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Now the influx of children in crisis to hospital emergency rooms has put more pressure on a system that was already stretched thin.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Romero described a 6-year-old boy who recently spent hours in the emergency room while waiting for a placement in a psychiatric hospital. The waitlist was long and his family became homeless due to the pandemic. The hospital reminded him of the recent death of a family member. Waiting in a small hospital room with loud noises and people coming and going was triggering to the boy and also a challenge for providers, creating “a lot of additional stressors in providers and not knowing really how to access these resources or what to do to improve the system.”\u003c/p>\n\u003cp>Some children in crisis have to wait two months to see a psychiatrist, Romero said. Telehealth is an option but it doesn’t work for many children. Kids are experiencing loss, grief and economic uncertainty as they watch their family members get sick, lose work and even die. Because of social distancing, it’s also harder for children and their caregivers to take breaks by going to a relative’s home.\u003c/p>\n\u003cp>“A lot of kids fall into the gap between needing a couple weeks of inpatient care at a psychiatric hospital or just a weekly therapist visit,” or partial hospitalization or behavioral therapy, Romero said.\u003c/p>\n\u003cp>Many of the programs designed to fill that gap are built around in-person or group therapy, like the hospital’s 30-day after-school program for children recently released from the hospital after experiencing mental health crises. But Romero says those programs are now carried out primarily online, which can be less effective.\u003c/p>\n\u003cp>“The program is still going on, but it’s not as successful via telehealth,” Romero said. “Some kids do well with telehealth, others don’t — just like at school, just like adults at work.”\u003c/p>\n\u003cp>Romero said there is also a need for more psychiatric beds. “I wish we could focus on prevention. But the reality is kids are in crisis and we don’t have enough beds,” she said.\u003c/p>\n\u003cp>With these added stressors, Children’s Hospital emergency room staff have instituted universal screening, to make sure they ask directly about self-harm and suicidal thoughts. That’s something a teacher in an in-person classroom might help identify, but with kids taking online classes, those interactions are happening less frequently.\u003c/p>\n\u003cp>“Many of the primary care providers have expressed concerns and sometimes hesitation around asking about suicide directly because it might put [self-harm] in their head or because it’s a really hard conversation. I want to advocate that it is important to ask. The research does show that it does not increase the risk of suicide. It actually reduces it,” she said. [aside tag=\"education, mental health\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>Romero and her colleagues are bracing themselves for an increase in referrals, which have been delayed because of distance learning. 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"content": "\u003cp>The U.S. Senate on Thursday narrowly confirmed California Attorney General \u003ca href=\"https://apnews.com/article/joe-biden-politics-coronavirus-pandemic-california-xavier-becerra-23dfc30794f976ac9799b8ce04701068\">Xavier Becerra\u003c/a> as President Biden’s health secretary, filling a \u003ca href=\"https://apnews.com/article/joe-biden-biden-cabinet-coronavirus-pandemic-hispanics-california-3f3fbd24de4a57f324397d0d5b438cc8\">key position\u003c/a> in the administration’s coronavirus response and its ambitious push to lower drug costs, expand insurance coverage and eliminate racial disparities in medical care.\u003c/p>\n\u003cp>The 50-49 largely party-line vote — with just one Republican supporting his confirmation — makes the 63-year-old \u003ca href=\"https://oag.ca.gov/about\">Becerra\u003c/a> the first Latino to head the Department of Health and Human Services. The $1.4 trillion agency encompasses health insurance programs, drug safety and approvals, advanced medical research, substance abuse treatment, and the welfare of children, including \u003ca href=\"https://apnews.com/article/is-us-mexico-border-in-crisis-explained-aea57dde734f5cccb920e0d5d6111e65\">hundreds of Central American migrants now arriving daily\u003c/a> at the U.S.-Mexico border.\u003c/p>\n\u003cp>Becerra has been California’s attorney general since 2017. He sued the Trump administration 124 times on a range of policy issues, earning the ire of conservatives. Before that, he represented a Los Angeles-area district in the U.S. House for 24 years.\u003c/p>\n\u003cp>A lawyer, not a doctor, his main experience with the health care system came through helping to pass the Obama-era \u003ca href=\"https://www.healthcare.gov/glossary/affordable-care-act/\">Affordable Care Act\u003c/a> and defending it when Donald Trump was president.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"xavier-becerra\"]Becerra\u003ca href=\"https://apnews.com/article/2a41bfdffd344b3a954a98bd44bd9ac9\"> comes from a working-class Mexican American family\u003c/a>; his father was in road construction and his mother was a secretary\u003ca href=\"https://apnews.com/article/2a41bfdffd344b3a954a98bd44bd9ac9\">.\u003c/a>\u003c/p>\n\u003cp>“I understand the enormous challenges before us and our solemn responsibility to be faithful stewards of an agency that touches almost every aspect of our lives,” he said recently at his confirmation hearing. “I’m humbled by the task, and I’m ready for it.”\u003c/p>\n\u003cp>Leading Republicans have dismissed Becerra as unfit. But the American Medical Association and the American Hospital Association supported his nomination. A powerful drug industry lobby, the Pharmaceutical Research and Manufacturers of America, congratulated Becerra on his confirmation and said it looks forward to a collaborative working relationship.\u003c/p>\n\u003cp>But to Senate Republican leader Mitch McConnell of Kentucky, “the distinguishing feature of this nominee’s resume is not his expertise in health, medicine or administration — that part of the resume is very brief. What stands out are Mr. Becerra’s commitment to partisan warfare and his far-left ideology.”\u003c/p>\n\u003cp>Although Becerra was reliably liberal in his nearly quarter-century stint in the House, he was not seen as a left-wing firebrand. His issues were education, immigration and equal treatment for minorities. His profile was of a low-key insider who could work with Republicans.\u003c/p>\n\u003cp>Senate Majority Leader Chuck Schumer, D-New York, said GOP arguments against Becerra “almost verge on the ridiculous.” Schumer said Republicans “complained loudly that he had no direct experience as a medical professional, even though Republicans voted in lockstep” to make pharmaceutical executive Alex Azar health secretary under Trump.\u003c/p>\n\u003cp>The Biden administration’s COVID-19 response is already in high gear, directed out of the White House. Biden has signed his $1.9 trillion relief bill into law and agencies are making announcements almost daily. But having a health secretary in the mix will make a big difference, said Kathleen Sebelius, who led HHS during much of President Barack Obama’s administration.\u003c/p>\n\u003cp>“Many of the assets that will be important to this effort are in HHS, and he’ll have the key coordinating role within the department,” Sebelius said. “It adds a force multiplier and expertise to the efforts already under way.”\u003c/p>\n\u003cp>[ad fullwidth]Core components of HHS are the boots on the ground of the coronavirus response.\u003c/p>\n\u003cp>The Food and Drug Administration oversees vaccines and treatments. Much of the underlying scientific and medical research comes from the National Institutes of Health. The Centers for Disease Control and Prevention takes the lead containing the spread of the virus and developing guidance to safely reopen schools and offices. The Centers for Medicare and Medicaid Services provides insurance coverage for more than 1 in 3 Americans, including vulnerable seniors, as well as many children and low-income people.\u003c/p>\n\u003cp>Becerra will also be the point man on Biden’s health care agenda, which includes insurance for all Americans, deputizing Medicare to negotiate prescription drug prices, and tackling persistent racial and ethnic disparities in the health care system.\u003c/p>\n\u003cp>Prescription drugs and health insurance will lead to major legislative battles. Democrats may have to go it alone and again use the special budget maneuver they relied on to muscle the COVID-19 relief bill through the Senate without Republican support.\u003c/p>\n\u003cp>Leslie Dach, a former senior adviser at HHS in the Obama administration, said Becerra appears poised to take advantage of a shift in the politics of health care.\u003c/p>\n\u003cp>“It’s a different time and it’s a time of tremendous opportunity in health care,” he said. “Whereas the Obama years were against a backdrop of tough politics and a [health care] law that still had to earn its stripes, he enters with a proven and popular law, an issue that won for the Democrats.” Dach now leads the advocacy group Protect Our Care, which pushes to expand coverage.\u003c/p>\n\u003cp>Becerra’s Senate confirmation was a defeat for religious and social conservatives who worked to derail it over his support for \u003ca href=\"https://apnews.com/article/xavier-becerra-health-secretary-nominee-abortion-rights-d62603802d5b5b5bcc752cf38ea953ee\">abortion rights\u003c/a>. During his confirmation hearings, Becerra tried to play down the issue, acknowledging Americans have deeply held differences on abortion and assuring senators that he would follow the law. The law says abortion is legal but also that taxpayer money cannot be used to pay for abortions except in cases of rape, incest or to save the life of the woman.\u003c/p>\n\u003cp>On the Senate floor Thursday, Republicans mostly closed ranks against Becerra. But during committee hearings, several indicated a willingness to work him with on prescription drugs, rural health care and other matters.\u003c/p>\n\u003cp>“Although there are issues where I strongly disagree with Mr. Becerra, I believe he merits confirmation as HHS secretary,” said Sen. Susan Collins, R-Maine, the only Republican to vote for him. “I look forward to working with the department to achieve bipartisan results on behalf of the American people.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "The 50-49 largely party-line vote makes the 63-year-old Becerra the first Latino to head the Department of Health and Human Services.",
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"title": "Xavier Becerra Narrowly Confirmed as Health Secretary by Sharply Divided Senate | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The U.S. Senate on Thursday narrowly confirmed California Attorney General \u003ca href=\"https://apnews.com/article/joe-biden-politics-coronavirus-pandemic-california-xavier-becerra-23dfc30794f976ac9799b8ce04701068\">Xavier Becerra\u003c/a> as President Biden’s health secretary, filling a \u003ca href=\"https://apnews.com/article/joe-biden-biden-cabinet-coronavirus-pandemic-hispanics-california-3f3fbd24de4a57f324397d0d5b438cc8\">key position\u003c/a> in the administration’s coronavirus response and its ambitious push to lower drug costs, expand insurance coverage and eliminate racial disparities in medical care.\u003c/p>\n\u003cp>The 50-49 largely party-line vote — with just one Republican supporting his confirmation — makes the 63-year-old \u003ca href=\"https://oag.ca.gov/about\">Becerra\u003c/a> the first Latino to head the Department of Health and Human Services. The $1.4 trillion agency encompasses health insurance programs, drug safety and approvals, advanced medical research, substance abuse treatment, and the welfare of children, including \u003ca href=\"https://apnews.com/article/is-us-mexico-border-in-crisis-explained-aea57dde734f5cccb920e0d5d6111e65\">hundreds of Central American migrants now arriving daily\u003c/a> at the U.S.-Mexico border.\u003c/p>\n\u003cp>Becerra has been California’s attorney general since 2017. He sued the Trump administration 124 times on a range of policy issues, earning the ire of conservatives. Before that, he represented a Los Angeles-area district in the U.S. House for 24 years.\u003c/p>\n\u003cp>A lawyer, not a doctor, his main experience with the health care system came through helping to pass the Obama-era \u003ca href=\"https://www.healthcare.gov/glossary/affordable-care-act/\">Affordable Care Act\u003c/a> and defending it when Donald Trump was president.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Becerra\u003ca href=\"https://apnews.com/article/2a41bfdffd344b3a954a98bd44bd9ac9\"> comes from a working-class Mexican American family\u003c/a>; his father was in road construction and his mother was a secretary\u003ca href=\"https://apnews.com/article/2a41bfdffd344b3a954a98bd44bd9ac9\">.\u003c/a>\u003c/p>\n\u003cp>“I understand the enormous challenges before us and our solemn responsibility to be faithful stewards of an agency that touches almost every aspect of our lives,” he said recently at his confirmation hearing. “I’m humbled by the task, and I’m ready for it.”\u003c/p>\n\u003cp>Leading Republicans have dismissed Becerra as unfit. But the American Medical Association and the American Hospital Association supported his nomination. A powerful drug industry lobby, the Pharmaceutical Research and Manufacturers of America, congratulated Becerra on his confirmation and said it looks forward to a collaborative working relationship.\u003c/p>\n\u003cp>But to Senate Republican leader Mitch McConnell of Kentucky, “the distinguishing feature of this nominee’s resume is not his expertise in health, medicine or administration — that part of the resume is very brief. What stands out are Mr. Becerra’s commitment to partisan warfare and his far-left ideology.”\u003c/p>\n\u003cp>Although Becerra was reliably liberal in his nearly quarter-century stint in the House, he was not seen as a left-wing firebrand. His issues were education, immigration and equal treatment for minorities. His profile was of a low-key insider who could work with Republicans.\u003c/p>\n\u003cp>Senate Majority Leader Chuck Schumer, D-New York, said GOP arguments against Becerra “almost verge on the ridiculous.” Schumer said Republicans “complained loudly that he had no direct experience as a medical professional, even though Republicans voted in lockstep” to make pharmaceutical executive Alex Azar health secretary under Trump.