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"content": "\u003cp>As Thanksgiving fast approaches and the holiday season gets underway, California public health leaders are urging folks to bolster protections against a triple threat of respiratory viruses: RSV (respiratory syncytial virus), flu and COVID-19.\u003c/p>\n\u003cp>“In every category that we track — whether it’s test positivity, case rate numbers, wastewater surveillance, hospitalizations — we’re seeing increases for RSV, flu and COVID,” said Dr. Mark Ghaly, secretary of California Health and Human Services, during a news conference last week.\u003c/p>\n\u003cp>According to Ghaly, COVID transmission — both in test positivity and case rates — was up by 25% over the past one to two weeks.\u003c/p>\n\u003cp>This is further compounded by an alarming uptick in cases of flu and RSV, \u003ca href=\"https://www.kqed.org/science/1980524/bay-area-childrens-hospitals-strained-as-rsv-surge-arrives\">a respiratory virus that primarily affects infants and has been straining hospitals across the region\u003c/a>.\u003c/p>\n\u003cp>Another concerning statewide trend? The vaccine uptake for the bivalent booster is low. \u003ca href=\"https://covid19.ca.gov/vaccination-progress-data/#overview\">Only around 16% of eligible Californians have gotten a second booster.\u003c/a>\u003cspan style=\"font-weight: 400;\">[aside postID='news_11924327,news_11914514' label='Resources for staying safe this holiday season']\u003c/span>\u003c/p>\n\u003cp>“I think people are kind of tired of talking about getting boosted, and this is another reason why we need to talk about this,” said Dr. Kavita Trivedi, communicable disease controller for Alameda County’s public health department. “We know that these boosters are still really good at preventing severe disease and hospitalization.”\u003c/p>\n\u003cp>Along with rapid testing and the expansion of treatment options like Paxlovid, boosters can help lower the risk of gathering together, said Dr. Mychi Nguyen, chief medical officer at Asian Health Services, a community health provider with sites across Oakland.\u003c/p>\n\u003cp>“I would tell folks, ‘Have a plan,'” for gathering over the holidays, she said. “It’s very important to make one before, during and after.”\u003c/p>\n\u003cp>Nguyen talked with KQED’s Brian Watt about how to reduce the health risks of gathering this Thanksgiving — for yourself and your loved ones. Keep reading for the highlights of their conversation, which have been edited for length and clarity.\u003c/p>\n\u003cp>\u003cstrong>BRIAN WATT: Are you concerned hospitals and clinics will be overwhelmed in the coming weeks?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>DR. MYCHI NGUYEN:\u003c/strong> As we’re approaching the holiday season, we do expect respiratory viruses to increase as people gather with their loved ones and celebrate more.\u003c/p>\n\u003cp>We know that both flu and RSV are circulating earlier this year, with right now not a lot of folks getting boosters or their flu shots. And with the workforce shortage, we’re seeing that hospitals are getting overwhelmed with the number of cases.\u003cspan style=\"font-weight: 400;\">[pullquote size='medium' align='right' citation=\"Dr. Mychi Nguyen, chief medical officer, Asian Health Services\"]‘I would say ‘yes’ to celebrating — with some precautions.’[/pullquote]\u003c/span>\u003cstrong>Given all this, is it a good idea for folks to be getting together for Thanksgiving — in the way we’re used to doing that?\u003c/strong>\u003c/p>\n\u003cp>I would say “yes” to celebrating — with some precautions.\u003c/p>\n\u003cp>I would recommend that folks get tested the morning of, if you’re going to have a holiday dinner. And limit your interactions with folks the weeks and days coming up for the holidays. Something that you may consider is limiting your interactions in crowds.\u003c/p>\n\u003cp>We know that in California — in the Bay Area in particular — if you can have good weather, dine outdoors if possible. Or if it is indoors, have really good ventilation.\u003c/p>\n\u003cp>And even despite your best efforts, if someone does get ill or if you have symptoms, then make sure that you \u003ca href=\"https://www.kqed.org/news/11914514/if-you-get-covid-should-you-try-to-get-paxlovid-heres-how-with-or-without-health-insurance\">get tested right away and seek treatment\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Is COVID testing something you should factor into a plan?\u003c/strong>\u003c/p>\n\u003cp>Yes, you don’t want to be the dreaded spreader, especially to a vulnerable loved one. So I would recommend testing the day of or the morning of, if you’re going to gather later that day.\u003c/p>\n\u003cp>It will allow for folks who do test positive to know right away — even if you don’t have symptoms — to know to stay home, and probably join in via Zoom, or other ways. And if you’re \u003cem>having\u003c/em> symptoms, if you’re feeling ill, definitely stay home and don’t gather and find other ways to celebrate.\u003c/p>\n\u003cp>\u003cstrong>If you do get infected with COVID, tell us more about the treatment options.\u003c/strong>\u003c/p>\n\u003cp>As soon as you have symptoms, it is important to test right away, and \u003ca href=\"https://www.kqed.org/news/11914514/if-you-get-covid-should-you-try-to-get-paxlovid-heres-how-with-or-without-health-insurance\">if you are positive, it’s important to seek treatment\u003c/a>. Most adults and some children 12 years and above are eligible. And a lot of folks do not know that they’re eligible for treatment.\u003cspan style=\"font-weight: 400;\">[pullquote size='medium' align='right' citation=\"Dr. Mychi Nguyen, chief medical officer, Asian Health Services\"]‘You don’t want to be the dreaded spreader, especially to a vulnerable loved one. So I would recommend testing the day of or the morning of, if you’re going to gather later that day.’[/pullquote]\u003c/span>Treatment and the medications can prevent risk of hospitalizations and death up to 88%. You must act quickly for the effectiveness to take. It’s usually within the first five to seven days of symptom onset. Treatment is free.\u003c/p>\n\u003cp>\u003cstrong>How useful is it to get boosted right before the holidays? Are we talking about some immediate protection if someone goes and gets boosted right away?\u003c/strong>\u003c/p>\n\u003cp>Full immunity will occur in about two weeks. So really, as we’re approaching the holidays, \u003ca href=\"https://www.kqed.org/news/11924327/where-can-i-find-a-new-omicron-covid-booster-shot-near-me\">getting vaccinated as soon as possible is very important\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>You mentioned not a lot of folks have gotten their booster. Do you get this sense as well that there is vaccine fatigue?\u003c/strong>\u003c/p>\n\u003cp>There is a sense of vaccine fatigue that I’m seeing in the clinic. One of the things that I do [with patients] is exploring \u003cem>why\u003c/em>.\u003c/p>\n\u003cp>Some of the concerns are perhaps side effects. And so I would ask them what happened at their previous vaccination, and we would talk about making a plan if there’s some pain or a fever.\u003c/p>\n\u003cp>Usually those symptoms last for a couple days. We tell folks that getting COVID creates potentially more illness and [they] also [could] develop long COVID. And so the short-term benefits outweigh a lot of getting sick from COVID long-term.\u003c/p>\n\u003cp>\u003cstrong>Is it concerning that you’re still hearing some of this hesitation as we enter the third year of this pandemic?\u003c/strong>\u003c/p>\n\u003cp>It is concerning. One thing that we know is that COVID is still with us. It is something that we are learning to live with, and it is very different from before.\u003c/p>\n\u003cp>We are in a much better place with vaccines, with testing, with treatment and really getting that information out there. Those strategies should continue to be strategies that help to fight against COVID.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>How do you get the word out at this moment about the importance of getting the bivalent booster? What is this outreach looking like on the ground?\u003c/strong>\u003c/p>\n\u003cp>At Asian Health Services, we serve patients in English and 14 Asian languages. And we know that if folks do not have access in language, it is very, very difficult to even get testing, or vaccinations, or treatment or to learn how to prevent or take care of themselves if they do get sick. So we really provide that cultural competency, that language outreach in different ethnic media. We send patient newsletters. 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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003cstrong>Given all this, is it a good idea for folks to be getting together for Thanksgiving — in the way we’re used to doing that?\u003c/strong>\u003c/p>\n\u003cp>I would say “yes” to celebrating — with some precautions.\u003c/p>\n\u003cp>I would recommend that folks get tested the morning of, if you’re going to have a holiday dinner. And limit your interactions with folks the weeks and days coming up for the holidays. Something that you may consider is limiting your interactions in crowds.\u003c/p>\n\u003cp>We know that in California — in the Bay Area in particular — if you can have good weather, dine outdoors if possible. Or if it is indoors, have really good ventilation.\u003c/p>\n\u003cp>And even despite your best efforts, if someone does get ill or if you have symptoms, then make sure that you \u003ca href=\"https://www.kqed.org/news/11914514/if-you-get-covid-should-you-try-to-get-paxlovid-heres-how-with-or-without-health-insurance\">get tested right away and seek treatment\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Is COVID testing something you should factor into a plan?\u003c/strong>\u003c/p>\n\u003cp>Yes, you don’t want to be the dreaded spreader, especially to a vulnerable loved one. So I would recommend testing the day of or the morning of, if you’re going to gather later that day.\u003c/p>\n\u003cp>It will allow for folks who do test positive to know right away — even if you don’t have symptoms — to know to stay home, and probably join in via Zoom, or other ways. And if you’re \u003cem>having\u003c/em> symptoms, if you’re feeling ill, definitely stay home and don’t gather and find other ways to celebrate.\u003c/p>\n\u003cp>\u003cstrong>If you do get infected with COVID, tell us more about the treatment options.\u003c/strong>\u003c/p>\n\u003cp>As soon as you have symptoms, it is important to test right away, and \u003ca href=\"https://www.kqed.org/news/11914514/if-you-get-covid-should-you-try-to-get-paxlovid-heres-how-with-or-without-health-insurance\">if you are positive, it’s important to seek treatment\u003c/a>. Most adults and some children 12 years and above are eligible. And a lot of folks do not know that they’re eligible for treatment.\u003cspan style=\"font-weight: 400;\">\u003c/p>\u003c/div>",
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"content": "\u003cp>California’s nursing agency this week approved rules that will allow nurse practitioners to treat patients without physician supervision. It’s a move that aims to expand access to care in the Golden State at a time when workforce shortages plague just about every corner of health care.[pullquote size=\"medium\" align=\"right\" citation=\"Cynthia Jovanov, president, California Association for Nurse Practitioners\"]‘This means that if I want to do a mobile clinic in Skid Row, I don’t have to be held hostage by paperwork to get a partnering physician who may not have the same desire.’[/pullquote]\u003c/p>\n\u003cp>Monday’s vote is one of the last major steps necessary to fully implement a 2020 law that will allow nurse practitioners to practice more freely. Nurse practitioners, who have advanced degrees and training, currently must enter into a written agreement with a physician who oversees their work with patients.\u003c/p>\n\u003cp>Despite some earlier concerns about potential delays, nurse practitioners say they are now confident that applications to start the certification process will go live early in the new year as planned.\u003c/p>\n\u003cp>“Hopefully we don’t crash the website, but we are very excited,” said Cynthia Jovanov, president of the California Association for Nurse Practitioners. “This means that if I want to do a mobile clinic in Skid Row, I don’t have to be held hostage by paperwork to get a partnering physician who may not have the same desire.”\u003c/p>\n\u003cp>Nurse practitioners are a cost-effective way of bringing more primary care providers to communities that need them, particularly in rural areas, said Glenn Melnick, a health economist at the University of Southern California.\u003c/p>\n\u003cp>“And that can benefit the consumer as long as the quality of care is acceptable,” he said.\u003c/p>\n\u003cp>Nurse practitioners in California have been fighting to break free of physician oversight for years. The biggest pushback came from physicians. During legislative debate, the California Medical Association said nurse practitioners have less training than physicians, so allowing them to practice independently could lessen the quality of care and even pose a risk to patients.\u003c/p>\n\u003ch2>Law is not ‘carte blanche’\u003c/h2>\n\u003cp>In 2020, Gov. Gavin Newsom signed into law \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200AB890\">Assembly Bill 890\u003c/a>, which was authored by Assemblymember Jim Wood, a Santa Rosa Democrat. For it to go into full effect, the Board of Registered Nursing had to first iron out details, including how nurse practitioners would transition into their more independent role and what type of additional training or testing, if any, would be needed to obtain certification.\u003c/p>\n\u003cp>The law essentially created two new categories of nurse practitioner. Starting in January, nurse practitioners who have completed 4,600 hours or three years of full-time clinical practice in California can apply for the first category. This first step will allow them to work without contractual physician supervision, but only in certain facilities where at least one doctor or surgeon also practices. The idea is that nurse practitioners would still be able to consult a doctor when needed.\u003c/p>\n\u003cp>“So that does not give them (nurse practitioners) the carte blanche that I think some people were fearful of,” said Loretta Melby, executive officer of the state’s Board of Registered Nursing, during Monday’s meeting. “And then, when they are there for three years in that group setting with a physician or surgeon, only then can they advance to [the second category].”\u003c/p>\n\u003cp>This second designation will allow nurse practitioners full practice authority, without any setting restrictions. And in theory, nurse practitioners would be able to open their own medical practice. Given the phased-in approach, eligible nurse practitioners will likely obtain full independence around January of 2026.\u003c/p>\n\u003cp>\u003ca href=\"https://www.chcf.org/wp-content/uploads/2021/11/TransitionPracticeNPsLessonsOtherStates.pdf\">California’s requirements for nurse practitioners to transition into full independence will be among the most robust in the country (PDF)\u003c/a>, according to one analysis by the California Health Care Foundation.\u003c/p>\n\u003cp>Nurse practitioners can perform physical exams, order lab tests, diagnose ailments and prescribe medication, but in California this has had to be under the oversight of a doctor. Of the 31,000 nurse practitioners in California, an estimated 20,000 will be eligible to apply for expanded authority in 2023, according to the California Association of Nurse Practitioners.\u003c/p>\n\u003cp>Kenny Chen, a family nurse practitioner in South Central Los Angeles, exemplifies the type of clinicians researchers say California needs more of: He is interested in primary care; he speaks multiple languages, including Spanish and his native Mandarin; and he enjoys working with underserved populations.\u003c/p>\n\u003cp>Chen said that while he doesn’t expect major changes to his current role at Martin Luther King, Jr. Outpatient Center, the new law would allow his clinic to hire more nurse practitioners without having to meet physician-to-nurse practitioner ratios. “It can be very difficult to recruit physicians to come work in South Central LA,” Chen said.\u003c/p>\n\u003cp>Giving nurse practitioners more authority, he said, can also attract more of them to California. \u003ca href=\"https://nursejournal.org/nurse-practitioner/np-practice-authority-by-state/\">All other Western states\u003c/a>, for example, already allow nurse practitioners greater independence. California’s restrictions could be a deterrence, he said.\u003c/p>\n\u003cp>Ahead of Monday’s vote, the \u003ca href=\"https://www.rn.ca.gov/pdfs/meetings/brd/brd_nov22_item6-1-2.pdf\">California Medical Association sent a letter to the Board of Registered Nursing (PDF)\u003c/a> stating that the nursing board’s rules for nurse practitioners to transition into their independent roles lacked clarity and didn’t provide any more meaningful guidance than what was already stated in the text of the law.\u003c/p>\n\u003cp>Melby, the nursing board’s executive officer, said she has also heard concerns that the law would expand the scope of services that nurse practitioners can provide, but clarified that the law doesn’t actually change the type of work nurse practitioners will be doing.\u003c/p>\n\u003cp>“What was updated was the supervision requirement,” Melby said. “And so it’s not like the nurse practitioner is now going to have the freedom to go out and perform surgery. That has never been a nurse practitioner scope of practice.”\u003c/p>\n\u003ch2>New rules may increase health care access\u003c/h2>\n\u003cp>According to workforce researchers, allowing nurse practitioners more flexibility is a small but \u003ca href=\"https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2018.0435\">key piece of the puzzle in alleviating California’s provider shortage\u003c/a>.\u003c/p>\n\u003cp>Even prior to the pandemic, California was experiencing a \u003ca href=\"https://calmatters.org/projects/californias-worsening-physician-shortage-doctors/\">shortage of medical providers\u003c/a>. A 2019 report by a commission of health care experts estimated that by 2030, the state would need an additional \u003ca href=\"https://futurehealthworkforce.org/wp-content/uploads/2019/02/ExecutiveSummaryFinalReportCFHWC.pdf\">4,100 primary care clinicians (PDF)\u003c/a>. About 7 million Californians already live in provider shortage areas with a need for primary, mental and dental care, according to the report.\u003c/p>\n\u003cp>Rural counties tend to have the greatest shortages; in counties like Glenn, Trinity, San Benito and Imperial, \u003ca href=\"https://letsgethealthy.ca.gov/goals/redesigning-the-health-system/increasing-access-to-healthcare-providers/\">more than 80% of people live without sufficient access to care\u003c/a>. And when patients do find care, they often rely on nurse practitioners. Some studies have shown that although physicians still make up the biggest proportion of primary care providers in rural areas, \u003ca href=\"https://www.healthaffairs.org/doi/10.1377/hlthaff.2017.1158\">nurse practitioners are choosing to work in rural settings at a faster rate\u003c/a>.\u003c/p>\n\u003cp>Alexa Curtis, a family and psychiatric mental health nurse practitioner at a substance use disorder facility in Nevada County, said the need in rural communities has driven most of her career. Curtis, who is also an associate dean at the School of Nursing and Health Professions at the University of San Francisco, plans to develop a rural street medicine program with a focus on unhoused people with mental health needs and substance use disorders.\u003c/p>\n\u003cp>Once she is granted greater authority, “I will be able to pursue that goal without the barrier and expense of needing to secure a physician supervisor,” she said.\u003c/p>\n\u003cp>But working with other types of providers, including physicians, will always be part of her practice. “It is how we are trained and how we function as nurse practitioners,” she said.\u003c/p>\n\u003cp>Earlier this year, Newsom also signed into law \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB1375\">Senate Bill 1375\u003c/a>, which authorizes nurse practitioners to provide reproductive care and first-trimester abortions without doctor supervision.\u003c/p>\n\u003cp>These two wins were huge for nurse practitioners, said Jovanov, the president of the nurse practitioner lobby. “I can tell you that this will lead to many more bills for regulations that need to change,” she said. “We’re on this momentum and that is really exciting.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "The new rules will improve access to health care in many communities where it is lacking, supporters say. Some physicians are concerned the rules will expand the scope of services nurse practitioners provide.",
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"description": "The new rules will improve access to health care in many communities where it is lacking, supporters say. Some physicians are concerned the rules will expand the scope of services nurse practitioners provide.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California’s nursing agency this week approved rules that will allow nurse practitioners to treat patients without physician supervision. It’s a move that aims to expand access to care in the Golden State at a time when workforce shortages plague just about every corner of health care.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Monday’s vote is one of the last major steps necessary to fully implement a 2020 law that will allow nurse practitioners to practice more freely. Nurse practitioners, who have advanced degrees and training, currently must enter into a written agreement with a physician who oversees their work with patients.\u003c/p>\n\u003cp>Despite some earlier concerns about potential delays, nurse practitioners say they are now confident that applications to start the certification process will go live early in the new year as planned.\u003c/p>\n\u003cp>“Hopefully we don’t crash the website, but we are very excited,” said Cynthia Jovanov, president of the California Association for Nurse Practitioners. “This means that if I want to do a mobile clinic in Skid Row, I don’t have to be held hostage by paperwork to get a partnering physician who may not have the same desire.”\u003c/p>\n\u003cp>Nurse practitioners are a cost-effective way of bringing more primary care providers to communities that need them, particularly in rural areas, said Glenn Melnick, a health economist at the University of Southern California.\u003c/p>\n\u003cp>“And that can benefit the consumer as long as the quality of care is acceptable,” he said.\u003c/p>\n\u003cp>Nurse practitioners in California have been fighting to break free of physician oversight for years. The biggest pushback came from physicians. During legislative debate, the California Medical Association said nurse practitioners have less training than physicians, so allowing them to practice independently could lessen the quality of care and even pose a risk to patients.\u003c/p>\n\u003ch2>Law is not ‘carte blanche’\u003c/h2>\n\u003cp>In 2020, Gov. Gavin Newsom signed into law \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200AB890\">Assembly Bill 890\u003c/a>, which was authored by Assemblymember Jim Wood, a Santa Rosa Democrat. For it to go into full effect, the Board of Registered Nursing had to first iron out details, including how nurse practitioners would transition into their more independent role and what type of additional training or testing, if any, would be needed to obtain certification.\u003c/p>\n\u003cp>The law essentially created two new categories of nurse practitioner. Starting in January, nurse practitioners who have completed 4,600 hours or three years of full-time clinical practice in California can apply for the first category. This first step will allow them to work without contractual physician supervision, but only in certain facilities where at least one doctor or surgeon also practices. The idea is that nurse practitioners would still be able to consult a doctor when needed.\u003c/p>\n\u003cp>“So that does not give them (nurse practitioners) the carte blanche that I think some people were fearful of,” said Loretta Melby, executive officer of the state’s Board of Registered Nursing, during Monday’s meeting. “And then, when they are there for three years in that group setting with a physician or surgeon, only then can they advance to [the second category].”\u003c/p>\n\u003cp>This second designation will allow nurse practitioners full practice authority, without any setting restrictions. And in theory, nurse practitioners would be able to open their own medical practice. Given the phased-in approach, eligible nurse practitioners will likely obtain full independence around January of 2026.\u003c/p>\n\u003cp>\u003ca href=\"https://www.chcf.org/wp-content/uploads/2021/11/TransitionPracticeNPsLessonsOtherStates.pdf\">California’s requirements for nurse practitioners to transition into full independence will be among the most robust in the country (PDF)\u003c/a>, according to one analysis by the California Health Care Foundation.\u003c/p>\n\u003cp>Nurse practitioners can perform physical exams, order lab tests, diagnose ailments and prescribe medication, but in California this has had to be under the oversight of a doctor. Of the 31,000 nurse practitioners in California, an estimated 20,000 will be eligible to apply for expanded authority in 2023, according to the California Association of Nurse Practitioners.\u003c/p>\n\u003cp>Kenny Chen, a family nurse practitioner in South Central Los Angeles, exemplifies the type of clinicians researchers say California needs more of: He is interested in primary care; he speaks multiple languages, including Spanish and his native Mandarin; and he enjoys working with underserved populations.\u003c/p>\n\u003cp>Chen said that while he doesn’t expect major changes to his current role at Martin Luther King, Jr. Outpatient Center, the new law would allow his clinic to hire more nurse practitioners without having to meet physician-to-nurse practitioner ratios. “It can be very difficult to recruit physicians to come work in South Central LA,” Chen said.\u003c/p>\n\u003cp>Giving nurse practitioners more authority, he said, can also attract more of them to California. \u003ca href=\"https://nursejournal.org/nurse-practitioner/np-practice-authority-by-state/\">All other Western states\u003c/a>, for example, already allow nurse practitioners greater independence. California’s restrictions could be a deterrence, he said.\u003c/p>\n\u003cp>Ahead of Monday’s vote, the \u003ca href=\"https://www.rn.ca.gov/pdfs/meetings/brd/brd_nov22_item6-1-2.pdf\">California Medical Association sent a letter to the Board of Registered Nursing (PDF)\u003c/a> stating that the nursing board’s rules for nurse practitioners to transition into their independent roles lacked clarity and didn’t provide any more meaningful guidance than what was already stated in the text of the law.\u003c/p>\n\u003cp>Melby, the nursing board’s executive officer, said she has also heard concerns that the law would expand the scope of services that nurse practitioners can provide, but clarified that the law doesn’t actually change the type of work nurse practitioners will be doing.\u003c/p>\n\u003cp>“What was updated was the supervision requirement,” Melby said. “And so it’s not like the nurse practitioner is now going to have the freedom to go out and perform surgery. That has never been a nurse practitioner scope of practice.”\u003c/p>\n\u003ch2>New rules may increase health care access\u003c/h2>\n\u003cp>According to workforce researchers, allowing nurse practitioners more flexibility is a small but \u003ca href=\"https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2018.0435\">key piece of the puzzle in alleviating California’s provider shortage\u003c/a>.\u003c/p>\n\u003cp>Even prior to the pandemic, California was experiencing a \u003ca href=\"https://calmatters.org/projects/californias-worsening-physician-shortage-doctors/\">shortage of medical providers\u003c/a>. A 2019 report by a commission of health care experts estimated that by 2030, the state would need an additional \u003ca href=\"https://futurehealthworkforce.org/wp-content/uploads/2019/02/ExecutiveSummaryFinalReportCFHWC.pdf\">4,100 primary care clinicians (PDF)\u003c/a>. About 7 million Californians already live in provider shortage areas with a need for primary, mental and dental care, according to the report.\u003c/p>\n\u003cp>Rural counties tend to have the greatest shortages; in counties like Glenn, Trinity, San Benito and Imperial, \u003ca href=\"https://letsgethealthy.ca.gov/goals/redesigning-the-health-system/increasing-access-to-healthcare-providers/\">more than 80% of people live without sufficient access to care\u003c/a>. And when patients do find care, they often rely on nurse practitioners. Some studies have shown that although physicians still make up the biggest proportion of primary care providers in rural areas, \u003ca href=\"https://www.healthaffairs.org/doi/10.1377/hlthaff.2017.1158\">nurse practitioners are choosing to work in rural settings at a faster rate\u003c/a>.\u003c/p>\n\u003cp>Alexa Curtis, a family and psychiatric mental health nurse practitioner at a substance use disorder facility in Nevada County, said the need in rural communities has driven most of her career. Curtis, who is also an associate dean at the School of Nursing and Health Professions at the University of San Francisco, plans to develop a rural street medicine program with a focus on unhoused people with mental health needs and substance use disorders.\u003c/p>\n\u003cp>Once she is granted greater authority, “I will be able to pursue that goal without the barrier and expense of needing to secure a physician supervisor,” she said.\u003c/p>\n\u003cp>But working with other types of providers, including physicians, will always be part of her practice. “It is how we are trained and how we function as nurse practitioners,” she said.\u003c/p>\n\u003cp>Earlier this year, Newsom also signed into law \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB1375\">Senate Bill 1375\u003c/a>, which authorizes nurse practitioners to provide reproductive care and first-trimester abortions without doctor supervision.\u003c/p>\n\u003cp>These two wins were huge for nurse practitioners, said Jovanov, the president of the nurse practitioner lobby. “I can tell you that this will lead to many more bills for regulations that need to change,” she said. “We’re on this momentum and that is really exciting.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "why-black-americans-are-more-likely-to-be-saddled-with-medical-debt",
