u003cp>“But we’re ready,” she adds. “We can make the switch [to misoprostol-only protocols] within hours.”\u003c/p>\n\u003cp>In fact, misoprostol is easier to access than mifepristone. Even before the Texas judge’s ruling, mifepristone was subject to \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/information-about-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\">special FDA regulations\u003c/a> that meant that most commercial pharmacies did not carry it, and patients could only get it at clinics that provide abortions or via pharmacies that had specially registered with the FDA.\u003c/p>\n\u003cp>Misoprostol, however, isn’t subject to these regulations, so it’s stocked in almost all pharmacies and hospitals.\u003c/p>\n\u003ch2>Are patients able to get the medication in states where abortion is banned?\u003c/h2>\n\u003cp>Neither the two-drug regime, nor misoprostol-alone medication abortions are available legally in these states. Misoprostol itself remains legal when used for other purposes, like treating ulcers or inducing labor.\u003c/p>\n\u003cp>However, there are a number of services that help patients in these states access abortion pills.\u003c/p>\n\u003cp>For instance, \u003ca href=\"https://www.mayday.health/\">Mayday.Health\u003c/a> offers step-by-step instructions for setting up a mail-forwarding address, so patients can list an address in a permissive state on their intake forms for a telehealth abortion, then get the pills sent along to an additional address somewhere else. \u003ca href=\"https://www.plancpills.org/\">Plan C\u003c/a> is a website that provides up-to-date information about how to get abortion pills at home.\u003c/p>\n\u003cp>\u003ca href=\"https://www.mahotline.org/\">The Miscarriage and Abortion Hotline\u003c/a> offers free consultations with clinicians if a patient has questions about a medication abortion, even if she had the abortion in a state where it’s illegal.\u003c/p>\n\u003cp>Other organizations openly flout the law to provide abortion medications in all 50 states.\u003c/p>\n\u003cp>\u003ca href=\"https://aidaccess.org/en/\">Aid Access\u003c/a>, for example, is based in the Netherlands and will mail mifepristone and misoprostol to patients in states where abortion is banned. Pills sent from abroad are not subject to FDA approval and safety regulations. The organization also employs U.S.-based health care providers, who prescribe FDA-regulated abortion pills via telehealth in states where it’s allowed.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>On Friday, a federal \u003ca href=\"https://www.npr.org/2023/04/07/1159220452/abortion-pill-drug-mifepristone-judge-texas-amarillo\">judge in Texas ruled\u003c/a> that the Food and Drug Administration didn’t properly approve a drug which has been on the market for more than 20 years in the U.S. for medical abortions. The drug in question, mifepristone, is used along with one other drug in most medication abortions in the U.S.\u003c/p>\n\u003cp>The fallout of the ruling could mean that mifepristone becomes unavailable in the U.S. in the near future, though the ruling is being challenged in court. Depending how legal battles play out and how the FDA responds, the effects of this ruling may apply only in certain states, or may indeed curtail mifepristone use around the country.\u003c/p>\n\u003cp>If this happens, doctors say they will continue to offer medication abortions without mifepristone, using only the other drug, misoprostol. Here’s what to know about how misoprostol-only abortions work, how safe they are and how patients would access them.\u003c/p>\n\u003ch2>How does the single-drug protocol differ from the current standard of care which uses two drugs?\u003c/h2>\n\u003cp>Most medication abortions in the U.S. currently use both mifepristone and misoprostol because patients experience fewer side effects when the medications are combined. A regimen involving both medications is also used for miscarriages.\u003c/p>\n\u003cp>But misoprostol alone can be used effectively for abortions — and is commonly prescribed in some countries.\u003c/p>\n\u003cp>“This regimen is still incredibly safe and effective,” says \u003ca href=\"https://www.acog.org/about/leadership-and-governance/get-involved/darney-landy-fellows\">Dr. Kristyn Brandi\u003c/a>, a New Jersey family planning specialist and spokesperson for the American College of Obstetricians and Gynecologists. “Medication abortion and miscarriage management will not go away with the loss of mifepristone, but it may look a little different.”\u003c/p>\n\u003cp>With the two-drug regimen, patients first take mifepristone — which blocks the hormone progesterone — to end the pregnancy. Patients then take misoprostol 24–48 hours later, which causes the uterus to expel the pregnancy tissue. Patients experience bleeding and cramping, and usually pass the pregnancy within four to six hours after taking the misoprostol.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://societyfp.org/wp-content/uploads/2023/03/Medication-abortion-with-misoprostol-only_A-sample-protocol_2023.pdf\">In a misoprostol-alone abortion (PDF)\u003c/a>, patients start the process with misoprostol, using the same amount as is used in the two-drug regimen. Three hours later, they take misoprostol again, causing the uterus to contract. They repeat this for three to four doses until the pregnancy passes, which usually takes between nine and 12 hours.\u003c/p>\n\u003cp>In both cases, patients typically see a doctor or nurse, either in person or online, and then take the drugs at home.\u003c/p>\n\u003ch2>Is the misoprostol-alone regime safe? What can patients expect to experience?\u003c/h2>\n\u003cp>There’s lots of research that shows the misoprostol-only protocol \u003ca href=\"https://journals.lww.com/greenjournal/Abstract/2019/01000/Efficacy_of_Misoprostol_Alone_for_First_Trimester.19.aspx\">is as safe \u003c/a>as the two-medication protocol — but it does tend to cause more side effects.\u003c/p>\n\u003cp>Even though the two-drug protocol is still preferred when possible, there’s ample evidence that misoprostol alone is a very effective alternative, \u003ca href=\"https://societyfp.org/wp-content/uploads/2023/02/SFP_ScienceSays_misoprostol.pdf\">according to the Society of Family Planning (PDF)\u003c/a>, an abortion research organization.\u003c/p>\n\u003cp>Multiple organizations, like the \u003ca href=\"https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2020/10/medication-abortion-up-to-70-days-of-gestation\">American College of Obstetricians and Gynecologists\u003c/a> and the \u003ca href=\"https://srhr.org/abortioncare/chapter-3/abortion-3-4/medical-management-of-induced-abortion-recommendations-27-30-3-4-2/\">World Health Organization\u003c/a>, say the one-medication protocol is an acceptable choice, particularly when mifepristone isn’t available.\u003c/p>\n\u003cp>Patients using misoprostol alone, however, tend to experience more nausea, vomiting, and diarrhea, and a longer duration of cramping and bleeding. That’s why it’s usually the second choice regimen.\u003c/p>\n\u003cp>The misoprostol-only protocol is actually faster than the two-medication protocol, which takes about 30 hours total since patients take the second drug at least 24-hours after the first. In the misoprostol-alone regimen, the process usually only takes 9-12 hours, but patients typically experience cramping and bleeding for longer.\u003c/p>\n\u003ch2>When might a patient need to seek further medical help for a medication abortion?\u003c/h2>\n\u003cp>With either regimen, the reasons to seek follow up care are the same.\u003c/p>\u003c/div>",
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"content": "‘This regimen is still incredibly safe and effective … Medication abortion and miscarriage management will not go away with the loss of mifepristone, but it may look a little different.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>If patients experience heavy or prolonged bleeding – spotting that persists for over 2 weeks, for example, or bleeding so heavy they soak through more than two pads an hour for over two hours – they might need a procedure to complete the abortion.\u003c/p>\n\u003cp>A prolonged fever above 100.4 degrees Fahrenheit is also a reason to seek medical care. While low-grade fevers and chills are an expected side effect of misoprostol and aren’t life threatening, if a fever persists for more than 24 hours after taking misoprostol, it could be a sign of infection.\u003c/p>\n\u003cp>Also, if a patient does not experience \u003cem>any \u003c/em>bleeding or cramping, the medication may not have worked to end the pregnancy, and she might need more misoprostol or a procedure to have a complete abortion.\u003c/p>\n\u003ch2>How far along into the pregnancy does medication abortion work?\u003c/h2>\n\u003cp>The Food and Drug Administration has approved the two-drug regimen to \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/information-about-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\">end pregnancies up to 10 weeks\u003c/a> gestational age, but the World Health Organization \u003ca href=\"https://srhr.org/abortioncare/chapter-3/abortion-3-4/medical-management-of-induced-abortion-recommendations-27-30-3-4-2/\">endorses it up to 12 weeks\u003c/a>. After that, they’re less likely to be effective and may cause more bleeding and cramping.\u003c/p>\n\u003cp>For misoprostol-only abortion, it’s less clear cut. There’s some data showing that the regimen can be effective in ending pregnancies up to 22 weeks. That’s \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9359894/\">according to one study\u003c/a> that looked at patients having self-managed abortions, without the direct involvement of a doctor in countries that have had restrictive abortion laws.\u003c/p>\n\u003cp>But in U.S. states where second trimester abortion is allowed, Brandi says, doctors will typically recommend a procedural abortion in a hospital rather than a medication-based abortion to end pregnancies after 12 weeks. That’s because second trimester misoprostol-only abortions can involve more bleeding and prolonged cramping. Doctors would probably only recommend misoprostol-alone in the second trimester in states where patients don’t have other legal options.\u003c/p>\n\u003ch2>How do patients get prescriptions for medication abortions? Would they be able to get them for the one-drug regimen?\u003c/h2>\n\u003cp>In states where abortion is legal in the first trimester, patients can speak to a health care provider and get a prescription for medication abortion via \u003ca href=\"https://www.npr.org/sections/health-shots/2022/05/20/1099179361/telehealth-abortions-are-simple-and-private-but-restricted-in-many-states\">telehealth abortion companies\u003c/a>, in-person at clinics that provide abortion like Planned Parenthood, and at many general OB/GYN and family medicine clinics.\u003c/p>\n\u003cp>As long as mifepristone is still available, providers will usually give the two-drug regimen. If it becomes unavailable, many providers have indicated they’d start prescribing misoprostol alone.