\u003c/p>\n\u003cp>The Biden administration’s COVID-19 response is already in high gear, directed out of the White House. Biden has signed his $1.9 trillion relief bill into law and agencies are making announcements almost daily. But having a health secretary in the mix will make a big difference, said Kathleen Sebelius, who led HHS during much of President Barack Obama’s administration.\u003c/p>\n\u003cp>“Many of the assets that will be important to this effort are in HHS, and he’ll have the key coordinating role within the department,” Sebelius said. “It adds a force multiplier and expertise to the efforts already under way.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Core components of HHS are the boots on the ground of the coronavirus response.\u003c/p>\n\u003cp>The Food and Drug Administration oversees vaccines and treatments. Much of the underlying scientific and medical research comes from the National Institutes of Health. The Centers for Disease Control and Prevention takes the lead containing the spread of the virus and developing guidance to safely reopen schools and offices. The Centers for Medicare and Medicaid Services provides insurance coverage for more than 1 in 3 Americans, including vulnerable seniors, as well as many children and low-income people.\u003c/p>\n\u003cp>Becerra will also be the point man on Biden’s health care agenda, which includes insurance for all Americans, deputizing Medicare to negotiate prescription drug prices, and tackling persistent racial and ethnic disparities in the health care system.\u003c/p>\n\u003cp>Prescription drugs and health insurance will lead to major legislative battles. Democrats may have to go it alone and again use the special budget maneuver they relied on to muscle the COVID-19 relief bill through the Senate without Republican support.\u003c/p>\n\u003cp>Leslie Dach, a former senior adviser at HHS in the Obama administration, said Becerra appears poised to take advantage of a shift in the politics of health care.\u003c/p>\n\u003cp>“It’s a different time and it’s a time of tremendous opportunity in health care,” he said. “Whereas the Obama years were against a backdrop of tough politics and a [health care] law that still had to earn its stripes, he enters with a proven and popular law, an issue that won for the Democrats.” Dach now leads the advocacy group Protect Our Care, which pushes to expand coverage.\u003c/p>\n\u003cp>Becerra’s Senate confirmation was a defeat for religious and social conservatives who worked to derail it over his support for \u003ca href=\"https://apnews.com/article/xavier-becerra-health-secretary-nominee-abortion-rights-d62603802d5b5b5bcc752cf38ea953ee\">abortion rights\u003c/a>. During his confirmation hearings, Becerra tried to play down the issue, acknowledging Americans have deeply held differences on abortion and assuring senators that he would follow the law. The law says abortion is legal but also that taxpayer money cannot be used to pay for abortions except in cases of rape, incest or to save the life of the woman.\u003c/p>\n\u003cp>On the Senate floor Thursday, Republicans mostly closed ranks against Becerra. But during committee hearings, several indicated a willingness to work him with on prescription drugs, rural health care and other matters.\u003c/p>\n\u003cp>“Although there are issues where I strongly disagree with Mr. Becerra, I believe he merits confirmation as HHS secretary,” said Sen. Susan Collins, R-Maine, the only Republican to vote for him. “I look forward to working with the department to achieve bipartisan results on behalf of the American people.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "covid-19-and-personal-grief-advice-from-experts",
"title": "COVID-19 and Personal Grief: Advice from Experts",
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"headTitle": "COVID-19 and Personal Grief: Advice from Experts | KQED",
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"content": "\u003cp>\u003cem>Part of our series ‘\u003ca href=\"https://www.kqed.org/yearofcovid\">A Year of COVID\u003c/a>,’ marking a year of the coronavirus pandemic\u003c/em>\u003c/p>\n\u003cp>A year after the pandemic began, more than 2.6 million people globally have died from the coronavirus.\u003c/p>\n\u003cp>In the United States, COVID-19 has killed more than 530,000 people. And within California, more than 55,000 people have died.\u003c/p>\n\u003cp>These vast numbers remain hard to grasp — each one representing not just a person, but also a community of grieving friends and family.\u003c/p>\n\u003cp>Much has been written of both \u003ca href=\"https://www.npr.org/2021/01/01/949329416/steamrolled-us-in-every-direction-the-year-grief-hit-from-all-sides\" target=\"_blank\" rel=\"noopener noreferrer\">individual grief\u003c/a> and the ongoing feelings\u003ca href=\"https://www.theatlantic.com/ideas/archive/2020/04/were-not-ready-for-this-kind-of-grief/609856/\" target=\"_blank\" rel=\"noopener noreferrer\"> of collective loss during this period\u003c/a>. But what should be done about the indescribable brain fog and empty-heartedness that grief leaves a person with?\u003c/p>\n\u003cp>“All the ways that you cope and grieve with horrifying losses are kind of stripped during a crisis like this,” said journalist Sam Levin on \u003ca href=\"https://www.kqed.org/forum\" target=\"_blank\" rel=\"noopener noreferrer\">KQED Forum\u003c/a>‘s \u003ca href=\"https://www.kqed.org/forum/2010101881800/processing-the-grief-and-trauma-of-losing-a-loved-one-to-covid-19\">recent show dedicated to the grief and trauma\u003c/a> wrought by the COVID-19 death toll. “And it makes it just exponentially harder and really is sort of a trauma on top of trauma.”\u003c/p>\n\u003cp>Levin lost his grandmother, Debbie Hennessy, to COVID-19 in January, and wrote a \u003ca href=\"https://www.theguardian.com/us-news/2021/jan/31/my-grandmas-survival-in-america-defied-all-odds-then-covid-stole-her-from-us\">moving tribute to her in The Guardian\u003c/a>.\u003c/p>\n\u003cp>https://twitter.com/SamTLevin/status/1351590545836003328\u003c/p>\n\u003cp>For California Assemblyman James Ramos, D-Highland, who is the first Native American elected to the state Assembly, there’s a different sense of a loss when it comes to COVID-19 and elders.\u003c/p>\n\u003cp>“When we lose them, it’s a piece of our history and a piece of our knowledge that goes with them,” Ramos — a member of the of the Serrano/Cahuilla tribe in San Bernardino County — told KQED Forum.\u003cspan style=\"font-weight: 400;\">[aside postID=\"arts_13893843\"]\u003c/span>\u003c/p>\n\u003cp>“There’s things that aren’t written down,” Ramos said. And with each human loss, “a thread of the culture” is lost too, he said.\u003c/p>\n\u003cp>For those experiencing grief during the pandemic — and particularly Black and Indigenous people of color (BIPOC), \u003ca href=\"https://www.npr.org/sections/coronavirus-live-updates/2020/09/16/913365560/the-majority-of-children-who-die-from-covid-19-are-children-of-color\">who have been so disproportionately impacted by the coronavirus \u003c/a>— what are some concrete ways individuals can work through the enormity of losing someone to COVID-19?\u003c/p>\n\u003cp>KQED spoke with three experts who all professionally focus on end-of-life care and approach grieving from differing perspectives:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.oceanaendoflifedoula.com/end-of-life-doula\" target=\"_blank\" rel=\"noopener noreferrer\">Oceana Sawyer, \u003c/a>an end-of-life doula in the Bay Area,\u003c/li>\n\u003cli>\u003ca href=\"https://www.cardamomandkavate.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Roshni Kavate, \u003c/a>healer and activist, and former palliative care nurse\u003c/li>\n\u003cli>\u003ca href=\"https://sbbh.net/provider/erika-felix/\" target=\"_blank\" rel=\"noopener noreferrer\">Erika Felix, \u003c/a>a licensed psychologist and associate professor of clinical psychology at UC Santa Barbara\u003c/li>\n\u003c/ul>\n\u003cp>And keep in mind when reading this: as Felix noted on KQED Forum, “grief is not a one size fits all thing.” Consider and take what works for you and leave the rest. Additional resources on processing grief \u003ca href=\"#anchor\">are listed at the bottom of this article\u003c/a>.\u003c/p>\n\u003ch3>Choose Someone You Can \u003cem>Really\u003c/em> Talk To\u003c/h3>\n\u003cp>“The first thing I would suggest is the person get themselves a therapist,” said \u003ca href=\"https://www.oceanaendoflifedoula.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Oceana Sawyer, \u003c/a> who as an end-of-life doula provides supportive care to people during the dying process.\u003c/p>\n\u003cp>Sawyer hosts a virtual “death cafe” for the BIPOC community, as well as events focusing on grief and the Black experience. It’s important, Sawyer stresses, that the support you seek comes with the cultural competency you need. [pullquote size=\"medium\" align=\"right\" citation=\"Oceana Sawyer, death doula\"]‘You want to be able to communicate your experience to someone who can actually hear it and receive it and reflect it back to you in its entirety.’[/pullquote]\u003c/p>\n\u003cp>“You want to be able to communicate your experience to someone who can actually hear it and receive it, and reflect it back to you in its entirety,” Sawyer said — emphasizing the particular importance for BIPOC folks of doing so without the “need for code switching.” Ideally, anyone who is sharing their experiences should not be “impacted by microaggressions at a moment in time where you’re at your most vulnerable,” she added.\u003c/p>\n\u003cp>The importance of cultural competency in professional support was echoed on KQED Forum’s show by Los Angeles Times reporter Brittny Mejia, who has been personally been working through the death of her own loved ones from COVID-19 while simultaneously reporting on the pandemic in L.A.\u003c/p>\n\u003cp>Mejia said her therapist is also Mexican American, which has “been a huge help to me that she kind of understands my family dynamic.” “She gets it” Mejia said — emphasizing that “it makes a huge difference for me to have a therapist like her.”\u003c/p>\n\u003cp>All of this matters, Oceana Sawyer says, because the communities of color she works with have been dying from the virus at disproportionate rates. And that means their grief is also happening in “the context of medical racism, which doesn’t provide adequate care for Black and brown Indigenous bodies,” she says — and all amid the “ongoing racial oppression and white supremacy” in the United States.\u003c/p>\n\u003cp>“For us, it’s more complex,” Sawyer said. “All these different layers are happening.”\u003c/p>\n\u003cfigure id=\"attachment_11837589\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11837589\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/therapy.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Resources on finding culturally competent affordable therapy can be found below. \u003ccite>(Gender Spectrum Collection/Broadly)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Remember That Grief Might Not Feel (or Look) Like You Think\u003c/h3>\n\u003cp>Erika Felix echoes the importance of having a support system. “We all know that there’s no words that can take away such a profound loss,” she said — and still, she notes, we \u003cem>need\u003c/em> our networks.\u003c/p>\n\u003cp>If it’s someone close to you going through grief, Felix recommends checking in, but staying adaptable on the support you offer.\u003c/p>\n\u003cp>“Maybe they want to talk that day, maybe they don’t,” Felix said. “Maybe it just feels good to have somebody remember that they’re going through this and grieving.” And just knowing that you’re “willing to walk through it with them,” she added, is important for a person’s healing.\u003c/p>\n\u003cp>While the five stages of grief may be more well known — denial, anger, bargaining, depression, acceptance — the fact that everyone goes through them differently can be hard to reconcile with close family and friends.\u003c/p>\n\u003cp>“We might go through phases of depression and eventually come out at the other end with acceptance and being able to hold the memories and move forward,” said Felix.\u003c/p>\n\u003cp>But people also move \u003cem>in and out\u003c/em> of each stage in many different ways, Felix said. “Depending on somebody’s culture and family, and how they process emotions, even within families, grief can look very different,” she said.\u003c/p>\n\u003cp>Each person’s grief and each family’s grief may look different and go through many continual phases. If you’re the one experiencing grief, be aware of this and be kind to yourself. And if you’re the one offering support, know that a loved one’s grief might not take the form or process you anticipated.\u003c/p>\n\u003ch3>\u003cstrong>Allow Your Body to Feel Your Grief \u003c/strong>\u003c/h3>\n\u003cp>“Grief is a full-body sport,” says Roshni Kavate, who grew up in India and worked for several years as an ICU and palliative care nurse in the Bay Area. “It shows up in your body and in your heart.”\u003c/p>\n\u003cp>Kavate now focuses on reclaiming nourishing practices rooted in ancestral wisdom, often working with people who are experiencing grief by mixing art and ritual.\u003c/p>\n\u003cp>Kavate says she left nursing after 12 years because she wanted to see a greater sense of caring in the bereavement process. “I want to do it with beauty and intention; with celebrating,” she said. And creating or recreating personal rituals for your body and brain to enact can allow those experiencing grief to rethink the shattered sense of meaning in their lives and regain a sense of control, she says.\u003c/p>\n\u003cp>“You cannot control grief. It dictates when it’s going to show up,” Kavate said. But with ritual, she said, “you can get curious in that space.”\u003c/p>\n\u003cp>She also sees it as a cyclical process. Healing is often thought of with an endpoint, but as Kavate says, you don’t need to try to get to the end — since there \u003cem>is\u003c/em> no end. “If we can really feel the depth of emotion in our body,” she notes, that will help the process.\u003c/p>\n\u003cp>Oceana Sawyer also highlights how both movement and sound — known as somatic or vocal processing — can be a way of moving through grief. This can be particularly powerful for BIPOC grievers, she says.\u003c/p>\n\u003cp>“The whole thing about the full-body wailing — the singing, the moving, the dancing … It’s part of how Black bodies actually metabolize grief,” Sawyer said. “When you move your body in a certain way — that rocking, that swing, you add a hum to it — those things together actually calm the nervous system, and allow the body to process big emotional experiences.”