"title": "Why Black Americans Are More Likely to Be Saddled With Medical Debt",
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"headTitle": "Why Black Americans Are More Likely to Be Saddled With Medical Debt | KQED",
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"content": "\u003cp>When Dr. H.M. Green opened his new medical office building on East Vine Avenue in 1922, Black Knoxville residents could be seen only in the basement of Knoxville General Hospital. They were barred from the city’s other three medical centers.\u003c/p>\n\u003cp>Green, one of America’s leading Black physicians, spent his life working to end health inequities like this. He installed an X-ray machine, an operating room, and a private infirmary in his building to serve Black patients. On the first floor was a pharmacy.\u003c/p>\n\u003cp>[pullquote size=\"large\" align=\"right\" citation=\"Berneta Haynes, staff attorney, National Consumer Law Center\"]‘This legacy of segregation and structural racism underlies the racial health gap. It impacts health outcomes and access. And it impacts the level of medical debt.’[/pullquote]\u003c/p>\n\u003cp>Today the Green Medical Arts Building has been replaced by a tangle of freeways that were built after the city’s Black business district was bulldozed in a midcentury urban renewal project.\u003c/p>\n\u003cp>But the health gaps Green labored to narrow still divide this community. And if segregation is less apparent in medical offices today, its legacy lives on in crushing medical debt that disproportionately burdens this city’s Black community.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In and around Knoxville, residents of predominantly Black neighborhoods are more than twice as likely as those in largely white neighborhoods to owe money for medical bills, Urban Institute \u003ca href=\"https://apps.urban.org/features/debt-interactive-map/?type=medical&variable=medcoll&state=47&county=47093\" target=\"_blank\" rel=\"noopener noreferrer\">credit bureau data\u003c/a> shows — it’s one of the widest racial disparities in the country.\u003c/p>\n\u003cp>That tracks with a disturbing national trend. Health care debt in the U.S. now affects more than 100 million people, \u003ca href=\"https://khn.org/news/tag/diagnosis-debt/\" target=\"_blank\" rel=\"noopener noreferrer\">a KHN-NPR investigation\u003c/a> found. But the toll has been especially high on Black communities: 56% of Black adults owe money for a medical or dental bill, compared with 37% of white adults, according to \u003ca href=\"https://www.kff.org/health-costs/report/kff-health-care-debt-survey/\" target=\"_blank\" rel=\"noopener noreferrer\">a nationwide KFF poll\u003c/a> conducted for this project.\u003c/p>\n\u003cp>The explanation for that startling disparity is deeply rooted. Decades of discrimination in housing, employment, and health care blocked generations of Black families from building wealth — savings and assets that are increasingly critical to accessing America’s high-priced medical system.\u003c/p>\n\u003cp>Against that backdrop, patients suffer. People with debt avoid seeking care and become sicker with treatable chronic conditions like diabetes or multiple sclerosis. Worse still, hospitals and doctors sometimes won’t see patients with medical debt — even those in the middle of treatment.\u003c/p>\n\u003cp>“African Americans don’t seek health care until we are really, really sick, and then it costs more,” said Tabace Burns, a former emergency room nurse in Knoxville. Burns, who is also a leader in her church, said she routinely helps members of her congregation find medical care they should have sought earlier.\u003c/p>\n\u003cp>Nationwide, Black adults who have had health care debt are twice as likely as white adults with such debt to say they’ve been denied care because they owe money, the KFF poll found. Many Black Americans also ration their care out of fear of cost.\u003c/p>\n\u003cp>Burns recalled a friend who came to see her about an oozing growth on her breast. “She didn’t have any insurance, so she just thought it would get better,” Burns said.[aside tag=\"debt\" label=\"More Debt-Related Stories\"]\u003c/p>\n\u003cp>Burns helped the woman find an oncologist to treat what turned out to be cancer. There was a cost to waiting so long, though. Because the cancer was so advanced, the friend had to undergo chemotherapy and have both breasts removed.\u003c/p>\n\u003cp>It could have been worse. “What if she didn’t know me? What if she just continued to let her breast leak and it was necrotic?” Burns said. But, she added, if her friend hadn’t been so worried about going into debt, she would have gone to the doctor sooner.\u003c/p>\n\u003cp>It’s a terrible cycle, said Berneta Haynes, a staff attorney at the National Consumer Law Center. “This legacy of segregation and structural racism underlies the racial health gap,” she said. “It impacts health outcomes and access. And it impacts the level of medical debt.”\u003c/p>\n\u003ch3>In ‘The Bottom’\u003c/h3>\n\u003cp>The story of how Knoxville’s Black residents came to be its primary victims of medical debt is written in the city’s changing landscape.\u003c/p>\n\u003cp>Just outside downtown, below refurbished office buildings and former warehouses, is an area once called The Bottom, long the heart of the Black community.\u003c/p>\n\u003cp>This area persevered through decades of Jim Crow segregation and violence. In one of the worst episodes, mobs of white rioters in 1919 vandalized Black-owned stores and shot residents after a young Black man was accused of killing a white woman.\u003c/p>\n\u003cp>It was here that Black physicians like Green opened medical offices alongside grocers, pool halls, and funeral homes. Knoxville’s first Black millionaire, a former enslaved man who’d made a fortune in horse racing and saloons, built a YMCA. Billie Holiday and Cab Calloway performed at the Gem Theatre.\u003c/p>\n\u003cp>Beginning in the late 1950s, the city systematically wiped out The Bottom and surrounding neighborhoods in an urban renewal and highway-building campaign. Officials razed more than 500 homes, 15 churches, and more than 100 Black-owned businesses, including Green’s medical building.\u003c/p>\n\u003cp>More than 2,500 families were displaced. Many ended up in public housing projects. Others left Knoxville. Businesses never reopened. “It changed the whole landscape,” said the Rev. Reneé Kesler, director of the Beck Cultural Exchange Center, a nonprofit that preserves Knoxville’s Black history. “You’ll have generations that won’t recover from that.”\u003c/p>\n\u003cp>What urban renewal left behind in East Knoxville was a neighborhood that’s the poorest in the city — and has the largest share of Black residents.\u003c/p>\n\u003cp>A tiny fraction of residents are homeowners. Blocks are blighted by boarded-up buildings and overgrown lots. Down the street from Knoxville’s oldest Black cemetery, a Dollar General recently closed — one of the few stores around that sold groceries.\u003c/p>\n\u003cp>The neighborhood’s residents are sicker than those elsewhere in Knoxville, with higher levels of diabetes and other chronic illnesses. They are less likely to have health insurance.\u003c/p>\n\u003cp>They also have much more medical debt.\u003c/p>\n\u003cp>More than 30% of the people have a medical bill on their credit record, according to credit bureau data collected \u003ca href=\"https://www.urban.org/urban-wire/communities-color-disproportionally-suffer-medical-debt\">by the nonprofit Urban Institute\u003c/a>. A few miles west in Knoxville’s overwhelmingly white suburbs, fewer than 10% carry such debt.\u003c/p>\n\u003cp>It’s not difficult to understand the difference, said Eboni Winford, a clinical psychologist at Cherokee Health Systems, a network of clinics that serve low-income patients. “Black people are less likely to have generational wealth to pass on, which means we don’t have the pockets of money that we can just use if medical bills arise.”\u003c/p>\n\u003cp>Nationally, the median white family now has about $184,000 in assets such as homes, savings, and retirement accounts, according to an \u003ca href=\"https://www.stlouisfed.org/on-the-economy/2021/january/wealth-gaps-white-black-hispanic-families-2019\" target=\"_blank\" rel=\"noopener noreferrer\">analysis by the Federal Reserve Bank\u003c/a> of St. Louis. The assets of the median Black family total just $23,000.\u003c/p>\n\u003cp>“What happened is we concentrated Black poverty,” said Gwen McKenzie, a Knoxville City Council member who grew up not far from The Bottom. “From there, that’s where it became generational.”\u003c/p>\n\u003ch3>‘Always a sacrifice’\u003c/h3>\n\u003cp>Monica Reed lives just up the hill from where The Bottom once was.\u003c/p>\n\u003cp>She considers herself luckier than most. Born in Knoxville and raised by a single mother, Reed became the first in her family to own a home, a small house built after the city demolished The Bottom. For the past 15 years, she’s worked for a faith-based nonprofit that assists low-income residents of Knoxville.\u003c/p>\n\u003cp>“It hasn’t always been easy,” said Reed, who just turned 60. She raised her son by herself. And though she’s always worked, her modest salary made saving difficult. “I just tried to live a frugal kind of life,” she said. “And by the grace of God, I didn’t become homeless.”\u003c/p>\n\u003cp>She couldn’t escape medical debt, though. Diagnosed with cancer five years ago, Reed underwent surgery and chemotherapy. Although she had health insurance through work, she was left with close to $10,000 in medical bills she couldn’t pay.\u003c/p>\n\u003cp>She’s been pursued by debt collectors and even taken to court. That’s forced Reed to make difficult choices. “There’s always a sacrifice,” she said. “You just do without some things to pay other things.”\u003c/p>\n\u003cp>Reed said she cut back on trips to the grocery store: “I don’t buy a lot of food. Just plain and simple.”\u003c/p>\n\u003cp>She has adjusted, she said. “You just do what you have to do.” What angers Reed, though, is how she’s been treated by the cancer center where she goes for periodic checkups to make sure the cancer remains in remission. When she recently tried to make an appointment, a financial counselor told her she couldn’t schedule it until she made a plan to pay her bills.\u003c/p>\n\u003cp>“I was so upset, I didn’t even find out how much I owed,” Reed said. “I mean, I wasn’t calling about a little toothache. This is something that affects someone’s life.”\u003c/p>\n\u003ch3>Locking in disparities\u003c/h3>\n\u003cp>Health insurance gains made possible by the Affordable Care Act have narrowed some racial health disparities, studies show.\u003c/p>\n\u003cp>The expansion of Medicaid, in particular, has brought new financial security to millions of low-income Americans. In a \u003ca href=\"https://cdn.theatlantic.com/assets/media/files/bgh_draft_2018.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">recent analysis\u003c/a> of credit bureau and census data, researchers estimated that Medicaid expansion helped enrollees avoid more than $1,200 in medical debt.\u003c/p>\n\u003cp>But many of those gains have remained out of reach in Knoxville. Tennessee is among 12 states that have rejected federal funding to expand the Medicaid safety net through the 2010 health care law.\u003c/p>\n\u003cp>Eight of the 12 are Southern states with large Black populations. The decision not to expand has disproportionately affected communities like East Knoxville that are already contending with deep racial disparities in health and wealth.\u003c/p>\n\u003cp>Of the roughly 2.2 million people locked out of health coverage because these states rejected Medicaid expansion, nearly 60% are people of color, according to \u003ca href=\"https://www.kff.org/policy-watch/taking-a-closer-look-at-characteristics-of-people-in-the-coverage-gap/\" target=\"_blank\" rel=\"noopener noreferrer\">a KFF analysis\u003c/a>. About a quarter are Black.\u003c/p>\n\u003cp>Locked out of health insurance, many just try to hang on until they become eligible for Medicare, said Cynthia Finch, an advocate in Knoxville who has worked to improve health in the city’s Black community. “People pray they don’t get sick before they are 65,” she said.\u003c/p>\n\u003cp>If Black patients go into debt, they face yet another challenge: a medical debt collections industry that\u003ca href=\"https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3465203\" target=\"_blank\" rel=\"noopener noreferrer\"> targets Black debtors\u003c/a> more aggressively than their white counterparts, particularly for smaller debts.\u003c/p>\n\u003cp>About 6 in 10 Black adults with medical debts under $2,500 say they or someone in their household has been contacted by a collection agency in the past five years, the KFF poll found. By contrast, only about 4 in 10 white adults with similar debt said the same.\u003c/p>\n\u003cp>At the courthouse in downtown Knoxville, the dockets are filled with debt collection lawsuits filed by some of the region’s largest hospitals: Fort Sanders Regional Medical Center, East Tennessee Children’s Hospital, and Parkwest Medical Center.\u003c/p>\n\u003cp>That discourages many Black patients from seeking care even if they need it, said Cherokee Health’s Derrick Folsom, who helps patients enroll in health insurance. “Somebody knows somebody who’s getting sued for medical bills,” Folsom said. “So they stay away from medical centers.”\u003c/p>\n\u003cp>Reflecting on her experience with medical debt, Reed said she tries to stay upbeat. “I don’t sweat the small stuff,” she said. “What am I going to do against this hospital?”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>But, she said, she has realized one thing about the nation’s health care system: “It’s not designed for poor people.”\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Why+Black+Americans+are+more+likely+to+be+saddled+with+medical+debt&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Dr. H.M. Green opened his new medical office building on East Vine Avenue in 1922, Black Knoxville residents could be seen only in the basement of Knoxville General Hospital. They were barred from the city’s other three medical centers.\u003c/p>\n\u003cp>Green, one of America’s leading Black physicians, spent his life working to end health inequities like this. He installed an X-ray machine, an operating room, and a private infirmary in his building to serve Black patients. On the first floor was a pharmacy.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Today the Green Medical Arts Building has been replaced by a tangle of freeways that were built after the city’s Black business district was bulldozed in a midcentury urban renewal project.\u003c/p>\n\u003cp>But the health gaps Green labored to narrow still divide this community. And if segregation is less apparent in medical offices today, its legacy lives on in crushing medical debt that disproportionately burdens this city’s Black community.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In and around Knoxville, residents of predominantly Black neighborhoods are more than twice as likely as those in largely white neighborhoods to owe money for medical bills, Urban Institute \u003ca href=\"https://apps.urban.org/features/debt-interactive-map/?type=medical&variable=medcoll&state=47&county=47093\" target=\"_blank\" rel=\"noopener noreferrer\">credit bureau data\u003c/a> shows — it’s one of the widest racial disparities in the country.\u003c/p>\n\u003cp>That tracks with a disturbing national trend. Health care debt in the U.S. now affects more than 100 million people, \u003ca href=\"https://khn.org/news/tag/diagnosis-debt/\" target=\"_blank\" rel=\"noopener noreferrer\">a KHN-NPR investigation\u003c/a> found. But the toll has been especially high on Black communities: 56% of Black adults owe money for a medical or dental bill, compared with 37% of white adults, according to \u003ca href=\"https://www.kff.org/health-costs/report/kff-health-care-debt-survey/\" target=\"_blank\" rel=\"noopener noreferrer\">a nationwide KFF poll\u003c/a> conducted for this project.\u003c/p>\n\u003cp>The explanation for that startling disparity is deeply rooted. Decades of discrimination in housing, employment, and health care blocked generations of Black families from building wealth — savings and assets that are increasingly critical to accessing America’s high-priced medical system.\u003c/p>\n\u003cp>Against that backdrop, patients suffer. People with debt avoid seeking care and become sicker with treatable chronic conditions like diabetes or multiple sclerosis. Worse still, hospitals and doctors sometimes won’t see patients with medical debt — even those in the middle of treatment.\u003c/p>\n\u003cp>“African Americans don’t seek health care until we are really, really sick, and then it costs more,” said Tabace Burns, a former emergency room nurse in Knoxville. Burns, who is also a leader in her church, said she routinely helps members of her congregation find medical care they should have sought earlier.\u003c/p>\n\u003cp>Nationwide, Black adults who have had health care debt are twice as likely as white adults with such debt to say they’ve been denied care because they owe money, the KFF poll found. Many Black Americans also ration their care out of fear of cost.\u003c/p>\n\u003cp>Burns recalled a friend who came to see her about an oozing growth on her breast. “She didn’t have any insurance, so she just thought it would get better,” Burns said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Burns helped the woman find an oncologist to treat what turned out to be cancer. There was a cost to waiting so long, though. Because the cancer was so advanced, the friend had to undergo chemotherapy and have both breasts removed.\u003c/p>\n\u003cp>It could have been worse. “What if she didn’t know me? What if she just continued to let her breast leak and it was necrotic?” Burns said. But, she added, if her friend hadn’t been so worried about going into debt, she would have gone to the doctor sooner.\u003c/p>\n\u003cp>It’s a terrible cycle, said Berneta Haynes, a staff attorney at the National Consumer Law Center. “This legacy of segregation and structural racism underlies the racial health gap,” she said. “It impacts health outcomes and access. And it impacts the level of medical debt.”\u003c/p>\n\u003ch3>In ‘The Bottom’\u003c/h3>\n\u003cp>The story of how Knoxville’s Black residents came to be its primary victims of medical debt is written in the city’s changing landscape.\u003c/p>\n\u003cp>Just outside downtown, below refurbished office buildings and former warehouses, is an area once called The Bottom, long the heart of the Black community.\u003c/p>\n\u003cp>This area persevered through decades of Jim Crow segregation and violence. In one of the worst episodes, mobs of white rioters in 1919 vandalized Black-owned stores and shot residents after a young Black man was accused of killing a white woman.\u003c/p>\n\u003cp>It was here that Black physicians like Green opened medical offices alongside grocers, pool halls, and funeral homes. Knoxville’s first Black millionaire, a former enslaved man who’d made a fortune in horse racing and saloons, built a YMCA. Billie Holiday and Cab Calloway performed at the Gem Theatre.\u003c/p>\n\u003cp>Beginning in the late 1950s, the city systematically wiped out The Bottom and surrounding neighborhoods in an urban renewal and highway-building campaign. Officials razed more than 500 homes, 15 churches, and more than 100 Black-owned businesses, including Green’s medical building.\u003c/p>\n\u003cp>More than 2,500 families were displaced. Many ended up in public housing projects. Others left Knoxville. Businesses never reopened. “It changed the whole landscape,” said the Rev. Reneé Kesler, director of the Beck Cultural Exchange Center, a nonprofit that preserves Knoxville’s Black history. “You’ll have generations that won’t recover from that.”\u003c/p>\n\u003cp>What urban renewal left behind in East Knoxville was a neighborhood that’s the poorest in the city — and has the largest share of Black residents.\u003c/p>\n\u003cp>A tiny fraction of residents are homeowners. Blocks are blighted by boarded-up buildings and overgrown lots. Down the street from Knoxville’s oldest Black cemetery, a Dollar General recently closed — one of the few stores around that sold groceries.\u003c/p>\n\u003cp>The neighborhood’s residents are sicker than those elsewhere in Knoxville, with higher levels of diabetes and other chronic illnesses. They are less likely to have health insurance.\u003c/p>\n\u003cp>They also have much more medical debt.\u003c/p>\n\u003cp>More than 30% of the people have a medical bill on their credit record, according to credit bureau data collected \u003ca href=\"https://www.urban.org/urban-wire/communities-color-disproportionally-suffer-medical-debt\">by the nonprofit Urban Institute\u003c/a>. A few miles west in Knoxville’s overwhelmingly white suburbs, fewer than 10% carry such debt.\u003c/p>\n\u003cp>It’s not difficult to understand the difference, said Eboni Winford, a clinical psychologist at Cherokee Health Systems, a network of clinics that serve low-income patients. “Black people are less likely to have generational wealth to pass on, which means we don’t have the pockets of money that we can just use if medical bills arise.”\u003c/p>\n\u003cp>Nationally, the median white family now has about $184,000 in assets such as homes, savings, and retirement accounts, according to an \u003ca href=\"https://www.stlouisfed.org/on-the-economy/2021/january/wealth-gaps-white-black-hispanic-families-2019\" target=\"_blank\" rel=\"noopener noreferrer\">analysis by the Federal Reserve Bank\u003c/a> of St. Louis. The assets of the median Black family total just $23,000.\u003c/p>\n\u003cp>“What happened is we concentrated Black poverty,” said Gwen McKenzie, a Knoxville City Council member who grew up not far from The Bottom. “From there, that’s where it became generational.”\u003c/p>\n\u003ch3>‘Always a sacrifice’\u003c/h3>\n\u003cp>Monica Reed lives just up the hill from where The Bottom once was.\u003c/p>\n\u003cp>She considers herself luckier than most. Born in Knoxville and raised by a single mother, Reed became the first in her family to own a home, a small house built after the city demolished The Bottom. For the past 15 years, she’s worked for a faith-based nonprofit that assists low-income residents of Knoxville.\u003c/p>\n\u003cp>“It hasn’t always been easy,” said Reed, who just turned 60. She raised her son by herself. And though she’s always worked, her modest salary made saving difficult. “I just tried to live a frugal kind of life,” she said. “And by the grace of God, I didn’t become homeless.”\u003c/p>\n\u003cp>She couldn’t escape medical debt, though. Diagnosed with cancer five years ago, Reed underwent surgery and chemotherapy. Although she had health insurance through work, she was left with close to $10,000 in medical bills she couldn’t pay.\u003c/p>\n\u003cp>She’s been pursued by debt collectors and even taken to court. That’s forced Reed to make difficult choices. “There’s always a sacrifice,” she said. “You just do without some things to pay other things.”\u003c/p>\n\u003cp>Reed said she cut back on trips to the grocery store: “I don’t buy a lot of food. Just plain and simple.”\u003c/p>\n\u003cp>She has adjusted, she said. “You just do what you have to do.” What angers Reed, though, is how she’s been treated by the cancer center where she goes for periodic checkups to make sure the cancer remains in remission. When she recently tried to make an appointment, a financial counselor told her she couldn’t schedule it until she made a plan to pay her bills.\u003c/p>\n\u003cp>“I was so upset, I didn’t even find out how much I owed,” Reed said. “I mean, I wasn’t calling about a little toothache. This is something that affects someone’s life.”\u003c/p>\n\u003ch3>Locking in disparities\u003c/h3>\n\u003cp>Health insurance gains made possible by the Affordable Care Act have narrowed some racial health disparities, studies show.\u003c/p>\n\u003cp>The expansion of Medicaid, in particular, has brought new financial security to millions of low-income Americans. In a \u003ca href=\"https://cdn.theatlantic.com/assets/media/files/bgh_draft_2018.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">recent analysis\u003c/a> of credit bureau and census data, researchers estimated that Medicaid expansion helped enrollees avoid more than $1,200 in medical debt.\u003c/p>\n\u003cp>But many of those gains have remained out of reach in Knoxville. Tennessee is among 12 states that have rejected federal funding to expand the Medicaid safety net through the 2010 health care law.\u003c/p>\n\u003cp>Eight of the 12 are Southern states with large Black populations. The decision not to expand has disproportionately affected communities like East Knoxville that are already contending with deep racial disparities in health and wealth.\u003c/p>\n\u003cp>Of the roughly 2.2 million people locked out of health coverage because these states rejected Medicaid expansion, nearly 60% are people of color, according to \u003ca href=\"https://www.kff.org/policy-watch/taking-a-closer-look-at-characteristics-of-people-in-the-coverage-gap/\" target=\"_blank\" rel=\"noopener noreferrer\">a KFF analysis\u003c/a>. About a quarter are Black.\u003c/p>\n\u003cp>Locked out of health insurance, many just try to hang on until they become eligible for Medicare, said Cynthia Finch, an advocate in Knoxville who has worked to improve health in the city’s Black community. “People pray they don’t get sick before they are 65,” she said.\u003c/p>\n\u003cp>If Black patients go into debt, they face yet another challenge: a medical debt collections industry that\u003ca href=\"https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3465203\" target=\"_blank\" rel=\"noopener noreferrer\"> targets Black debtors\u003c/a> more aggressively than their white counterparts, particularly for smaller debts.\u003c/p>\n\u003cp>About 6 in 10 Black adults with medical debts under $2,500 say they or someone in their household has been contacted by a collection agency in the past five years, the KFF poll found. By contrast, only about 4 in 10 white adults with similar debt said the same.\u003c/p>\n\u003cp>At the courthouse in downtown Knoxville, the dockets are filled with debt collection lawsuits filed by some of the region’s largest hospitals: Fort Sanders Regional Medical Center, East Tennessee Children’s Hospital, and Parkwest Medical Center.\u003c/p>\n\u003cp>That discourages many Black patients from seeking care even if they need it, said Cherokee Health’s Derrick Folsom, who helps patients enroll in health insurance. “Somebody knows somebody who’s getting sued for medical bills,” Folsom said. “So they stay away from medical centers.”\u003c/p>\n\u003cp>Reflecting on her experience with medical debt, Reed said she tries to stay upbeat. “I don’t sweat the small stuff,” she said. “What am I going to do against this hospital?”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Nearly 2,000 registered nurses at Alta Bates Summit Medical Center campuses in Oakland and Berkeley began a five-day strike Monday in response to high turnover rates, staff shortages and workplace safety issues.\u003c/p>\n\u003cp>The nurses, represented by the California Nurses Association and National Nurses United, called on Sutter Health to implement workplace violence prevention plans, increase staffing and provide more robust safety resources, including better access to medical-grade safety equipment.\u003c/p>\n\u003cp>“I am seeing nurses leave the medical center for other nursing positions on a regular basis. We have nurses working overtime, and even double shifts, day after day to keep the hospital running,” said Mike Hill, a nurse in Sutter’s intensive care unit.\u003c/p>\n\u003cp>Hill said that while workplace violence in hospitals — mostly of patients toward staff — has always been a concern, there was an uptick in incidents during the pandemic, when many patients didn’t have the family support they needed.\u003c/p>\n\u003cp>“Sometimes it’s intentional. Other times, it’s from anger, fear or a medical condition that causes them to lash out at staff. Either way, it’s dangerous for us as professionals,” said Hill. “It’s not just physical violence. Sometimes it’s verbal threats.”\u003c/p>\n\u003cp>When workplace violence occurs, hospitals announce “code gray” on the intercom system to alert security, Hill said. But like the nursing team, the security department at Alta Bates is understaffed, and in some cases it takes too long for guards to arrive at the scene, Hill said, forcing other nurses to step in to help their colleagues. Hill said more security guards are needed both inside the hospital and in the parking garage, to prevent vehicle break-ins, thefts and attacks on staff.\u003c/p>\n\u003cp>Those concerns about violence, he added, are compounded by the hospital failing to take the necessary measures to effectively protect nurses from COVID exposure and other diseases.\u003c/p>\n\u003cp>Last year, the California Division of Occupational Safety and Health (Cal/OSHA) fined Sutter Health for violations tied to COVID-related workplace safety issues after an investigation was launched in response to the July 2021 \u003ca href=\"https://www.nationalnursesunited.org/press/calosha-finds-alta-bates-summit-medical-center-guilty-eight-serious-violations\">death of an Alta Bates nurse\u003c/a>, who contracted the disease.\u003c/p>\n\u003cp>“Sutter must create working conditions to enhance patient care while also providing a safe work environment that retains nurses,” said Hill.