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Dr. Jamie Phifer, the medical director of \u003ca href=\"https://abortionondemand.org/\">Abortion on Demand\u003c/a>, says her team is waiting to see how the courts ultimately rule on mifepristone. They will continue to provide mifepristone and misoprostol combination abortions to their patients unless it becomes illegal.\u003c/p>\n\u003cp>“But we’re ready,” she adds. “We can make the switch [to misoprostol-only protocols] within hours.”\u003c/p>\n\u003cp>In fact, misoprostol is easier to access than mifepristone. Even before the Texas judge’s ruling, mifepristone was subject to \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/information-about-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\">special FDA regulations\u003c/a> that meant that most commercial pharmacies did not carry it, and patients could only get it at clinics that provide abortions or via pharmacies that had specially registered with the FDA.\u003c/p>\n\u003cp>Misoprostol, however, isn’t subject to these regulations, so it’s stocked in almost all pharmacies and hospitals.\u003c/p>\n\u003ch2>Are patients able to get the medication in states where abortion is banned?\u003c/h2>\n\u003cp>Neither the two-drug regime, nor misoprostol-alone medication abortions are available legally in these states. Misoprostol itself remains legal when used for other purposes, like treating ulcers or inducing labor.\u003c/p>\n\u003cp>However, there are a number of services that help patients in these states access abortion pills.\u003c/p>\n\u003cp>For instance, \u003ca href=\"https://www.mayday.health/\">Mayday.Health\u003c/a> offers step-by-step instructions for setting up a mail-forwarding address, so patients can list an address in a permissive state on their intake forms for a telehealth abortion, then get the pills sent along to an additional address somewhere else. \u003ca href=\"https://www.plancpills.org/\">Plan C\u003c/a> is a website that provides up-to-date information about how to get abortion pills at home.\u003c/p>\n\u003cp>\u003ca href=\"https://www.mahotline.org/\">The Miscarriage and Abortion Hotline\u003c/a> offers free consultations with clinicians if a patient has questions about a medication abortion, even if she had the abortion in a state where it’s illegal.\u003c/p>\n\u003cp>Other organizations openly flout the law to provide abortion medications in all 50 states.\u003c/p>\n\u003cp>\u003ca href=\"https://aidaccess.org/en/\">Aid Access\u003c/a>, for example, is based in the Netherlands and will mail mifepristone and misoprostol to patients in states where abortion is banned. Pills sent from abroad are not subject to FDA approval and safety regulations. The organization also employs U.S.-based health care providers, who prescribe FDA-regulated abortion pills via telehealth in states where it’s allowed.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Why You Should Still Be Washing Your Hands in 2023 — Just Not for COVID",
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"content": "\u003cp>\u003ca href=\"https://www.vox.com/2020/2/28/21157769/how-to-prevent-the-coronavirus\">Online handwashing tutorials.\u003c/a> \u003ca href=\"https://www.nytimes.com/2020/03/14/technology/coronavirus-purell-wipes-amazon-sellers.html\">Hand sanitizer hoarding.\u003c/a> And in every public bathroom, signage urging you to wash your hands to slow the spread of the coronavirus.\u003c/p>\n\u003cp>It may be hard to believe now — after over three years of passionate conversations about masking — but when the COVID pandemic first hit in 2020, vigilant hand hygiene was positioned alongside social distancing as a key measure in the fight to slow the spread of SARS-CoV-2 around the country. And while it’s true that conversations about hand hygiene haven’t entirely vanished — just look at the laminated 2020-era handwashing posters you’ll still see in many public bathrooms around the Bay Area — “wash your hands” has undoubtedly receded as a core public health message at this point in the pandemic, in favor of masking, vaccination and booster shots.\u003c/p>\n\u003cp>But as we continue into Year Four of the COVID pandemic, should handwashing be something we keep in mind for our daily health?\u003c/p>\n\u003cp>The short answer is: absolutely — but it’s no longer really about COVID. Keep reading for the science behind those 2020 recommendations, the kinds of illnesses that handwashing can help protect you against and how useful hand sanitizer really is.\u003c/p>\n\u003ch2>Why was handwashing such a big thing when the pandemic first hit?\u003c/h2>\n\u003cp>To understand why hand hygiene was so emphasized in the first weeks of the pandemic, it’s crucial to understand just how little was initially known about the coronavirus, says Dr. John Swartzberg, clinical professor emeritus of the Infectious Diseases and Vaccinology division at UC Berkeley.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else are you wondering about COVID?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>“In March of 2020, we didn’t really know much about how this brand-new virus was transmitted,” said Swartzberg. “And we assumed that it was transmitted like other respiratory viruses, probably just by droplets, maybe by air, but probably just droplets.”\u003c/p>\n\u003cp>In the absence of initial research, the medical community “said the basic things about transmission of respiratory viruses,” said Swartzberg. “Many of them were transmitted by inanimate objects, what we call fomites. And so, therefore, handwashing would be very important.”\u003c/p>\n\u003cfigure id=\"attachment_11946331\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11946331\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64473_IMG_4163-qut-800x600.jpg\" alt=\"A poster taped to a beige bathroom stall wall that reads WASH YOUR HANDS! STOP THE SPREAD! and gives pictorial instructions for handwashing below\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64473_IMG_4163-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64473_IMG_4163-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64473_IMG_4163-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64473_IMG_4163-qut-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64473_IMG_4163-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">In 2020, signs urging people to wash their hands to ‘stop the spread’ of COVID went up in public bathrooms around the country — and stayed up. \u003ccite>(Carly Severn/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We didn’t know that in terms of any science to support that. Just like we didn’t know that SARS-CoV-2 is primarily transmitted as an airborne virus, but also can be droplets,” said Swartzberg.\u003c/p>\n\u003cp>Another reason handwashing was so initially emphasized, says Swartzberg, was based on the earliest research on the coronavirus and fomites — that is, those surfaces and objects that could carry the virus.[pullquote size='medium' align='right']Tip: An object or surface that a virus can live on is called a ‘fomite.’[/pullquote]He notes that early research in spring 2020 indicated that SARS-CoV-2 could survive anywhere from a few hours to as much as 36 hours on a surface — “and so because of that, the assumption was, ‘Well, if it can survive on fomites for hours to days, then therefore we ought to make sure that we wash our hands frequently because we could get a viable virus on our hands.’”\u003c/p>\n\u003cp>But all of this begs the next question …\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>Does handwashing actually help safeguard against COVID?\u003c/h2>\n\u003cp>In short: While handwashing is almost never a bad thing, it’s probably not going to reduce your chances of getting COVID.\u003c/p>\n\u003cp>As what scientists knew about the coronavirus evolved in 2020, and consensus emerged that this was an airborne virus that could also be spread by droplets in the air, mask-wearing emerged as the most effective way to protect oneself from COVID. By July 2020, \u003ca href=\"https://www.cdc.gov/media/releases/2020/p0714-americans-to-wear-masks.html\">the Centers for Disease Control and Prevention was urging people across the nation to wear masks\u003c/a> — albeit cloth ones, which have since been proven to be far less effective than N95s at reducing COVID risks.\u003c/p>\n\u003cp>After all the emphasis on fomites — and all those 2020 videos showing how to clean your groceries — this kind of transmission ultimately remained something that had “just made sense” to people initially, said Swartzberg, “but no one ever demonstrated that it was transmitted that way.”\u003c/p>\n\u003cp>The medical community was still concerned about the coronavirus getting onto your mucous membranes, like inside your nose and mouth, says Swartzberg — but masks soon became seen as the most effective way to protect those parts of your body, not handwashing. It’s not that washing didn’t remove COVID risks from your hands, per se; it’s more that pathogens were far more busy trying to invade your body through aerosol and droplet transmission from the air. And by January 2022, \u003ca href=\"https://www.cdc.gov/media/releases/2020/p0714-americans-to-wear-masks.html\">a well-fitted N95 mask was being recommended by the CDC\u003c/a> as offering the “highest level of protection” from the particles that cause COVID.[pullquote size='medium' align='right']Tip: Vaccines, bivalent boosters and a well-fitted N95 mask remain the most effective ways of protecting yourself against COVID.[/pullquote]Of course, as Swartzberg notes, “an absence of evidence doesn’t mean there’s evidence of absence” — meaning, there is no evidence that surface transmission \u003cem>hasn’t\u003c/em> been the way some people have gotten COVID over the last three years. This is echoed by UCSF infectious disease specialist Dr. Peter Chin-Hong, who notes that someone with a job that raises their chances of COVID exposure through surfaces — say, a teacher in close quarters with coughing kindergartners — might still have a higher chance of COVID infection from fomites than the average person represented in studies.\u003c/p>\n\u003cp>The fact remains: If you want to protect yourself against COVID, focus more on getting your primary vaccination series if you haven’t already, \u003ca href=\"https://www.kqed.org/news/11924327/where-can-i-find-a-new-omicron-covid-booster-shot-near-me\">getting a bivalent booster\u003c/a> and wearing a well-fitted N95 mask in poorly ventilated or crowded spaces, especially during a COVID surge in your region. But just because handwashing wasn’t the key to stopping the spread of COVID doesn’t mean it can’t help fight the causes of many other nasty illnesses.\u003c/p>\n\u003cp>Which leads us to …\u003c/p>\n\u003ch2>What viruses does handwashing help fight?\u003c/h2>\n\u003cp>Handwashing has been “revered” for many years in the health care field, said Chin-Hong, “because there’s so much ample evidence showing that it not just prevents infections, but it actually saves lives in hospitalized patients” when health care workers practice good hand hygiene to reduce the risks of infection.