\u003c/p>\n\u003cfigure id=\"attachment_11835632\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11835632\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/stress-comp.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/stress-comp.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/stress-comp-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/stress-comp-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/stress-comp-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/stress-comp-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Listen to how you speak to yourself. Are you showing the same understanding and compassion that you’d extend to a friend? \u003ccite>(Ketut Subiyanto/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>Move Your Body \u003cem>Into\u003c/em> Nature\u003c/strong>\u003c/h3>\n\u003cp>Paying attention to your grief through journaling or meditation has huge value, Sawyer said, “but I \u003cem>really\u003c/em> recommend that people start moving around: specifically for BIPOC folks.”\u003c/p>\n\u003cp>Sawyer recommends people notice and observe their body, “meditate, move — get out in nature and just start moving, noticing how it feels in your body, where the emotions are in your body,” she says.\u003c/p>\n\u003cp>Kavate agrees that nature is a wonderful remedy. This could be something as simple as taking care of a plant for a kitchen garden, taking a hike in nature, or a trip to the beach — anything you can do to tend to life, while going through loss.\u003c/p>\n\u003cp>“When [we] are grieving, we don’t take care of ourselves,” Kavate said. “An antidote to grief is life,” she said, and urges ways to find “a deeper kinship with living beings, and life.”\u003c/p>\n\u003ch3>\u003cstrong>Consider Connecting With Family and Ancestral Forms of Healing\u003c/strong>\u003c/h3>\n\u003cp>Delving deeper into ancestral wisdom can be useful for immigrants as well as first, second and third generation Americans, Kavate says. The question she advises asking: “What in your culture was medicine?”\u003c/p>\n\u003cp>If it was food-based, this could be answered by eating your grandmother’s favorite lamb meatballs, for example, or eating a mango. Kavate encourages people to particularly look into foods that bring you comfort — which could be traditional medicinal food, like stews, beans, rice and lentils. The smell of these foods, Kavate says, can also be powerful.\u003c/p>\n\u003cp>“Grief is really a calling for more joy and more life,” she said — and it’s important for people to “tend” to what is calling us and our bodies. “Our bodies are deeply intelligent and they have intelligence in how to navigate grief,” she adds.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>\u003cstrong>Finally, Say No to Guilt\u003c/strong>\u003c/h3>\n\u003cp>As Felix told KQED Forum, when it comes to housing inequities and work, sometimes people — particularly BIPOC folks — are given “impossible choices on survival” in terms of navigating exposure, work and a constantly changing and mutating viruses.\u003c/p>\n\u003cp>“You could do everything right, and somebody could still get it [COVID-19],” Felix said.\u003c/p>\n\u003cp>While guilt is understandable, Felix says it’s about not letting it stop a person moving forward. To reframe the perspective, Felix poses the question of how someone might treat a friend in a similar situation, — “what would they say to their best friend to comfort them?”\u003c/p>\n\u003cp>\u003ca id=\"anchor\">\u003c/a>\u003cbr>\n\u003cstrong>Resources:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.nctsn.org/\" target=\"_blank\" rel=\"noopener noreferrer\">National Child Traumatic Stress Network\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.apa.org/helpcenter\" target=\"_blank\" rel=\"noopener noreferrer\">American Psychological Association Help Center\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.nlpa.ws/find-an-expert#/\" target=\"_blank\" rel=\"noopener noreferrer\">National Latinx Psychological Association\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://abpsi.site-ym.com/search/custom.asp?id=5934\" target=\"_blank\" rel=\"noopener noreferrer\">Association of Black Psychologists, Find a Therapist\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://kara-grief.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Kara Grief Support\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.facebook.com/groups/2032852766832910\" target=\"_blank\" rel=\"noopener noreferrer\">COVID-19 Loss Support Group for Young Adults, a Facebook group\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.facebook.com/groups/2032852766832910\" target=\"_blank\" rel=\"noopener noreferrer\">Motherless Daughters, Facebook group\u003c/a>\u003c/li>\n\u003cli>An \u003ca href=\"https://refugeingrief.com/helper-overview/\" target=\"_blank\" rel=\"noopener noreferrer\">overview on how to help a grieving friend\u003c/a> from Megan Devine\u003c/li>\n\u003cli>\u003ca href=\"https://www.covidgriefnetwork.org/\" target=\"_blank\" rel=\"noopener noreferrer\">The COVID Grief Network\u003c/a> offers free one-on-one and group grief support for young adults\u003c/li>\n\u003cli>More resources from \u003ca href=\"https://alicaforneret.com/aboutme\" target=\"_blank\" rel=\"noopener noreferrer\">Alica Forneret\u003c/a>, founder of Dead Mom’s Club\u003c/li>\n\u003cli>List of \u003ca href=\"https://bookshop.org/lists/books-for-a-grieving-friend\" target=\"_blank\" rel=\"noopener noreferrer\">books on grief,\u003c/a> curated by journalist Katie Hawkins-Garr\u003c/li>\n\u003cli>\u003ca href=\"https://letsreimagine.org/resources/\" target=\"_blank\" rel=\"noopener noreferrer\">Let’s Reimagine\u003c/a>, resources and community events\u003c/li>\n\u003cli>\u003ca href=\"https://open.spotify.com/show/75hicI0owzQKJmUuFwP4oc?si=oKkkEJ92TxWADTLrl2z2KQ\" target=\"_blank\" rel=\"noopener noreferrer\">Grief Out Loud\u003c/a>, a podcast on grief from \u003ca href=\"https://www.dougy.org/\" target=\"_blank\" rel=\"noopener noreferrer\">The Dougy Center\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Part of our series ‘\u003ca href=\"https://www.kqed.org/yearofcovid\">A Year of COVID\u003c/a>,’ marking a year of the coronavirus pandemic\u003c/em>\u003c/p>\n\u003cp>A year after the pandemic began, more than 2.6 million people globally have died from the coronavirus.\u003c/p>\n\u003cp>In the United States, COVID-19 has killed more than 530,000 people. And within California, more than 55,000 people have died.\u003c/p>\n\u003cp>These vast numbers remain hard to grasp — each one representing not just a person, but also a community of grieving friends and family.\u003c/p>\n\u003cp>Much has been written of both \u003ca href=\"https://www.npr.org/2021/01/01/949329416/steamrolled-us-in-every-direction-the-year-grief-hit-from-all-sides\" target=\"_blank\" rel=\"noopener noreferrer\">individual grief\u003c/a> and the ongoing feelings\u003ca href=\"https://www.theatlantic.com/ideas/archive/2020/04/were-not-ready-for-this-kind-of-grief/609856/\" target=\"_blank\" rel=\"noopener noreferrer\"> of collective loss during this period\u003c/a>. But what should be done about the indescribable brain fog and empty-heartedness that grief leaves a person with?\u003c/p>\n\u003cp>“All the ways that you cope and grieve with horrifying losses are kind of stripped during a crisis like this,” said journalist Sam Levin on \u003ca href=\"https://www.kqed.org/forum\" target=\"_blank\" rel=\"noopener noreferrer\">KQED Forum\u003c/a>‘s \u003ca href=\"https://www.kqed.org/forum/2010101881800/processing-the-grief-and-trauma-of-losing-a-loved-one-to-covid-19\">recent show dedicated to the grief and trauma\u003c/a> wrought by the COVID-19 death toll. “And it makes it just exponentially harder and really is sort of a trauma on top of trauma.”\u003c/p>\n\u003cp>Levin lost his grandmother, Debbie Hennessy, to COVID-19 in January, and wrote a \u003ca href=\"https://www.theguardian.com/us-news/2021/jan/31/my-grandmas-survival-in-america-defied-all-odds-then-covid-stole-her-from-us\">moving tribute to her in The Guardian\u003c/a>.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>For California Assemblyman James Ramos, D-Highland, who is the first Native American elected to the state Assembly, there’s a different sense of a loss when it comes to COVID-19 and elders.\u003c/p>\n\u003cp>“When we lose them, it’s a piece of our history and a piece of our knowledge that goes with them,” Ramos — a member of the of the Serrano/Cahuilla tribe in San Bernardino County — told KQED Forum.\u003cspan style=\"font-weight: 400;\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>“There’s things that aren’t written down,” Ramos said. And with each human loss, “a thread of the culture” is lost too, he said.\u003c/p>\n\u003cp>For those experiencing grief during the pandemic — and particularly Black and Indigenous people of color (BIPOC), \u003ca href=\"https://www.npr.org/sections/coronavirus-live-updates/2020/09/16/913365560/the-majority-of-children-who-die-from-covid-19-are-children-of-color\">who have been so disproportionately impacted by the coronavirus \u003c/a>— what are some concrete ways individuals can work through the enormity of losing someone to COVID-19?\u003c/p>\n\u003cp>KQED spoke with three experts who all professionally focus on end-of-life care and approach grieving from differing perspectives:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.oceanaendoflifedoula.com/end-of-life-doula\" target=\"_blank\" rel=\"noopener noreferrer\">Oceana Sawyer, \u003c/a>an end-of-life doula in the Bay Area,\u003c/li>\n\u003cli>\u003ca href=\"https://www.cardamomandkavate.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Roshni Kavate, \u003c/a>healer and activist, and former palliative care nurse\u003c/li>\n\u003cli>\u003ca href=\"https://sbbh.net/provider/erika-felix/\" target=\"_blank\" rel=\"noopener noreferrer\">Erika Felix, \u003c/a>a licensed psychologist and associate professor of clinical psychology at UC Santa Barbara\u003c/li>\n\u003c/ul>\n\u003cp>And keep in mind when reading this: as Felix noted on KQED Forum, “grief is not a one size fits all thing.” Consider and take what works for you and leave the rest. Additional resources on processing grief \u003ca href=\"#anchor\">are listed at the bottom of this article\u003c/a>.\u003c/p>\n\u003ch3>Choose Someone You Can \u003cem>Really\u003c/em> Talk To\u003c/h3>\n\u003cp>“The first thing I would suggest is the person get themselves a therapist,” said \u003ca href=\"https://www.oceanaendoflifedoula.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Oceana Sawyer, \u003c/a> who as an end-of-life doula provides supportive care to people during the dying process.\u003c/p>\n\u003cp>Sawyer hosts a virtual “death cafe” for the BIPOC community, as well as events focusing on grief and the Black experience. It’s important, Sawyer stresses, that the support you seek comes with the cultural competency you need. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“You want to be able to communicate your experience to someone who can actually hear it and receive it, and reflect it back to you in its entirety,” Sawyer said — emphasizing the particular importance for BIPOC folks of doing so without the “need for code switching.” Ideally, anyone who is sharing their experiences should not be “impacted by microaggressions at a moment in time where you’re at your most vulnerable,” she added.\u003c/p>\n\u003cp>The importance of cultural competency in professional support was echoed on KQED Forum’s show by Los Angeles Times reporter Brittny Mejia, who has been personally been working through the death of her own loved ones from COVID-19 while simultaneously reporting on the pandemic in L.A.\u003c/p>\n\u003cp>Mejia said her therapist is also Mexican American, which has “been a huge help to me that she kind of understands my family dynamic.” “She gets it” Mejia said — emphasizing that “it makes a huge difference for me to have a therapist like her.”\u003c/p>\n\u003cp>All of this matters, Oceana Sawyer says, because the communities of color she works with have been dying from the virus at disproportionate rates. And that means their grief is also happening in “the context of medical racism, which doesn’t provide adequate care for Black and brown Indigenous bodies,” she says — and all amid the “ongoing racial oppression and white supremacy” in the United States.\u003c/p>\n\u003cp>“For us, it’s more complex,” Sawyer said. “All these different layers are happening.”\u003c/p>\n\u003cfigure id=\"attachment_11837589\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11837589\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/therapy.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Resources on finding culturally competent affordable therapy can be found below. \u003ccite>(Gender Spectrum Collection/Broadly)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Remember That Grief Might Not Feel (or Look) Like You Think\u003c/h3>\n\u003cp>Erika Felix echoes the importance of having a support system. “We all know that there’s no words that can take away such a profound loss,” she said — and still, she notes, we \u003cem>need\u003c/em> our networks.\u003c/p>\n\u003cp>If it’s someone close to you going through grief, Felix recommends checking in, but staying adaptable on the support you offer.\u003c/p>\n\u003cp>“Maybe they want to talk that day, maybe they don’t,” Felix said. “Maybe it just feels good to have somebody remember that they’re going through this and grieving.” And just knowing that you’re “willing to walk through it with them,” she added, is important for a person’s healing.\u003c/p>\n\u003cp>While the five stages of grief may be more well known — denial, anger, bargaining, depression, acceptance — the fact that everyone goes through them differently can be hard to reconcile with close family and friends.\u003c/p>\n\u003cp>“We might go through phases of depression and eventually come out at the other end with acceptance and being able to hold the memories and move forward,” said Felix.\u003c/p>\n\u003cp>But people also move \u003cem>in and out\u003c/em> of each stage in many different ways, Felix said. “Depending on somebody’s culture and family, and how they process emotions, even within families, grief can look very different,” she said.\u003c/p>\n\u003cp>Each person’s grief and each family’s grief may look different and go through many continual phases. If you’re the one experiencing grief, be aware of this and be kind to yourself. And if you’re the one offering support, know that a loved one’s grief might not take the form or process you anticipated.