\u003c/p>\n\u003cp>Ann Gaebler, a registered nurse of over 40 years, said she has never seen Sutter “act this disrespectfully” toward nurses, and it’s causing experienced health care providers to leave.\u003c/p>\n\u003cp>“Without proper mentorship, we see young nurses suffering the moral injury and the moral distress of having to care for patients without the support they need, and so they leave,” Gaebler said in a statement. “This is not how you grow the next generation of nurses or how to take care of a community. We need Sutter to step up to address our concerns about retention, so we can continue to provide excellent care to our patients.”[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Joanne Spetz, director, Philip R. Lee Institute for Health Policy Studies, UCSF\"]‘I think the pandemic revealed and exacerbated a lot of problems that existed already, and some of those problems were brewing around stress and burnout and workloads, as we’re hearing from physicians and nurses and other health care professionals.’[/pullquote]\u003c/p>\n\u003cp>In response to the walkout, Sutter management faulted local leaders in the nurses unions, accusing them of putting “politics above the patients and the nurses they represent” despite Sutter being willing to bargain, a spokesperson said in a statement on Monday.\u003c/p>\n\u003cp>“Our attention remains on providing safe, high-quality care to the patients and communities we’re honored to serve, and we are confident in our ability to manage this disruption,” the statement said. “We are hopeful the union shares our desire to reach an agreement and enable our nurses to turn their focus back to the patients the union has asked them to walk away from.”\u003c/p>\n\u003cfigure id=\"attachment_11930036\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11930036\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-800x533.jpg\" alt=\"People holding yellow and red signs and wearing red nurse outfits walk across the street.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nurses begin a five-day strike at Alta Bates Summit Medical Center in Oakland on Oct. 24, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Sutter Health’s proposed contract includes a pay increase of more than 20% over four years and a commitment to pursuing initiatives aimed at promoting diversity and advancing equity among its employees, along with continued health coverage for nurses and their families.\u003c/p>\n\u003cp>The Sutter nurses strike is just the latest in a slew of labor actions in recent months among health care workers throughout the Bay Area, mirroring a larger nationwide trend.\u003c/p>\n\u003cp>The walkout comes less than a week after some 2,000 Kaiser Permanente mental health care employees approved \u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/new-4-year-agreement-ratified\">a four-year contract\u003c/a>, ending an unprecedented, grueling 10-week strike over staffing shortages, wages and patient care, and just days after the Valley Physicians Group, a union representing about 450 doctors employed by Santa Clara County, announced its intention to hit the picket line on November 1 over similar issues.[aside postID=\"news_11929713,news_11924980\" label=\"Related Posts\"]Even though \u003ca href=\"https://www.bls.gov/opub/ted/2020/union-membership-rate-8-point-6-percent-in-manufacturing-23-point-4-percent-in-utilities-in-2019.htm#:~:text=Bureau%20of%20Labor%20Statistics,-The%20Economics%20Daily&text=In%202019%2C%20the%20union%20membership,hunting%3B%20and%20finance%20and%20insurance.\">less than 7% of health care workers nationwide were unionized\u003c/a> as of 2020, the health care sector \u003ca href=\"https://www.npr.org/sections/health-shots/2021/01/11/955128562/for-health-care-workers-the-pandemic-is-fueling-renewed-interest-in-unions\">also has seen renewed interest in unionization since the pandemic\u003c/a>.\u003c/p>\n\u003cp>“I think the pandemic revealed and exacerbated a lot of problems that existed already, and some of those problems were brewing around stress and burnout and workloads, as we’re hearing from physicians and nurses and other health care professionals,” Dr. Joanne Spetz, director of the Philip R. Lee Institute for Health Policy Studies at UCSF, told KQED.\u003c/p>\n\u003cp>The pandemic, she added, also laid bare the extent of labor shortages across a wide range of essential jobs within health care settings, including custodial staff, nursing assistants, food-service workers and delivery people.\u003c/p>\n\u003cp>“When those jobs are all in short supply, that puts even more pressure on physicians, nurses and others,” Spetz said.\u003c/p>\n\u003cp>And many health care workers are finding that their most common demands — for reduced workloads, more support services, more time for administrative tasks and, in a growing number of instances, tougher security measures — are often not sufficiently met by employers, who often cite nationwide labor shortages and rising costs of doing business.\u003c/p>\n\u003cp>Unionization is more popular than it’s ever been, even across political lines, with \u003ca href=\"https://news.gallup.com/poll/398303/approval-labor-unions-highest-point-1965.aspx\">a recent Gallup poll showing that 71% of Americans approve of labor unions\u003c/a>, the highest approval rating since 1965.\u003c/p>\n\u003cp>But questions remain over how financially well positioned hospitals are to hire and train more people and meet their employees’ increasingly vocal — and organized — demands.\u003c/p>\n\u003cp>“Health care is competing against a lot of other industries and sectors that also are having difficulty recruiting,” Spetz said.\u003c/p>\n\u003cp>“A skilled trade or retail or a restaurant can change their prices pretty quickly, but for health care, they are in these often multiyear insurance contracts and they cannot immediately drum up more revenue in order to pay those higher wages,” said Spetz. “They’re likely to be going back to the insurance industry in the next few years as their contracts come up for renegotiation and ask for more money. And then the insurance companies eventually are going to need to figure out how to pass that on in the price of higher premiums.”\u003c/p>\n\u003cp>And, Spetz added, the pressure of keeping costs down at a time of rampant inflation in a labor-intensive field like health care is exacerbated by the rising costs of supplies and equipment.\u003c/p>\n\u003cp>“Because it takes a while to have the ability to raise revenue … that just puts more financial pressure,” Spetz said, adding that as the pandemic relief money fades, hospitals will be facing financial shortfalls and worrying about “how the money’s going to play out for them.”\u003c/p>\n\u003cp>“A lot of it comes down to building a workplace where health care workers really feel valued, are able to use all their skills, are respected as professionals, regardless of what level they work within the organization … and have the autonomy to use their knowledge and skills to the highest ability,” Spetz said. “You need to be adequately staffed in general. And so that’s going to be the big challenge for employers, is how to create that healthy, supportive work culture. And you have to do that while you’re dealing with labor shortages and plugging all the holes that need to be plugged.”\u003c/p>\n\u003cp>\u003cem>Additional reporting was contributed by Bay City News and KQED’s Laura Klivans.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Nearly 2,000 registered nurses at Alta Bates Summit Medical Center campuses in Oakland and Berkeley began a five-day strike Monday in response to high turnover rates, staff shortages and workplace safety issues.\u003c/p>\n\u003cp>The nurses, represented by the California Nurses Association and National Nurses United, called on Sutter Health to implement workplace violence prevention plans, increase staffing and provide more robust safety resources, including better access to medical-grade safety equipment.\u003c/p>\n\u003cp>“I am seeing nurses leave the medical center for other nursing positions on a regular basis. We have nurses working overtime, and even double shifts, day after day to keep the hospital running,” said Mike Hill, a nurse in Sutter’s intensive care unit.\u003c/p>\n\u003cp>Hill said that while workplace violence in hospitals — mostly of patients toward staff — has always been a concern, there was an uptick in incidents during the pandemic, when many patients didn’t have the family support they needed.\u003c/p>\n\u003cp>“Sometimes it’s intentional. Other times, it’s from anger, fear or a medical condition that causes them to lash out at staff. Either way, it’s dangerous for us as professionals,” said Hill. “It’s not just physical violence. Sometimes it’s verbal threats.”\u003c/p>\n\u003cp>When workplace violence occurs, hospitals announce “code gray” on the intercom system to alert security, Hill said. But like the nursing team, the security department at Alta Bates is understaffed, and in some cases it takes too long for guards to arrive at the scene, Hill said, forcing other nurses to step in to help their colleagues. Hill said more security guards are needed both inside the hospital and in the parking garage, to prevent vehicle break-ins, thefts and attacks on staff.\u003c/p>\n\u003cp>Those concerns about violence, he added, are compounded by the hospital failing to take the necessary measures to effectively protect nurses from COVID exposure and other diseases.\u003c/p>\n\u003cp>Last year, the California Division of Occupational Safety and Health (Cal/OSHA) fined Sutter Health for violations tied to COVID-related workplace safety issues after an investigation was launched in response to the July 2021 \u003ca href=\"https://www.nationalnursesunited.org/press/calosha-finds-alta-bates-summit-medical-center-guilty-eight-serious-violations\">death of an Alta Bates nurse\u003c/a>, who contracted the disease.\u003c/p>\n\u003cp>“Sutter must create working conditions to enhance patient care while also providing a safe work environment that retains nurses,” said Hill.\u003c/p>\n\u003cp>Ann Gaebler, a registered nurse of over 40 years, said she has never seen Sutter “act this disrespectfully” toward nurses, and it’s causing experienced health care providers to leave.\u003c/p>\n\u003cp>“Without proper mentorship, we see young nurses suffering the moral injury and the moral distress of having to care for patients without the support they need, and so they leave,” Gaebler said in a statement. “This is not how you grow the next generation of nurses or how to take care of a community. We need Sutter to step up to address our concerns about retention, so we can continue to provide excellent care to our patients.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In response to the walkout, Sutter management faulted local leaders in the nurses unions, accusing them of putting “politics above the patients and the nurses they represent” despite Sutter being willing to bargain, a spokesperson said in a statement on Monday.\u003c/p>\n\u003cp>“Our attention remains on providing safe, high-quality care to the patients and communities we’re honored to serve, and we are confident in our ability to manage this disruption,” the statement said. “We are hopeful the union shares our desire to reach an agreement and enable our nurses to turn their focus back to the patients the union has asked them to walk away from.”\u003c/p>\n\u003cfigure id=\"attachment_11930036\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11930036\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-800x533.jpg\" alt=\"People holding yellow and red signs and wearing red nurse outfits walk across the street.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nurses begin a five-day strike at Alta Bates Summit Medical Center in Oakland on Oct. 24, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Sutter Health’s proposed contract includes a pay increase of more than 20% over four years and a commitment to pursuing initiatives aimed at promoting diversity and advancing equity among its employees, along with continued health coverage for nurses and their families.\u003c/p>\n\u003cp>The Sutter nurses strike is just the latest in a slew of labor actions in recent months among health care workers throughout the Bay Area, mirroring a larger nationwide trend.\u003c/p>\n\u003cp>The walkout comes less than a week after some 2,000 Kaiser Permanente mental health care employees approved \u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/new-4-year-agreement-ratified\">a four-year contract\u003c/a>, ending an unprecedented, grueling 10-week strike over staffing shortages, wages and patient care, and just days after the Valley Physicians Group, a union representing about 450 doctors employed by Santa Clara County, announced its intention to hit the picket line on November 1 over similar issues.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Even though \u003ca href=\"https://www.bls.gov/opub/ted/2020/union-membership-rate-8-point-6-percent-in-manufacturing-23-point-4-percent-in-utilities-in-2019.htm#:~:text=Bureau%20of%20Labor%20Statistics,-The%20Economics%20Daily&text=In%202019%2C%20the%20union%20membership,hunting%3B%20and%20finance%20and%20insurance.\">less than 7% of health care workers nationwide were unionized\u003c/a> as of 2020, the health care sector \u003ca href=\"https://www.npr.org/sections/health-shots/2021/01/11/955128562/for-health-care-workers-the-pandemic-is-fueling-renewed-interest-in-unions\">also has seen renewed interest in unionization since the pandemic\u003c/a>.\u003c/p>\n\u003cp>“I think the pandemic revealed and exacerbated a lot of problems that existed already, and some of those problems were brewing around stress and burnout and workloads, as we’re hearing from physicians and nurses and other health care professionals,” Dr. Joanne Spetz, director of the Philip R. Lee Institute for Health Policy Studies at UCSF, told KQED.\u003c/p>\n\u003cp>The pandemic, she added, also laid bare the extent of labor shortages across a wide range of essential jobs within health care settings, including custodial staff, nursing assistants, food-service workers and delivery people.\u003c/p>\n\u003cp>“When those jobs are all in short supply, that puts even more pressure on physicians, nurses and others,” Spetz said.\u003c/p>\n\u003cp>And many health care workers are finding that their most common demands — for reduced workloads, more support services, more time for administrative tasks and, in a growing number of instances, tougher security measures — are often not sufficiently met by employers, who often cite nationwide labor shortages and rising costs of doing business.\u003c/p>\n\u003cp>Unionization is more popular than it’s ever been, even across political lines, with \u003ca href=\"https://news.gallup.com/poll/398303/approval-labor-unions-highest-point-1965.aspx\">a recent Gallup poll showing that 71% of Americans approve of labor unions\u003c/a>, the highest approval rating since 1965.\u003c/p>\n\u003cp>But questions remain over how financially well positioned hospitals are to hire and train more people and meet their employees’ increasingly vocal — and organized — demands.\u003c/p>\n\u003cp>“Health care is competing against a lot of other industries and sectors that also are having difficulty recruiting,” Spetz said.\u003c/p>\n\u003cp>“A skilled trade or retail or a restaurant can change their prices pretty quickly, but for health care, they are in these often multiyear insurance contracts and they cannot immediately drum up more revenue in order to pay those higher wages,” said Spetz. “They’re likely to be going back to the insurance industry in the next few years as their contracts come up for renegotiation and ask for more money. And then the insurance companies eventually are going to need to figure out how to pass that on in the price of higher premiums.”\u003c/p>\n\u003cp>And, Spetz added, the pressure of keeping costs down at a time of rampant inflation in a labor-intensive field like health care is exacerbated by the rising costs of supplies and equipment.\u003c/p>\n\u003cp>“Because it takes a while to have the ability to raise revenue … that just puts more financial pressure,” Spetz said, adding that as the pandemic relief money fades, hospitals will be facing financial shortfalls and worrying about “how the money’s going to play out for them.”\u003c/p>\n\u003cp>“A lot of it comes down to building a workplace where health care workers really feel valued, are able to use all their skills, are respected as professionals, regardless of what level they work within the organization … and have the autonomy to use their knowledge and skills to the highest ability,” Spetz said. “You need to be adequately staffed in general. And so that’s going to be the big challenge for employers, is how to create that healthy, supportive work culture. And you have to do that while you’re dealing with labor shortages and plugging all the holes that need to be plugged.”\u003c/p>\n\u003cp>\u003cem>Additional reporting was contributed by Bay City News and KQED’s Laura Klivans.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>An unseasonably early spike in \u003ca href=\"https://www.npr.org/2021/08/14/1027663917/rsv-covid-children\">respiratory syncytial virus\u003c/a> cases among young children is pushing some hospitals to capacity.\u003c/p>\n\u003cp>RSV, as it’s called, is a respiratory virus that mostly manifests as a mild illness with cold-like symptoms in adults but can cause pneumonia and bronchiolitis in very young children. It can be life-threatening in infants and young adults.\u003c/p>\n\u003cp>Most years, infections typically occur in the late fall and winter, often overlapping with flu season. But at least since last year, physicians have begun seeing surges starting during \u003ca href=\"https://www.npr.org/2021/06/24/1009992795/pediatricians-see-off-season-spike-in-rsv-cases-among-kids\">summer months\u003c/a>.[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Laura Romano, Cook Children's Medical Center\"]‘This year, parents are sending their children to daycare and school for the first time following two years of the pandemic. … Children who haven’t been previously exposed to respiratory viruses are getting sick.’[/pullquote]\u003c/p>\n\u003cp>Children’s hospitals in the Washington, D.C. area, including Children’s National Hospital, Inova Fairfax and Johns Hopkins in Baltimore, are at or near capacity, \u003ca href=\"https://dcist.com/story/22/10/20/multiple-childrens-hospitals-are-at-or-near-capacity-across-d-c-maryland-and-virginia/\">DCist reported\u003c/a>.\u003c/p>\n\u003cp>Connecticut Children’s Hospital in Hartford has had its pediatric in-patient beds full for the last few weeks, \u003ca href=\"https://kfor.com/news/health/childrens-hospitals-overflowing-with-respiratory-patients-consider-calling-national-guard/?utm_campaign=socialflow&utm_medium=referral&utm_source=Twitter\">WTNH reported\u003c/a>. With no indication of the spread slowing down, officials there are seeking the help of the National Guard and FEMA to set up tents in order to expand capacity.\u003c/p>\n\u003cp>In Texas, doctors at Cook Children’s hospital in Fort Worth \u003ca href=\"https://www.youtube.com/watch?v=hl38AyRm0e8&t=140s\">told\u003c/a> ABC News they are treating some 300 RSV patients a day.\u003c/p>\n\u003cp>“Last year, more people were wearing face masks and children were more likely to stay home while sick,” Dr. Laura Romano \u003ca href=\"https://www.checkupnewsroom.com/rsv-cases-spiking-higher-and-earlier-so-far-this-year-at-cook-childrens/?utm_source=Twitter&utm_medium=OrganicSocial&utm_campaign=RSVCasesSpiking&utm_term=2022_October&utm_content=RSVCasesSpiking\">said \u003c/a>in Cook Children’s in-house publication.\u003c/p>\n\u003cp>“This year, parents are sending their children to daycare and school for the first time following two years of the pandemic. … Children who haven’t been previously exposed to respiratory viruses are getting sick,” Romano said.\u003c/p>\n\u003cp>Health officials in King County, Wash., are also alarmed as they brace for more cases once winter hits. Dr. Russell Migita with Seattle Children’s Hospital \u003ca href=\"https://www.king5.com/article/news/health/rsv-cases-king-county-rise/281-39dc6773-3935-46e2-acd2-e5da8e7b31c0\">told\u003c/a> King 5 News they are seeing about 20 to 30 positive cases every day, adding that those are “unprecedented” figures.\u003c/p>\n\u003ch3>How RSV shows up\u003c/h3>\n\u003cp>RSV symptoms are similar to a cold and can be harmless in adults, but the CDC says children under the age of 5 are the most affected group. According to the agency’s \u003ca href=\"https://www.cdc.gov/rsv/research/us-surveillance.html\">data\u003c/a>, each year approximately 58,000 children in that age range are hospitalized for RSV. The next most vulnerable group are adults over 65, in whom the infection causes 14,000 deaths a year.\u003c/p>\n\u003cp>RSV can lead to bronchiolitis, an infection that causes airways to become inflamed and clogged with mucus, making it difficult to breathe. If the infection travels to the lung sacs, it can result in pneumonia.\u003c/p>\n\u003cp>Dr. Sara Goza, physician and former president of the American Academy of Pediatrics, \u003ca href=\"https://www.npr.org/2021/06/24/1009992795/pediatricians-see-off-season-spike-in-rsv-cases-among-kids\">talked to NPR last year\u003c/a> about how the infection presents in infants.\u003c/p>\n\u003cp>“A lot of the babies under a year of age will have trouble breathing. They stop eating because they can’t breathe and eat at the same time. And they’re wheezing, so they’re in respiratory distress,” Goza said.\u003c/p>\n\u003cp>Other symptoms include coughing, excessive sleeping and lethargy.\u003c/p>\n\u003cp>There is no vaccine to prevent RSV, but doctors are urging patients to get the flu shot. It doesn’t prevent the infection but it could spare people from more aggressive symptoms and keep them from seeking medical attention at already strained hospitals.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Children%27s+hospitals+grapple+with+a+nationwide+surge+in+RSV+infections&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Children’s hospitals in the Washington, D.C. area, including Children’s National Hospital, Inova Fairfax and Johns Hopkins in Baltimore, are at or near capacity, \u003ca href=\"https://dcist.com/story/22/10/20/multiple-childrens-hospitals-are-at-or-near-capacity-across-d-c-maryland-and-virginia/\">DCist reported\u003c/a>.\u003c/p>\n\u003cp>Connecticut Children’s Hospital in Hartford has had its pediatric in-patient beds full for the last few weeks, \u003ca href=\"https://kfor.com/news/health/childrens-hospitals-overflowing-with-respiratory-patients-consider-calling-national-guard/?utm_campaign=socialflow&utm_medium=referral&utm_source=Twitter\">WTNH reported\u003c/a>. With no indication of the spread slowing down, officials there are seeking the help of the National Guard and FEMA to set up tents in order to expand capacity.\u003c/p>\n\u003cp>In Texas, doctors at Cook Children’s hospital in Fort Worth \u003ca href=\"https://www.youtube.com/watch?v=hl38AyRm0e8&t=140s\">told\u003c/a> ABC News they are treating some 300 RSV patients a day.\u003c/p>\n\u003cp>“Last year, more people were wearing face masks and children were more likely to stay home while sick,” Dr. Laura Romano \u003ca href=\"https://www.checkupnewsroom.com/rsv-cases-spiking-higher-and-earlier-so-far-this-year-at-cook-childrens/?utm_source=Twitter&utm_medium=OrganicSocial&utm_campaign=RSVCasesSpiking&utm_term=2022_October&utm_content=RSVCasesSpiking\">said \u003c/a>in Cook Children’s in-house publication.\u003c/p>\n\u003cp>“This year, parents are sending their children to daycare and school for the first time following two years of the pandemic. … Children who haven’t been previously exposed to respiratory viruses are getting sick,” Romano said.\u003c/p>\n\u003cp>Health officials in King County, Wash., are also alarmed as they brace for more cases once winter hits. Dr. Russell Migita with Seattle Children’s Hospital \u003ca href=\"https://www.king5.com/article/news/health/rsv-cases-king-county-rise/281-39dc6773-3935-46e2-acd2-e5da8e7b31c0\">told\u003c/a> King 5 News they are seeing about 20 to 30 positive cases every day, adding that those are “unprecedented” figures.\u003c/p>\n\u003ch3>How RSV shows up\u003c/h3>\n\u003cp>RSV symptoms are similar to a cold and can be harmless in adults, but the CDC says children under the age of 5 are the most affected group. According to the agency’s \u003ca href=\"https://www.cdc.gov/rsv/research/us-surveillance.html\">data\u003c/a>, each year approximately 58,000 children in that age range are hospitalized for RSV. The next most vulnerable group are adults over 65, in whom the infection causes 14,000 deaths a year.\u003c/p>\n\u003cp>RSV can lead to bronchiolitis, an infection that causes airways to become inflamed and clogged with mucus, making it difficult to breathe. If the infection travels to the lung sacs, it can result in pneumonia.\u003c/p>\n\u003cp>Dr. Sara Goza, physician and former president of the American Academy of Pediatrics, \u003ca href=\"https://www.npr.org/2021/06/24/1009992795/pediatricians-see-off-season-spike-in-rsv-cases-among-kids\">talked to NPR last year\u003c/a> about how the infection presents in infants.\u003c/p>\n\u003cp>“A lot of the babies under a year of age will have trouble breathing. They stop eating because they can’t breathe and eat at the same time. And they’re wheezing, so they’re in respiratory distress,” Goza said.\u003c/p>\n\u003cp>Other symptoms include coughing, excessive sleeping and lethargy.\u003c/p>\n\u003cp>There is no vaccine to prevent RSV, but doctors are urging patients to get the flu shot. It doesn’t prevent the infection but it could spare people from more aggressive symptoms and keep them from seeking medical attention at already strained hospitals.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Children%27s+hospitals+grapple+with+a+nationwide+surge+in+RSV+infections&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "california-needs-more-latinx-therapists-but-the-mental-health-field-is-still-full-of-barriers-to-entry",
"title": "California Needs More Latinx Therapists — but the Mental Health Field Is Still Full of Barriers to Entry",