\u003c/p>\n\u003cp>“COVID is not the only game in town anymore,” said Chin-Hong. “I think washing your hands should have a big comeback, because we have a big diversity of things that affect people now” when it comes to infections. Ultimately, “washing hands will save you a lot of grief,” he said.\u003c/p>\n\u003cp>So what viruses, bacteria and illnesses can handwashing protect you from?[pullquote size='medium' align='right']Tip: The common cold, norovirus and salmonella are just some of the — unpleasant — sicknesses that handwashing can really help protect you against.[/pullquote]The rhinovirus — the most common cause of the common cold — is one of those viruses that’s “transmitted easily by inanimate objects,” said Swartzberg, referring to when you touch a fomite and then touch your face. (Something you might not expect: As for the flu, Swartzberg says the jury’s still out: Even though scientists have known about the influenza virus for almost a century, “there is still a debate as to whether handwashing makes a difference with that virus,” he said.)\u003c/p>\n\u003cp>The common cold aside, your risks of even more unpleasant illnesses can be raised by you neglecting to wash your hands — and very unpleasant gastrointestinal infections are ripe for transmission through unwashed hands. \u003ca href=\"https://www.nbcbayarea.com/news/health/norovirus-surge/3157809/\">Cases of norovirus — a highly contagious virus that causes nausea, vomiting and diarrhea — surged\u003c/a> in February within the Bay Area, and as recently as late March, \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/CAHAN/Elevated-Norovirus-Activity-in-California-.aspx\">California health officials have warned of “elevated norovirus activity”\u003c/a> around the state. \u003ca href=\"https://www.cdc.gov/shigella/symptoms.html\">The bacterial infections shigella\u003c/a> and \u003ca href=\"https://www.cdc.gov/salmonella/index.html\">salmonella\u003c/a>, which both are also characterized by diarrhea as well as stomach pain and fever, are often transmitted from surfaces via unwashed hands.\u003c/p>\n\u003ch2>So when should I be washing my hands?\u003c/h2>\n\u003cp>In a public bathroom, for starters.\u003c/p>\n\u003cp>That’s because if someone has an enteric infection — that is, a bacterial sickness that’s entered their gut — they’re likely to be in the bathroom more often, explained Swartzberg, saying “and so bathrooms are likely places where you’re more likely to find enteric pathogens.”\u003c/p>\n\u003cp>A good rule of thumb when you’re out in public, advises Swartzberg, is to ask, have a lot of other hands been where my hands are right now? If so, it’s probably a good idea to wash your hands. Think: straps on BART, poles on Muni, frequently handled items in the grocery store. But “if you’re touching something that’s rarely touched by somebody else, it makes it less, far less important” to run to wash your hands straightaway, said Swartzberg.[pullquote size='medium' align='right']Tip: Don’t ever skip washing your hands in the bathroom, especially a public one.[/pullquote]That said, Swartzberg doesn’t want his advice to prompt people to take their hand hygiene too far. “While cleanliness is always a good, reasonable thing to strive for, obsessiveness with cleanliness is probably not only unnecessary, but perhaps not a good idea,” he advised.\u003c/p>\n\u003ch2>What’s the best way to wash my hands?\u003c/h2>\n\u003cp>It’s especially important to \u003ca href=\"https://www.cdc.gov/handwashing/when-how-handwashing.html\">wash your hands before and after preparing or eating food, using the bathroom or touching garbage\u003c/a>.\u003c/p>\n\u003cp>To wash your hands effectively, lather them with soap and running water, and scrub for at least 20 seconds. The lathering action of handwashing is so you create friction on your hands, which helps lift dirt and microbes off your skin. Try your best to dry your hands afterward, because germs have an easier time being transferred to and from wet hands.\u003c/p>\n\u003cp>Do you need to use antibacterial soap? No: \u003ca href=\"https://www.cdc.gov/handwashing/show-me-the-science-handwashing.html\">The CDC says that studies indicate there’s “no added health benefit for consumers”\u003c/a> for using antibacterial soap over regular soap if you’re not a health care professional. So go ahead and just use plain soap, which the CDC says is enough to achieve \u003ca href=\"https://www.cdc.gov/handwashing/show-me-the-science-handwashing.html\">the end goal of handwashing\u003c/a>: lifting dirt and microbes from your skin and washing them off your hands. Read \u003ca href=\"https://www.cdc.gov/handwashing/when-how-handwashing.html\">the CDC’s guide to effectively washing your hands\u003c/a>, and \u003ca href=\"https://www.cdc.gov/handwashing/show-me-the-science-handwashing.html\">the science behind the agency’s handwashing recommendations\u003c/a>.[pullquote size='medium' align='right']Tip: You don’t need antibacterial soap to effectively wash your hands — regular soap is just as effective.[/pullquote]For his part, Swartzberg says he thinks antibacterial soaps shouldn’t even be on the market, saying there’s a “strong argument against them” not just because of the potential for contributing to microbial resistance, but because \u003ca href=\"https://www.fda.gov/consumers/consumer-updates/antibacterial-soap-you-can-skip-it-use-plain-soap-and-water\">“some of these products may have toxicities.”\u003c/a>\u003c/p>\n\u003ch2>Finally: What about hand sanitizer?\u003c/h2>\n\u003cp>Of all the many now-bizarre memories from the early stages of the COVID outbreak, the hoarding and price gouging around hand sanitizer — a type of antiseptic that can help kill pathogens on your hands — might be one of the most indelible.\u003c/p>\n\u003cp>The placement of sanitizer dispensers and pumps in places you wouldn’t previously have seen them is one of the lasting effects of the COVID pandemic. But in 2023, should using hand sanitizer still play a role in our daily lives?[pullquote size='medium' align='right']Tip: Hand sanitizer is a great option when you physically can’t wash your hands — but it’s not effective against all types of viruses.[/pullquote]Absolutely, says Swartzberg, who notes that these hand sanitizers “play an important role in limiting the transmission of some pathogenic microorganisms.” Washing your hands well for at least 20 seconds with soap is best, but that’s “not always practical,” said Swartzberg, adding, “As long as your hands are free of visible dirt, hand sanitizers will kill many of the microorganisms that can make us sick.”\u003c/p>\n\u003cp>That said, Swartzberg noted, hand sanitizers “don’t do a very good job killing norovirus.” This is one of the reasons the CDC suggests you should use “an alcohol-based hand sanitizer that contains at least 60% alcohol” when you can’t wash your hands, but not as an alternative to handwashing if both options are available.\u003c/p>\n\u003cp>So, as useful as hand sanitizer can be in certain scenarios — for example, after using a park bathroom with no running water — be aware that it can’t protect you against every bug out there, and that washing your hands is always your safest bet.\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2023. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, practical explainers and guides about COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>[hearken id=\"10483\" src=\"https://modules.wearehearken.com/kqed/embed/10483.js\"]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.vox.com/2020/2/28/21157769/how-to-prevent-the-coronavirus\">Online handwashing tutorials.\u003c/a> \u003ca href=\"https://www.nytimes.com/2020/03/14/technology/coronavirus-purell-wipes-amazon-sellers.html\">Hand sanitizer hoarding.\u003c/a> And in every public bathroom, signage urging you to wash your hands to slow the spread of the coronavirus.\u003c/p>\n\u003cp>It may be hard to believe now — after over three years of passionate conversations about masking — but when the COVID pandemic first hit in 2020, vigilant hand hygiene was positioned alongside social distancing as a key measure in the fight to slow the spread of SARS-CoV-2 around the country. And while it’s true that conversations about hand hygiene haven’t entirely vanished — just look at the laminated 2020-era handwashing posters you’ll still see in many public bathrooms around the Bay Area — “wash your hands” has undoubtedly receded as a core public health message at this point in the pandemic, in favor of masking, vaccination and booster shots.\u003c/p>\n\u003cp>But as we continue into Year Four of the COVID pandemic, should handwashing be something we keep in mind for our daily health?\u003c/p>\n\u003cp>The short answer is: absolutely — but it’s no longer really about COVID. Keep reading for the science behind those 2020 recommendations, the kinds of illnesses that handwashing can help protect you against and how useful hand sanitizer really is.\u003c/p>\n\u003ch2>Why was handwashing such a big thing when the pandemic first hit?\u003c/h2>\n\u003cp>To understand why hand hygiene was so emphasized in the first weeks of the pandemic, it’s crucial to understand just how little was initially known about the coronavirus, says Dr. John Swartzberg, clinical professor emeritus of the Infectious Diseases and Vaccinology division at UC Berkeley.\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else are you wondering about COVID?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>“In March of 2020, we didn’t really know much about how this brand-new virus was transmitted,” said Swartzberg. “And we assumed that it was transmitted like other respiratory viruses, probably just by droplets, maybe by air, but probably just droplets.”\u003c/p>\n\u003cp>In the absence of initial research, the medical community “said the basic things about transmission of respiratory viruses,” said Swartzberg. “Many of them were transmitted by inanimate objects, what we call fomites. And so, therefore, handwashing would be very important.”\u003c/p>\n\u003cfigure id=\"attachment_11946331\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11946331\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS64473_IMG_4163-qut-800x600.jpg\" alt=\"A poster taped to a beige bathroom stall wall that reads WASH YOUR HANDS! STOP THE SPREAD! and gives pictorial instructions for handwashing below\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64473_IMG_4163-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64473_IMG_4163-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64473_IMG_4163-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64473_IMG_4163-qut-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS64473_IMG_4163-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">In 2020, signs urging people to wash their hands to ‘stop the spread’ of COVID went up in public bathrooms around the country — and stayed up. \u003ccite>(Carly Severn/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We didn’t know that in terms of any science to support that. Just like we didn’t know that SARS-CoV-2 is primarily transmitted as an airborne virus, but also can be droplets,” said Swartzberg.\u003c/p>\n\u003cp>Another reason handwashing was so initially emphasized, says Swartzberg, was based on the earliest research on the coronavirus and fomites — that is, those surfaces and objects that could carry the virus.