\u003c/p>\n\u003ch3>\u003cstrong>Allow Your Body to Feel Your Grief \u003c/strong>\u003c/h3>\n\u003cp>“Grief is a full-body sport,” says Roshni Kavate, who grew up in India and worked for several years as an ICU and palliative care nurse in the Bay Area. “It shows up in your body and in your heart.”\u003c/p>\n\u003cp>Kavate now focuses on reclaiming nourishing practices rooted in ancestral wisdom, often working with people who are experiencing grief by mixing art and ritual.\u003c/p>\n\u003cp>Kavate says she left nursing after 12 years because she wanted to see a greater sense of caring in the bereavement process. “I want to do it with beauty and intention; with celebrating,” she said. And creating or recreating personal rituals for your body and brain to enact can allow those experiencing grief to rethink the shattered sense of meaning in their lives and regain a sense of control, she says.\u003c/p>\n\u003cp>“You cannot control grief. It dictates when it’s going to show up,” Kavate said. But with ritual, she said, “you can get curious in that space.”\u003c/p>\n\u003cp>She also sees it as a cyclical process. Healing is often thought of with an endpoint, but as Kavate says, you don’t need to try to get to the end — since there \u003cem>is\u003c/em> no end. “If we can really feel the depth of emotion in our body,” she notes, that will help the process.\u003c/p>\n\u003cp>Oceana Sawyer also highlights how both movement and sound — known as somatic or vocal processing — can be a way of moving through grief. This can be particularly powerful for BIPOC grievers, she says.\u003c/p>\n\u003cp>“The whole thing about the full-body wailing — the singing, the moving, the dancing … It’s part of how Black bodies actually metabolize grief,” Sawyer said. “When you move your body in a certain way — that rocking, that swing, you add a hum to it — those things together actually calm the nervous system, and allow the body to process big emotional experiences.”\u003c/p>\n\u003cfigure id=\"attachment_11835632\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11835632\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/stress-comp.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/stress-comp.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/stress-comp-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/stress-comp-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/stress-comp-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/stress-comp-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Listen to how you speak to yourself. Are you showing the same understanding and compassion that you’d extend to a friend? \u003ccite>(Ketut Subiyanto/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>Move Your Body \u003cem>Into\u003c/em> Nature\u003c/strong>\u003c/h3>\n\u003cp>Paying attention to your grief through journaling or meditation has huge value, Sawyer said, “but I \u003cem>really\u003c/em> recommend that people start moving around: specifically for BIPOC folks.”\u003c/p>\n\u003cp>Sawyer recommends people notice and observe their body, “meditate, move — get out in nature and just start moving, noticing how it feels in your body, where the emotions are in your body,” she says.\u003c/p>\n\u003cp>Kavate agrees that nature is a wonderful remedy. This could be something as simple as taking care of a plant for a kitchen garden, taking a hike in nature, or a trip to the beach — anything you can do to tend to life, while going through loss.\u003c/p>\n\u003cp>“When [we] are grieving, we don’t take care of ourselves,” Kavate said. “An antidote to grief is life,” she said, and urges ways to find “a deeper kinship with living beings, and life.”\u003c/p>\n\u003ch3>\u003cstrong>Consider Connecting With Family and Ancestral Forms of Healing\u003c/strong>\u003c/h3>\n\u003cp>Delving deeper into ancestral wisdom can be useful for immigrants as well as first, second and third generation Americans, Kavate says. The question she advises asking: “What in your culture was medicine?”\u003c/p>\n\u003cp>If it was food-based, this could be answered by eating your grandmother’s favorite lamb meatballs, for example, or eating a mango. Kavate encourages people to particularly look into foods that bring you comfort — which could be traditional medicinal food, like stews, beans, rice and lentils. The smell of these foods, Kavate says, can also be powerful.\u003c/p>\n\u003cp>“Grief is really a calling for more joy and more life,” she said — and it’s important for people to “tend” to what is calling us and our bodies. “Our bodies are deeply intelligent and they have intelligence in how to navigate grief,” she adds.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>\u003cstrong>Finally, Say No to Guilt\u003c/strong>\u003c/h3>\n\u003cp>As Felix told KQED Forum, when it comes to housing inequities and work, sometimes people — particularly BIPOC folks — are given “impossible choices on survival” in terms of navigating exposure, work and a constantly changing and mutating viruses.\u003c/p>\n\u003cp>“You could do everything right, and somebody could still get it [COVID-19],” Felix said.\u003c/p>\n\u003cp>While guilt is understandable, Felix says it’s about not letting it stop a person moving forward. To reframe the perspective, Felix poses the question of how someone might treat a friend in a similar situation, — “what would they say to their best friend to comfort them?”\u003c/p>\n\u003cp>\u003ca id=\"anchor\">\u003c/a>\u003cbr>\n\u003cstrong>Resources:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.nctsn.org/\" target=\"_blank\" rel=\"noopener noreferrer\">National Child Traumatic Stress Network\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.apa.org/helpcenter\" target=\"_blank\" rel=\"noopener noreferrer\">American Psychological Association Help Center\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.nlpa.ws/find-an-expert#/\" target=\"_blank\" rel=\"noopener noreferrer\">National Latinx Psychological Association\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://abpsi.site-ym.com/search/custom.asp?id=5934\" target=\"_blank\" rel=\"noopener noreferrer\">Association of Black Psychologists, Find a Therapist\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://kara-grief.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Kara Grief Support\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.facebook.com/groups/2032852766832910\" target=\"_blank\" rel=\"noopener noreferrer\">COVID-19 Loss Support Group for Young Adults, a Facebook group\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.facebook.com/groups/2032852766832910\" target=\"_blank\" rel=\"noopener noreferrer\">Motherless Daughters, Facebook group\u003c/a>\u003c/li>\n\u003cli>An \u003ca href=\"https://refugeingrief.com/helper-overview/\" target=\"_blank\" rel=\"noopener noreferrer\">overview on how to help a grieving friend\u003c/a> from Megan Devine\u003c/li>\n\u003cli>\u003ca href=\"https://www.covidgriefnetwork.org/\" target=\"_blank\" rel=\"noopener noreferrer\">The COVID Grief Network\u003c/a> offers free one-on-one and group grief support for young adults\u003c/li>\n\u003cli>More resources from \u003ca href=\"https://alicaforneret.com/aboutme\" target=\"_blank\" rel=\"noopener noreferrer\">Alica Forneret\u003c/a>, founder of Dead Mom’s Club\u003c/li>\n\u003cli>List of \u003ca href=\"https://bookshop.org/lists/books-for-a-grieving-friend\" target=\"_blank\" rel=\"noopener noreferrer\">books on grief,\u003c/a> curated by journalist Katie Hawkins-Garr\u003c/li>\n\u003cli>\u003ca href=\"https://letsreimagine.org/resources/\" target=\"_blank\" rel=\"noopener noreferrer\">Let’s Reimagine\u003c/a>, resources and community events\u003c/li>\n\u003cli>\u003ca href=\"https://open.spotify.com/show/75hicI0owzQKJmUuFwP4oc?si=oKkkEJ92TxWADTLrl2z2KQ\" target=\"_blank\" rel=\"noopener noreferrer\">Grief Out Loud\u003c/a>, a podcast on grief from \u003ca href=\"https://www.dougy.org/\" target=\"_blank\" rel=\"noopener noreferrer\">The Dougy Center\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Bay Area Leaders Applaud Passage of $1.9 Trillion COVID Relief Package. Here's What's in It",
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"content": "\u003cp>House lawmakers on Wednesday gave final approval to President Biden’s $1.9 trillion coronavirus relief package, sending the legislation to Biden’s desk for his signature. The White House says Biden plans to sign it on Friday.\u003c/p>\n\u003cp>That’s welcome news to some Bay Area city leaders, who have advocated for more relief from the federal government.\u003c/p>\n\u003cp>San Francisco Mayor London Breed lauded the package, called the American Rescue Plan, for providing funding for vaccinations, direct support for families and people in need, and helping cities “maintain critical services and avoid layoffs.”\u003c/p>\n\u003cp>“This is what happens when we have a federal government that wants to invest in the success of states and cities,” Breed \u003ca href=\"https://twitter.com/LondonBreed/status/1369738349032828929?s=20\">said on Twitter\u003c/a> Wednesday. “The future of San Francisco and the country is brighter today as a result.”\u003c/p>\n\u003cp>San Jose Mayor Sam Liccardo and Oakland Mayor Libby Schaaf were also among Bay Area leaders pushing for more funding in the federal relief package.\u003c/p>\n\u003cp>“American cities like San Jose have been on the front lines of the #COVID19 pandemic & paid a steep price,” Liccardo \u003ca href=\"https://twitter.com/sliccardo/status/1364988774581592066?s=20\">tweeted\u003c/a> in February, joining more than 400 mayors across the United States calling on Congress to pass the relief plan.\u003c/p>\n\u003cp>The bill will direct a new round of aid to Americans — in the form of direct payments, extended unemployment benefits, an expanded child tax credit and more — almost a year after the pandemic first upended daily life in the United States.\u003c/p>\n\u003cp>https://twitter.com/LondonBreed/status/1369738349032828929\u003c/p>\n\u003cp>Biden said in remarks on Saturday at the White House that funding for the American Rescue Plan will “get the country in a place to get back to normal.”\u003c/p>\n\u003cp>“This plan puts us on a path to beating the virus,” he said, following the Senate’s vote. “This plan gives those families who are struggling the most the help and the breathing room they need to get through this moment.”\u003c/p>\n\u003cp>Biden also vowed to get the direct payments of up to $1,400 out the door starting “this month.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The House voted 220-211 with no Republicans voting in favor of the bill, despite calls for bipartisan support from House Speaker Nancy Pelosi and other Democratic leaders. One Democrat, Rep. Jared Golden of Maine, voted against the bill.\u003c/p>\n\u003cp>The House passed a similar version of the plan last month, but had to approve changes to the legislation made by the Senate. One key difference is that the Senate’s version of the bill doesn’t include an increase to the federal minimum wage, a provision that was ruled out by the nonpartisan Senate parliamentarian.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Sam Liccardo, mayor of San Jose\"]‘American cities like San Jose have been on the front lines of the [COVID-19] pandemic [and] paid a steep price.’[/pullquote]The Senate also tightened the caps for direct payments, narrowing who would qualify for them.\u003c/p>\n\u003cp>Beyond support for individuals and families — including an expanded child tax credit, the bill allocates billions of dollars to schools and to the distribution of COVID-19 vaccines, testing and supplies. \u003c/p>\n\u003cp>Though Republicans have largely opposed the plan since Biden introduced it in January, the budget reconciliation process allowed Democrats to push the bill forward without support from across the aisle.\u003c/p>\n\u003cp>The White House and congressional Democrats point to public opinion polls showing overwhelming support for the legislation, including the backing in some surveys from a majority of Republicans. While no GOP lawmakers in Congress voted for it, Democrats point out that some Republican state and local government officials are pressing for the aid.\u003c/p>\n\u003cp>Biden is expected to sign the bill swiftly; the current enhanced federal unemployment benefits expire Sunday. He’ll also deliver the first prime-time address of his term Thursday to mark the one-year anniversary of the pandemic.\u003c/p>\n\u003cp>Here’s a closer look at some of the big-ticket provisions in the Senate-amended bill:\u003c/p>\n\u003ch3>Direct Payments\u003c/h3>\n\u003cp>The bill allocates funds for a third economic impact payment to qualifying Americans.\u003c/p>\n\u003cp>Individuals earning up to $75,000 and couples earning up to $150,000 would receive the full direct payments of $1,400 per person. Individuals will also receive an additional $1,400 payment for each dependent claimed on their tax returns.\u003c/p>\n\u003cp>Senate Democrats agreed to lower the income cutoff at which payments phase out from $100,000 to $80,000 for individuals, and from $200,000 to $160,000 for couples filing jointly, following demands from \u003ca href=\"https://www.npr.org/2021/03/03/973367877/senate-democrats-white-house-agree-to-tighter-income-limits-for-stimulus-checks\">moderate Democrats\u003c/a>.\u003c/p>\n\u003ch3>Unemployment Benefits\u003c/h3>\n\u003cp>Under the Senate version, federal unemployment insurance payments will remain at $300 per week — \u003ca href=\"https://www.npr.org/2021/03/05/974020325/senate-democrats-agree-to-extend-unemployment-benefits-through-september\">down from $400 per week\u003c/a> in the earlier package passed by the House. The benefits will extend through Sept. 6. The Senate’s bill makes the first $10,200 in unemployment payments nontaxable for households with incomes under $150,000.\u003c/p>\n\u003ch3>Child Tax Credit\u003c/h3>\n\u003cp>The legislation would temporarily expand the \u003ca href=\"https://www.npr.org/2021/02/26/970999998/with-one-move-congress-could-lift-millions-of-children-out-of-poverty\">child tax credit\u003c/a>, increasing the amount to $3,000 for children ages 6 to 17 and $3,600 for children under age 6.\u003c/p>\n\u003cp>The amount is gradually reduced for couples earning over $150,000 and individuals earning over $75,000 per year. Families eligible for the full credit would get payments of up to $300 per child per month from July through the end of the year.\u003c/p>\n\u003cp>Congressional Democrats and the White House may want to figure out how to make the credit permanent.