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"content": "\u003cp>Growing up in Daly City, Eric Valladares remembers hearing how his parents and extended family fled El Salvador during the country’s 12-year civil war that ended in 1992.\u003c/p>\n\u003cp>After settling in California, some members struggled financially, finding it hard to adjust to a country where they didn’t speak the language and felt like outsiders.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11929333,news_11926978,news_11912753\"]His family never discussed how they coped with those traumas or mentioned mental health. He remembers adults masking emotions with alcohol, something he later imitated. He didn’t realize he had a problem until he was in graduate school, learning how to help others with \u003ci>their\u003c/i> problems.\u003c/p>\n\u003cp>Valladares decided to become a therapist while an undergraduate student at San Francisco State University. He made the career choice believing he just wanted to help the Latinx community, but his decision was deeper than that.\u003c/p>\n\u003cp>“There was pain and there were experiences from my life and my family’s life that in subtle ways put me on this path,” he said. “I wanted to help others heal and help myself heal, but it didn’t occur to me until later. I thought of it as, ‘Isn’t it nice that I want to help people?’ But no, it was really, ‘I have unresolved issues and I want to work them out.’”\u003c/p>\n\u003cp>Valladares, now 37, spent years providing therapy to mostly immigrant, Spanish-speaking people. He’s now the executive director of Family Connections, a Palo Alto nonprofit that provides educational and mental health services to families with young children.\u003c/p>\n\u003cfigure id=\"attachment_11929791\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929791\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg\" alt=\"a Latino man in a blue and white checked shirt poses for a portrait in front of a colorful tree decoration in an office\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Executive Director Eric Valladares at the Redwood City location of his mental health nonprofit, Family Connections. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In many ways, Valladares exemplifies what experts and policymakers say California needs more of: He’s a multilingual Latino who brings cultural competency to mental health services. But his journey into the profession demonstrates the difficulties mental health care providers face, such as addressing their own traumas and figuring out how to navigate the professional mental health field — from earning enough money to dealing with insurance companies resistant to paying for patient care.\u003c/p>\n\u003ch2>‘Folks need to be served by people who look like them’\u003c/h2>\n\u003cp>Despite growing demand for mental health services for children struggling with depression, anxiety and suicidal ideation, the mental health field has failed at recruiting enough professionals — of any background. California has less than a quarter of the therapists it needs to care for the state’s population, and the majority specialize in treating adults, according to the Kaiser Family Foundation.\u003c/p>\n\u003cp>And the existing mental health workforce doesn’t mirror the state’s demographics. About 40% of Californians identify as Hispanic or Latino, according to research provided to KQED by the Healthforce Center at UCSF. But only 9% of clinical psychologists, 21% of marriage and family therapists and 27% of mental health counselors identified as Hispanic or Latino from 2015 to 2019, the research shows.\u003c/p>\n\u003cp>“Part of what makes any kind of therapeutic intervention work is the relationship between the provider and the person getting the service,” said Chris Stoner-Mertz, CEO of the California Alliance of Child and Family Services, a coalition of about 150 nonprofits and organizations that serve the state’s children and families. “Folks need to be served by people who look like them and who maybe had some of their life experiences.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Chris Stoner-Mertz, CEO, California Alliance of Child and Family Services\"]‘Part of what makes any kind of therapeutic intervention work is the relationship between the provider and the person getting the service. Folks need to be served by people who … maybe had some of their life experiences.’[/pullquote]The two biggest barriers to accessing mental health care are the cost and lack of providers. Insurers make it difficult for therapists to get paid by requiring a lot of paperwork, limiting mental health services they will cover and covering only patients with specific diagnoses or those who meet “medical necessity.”\u003c/p>\n\u003cp>Mental health professionals tend to fall into two camps: those who work in the public or nonprofit side and those in private practice. To avoid the hassle of dealing with insurance companies, many therapists go into private practice and accept only cash payments, which inherently means they end up serving patients who can afford to pay $100 to $250 per session.\u003c/p>\n\u003cp>The public or nonprofit side is typically supported by tax or philanthropic funding, and serves people with lower incomes or who aren’t covered by insurance. The government covers the biggest share of mental health care spending in the U.S. In 2019, \u003ca href=\"https://openminds.com/press/u-s-mental-health-spending-reached-225-1-billion-in-2019-open-minds-releases-new-analysis-on-market-spending/\">taxpayers covered 63% of all mental health care costs\u003c/a> — about $150 billion — including therapy and prescriptions, according to Open Minds, a health care market research firm.\u003c/p>\n\u003cp>When Valladares began his career 12 years ago, he wanted to treat underserved Latinx clients who had lower incomes or were immigrants, so he focused on working for nonprofit organizations. At his first job after completing a master’s degree in 2010, he earned $22 per hour or about $46,000 per year.\u003c/p>\n\u003cp>“I lived at home with my parents,” he said, to make it work financially.\u003c/p>\n\u003cp>Valladares estimates that a therapist entering a nonprofit or publicly funded agency now can expect to earn $55,000 to $70,000 per year.\u003c/p>\n\u003cp>“We’re losing a lot of therapists to private practice, and that’s OK,” Valladares said. “I don’t fault them. They don’t want yachts. They just want to be able to live.”\u003c/p>\n\u003cp>Haggling insurance companies to get paid for their services “creates a disillusionment with our mental health system,” Valladares said. “Providers like to say, ‘I don’t want to be a part of a system that just perpetuates this cycle of putting Band-Aids on much deeper issues,’ and then it pushes people into private practice. But again, if you go into private practice, who’s not getting served?”\u003c/p>\n\u003cfigure id=\"attachment_11929795\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929795\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg\" alt=\"a Latino man in a blue checked shirt with a mask shows an orange wall of musical instruments\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Executive Director Eric Valladares displays musical instruments in the play area at the Redwood City location of Family Connections. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Valladares’ focus on the Latinx community is tied to his upbringing. He recalled how some of the relatives who fled El Salvador were later hospitalized or placed on psychiatric holds because of mental health crises. One of his uncles had an alcohol addiction.\u003c/p>\n\u003cp>“I saw in my own family how they were impacted by immigration, trauma, the war that they had witnessed in their country and losing a piece of their identity through that,” he said.\u003c/p>\n\u003cp>The way he saw his relatives cope was by not talking about their issues and drinking in excess, habits he also picked up — which later led to his own alcohol addiction.\u003c/p>\n\u003cp>“In college, it’s normal to have a drink when you’re stressed out,” he said. “You don’t really look at it as a pattern or something you inherited from your family.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Eric Valladares, executive director, Family Connections\"]‘I don’t think that there’s enough of us out there. But I do have a lot of faith that there are people out there who still want to help.’[/pullquote]No one questioned Valladares about his drinking until he entered a psychology master’s program at SF State when he was 23. The program encouraged students to see a therapist. When his therapist asked him why he drank frequently, he became defensive and ignored her concerns.\u003c/p>\n\u003cp>He went from only drinking with friends on weekends to frequently drinking at home on weeknights. Then he started canceling plans because he was too hungover. As he was nearing 30, he realized he needed to change.\u003c/p>\n\u003cp>“I was able to dismiss (my alcohol addiction) for years,” he said. “I started getting older and I realized that my patterns hadn’t only changed, they had gotten worse. The biggest part was meeting my wife. She was not OK with my lifestyle.”\u003c/p>\n\u003cp>When he decided to seek help, his insurance company denied him coverage for therapy and suggested he try a support group. He paid out of pocket for a therapist for about two years and has been in recovery for seven years.\u003c/p>\n\u003cp>His graduate program opened his eyes to the undiagnosed mental health conditions he had observed in his family, and how they lacked the understanding and vocabulary to talk about their issues. His mother never described herself as having anxiety, but would often say, “I just worry a lot.”\u003c/p>\n\u003cp>“My mom was an anxious person and I was an anxious child and we bonded over that,” he recalled. “Years later, alcohol helped me calm down.”\u003c/p>\n\u003cfigure id=\"attachment_11929800\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929800\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg\" alt=\"two people in masks speak in a children's therapy office\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Eric Valladares speaks with Carolina Calderón Balladares at the Redwood City location of Family Connections. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>His experience overcoming substance use disorder taught him that even for someone working in mental health, getting access to care is still a challenge. It also illustrated how valuable therapy can be.\u003c/p>\n\u003cp>“If I had not gotten into the mental health field, I would have just assumed and assimilated that that’s part of who I am,” he said. “It does make me a believer in what we do. I don’t think that there’s enough of us out there. But I do have a lot of faith that there are people out there who still want to help.”\u003c/p>\n\u003ch2>A lack of parity\u003c/h2>\n\u003cp>Elected officials in California also recognize that the state needs to expand its mental health workforce. One strategy is to hire more counselors and behavioral coaches — roles that require less education than psychiatrists and psychologists.\u003c/p>\n\u003cp>On August 18, Gov. Gavin Newsom announced a plan to add 40,000 mental health care professionals across the state. At least half of those positions will mostly be housed in schools. Newsom said the missing component to helping kids is “people willing to do this work.” Others say the system isn’t working as it should.\u003c/p>\n\u003cp>The federal Mental Health Parity Act, passed in 1996, ruled that insurers’ dollar limits on mental health benefits couldn’t be lower than their equivalents for physical health. But “that has not been in effect for most insurance companies across the country,” said Naomi Allen, CEO and co-founder of Brightline, a Palo Alto-based behavioral health start-up that provides virtual therapy to kids.\u003c/p>\n\u003cp>She was so frustrated by the experience of trying to find therapists for her three children using commercial insurance that she co-founded Brightline in 2019.\u003c/p>\n\u003cp>“What we have is a situation where year over year, more and more therapists are not available through insurance. They’re going out of network. They’re in private practice,” Allen said. “And so we have this scenario that existed pre-COVID, where care was essentially unaffordable to the vast majority of families.”\u003c/p>\n\u003cfigure id=\"attachment_11929797\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929797\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg\" alt=\"kids' art on a bulletin board in a therapist's office\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Art hangs in the therapy room at the Redwood City location of Family Connections. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Patricia Alvarado is one of those practitioners. She founded her online-only practice, Alvarado Therapy, about five years ago, and now employs a team of mostly bilingual therapists serving Latinx clients.\u003c/p>\n\u003cp>“We’re a private pay organization,” she said. “Sometimes it can be really hard to obtain payment (from insurance companies). It could take many months. There’s a lot of restrictions … like you could only work with a client for X amount of sessions and that’s it, and the client may need more.”\u003c/p>\n\u003cp>Some patients who have insurance end up paying out of pocket just to speed up the process of getting care.\u003c/p>\n\u003cp>“A lot of time passes by, and that can take away the motivation of wanting to seek services,” Alvarado said. “It shouldn’t be as hard as it is. ”\u003c/p>\n\u003cp>Valladares provided therapy until he burned out. Then he made the switch to running programs for nonprofits like Family Connections, which works with families who don’t qualify for lower-income programs and can’t afford to pay out of pocket.\u003c/p>\n\u003cp>“As long as the families expressed an interest in mental health services, we’re able to provide them with those services, which has been really great,” he said.\u003c/p>\n\u003cp>The shift to administrative work helped Valladares stay in the field, make more money and have time to spend with his wife and two kids, ages 5 and 1.\u003c/p>\n\u003cp>“I still want to be in a position where I can affect change and support families in a different way,” he said. “I make it a point to go out there and make a connection with the people my organization is serving and definitely not lose sight of why I do what I do.”\u003c/p>\n\u003cp>\u003cem>Blanca Torres reported this story while participating in the \u003ca href=\"https://centerforhealthjournalism.org/about-us\">USC Annenberg Center for Health Journalism’s 2022 California Fellowship\u003c/a>.\u003c/em> \u003cem>Subscribe to her monthly newsletter focused on the Bay Area’s Latinx community, K Onda KQED. \u003ca href=\"https://www.kqed.org/newsletters/k-onda\">Click here to subscribe\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Despite growing demand for children's mental health services, California has less than a quarter of the therapists it needs — and due to low pay, burnout and other barriers, culturally competent care from Latinx therapists and other therapists of color is even harder to find.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Growing up in Daly City, Eric Valladares remembers hearing how his parents and extended family fled El Salvador during the country’s 12-year civil war that ended in 1992.\u003c/p>\n\u003cp>After settling in California, some members struggled financially, finding it hard to adjust to a country where they didn’t speak the language and felt like outsiders.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>His family never discussed how they coped with those traumas or mentioned mental health. He remembers adults masking emotions with alcohol, something he later imitated. He didn’t realize he had a problem until he was in graduate school, learning how to help others with \u003ci>their\u003c/i> problems.\u003c/p>\n\u003cp>Valladares decided to become a therapist while an undergraduate student at San Francisco State University. He made the career choice believing he just wanted to help the Latinx community, but his decision was deeper than that.\u003c/p>\n\u003cp>“There was pain and there were experiences from my life and my family’s life that in subtle ways put me on this path,” he said. “I wanted to help others heal and help myself heal, but it didn’t occur to me until later. I thought of it as, ‘Isn’t it nice that I want to help people?’ But no, it was really, ‘I have unresolved issues and I want to work them out.’”\u003c/p>\n\u003cp>Valladares, now 37, spent years providing therapy to mostly immigrant, Spanish-speaking people. He’s now the executive director of Family Connections, a Palo Alto nonprofit that provides educational and mental health services to families with young children.\u003c/p>\n\u003cfigure id=\"attachment_11929791\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929791\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg\" alt=\"a Latino man in a blue and white checked shirt poses for a portrait in front of a colorful tree decoration in an office\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Executive Director Eric Valladares at the Redwood City location of his mental health nonprofit, Family Connections. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In many ways, Valladares exemplifies what experts and policymakers say California needs more of: He’s a multilingual Latino who brings cultural competency to mental health services. But his journey into the profession demonstrates the difficulties mental health care providers face, such as addressing their own traumas and figuring out how to navigate the professional mental health field — from earning enough money to dealing with insurance companies resistant to paying for patient care.\u003c/p>\n\u003ch2>‘Folks need to be served by people who look like them’\u003c/h2>\n\u003cp>Despite growing demand for mental health services for children struggling with depression, anxiety and suicidal ideation, the mental health field has failed at recruiting enough professionals — of any background. California has less than a quarter of the therapists it needs to care for the state’s population, and the majority specialize in treating adults, according to the Kaiser Family Foundation.\u003c/p>\n\u003cp>And the existing mental health workforce doesn’t mirror the state’s demographics. About 40% of Californians identify as Hispanic or Latino, according to research provided to KQED by the Healthforce Center at UCSF. But only 9% of clinical psychologists, 21% of marriage and family therapists and 27% of mental health counselors identified as Hispanic or Latino from 2015 to 2019, the research shows.\u003c/p>\n\u003cp>“Part of what makes any kind of therapeutic intervention work is the relationship between the provider and the person getting the service,” said Chris Stoner-Mertz, CEO of the California Alliance of Child and Family Services, a coalition of about 150 nonprofits and organizations that serve the state’s children and families. “Folks need to be served by people who look like them and who maybe had some of their life experiences.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The two biggest barriers to accessing mental health care are the cost and lack of providers. Insurers make it difficult for therapists to get paid by requiring a lot of paperwork, limiting mental health services they will cover and covering only patients with specific diagnoses or those who meet “medical necessity.”\u003c/p>\n\u003cp>Mental health professionals tend to fall into two camps: those who work in the public or nonprofit side and those in private practice. To avoid the hassle of dealing with insurance companies, many therapists go into private practice and accept only cash payments, which inherently means they end up serving patients who can afford to pay $100 to $250 per session.\u003c/p>\n\u003cp>The public or nonprofit side is typically supported by tax or philanthropic funding, and serves people with lower incomes or who aren’t covered by insurance. The government covers the biggest share of mental health care spending in the U.S. In 2019, \u003ca href=\"https://openminds.com/press/u-s-mental-health-spending-reached-225-1-billion-in-2019-open-minds-releases-new-analysis-on-market-spending/\">taxpayers covered 63% of all mental health care costs\u003c/a> — about $150 billion — including therapy and prescriptions, according to Open Minds, a health care market research firm.\u003c/p>\n\u003cp>When Valladares began his career 12 years ago, he wanted to treat underserved Latinx clients who had lower incomes or were immigrants, so he focused on working for nonprofit organizations. At his first job after completing a master’s degree in 2010, he earned $22 per hour or about $46,000 per year.\u003c/p>\n\u003cp>“I lived at home with my parents,” he said, to make it work financially.\u003c/p>\n\u003cp>Valladares estimates that a therapist entering a nonprofit or publicly funded agency now can expect to earn $55,000 to $70,000 per year.\u003c/p>\n\u003cp>“We’re losing a lot of therapists to private practice, and that’s OK,” Valladares said. “I don’t fault them. They don’t want yachts. They just want to be able to live.”\u003c/p>\n\u003cp>Haggling insurance companies to get paid for their services “creates a disillusionment with our mental health system,” Valladares said. “Providers like to say, ‘I don’t want to be a part of a system that just perpetuates this cycle of putting Band-Aids on much deeper issues,’ and then it pushes people into private practice. But again, if you go into private practice, who’s not getting served?”\u003c/p>\n\u003cfigure id=\"attachment_11929795\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929795\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg\" alt=\"a Latino man in a blue checked shirt with a mask shows an orange wall of musical instruments\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Executive Director Eric Valladares displays musical instruments in the play area at the Redwood City location of Family Connections. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Valladares’ focus on the Latinx community is tied to his upbringing. He recalled how some of the relatives who fled El Salvador were later hospitalized or placed on psychiatric holds because of mental health crises. One of his uncles had an alcohol addiction.\u003c/p>\n\u003cp>“I saw in my own family how they were impacted by immigration, trauma, the war that they had witnessed in their country and losing a piece of their identity through that,” he said.\u003c/p>\n\u003cp>The way he saw his relatives cope was by not talking about their issues and drinking in excess, habits he also picked up — which later led to his own alcohol addiction.\u003c/p>\n\u003cp>“In college, it’s normal to have a drink when you’re stressed out,” he said. “You don’t really look at it as a pattern or something you inherited from your family.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>No one questioned Valladares about his drinking until he entered a psychology master’s program at SF State when he was 23. The program encouraged students to see a therapist. When his therapist asked him why he drank frequently, he became defensive and ignored her concerns.\u003c/p>\n\u003cp>He went from only drinking with friends on weekends to frequently drinking at home on weeknights. Then he started canceling plans because he was too hungover. As he was nearing 30, he realized he needed to change.\u003c/p>\n\u003cp>“I was able to dismiss (my alcohol addiction) for years,” he said. “I started getting older and I realized that my patterns hadn’t only changed, they had gotten worse. The biggest part was meeting my wife. She was not OK with my lifestyle.”\u003c/p>\n\u003cp>When he decided to seek help, his insurance company denied him coverage for therapy and suggested he try a support group. He paid out of pocket for a therapist for about two years and has been in recovery for seven years.\u003c/p>\n\u003cp>His graduate program opened his eyes to the undiagnosed mental health conditions he had observed in his family, and how they lacked the understanding and vocabulary to talk about their issues. His mother never described herself as having anxiety, but would often say, “I just worry a lot.”\u003c/p>\n\u003cp>“My mom was an anxious person and I was an anxious child and we bonded over that,” he recalled. “Years later, alcohol helped me calm down.”\u003c/p>\n\u003cfigure id=\"attachment_11929800\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929800\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg\" alt=\"two people in masks speak in a children's therapy office\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Eric Valladares speaks with Carolina Calderón Balladares at the Redwood City location of Family Connections. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>His experience overcoming substance use disorder taught him that even for someone working in mental health, getting access to care is still a challenge. It also illustrated how valuable therapy can be.\u003c/p>\n\u003cp>“If I had not gotten into the mental health field, I would have just assumed and assimilated that that’s part of who I am,” he said. “It does make me a believer in what we do. I don’t think that there’s enough of us out there. But I do have a lot of faith that there are people out there who still want to help.”\u003c/p>\n\u003ch2>A lack of parity\u003c/h2>\n\u003cp>Elected officials in California also recognize that the state needs to expand its mental health workforce. One strategy is to hire more counselors and behavioral coaches — roles that require less education than psychiatrists and psychologists.\u003c/p>\n\u003cp>On August 18, Gov. Gavin Newsom announced a plan to add 40,000 mental health care professionals across the state. At least half of those positions will mostly be housed in schools. Newsom said the missing component to helping kids is “people willing to do this work.” Others say the system isn’t working as it should.\u003c/p>\n\u003cp>The federal Mental Health Parity Act, passed in 1996, ruled that insurers’ dollar limits on mental health benefits couldn’t be lower than their equivalents for physical health. But “that has not been in effect for most insurance companies across the country,” said Naomi Allen, CEO and co-founder of Brightline, a Palo Alto-based behavioral health start-up that provides virtual therapy to kids.\u003c/p>\n\u003cp>She was so frustrated by the experience of trying to find therapists for her three children using commercial insurance that she co-founded Brightline in 2019.\u003c/p>\n\u003cp>“What we have is a situation where year over year, more and more therapists are not available through insurance. They’re going out of network. They’re in private practice,” Allen said. “And so we have this scenario that existed pre-COVID, where care was essentially unaffordable to the vast majority of families.”\u003c/p>\n\u003cfigure id=\"attachment_11929797\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929797\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg\" alt=\"kids' art on a bulletin board in a therapist's office\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Art hangs in the therapy room at the Redwood City location of Family Connections. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Patricia Alvarado is one of those practitioners. She founded her online-only practice, Alvarado Therapy, about five years ago, and now employs a team of mostly bilingual therapists serving Latinx clients.\u003c/p>\n\u003cp>“We’re a private pay organization,” she said. “Sometimes it can be really hard to obtain payment (from insurance companies). It could take many months. There’s a lot of restrictions … like you could only work with a client for X amount of sessions and that’s it, and the client may need more.”\u003c/p>\n\u003cp>Some patients who have insurance end up paying out of pocket just to speed up the process of getting care.\u003c/p>\n\u003cp>“A lot of time passes by, and that can take away the motivation of wanting to seek services,” Alvarado said. “It shouldn’t be as hard as it is. ”\u003c/p>\n\u003cp>Valladares provided therapy until he burned out. Then he made the switch to running programs for nonprofits like Family Connections, which works with families who don’t qualify for lower-income programs and can’t afford to pay out of pocket.\u003c/p>\n\u003cp>“As long as the families expressed an interest in mental health services, we’re able to provide them with those services, which has been really great,” he said.\u003c/p>\n\u003cp>The shift to administrative work helped Valladares stay in the field, make more money and have time to spend with his wife and two kids, ages 5 and 1.\u003c/p>\n\u003cp>“I still want to be in a position where I can affect change and support families in a different way,” he said. “I make it a point to go out there and make a connection with the people my organization is serving and definitely not lose sight of why I do what I do.”\u003c/p>\n\u003cp>\u003cem>Blanca Torres reported this story while participating in the \u003ca href=\"https://centerforhealthjournalism.org/about-us\">USC Annenberg Center for Health Journalism’s 2022 California Fellowship\u003c/a>.\u003c/em> \u003cem>Subscribe to her monthly newsletter focused on the Bay Area’s Latinx community, K Onda KQED. \u003ca href=\"https://www.kqed.org/newsletters/k-onda\">Click here to subscribe\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Breaking the Cycle: How Parental Mental Health Affects Kids — and What to Do About It",
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"content": "\u003cp>When Mariana Pimentel thinks about her childhood in a small town in Mexico, she remembers being surrounded by anger and desperation.\u003c/p>\n\u003cp>Her parents worked long hours to support Pimentel and her brothers and sisters, so they were often absent. When they \u003cem>were\u003c/em> home, her parents communicated by yelling.\u003c/p>\n\u003cp>“I want my kids to grow up in a different environment from how I grew up and not repeat the same mistakes,” said Pimentel, a 41-year-old mother of three.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11926978,news_11924343,news_11924980\"]Shifting away from the parenting style she grew up with took time and lots of work. Nine years ago, Pimentel, who lives in Salinas, began attending free classes on topics such as positive parenting and discipline at GoKids Inc., a nonprofit that provides early childhood education to lower-income families.\u003c/p>\n\u003cp>“I’ve noticed that if I am stressed or anxious, I will end up transmitting that to my kids. There is a connection,” Pimentel said. “The more I attend classes, the more I learn, the better I can help my children and the better off they will be.”\u003c/p>\n\u003cp>In addition to taking classes, Pimentel, her husband and two of her children received individual therapy through GoKids to deal with depression and anxiety. The family’s experience demonstrates the importance of addressing mental health not just for one person, but the family as a whole.\u003c/p>\n\u003ch2>Pandemic ‘forced us to look at the shadows’\u003c/h2>\n\u003cp>During the first year of the pandemic, \u003ca href=\"https://www.cdc.gov/mmwr/volumes/70/wr/mm7024a3.htm#:~:text=Among%202%2C391%20parents%2Dcaregivers%2C%20approximately,past%2Dmonth%20serious%20suicidal%20ideation.\">nearly two-thirds of caregivers, including parents, reported adverse mental or behavioral health symptoms\u003c/a>, according to a Centers for Disease Control and Prevention survey. The survey also found that 27% of parents of children under 18 reported that their mental health worsened during the pandemic.\u003c/p>\n\u003cp>The need to come to terms with how parental mental health influences the mental health of children has come into sharper focus as the United States grapples with a crisis of children experiencing higher rates of anxiety, depression and thoughts of suicide.\u003c/p>\n\u003cp>In 2020, California saw a 70% increase in kids being diagnosed with anxiety or depression. That’s 1 in 8, up from 1 in 14 in 2016, \u003ca href=\"https://assets.aecf.org/m/resourcedoc/aecf-2022kidscountdatabook-2022.pdf\">according to The Annie E. Casey Foundation (PDF)\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11929357\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929357\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-800x640.jpg\" alt=\"a young Latinx couple, a man and a woman, in white shirts, smiling in front of a blue sky\" width=\"800\" height=\"640\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-800x640.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-1020x816.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-160x128.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-1536x1229.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jose Angel Morales and Mariana Pimentel learned to manage their own stress and anxiety with therapy, and are working to pass the tools they’ve learned on to their children. \u003ccite>(Courtesy of Mariana Pimentel)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Children of color suffer the most, say experts, because services remain inaccessible to them for a variety of reasons.\u003c/p>\n\u003cp>“One thing the pandemic did is that it forced us to look at the shadows, the darker things, both within ourselves and within our communities that need attention,” said Tlazoltiani Jessica Zamarripa, who co-founded the Institute of Chicana/o/x Psychology with her husband, Manuel X. Zamarripa.\u003c/p>\n\u003cp>Based in Austin, Texas, the organization provides training for mental health providers and individuals with an emphasis on ancestral knowledge and practices from Indigenous cultures of Mexico. The Zamarripas founded the Institute of Chicana/o/x Psychology as a way to combat what they call the “mental health industrial complex” that has largely left kids from nonwhite communities underserved.\u003c/p>\n\u003cp>“Our children have never been immune to the stresses, the anxieties, the intergenerational ancestral, familial, interpersonal and racial traumas, and the harms and violence we have experienced and experience now,” Zamarripa said.