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>He notes that early research in spring 2020 indicated that SARS-CoV-2 could survive anywhere from a few hours to as much as 36 hours on a surface — “and so because of that, the assumption was, ‘Well, if it can survive on fomites for hours to days, then therefore we ought to make sure that we wash our hands frequently because we could get a viable virus on our hands.’”\u003c/p>\n\u003cp>But all of this begs the next question …\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>Does handwashing actually help safeguard against COVID?\u003c/h2>\n\u003cp>In short: While handwashing is almost never a bad thing, it’s probably not going to reduce your chances of getting COVID.\u003c/p>\n\u003cp>As what scientists knew about the coronavirus evolved in 2020, and consensus emerged that this was an airborne virus that could also be spread by droplets in the air, mask-wearing emerged as the most effective way to protect oneself from COVID. By July 2020, \u003ca href=\"https://www.cdc.gov/media/releases/2020/p0714-americans-to-wear-masks.html\">the Centers for Disease Control and Prevention was urging people across the nation to wear masks\u003c/a> — albeit cloth ones, which have since been proven to be far less effective than N95s at reducing COVID risks.\u003c/p>\n\u003cp>After all the emphasis on fomites — and all those 2020 videos showing how to clean your groceries — this kind of transmission ultimately remained something that had “just made sense” to people initially, said Swartzberg, “but no one ever demonstrated that it was transmitted that way.”\u003c/p>\n\u003cp>The medical community was still concerned about the coronavirus getting onto your mucous membranes, like inside your nose and mouth, says Swartzberg — but masks soon became seen as the most effective way to protect those parts of your body, not handwashing. It’s not that washing didn’t remove COVID risks from your hands, per se; it’s more that pathogens were far more busy trying to invade your body through aerosol and droplet transmission from the air. And by January 2022, \u003ca href=\"https://www.cdc.gov/media/releases/2020/p0714-americans-to-wear-masks.html\">a well-fitted N95 mask was being recommended by the CDC\u003c/a> as offering the “highest level of protection” from the particles that cause COVID.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Of course, as Swartzberg notes, “an absence of evidence doesn’t mean there’s evidence of absence” — meaning, there is no evidence that surface transmission \u003cem>hasn’t\u003c/em> been the way some people have gotten COVID over the last three years. This is echoed by UCSF infectious disease specialist Dr. Peter Chin-Hong, who notes that someone with a job that raises their chances of COVID exposure through surfaces — say, a teacher in close quarters with coughing kindergartners — might still have a higher chance of COVID infection from fomites than the average person represented in studies.\u003c/p>\n\u003cp>The fact remains: If you want to protect yourself against COVID, focus more on getting your primary vaccination series if you haven’t already, \u003ca href=\"https://www.kqed.org/news/11924327/where-can-i-find-a-new-omicron-covid-booster-shot-near-me\">getting a bivalent booster\u003c/a> and wearing a well-fitted N95 mask in poorly ventilated or crowded spaces, especially during a COVID surge in your region. But just because handwashing wasn’t the key to stopping the spread of COVID doesn’t mean it can’t help fight the causes of many other nasty illnesses.\u003c/p>\n\u003cp>Which leads us to …\u003c/p>\n\u003ch2>What viruses does handwashing help fight?\u003c/h2>\n\u003cp>Handwashing has been “revered” for many years in the health care field, said Chin-Hong, “because there’s so much ample evidence showing that it not just prevents infections, but it actually saves lives in hospitalized patients” when health care workers practice good hand hygiene to reduce the risks of infection.\u003c/p>\n\u003cp>“COVID is not the only game in town anymore,” said Chin-Hong. “I think washing your hands should have a big comeback, because we have a big diversity of things that affect people now” when it comes to infections. Ultimately, “washing hands will save you a lot of grief,” he said.\u003c/p>\n\u003cp>So what viruses, bacteria and illnesses can handwashing protect you from?\u003c/p>\u003c/div>",
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"content": "Tip: The common cold, norovirus and salmonella are just some of the — unpleasant — sicknesses that handwashing can really help protect you against.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The rhinovirus — the most common cause of the common cold — is one of those viruses that’s “transmitted easily by inanimate objects,” said Swartzberg, referring to when you touch a fomite and then touch your face. (Something you might not expect: As for the flu, Swartzberg says the jury’s still out: Even though scientists have known about the influenza virus for almost a century, “there is still a debate as to whether handwashing makes a difference with that virus,” he said.)\u003c/p>\n\u003cp>The common cold aside, your risks of even more unpleasant illnesses can be raised by you neglecting to wash your hands — and very unpleasant gastrointestinal infections are ripe for transmission through unwashed hands. \u003ca href=\"https://www.nbcbayarea.com/news/health/norovirus-surge/3157809/\">Cases of norovirus — a highly contagious virus that causes nausea, vomiting and diarrhea — surged\u003c/a> in February within the Bay Area, and as recently as late March, \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/CAHAN/Elevated-Norovirus-Activity-in-California-.aspx\">California health officials have warned of “elevated norovirus activity”\u003c/a> around the state. \u003ca href=\"https://www.cdc.gov/shigella/symptoms.html\">The bacterial infections shigella\u003c/a> and \u003ca href=\"https://www.cdc.gov/salmonella/index.html\">salmonella\u003c/a>, which both are also characterized by diarrhea as well as stomach pain and fever, are often transmitted from surfaces via unwashed hands.\u003c/p>\n\u003ch2>So when should I be washing my hands?\u003c/h2>\n\u003cp>In a public bathroom, for starters.\u003c/p>\n\u003cp>That’s because if someone has an enteric infection — that is, a bacterial sickness that’s entered their gut — they’re likely to be in the bathroom more often, explained Swartzberg, saying “and so bathrooms are likely places where you’re more likely to find enteric pathogens.”\u003c/p>\n\u003cp>A good rule of thumb when you’re out in public, advises Swartzberg, is to ask, have a lot of other hands been where my hands are right now? If so, it’s probably a good idea to wash your hands. Think: straps on BART, poles on Muni, frequently handled items in the grocery store. But “if you’re touching something that’s rarely touched by somebody else, it makes it less, far less important” to run to wash your hands straightaway, said Swartzberg.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>That said, Swartzberg doesn’t want his advice to prompt people to take their hand hygiene too far. “While cleanliness is always a good, reasonable thing to strive for, obsessiveness with cleanliness is probably not only unnecessary, but perhaps not a good idea,” he advised.\u003c/p>\n\u003ch2>What’s the best way to wash my hands?\u003c/h2>\n\u003cp>It’s especially important to \u003ca href=\"https://www.cdc.gov/handwashing/when-how-handwashing.html\">wash your hands before and after preparing or eating food, using the bathroom or touching garbage\u003c/a>.\u003c/p>\n\u003cp>To wash your hands effectively, lather them with soap and running water, and scrub for at least 20 seconds. The lathering action of handwashing is so you create friction on your hands, which helps lift dirt and microbes off your skin. Try your best to dry your hands afterward, because germs have an easier time being transferred to and from wet hands.\u003c/p>\n\u003cp>Do you need to use antibacterial soap? No: \u003ca href=\"https://www.cdc.gov/handwashing/show-me-the-science-handwashing.html\">The CDC says that studies indicate there’s “no added health benefit for consumers”\u003c/a> for using antibacterial soap over regular soap if you’re not a health care professional. So go ahead and just use plain soap, which the CDC says is enough to achieve \u003ca href=\"https://www.cdc.gov/handwashing/show-me-the-science-handwashing.html\">the end goal of handwashing\u003c/a>: lifting dirt and microbes from your skin and washing them off your hands. Read \u003ca href=\"https://www.cdc.gov/handwashing/when-how-handwashing.html\">the CDC’s guide to effectively washing your hands\u003c/a>, and \u003ca href=\"https://www.cdc.gov/handwashing/show-me-the-science-handwashing.html\">the science behind the agency’s handwashing recommendations\u003c/a>.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>For his part, Swartzberg says he thinks antibacterial soaps shouldn’t even be on the market, saying there’s a “strong argument against them” not just because of the potential for contributing to microbial resistance, but because \u003ca href=\"https://www.fda.gov/consumers/consumer-updates/antibacterial-soap-you-can-skip-it-use-plain-soap-and-water\">“some of these products may have toxicities.”\u003c/a>\u003c/p>\n\u003ch2>Finally: What about hand sanitizer?\u003c/h2>\n\u003cp>Of all the many now-bizarre memories from the early stages of the COVID outbreak, the hoarding and price gouging around hand sanitizer — a type of antiseptic that can help kill pathogens on your hands — might be one of the most indelible.\u003c/p>\n\u003cp>The placement of sanitizer dispensers and pumps in places you wouldn’t previously have seen them is one of the lasting effects of the COVID pandemic. But in 2023, should using hand sanitizer still play a role in our daily lives?\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Absolutely, says Swartzberg, who notes that these hand sanitizers “play an important role in limiting the transmission of some pathogenic microorganisms.” Washing your hands well for at least 20 seconds with soap is best, but that’s “not always practical,” said Swartzberg, adding, “As long as your hands are free of visible dirt, hand sanitizers will kill many of the microorganisms that can make us sick.”\u003c/p>\n\u003cp>That said, Swartzberg noted, hand sanitizers “don’t do a very good job killing norovirus.” This is one of the reasons the CDC suggests you should use “an alcohol-based hand sanitizer that contains at least 60% alcohol” when you can’t wash your hands, but not as an alternative to handwashing if both options are available.\u003c/p>\n\u003cp>So, as useful as hand sanitizer can be in certain scenarios — for example, after using a park bathroom with no running water — be aware that it can’t protect you against every bug out there, and that washing your hands is always your safest bet.\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2023. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, practical explainers and guides about COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "California’s Options Limited on Abortion Pill Following Texas Judge Ruling",