\u003c/p>\n\u003cp>[aside postID=news_11862122 hero='https://ww2.kqed.org/app/uploads/sites/10/2021/03/RS47577_iStock-915488206-qut-1020x538.jpg']\u003c/p>\n\u003ch3>Paycheck Protection Program\u003c/h3>\n\u003cp>The bill includes $7.25 billion in new money for the small-business loan program known as the Paycheck Protection Program and would allow more nonprofits to apply, including those groups that engage in advocacy and some limited lobbying. It also allows larger nonprofits to be eligible.\u003c/p>\n\u003ch3>Education\u003c/h3>\n\u003cp>There are over $128 billion in grants to state educational agencies, with 90% allocated to local educational agencies, plus $39 billion in grants to higher education institutions. Nearly $15 billion in funds are directed to the Child Care and Development Block Grant program to help support child care facilities, particularly in high-need areas.\u003c/p>\n\u003cp>The Senate version added a provision to make any student loan forgiveness passed between Dec. 31, 2020, and Jan. 1, 2026, tax-free — rather than having the forgiven debt be treated as taxable income.\u003c/p>\n\u003ch3>Support for Low-Income Families\u003c/h3>\n\u003cp>The bill includes $4.5 billion for the Low Income Home Energy Assistance Program, known as LIHEAP, to help families with home heating and cooling costs. One provision would give the agriculture secretary the authority and funding to temporarily boost the value of cash vouchers for the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) up to $35 per month for women and children for a four-month period during the pandemic.\u003c/p>\n\u003cp>There is $1.4 billion in funding for programs authorized under the Older Americans Act, including support for nutrition programs, community-based support programs and the National Family Caregiver Support Program.\u003c/p>\n\u003cp>The bill provides $37 million to the Commodity Supplemental Food Program for low-income seniors.\u003c/p>\n\u003ch3>Public Health\u003c/h3>\n\u003cp>The Centers for Disease Control and Prevention is set to receive $7.5 billion to track, administer and distribute COVID-19 vaccines. Another $46 billion would go toward diagnosing and tracing coronavirus infections, and $2 billion would go toward buying and distributing various testing supplies and personal protective equipment.\u003c/p>\n\u003cp>There’s a variety of provisions in the legislation to offer support to different industries. The Small Business Administration would get $25 billion for a new grant program for “restaurants and other food and drinking establishments.” Grants would be up to $10 million per entity and $5 million per physical location, with a maximum of 20 locations. The legislation sets aside $5 billion of the total money to be targeted to businesses with less than $500,000 in revenue in 2019. The bill includes another $1.25 billion for the Small Business Administration’s Shuttered Venue Operators Grant program.\u003c/p>\n\u003cp>To support the transportation sector, the bill allocates nearly $30 billion for transit costs, including payroll and personal protective equipment; $8 billion for airports; $3 billion for a temporary payroll support program to help support the aerospace manufacturing industry; and $1.5 billion to recall and pay Amtrak employees who were furloughed because of the pandemic and to restore various daily routes. Another $15 billion would also be allocated to support workers in the airline industry.\u003c/p>\n\u003ch3>Rental Assistance\u003c/h3>\n\u003cp>There is $25 billion for emergency rental assistance, including $5 billion for emergency housing vouchers for people experiencing homelessness, survivors of domestic violence and victims of human trafficking.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from NPR’s \u003ca href=\"https://www.npr.org/people/728257568/chloee-weiner\">Chloee Weiner\u003c/a> and \u003ca href=\"https://www.npr.org/people/468259099/barbara-sprunt\">Barbara Sprunt\u003c/a>, and KQED’s \u003ca href=\"https://www.kqed.org/author/jrodriguez\">Joe Fitzgerald Rodriguez\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>House lawmakers on Wednesday gave final approval to President Biden’s $1.9 trillion coronavirus relief package, sending the legislation to Biden’s desk for his signature. The White House says Biden plans to sign it on Friday.\u003c/p>\n\u003cp>That’s welcome news to some Bay Area city leaders, who have advocated for more relief from the federal government.\u003c/p>\n\u003cp>San Francisco Mayor London Breed lauded the package, called the American Rescue Plan, for providing funding for vaccinations, direct support for families and people in need, and helping cities “maintain critical services and avoid layoffs.”\u003c/p>\n\u003cp>“This is what happens when we have a federal government that wants to invest in the success of states and cities,” Breed \u003ca href=\"https://twitter.com/LondonBreed/status/1369738349032828929?s=20\">said on Twitter\u003c/a> Wednesday. “The future of San Francisco and the country is brighter today as a result.”\u003c/p>\n\u003cp>San Jose Mayor Sam Liccardo and Oakland Mayor Libby Schaaf were also among Bay Area leaders pushing for more funding in the federal relief package.\u003c/p>\n\u003cp>“American cities like San Jose have been on the front lines of the #COVID19 pandemic & paid a steep price,” Liccardo \u003ca href=\"https://twitter.com/sliccardo/status/1364988774581592066?s=20\">tweeted\u003c/a> in February, joining more than 400 mayors across the United States calling on Congress to pass the relief plan.\u003c/p>\n\u003cp>The bill will direct a new round of aid to Americans — in the form of direct payments, extended unemployment benefits, an expanded child tax credit and more — almost a year after the pandemic first upended daily life in the United States.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Biden said in remarks on Saturday at the White House that funding for the American Rescue Plan will “get the country in a place to get back to normal.”\u003c/p>\n\u003cp>“This plan puts us on a path to beating the virus,” he said, following the Senate’s vote. “This plan gives those families who are struggling the most the help and the breathing room they need to get through this moment.”\u003c/p>\n\u003cp>Biden also vowed to get the direct payments of up to $1,400 out the door starting “this month.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The House voted 220-211 with no Republicans voting in favor of the bill, despite calls for bipartisan support from House Speaker Nancy Pelosi and other Democratic leaders. One Democrat, Rep. Jared Golden of Maine, voted against the bill.\u003c/p>\n\u003cp>The House passed a similar version of the plan last month, but had to approve changes to the legislation made by the Senate. One key difference is that the Senate’s version of the bill doesn’t include an increase to the federal minimum wage, a provision that was ruled out by the nonpartisan Senate parliamentarian.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The Senate also tightened the caps for direct payments, narrowing who would qualify for them.\u003c/p>\n\u003cp>Beyond support for individuals and families — including an expanded child tax credit, the bill allocates billions of dollars to schools and to the distribution of COVID-19 vaccines, testing and supplies. \u003c/p>\n\u003cp>Though Republicans have largely opposed the plan since Biden introduced it in January, the budget reconciliation process allowed Democrats to push the bill forward without support from across the aisle.\u003c/p>\n\u003cp>The White House and congressional Democrats point to public opinion polls showing overwhelming support for the legislation, including the backing in some surveys from a majority of Republicans. While no GOP lawmakers in Congress voted for it, Democrats point out that some Republican state and local government officials are pressing for the aid.\u003c/p>\n\u003cp>Biden is expected to sign the bill swiftly; the current enhanced federal unemployment benefits expire Sunday. He’ll also deliver the first prime-time address of his term Thursday to mark the one-year anniversary of the pandemic.\u003c/p>\n\u003cp>Here’s a closer look at some of the big-ticket provisions in the Senate-amended bill:\u003c/p>\n\u003ch3>Direct Payments\u003c/h3>\n\u003cp>The bill allocates funds for a third economic impact payment to qualifying Americans.\u003c/p>\n\u003cp>Individuals earning up to $75,000 and couples earning up to $150,000 would receive the full direct payments of $1,400 per person. Individuals will also receive an additional $1,400 payment for each dependent claimed on their tax returns.\u003c/p>\n\u003cp>Senate Democrats agreed to lower the income cutoff at which payments phase out from $100,000 to $80,000 for individuals, and from $200,000 to $160,000 for couples filing jointly, following demands from \u003ca href=\"https://www.npr.org/2021/03/03/973367877/senate-democrats-white-house-agree-to-tighter-income-limits-for-stimulus-checks\">moderate Democrats\u003c/a>.\u003c/p>\n\u003ch3>Unemployment Benefits\u003c/h3>\n\u003cp>Under the Senate version, federal unemployment insurance payments will remain at $300 per week — \u003ca href=\"https://www.npr.org/2021/03/05/974020325/senate-democrats-agree-to-extend-unemployment-benefits-through-september\">down from $400 per week\u003c/a> in the earlier package passed by the House. The benefits will extend through Sept. 6. The Senate’s bill makes the first $10,200 in unemployment payments nontaxable for households with incomes under $150,000.\u003c/p>\n\u003ch3>Child Tax Credit\u003c/h3>\n\u003cp>The legislation would temporarily expand the \u003ca href=\"https://www.npr.org/2021/02/26/970999998/with-one-move-congress-could-lift-millions-of-children-out-of-poverty\">child tax credit\u003c/a>, increasing the amount to $3,000 for children ages 6 to 17 and $3,600 for children under age 6.\u003c/p>\n\u003cp>The amount is gradually reduced for couples earning over $150,000 and individuals earning over $75,000 per year. Families eligible for the full credit would get payments of up to $300 per child per month from July through the end of the year.\u003c/p>\n\u003cp>Congressional Democrats and the White House may want to figure out how to make the credit permanent.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>Paycheck Protection Program\u003c/h3>\n\u003cp>The bill includes $7.25 billion in new money for the small-business loan program known as the Paycheck Protection Program and would allow more nonprofits to apply, including those groups that engage in advocacy and some limited lobbying. It also allows larger nonprofits to be eligible.\u003c/p>\n\u003ch3>Education\u003c/h3>\n\u003cp>There are over $128 billion in grants to state educational agencies, with 90% allocated to local educational agencies, plus $39 billion in grants to higher education institutions. Nearly $15 billion in funds are directed to the Child Care and Development Block Grant program to help support child care facilities, particularly in high-need areas.\u003c/p>\n\u003cp>The Senate version added a provision to make any student loan forgiveness passed between Dec. 31, 2020, and Jan. 1, 2026, tax-free — rather than having the forgiven debt be treated as taxable income.\u003c/p>\n\u003ch3>Support for Low-Income Families\u003c/h3>\n\u003cp>The bill includes $4.5 billion for the Low Income Home Energy Assistance Program, known as LIHEAP, to help families with home heating and cooling costs. One provision would give the agriculture secretary the authority and funding to temporarily boost the value of cash vouchers for the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) up to $35 per month for women and children for a four-month period during the pandemic.\u003c/p>\n\u003cp>There is $1.4 billion in funding for programs authorized under the Older Americans Act, including support for nutrition programs, community-based support programs and the National Family Caregiver Support Program.\u003c/p>\n\u003cp>The bill provides $37 million to the Commodity Supplemental Food Program for low-income seniors.\u003c/p>\n\u003ch3>Public Health\u003c/h3>\n\u003cp>The Centers for Disease Control and Prevention is set to receive $7.5 billion to track, administer and distribute COVID-19 vaccines. Another $46 billion would go toward diagnosing and tracing coronavirus infections, and $2 billion would go toward buying and distributing various testing supplies and personal protective equipment.\u003c/p>\n\u003cp>There’s a variety of provisions in the legislation to offer support to different industries. The Small Business Administration would get $25 billion for a new grant program for “restaurants and other food and drinking establishments.” Grants would be up to $10 million per entity and $5 million per physical location, with a maximum of 20 locations. The legislation sets aside $5 billion of the total money to be targeted to businesses with less than $500,000 in revenue in 2019. The bill includes another $1.25 billion for the Small Business Administration’s Shuttered Venue Operators Grant program.\u003c/p>\n\u003cp>To support the transportation sector, the bill allocates nearly $30 billion for transit costs, including payroll and personal protective equipment; $8 billion for airports; $3 billion for a temporary payroll support program to help support the aerospace manufacturing industry; and $1.5 billion to recall and pay Amtrak employees who were furloughed because of the pandemic and to restore various daily routes. Another $15 billion would also be allocated to support workers in the airline industry.\u003c/p>\n\u003ch3>Rental Assistance\u003c/h3>\n\u003cp>There is $25 billion for emergency rental assistance, including $5 billion for emergency housing vouchers for people experiencing homelessness, survivors of domestic violence and victims of human trafficking.\u003c/p>\n\u003cp>\u003cem>This story includes reporting from NPR’s \u003ca href=\"https://www.npr.org/people/728257568/chloee-weiner\">Chloee Weiner\u003c/a> and \u003ca href=\"https://www.npr.org/people/468259099/barbara-sprunt\">Barbara Sprunt\u003c/a>, and KQED’s \u003ca href=\"https://www.kqed.org/author/jrodriguez\">Joe Fitzgerald Rodriguez\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cem>\u003ca href=\"http://itunes.apple.com/us/podcast/the-california-report-magazine/id1314750545?mt=2\" target=\"_blank\" rel=\"noopener noreferrer\">Listen to this and more in-depth storytelling by subscribing to The California Report Magazine podcast.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>We start the show with voices from California parents, teachers and students weighing in on the debate around schools reopening.