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Tlazoltiani Jessica Zamarripa, co-founder, Institute of Chicana/o/x Psychology\"]‘Our children have never been immune to the stresses, the anxieties, the intergenerational ancestral, familial, interpersonal and racial traumas, and the harms and violence we have experienced.’[/pullquote]Often, when a child is struggling, the focus is solely on what they are doing wrong and correcting those behaviors, while not taking into account the stressors in their environment, including some caused by stressed parents. Parents need to recognize when their children need help, but also need to understand their own behavior, mental health and patterns of generational trauma, Zamarripa said.\u003c/p>\n\u003cp>In 2019, close to 1 in 5 white children received some form of mental health treatment. For \u003ca href=\"https://www.cdc.gov/nchs/products/databriefs/db381.htm\">Latino and Black children the rate was about 1 in 11\u003c/a>, according to the CDC.\u003c/p>\n\u003cp>“It’s a deep pain to know that our children are struggling and suffering,” Zamarripa said. “We just want to believe that they’re happy and playful.”\u003c/p>\n\u003cp>But children don’t have the same coping mechanisms and understanding that adults have. When a child is acting out, Zamarripa’s advice is to avoid reacting, punishing or judging the behavior.\u003c/p>\n\u003cp>“Kids act out in all kinds of ways, and for generations and generations and generations that has been misinterpreted as bad behavior when, in fact, all behavior is communication,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11929393\" class=\"wp-caption aligncenter\" style=\"max-width: 709px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11929393\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM.jpg\" alt=\"a man and a woman in traditional Chicana/o/x dress talk in a room\" width=\"709\" height=\"399\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM.jpg 709w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM-160x90.jpg 160w\" sizes=\"(max-width: 709px) 100vw, 709px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Manuel X. Zamarippa (left) and Tlazoltiani Jessica Zamarripa, co-founders of the Institute of Chicana/o/x Psychology. \u003ccite>(Courtesy of the Institute of Chicana/o/x Psychology)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some parents, particularly the parents of children of color, often don’t know how to manage the stigma attached to seeking therapy for themselves or their children.\u003c/p>\n\u003cp>“Sometimes the difficulty with gaining access [to mental health care] is even getting buy-in” from parents, said Patricia Alvarado of Alvarado Therapy, a Los Angeles-based practice made up of Latinx and Spanish-speaking therapists. “If we’re talking about a young person, like a kid or a teenager, it can be quite difficult to say, ‘Yes, I need help.’ And also for the parent, depending on their socioeconomic status, their background, their education, they may not even know what that means.”\u003c/p>\n\u003cp>Not treating mental illness in kids can cause long-term harm. CDC researchers estimate that \u003ca href=\"https://www.cdc.gov/childrensmentalhealth/features/kf-childrens-mental-health-report.html\">13% to 20% of children are affected by an emotional or mental health disorder before the age of 17\u003c/a>.\u003c/p>\n\u003cp>“We still don’t know the long-term impact of the pandemic on children,” said Dr. Sandra Pisano, director of behavioral health for AltaMed, a community health provider in Southern California that serves lower-income people and mostly Latinx patients. “By normalizing wellness and self-care, this is where there’s a great opportunity for us to provide services to develop a healthy future generation after the pandemic.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Sandra Pisano, director of behavioral health, AltaMed\"]‘By normalizing wellness and self-care, this is where there’s a great opportunity for us to provide services to develop a healthy future generation after the pandemic.’[/pullquote]According to Pisano, many parents don’t know how to talk to their children about self-care, which can be as simple as good sleep, eating well, taking deep breaths and doing something that brings joy or relaxation.\u003c/p>\n\u003cp>“It’s important for them as they grow older … that they still have the practice of self-care, because this is creating a healthy child who will eventually be a healthy adult,” Pisano said.\u003c/p>\n\u003ch2>The transformative power of therapy\u003c/h2>\n\u003cp>When she was 24 years old, Pimentel left her home in Hidalgo, a state in central Mexico, to join her brother and sister in Salinas. There she met her husband, Jose Angel Morales, and started a family. Their three children are ages 9, 6 and 7 months.\u003c/p>\n\u003cp>“I looked for parenting resources when my eldest daughter was born, and connected with GoKids,” she said. “We started with classes and workshops and then wellness visits for my daughter and then, eventually, I found out they offered therapy.”\u003c/p>\n\u003cp>In 2020, Pimentel sank into depression after going through a miscarriage and went to therapy for the first time to deal with her grief.\u003c/p>\n\u003cp>In early 2021, she noticed her son biting his nails, a habit that went from occasional to excessive. His personality shifted from mostly happy and outgoing to somber and anxious, she said. He came home from school with bruises because classmates were bullying him.\u003c/p>\n\u003cfigure id=\"attachment_11929362\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929362\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-800x600.jpg\" alt=\"a Latinx family posing in a park, with a dad, mom and three young kids\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-1536x1153.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut.jpg 1599w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jose Angel Morales, Mariana Pimentel and their children. \u003ccite>(Courtesy of Mariana Pimentel)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the same time, Pimentel’s 9-year-old was also showing signs of anxiety. When she had to take a test or do something new, she would freeze with fear and struggle to complete her work. The stress of going from remote to in-person school also put a strain on her. Her children attended therapy sessions for about a year, until December of 2021.\u003c/p>\n\u003cp>Pimentel’s husband went to therapy last year to cope with stress from the pandemic — like losing his job at a car wash and family members contracting the virus, including Pimentel.\u003c/p>\n\u003cp>According to Pimentel, her husband’s therapist helped him realize that he had put too much emphasis on working extra hours or taking on additional tasks, all because he was afraid of being fired. He eventually found a new job at a different car wash and is far less stressed about work.\u003c/p>\n\u003cp>For families like Pimentel’s, having timely access to affordable mental health services was transformative, along with creating a culture of mental wellness at home.\u003c/p>\n\u003cp>Her son is more relaxed and joyful, she said, and many of his anxious behaviors, such as the nail biting, have decreased. He’s also developed the tools and confidence to stand up to bullies.\u003c/p>\n\u003cp>Her daughter has learned to calm her anxiety with techniques such as taking deep breaths, a sip of water or a short walk. She is bringing home higher grades.\u003c/p>\n\u003cp>“I didn’t know that I had depression or that I had a lot of anxiety,” Pimentel said, referring to the time before she entered therapy. “I have discovered many things, how to understand these issues and how I can work on them. And also how to help my children.”\u003c/p>\n\u003cp>\u003cem>Blanca Torres reported this story while participating in the \u003ca href=\"https://centerforhealthjournalism.org/about-us\">USC Annenberg Center for Health Journalism’s 2022 California Fellowship\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Mariana Pimentel thinks about her childhood in a small town in Mexico, she remembers being surrounded by anger and desperation.\u003c/p>\n\u003cp>Her parents worked long hours to support Pimentel and her brothers and sisters, so they were often absent. When they \u003cem>were\u003c/em> home, her parents communicated by yelling.\u003c/p>\n\u003cp>“I want my kids to grow up in a different environment from how I grew up and not repeat the same mistakes,” said Pimentel, a 41-year-old mother of three.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Shifting away from the parenting style she grew up with took time and lots of work. Nine years ago, Pimentel, who lives in Salinas, began attending free classes on topics such as positive parenting and discipline at GoKids Inc., a nonprofit that provides early childhood education to lower-income families.\u003c/p>\n\u003cp>“I’ve noticed that if I am stressed or anxious, I will end up transmitting that to my kids. There is a connection,” Pimentel said. “The more I attend classes, the more I learn, the better I can help my children and the better off they will be.”\u003c/p>\n\u003cp>In addition to taking classes, Pimentel, her husband and two of her children received individual therapy through GoKids to deal with depression and anxiety. The family’s experience demonstrates the importance of addressing mental health not just for one person, but the family as a whole.\u003c/p>\n\u003ch2>Pandemic ‘forced us to look at the shadows’\u003c/h2>\n\u003cp>During the first year of the pandemic, \u003ca href=\"https://www.cdc.gov/mmwr/volumes/70/wr/mm7024a3.htm#:~:text=Among%202%2C391%20parents%2Dcaregivers%2C%20approximately,past%2Dmonth%20serious%20suicidal%20ideation.\">nearly two-thirds of caregivers, including parents, reported adverse mental or behavioral health symptoms\u003c/a>, according to a Centers for Disease Control and Prevention survey. The survey also found that 27% of parents of children under 18 reported that their mental health worsened during the pandemic.\u003c/p>\n\u003cp>The need to come to terms with how parental mental health influences the mental health of children has come into sharper focus as the United States grapples with a crisis of children experiencing higher rates of anxiety, depression and thoughts of suicide.\u003c/p>\n\u003cp>In 2020, California saw a 70% increase in kids being diagnosed with anxiety or depression. That’s 1 in 8, up from 1 in 14 in 2016, \u003ca href=\"https://assets.aecf.org/m/resourcedoc/aecf-2022kidscountdatabook-2022.pdf\">according to The Annie E. Casey Foundation (PDF)\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11929357\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929357\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-800x640.jpg\" alt=\"a young Latinx couple, a man and a woman, in white shirts, smiling in front of a blue sky\" width=\"800\" height=\"640\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-800x640.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-1020x816.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-160x128.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-1536x1229.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jose Angel Morales and Mariana Pimentel learned to manage their own stress and anxiety with therapy, and are working to pass the tools they’ve learned on to their children. \u003ccite>(Courtesy of Mariana Pimentel)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Children of color suffer the most, say experts, because services remain inaccessible to them for a variety of reasons.\u003c/p>\n\u003cp>“One thing the pandemic did is that it forced us to look at the shadows, the darker things, both within ourselves and within our communities that need attention,” said Tlazoltiani Jessica Zamarripa, who co-founded the Institute of Chicana/o/x Psychology with her husband, Manuel X. Zamarripa.\u003c/p>\n\u003cp>Based in Austin, Texas, the organization provides training for mental health providers and individuals with an emphasis on ancestral knowledge and practices from Indigenous cultures of Mexico. The Zamarripas founded the Institute of Chicana/o/x Psychology as a way to combat what they call the “mental health industrial complex” that has largely left kids from nonwhite communities underserved.\u003c/p>\n\u003cp>“Our children have never been immune to the stresses, the anxieties, the intergenerational ancestral, familial, interpersonal and racial traumas, and the harms and violence we have experienced and experience now,” Zamarripa said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Often, when a child is struggling, the focus is solely on what they are doing wrong and correcting those behaviors, while not taking into account the stressors in their environment, including some caused by stressed parents. Parents need to recognize when their children need help, but also need to understand their own behavior, mental health and patterns of generational trauma, Zamarripa said.\u003c/p>\n\u003cp>In 2019, close to 1 in 5 white children received some form of mental health treatment. For \u003ca href=\"https://www.cdc.gov/nchs/products/databriefs/db381.htm\">Latino and Black children the rate was about 1 in 11\u003c/a>, according to the CDC.\u003c/p>\n\u003cp>“It’s a deep pain to know that our children are struggling and suffering,” Zamarripa said. “We just want to believe that they’re happy and playful.”\u003c/p>\n\u003cp>But children don’t have the same coping mechanisms and understanding that adults have. When a child is acting out, Zamarripa’s advice is to avoid reacting, punishing or judging the behavior.\u003c/p>\n\u003cp>“Kids act out in all kinds of ways, and for generations and generations and generations that has been misinterpreted as bad behavior when, in fact, all behavior is communication,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11929393\" class=\"wp-caption aligncenter\" style=\"max-width: 709px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11929393\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM.jpg\" alt=\"a man and a woman in traditional Chicana/o/x dress talk in a room\" width=\"709\" height=\"399\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM.jpg 709w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM-160x90.jpg 160w\" sizes=\"(max-width: 709px) 100vw, 709px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Manuel X. Zamarippa (left) and Tlazoltiani Jessica Zamarripa, co-founders of the Institute of Chicana/o/x Psychology. \u003ccite>(Courtesy of the Institute of Chicana/o/x Psychology)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some parents, particularly the parents of children of color, often don’t know how to manage the stigma attached to seeking therapy for themselves or their children.\u003c/p>\n\u003cp>“Sometimes the difficulty with gaining access [to mental health care] is even getting buy-in” from parents, said Patricia Alvarado of Alvarado Therapy, a Los Angeles-based practice made up of Latinx and Spanish-speaking therapists. “If we’re talking about a young person, like a kid or a teenager, it can be quite difficult to say, ‘Yes, I need help.’ And also for the parent, depending on their socioeconomic status, their background, their education, they may not even know what that means.”\u003c/p>\n\u003cp>Not treating mental illness in kids can cause long-term harm. CDC researchers estimate that \u003ca href=\"https://www.cdc.gov/childrensmentalhealth/features/kf-childrens-mental-health-report.html\">13% to 20% of children are affected by an emotional or mental health disorder before the age of 17\u003c/a>.\u003c/p>\n\u003cp>“We still don’t know the long-term impact of the pandemic on children,” said Dr. Sandra Pisano, director of behavioral health for AltaMed, a community health provider in Southern California that serves lower-income people and mostly Latinx patients. “By normalizing wellness and self-care, this is where there’s a great opportunity for us to provide services to develop a healthy future generation after the pandemic.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>According to Pisano, many parents don’t know how to talk to their children about self-care, which can be as simple as good sleep, eating well, taking deep breaths and doing something that brings joy or relaxation.\u003c/p>\n\u003cp>“It’s important for them as they grow older … that they still have the practice of self-care, because this is creating a healthy child who will eventually be a healthy adult,” Pisano said.\u003c/p>\n\u003ch2>The transformative power of therapy\u003c/h2>\n\u003cp>When she was 24 years old, Pimentel left her home in Hidalgo, a state in central Mexico, to join her brother and sister in Salinas. There she met her husband, Jose Angel Morales, and started a family. Their three children are ages 9, 6 and 7 months.\u003c/p>\n\u003cp>“I looked for parenting resources when my eldest daughter was born, and connected with GoKids,” she said. “We started with classes and workshops and then wellness visits for my daughter and then, eventually, I found out they offered therapy.”\u003c/p>\n\u003cp>In 2020, Pimentel sank into depression after going through a miscarriage and went to therapy for the first time to deal with her grief.\u003c/p>\n\u003cp>In early 2021, she noticed her son biting his nails, a habit that went from occasional to excessive. His personality shifted from mostly happy and outgoing to somber and anxious, she said. He came home from school with bruises because classmates were bullying him.\u003c/p>\n\u003cfigure id=\"attachment_11929362\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929362\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-800x600.jpg\" alt=\"a Latinx family posing in a park, with a dad, mom and three young kids\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-1536x1153.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut.jpg 1599w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jose Angel Morales, Mariana Pimentel and their children. \u003ccite>(Courtesy of Mariana Pimentel)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the same time, Pimentel’s 9-year-old was also showing signs of anxiety. When she had to take a test or do something new, she would freeze with fear and struggle to complete her work. The stress of going from remote to in-person school also put a strain on her. Her children attended therapy sessions for about a year, until December of 2021.\u003c/p>\n\u003cp>Pimentel’s husband went to therapy last year to cope with stress from the pandemic — like losing his job at a car wash and family members contracting the virus, including Pimentel.\u003c/p>\n\u003cp>According to Pimentel, her husband’s therapist helped him realize that he had put too much emphasis on working extra hours or taking on additional tasks, all because he was afraid of being fired. He eventually found a new job at a different car wash and is far less stressed about work.\u003c/p>\n\u003cp>For families like Pimentel’s, having timely access to affordable mental health services was transformative, along with creating a culture of mental wellness at home.\u003c/p>\n\u003cp>Her son is more relaxed and joyful, she said, and many of his anxious behaviors, such as the nail biting, have decreased. He’s also developed the tools and confidence to stand up to bullies.\u003c/p>\n\u003cp>Her daughter has learned to calm her anxiety with techniques such as taking deep breaths, a sip of water or a short walk. She is bringing home higher grades.\u003c/p>\n\u003cp>“I didn’t know that I had depression or that I had a lot of anxiety,” Pimentel said, referring to the time before she entered therapy. “I have discovered many things, how to understand these issues and how I can work on them. And also how to help my children.”\u003c/p>\n\u003cp>\u003cem>Blanca Torres reported this story while participating in the \u003ca href=\"https://centerforhealthjournalism.org/about-us\">USC Annenberg Center for Health Journalism’s 2022 California Fellowship\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Despite mounting concerns and an ongoing foul odor, county health officials do not plan to investigate whether the extended release of a toxic gas from a Crockett wastewater treatment plant caused migraines, nausea and other ailments among people living nearby.\u003c/p>\n\u003cp>Residents of the small Contra Costa County community near the Carquinez Bridge have been exposed for more than a month to a putrid odor presumably caused by the release of \u003ca href=\"https://www.cdc.gov/niosh/topics/hydrogensulfide/default.html\">hydrogen sulfide\u003c/a>, a toxic gas, from the malfunctioning Crockett wastewater treatment plant. The facility is primarily owned by the nearby C&H Sugar company.\u003c/p>\n\u003cp>“I’ve had migraines, nausea. There’s been points where you walk out of the house and you just immediately start gagging,” Jena Goodman, president of the Crockett Improvement Association, told KQED on Thursday.\u003c/p>\n\u003cp>“You get slapped in the face with this odor,” she added. “It’s so thick you can almost taste it.”\u003c/p>\n\u003cp>Local air regulators on Thursday said they had already received \u003ca href=\"https://twitter.com/AirDistrict/status/1580656809265594369?s=20&t=nONz9p90PW7kL0n_YhVJKw\">300 complaints\u003c/a> about the vile odor, including from some who complained the stench made them sick.\u003c/p>\n\u003cp>And on Friday, Contra Costa Health Services said the \u003ca href=\"https://cchealth.org/press-releases/2022/1013-Health-Advisory-Remains-in-Effect-in-Crockett.php\">health advisory\u003c/a> it issued in early October, urging residents to take precautions, remains in effect. Officials, however, noted they had detected less hydrogen sulfide in the air than earlier in the week.[aside label=\"Related Stories\" postID=\"news_11875511,news_11785533,news_11783200\"]The county health department also said the releases prompted them to give 40 indoor air filters to a local high school and middle school.\u003c/p>\n\u003cp>Despite these concerns, county health officials say they do not plan to investigate whether the chemicals drifting from the facility have indeed made people sick.\u003c/p>\n\u003cp>“Based on the current detected levels of hydrogen sulfide, we do not believe there is a need to survey the community for symptoms of exposure,” Karl Fischer, spokesperson for Contra Costa Health Services, said in an email Thursday. “The detected levels are not immediately dangerous to public health, and we do not have evidence that people with acute symptoms related to this event are seeking medical care.”\u003c/p>\n\u003cp>Fisher emphasized that the agency’s role — and the purpose of its health advisory — is to notify people in the area of possible hydrogen sulfide exposure, the levels of it that have been detected, the potential symptoms people could experience, and how they can stay safe.\u003c/p>\n\u003cp>The agency says it has not seen an uptick in emergency room and ambulance activity.\u003c/p>\n\u003cp>But the odor had been present in the community for roughly a month before the county issued its advisory, Goodman said.\u003c/p>\n\u003cp>“We don’t know how long we had been exposed to who knows what,” she said.\u003c/p>\n\u003cp>Goodman, who lives a block away from the plant, has taped up her windows and vents. “No matter what we do, it just seeps inside,” she said.\u003c/p>\n\u003cp>She organized two town hall meetings in recent weeks in response to the odor, and says residents have complained of the kinds of symptoms county health officials say people can experience if exposed to hydrogen sulfide for extended periods of time: including headaches, nausea and burning eyes.\u003c/p>\n\u003cp>One resident told \u003ca href=\"https://abc7news.com/crockett-bad-smell-odor-sewage-ch-sugar-factory/12322542/\">ABC 7\u003c/a> this week she has recently experienced nausea and brain fog, and said some of her friends have had nosebleeds.\u003c/p>\n\u003cp>Goodman, who said her 2-year-old daughter got sick in recent weeks from the odor, expressed frustration about how long the stench has been hitting the town.\u003c/p>\n\u003cp>“I have spent weeks trying to get ahold of somebody to do something,” she said, noting her efforts to contact both C&H and county officials. “It progressively got worse. It was very frustrating to have this happen for so long and not be able to get a resolution or to get somebody to help.”\u003c/p>\n\u003cp>“I’m really mad about it,” Gaunt Murdock, general manager of the Crockett Community Services District, told KQED earlier in the week. “We don’t deserve this.”\u003c/p>\n\u003cp>“It smells like excrement,” he added.\u003c/p>\n\u003cp>The treatment plant’s problems began in early September, when the Bay Area was slammed by a historic heat wave, according to Murdock. A compressor failed, causing the system that digests sewage in the plant to shut down. Weeks later, a power outage took place at the cogeneration plant that provides energy to the facility. Both incidents caused the strong odor to waft from the plant into downtown Crockett.\u003c/p>\n\u003cp>Because Crockett is unincorporated, it lacks a mayor, city council, police department and many other common local government institutions.\u003c/p>\n\u003cp>The ownership and operation of the wastewater plant is complicated. The community services district operates the sewer system that sends wastewater from homes and businesses into the facility. But C&H Sugar shares ownership of the plant with the district and has a majority stake in it. The sugar company’s contractor, Inframark, operates the facility.\u003c/p>\n\u003cp>“We pay C&H to handle the sewage. It’s not being handled well,” Murdock said.\u003c/p>\n\u003cp>Representatives for C&H say crews have been working hard to solve the problem. Inframark cleaned more than 1,300 air diffusers on Wednesday and plans to clean another round soon, according to Ashley Bauman, spokesperson for the company. That should help provide oxygen to microorganisms in the wastewater that break down the sewage, Bauman said.\u003c/p>\n\u003cp>The odor is expected to fully subside within seven to 10 days, according to the company, and residents should notice it easing before then.\u003c/p>\n\u003cp>Local air and state water regulators also are investigating the plant’s malfunctions.\u003c/p>\n\u003cp>The Bay Area Air Quality Management District says it has issued 16 notices of violation against C&H in recent days. Agency staff have been in the area daily, patrolling the community and responding to complaints, according to agency spokesperson Ralph Borrmann.\u003c/p>\n\u003cp>“In the case of odor complaints in Crockett, I can generally say complainants have mentioned being sick due to the odor,” Borrmann said in an email Friday.\u003c/p>\n\u003cp>He said agency staff have told residents who say they’ve become ill to contact the county health department.\u003c/p>\n\u003cp>The San Francisco Bay Regional Water Quality Control Board also is investigating whether the wastewater plant’s problems violate regional pollution regulations, said agency spokesperson Blair Robertson. The results of tests taken last week along the shoreline near the plant did not suggest any violations, and the agency is still awaiting test results from this week, Robertson said.\u003c/p>\n\u003cp>Between August 2009 and November 2019, the agency issued $514,000 in fines to C&H for releasing unauthorized amounts of pollutants into the bay.\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Residents of the small Contra Costa County community have been exposed for more than a month to a putrid odor presumably caused by the release of hydrogen sulfide from the malfunctioning Crockett wastewater treatment plant. Some say they've experienced migraines, nausea and other symptoms.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Despite mounting concerns and an ongoing foul odor, county health officials do not plan to investigate whether the extended release of a toxic gas from a Crockett wastewater treatment plant caused migraines, nausea and other ailments among people living nearby.\u003c/p>\n\u003cp>Residents of the small Contra Costa County community near the Carquinez Bridge have been exposed for more than a month to a putrid odor presumably caused by the release of \u003ca href=\"https://www.cdc.gov/niosh/topics/hydrogensulfide/default.html\">hydrogen sulfide\u003c/a>, a toxic gas, from the malfunctioning Crockett wastewater treatment plant. The facility is primarily owned by the nearby C&H Sugar company.\u003c/p>\n\u003cp>“I’ve had migraines, nausea. There’s been points where you walk out of the house and you just immediately start gagging,” Jena Goodman, president of the Crockett Improvement Association, told KQED on Thursday.\u003c/p>\n\u003cp>“You get slapped in the face with this odor,” she added. “It’s so thick you can almost taste it.”\u003c/p>\n\u003cp>Local air regulators on Thursday said they had already received \u003ca href=\"https://twitter.com/AirDistrict/status/1580656809265594369?s=20&t=nONz9p90PW7kL0n_YhVJKw\">300 complaints\u003c/a> about the vile odor, including from some who complained the stench made them sick.\u003c/p>\n\u003cp>And on Friday, Contra Costa Health Services said the \u003ca href=\"https://cchealth.org/press-releases/2022/1013-Health-Advisory-Remains-in-Effect-in-Crockett.php\">health advisory\u003c/a> it issued in early October, urging residents to take precautions, remains in effect. Officials, however, noted they had detected less hydrogen sulfide in the air than earlier in the week.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The county health department also said the releases prompted them to give 40 indoor air filters to a local high school and middle school.\u003c/p>\n\u003cp>Despite these concerns, county health officials say they do not plan to investigate whether the chemicals drifting from the facility have indeed made people sick.\u003c/p>\n\u003cp>“Based on the current detected levels of hydrogen sulfide, we do not believe there is a need to survey the community for symptoms of exposure,” Karl Fischer, spokesperson for Contra Costa Health Services, said in an email Thursday. “The detected levels are not immediately dangerous to public health, and we do not have evidence that people with acute symptoms related to this event are seeking medical care.”