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"content": "\u003cp>California’s Democratic lawmakers have spent the past year \u003ca href=\"https://calmatters.org/health/2022/09/california-abortion-bills/\">enacting legislation to protect abortion rights\u003c/a> in the wake of Roe v. Wade’s reversal, but a ruling today by a Texas federal judge is one thing they can’t touch.\u003c/p>\n\u003cp>U.S. District Judge Matthew Kacsmaryk suspended \u003ca href=\"https://www.dropbox.com/s/jnm4r233xat6tv4/ND%20Tex%20FDA%20decision.pdf?dl=0\">the U.S. Food and Drug Administration’s two-decades’-old approval (PDF)\u003c/a> of mifepristone, arguing that\u003cstrong> \u003c/strong>it was flawed and invalid.\u003c/p>\n\u003cp>Kacsmaryk \u003ca href=\"https://www.kqed.org/news/11946073/texas-judge-halts-fda-approval-of-abortion-pill-mifepristone-newsom-slams-ruling\">issued a temporary stay on his ruling\u003c/a> for seven days to allow the Biden Justice Department to appeal, which \u003ca href=\"https://www.yahoo.com/news/justice-department-files-immediate-appeal-013017962.html\">it quickly did\u003c/a>. The ruling is likely to pull the drug from pharmacy shelves unless a higher court intervenes while the case moves through the appeal process.\u003c/p>\n\u003cp>But soon after the ruling in Texas, a district judge in Washington state issued a conflicting ruling \u003ca href=\"https://www.nytimes.com/2023/02/24/health/abortion-pills-fda-lawsuit.html\">in a separate case\u003c/a>, prohibiting the FDA from taking the drug off the market in 17 Democratic-led states (not including California). Despite the confusion caused by these \u003ca href=\"https://www.cnbc.com/2023/03/29/abortion-pill-dueling-court-cases-could-determine-legality-of-mifepristone.html\">dueling decisions\u003c/a>, legal experts say even the threat of a legal gray area is likely to cause providers to stop distributing the drug.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Mifepristone is the first of a two-drug regimen that makes up the majority of abortions in the U.S., according to the Guttmacher Institute, a reproductive health research and policy center. It \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/questions-and-answers-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\">blocks the pregnancy hormone progesterone\u003c/a> and is also used to manage miscarriages.\u003c/p>\n\u003cp>While the \u003ca href=\"https://calmatters.org/abortion-rights/2022/06/california-abortion-roe-ruling/\">U.S. Supreme Court’s Dobbs decision\u003c/a> last June rescinded federal abortion protections, it left intact states’ ability to set their own abortion laws. California legislators and Gov. Gavin Newsom jumped at the chance to make the state \u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\">a beacon for progressive politics\u003c/a>, even approving financial assistance for people in other states seeking abortions in California.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Lisa Matsubara, attorney, Planned Parenthood Affiliates of California\"]‘We’re in uncharted territory. It will take some time to understand how this will play out in California.’[/pullquote]\u003c/p>\n\u003cp>But Kacsmaryk’s ruling addresses the FDA’s authority nationally, and leaves little room for states to mitigate the fallout.\u003c/p>\n\u003cp>“We’re in uncharted territory,” Lisa Matsubara, an attorney for Planned Parenthood Affiliates of California and vice president of policy, told CalMatters a day after Kacsmaryk heard arguments in the case in mid-March. “It will take some time to understand how this will play out in California.”\u003c/p>\n\u003cp>But Newsom quickly fired back at the ruling. “Today’s ruling, by an extremist judge pursuing a radical political agenda, ignores facts, science, and the law — putting the health of millions of women and girls at risk,” the \u003ca href=\"https://twitter.com/CAgovernor/status/1644486997648736256?s=20\">governor said in a statement\u003c/a>. “Abortion is still legal and accessible here in California and we won’t stand by as fundamental freedoms are stripped away.”\u003c/p>\n\u003cp>The ruling comes less than a month after the Legislative Women’s Caucus and Future of Abortion Council announced a \u003ca href=\"https://womenscaucus.legislature.ca.gov/news/2023-03-13-ca-legislative-women%E2%80%99s-caucus-fab-council-announce-2023-bill-package-reproductive\">package of 17 bills\u003c/a> building on last session’s work and primarily focusing on privacy and legal protections for patients and providers. State Sen. \u003ca href=\"https://calmatters.org/legislator-tracker/nancy-skinner-1954/\">Nancy Skinner\u003c/a>, a Democrat from Oakland and chair of the caucus, said during a press conference unveiling the legislation that lawmakers were “not done, not by a long shot” in their efforts to preserve abortion rights.\u003c/p>\n\u003cfigure id=\"attachment_11946294\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946294 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut.jpg\" alt=\"A white woman in business attire, eyeglasses and short, graying brown hair talks from a lectern inside a California government building.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">State Senator Nancy Skinner in Sacramento on May 15, 2017. Skinner is also chair of the Legislative Women’s Caucus, which co-authored a package of 17 bills that primarily focus on privacy and legal protections for patients and providers. At a press conference unveiling the legislation, she said lawmakers were “not done, not by a long shot” in their efforts to preserve abortion rights. \u003ccite>(Bert Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The \u003ca href=\"https://twitter.com/NancySkinnerCA/status/1644483170350559232?s=20\">women’s caucus issued a statement\u003c/a> blasting the “abominable” and “deplorable” ruling: “When will the assault on women’s health and dignity stop? That one anti-abortion judge has the power to block access to a safe and medically proven treatment is an outrage.”\u003c/p>\n\u003cp>The caucus vowed again: “California will not back down.”\u003c/p>\n\u003cp>Ahead of the district court’s ruling, 20 Republican-led states threatened retail pharmacies with legal action should they distribute abortion pills. In \u003ca href=\"https://twitter.com/GavinNewsom/status/1632811406344192000?s=20\">an attention-grabbing tweet\u003c/a>, Newsom made the sweeping announcement that California would no longer do business with Walgreens, which had announced it would not stock the medication in states where attorneys general were opposed. Newsom has since had to \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2023/04/gavin-newsom-walgreens/\">significantly walk back the statement\u003c/a>, which ran afoul of federal regulations.\u003c/p>\n\u003cp>Despite political assurances, the state can’t take any direct action to keep mifepristone available.\u003c/p>\n\u003cp>“There’s nothing to be done at the state level to make it newly legal so to speak,” said Cat Duffy, policy analyst specializing in reproductive rights with the National Health Law Program. “It’ll be in the hands of the (U.S. Department of Justice) to appeal the ruling.”[aside postID=news_11942999 hero='https://ww2.kqed.org/app/uploads/sites/10/2021/10/GettyImages-1346412977-1020x680.jpg']Though Kacsmaryk’s ruling does not entirely revoke the FDA’s approval of mifepristone, leaving that decision up to a higher court, this type of challenge to the agency’s authority to regulate pharmaceuticals is unprecedented, Duffy said.\u003c/p>\n\u003cp>Misoprostol, the second drug used typically in conjunction with mifepristone, remains legal.\u003c/p>\n\u003cp>Planned Parenthood Affiliates of California CEO Jodi Hicks said in March the organization’s clinics will move to a misoprostol-only treatment should the district court’s decision tie their hands. Misoprostol causes contractions and forces the body to empty the uterus. Studies show it is safe and effective when used alone, but \u003ca href=\"https://www.aafp.org/pubs/afp/issues/2021/0415/p473.html\">there are fewer side effects like prolonged bleeding when used in conjunction with mifepristone\u003c/a>, according to the American Academy of Family Physicians.\u003c/p>\n\u003cp>Although misoprostol remains available, the inability to use mifepristone stretches an “already strapped network,” Duffy said.\u003c/p>\n\u003cp>“It [will] really gut a lot of advances made in improving access that disproportionately impact people in rural areas and the folks that face structural barriers to care like Black and Indigenous communities,” Duffy said.[pullquote size=\"medium\" align=\"right\" citation=\"Lisa Matsubara, attorney, Planned Parenthood Affiliates of California\"]‘We’re going to do whatever we can to make sure that folks are protected and that we are really, truly a haven state.’[/pullquote]\u003ca href=\"https://www.guttmacher.org/article/2022/02/medication-abortion-now-accounts-more-half-all-us-abortions\">More than half of abortions are completed by medication nationally\u003c/a>, according to the Guttmacher Institute. Though \u003ca href=\"https://calmatters.org/health/2022/06/abortion-data-california/\">California does not track detailed abortion data\u003c/a>, advocates say COVID-19 pandemic rules allowing abortion medication to be prescribed through telehealth and delivered via mail improved access in rural areas of the state where there are no abortion clinics. Kacsmaryk’s ruling states, in part, that the FDA inappropriately relaxed in-person prescribing and distribution rules.\u003c/p>\n\u003cp>Legislation introduced this year by the Women’s Caucus and Future of Abortion Council primarily focuses on tightening privacy protections for patients and providers.\u003c/p>\n\u003cp>“We’re going to do whatever we can to make sure that folks are protected and that we are really, truly a haven state,” Planned Parenthood attorney Matsubara said. “As things come up this year we may have to change course. That’s certainly what we did last year and we’re prepared to do that again this year.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "A ruling that suspends federal approval for medication abortion will not be easy for California abortion access advocates to overcome. Unless it's reversed on appeal, the drug will likely be pulled from pharmacy shelves.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California’s Democratic lawmakers have spent the past year \u003ca href=\"https://calmatters.org/health/2022/09/california-abortion-bills/\">enacting legislation to protect abortion rights\u003c/a> in the wake of Roe v. Wade’s reversal, but a ruling today by a Texas federal judge is one thing they can’t touch.\u003c/p>\n\u003cp>U.S. District Judge Matthew Kacsmaryk suspended \u003ca href=\"https://www.dropbox.com/s/jnm4r233xat6tv4/ND%20Tex%20FDA%20decision.pdf?dl=0\">the U.S. Food and Drug Administration’s two-decades’-old approval (PDF)\u003c/a> of mifepristone, arguing that\u003cstrong> \u003c/strong>it was flawed and invalid.