\u003c/p>\n\u003ch2>\u003ca href=\"https://www.kqed.org/news/11863374/nightmares-of-black-zoom-boxes-a-day-in-the-life-of-an-oakland-remote-learning-teacher\">‘Nightmares’ of Black Zoom Boxes: A Day in the Life of an Oakland Remote Learning Teacher\u003c/a>\u003c/h2>\n\u003cp>It has been almost a year since schools shut down in-person classes, and distance learning is taking a toll on students and parents. It’s also taking a toll on teachers, especially those with their own kids at home. KQED’s Vanessa Rancaño asked one Oakland teacher to keep an audio diary for a day, documenting her every move.\u003c/p>\n\u003ch2>\u003ca href=\"https://www.kqed.org/news/11861142/hed-still-be-here-today-in-oakland-a-push-to-resume-school-sports-to-stem-rising-violence\">‘He’d Still Be Here Today’: In Oakland, a Push to Resume School Sports to Stem Rising Violence\u003c/a>\u003c/h2>\n\u003cp>California public health officials have given the green light for school sports to start up again, both outdoors and indoors, if they meet certain requirements. The pandemic had disrupted a lot of sports programs, some of which kept kids out of trouble. For some kids in Oakland, that sport was football. At the same time, 2020 marked one of the deadliest years on the streets of that city in the last decade. As KQED’s Marco Siler-Gonzales tells us, police officials and community activists say there’s a connection.\u003c/p>\n\u003ch2>\u003ca href=\"https://www.kqed.org/news/11861810/no-the-tuskegee-study-is-not-the-top-reason-some-black-americans-question-the-covid-19-vaccine\">No, the Tuskegee Study Is Not the Top Reason Some Black Americans Question the COVID-19 Vaccine\u003c/a>\u003c/h2>\n\u003cp>Surveys show that Black Californians are a lot more reluctant to get the coronavirus vaccine than white Californians. But most surveys don’t ask respondents why. The California Report’s health correspondent April Dembosky reports one hypothesis politicians and medical experts have widely embraced, may not be as widespread in the community.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003ca href=\"http://itunes.apple.com/us/podcast/the-california-report-magazine/id1314750545?mt=2\" target=\"_blank\" rel=\"noopener noreferrer\">Listen to this and more in-depth storytelling by subscribing to The California Report Magazine podcast.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>We start the show with voices from California parents, teachers and students weighing in on the debate around schools reopening.\u003c/p>\n\u003ch2>\u003ca href=\"https://www.kqed.org/news/11863374/nightmares-of-black-zoom-boxes-a-day-in-the-life-of-an-oakland-remote-learning-teacher\">‘Nightmares’ of Black Zoom Boxes: A Day in the Life of an Oakland Remote Learning Teacher\u003c/a>\u003c/h2>\n\u003cp>It has been almost a year since schools shut down in-person classes, and distance learning is taking a toll on students and parents. It’s also taking a toll on teachers, especially those with their own kids at home. KQED’s Vanessa Rancaño asked one Oakland teacher to keep an audio diary for a day, documenting her every move.\u003c/p>\n\u003ch2>\u003ca href=\"https://www.kqed.org/news/11861142/hed-still-be-here-today-in-oakland-a-push-to-resume-school-sports-to-stem-rising-violence\">‘He’d Still Be Here Today’: In Oakland, a Push to Resume School Sports to Stem Rising Violence\u003c/a>\u003c/h2>\n\u003cp>California public health officials have given the green light for school sports to start up again, both outdoors and indoors, if they meet certain requirements. The pandemic had disrupted a lot of sports programs, some of which kept kids out of trouble. For some kids in Oakland, that sport was football. At the same time, 2020 marked one of the deadliest years on the streets of that city in the last decade. As KQED’s Marco Siler-Gonzales tells us, police officials and community activists say there’s a connection.\u003c/p>\n\u003ch2>\u003ca href=\"https://www.kqed.org/news/11861810/no-the-tuskegee-study-is-not-the-top-reason-some-black-americans-question-the-covid-19-vaccine\">No, the Tuskegee Study Is Not the Top Reason Some Black Americans Question the COVID-19 Vaccine\u003c/a>\u003c/h2>\n\u003cp>Surveys show that Black Californians are a lot more reluctant to get the coronavirus vaccine than white Californians. But most surveys don’t ask respondents why. The California Report’s health correspondent April Dembosky reports one hypothesis politicians and medical experts have widely embraced, may not be as widespread in the community.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "SF-Based One Medical's Coronavirus Vaccine Practices Spark Congressional Investigation",
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"content": "\u003cp>The consequences are deepening for San Francisco-based concierge health care provider One Medical following an \u003ca href=\"https://www.kqed.org/news/11861872/sf-based-one-medical-let-well-connected-patients-skip-covid-19-vaccine-line\">NPR investigation\u003c/a> that found the company administered COVID-19 vaccinations to those with connections to leadership, as well as ineligible patients.\u003c/p>\n\u003cp>The House Select Subcommittee on the Coronavirus Crisis is launching its own investigation into the company’s practices, NPR has learned. The probe has plunged the publicly traded company, whose business model depends on patients paying a $199 annual fee for VIP health care services, into damage control mode.\u003c/p>\n\u003cp>“Despite being warned that the company’s lax oversight of vaccine eligibility rules was allowing ineligible patients to jump the line, One Medical has reportedly failed to properly implement an effective protocol to verify eligibility and instructed staff not to police eligibility,” wrote subcommittee Chairman James Clyburn, D-South Carolina, in a letter sent to One Medical late Monday night.\u003c/p>\n\u003cp>Clyburn cited multiple news reports, including NPR’s investigation, to denounce One Medical’s “irresponsible practices,” adding that “prioritizing the vaccination of Americans who are at higher risk from the coronavirus is critical to saving lives and controlling the pandemic.”\u003c/p>\n\u003cp>The letter demands documents and information on One Medical’s COVID-19 vaccination practices within two weeks, with a deadline of March 15. Among other topics, it seeks demographic breakdowns of COVID-19 vaccines administered to date and communications related to vaccination appointments arranged for those close to the company’s executives.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Rep. James Clyburn, chairman of the House Select Subcommittee on the Coronavirus Crisis\"]‘[One Medical] may be exploiting the federally funded vaccine rollout to increase membership rates and generate fees, regardless of whether prospective fee-paying members are actually eligible for vaccination.’[/pullquote]One Medical responded to news of the probe overnight: “We remain dedicated to lending our time and resources to providing equitable and accessible care for the communities we serve, and are confident that we will be able to clear up these misunderstandings.”\u003c/p>\n\u003cp>As the congressional investigation begins, numerous local public health departments have halted cooperation with One Medical based on investigations that found vaccination line-skipping. Additional anecdotal reports of ineligible vaccinations were also submitted to NPR from various cities.\u003c/p>\n\u003cp>After reviewing internal communications, \u003ca href=\"https://www.npr.org/2021/02/24/970176532/high-end-medical-provider-let-ineligible-people-skip-covid-19-vaccine-line\">NPR found multiple instances\u003c/a> across multiple states in which medical staffers working for One Medical sounded the alarm about improper procedures and lax oversight over eligibility requirements. “We are not policing,” a top One Medical staffer told doctors and other medical providers after they raised concerns. One Medical claims that it does not knowingly permit ineligible patients to be vaccinated.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Regulators have moved quickly. NPR contacted every jurisdiction in which One Medical has a location. At least eight local departments of health that were working with One Medical on COVID-19 vaccinations have suspended allocation of doses to the company or said they had no plans to provide any in the future. Santa Clara County, for example, said it had no plans to work with One Medical again on COVID-19 vaccination.\u003c/p>\n\u003cp>The Department of Public Health for San Francisco County, where One Medical is based, not only halted additional dosages of the vaccine to One Medical, but in a remarkable move demanded 1,620 doses back from the company. San Mateo County found that One Medical vaccinated 70 individuals who were not eligible for the vaccine, and it suspended work with the company, said Preston Merchant, a spokesperson for the county.\u003c/p>\n\u003cp>[aside postID=news_11861872 hero='https://ww2.kqed.org/app/uploads/sites/10/2021/02/IMG_2269-1020x783.png']Jurisdictions like Washington state and numerous Bay Area counties have stopped ongoing cooperation with One Medical on COVID-19 vaccine administration. Marin County spokesperson Laine Hendricks said the county has halted vaccine allocations to One Medical after reviewing data on the company’s vaccinations. “We have indefinitely suspended any further first dose allocations,” Hendricks said. “We have also removed One Medical from our website.”\u003c/p>\n\u003cp>Spokesperson Michael Workman said San Diego County stopped providing the vaccine to the company after “numerous complaints about charging for a membership to have access to vaccine appointments. We reported this to the state.”\u003c/p>\n\u003cp>One Medical has said that some of these objections from local departments of health are misunderstandings and that it was working to address any other concerns that have been raised. In some cases, the company claimed, they were not aware they had been cut off by counties until the press reported it. “We’re deeply disappointed, as many of the media reports about One Medical’s standing with departments of health are not reflective of our direct communication with our contacts at many of those departments,” said a company spokesperson.\u003c/p>\n\u003cp>One Medical claimed that the COVID-19 vaccinations of ineligible patients in San Mateo were done “in order to avoid spoilage” and that they were “not aware of any unresolved issues with the San Diego Department of Health prior to their statement to the media.” In San Francisco County, where the Department of Public Health said it had reason to believe that One Medical vaccinated ineligible patients, One Medical contradicted the county and said the county had only requested COVID-19 vaccinations back because One Medical’s “vaccine clinics were not in geographies that the DPH is currently considering the highest priority.”\u003c/p>\n\u003cp>One Medical also said it was not aware of any instances where “senior leadership … personally intervened to arrange for friends, family or business partners to receive vaccinations outside of eligibility requirements.”\u003c/p>\n\u003cp>Separately, there are also indications that One Medical is seeking a commercial benefit by collecting data from nonmembers it is vaccinating. In Washington, D.C., \u003ca href=\"https://www.popville.com/2021/02/dc-register-vaccine-one-medical/\">neighborhood blog PoPville\u003c/a> first gave voice to concerns that those who signed up for a vaccination site run by DC Health in conjunction with One Medical were pitched on a free trial membership with the concierge health care provider.\u003c/p>\n\u003cp>“There is very little clarity on the actual website. Instead, they make it appear as though you need a [One Medical] account or else your appointment will be canceled,” said Adam Peck, a D.C. resident who tried to navigate the system last week. “Needless to say, it’s resulted in a lot of confusion, and more than a few people who are signing up for [an account with] OM thinking that’s the only [way] to confirm their appointments.”\u003c/p>\n\u003cp>https://twitter.com/chaykak/status/1365309553089347585?s=20\u003c/p>\n\u003cp>This is one of the areas of the congressional probe. Chairman Clyburn wrote that he is concerned that One Medical “may be exploiting the federally funded vaccine rollout to increase membership rates and generate fees, regardless of whether prospective fee-paying members are actually eligible for vaccination.”\u003c/p>\n\u003cp>A One Medical spokesperson said that patients are asked to register on the company platform as a means to create a unique patient chart, akin to filling out paperwork in a doctor’s office. “We are not asking people to pay for a One Medical membership or asking them to register for a One Medical account to then convert them to annual dues-paying members. The primary focus is on a seamless care experience and NOT on converting people to annual paid members,” the spokesperson said. “That said, we do treat each of our vaccination patients just like any other patient who is new to One Medical by sharing information about our practice and about the benefits of our membership model so they can take full advantage if they’d like to.”\u003c/p>\n\u003cp>[aside label='Coronavirus Coverage' tag='coronavirus']One Medical has declined to acknowledge there is or was a problem with its COVID-19 vaccination procedures. Some of the rank and file are demoralized by this response.\u003c/p>\n\u003cp>“There is uniform agreement that what everyone has seen with their own eyes or read from colleagues … is in direct contrast with what OM leadership is saying now,” a One Medical staffer told NPR. “People found it demoralizing and frustrating that they are not owning the mistakes and instead … making excuses, and finger pointing (ranging from putting blame on DPHs to our patients).”\u003c/p>\n\u003cp>In an interview with NPR last week, One Medical Chief Medical Officer Andrew Diamond made a number of claims, then backtracked when presented with facts. Asked about being shut off from vaccine allocations in Alameda County, he said, “we continue to receive vaccine from Alameda County.”\u003c/p>\n\u003cp>Alameda County had earlier told NPR that it halted vaccine allocations to One Medical following a shipment in January, after the company indicated to the county that it had plans to vaccinate patients who were at that time ineligible to receive it. Informed of this, Diamond backpedaled from his prior statement that they “continue” to receive the vaccine from the county.\u003c/p>\n\u003cp>MAK: “You told me that the allocation is ongoing. Is it ongoing?”