\u003c/p>\n\u003cp>Fisher emphasized that the agency’s role — and the purpose of its health advisory — is to notify people in the area of possible hydrogen sulfide exposure, the levels of it that have been detected, the potential symptoms people could experience, and how they can stay safe.\u003c/p>\n\u003cp>The agency says it has not seen an uptick in emergency room and ambulance activity.\u003c/p>\n\u003cp>But the odor had been present in the community for roughly a month before the county issued its advisory, Goodman said.\u003c/p>\n\u003cp>“We don’t know how long we had been exposed to who knows what,” she said.\u003c/p>\n\u003cp>Goodman, who lives a block away from the plant, has taped up her windows and vents. “No matter what we do, it just seeps inside,” she said.\u003c/p>\n\u003cp>She organized two town hall meetings in recent weeks in response to the odor, and says residents have complained of the kinds of symptoms county health officials say people can experience if exposed to hydrogen sulfide for extended periods of time: including headaches, nausea and burning eyes.\u003c/p>\n\u003cp>One resident told \u003ca href=\"https://abc7news.com/crockett-bad-smell-odor-sewage-ch-sugar-factory/12322542/\">ABC 7\u003c/a> this week she has recently experienced nausea and brain fog, and said some of her friends have had nosebleeds.\u003c/p>\n\u003cp>Goodman, who said her 2-year-old daughter got sick in recent weeks from the odor, expressed frustration about how long the stench has been hitting the town.\u003c/p>\n\u003cp>“I have spent weeks trying to get ahold of somebody to do something,” she said, noting her efforts to contact both C&H and county officials. “It progressively got worse. It was very frustrating to have this happen for so long and not be able to get a resolution or to get somebody to help.”\u003c/p>\n\u003cp>“I’m really mad about it,” Gaunt Murdock, general manager of the Crockett Community Services District, told KQED earlier in the week. “We don’t deserve this.”\u003c/p>\n\u003cp>“It smells like excrement,” he added.\u003c/p>\n\u003cp>The treatment plant’s problems began in early September, when the Bay Area was slammed by a historic heat wave, according to Murdock. A compressor failed, causing the system that digests sewage in the plant to shut down. Weeks later, a power outage took place at the cogeneration plant that provides energy to the facility. Both incidents caused the strong odor to waft from the plant into downtown Crockett.\u003c/p>\n\u003cp>Because Crockett is unincorporated, it lacks a mayor, city council, police department and many other common local government institutions.\u003c/p>\n\u003cp>The ownership and operation of the wastewater plant is complicated. The community services district operates the sewer system that sends wastewater from homes and businesses into the facility. But C&H Sugar shares ownership of the plant with the district and has a majority stake in it. The sugar company’s contractor, Inframark, operates the facility.\u003c/p>\n\u003cp>“We pay C&H to handle the sewage. It’s not being handled well,” Murdock said.\u003c/p>\n\u003cp>Representatives for C&H say crews have been working hard to solve the problem. Inframark cleaned more than 1,300 air diffusers on Wednesday and plans to clean another round soon, according to Ashley Bauman, spokesperson for the company. That should help provide oxygen to microorganisms in the wastewater that break down the sewage, Bauman said.\u003c/p>\n\u003cp>The odor is expected to fully subside within seven to 10 days, according to the company, and residents should notice it easing before then.\u003c/p>\n\u003cp>Local air and state water regulators also are investigating the plant’s malfunctions.\u003c/p>\n\u003cp>The Bay Area Air Quality Management District says it has issued 16 notices of violation against C&H in recent days. Agency staff have been in the area daily, patrolling the community and responding to complaints, according to agency spokesperson Ralph Borrmann.\u003c/p>\n\u003cp>“In the case of odor complaints in Crockett, I can generally say complainants have mentioned being sick due to the odor,” Borrmann said in an email Friday.\u003c/p>\n\u003cp>He said agency staff have told residents who say they’ve become ill to contact the county health department.\u003c/p>\n\u003cp>The San Francisco Bay Regional Water Quality Control Board also is investigating whether the wastewater plant’s problems violate regional pollution regulations, said agency spokesperson Blair Robertson. The results of tests taken last week along the shoreline near the plant did not suggest any violations, and the agency is still awaiting test results from this week, Robertson said.\u003c/p>\n\u003cp>Between August 2009 and November 2019, the agency issued $514,000 in fines to C&H for releasing unauthorized amounts of pollutants into the bay.\u003cbr>\n\u003c/p>\u003c/div>",
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"title": "Biden to Pardon Simple Federal Marijuana Possession Convictions",
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"content": "\u003cp>President Biden on Thursday announced that he is taking executive action to pardon people convicted of simple marijuana possession under federal law and Washington, D.C. statute.\u003c/p>\n\u003cp>The pardons will be done through an administration process to be developed by the Justice Department, senior administration officials told reporters on a briefing call, and will cover citizens and lawful permanent residents.\u003c/p>\n\u003cp>“Sending people to prison for possessing marijuana has upended too many lives and incarcerated people for conduct that many states no longer prohibit,” Biden said in a statement.\u003c/p>\n\u003cp>More than 6,500 people were convicted of simple possession between 1992 and 2021 under federal law, and thousands more under D.C. code, the officials said. Biden had promised the action during his campaign.\u003c/p>\n\u003cp>https://twitter.com/WhiteHouse/status/1578108939174281218\u003c/p>\n\u003cp>However, most convictions happen at the state level, leaving those pardons up to each governor.\u003c/p>\n\u003cp>The order comes as five states, \u003ca href=\"https://ballotpedia.org/Marijuana_laws_and_ballot_measures_in_the_United_States\">Arkansas, Maryland, Missouri, North Dakota and South Dakota\u003c/a>, have legalization measures on their ballots for November. Nineteen states have legalized marijuana for recreational use and 38 states have legalized marijuana for medical use.\u003c/p>\n\u003cp>In addition to the executive order, Biden is also urging all governors to take similar action in their states.\u003c/p>\n\u003cp>Biden is also asking his Health and Human Services and Justice departments to review whether marijuana should still be classified as a Schedule 1 substance under the Controlled Substances Act. The classification is meant for the most dangerous substances, according to Biden.\u003c/p>\n\u003cp>DOJ will in the coming days begin creating the process for issuing the pardons, according to a statement from Justice Department spokesperson Anthony Coley, and will work with HHS on the review of drug scheduling.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"marijuana\"]“This is the same schedule as for heroin and LSD, and even higher than the classification of fentanyl and methamphetamine – the drugs that are driving our overdose epidemic,” Biden said in a statement.\u003c/p>\n\u003cp>The president, however, noted that “even as federal and state regulation of marijuana changes, important limitations on trafficking, marketing, and under-age sales should stay in place.”\u003c/p>\n\u003cp>The moves do not legalize the use of marijuana.\u003c/p>\n\u003cp>Some marijuana advocacy groups have applauded the move. But they want the president to go further.\u003c/p>\n\u003cp>“We, however, hope that the Biden Administration will go further and fully deschedule marijuana from the Controlled Substances Act, rather than initiate a process that could lead to rescheduling,” said Kassandra Frederique, executive director of the Drug Policy Alliance, in a statement. “Keeping marijuana on the federal drug schedule will mean people will continue to face criminal charges for marijuana.”\u003c/p>\n\u003cdiv id=\"storytext\" class=\"storytext storylocation linkLocation\">\n\u003cp>GOP members, like Sen. Tom Cotton, \u003ca href=\"https://twitter.com/SenTomCotton/status/1578116642969714688?s=20&t=lWi9Nlq78SOgnag6ApXQsg\">opposed the move\u003c/a>, calling it a blanket pardon and a “desperate attempt” at distraction.\u003c/p>\n\u003cp>Some Democrats have long pushed Biden to fulfill his campaign promise. In \u003ca href=\"https://www.warren.senate.gov/imo/media/doc/2021.11.9%20Letter%20to%20POTUS%20on%20Cannabis%20Pardons.pdf\">a letter sent nearly a year ago\u003c/a>, Sens. Elizabeth Warren, \u003ca href=\"https://twitter.com/senmarkey/status/1578102493166587904?s=46&t=cels3SB7hdJm576H_hh-ig\">Ed Markey\u003c/a>, and Jeff Merkley wrote to Biden urging him to issue a blanket pardon for all non-violent federal cannabis offenses.\u003c/p>\n\u003c/div>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Biden+to+pardon+simple+federal+marijuana+possession+convictions+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "The pardons will be done through an administration process to be developed by the Justice Department, administration officials told reporters; it will cover citizens and lawful permanent residents. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>President Biden on Thursday announced that he is taking executive action to pardon people convicted of simple marijuana possession under federal law and Washington, D.C. statute.\u003c/p>\n\u003cp>The pardons will be done through an administration process to be developed by the Justice Department, senior administration officials told reporters on a briefing call, and will cover citizens and lawful permanent residents.\u003c/p>\n\u003cp>“Sending people to prison for possessing marijuana has upended too many lives and incarcerated people for conduct that many states no longer prohibit,” Biden said in a statement.\u003c/p>\n\u003cp>More than 6,500 people were convicted of simple possession between 1992 and 2021 under federal law, and thousands more under D.C. code, the officials said. Biden had promised the action during his campaign.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>However, most convictions happen at the state level, leaving those pardons up to each governor.\u003c/p>\n\u003cp>The order comes as five states, \u003ca href=\"https://ballotpedia.org/Marijuana_laws_and_ballot_measures_in_the_United_States\">Arkansas, Maryland, Missouri, North Dakota and South Dakota\u003c/a>, have legalization measures on their ballots for November. Nineteen states have legalized marijuana for recreational use and 38 states have legalized marijuana for medical use.\u003c/p>\n\u003cp>In addition to the executive order, Biden is also urging all governors to take similar action in their states.\u003c/p>\n\u003cp>Biden is also asking his Health and Human Services and Justice departments to review whether marijuana should still be classified as a Schedule 1 substance under the Controlled Substances Act. The classification is meant for the most dangerous substances, according to Biden.\u003c/p>\n\u003cp>DOJ will in the coming days begin creating the process for issuing the pardons, according to a statement from Justice Department spokesperson Anthony Coley, and will work with HHS on the review of drug scheduling.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“This is the same schedule as for heroin and LSD, and even higher than the classification of fentanyl and methamphetamine – the drugs that are driving our overdose epidemic,” Biden said in a statement.\u003c/p>\n\u003cp>The president, however, noted that “even as federal and state regulation of marijuana changes, important limitations on trafficking, marketing, and under-age sales should stay in place.”\u003c/p>\n\u003cp>The moves do not legalize the use of marijuana.\u003c/p>\n\u003cp>Some marijuana advocacy groups have applauded the move. But they want the president to go further.\u003c/p>\n\u003cp>“We, however, hope that the Biden Administration will go further and fully deschedule marijuana from the Controlled Substances Act, rather than initiate a process that could lead to rescheduling,” said Kassandra Frederique, executive director of the Drug Policy Alliance, in a statement. “Keeping marijuana on the federal drug schedule will mean people will continue to face criminal charges for marijuana.”\u003c/p>\n\u003cdiv id=\"storytext\" class=\"storytext storylocation linkLocation\">\n\u003cp>GOP members, like Sen. Tom Cotton, \u003ca href=\"https://twitter.com/SenTomCotton/status/1578116642969714688?s=20&t=lWi9Nlq78SOgnag6ApXQsg\">opposed the move\u003c/a>, calling it a blanket pardon and a “desperate attempt” at distraction.\u003c/p>\n\u003cp>Some Democrats have long pushed Biden to fulfill his campaign promise. In \u003ca href=\"https://www.warren.senate.gov/imo/media/doc/2021.11.9%20Letter%20to%20POTUS%20on%20Cannabis%20Pardons.pdf\">a letter sent nearly a year ago\u003c/a>, Sens. Elizabeth Warren, \u003ca href=\"https://twitter.com/senmarkey/status/1578102493166587904?s=46&t=cels3SB7hdJm576H_hh-ig\">Ed Markey\u003c/a>, and Jeff Merkley wrote to Biden urging him to issue a blanket pardon for all non-violent federal cannabis offenses.\u003c/p>\n\u003c/div>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Biden+to+pardon+simple+federal+marijuana+possession+convictions+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cem>This is a transcript of the Prop Fest episode explaining Proposition 30 on the 2022 California ballot. Check out \u003ca href=\"https://www.kqed.org/voterguide/\">KQED’s Voter Guide\u003c/a> for more information on local and state races.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Oliva Allen-Price:\u003c/strong> [00:00:05] Hey, hey, hey. You have made it to the final installment of this year’s Prop Fest series. Well done. We’ve been through six of the propositions on this year’s ballot, giving you the inside scoop, the ins and outs, the ups and downs for each one with some of the smartest reporters in the KQED newsroom. Today, we’re taking on the final measure on the ballot, Proposition 31. It’s all about flavored tobacco. But before we jump in, we want to make sure you’re caught up on some recent political happenings. Back in 2020, California lawmakers passed a bill that would have banned the sale of flavored tobacco products at retail stores. But before it could go into effect, tobacco companies stepped in and got enough signatures to put this issue on the ballot. So now it’s up to California voters to decide whether or not to ban the sale of flavored tobacco. Here’s the title you’ll see on your ballot.\u003c/p>\n\u003cp>Voice over [00:01:03] Proposition 31, a referendum on the 2020 law that would prohibit the retail sale of certain flavored tobacco products.\u003c/p>\n\u003cp>[baycuriouspodcastinfo]\u003c/p>\n\u003cp>\u003cstrong>Oliva Allen-Price:\u003c/strong> [00:01:11] If Californians choose to uphold the 2020 law banning flavored tobacco, it would be the fifth state in the U.S. to do so. I’m Olivia Allen-Price. You’re listening to the Big Curious Prop Fest series produced in partnership with the Bay. After the break, we’ll get into the nitty gritty on Proposition 31. To get the full story on Proposition 31, The Bay’s Erica Cruz Guevarra spoke with Lesley McClurg. She’s a health correspondent for KQED.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:01:50] Okay, let’s start super basic here. When we say flavored tobacco, what are we talking about exactly?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:01:57] We are talking about the syrupy flavors that you can put in a vape pen so it can be gummy bear or honey or mango or raspberry or you’re talking about more traditional things like menthol cigarets. Companies try to lure you in by bright colors. Sometimes they look kind of like candy products. They have, you know, enticing pictures of palm trees or it’s kind of like a candy aisle, I guess is the best way to describe it.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:02:25] And how aggressive has California been on fighting big tobacco, including more recently flavored tobacco?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:02:35] Yes, it’s kind of helpful to go back in history and will highlight that the specifically the Bay Area has been extremely kind of leading on fighting big tobacco. So if you go back into the eighties, the culture back then was very smoke friendly. Here in the Bay Area, even at the UCSF hospital, I learned that the dean of the hospital used to smoke and you could buy Cigarets in the gift shop there. Now, as kind of science began to show that, okay, maybe these things are not so healthy for you. City supervisors put forward in 1983 a bill that if a nonsmoker in the office wanted a space where they wouldn’t have to breathe cigaret smoke, then the office itself had to create a smoking area. The tobacco industry pushed back on that, and by a sweeping majority, city voters voted to uphold that and kind of protect the rights of the nonsmokers across the country. Similar bans unfolded and then eventually, obviously, you have you fast forward to today and you know, no one is smoking in any offices. Then that kind of brings us to 2018, where San Francisco put forward the first and most sweeping legislation to ban flavored tobacco. And that led to the beginning. The first domino kind of falling to now. Today, I think there’s 60 local bans across California banning flavored tobacco products. So then in 2020, there was an effort by State Senator Jerry Hill. He’s a Democrat in San Mateo to put forward a statewide ban against flavored tobacco products. So to take those products off store shelves. That was SB 793.\u003c/p>\n\u003cp>\u003cstrong>Sound of legislature:\u003c/strong> [00:04:19] Bill 793 by Senator Hill, an act relating to tobacco products. Senator Hill, the floor is yours. Thank you.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:04:25] The law did not apply to hookah premium cigars, loose leaf tobacco. These were all excluded. And you could still and can still buy flavored tobacco online.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:04:35] What was the rationale behind this law back in 2020?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:04:39] It’s kind of the slippery slope. So flavored tobacco products are the beginning where kids may start their addiction to nicotine by picking up these, you know, vaping pens, etc., and then starting a habit that turns into regular cigaret smokers. So it’s the gateway drug, you might say.\u003c/p>\n\u003cp>\u003cstrong>Jerry Hill:\u003c/strong> [00:04:58] The tobacco industry has already introduced the next fad.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:05:01] The push by State Senator Jerry Hill at that time was, Hey, hey, if we need to ban these and get this these products off of store shelves to protect future generations.\u003c/p>\n\u003cp>\u003cstrong>Jerry Hill:\u003c/strong> [00:05:11] Well, I am disgusted by the youth e-cigarette epidemic. I am not surprised. It is in line with big tobacco’s long track record of destroying and devastating our communities.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:05:21] So, I mean, that’s pretty straightforward. The argument there behind that law. But how does it bring us to Prop 31?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:05:32] Right. So that law really never went into effect. It went into effect, I think, for, you know, a few days, three days after SB 793 went into effect. The tobacco industry proposed a referendum on that law. Here we are two years later with Proposition 31. And basically the tobacco industry is using this referendum to ensure that their flavored tobacco products stay on store shelves across California.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:05:57] So what are we voting on exactly?\u003c/p>\n\u003cp>[emailsignup newslettername=\"baycurious\" align=\"right\"]\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:06:00] If you vote yes, flavored tobacco products will be banned from store shelves. And these are products, like I’ve said, on, you know, convenience stores and vending machines. Those physical products you won’t be able to buy if you vote. No flavored tobacco will stay on store shelves. And again, either way, flavored tobacco products, you can still, you know, legally purchase those products online and any local bans across the state will remain in place. So you, you know, still wouldn’t be able to do it in, say, San Francisco.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:06:35] In 2021. Federal data show that about 2 million high school students had used tobacco products in the last 30 days, with e-cigarettes being the most popular way of using it. Among those students, about 85% had used a flavored e-cigarette recently. Popularity among minors who can’t buy these products legally is a big reason why supporters of Prop 31 want things like flavored e-cigarettes off store shelves. So it sounds like voting yes means we would uphold the statewide ban, and voting no would mean that this ban is overturned. Who is arguing for Proposition 31 and what is their argument?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:07:22] So Jerry Hill is back at it.\u003c/p>\n\u003cp>\u003cstrong>Jerry Hill:\u003c/strong> [00:07:24] When this legislative body passed SB 793 in 2020, it was even further proof that big tobacco doesn’t stand a chance against all the people of California and their elected representatives on both sides of the aisle.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:07:37] He is retired, but he and other proponents of Proposition 31 say again. If you maintain these flavored tobacco bans, if you take these products off store shelves, then you’re really protecting kiddos from getting addicted to these products.\u003c/p>\n\u003cp>\u003cstrong>Jerry Hill\u003c/strong>: [00:07:52] Tobacco companies use candy flavors to hide strong hits of nicotine. As we know, a highly addictive drug that is especially dangerous for kids harming brain development and impacting their attention, mood and impulse control.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:08:07] You know, if you add fruit, mint menthol, they say it’s kind of a shameless tactic to lure in, you know, new users. And so if we ban these products, it’s kind of the best way to prevent a whole new generation from being addicted to nicotine.\u003c/p>\n\u003cp>\u003cstrong>Jerry Hill:\u003c/strong> [00:08:21] With a yes on 31 vote. We can stop big tobacco from using flavors to get kids hooked on nicotine and profiting from addiction, disease and death.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:08:33] There are some medical groups that support, you know, passing Proposition 31, like the American Cancer Society and the American Lung Association.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:08:42] The site also says lower income neighborhoods and communities of color have been disproportionately affected by the tobacco industry’s tactics. Those for the ban say the history of marketing targeting African-American neighborhoods has led to more smoking related illness and death and that the ban is necessary to stop the industry’s influence. So it’s pretty clear to me, I think, who is behind this referendum, the tobacco industry. And it is kind of confusing. But they do want you to vote no on Prop 31, which would overturn the ban on flavored tobacco. What is the know sides argument against this?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:09:26] Right. So people who are against this say it really unfairly blocks kind of preferred products by millions of adults and they underline adults over and over and over. So Joe Lang, who’s a lobbyist, says, quote, Prop 31 is not a ban on flavored tobacco for children. That’s already illegal.\u003c/p>\n\u003cp>\u003cstrong>Joe Lang:\u003c/strong> [00:09:45] It’s a ban on legal regulated sales to adult consumers.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:09:49] And they also kind of underline that the ban could also hurt convenience stores. And I did in my reporting talked to convenience store owners. And, you know, they do say this is a substantial part of their sales.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:10:00] And I know they’re also making this argument that a ban could lead to sort of an underground market. Can you talk a little bit about that argument?\u003c/p>\n\u003cp>\u003cstrong>Joe Lang:\u003c/strong> [00:10:08] Illicit markets are a real problem for Californians. They’re bad for public health precisely because they are made, distributed and sold outside of the law.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:10:17] Joe Lang says that would mean that we would not be able to regulate it and we would also lose out on the tax revenue from it. And when you’re not regulating something, you kind of lose control and mostly kids are going to do it anyways. And so we might as well, you know, be regulating it and have some control.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:10:35] And make money off it.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:10:37] Exactly.\u003c/p>\n\u003cp>\u003cstrong>Joe Lang:\u003c/strong> [00:10:38] Principles of harm reduction, whether in the context of drugs or any other, dictate that the best way to change harmful adult behavior isn’t to criminalize it, but to provide support, information and choice. In our view, Prop 31 will send California in the wrong direction.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:11:02] Well, let’s move on now, Leslie, to the money behind this and support who is spending and how much has been spent on the yes side versus the no side of this proposition.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:11:17] So on the yes side, Michael Bloomberg is kind of leading this effort. Around 8.7 million is the total for the yes side. And then on the no side, it’s about $1.8 million, and that’s led by tobacco companies.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:11:30] Lesley, thank you so much.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:11:32] Thank you.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:11:35] In a nutshell, a vote yes on Prop 31 means you want to uphold the 2020 law that bans the retail sale of certain flavored tobacco products. Under the ban, hookah, premium cigars and loose leaf tobacco can still be sold in stores. A vote no means you want to repeal the 2020 law. Keeping the sale of flavored tobacco legal in California, however it is you vote, you can still buy flavored tobacco legally online and local bans won’t be going anywhere.\u003c/p>\n\u003cp>\u003cstrong>Oliva Allen-Price:\u003c/strong> [00:12:14] Okay. Friends, that is a wrap on prop fest. I hope he gave you the answers that you came looking for and even answered some questions that you didn’t know to ask. If you found the series helpful, please share it with your friends, your family, your colleagues, your acquaintances, even. We think that informed voters make the best decisions. So please spread the love. If you missed an episode, you can find them all in our podcast feed or at KQED.org/PropFest. And KQED also has a voter guide with information about all sorts of other races that you’re going to see on your ballot. Find it at KQED.org/VoterGuide.\u003c/p>\n\u003cp>\u003cstrong>Oliva Allen-Price:\u003c/strong> [00:12:58] Prop Fest is made by us at Bay Curious. That’s Katrina Schwartz, Brendan Willard, Darren Tu. Amanda Font and me, Olivia Allen-Price. And the folks who make The Bay: Alan Montecello, maria Esquinca and Erika Cruz Guevarra. Both shows are a production of member supported KQED in San Francisco. Best of luck to you as you fill out your ballot. You got this.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[baycuriousquestion]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This is a transcript of the Prop Fest episode explaining Proposition 30 on the 2022 California ballot. Check out \u003ca href=\"https://www.kqed.org/voterguide/\">KQED’s Voter Guide\u003c/a> for more information on local and state races.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Oliva Allen-Price:\u003c/strong> [00:00:05] Hey, hey, hey. You have made it to the final installment of this year’s Prop Fest series. Well done. We’ve been through six of the propositions on this year’s ballot, giving you the inside scoop, the ins and outs, the ups and downs for each one with some of the smartest reporters in the KQED newsroom. Today, we’re taking on the final measure on the ballot, Proposition 31. It’s all about flavored tobacco. But before we jump in, we want to make sure you’re caught up on some recent political happenings. Back in 2020, California lawmakers passed a bill that would have banned the sale of flavored tobacco products at retail stores. But before it could go into effect, tobacco companies stepped in and got enough signatures to put this issue on the ballot. So now it’s up to California voters to decide whether or not to ban the sale of flavored tobacco. Here’s the title you’ll see on your ballot.\u003c/p>\n\u003cp>Voice over [00:01:03] Proposition 31, a referendum on the 2020 law that would prohibit the retail sale of certain flavored tobacco products.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003caside class=\"alignleft utils-parseShortcode-shortcodes-__bayCuriousPodcastShortcode__bayCurious\">\u003cimg src=https://cdn.kqed.org/wp-content/uploads/2023/02/bayCuriousLogo.png alt=\"Bay Curious Podcast\" loading=\"lazy\" />\n \u003ca href=\"/news/series/baycurious\">Bay Curious\u003c/a> is a podcast that answers your questions about the Bay Area.\n Subscribe on \u003ca href=\"https://itunes.apple.com/us/podcast/bay-curious/id1172473406\" target=\"_blank\" rel=\"noopener noreferrer\">Apple Podcasts\u003c/a>,\n \u003ca href=\"http://www.npr.org/podcasts/500557090/bay-curious\" target=\"_blank\" rel=\"noopener noreferrer\">NPR One\u003c/a> or your favorite podcast platform.