\u003c/p>\n\u003cp>Kacsmaryk \u003ca href=\"https://www.kqed.org/news/11946073/texas-judge-halts-fda-approval-of-abortion-pill-mifepristone-newsom-slams-ruling\">issued a temporary stay on his ruling\u003c/a> for seven days to allow the Biden Justice Department to appeal, which \u003ca href=\"https://www.yahoo.com/news/justice-department-files-immediate-appeal-013017962.html\">it quickly did\u003c/a>. The ruling is likely to pull the drug from pharmacy shelves unless a higher court intervenes while the case moves through the appeal process.\u003c/p>\n\u003cp>But soon after the ruling in Texas, a district judge in Washington state issued a conflicting ruling \u003ca href=\"https://www.nytimes.com/2023/02/24/health/abortion-pills-fda-lawsuit.html\">in a separate case\u003c/a>, prohibiting the FDA from taking the drug off the market in 17 Democratic-led states (not including California). Despite the confusion caused by these \u003ca href=\"https://www.cnbc.com/2023/03/29/abortion-pill-dueling-court-cases-could-determine-legality-of-mifepristone.html\">dueling decisions\u003c/a>, legal experts say even the threat of a legal gray area is likely to cause providers to stop distributing the drug.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Mifepristone is the first of a two-drug regimen that makes up the majority of abortions in the U.S., according to the Guttmacher Institute, a reproductive health research and policy center. It \u003ca href=\"https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/questions-and-answers-mifepristone-medical-termination-pregnancy-through-ten-weeks-gestation\">blocks the pregnancy hormone progesterone\u003c/a> and is also used to manage miscarriages.\u003c/p>\n\u003cp>While the \u003ca href=\"https://calmatters.org/abortion-rights/2022/06/california-abortion-roe-ruling/\">U.S. Supreme Court’s Dobbs decision\u003c/a> last June rescinded federal abortion protections, it left intact states’ ability to set their own abortion laws. California legislators and Gov. Gavin Newsom jumped at the chance to make the state \u003ca href=\"https://calmatters.org/explainers/abortion-in-california-laws/\">a beacon for progressive politics\u003c/a>, even approving financial assistance for people in other states seeking abortions in California.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But Kacsmaryk’s ruling addresses the FDA’s authority nationally, and leaves little room for states to mitigate the fallout.\u003c/p>\n\u003cp>“We’re in uncharted territory,” Lisa Matsubara, an attorney for Planned Parenthood Affiliates of California and vice president of policy, told CalMatters a day after Kacsmaryk heard arguments in the case in mid-March. “It will take some time to understand how this will play out in California.”\u003c/p>\n\u003cp>But Newsom quickly fired back at the ruling. “Today’s ruling, by an extremist judge pursuing a radical political agenda, ignores facts, science, and the law — putting the health of millions of women and girls at risk,” the \u003ca href=\"https://twitter.com/CAgovernor/status/1644486997648736256?s=20\">governor said in a statement\u003c/a>. “Abortion is still legal and accessible here in California and we won’t stand by as fundamental freedoms are stripped away.”\u003c/p>\n\u003cp>The ruling comes less than a month after the Legislative Women’s Caucus and Future of Abortion Council announced a \u003ca href=\"https://womenscaucus.legislature.ca.gov/news/2023-03-13-ca-legislative-women%E2%80%99s-caucus-fab-council-announce-2023-bill-package-reproductive\">package of 17 bills\u003c/a> building on last session’s work and primarily focusing on privacy and legal protections for patients and providers. State Sen. \u003ca href=\"https://calmatters.org/legislator-tracker/nancy-skinner-1954/\">Nancy Skinner\u003c/a>, a Democrat from Oakland and chair of the caucus, said during a press conference unveiling the legislation that lawmakers were “not done, not by a long shot” in their efforts to preserve abortion rights.\u003c/p>\n\u003cfigure id=\"attachment_11946294\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946294 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut.jpg\" alt=\"A white woman in business attire, eyeglasses and short, graying brown hair talks from a lectern inside a California government building.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/RS25463_20170515_StateCapitol_Sen_NancySkinner_credit_BertJohnson-2-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">State Senator Nancy Skinner in Sacramento on May 15, 2017. Skinner is also chair of the Legislative Women’s Caucus, which co-authored a package of 17 bills that primarily focus on privacy and legal protections for patients and providers. At a press conference unveiling the legislation, she said lawmakers were “not done, not by a long shot” in their efforts to preserve abortion rights. \u003ccite>(Bert Johnson/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The \u003ca href=\"https://twitter.com/NancySkinnerCA/status/1644483170350559232?s=20\">women’s caucus issued a statement\u003c/a> blasting the “abominable” and “deplorable” ruling: “When will the assault on women’s health and dignity stop? That one anti-abortion judge has the power to block access to a safe and medically proven treatment is an outrage.”\u003c/p>\n\u003cp>The caucus vowed again: “California will not back down.”\u003c/p>\n\u003cp>Ahead of the district court’s ruling, 20 Republican-led states threatened retail pharmacies with legal action should they distribute abortion pills. In \u003ca href=\"https://twitter.com/GavinNewsom/status/1632811406344192000?s=20\">an attention-grabbing tweet\u003c/a>, Newsom made the sweeping announcement that California would no longer do business with Walgreens, which had announced it would not stock the medication in states where attorneys general were opposed. Newsom has since had to \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2023/04/gavin-newsom-walgreens/\">significantly walk back the statement\u003c/a>, which ran afoul of federal regulations.\u003c/p>\n\u003cp>Despite political assurances, the state can’t take any direct action to keep mifepristone available.\u003c/p>\n\u003cp>“There’s nothing to be done at the state level to make it newly legal so to speak,” said Cat Duffy, policy analyst specializing in reproductive rights with the National Health Law Program. “It’ll be in the hands of the (U.S. Department of Justice) to appeal the ruling.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Though Kacsmaryk’s ruling does not entirely revoke the FDA’s approval of mifepristone, leaving that decision up to a higher court, this type of challenge to the agency’s authority to regulate pharmaceuticals is unprecedented, Duffy said.\u003c/p>\n\u003cp>Misoprostol, the second drug used typically in conjunction with mifepristone, remains legal.\u003c/p>\n\u003cp>Planned Parenthood Affiliates of California CEO Jodi Hicks said in March the organization’s clinics will move to a misoprostol-only treatment should the district court’s decision tie their hands. Misoprostol causes contractions and forces the body to empty the uterus. Studies show it is safe and effective when used alone, but \u003ca href=\"https://www.aafp.org/pubs/afp/issues/2021/0415/p473.html\">there are fewer side effects like prolonged bleeding when used in conjunction with mifepristone\u003c/a>, according to the American Academy of Family Physicians.\u003c/p>\n\u003cp>Although misoprostol remains available, the inability to use mifepristone stretches an “already strapped network,” Duffy said.\u003c/p>\n\u003cp>“It [will] really gut a lot of advances made in improving access that disproportionately impact people in rural areas and the folks that face structural barriers to care like Black and Indigenous communities,” Duffy said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003ca href=\"https://www.guttmacher.org/article/2022/02/medication-abortion-now-accounts-more-half-all-us-abortions\">More than half of abortions are completed by medication nationally\u003c/a>, according to the Guttmacher Institute. Though \u003ca href=\"https://calmatters.org/health/2022/06/abortion-data-california/\">California does not track detailed abortion data\u003c/a>, advocates say COVID-19 pandemic rules allowing abortion medication to be prescribed through telehealth and delivered via mail improved access in rural areas of the state where there are no abortion clinics. Kacsmaryk’s ruling states, in part, that the FDA inappropriately relaxed in-person prescribing and distribution rules.\u003c/p>\n\u003cp>Legislation introduced this year by the Women’s Caucus and Future of Abortion Council primarily focuses on tightening privacy protections for patients and providers.\u003c/p>\n\u003cp>“We’re going to do whatever we can to make sure that folks are protected and that we are really, truly a haven state,” Planned Parenthood attorney Matsubara said. “As things come up this year we may have to change course. That’s certainly what we did last year and we’re prepared to do that again this year.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>With police officers standing by, city workers began on Monday what will be a two-week process of clearing residents and their belongings from the \u003ca href=\"http://www.woodstreetcommons.com/\">Wood Street Commons\u003c/a>, a longstanding community of unhoused people that, until September, was the city’s largest.\u003c/p>\n\u003cp>During a press conference held on-site the same morning, Wood Street residents and activists took turns speaking about the evictions taking place.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"LaMonte Ford, Wood Street Commons resident\"]‘We’re just like you. We’re normal people. I have two jobs. I cannot afford the rent. I’ve been here 10 years. You think I can pack it up in two bags?’[/pullquote]\u003c/p>\n\u003cp>“We’re trying. We’re doing the best we can. If we had resources, we’d be a whole lot better,” said LaMonte Ford, 48, a longtime resident and lead organizer at Wood Street. “We’re just like you. We’re normal people. I have two jobs. I cannot afford the rent. I’ve been here 10 years. You think I can pack it up in two bags?”\u003c/p>\n\u003cp>Around 60 people live in RVs and trailers at the site, located at \u003ca href=\"https://www.kqed.org/news/11945682/the-last-residents-of-oaklands-wood-street-encampment\">1707 Wood Street in West Oakland\u003c/a>. Residents have built the space into a resource hub, complete with a communal kitchen, outdoor meeting areas, a free store, space for food and clothing donations, storage facilities and other amenities.\u003c/p>\n\u003cfigure id=\"attachment_11946234\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946234 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023.jpg\" alt=\"A Black man looks through a chain link fence at police officers on the other side of it. The man has a crowd of people behind him as his fingers rest in between the fence coils.