\u003c/p>\n\u003cp>DIAMOND: “Our understanding absolutely is that, I mean, we have not received any communication … to suggest that they don’t intend to fill any future orders.”\u003c/p>\n\u003cp>Later, Diamond said, “There was no guidance [to our staff] that said, ‘do not verify.’ That would be counter to our principles.” When told NPR had obtained \u003ca href=\"https://www.npr.org/2021/02/24/970176532/high-end-medical-provider-let-ineligible-people-skip-covid-19-vaccine-line\">internal communications\u003c/a> showing that medical staff were told not to verify eligibility requirements, Diamond responded, “That’s clearly not the guidance, nor is that the intent of the guidance. But we’ve been far clearer since then.”\u003c/p>\n\u003cp>One Medical CEO Amir Dan Rubin made no apologies when asked about the situation on a call with investors. He did not specifically address the allegations or describe how he might fix these problems. “Regarding the stories, we strongly refute these gross mischaracterizations. Any assertions that we broadly and knowingly disregard eligibility guidelines are not true, and in contradiction to our actual approach,” he said. \u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit \u003ca href=\"https://www.npr.org\">NPR.org\u003c/a>.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=One+Medical%27s+Coronavirus+Vaccine+Practices+Spark+Congressional+Investigation&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The consequences are deepening for San Francisco-based concierge health care provider One Medical following an \u003ca href=\"https://www.kqed.org/news/11861872/sf-based-one-medical-let-well-connected-patients-skip-covid-19-vaccine-line\">NPR investigation\u003c/a> that found the company administered COVID-19 vaccinations to those with connections to leadership, as well as ineligible patients.\u003c/p>\n\u003cp>The House Select Subcommittee on the Coronavirus Crisis is launching its own investigation into the company’s practices, NPR has learned. The probe has plunged the publicly traded company, whose business model depends on patients paying a $199 annual fee for VIP health care services, into damage control mode.\u003c/p>\n\u003cp>“Despite being warned that the company’s lax oversight of vaccine eligibility rules was allowing ineligible patients to jump the line, One Medical has reportedly failed to properly implement an effective protocol to verify eligibility and instructed staff not to police eligibility,” wrote subcommittee Chairman James Clyburn, D-South Carolina, in a letter sent to One Medical late Monday night.\u003c/p>\n\u003cp>Clyburn cited multiple news reports, including NPR’s investigation, to denounce One Medical’s “irresponsible practices,” adding that “prioritizing the vaccination of Americans who are at higher risk from the coronavirus is critical to saving lives and controlling the pandemic.”\u003c/p>\n\u003cp>The letter demands documents and information on One Medical’s COVID-19 vaccination practices within two weeks, with a deadline of March 15. Among other topics, it seeks demographic breakdowns of COVID-19 vaccines administered to date and communications related to vaccination appointments arranged for those close to the company’s executives.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>One Medical responded to news of the probe overnight: “We remain dedicated to lending our time and resources to providing equitable and accessible care for the communities we serve, and are confident that we will be able to clear up these misunderstandings.”\u003c/p>\n\u003cp>As the congressional investigation begins, numerous local public health departments have halted cooperation with One Medical based on investigations that found vaccination line-skipping. Additional anecdotal reports of ineligible vaccinations were also submitted to NPR from various cities.\u003c/p>\n\u003cp>After reviewing internal communications, \u003ca href=\"https://www.npr.org/2021/02/24/970176532/high-end-medical-provider-let-ineligible-people-skip-covid-19-vaccine-line\">NPR found multiple instances\u003c/a> across multiple states in which medical staffers working for One Medical sounded the alarm about improper procedures and lax oversight over eligibility requirements. “We are not policing,” a top One Medical staffer told doctors and other medical providers after they raised concerns. One Medical claims that it does not knowingly permit ineligible patients to be vaccinated.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Regulators have moved quickly. NPR contacted every jurisdiction in which One Medical has a location. At least eight local departments of health that were working with One Medical on COVID-19 vaccinations have suspended allocation of doses to the company or said they had no plans to provide any in the future. Santa Clara County, for example, said it had no plans to work with One Medical again on COVID-19 vaccination.\u003c/p>\n\u003cp>The Department of Public Health for San Francisco County, where One Medical is based, not only halted additional dosages of the vaccine to One Medical, but in a remarkable move demanded 1,620 doses back from the company. San Mateo County found that One Medical vaccinated 70 individuals who were not eligible for the vaccine, and it suspended work with the company, said Preston Merchant, a spokesperson for the county.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Jurisdictions like Washington state and numerous Bay Area counties have stopped ongoing cooperation with One Medical on COVID-19 vaccine administration. Marin County spokesperson Laine Hendricks said the county has halted vaccine allocations to One Medical after reviewing data on the company’s vaccinations. “We have indefinitely suspended any further first dose allocations,” Hendricks said. “We have also removed One Medical from our website.”\u003c/p>\n\u003cp>Spokesperson Michael Workman said San Diego County stopped providing the vaccine to the company after “numerous complaints about charging for a membership to have access to vaccine appointments. We reported this to the state.”\u003c/p>\n\u003cp>One Medical has said that some of these objections from local departments of health are misunderstandings and that it was working to address any other concerns that have been raised. In some cases, the company claimed, they were not aware they had been cut off by counties until the press reported it. “We’re deeply disappointed, as many of the media reports about One Medical’s standing with departments of health are not reflective of our direct communication with our contacts at many of those departments,” said a company spokesperson.\u003c/p>\n\u003cp>One Medical claimed that the COVID-19 vaccinations of ineligible patients in San Mateo were done “in order to avoid spoilage” and that they were “not aware of any unresolved issues with the San Diego Department of Health prior to their statement to the media.” In San Francisco County, where the Department of Public Health said it had reason to believe that One Medical vaccinated ineligible patients, One Medical contradicted the county and said the county had only requested COVID-19 vaccinations back because One Medical’s “vaccine clinics were not in geographies that the DPH is currently considering the highest priority.”\u003c/p>\n\u003cp>One Medical also said it was not aware of any instances where “senior leadership … personally intervened to arrange for friends, family or business partners to receive vaccinations outside of eligibility requirements.”\u003c/p>\n\u003cp>Separately, there are also indications that One Medical is seeking a commercial benefit by collecting data from nonmembers it is vaccinating. In Washington, D.C., \u003ca href=\"https://www.popville.com/2021/02/dc-register-vaccine-one-medical/\">neighborhood blog PoPville\u003c/a> first gave voice to concerns that those who signed up for a vaccination site run by DC Health in conjunction with One Medical were pitched on a free trial membership with the concierge health care provider.\u003c/p>\n\u003cp>“There is very little clarity on the actual website. Instead, they make it appear as though you need a [One Medical] account or else your appointment will be canceled,” said Adam Peck, a D.C. resident who tried to navigate the system last week. “Needless to say, it’s resulted in a lot of confusion, and more than a few people who are signing up for [an account with] OM thinking that’s the only [way] to confirm their appointments.”\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>This is one of the areas of the congressional probe. Chairman Clyburn wrote that he is concerned that One Medical “may be exploiting the federally funded vaccine rollout to increase membership rates and generate fees, regardless of whether prospective fee-paying members are actually eligible for vaccination.”\u003c/p>\n\u003cp>A One Medical spokesperson said that patients are asked to register on the company platform as a means to create a unique patient chart, akin to filling out paperwork in a doctor’s office. “We are not asking people to pay for a One Medical membership or asking them to register for a One Medical account to then convert them to annual dues-paying members. The primary focus is on a seamless care experience and NOT on converting people to annual paid members,” the spokesperson said. “That said, we do treat each of our vaccination patients just like any other patient who is new to One Medical by sharing information about our practice and about the benefits of our membership model so they can take full advantage if they’d like to.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>One Medical has declined to acknowledge there is or was a problem with its COVID-19 vaccination procedures. Some of the rank and file are demoralized by this response.\u003c/p>\n\u003cp>“There is uniform agreement that what everyone has seen with their own eyes or read from colleagues … is in direct contrast with what OM leadership is saying now,” a One Medical staffer told NPR. “People found it demoralizing and frustrating that they are not owning the mistakes and instead … making excuses, and finger pointing (ranging from putting blame on DPHs to our patients).”\u003c/p>\n\u003cp>In an interview with NPR last week, One Medical Chief Medical Officer Andrew Diamond made a number of claims, then backtracked when presented with facts. Asked about being shut off from vaccine allocations in Alameda County, he said, “we continue to receive vaccine from Alameda County.”\u003c/p>\n\u003cp>Alameda County had earlier told NPR that it halted vaccine allocations to One Medical following a shipment in January, after the company indicated to the county that it had plans to vaccinate patients who were at that time ineligible to receive it. Informed of this, Diamond backpedaled from his prior statement that they “continue” to receive the vaccine from the county.\u003c/p>\n\u003cp>MAK: “You told me that the allocation is ongoing. Is it ongoing?”\u003c/p>\n\u003cp>DIAMOND: “Our understanding absolutely is that, I mean, we have not received any communication … to suggest that they don’t intend to fill any future orders.”\u003c/p>\n\u003cp>Later, Diamond said, “There was no guidance [to our staff] that said, ‘do not verify.’ That would be counter to our principles.” When told NPR had obtained \u003ca href=\"https://www.npr.org/2021/02/24/970176532/high-end-medical-provider-let-ineligible-people-skip-covid-19-vaccine-line\">internal communications\u003c/a> showing that medical staff were told not to verify eligibility requirements, Diamond responded, “That’s clearly not the guidance, nor is that the intent of the guidance. But we’ve been far clearer since then.”\u003c/p>\n\u003cp>One Medical CEO Amir Dan Rubin made no apologies when asked about the situation on a call with investors. He did not specifically address the allegations or describe how he might fix these problems. “Regarding the stories, we strongly refute these gross mischaracterizations. Any assertions that we broadly and knowingly disregard eligibility guidelines are not true, and in contradiction to our actual approach,” he said. \u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 NPR. To see more, visit \u003ca href=\"https://www.npr.org\">NPR.org\u003c/a>.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=One+Medical%27s+Coronavirus+Vaccine+Practices+Spark+Congressional+Investigation&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>House lawmakers on Friday approved President Biden’s $1.9 trillion coronavirus relief package, advancing the legislation to the Senate.\u003c/p>\n\u003cp>The vote came days after the United States surpassed 500,000 deaths from COVID-19.\u003c/p>\n\u003cp>The proposal would provide\u003ca href=\"https://www.npr.org/2021/02/22/970122376/highlights-from-the-house-covid-bill\"> a new round of financial support\u003c/a> for workers, families and businesses, including direct payments of up to $1,400 for eligible individuals and couples, an expansion and extension of supplemental unemployment benefits and an increase to the child tax credit.\u003c/p>\n\u003cp>Also in the bill is $25 billion for emergency rental assistance and an expanded tax credit for low-income workers without children.\u003c/p>\n\u003cp>The Senate will have just over two weeks to make changes to the bill before current federal unemployment benefits expire on March 14. No Republicans in the Senate are expected to support the legislation, having balked at the price tag.\u003c/p>\n\u003cp>“We already know what is the best stimulus plan out there,” House Minority Leader Kevin McCarthy said at a press conference Friday. “It’s to fully reopen our economy. To do that, we need our economy to go back to work, back to school and back to health.”\u003c/p>\n\u003cp>While the budget reconciliation process enables Senate Democrats to approve the package without Republican backing, Democrats will need support from all 50 of its members to deliver on the Biden administration’s first major legislative priority.\u003c/p>\n\u003cp>“I know some in Congress think we’ve already done enough to deal with the crisis in the country,” Biden said when he announced the plan at the White House earlier this month. “That’s not what I see. I see enormous pain in this country.”\u003c/p>\n\u003cp>In addition to financial assistance for individuals and families, the bill would also direct relief to businesses. That includes $25 billion to the Small Business Administration for a new grant program that targets bars and restaurants and additional funding for a program that assists shuttered venues.