\u003c/aside>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Oliva Allen-Price:\u003c/strong> [00:01:11] If Californians choose to uphold the 2020 law banning flavored tobacco, it would be the fifth state in the U.S. to do so. I’m Olivia Allen-Price. You’re listening to the Big Curious Prop Fest series produced in partnership with the Bay. After the break, we’ll get into the nitty gritty on Proposition 31. To get the full story on Proposition 31, The Bay’s Erica Cruz Guevarra spoke with Lesley McClurg. She’s a health correspondent for KQED.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:01:50] Okay, let’s start super basic here. When we say flavored tobacco, what are we talking about exactly?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:01:57] We are talking about the syrupy flavors that you can put in a vape pen so it can be gummy bear or honey or mango or raspberry or you’re talking about more traditional things like menthol cigarets. Companies try to lure you in by bright colors. Sometimes they look kind of like candy products. They have, you know, enticing pictures of palm trees or it’s kind of like a candy aisle, I guess is the best way to describe it.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:02:25] And how aggressive has California been on fighting big tobacco, including more recently flavored tobacco?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:02:35] Yes, it’s kind of helpful to go back in history and will highlight that the specifically the Bay Area has been extremely kind of leading on fighting big tobacco. So if you go back into the eighties, the culture back then was very smoke friendly. Here in the Bay Area, even at the UCSF hospital, I learned that the dean of the hospital used to smoke and you could buy Cigarets in the gift shop there. Now, as kind of science began to show that, okay, maybe these things are not so healthy for you. City supervisors put forward in 1983 a bill that if a nonsmoker in the office wanted a space where they wouldn’t have to breathe cigaret smoke, then the office itself had to create a smoking area. The tobacco industry pushed back on that, and by a sweeping majority, city voters voted to uphold that and kind of protect the rights of the nonsmokers across the country. Similar bans unfolded and then eventually, obviously, you have you fast forward to today and you know, no one is smoking in any offices. Then that kind of brings us to 2018, where San Francisco put forward the first and most sweeping legislation to ban flavored tobacco. And that led to the beginning. The first domino kind of falling to now. Today, I think there’s 60 local bans across California banning flavored tobacco products. So then in 2020, there was an effort by State Senator Jerry Hill. He’s a Democrat in San Mateo to put forward a statewide ban against flavored tobacco products. So to take those products off store shelves. That was SB 793.\u003c/p>\n\u003cp>\u003cstrong>Sound of legislature:\u003c/strong> [00:04:19] Bill 793 by Senator Hill, an act relating to tobacco products. Senator Hill, the floor is yours. Thank you.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:04:25] The law did not apply to hookah premium cigars, loose leaf tobacco. These were all excluded. And you could still and can still buy flavored tobacco online.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:04:35] What was the rationale behind this law back in 2020?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:04:39] It’s kind of the slippery slope. So flavored tobacco products are the beginning where kids may start their addiction to nicotine by picking up these, you know, vaping pens, etc., and then starting a habit that turns into regular cigaret smokers. So it’s the gateway drug, you might say.\u003c/p>\n\u003cp>\u003cstrong>Jerry Hill:\u003c/strong> [00:04:58] The tobacco industry has already introduced the next fad.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:05:01] The push by State Senator Jerry Hill at that time was, Hey, hey, if we need to ban these and get this these products off of store shelves to protect future generations.\u003c/p>\n\u003cp>\u003cstrong>Jerry Hill:\u003c/strong> [00:05:11] Well, I am disgusted by the youth e-cigarette epidemic. I am not surprised. It is in line with big tobacco’s long track record of destroying and devastating our communities.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:05:21] So, I mean, that’s pretty straightforward. The argument there behind that law. But how does it bring us to Prop 31?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:05:32] Right. So that law really never went into effect. It went into effect, I think, for, you know, a few days, three days after SB 793 went into effect. The tobacco industry proposed a referendum on that law. Here we are two years later with Proposition 31. And basically the tobacco industry is using this referendum to ensure that their flavored tobacco products stay on store shelves across California.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:05:57] So what are we voting on exactly?\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:06:00] If you vote yes, flavored tobacco products will be banned from store shelves. And these are products, like I’ve said, on, you know, convenience stores and vending machines. Those physical products you won’t be able to buy if you vote. No flavored tobacco will stay on store shelves. And again, either way, flavored tobacco products, you can still, you know, legally purchase those products online and any local bans across the state will remain in place. So you, you know, still wouldn’t be able to do it in, say, San Francisco.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:06:35] In 2021. Federal data show that about 2 million high school students had used tobacco products in the last 30 days, with e-cigarettes being the most popular way of using it. Among those students, about 85% had used a flavored e-cigarette recently. Popularity among minors who can’t buy these products legally is a big reason why supporters of Prop 31 want things like flavored e-cigarettes off store shelves. So it sounds like voting yes means we would uphold the statewide ban, and voting no would mean that this ban is overturned. Who is arguing for Proposition 31 and what is their argument?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:07:22] So Jerry Hill is back at it.\u003c/p>\n\u003cp>\u003cstrong>Jerry Hill:\u003c/strong> [00:07:24] When this legislative body passed SB 793 in 2020, it was even further proof that big tobacco doesn’t stand a chance against all the people of California and their elected representatives on both sides of the aisle.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:07:37] He is retired, but he and other proponents of Proposition 31 say again. If you maintain these flavored tobacco bans, if you take these products off store shelves, then you’re really protecting kiddos from getting addicted to these products.\u003c/p>\n\u003cp>\u003cstrong>Jerry Hill\u003c/strong>: [00:07:52] Tobacco companies use candy flavors to hide strong hits of nicotine. As we know, a highly addictive drug that is especially dangerous for kids harming brain development and impacting their attention, mood and impulse control.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:08:07] You know, if you add fruit, mint menthol, they say it’s kind of a shameless tactic to lure in, you know, new users. And so if we ban these products, it’s kind of the best way to prevent a whole new generation from being addicted to nicotine.\u003c/p>\n\u003cp>\u003cstrong>Jerry Hill:\u003c/strong> [00:08:21] With a yes on 31 vote. We can stop big tobacco from using flavors to get kids hooked on nicotine and profiting from addiction, disease and death.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:08:33] There are some medical groups that support, you know, passing Proposition 31, like the American Cancer Society and the American Lung Association.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:08:42] The site also says lower income neighborhoods and communities of color have been disproportionately affected by the tobacco industry’s tactics. Those for the ban say the history of marketing targeting African-American neighborhoods has led to more smoking related illness and death and that the ban is necessary to stop the industry’s influence. So it’s pretty clear to me, I think, who is behind this referendum, the tobacco industry. And it is kind of confusing. But they do want you to vote no on Prop 31, which would overturn the ban on flavored tobacco. What is the know sides argument against this?\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:09:26] Right. So people who are against this say it really unfairly blocks kind of preferred products by millions of adults and they underline adults over and over and over. So Joe Lang, who’s a lobbyist, says, quote, Prop 31 is not a ban on flavored tobacco for children. That’s already illegal.\u003c/p>\n\u003cp>\u003cstrong>Joe Lang:\u003c/strong> [00:09:45] It’s a ban on legal regulated sales to adult consumers.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:09:49] And they also kind of underline that the ban could also hurt convenience stores. And I did in my reporting talked to convenience store owners. And, you know, they do say this is a substantial part of their sales.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:10:00] And I know they’re also making this argument that a ban could lead to sort of an underground market. Can you talk a little bit about that argument?\u003c/p>\n\u003cp>\u003cstrong>Joe Lang:\u003c/strong> [00:10:08] Illicit markets are a real problem for Californians. They’re bad for public health precisely because they are made, distributed and sold outside of the law.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:10:17] Joe Lang says that would mean that we would not be able to regulate it and we would also lose out on the tax revenue from it. And when you’re not regulating something, you kind of lose control and mostly kids are going to do it anyways. And so we might as well, you know, be regulating it and have some control.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:10:35] And make money off it.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:10:37] Exactly.\u003c/p>\n\u003cp>\u003cstrong>Joe Lang:\u003c/strong> [00:10:38] Principles of harm reduction, whether in the context of drugs or any other, dictate that the best way to change harmful adult behavior isn’t to criminalize it, but to provide support, information and choice. In our view, Prop 31 will send California in the wrong direction.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:11:02] Well, let’s move on now, Leslie, to the money behind this and support who is spending and how much has been spent on the yes side versus the no side of this proposition.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:11:17] So on the yes side, Michael Bloomberg is kind of leading this effort. Around 8.7 million is the total for the yes side. And then on the no side, it’s about $1.8 million, and that’s led by tobacco companies.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:11:30] Lesley, thank you so much.\u003c/p>\n\u003cp>\u003cstrong>Lesley McClurg:\u003c/strong> [00:11:32] Thank you.\u003c/p>\n\u003cp>\u003cstrong>Erica Cruz Guevarra:\u003c/strong> [00:11:35] In a nutshell, a vote yes on Prop 31 means you want to uphold the 2020 law that bans the retail sale of certain flavored tobacco products. Under the ban, hookah, premium cigars and loose leaf tobacco can still be sold in stores. A vote no means you want to repeal the 2020 law. Keeping the sale of flavored tobacco legal in California, however it is you vote, you can still buy flavored tobacco legally online and local bans won’t be going anywhere.\u003c/p>\n\u003cp>\u003cstrong>Oliva Allen-Price:\u003c/strong> [00:12:14] Okay. Friends, that is a wrap on prop fest. I hope he gave you the answers that you came looking for and even answered some questions that you didn’t know to ask. If you found the series helpful, please share it with your friends, your family, your colleagues, your acquaintances, even. We think that informed voters make the best decisions. So please spread the love. If you missed an episode, you can find them all in our podcast feed or at KQED.org/PropFest. And KQED also has a voter guide with information about all sorts of other races that you’re going to see on your ballot. Find it at KQED.org/VoterGuide.\u003c/p>\n\u003cp>\u003cstrong>Oliva Allen-Price:\u003c/strong> [00:12:58] Prop Fest is made by us at Bay Curious. That’s Katrina Schwartz, Brendan Willard, Darren Tu. Amanda Font and me, Olivia Allen-Price. And the folks who make The Bay: Alan Montecello, maria Esquinca and Erika Cruz Guevarra. Both shows are a production of member supported KQED in San Francisco. Best of luck to you as you fill out your ballot. You got this.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Amid significant teacher shortages in school districts throughout California, \u003ca href=\"https://www.cta.org/wp-content/uploads/2022/09/Voices-from-the-Classroom-CTA-Survey-Deck.pdf\">a new survey (PDF)\u003c/a> of thousands of educators depicts a profession marked heavily by burnout and job dissatisfaction.\u003c/p>\n\u003cp>“Close to half of teachers are thinking about leaving the profession in the next three years,” said Tyrone Howard, co-faculty director of UCLA’s Center for the Transformation of Schools, which produced the report in collaboration with the California Teachers Association and Hart Research Associates.\u003c/p>\n\u003cp>Researchers polled more than 4,600 TK-12th grade teachers across the state between May 24 and June 6. The findings show that while many teachers find their work rewarding, a majority said they felt exhausted and stressed — with burnout cited as the top reason for leaving the profession.\u003c/p>\n\u003cp>The findings come as many large and small districts across the state scramble to fill \u003ca href=\"https://learningpolicyinstitute.org/sites/default/files/product-files/Teacher_Shortages_During_Pandemic_REPORT.pdf#page=13\">significant teacher vacancies in their schools (PDF)\u003c/a>, part of a longstanding problem made worse during the pandemic.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"forum_2010101887906,mindshift_59821,mindshift_59018\"]Other factors impacting teacher retention include heavy workload, low pay and escalating living costs, with some 80% of survey respondents saying it was difficult to find affordable housing close to where they teach. Many also cited a lack of support from district administrators. And a significant portion of teachers of color and LGBTQ+ educators surveyed said they had experienced discrimination.\u003c/p>\n\u003cp>Howard recently discussed the survey with KQED morning host Brian Watt. Here’s an excerpt of their conversation, which has been edited for brevity and clarity.\u003c/p>\n\u003cp>\u003cstrong>BRIAN WATT: Tell us more about the findings and how they relate to keeping teachers in the classroom.\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>TYRONE HOWARD\u003c/strong>: So these data were deeply troubling on a lot of levels because we know the pandemic has really been difficult for a lot of folks — educators included. But these data really lifted up how teachers are exhausted, stressed, frustrated (and) overwhelmed. In many ways, I think these educators are telling us that they’re beyond burnout.\u003c/p>\n\u003cp>\u003cstrong>I remember feeling like teachers were stressed, exhausted and overwhelmed before the pandemic. Do you think that the pandemic just made these trends worse or more evident?\u003c/strong>\u003c/p>\n\u003cp>It’s not an “either/or.” I think it’s a “both.” Our data show about 77% of our respondents saying that things have changed for the worse, compared to where they were prior to the pandemic. And I think during the pandemic, the general public got a bit of a sense of what it meant to educate young people, because lots of parents and caregivers were doing that at home. So I think there’s been a larger awareness that the general public cares about the difficulties of teaching.\u003c/p>\n\u003cp>\u003cstrong>One of the other things that struck me in this survey is the experience of teachers of color, in particular. Just over 60% of Black teachers and half of Asian American and Pacific Islander teachers reported having experienced racial discrimination in their current position. What does this tell you about school support?\u003c/strong>\u003c/p>\n\u003cp>What it tells me is that we have a lot of work to do. Because, on the one hand, we talk about creating inclusive and supportive spaces for our students, but yet we’ve not done that as adults when it comes to our staff. My concern becomes, if the adults don’t feel safe, what does that say for the students who are from those same ethnic and racial backgrounds? So there’s a lot of work that needs to be done with regard to how we create truly inclusive, safe and affirming spaces for all educators, regardless of their ethnic or racial backgrounds.\u003c/p>\n\u003cp>\u003cstrong>What might an episode of racial discrimination for a teacher of color look like?\u003c/strong>\u003c/p>\n\u003cp>It can manifest in so many different ways — implicit and explicit.\u003cbr>\nFrom an explicit standpoint, what happens in schools is that frequently teachers of color are the primary advocates for students of color. And so when there’s an issue of what some might perceive as unfair treatment, when there’s an issue of what some might consider to be overlooking or under-serving certain students of color, it’s typically the teacher of color who says, ‘Wait a minute, that’s not fair. That’s not what we should be doing as educators.’\u003c/p>\n\u003cp>When they raise those issues, oftentimes they are quick to be shut down and told that those things aren’t real, or they’re quick to be told that you only are concerned about the Black students or the Asian students, or they’re told that you need to mind your business. So they’re told to stay in their place and keep quiet.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Tyrone Howard, co-faculty director, UCLA’s Center for the Transformation of Schools\"]‘We talk about creating inclusive and supportive spaces for our students, but yet we’ve not done that as adults when it comes to our staff.’[/pullquote]From an implicit standpoint, it happens where teachers of color are sitting in meetings and they raise questions or they ask about issues. But yet there’s no recognition of those points. There’s no affirmation of their concerns or this subtle sort of passing-over of those teachers of color for leadership opportunities. What we learn from this data is that those Black teachers and those Asian American teachers said that they feel like they can’t be their authentic selves. And that’s deeply troubling because we say we want to have a more diverse teaching field here in the state of California. But if these are the experiences of many teachers of color, we’re not doing well to attract more folks of color into the profession.\u003c/p>\n\u003cp>\u003cstrong>Given the results of this survey in the findings, how can retention be improved, especially among teachers of color?\u003c/strong>\u003c/p>\n\u003cp>The data are very clear about what educators think are important. No. 1 is better pay, (which) would go a long way to increase teacher satisfaction. We know that smaller class sizes would be another step in the right direction. A number of the educators that we spoke to said that strengthening discipline policies around disruptive behavior would be a step in the right direction.\u003c/p>\n\u003cp>And as it pertains to teachers of color, we know that there is an ask for a greater focus on diverse and inclusive workspaces. That means we have to have leaders in schools who are willing to talk about the racial ethnic makeup of our schools, and talk about how we can best support teachers across the ethnic and racial spectrum.\u003c/p>\n\u003cp>\u003cstrong>You’ve mentioned that many people take pay cuts in order to enter the teaching profession. Are you worried that the sentiments this poll uncovered are going to deter even the most inspired people from giving teaching a try?\u003c/strong>\u003c/p>\n\u003cp>Absolutely. That’s one of the underlying concerns that I have. While this gives us a snapshot of the current state of affairs for educators, there are also some key points that may scare folks off. One of the data points that was really disturbing for me is that a significant number of teachers said they oftentimes don’t make a living wage; they are not having their basic needs met. So if you’re someone who really wants to make a difference in our society by way of teaching, and you hear things like, “I’m burned out, I can’t make a living wage. I’m constantly under attack from my political beliefs. I don’t feel supported,” … that’s not going to really sort of excite people to enter into our profession.\u003c/p>\n\u003cp>This is not only about a “here and now” moment in terms of education. It’s about what our field looks like in the next five to 10 years.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Amid significant teacher shortages in school districts throughout California, \u003ca href=\"https://www.cta.org/wp-content/uploads/2022/09/Voices-from-the-Classroom-CTA-Survey-Deck.pdf\">a new survey (PDF)\u003c/a> of thousands of educators depicts a profession marked heavily by burnout and job dissatisfaction.\u003c/p>\n\u003cp>“Close to half of teachers are thinking about leaving the profession in the next three years,” said Tyrone Howard, co-faculty director of UCLA’s Center for the Transformation of Schools, which produced the report in collaboration with the California Teachers Association and Hart Research Associates.\u003c/p>\n\u003cp>Researchers polled more than 4,600 TK-12th grade teachers across the state between May 24 and June 6. The findings show that while many teachers find their work rewarding, a majority said they felt exhausted and stressed — with burnout cited as the top reason for leaving the profession.\u003c/p>\n\u003cp>The findings come as many large and small districts across the state scramble to fill \u003ca href=\"https://learningpolicyinstitute.org/sites/default/files/product-files/Teacher_Shortages_During_Pandemic_REPORT.pdf#page=13\">significant teacher vacancies in their schools (PDF)\u003c/a>, part of a longstanding problem made worse during the pandemic.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Other factors impacting teacher retention include heavy workload, low pay and escalating living costs, with some 80% of survey respondents saying it was difficult to find affordable housing close to where they teach. Many also cited a lack of support from district administrators. And a significant portion of teachers of color and LGBTQ+ educators surveyed said they had experienced discrimination.\u003c/p>\n\u003cp>Howard recently discussed the survey with KQED morning host Brian Watt. Here’s an excerpt of their conversation, which has been edited for brevity and clarity.\u003c/p>\n\u003cp>\u003cstrong>BRIAN WATT: Tell us more about the findings and how they relate to keeping teachers in the classroom.\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>TYRONE HOWARD\u003c/strong>: So these data were deeply troubling on a lot of levels because we know the pandemic has really been difficult for a lot of folks — educators included. But these data really lifted up how teachers are exhausted, stressed, frustrated (and) overwhelmed. In many ways, I think these educators are telling us that they’re beyond burnout.\u003c/p>\n\u003cp>\u003cstrong>I remember feeling like teachers were stressed, exhausted and overwhelmed before the pandemic. Do you think that the pandemic just made these trends worse or more evident?\u003c/strong>\u003c/p>\n\u003cp>It’s not an “either/or.” I think it’s a “both.” Our data show about 77% of our respondents saying that things have changed for the worse, compared to where they were prior to the pandemic. And I think during the pandemic, the general public got a bit of a sense of what it meant to educate young people, because lots of parents and caregivers were doing that at home. So I think there’s been a larger awareness that the general public cares about the difficulties of teaching.\u003c/p>\n\u003cp>\u003cstrong>One of the other things that struck me in this survey is the experience of teachers of color, in particular. Just over 60% of Black teachers and half of Asian American and Pacific Islander teachers reported having experienced racial discrimination in their current position. What does this tell you about school support?\u003c/strong>\u003c/p>\n\u003cp>What it tells me is that we have a lot of work to do. Because, on the one hand, we talk about creating inclusive and supportive spaces for our students, but yet we’ve not done that as adults when it comes to our staff. My concern becomes, if the adults don’t feel safe, what does that say for the students who are from those same ethnic and racial backgrounds? So there’s a lot of work that needs to be done with regard to how we create truly inclusive, safe and affirming spaces for all educators, regardless of their ethnic or racial backgrounds.\u003c/p>\n\u003cp>\u003cstrong>What might an episode of racial discrimination for a teacher of color look like?\u003c/strong>\u003c/p>\n\u003cp>It can manifest in so many different ways — implicit and explicit.\u003cbr>\nFrom an explicit standpoint, what happens in schools is that frequently teachers of color are the primary advocates for students of color. And so when there’s an issue of what some might perceive as unfair treatment, when there’s an issue of what some might consider to be overlooking or under-serving certain students of color, it’s typically the teacher of color who says, ‘Wait a minute, that’s not fair. That’s not what we should be doing as educators.’\u003c/p>\n\u003cp>When they raise those issues, oftentimes they are quick to be shut down and told that those things aren’t real, or they’re quick to be told that you only are concerned about the Black students or the Asian students, or they’re told that you need to mind your business. So they’re told to stay in their place and keep quiet.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>From an implicit standpoint, it happens where teachers of color are sitting in meetings and they raise questions or they ask about issues. But yet there’s no recognition of those points. There’s no affirmation of their concerns or this subtle sort of passing-over of those teachers of color for leadership opportunities. What we learn from this data is that those Black teachers and those Asian American teachers said that they feel like they can’t be their authentic selves. And that’s deeply troubling because we say we want to have a more diverse teaching field here in the state of California. But if these are the experiences of many teachers of color, we’re not doing well to attract more folks of color into the profession.\u003c/p>\n\u003cp>\u003cstrong>Given the results of this survey in the findings, how can retention be improved, especially among teachers of color?\u003c/strong>\u003c/p>\n\u003cp>The data are very clear about what educators think are important. No. 1 is better pay, (which) would go a long way to increase teacher satisfaction. We know that smaller class sizes would be another step in the right direction. A number of the educators that we spoke to said that strengthening discipline policies around disruptive behavior would be a step in the right direction.\u003c/p>\n\u003cp>And as it pertains to teachers of color, we know that there is an ask for a greater focus on diverse and inclusive workspaces. That means we have to have leaders in schools who are willing to talk about the racial ethnic makeup of our schools, and talk about how we can best support teachers across the ethnic and racial spectrum.\u003c/p>\n\u003cp>\u003cstrong>You’ve mentioned that many people take pay cuts in order to enter the teaching profession. Are you worried that the sentiments this poll uncovered are going to deter even the most inspired people from giving teaching a try?\u003c/strong>\u003c/p>\n\u003cp>Absolutely. That’s one of the underlying concerns that I have. While this gives us a snapshot of the current state of affairs for educators, there are also some key points that may scare folks off. One of the data points that was really disturbing for me is that a significant number of teachers said they oftentimes don’t make a living wage; they are not having their basic needs met. So if you’re someone who really wants to make a difference in our society by way of teaching, and you hear things like, “I’m burned out, I can’t make a living wage. I’m constantly under attack from my political beliefs. I don’t feel supported,” … that’s not going to really sort of excite people to enter into our profession.\u003c/p>\n\u003cp>This is not only about a “here and now” moment in terms of education. It’s about what our field looks like in the next five to 10 years.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cem>Gov. Gavin Newsom announced on Thursday that he signed \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB107\">Senate Bill 107\u003c/a>, legislation that provides legal protections for transgender kids and their parents who come to the state after facing criminal prosecution or being threatened with forcible separation in other states.\u003c/em>\u003c/p>\n\u003cp>\u003cem>“In California we believe in equality and acceptance,” Newsom said in a \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/09/SB-107-SIGNING.pdf?emrc=1a80c5\">signing statement\u003c/a>. “We believe that no one should be prosecuted or persecuted for getting the care they need – including gender-affirming care.” The new law takes effect Jan. 1, 2023.\u003c/em>\u003c/p>\n\u003cp>[dropcap]W[/dropcap]hen Kathie Moehlig’s 11-year-old son decided to transition in 2012, she says not one doctor in San Diego was willing to treat him. “When I called to make appointments, they kept telling me, ‘We don’t treat kids like that here,’” Moehlig said.