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Wood Street resident LaMonte Ford speaks to the police as the city of Oakland begins to evict the Wood Street encampment in Oakland on April 10, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Jean Walsh, spokesperson for the city, said the city is offering residents beds at a new “cabin community” site a few blocks away, as well as parking spaces at a recently opened RV lot in East Oakland and at shelters throughout the city.\u003c/p>\n\u003cp>As of Monday, Walsh said four residents had agreed to relocate to the new cabin site.\u003c/p>\n\u003cp>“We’re being cattle-rustled from one camp to another camp, and around and around we go,” Wood Street resident Mavin Carter-Griffin said at the press conference.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It’s like, ‘Move over, homeless. We’re going to stomp right through this and we’re going to stick you in some sheds,’” Carter-Griffin continued. “Sheds are so six years ago. There are many different types of unhoused people. We’re not the shed type. That wasn’t good for us. … That’s a prison cell.”\u003c/p>\n\u003cfigure id=\"attachment_11946232\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946232 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023.jpg\" alt=\"A Black police officer is shown standing behind a chain link fence as city workers behind him haul wood and other materials into large garbage trucks.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The city of Oakland works to clear items from the Wood Street encampment in Oakland on April 10, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>[aside label='More Stories on Wood Street Commons' tag='wood-street-commons']\u003c/p>\n\u003cp>The city has long planned to redevelop the formerly vacant lot into affordable housing. It \u003ca href=\"https://oakland.legistar.com/LegislationDetail.aspx?ID=745898&GUID=9A69A99B-2EA1-4B3E-BA84-C0DE1D47F9E0&Options=&Search=\">purchased the property, which is across from Raimondi Park, in 2007 for $8 million\u003c/a> as part of a larger redevelopment of the area that authorized around \u003ca href=\"https://oakland.legistar.com/LegislationDetail.aspx?ID=742328&GUID=6BB49C5D-30C9-4253-85B8-6E66E8499C3A&Options=&Search=\">1,500 new homes and apartments\u003c/a>.\u003c/p>\n\u003cp>But \u003ca href=\"https://oakland.legistar.com/LegislationDetail.aspx?ID=3759867&GUID=ECC644E3-BC09-4E5E-A98E-A04FCE3B7F11&Options=&Search=\">progress at the lot was delayed for more than a decade\u003c/a>, due in part to the 2008 foreclosure crisis and subsequent Great Recession, according to a city report. In 2018, the city selected a developer to build 170 affordable, for-sale and rental apartments at the site.\u003c/p>\n\u003cp>One housed neighbor, Mo, who declined to give his last name, said he’s lived in the area for 16 years and watched the community at the Commons grow from a few trailers into dozens.\u003c/p>\n\u003cp>“Everything has become more and more expensive out here. And, that’s why homeless people cannot afford to live in Oakland and that’s why they are here on the street,” Mo said. “They’ve been here for over ten years, and now they’ve been kicked out so people can build more high rises.”\u003c/p>\n\u003cp>Officials initially scheduled evictions for Jan. 9, so the developer could start assessing the kind of environmental remediation it needs to build housing there. But \u003ca href=\"https://www.kqed.org/news/11940107/judge-to-allow-evictions-at-long-running-oakland-homeless-encampment-residents-vow-to-fight\">residents successfully filed for a temporary restraining order\u003c/a> — citing the onslaught of historic storms and lack of adequate alternative housing as grounds to delay.\u003c/p>\n\u003cp>The city received two state grants last year, totaling \u003ca href=\"https://oakland.legistar.com/LegislationDetail.aspx?ID=5962116&GUID=B467C58E-50EB-4A4C-BE99-496372BE92B6&Options=ID%7CText%7C&Search=%22Wood+Street%22\">$8.3 million, to relocate residents to a new cabin community site\u003c/a> at 2601 Wood Street in Oakland, consisting of 70 “tuff shed” structures with space for 100 beds. But the site hadn’t yet opened when the city issued its eviction orders, and Federal District Judge William Orrick ordered the city to delay evictions until it had.\u003c/p>\n\u003cfigure id=\"attachment_11946238\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946238 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023.jpg\" alt=\"A Black woman with a black headdress and T-shirt looks heartbroken as she stares downward. Two men, one Black and one white-presenting, are pictured behind her.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Wood Street residents John Janosko and Mona Choyce listen to an outreach worker talk about the tuff sheds in Oakland on April 10, 2023, while the city of Oakland begins to evict the encampment. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Give us some real options. Instead of putting us in the cycle of being housed — get us housed,” said Jessica “Freeway” Blalock, a Wood Street resident, who had a bad experience at a different “community cabin” site in Oakland. “With all of the vacant lots and all the vacant houses that are here, there’s no reason all of us couldn’t be housed — and then some.”\u003c/p>\n\u003cp>In a \u003ca href=\"https://drive.google.com/file/d/14G98PfutiSU4vCEEummva59RGH6XWeNK/view?usp=sharing\">Feb. 24 court filing\u003c/a>, Supervising Deputy City Attorney Jamilah Jefferson wrote that the city had opened the community cabin site and had RV parking spaces available. Orrick lifted the restraining order three days later.\u003c/p>\n\u003cp>On Monday, volunteers and advocates were on site to assist residents with moving. Kelly Thompson, 75, who is himself homeless in Oakland, sat in his truck.\u003c/p>\n\u003cp>“I’m waiting on somebody to say, ‘I need a tow,'” he said. “But where are they supposed to go? Where do they want to go? There’s no place to go.”\u003c/p>\n\u003cp>The Commons is the last remaining portion of the much larger Wood Street settlement, which, until last year, was home to around 300 people. It stretched for more than a mile under Interstate 880 on land owned by Caltrans, BNSF railway, private individuals and the city of Oakland. In September, \u003ca href=\"https://www.kqed.org/news/11925169/residents-activists-decry-evictions-at-oaklands-largest-homeless-encampment\">Caltrans evicted residents\u003c/a> from the land it owns, citing safety concerns, after a fire on July 11 sent plumes of black smoke onto the freeway above, stopping traffic.[pullquote size=\"medium\" align=\"right\" citation=\"Freeway, resident, Wood Street\"]‘The people that are here. The community that’s here. The family that’s here. … That’s not going anywhere.’[/pullquote]Considered one of the \u003ca href=\"https://www.sfchronicle.com/eastbay/article/homeless-wood-street-oakland-17717303.php\">largest encampments in Northern California\u003c/a>, Wood Street grew over the course of a decade. Many residents said that, by at least 2019, city workers and police officers were directing them to Wood Street after they had been evicted from other encampments in the city.\u003c/p>\n\u003cp>“When we asked the cops who were telling us to move where we should go, they said, ‘On the other side of that fence,’ and pointed to the fence that separated where we were from the BNSF lands,” said Matthew Schatzinger, 45, who moved to the settlement in 2019.\u003c/p>\n\u003cp>In an interview that year with KPIX News, \u003ca href=\"https://www.youtube.com/watch?v=Kp_yDu2nqSA\">former Oakland Mayor Libby Schaaf defended the city’s actions\u003c/a>, saying, “We don’t have a permanent place for that encampment yet, so you will see us use interim measures because we don’t have enough beds.”\u003c/p>\n\u003cp>Although Wood Street residents such as Blalock were not removed from the site on Monday, the process will be ongoing during the next two weeks.\u003c/p>\n\u003cp>“Destroying this community, taking down the buildings in this community, is only going to change the scenery,” she said. “The people that are here. The community that’s here. The family that’s here. … That’s not going anywhere.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>With police officers standing by, city workers began on Monday what will be a two-week process of clearing residents and their belongings from the \u003ca href=\"http://www.woodstreetcommons.com/\">Wood Street Commons\u003c/a>, a longstanding community of unhoused people that, until September, was the city’s largest.\u003c/p>\n\u003cp>During a press conference held on-site the same morning, Wood Street residents and activists took turns speaking about the evictions taking place.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We’re trying. We’re doing the best we can. If we had resources, we’d be a whole lot better,” said LaMonte Ford, 48, a longtime resident and lead organizer at Wood Street. “We’re just like you. We’re normal people. I have two jobs. I cannot afford the rent. I’ve been here 10 years. You think I can pack it up in two bags?”\u003c/p>\n\u003cp>Around 60 people live in RVs and trailers at the site, located at \u003ca href=\"https://www.kqed.org/news/11945682/the-last-residents-of-oaklands-wood-street-encampment\">1707 Wood Street in West Oakland\u003c/a>. Residents have built the space into a resource hub, complete with a communal kitchen, outdoor meeting areas, a free store, space for food and clothing donations, storage facilities and other amenities.\u003c/p>\n\u003cfigure id=\"attachment_11946234\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946234 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023.jpg\" alt=\"A Black man looks through a chain link fence at police officers on the other side of it. The man has a crowd of people behind him as his fingers rest in between the fence coils.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/023_KQED_WoodStreetCommonsEviction_04102023-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Wood Street resident LaMonte Ford speaks to the police as the city of Oakland begins to evict the Wood Street encampment in Oakland on April 10, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Jean Walsh, spokesperson for the city, said the city is offering residents beds at a new “cabin community” site a few blocks away, as well as parking spaces at a recently opened RV lot in East Oakland and at shelters throughout the city.\u003c/p>\n\u003cp>As of Monday, Walsh said four residents had agreed to relocate to the new cabin site.\u003c/p>\n\u003cp>“We’re being cattle-rustled from one camp to another camp, and around and around we go,” Wood Street resident Mavin Carter-Griffin said at the press conference.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It’s like, ‘Move over, homeless. We’re going to stomp right through this and we’re going to stick you in some sheds,’” Carter-Griffin continued. “Sheds are so six years ago. There are many different types of unhoused people. We’re not the shed type. That wasn’t good for us. … That’s a prison cell.”\u003c/p>\n\u003cfigure id=\"attachment_11946232\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946232 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023.jpg\" alt=\"A Black police officer is shown standing behind a chain link fence as city workers behind him haul wood and other materials into large garbage trucks.