\u003c/p>\n\u003cp>But she continued making calls, eventually breaking through at Rady Children’s Hospital. Her efforts drew attention from other families of transgender kids, many of whom began asking her for help.\u003c/p>\n\u003cp>She decided she “couldn’t just be a family friend,” so eight years ago she started \u003ca href=\"https://transfamilysos.org/\">TransFamily Support Services\u003c/a>, a nonprofit that offers a multitude of services to hundreds of families of transgender individuals across the country, including support groups, assistance navigating the medical system and — most recently — political advocacy.\u003c/p>\n\u003cp>TransFamily Support Services co-sponsored \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billCompareClient.xhtml?bill_id=202120220SB107&showamends=false\">Senate Bill 107\u003c/a>, designed to protect from prosecution patients who travel to California for what supporters call gender-affirming care and doctors who provide that care.\u003c/p>\n\u003cp>The Assembly gave its final approval to the bill in a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billVotesClient.xhtml?bill_id=202120220SB107\">60-19 vote\u003c/a>. The Senate went along on a 30-9 vote, sending the bill to Gov. Gavin Newsom, who signed it September 29. The new law will take effect Jan. 1, 2023.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"State Sen. Scott Wiener, author of SB 107\"]‘As so many states work to erase trans kids and criminalize their families, California must always have their backs.’[/pullquote]The bill will make California \u003ca href=\"https://sd11.senate.ca.gov/news/20220803-senator-wiener%E2%80%99s-bill-provide-refuge-trans-kids-and-their-families-passes-final\">a refuge for minors seeking gender-affirming care\u003c/a>, similar to how \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB1666\">Assembly Bill 1666\u003c/a>, which \u003ca href=\"https://calmatters.org/abortion-rights/2022/06/california-abortion-roe-ruling/\">Newsom signed into law in June\u003c/a>, made the state a refuge for those seeking abortions.\u003c/p>\n\u003cp>“It will send a very clear message that trans kids and their families, if they don’t feel safe in their state, they can come here and we’ll do everything in our power to protect them from prosecution,” state Sen. Scott Wiener, a San Francisco Democrat and the bill’s author, told CalMatters.\u003c/p>\n\u003cp>“As so many states work to erase trans kids and criminalize their families, California must always have their backs,” Wiener said in a statement on Friday after Newsom signed the bill. “With SB 107 signed into law, California is forcefully pushing back against the anti-LGBTQ hatred spreading across parts of our nation. The rainbow wave is real, and it’s coming.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But state Sen. Melissa Melendez, a Lake Elsinore Republican, said the bill interferes with the relationship between parents and their transgender children.\u003c/p>\n\u003cp>“I don’t disagree that we should make sure that kids in this category are protected, and not bullied, and not harassed, and provided some understanding and certainly any medical attention mental-health-wise that they may need,” she said during the floor debate. “But I don’t think the state of California should be stepping in and facilitating that. That’s not our place.”\u003c/p>\n\u003cp>In a statement in response to the bill-signing, Jonathan Keller, president of the California Family Council, said, “By signing this extreme bill, Gavin Newsom is telling all parents across the country that he knows what’s best for their children.”\u003c/p>\n\u003cp>But Tony Hoang, executive director of Equality California, countered in a statement: “While small, hateful men like Greg Abbott and Ron DeSantis attack trans children and their families, Governor Newsom today made clear that California will welcome them with open arms. SB 107 officially makes California a state of refuge for trans kids and their families.”\u003c/p>\n\u003ch2>A national wave\u003c/h2>\n\u003cp>The bill, perhaps the highest-profile of \u003ca href=\"https://www.ebar.com/story.php?ch=News&sc=Latest%20News&id=318471\">several LGBTQ-related proposals\u003c/a> also sent to Newsom, responds to a recent wave of legislation: \u003ca href=\"https://freedomforallamericans.org/legislative-tracker/medical-care-bans/\">At least 40 bills in 20 states\u003c/a> would restrict access to gender-affirming medical care for transgender youth. These proposals vary from an Idaho bill to \u003ca href=\"https://www.washingtonpost.com/lifestyle/2022/03/11/idaho-transgender-medical-treatment-bill/\">criminalize gender-affirming medical procedures\u003c/a> to a Florida law \u003ca href=\"https://www.politico.com/news/2022/08/11/florida-finalizes-ban-medicaid-transgender-treatments-00051259\">banning their insurance coverage\u003c/a>. In Texas, \u003ca href=\"https://www.wfaa.com/article/news/local/texas/gov-abbotts-order-to-investigate-trans-youth-elicited-anger-confusion-inside-state-protective-services-internal-emails-open-records/287-f42c4255-4a31-4a32-a63c-83ecb7de0d1b\">state social workers are reportedly rebelling\u003c/a> — or even threatening to quit — rather than carry out an order by Gov. Greg Abbott to investigate parents who allow transgender health care.\u003c/p>\n\u003cp>Proponents of the bill say it is California’s responsibility to intervene.\u003c/p>\n\u003cp>“There are efforts all across the country … to go after trans kids and their families. California has a role to play in providing a safe, welcoming environment for trans kids and their families to get the care they need,” said Samuel Garrett-Pate, managing director of external affairs for Equality California, which \u003ca href=\"https://www.eqca.org/legislation/#\">supports the bill\u003c/a> and says it’s the nation’s largest LGBTQ+ civil rights group.\u003c/p>\n\u003cp>SB 107 will:\u003c/p>\n\u003cul>\n\u003cli>Prohibit law-enforcement participation and the arrest or extradition of an individual for allowing a person to receive or provide gender-affirming care when that care is legal under California and federal law.\u003c/li>\n\u003cli>Declare arrest warrants for individuals who allowed their child to receive gender-affirming health care the lowest law enforcement priority.\u003c/li>\n\u003cli>Ban the enforcement of another state’s law authorizing a state agency to remove a child from their parent or guardian because they allowed their child to receive gender-affirming care.\u003c/li>\n\u003cli>Bar compliance with subpoenas seeking medical information related to gender-affirming care that interferes with a person’s right to allow a child to receive that care.\u003c/li>\n\u003c/ul>\n\u003cp>“As it stands, transgender youth and their parents in these states are under a constant threat of being reported by anyone around them, while forgoing life-saving treatment,” said Assemblymember Lori Wilson, a Suisun City Democrat and parent of a trans person, in presenting the bill on the Assembly floor. “In doing so, they are targeting our most vulnerable population — children — as well as their parents and doctors who support them.”\u003c/p>\n\u003cfigure id=\"attachment_11927340\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11927340\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/09/RS56923_018_KQED_SFTransMarch_06242022-qut.jpg\" alt=\"Person wearing brightly colored clothing holds large sign in middle of large street during large-scale street march\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS56923_018_KQED_SFTransMarch_06242022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS56923_018_KQED_SFTransMarch_06242022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS56923_018_KQED_SFTransMarch_06242022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS56923_018_KQED_SFTransMarch_06242022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS56923_018_KQED_SFTransMarch_06242022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A participant in the Trans March carries a sign that says ‘Fight for Trans Rights, Fight for Abortion Access for All’ in San Francisco on June 24, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Foes raise concerns\u003c/h2>\n\u003cp>By leaning into the national debate around transgender issues, the bill has generated intense opposition.\u003c/p>\n\u003cp>Opponents say that children often misunderstand their gender identity and are likely to regret their decision to get irreversible treatments such as hormone replacement therapy and gender-affirming surgery.\u003c/p>\n\u003cp>“A lot of kids don’t quite comprehend the implications of taking puberty blockers, cross-sex hormones and even some of the surgeries; don’t comprehend the long-term nature and the damaging effect it would have on their on their bodies when they were minors,” said Greg Burt, a spokesperson for the \u003ca href=\"https://www.californiafamily.org/\">California Family Council\u003c/a>.\u003c/p>\n\u003cp>Burt cited \u003ca href=\"https://www.youtube.com/watch?v=pzgohkz22Fg\">testimony from Chloe Cole\u003c/a> before the Assembly Public Safety Committee on June 28.\u003c/p>\n\u003cp>“SB 107 is circumventing states’ laws and that have needed safeguards in place so my story’s not repeated. Children cannot consent,” said Cole, a 17-year-old from the Central Valley, who medically transitioned from age 13 to 15 with puberty blockers, male hormones and a mastectomy.\u003c/p>\n\u003cp>Given this, Burt said the religious nonprofit “would be against any kind of drugs or surgeries to try and match a person’s body to their feelings below the age of 18,” regardless of parental consent.\u003c/p>\n\u003cp>“We don’t let parents sterilize their kids, even if parents consent to it, and we think this is in the same category,” Burt said. “You can’t harm your child permanently, even if you believe the harm is somehow justified.”\u003c/p>\n\u003cp>However, Sen. Richard Pan, a Sacramento Democrat who is also a pediatrician, said the medical profession does not recommend surgery for transgender individuals under the age of 18. During a floor debate, he cited research showing that the majority of children who question their gender identity do not change their minds and that the majority of treatments provided to transgender youth are reversible.\u003c/p>\n\u003cp>[aside label='Related Coverage' tag='transgender']Opponents also highlight a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billCompareClient.xhtml?bill_id=202120220SB107&showamends=false\">clause in the bill\u003c/a> that they say \u003ca href=\"https://www.californiafamily.org/2022/08/california-parents-fight-back-against-gender-transition-bills/\">could take custody rights away\u003c/a> from an out-of-state parent who disagrees with the other on their child’s gender-affirming care.\u003c/p>\n\u003cp>Erin Friday, a San Francisco attorney and parent of a child who once wanted to transition, said that the clause “pits parents against parents” by allowing an out-of-state parent to refile for full medical custody of their child in California and eclipse the consent of the non-affirming parent.\u003c/p>\n\u003cp>“It makes it easier for the one parent who wants to harm their child to harm their child, and it’s an enticement for kids to run away. There’s no two ways about it,” she said.\u003c/p>\n\u003cp>Wiener’s office disputes that this is the bill’s intent.\u003c/p>\n\u003cp>“The point of the bill is not to remove kids from their parents’ custody — not when parents come here with their kids to prevent states like Texas from removing them from their custody,” he said.\u003c/p>\n\u003ch2>Helping families, one at a time\u003c/h2>\n\u003cp>As the political debate rages on, Moehlig and her staff of 10 continue their work, helping families across the U.S. figure out the best doctor and how to get insurance coverage, and providing support groups for people from elementary school age to age 30. She says her group has assisted 3,000 families in its lifetime.\u003c/p>\n\u003cp>That work convinces her of the importance of the bill. She said it’s “ludicrous” for politicians to assert that they know better than the parents of transgender children and their doctors about what medical care and treatment is best.\u003c/p>\n\u003cp>As of now, every law that criminalizes gender-affirming care in other states has been delayed by legal challenges. Moehlig, however, said it’s only a matter of time before one of these bills becomes law.\u003c/p>\n\u003cp>And she’s already seeing the impact: She said she has multiple clients who have moved to California because of the laws in other states. One of her clients in Texas said his doctor canceled his top surgery because they were no longer comfortable treating transgender youth.\u003c/p>\n\u003cp>“I think that protecting the rights of these parents to make these medical choices and get this treatment for these kids without having to worry about any of the ramifications of prosecutions is super important,” Moehlig said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Gov. Gavin Newsom announced on Thursday that he signed \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB107\">Senate Bill 107\u003c/a>, legislation that provides legal protections for transgender kids and their parents who come to the state after facing criminal prosecution or being threatened with forcible separation in other states.\u003c/em>\u003c/p>\n\u003cp>\u003cem>“In California we believe in equality and acceptance,” Newsom said in a \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/09/SB-107-SIGNING.pdf?emrc=1a80c5\">signing statement\u003c/a>. “We believe that no one should be prosecuted or persecuted for getting the care they need – including gender-affirming care.” The new law takes effect Jan. 1, 2023.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">W\u003c/span>\u003c/p>\u003cp>hen Kathie Moehlig’s 11-year-old son decided to transition in 2012, she says not one doctor in San Diego was willing to treat him. “When I called to make appointments, they kept telling me, ‘We don’t treat kids like that here,’” Moehlig said.\u003c/p>\n\u003cp>But she continued making calls, eventually breaking through at Rady Children’s Hospital. Her efforts drew attention from other families of transgender kids, many of whom began asking her for help.\u003c/p>\n\u003cp>She decided she “couldn’t just be a family friend,” so eight years ago she started \u003ca href=\"https://transfamilysos.org/\">TransFamily Support Services\u003c/a>, a nonprofit that offers a multitude of services to hundreds of families of transgender individuals across the country, including support groups, assistance navigating the medical system and — most recently — political advocacy.\u003c/p>\n\u003cp>TransFamily Support Services co-sponsored \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billCompareClient.xhtml?bill_id=202120220SB107&showamends=false\">Senate Bill 107\u003c/a>, designed to protect from prosecution patients who travel to California for what supporters call gender-affirming care and doctors who provide that care.\u003c/p>\n\u003cp>The Assembly gave its final approval to the bill in a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billVotesClient.xhtml?bill_id=202120220SB107\">60-19 vote\u003c/a>. The Senate went along on a 30-9 vote, sending the bill to Gov. Gavin Newsom, who signed it September 29. The new law will take effect Jan. 1, 2023.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘As so many states work to erase trans kids and criminalize their families, California must always have their backs.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The bill will make California \u003ca href=\"https://sd11.senate.ca.gov/news/20220803-senator-wiener%E2%80%99s-bill-provide-refuge-trans-kids-and-their-families-passes-final\">a refuge for minors seeking gender-affirming care\u003c/a>, similar to how \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB1666\">Assembly Bill 1666\u003c/a>, which \u003ca href=\"https://calmatters.org/abortion-rights/2022/06/california-abortion-roe-ruling/\">Newsom signed into law in June\u003c/a>, made the state a refuge for those seeking abortions.\u003c/p>\n\u003cp>“It will send a very clear message that trans kids and their families, if they don’t feel safe in their state, they can come here and we’ll do everything in our power to protect them from prosecution,” state Sen. Scott Wiener, a San Francisco Democrat and the bill’s author, told CalMatters.\u003c/p>\n\u003cp>“As so many states work to erase trans kids and criminalize their families, California must always have their backs,” Wiener said in a statement on Friday after Newsom signed the bill. “With SB 107 signed into law, California is forcefully pushing back against the anti-LGBTQ hatred spreading across parts of our nation. The rainbow wave is real, and it’s coming.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But state Sen. Melissa Melendez, a Lake Elsinore Republican, said the bill interferes with the relationship between parents and their transgender children.\u003c/p>\n\u003cp>“I don’t disagree that we should make sure that kids in this category are protected, and not bullied, and not harassed, and provided some understanding and certainly any medical attention mental-health-wise that they may need,” she said during the floor debate. “But I don’t think the state of California should be stepping in and facilitating that. That’s not our place.”\u003c/p>\n\u003cp>In a statement in response to the bill-signing, Jonathan Keller, president of the California Family Council, said, “By signing this extreme bill, Gavin Newsom is telling all parents across the country that he knows what’s best for their children.”\u003c/p>\n\u003cp>But Tony Hoang, executive director of Equality California, countered in a statement: “While small, hateful men like Greg Abbott and Ron DeSantis attack trans children and their families, Governor Newsom today made clear that California will welcome them with open arms. SB 107 officially makes California a state of refuge for trans kids and their families.”\u003c/p>\n\u003ch2>A national wave\u003c/h2>\n\u003cp>The bill, perhaps the highest-profile of \u003ca href=\"https://www.ebar.com/story.php?ch=News&sc=Latest%20News&id=318471\">several LGBTQ-related proposals\u003c/a> also sent to Newsom, responds to a recent wave of legislation: \u003ca href=\"https://freedomforallamericans.org/legislative-tracker/medical-care-bans/\">At least 40 bills in 20 states\u003c/a> would restrict access to gender-affirming medical care for transgender youth. These proposals vary from an Idaho bill to \u003ca href=\"https://www.washingtonpost.com/lifestyle/2022/03/11/idaho-transgender-medical-treatment-bill/\">criminalize gender-affirming medical procedures\u003c/a> to a Florida law \u003ca href=\"https://www.politico.com/news/2022/08/11/florida-finalizes-ban-medicaid-transgender-treatments-00051259\">banning their insurance coverage\u003c/a>. In Texas, \u003ca href=\"https://www.wfaa.com/article/news/local/texas/gov-abbotts-order-to-investigate-trans-youth-elicited-anger-confusion-inside-state-protective-services-internal-emails-open-records/287-f42c4255-4a31-4a32-a63c-83ecb7de0d1b\">state social workers are reportedly rebelling\u003c/a> — or even threatening to quit — rather than carry out an order by Gov. Greg Abbott to investigate parents who allow transgender health care.\u003c/p>\n\u003cp>Proponents of the bill say it is California’s responsibility to intervene.\u003c/p>\n\u003cp>“There are efforts all across the country … to go after trans kids and their families. California has a role to play in providing a safe, welcoming environment for trans kids and their families to get the care they need,” said Samuel Garrett-Pate, managing director of external affairs for Equality California, which \u003ca href=\"https://www.eqca.org/legislation/#\">supports the bill\u003c/a> and says it’s the nation’s largest LGBTQ+ civil rights group.\u003c/p>\n\u003cp>SB 107 will:\u003c/p>\n\u003cul>\n\u003cli>Prohibit law-enforcement participation and the arrest or extradition of an individual for allowing a person to receive or provide gender-affirming care when that care is legal under California and federal law.\u003c/li>\n\u003cli>Declare arrest warrants for individuals who allowed their child to receive gender-affirming health care the lowest law enforcement priority.\u003c/li>\n\u003cli>Ban the enforcement of another state’s law authorizing a state agency to remove a child from their parent or guardian because they allowed their child to receive gender-affirming care.\u003c/li>\n\u003cli>Bar compliance with subpoenas seeking medical information related to gender-affirming care that interferes with a person’s right to allow a child to receive that care.\u003c/li>\n\u003c/ul>\n\u003cp>“As it stands, transgender youth and their parents in these states are under a constant threat of being reported by anyone around them, while forgoing life-saving treatment,” said Assemblymember Lori Wilson, a Suisun City Democrat and parent of a trans person, in presenting the bill on the Assembly floor. “In doing so, they are targeting our most vulnerable population — children — as well as their parents and doctors who support them.”\u003c/p>\n\u003cfigure id=\"attachment_11927340\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11927340\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/09/RS56923_018_KQED_SFTransMarch_06242022-qut.jpg\" alt=\"Person wearing brightly colored clothing holds large sign in middle of large street during large-scale street march\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS56923_018_KQED_SFTransMarch_06242022-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS56923_018_KQED_SFTransMarch_06242022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS56923_018_KQED_SFTransMarch_06242022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS56923_018_KQED_SFTransMarch_06242022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS56923_018_KQED_SFTransMarch_06242022-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A participant in the Trans March carries a sign that says ‘Fight for Trans Rights, Fight for Abortion Access for All’ in San Francisco on June 24, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Foes raise concerns\u003c/h2>\n\u003cp>By leaning into the national debate around transgender issues, the bill has generated intense opposition.\u003c/p>\n\u003cp>Opponents say that children often misunderstand their gender identity and are likely to regret their decision to get irreversible treatments such as hormone replacement therapy and gender-affirming surgery.\u003c/p>\n\u003cp>“A lot of kids don’t quite comprehend the implications of taking puberty blockers, cross-sex hormones and even some of the surgeries; don’t comprehend the long-term nature and the damaging effect it would have on their on their bodies when they were minors,” said Greg Burt, a spokesperson for the \u003ca href=\"https://www.californiafamily.org/\">California Family Council\u003c/a>.\u003c/p>\n\u003cp>Burt cited \u003ca href=\"https://www.youtube.com/watch?v=pzgohkz22Fg\">testimony from Chloe Cole\u003c/a> before the Assembly Public Safety Committee on June 28.\u003c/p>\n\u003cp>“SB 107 is circumventing states’ laws and that have needed safeguards in place so my story’s not repeated. Children cannot consent,” said Cole, a 17-year-old from the Central Valley, who medically transitioned from age 13 to 15 with puberty blockers, male hormones and a mastectomy.\u003c/p>\n\u003cp>Given this, Burt said the religious nonprofit “would be against any kind of drugs or surgeries to try and match a person’s body to their feelings below the age of 18,” regardless of parental consent.\u003c/p>\n\u003cp>“We don’t let parents sterilize their kids, even if parents consent to it, and we think this is in the same category,” Burt said. “You can’t harm your child permanently, even if you believe the harm is somehow justified.”\u003c/p>\n\u003cp>However, Sen. Richard Pan, a Sacramento Democrat who is also a pediatrician, said the medical profession does not recommend surgery for transgender individuals under the age of 18. During a floor debate, he cited research showing that the majority of children who question their gender identity do not change their minds and that the majority of treatments provided to transgender youth are reversible.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Opponents also highlight a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billCompareClient.xhtml?bill_id=202120220SB107&showamends=false\">clause in the bill\u003c/a> that they say \u003ca href=\"https://www.californiafamily.org/2022/08/california-parents-fight-back-against-gender-transition-bills/\">could take custody rights away\u003c/a> from an out-of-state parent who disagrees with the other on their child’s gender-affirming care.\u003c/p>\n\u003cp>Erin Friday, a San Francisco attorney and parent of a child who once wanted to transition, said that the clause “pits parents against parents” by allowing an out-of-state parent to refile for full medical custody of their child in California and eclipse the consent of the non-affirming parent.\u003c/p>\n\u003cp>“It makes it easier for the one parent who wants to harm their child to harm their child, and it’s an enticement for kids to run away. There’s no two ways about it,” she said.\u003c/p>\n\u003cp>Wiener’s office disputes that this is the bill’s intent.\u003c/p>\n\u003cp>“The point of the bill is not to remove kids from their parents’ custody — not when parents come here with their kids to prevent states like Texas from removing them from their custody,” he said.\u003c/p>\n\u003ch2>Helping families, one at a time\u003c/h2>\n\u003cp>As the political debate rages on, Moehlig and her staff of 10 continue their work, helping families across the U.S. figure out the best doctor and how to get insurance coverage, and providing support groups for people from elementary school age to age 30. She says her group has assisted 3,000 families in its lifetime.\u003c/p>\n\u003cp>That work convinces her of the importance of the bill. She said it’s “ludicrous” for politicians to assert that they know better than the parents of transgender children and their doctors about what medical care and treatment is best.\u003c/p>\n\u003cp>As of now, every law that criminalizes gender-affirming care in other states has been delayed by legal challenges. Moehlig, however, said it’s only a matter of time before one of these bills becomes law.\u003c/p>\n\u003cp>And she’s already seeing the impact: She said she has multiple clients who have moved to California because of the laws in other states. One of her clients in Texas said his doctor canceled his top surgery because they were no longer comfortable treating transgender youth.\u003c/p>\n\u003cp>“I think that protecting the rights of these parents to make these medical choices and get this treatment for these kids without having to worry about any of the ramifications of prosecutions is super important,” Moehlig said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"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 />",
"airtime": "SUN 9pm-10pm",
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"meta": {
"site": "radio",
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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",
"officialWebsiteLink": "https://www.commonwealthclub.org/podcasts",
"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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}
},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"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"
}
},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"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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"id": "here-and-now",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"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.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/hiddenbrain.jpg",
"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
"site": "news",
"source": "NPR"
},
"link": "/radio/program/hidden-brain",
"subscribe": {
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"tuneIn": "https://tunein.com/podcasts/Science-Podcasts/Hidden-Brain-p787503/",
"rss": "https://feeds.npr.org/510308/podcast.xml"
}
},
"how-i-built-this": {
"id": "how-i-built-this",
"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",
"imageAlt": "KQED Hyphenación",
"officialWebsiteLink": "/podcasts/hyphenacion",
"meta": {
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"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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"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": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"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": {
"apple": "https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"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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"stitcher": "https://www.stitcher.com/show/on-our-watch",
"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": {
"site": "news",
"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": {
"site": "news",
"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/",
"meta": {
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/id73801135",
"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"
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},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
"officialWebsiteLink": "https://www.npr.org/sections/money/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/M4f5",
"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
"tuneIn": "https://tunein.com/podcasts/Business--Economics-Podcasts/Planet-Money-p164680/",
"rss": "https://feeds.npr.org/510289/podcast.xml"
}
},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Political Breakdown",
"officialWebsiteLink": "/podcasts/politicalbreakdown",
"meta": {
"site": "radio",
"source": "kqed",
"order": 5
},
"link": "/podcasts/politicalbreakdown",
"subscribe": {
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"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
"npr": "https://www.npr.org/podcasts/572155894/political-breakdown",
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