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/031_KQED_WoodStreetCommonsEviction_04102023-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The city of Oakland works to clear items from the Wood Street encampment in Oakland on April 10, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The city has long planned to redevelop the formerly vacant lot into affordable housing. It \u003ca href=\"https://oakland.legistar.com/LegislationDetail.aspx?ID=745898&GUID=9A69A99B-2EA1-4B3E-BA84-C0DE1D47F9E0&Options=&Search=\">purchased the property, which is across from Raimondi Park, in 2007 for $8 million\u003c/a> as part of a larger redevelopment of the area that authorized around \u003ca href=\"https://oakland.legistar.com/LegislationDetail.aspx?ID=742328&GUID=6BB49C5D-30C9-4253-85B8-6E66E8499C3A&Options=&Search=\">1,500 new homes and apartments\u003c/a>.\u003c/p>\n\u003cp>But \u003ca href=\"https://oakland.legistar.com/LegislationDetail.aspx?ID=3759867&GUID=ECC644E3-BC09-4E5E-A98E-A04FCE3B7F11&Options=&Search=\">progress at the lot was delayed for more than a decade\u003c/a>, due in part to the 2008 foreclosure crisis and subsequent Great Recession, according to a city report. In 2018, the city selected a developer to build 170 affordable, for-sale and rental apartments at the site.\u003c/p>\n\u003cp>One housed neighbor, Mo, who declined to give his last name, said he’s lived in the area for 16 years and watched the community at the Commons grow from a few trailers into dozens.\u003c/p>\n\u003cp>“Everything has become more and more expensive out here. And, that’s why homeless people cannot afford to live in Oakland and that’s why they are here on the street,” Mo said. “They’ve been here for over ten years, and now they’ve been kicked out so people can build more high rises.”\u003c/p>\n\u003cp>Officials initially scheduled evictions for Jan. 9, so the developer could start assessing the kind of environmental remediation it needs to build housing there. But \u003ca href=\"https://www.kqed.org/news/11940107/judge-to-allow-evictions-at-long-running-oakland-homeless-encampment-residents-vow-to-fight\">residents successfully filed for a temporary restraining order\u003c/a> — citing the onslaught of historic storms and lack of adequate alternative housing as grounds to delay.\u003c/p>\n\u003cp>The city received two state grants last year, totaling \u003ca href=\"https://oakland.legistar.com/LegislationDetail.aspx?ID=5962116&GUID=B467C58E-50EB-4A4C-BE99-496372BE92B6&Options=ID%7CText%7C&Search=%22Wood+Street%22\">$8.3 million, to relocate residents to a new cabin community site\u003c/a> at 2601 Wood Street in Oakland, consisting of 70 “tuff shed” structures with space for 100 beds. But the site hadn’t yet opened when the city issued its eviction orders, and Federal District Judge William Orrick ordered the city to delay evictions until it had.\u003c/p>\n\u003cfigure id=\"attachment_11946238\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11946238 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023.jpg\" alt=\"A Black woman with a black headdress and T-shirt looks heartbroken as she stares downward. Two men, one Black and one white-presenting, are pictured behind her.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/002_KQED_WoodStreetCommonsEviction_04102023-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Wood Street residents John Janosko and Mona Choyce listen to an outreach worker talk about the tuff sheds in Oakland on April 10, 2023, while the city of Oakland begins to evict the encampment. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Give us some real options. Instead of putting us in the cycle of being housed — get us housed,” said Jessica “Freeway” Blalock, a Wood Street resident, who had a bad experience at a different “community cabin” site in Oakland. “With all of the vacant lots and all the vacant houses that are here, there’s no reason all of us couldn’t be housed — and then some.”\u003c/p>\n\u003cp>In a \u003ca href=\"https://drive.google.com/file/d/14G98PfutiSU4vCEEummva59RGH6XWeNK/view?usp=sharing\">Feb. 24 court filing\u003c/a>, Supervising Deputy City Attorney Jamilah Jefferson wrote that the city had opened the community cabin site and had RV parking spaces available. Orrick lifted the restraining order three days later.\u003c/p>\n\u003cp>On Monday, volunteers and advocates were on site to assist residents with moving. Kelly Thompson, 75, who is himself homeless in Oakland, sat in his truck.\u003c/p>\n\u003cp>“I’m waiting on somebody to say, ‘I need a tow,'” he said. “But where are they supposed to go? Where do they want to go? There’s no place to go.”\u003c/p>\n\u003cp>The Commons is the last remaining portion of the much larger Wood Street settlement, which, until last year, was home to around 300 people. It stretched for more than a mile under Interstate 880 on land owned by Caltrans, BNSF railway, private individuals and the city of Oakland. In September, \u003ca href=\"https://www.kqed.org/news/11925169/residents-activists-decry-evictions-at-oaklands-largest-homeless-encampment\">Caltrans evicted residents\u003c/a> from the land it owns, citing safety concerns, after a fire on July 11 sent plumes of black smoke onto the freeway above, stopping traffic.\u003c/p>\u003c/div>",
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"content": "‘The people that are here. The community that’s here. The family that’s here. … That’s not going anywhere.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Considered one of the \u003ca href=\"https://www.sfchronicle.com/eastbay/article/homeless-wood-street-oakland-17717303.php\">largest encampments in Northern California\u003c/a>, Wood Street grew over the course of a decade. Many residents said that, by at least 2019, city workers and police officers were directing them to Wood Street after they had been evicted from other encampments in the city.\u003c/p>\n\u003cp>“When we asked the cops who were telling us to move where we should go, they said, ‘On the other side of that fence,’ and pointed to the fence that separated where we were from the BNSF lands,” said Matthew Schatzinger, 45, who moved to the settlement in 2019.\u003c/p>\n\u003cp>In an interview that year with KPIX News, \u003ca href=\"https://www.youtube.com/watch?v=Kp_yDu2nqSA\">former Oakland Mayor Libby Schaaf defended the city’s actions\u003c/a>, saying, “We don’t have a permanent place for that encampment yet, so you will see us use interim measures because we don’t have enough beds.”\u003c/p>\n\u003cp>Although Wood Street residents such as Blalock were not removed from the site on Monday, the process will be ongoing during the next two weeks.\u003c/p>\n\u003cp>“Destroying this community, taking down the buildings in this community, is only going to change the scenery,” she said. “The people that are here. The community that’s here. The family that’s here. … That’s not going anywhere.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Nearly 320,000 Cambodians live in the US, and about 1/3 of the population lives in California. Many are survivors or descendants of those who fled the country during the Cambodian genocide in the 1970s. An estimated 2 million people died under the communist Khmer Rouge led by Pol Pot, leaving survivors with emotional, physical and psychological trauma.\u003c/p>\n\u003cp>Barriers like language access or cultural stigma often prevent survivors from accessing mental healthcare to address the trauma. But one program in Alameda County has spent the last 20 years providing culturally sensitive mental health care to the Cambodian community, letting survivors lead the way — and participants say it works.\u003c/p>\n\u003cp>\u003ca href=\"https://drive.google.com/file/d/1WBRmgheCQOOgi-uhill8LuedyrR3V91P/view?usp=share_link\">\u003cem>Episode transcript\u003c/em>\u003c/a>\u003c/p>\n\u003cp>\u003cb>Guest: \u003c/b>\u003ca href=\"https://www.kvpr.org/people/soreath-hok\">Soreath Hok\u003c/a>, \u003cspan style=\"font-weight: 400\">reporter for KVPR\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=KQINC7392064352\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Links:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003ca href=\"https://www.kvpr.org/health/2022-11-30/a-program-built-for-and-by-cambodian-refugees-suffering-from-ptsd-participants-say-it-works\">A program built by Cambodian refugees offers PTSD support. Participants say it works\u003c/a>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003ca href=\"https://www.kvpr.org/2022-11-29/cambodian-refugees-cope-with-war-trauma-by-reinforcing-culture-and-community\">Cambodian refugees cope with war trauma by reinforcing culture and community\u003c/a>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003ca href=\"https://www.kvpr.org/community/2022-11-28/from-cambodia-to-california-survivors-of-the-khmer-rouge-genocide-need-access-to-mental-healthcare\">From Cambodia to California: Survivors of the Khmer Rouge genocide need access to mental healthcare\u003c/a>\u003c/li>\n\u003c/ul>\n\n",
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"order": 10
},
"link": "/californiareportmagazine",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
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"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"order": 1
},
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"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
"site": "radio",
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"link": "/radio/program/code-switch-life-kit",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"apple": "https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2",
"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"meta": {
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"source": "kqed",
"order": 9
},
"link": "/forum",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
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"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/4s8b",
"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
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},
"fresh-air": {
"id": "fresh-air",
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"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"rss": "https://feeds.npr.org/510313/podcast.xml"
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
"meta": {
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"source": "kqed",
"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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"amazon": "https://music.amazon.com/podcasts/6c3dd23c-93fb-4aab-97ba-1725fa6315f1/hyphenaci%C3%B3n",
"rss": "https://feeds.megaphone.fm/KQINC2275451163"
}
},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Political Mind of Jerry Brown",
"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/xtTd",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
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"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
"meta": {
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"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
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