\u003c/p>\n\u003cp>[aside label ='Related Coverage' tag='minimum-wage']The package is also expected to set aside more than $128 billion in grants to help K-12 schools reopen and $39 billion for higher education institutions.\u003c/p>\n\u003cp>Previously, the bill had included a provision that would gradually increase the federal minimum wage to $15 an hour by 2025. But on Thursday evening, the \u003ca href=\"https://www.npr.org/2021/02/25/970637190/senate-cant-vote-on-15-minimum-wage-parliamentarian-rules\">nonpartisan Senate parliamentarian ruled\u003c/a> that including this provision violated budgetary rules. While the ruling disappointed some progressives, the decision spared Democrats in the Senate from internal conflict over whether a $15 minimum wage is too high.\u003c/p>\n\u003cp>Biden said he was also disappointed, but respected the parliamentarian’s decision and urged Congress to quickly pass the relief package.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>House lawmakers on Friday approved President Biden’s $1.9 trillion coronavirus relief package, advancing the legislation to the Senate.\u003c/p>\n\u003cp>The vote came days after the United States surpassed 500,000 deaths from COVID-19.\u003c/p>\n\u003cp>The proposal would provide\u003ca href=\"https://www.npr.org/2021/02/22/970122376/highlights-from-the-house-covid-bill\"> a new round of financial support\u003c/a> for workers, families and businesses, including direct payments of up to $1,400 for eligible individuals and couples, an expansion and extension of supplemental unemployment benefits and an increase to the child tax credit.\u003c/p>\n\u003cp>Also in the bill is $25 billion for emergency rental assistance and an expanded tax credit for low-income workers without children.\u003c/p>\n\u003cp>The Senate will have just over two weeks to make changes to the bill before current federal unemployment benefits expire on March 14. No Republicans in the Senate are expected to support the legislation, having balked at the price tag.\u003c/p>\n\u003cp>“We already know what is the best stimulus plan out there,” House Minority Leader Kevin McCarthy said at a press conference Friday. “It’s to fully reopen our economy. To do that, we need our economy to go back to work, back to school and back to health.”\u003c/p>\n\u003cp>While the budget reconciliation process enables Senate Democrats to approve the package without Republican backing, Democrats will need support from all 50 of its members to deliver on the Biden administration’s first major legislative priority.\u003c/p>\n\u003cp>“I know some in Congress think we’ve already done enough to deal with the crisis in the country,” Biden said when he announced the plan at the White House earlier this month. “That’s not what I see. I see enormous pain in this country.”\u003c/p>\n\u003cp>In addition to financial assistance for individuals and families, the bill would also direct relief to businesses. That includes $25 billion to the Small Business Administration for a new grant program that targets bars and restaurants and additional funding for a program that assists shuttered venues.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The package is also expected to set aside more than $128 billion in grants to help K-12 schools reopen and $39 billion for higher education institutions.\u003c/p>\n\u003cp>Previously, the bill had included a provision that would gradually increase the federal minimum wage to $15 an hour by 2025. But on Thursday evening, the \u003ca href=\"https://www.npr.org/2021/02/25/970637190/senate-cant-vote-on-15-minimum-wage-parliamentarian-rules\">nonpartisan Senate parliamentarian ruled\u003c/a> that including this provision violated budgetary rules. While the ruling disappointed some progressives, the decision spared Democrats in the Senate from internal conflict over whether a $15 minimum wage is too high.\u003c/p>\n\u003cp>Biden said he was also disappointed, but respected the parliamentarian’s decision and urged Congress to quickly pass the relief package.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "as-fires-worsen-a-mental-health-crisis-for-those-battling-them",
"title": "As Fires Worsen, a Mental Health Crisis for Those Battling Them",
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"content": "\u003cp>Somewhere near his 56th straight hour of chasing flames, Cal Fire Capt. Matt Newberry and his crew were hitting a wall. They’d been dispatched to the wildfire days earlier in the middle of the night. By the next morning, the fire had already ripped across 11,000 acres of Napa County, tearing even through the night the way fires do now.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Christine Eriksen, social impacts of wildfire researcher\"]‘Many of these firefighters who are often portrayed as heroes in media reportage, they don’t feel like heroes. They feel like they failed.’[/pullquote]\u003cbr>\nDespite everything they’d done, hundreds of homes were in smolders.\u003c/p>\n\u003cp>A good friend and fellow firefighter, “one of the toughest dudes in our unit,” Newberry said, broke down. “Just fall to his knees and cry. He couldn’t do it anymore.”\u003c/p>\n\u003cp>Newberry had been there himself: Exhausted. Exasperated. Overwhelmed.\u003c/p>\n\u003cp>Firefighting has always been hard work. But each year fires just seem to get worse. \u003ca href=\"https://www.npr.org/2020/10/07/921209244/four-million-acres-have-burned-in-california-why-thats-the-wrong-number-to-focus\" target=\"_blank\" rel=\"noopener noreferrer\">Four million acres\u003c/a> in California. Millions more in \u003ca href=\"https://www.opb.org/article/2020/09/21/oregon-wildfires-climate-change-role/\" target=\"_blank\" rel=\"noopener noreferrer\">Oregon\u003c/a>, Washington and\u003ca href=\"https://www.cpr.org/2021/01/25/colorados-east-troublesome-wildfire-may-signal-a-new-era-of-big-fire-blow-ups/\" target=\"_blank\" rel=\"noopener noreferrer\"> Colorado\u003c/a>. Flames sweeping across\u003ca href=\"https://www.npr.org/2020/03/28/820294861/fires-where-they-are-not-supposed-to-happen-in-australia-s-ancient-rainforest\" target=\"_blank\" rel=\"noopener noreferrer\"> Eastern Australia\u003c/a>, the \u003ca href=\"https://www.npr.org/2020/08/14/902659716/brazils-environmentalists-worry-fire-season-will-worsen-amazons-deforestation\" target=\"_blank\" rel=\"noopener noreferrer\">Amazon\u003c/a> and\u003ca href=\"https://www.npr.org/2020/12/18/943219856/2020-may-be-the-hottest-year-on-record-heres-the-damage-it-did\" target=\"_blank\" rel=\"noopener noreferrer\"> the Arctic\u003c/a>. Thousands of homes destroyed. Lives lost.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“You just feel defeated,” said Newberry, who’s been fighting fire for more than 20 years. “The things that we used to do that worked 10 years ago are no longer working anymore.”\u003c/p>\n\u003cfigure id=\"attachment_11862267\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862267\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/gettyimages-1228838218_custom-205ab31c5bf27c86c7ba965eed53535d4821c2d6-800x476.jpg\" alt=\"\" width=\"800\" height=\"476\">\u003cfigcaption class=\"wp-caption-text\">Firefighters work the scene as the Glass Fire continues to burn in Calistoga, California, on Oct. 1, 2020. The United States’ west coast experienced a record-breaking fire season, with five of the state’s six biggest blazes in history burning simultaneously, and nearly 4 million acres scorched. \u003ccite>(Josh Edelson/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The warming climate is making fire seasons longer, and increasing the frequency, intensity and range of wildfires around the world. That’s put a growing psychological strain on the people tasked with trying to contain them. Society still expects firefighters to put fires out — a conviction demonstrated every time \u003ca href=\"https://www.pnas.org/content/115/13/3314\" target=\"_blank\" rel=\"noopener noreferrer\">a new subdivision or home\u003c/a> is built in a fire-prone area. Firefighters still expect to corral flames and protect homes.\u003c/p>\n\u003cp>“That becomes a very difficult tradition to uphold when something like climate change is completely obliterating all of the parameters that they used to live within,” said Christine Eriksen, a researcher who focuses on the social impacts of wildfire.\u003c/p>\n\u003cp>Overnight lows are getting hotter, \u003ca href=\"https://www.scientificamerican.com/article/one-climate-change-wildfire-risk-lurks-in-the-dark/\" target=\"_blank\" rel=\"noopener noreferrer\">fueling more active fires at night\u003c/a>. Warming temperatures and human development are making \u003ca href=\"https://www.npr.org/2020/03/28/820294861/fires-where-they-are-not-supposed-to-happen-in-australia-s-ancient-rainforest\" target=\"_blank\" rel=\"noopener noreferrer\">more parts of the world\u003c/a> susceptible to flame. Big fires, 10,000 acres and up, used to happen on Newberry’s unit a few times a year. “Now we’re burning 10,000 acres in a couple hours,” he said.\u003c/p>\n\u003cp>The change is unsettling.\u003c/p>\n\u003cfigure id=\"attachment_11857060\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11857060\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut-1536x1022.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Redwood trees after the CZU Lightning Complex wildfires burned much of the area at Big Basin Redwoods State Park on Sept. 10, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Many of these firefighters who are often portrayed as heroes in media reportage, they don’t feel like heroes. They feel like they failed,” Eriksen said. “So there are some real issues going on in terms of their well being.”\u003c/p>\n\u003cp>Firefighters are more likely to die from suicide than in the line of duty, according to the Firefighter Behavioral Health Alliance, a nonprofit that tracks first responder suicides in the U.S. and offers support to their families. Depression, addiction, anxiety, post-traumatic stress disorder aren’t uncommon. At times, the symptoms reveal themselves during fire season. More often, it’s in the weeks and months after the smoke has cleared.\u003c/p>\n\u003cp>[aside tag=\"wildfires\" label=\"More wildfire coverage\"]For Steve Hillyar, a volunteer firefighter in Australia’s New South Wales, it was sleepless nights and smoke detectors that got to him.\u003c/p>\n\u003cp>“Most people don’t realize that when a house is on fire, or multiple houses, that’s all you hear,” he said, standing by the charred wreckage of his home. “Smoke detectors.”\u003c/p>\n\u003cp>Sophie Taylor was having trouble sleeping, too. She’d been made a brigade captain on Australia’s South Coast just months before the historic wildfires chased people in her area from mountains to beach. Without the adrenaline rush, she said, “You just feel flat all the time.”\u003c/p>\n\u003cp>Ian Spall, a chaplain with New South Wales’ Rural Fire Service, was grappling with his faith after spending a summer talking to the families of dead and injured firefighters.\u003c/p>\n\u003cp>“From a spiritual and psychological perspective I found this space very confronting, because I have faith that God intervenes and I had faith that God would intervene,” Spall said. “And then it didn’t happen.”\u003c/p>\n\u003cfigure id=\"attachment_11862269\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862269\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/dsc03113-edit_custom-3366a60d8f67df975beee1a1650613ba1d1d38cf-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">Sophie Taylor was made a brigade captain on Australia’s South Coast just months before historic wildfires chased people from mountains to the beach. She says she feels flat without the adrenaline rush of fighting an active fire. \u003ccite>(Nathan Rott/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>‘I Crumbled’\u003c/strong>\u003c/h3>\n\u003cp>For Newberry, it was an accumulation of events. He’d be shook up after a call, but just “sucked it up,” he said. “Because that’s how it’s been for 100 years.” Then in 2015, four firefighters, local guys, were badly burnt on the\u003ca href=\"https://www.pressdemocrat.com/article/news/burned-firefighters-were-out-gunned-by-valley-fire/?gallery=BA691395-0402-4683-9FE9-EA33C4981D37\" target=\"_blank\" rel=\"noopener noreferrer\"> Valley Fire\u003c/a>. One was a good friend. The next summer, on \u003ca href=\"https://www.kqed.org/news/11405049/widow-of-bulldozer-operator-killed-in-soberanes-fire-struggles-to-get-by\" target=\"_blank\" rel=\"noopener noreferrer\">the Soberanes Fire\u003c/a>, a bulldozer drove off a steep embankment right near Newberry, pinning its driver to the ground and killing him.\u003c/p>\n\u003cp>“At that point, I just wanted to quit,” Newberry said. “I crumbled.”\u003c/p>\n\u003cp>He started drinking and using drugs. His marriage was falling apart, as was his relationship with his four daughters. All of the joy he took from firefighting was gone.\u003c/p>\n\u003cp>His employer, California’s fire agency, helped check him into a post-trauma retreat for first responders, where he underwent a week of intense psychotherapy. “It probably saved my life,” Newberry said. “It definitely saved my marriage and my career.”\u003c/p>\n\u003cfigure id=\"attachment_11862270\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862270\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/n0a2836_custom-6285c0700303ef18a67549e18bdaf986681a51d8-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">For Newberry, it was an accumulation of events. He’d be shook up after a call, but just “sucked it up,” he said. “Because that’s how it’s been for 100 years.” \u003ccite>(Talia Herman/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Demand is growing for post-traumatic retreats for firefighters and first responders as awareness of mental health issues grows and fires worsen. Newberry guesses at least 40 people from his unit alone have been to a similar program.\u003c/p>\n\u003cp>During last year’s unprecedented fires in California, Newberry, who now doubles as a peer counselor, said he was taking three or four calls a day from colleagues looking for help. The calls continued weeks after fire season officially ended in December.\u003c/p>\n\u003cp>Men and women were having trouble adjusting to life back home after being away in some cases for more than a month. “You always think, ‘Oh yeah, it’ll be the same as it was before I left for work,’ ” Newberry said. “And it’s not. S… happened.”\u003c/p>\n\u003cp>For seasonal and volunteer firefighters, the offseason can bring isolation. They’re no longer with their crew; no longer around a community of people with shared experiences. Finances can grow tight. No fires, no money. Beneath all of it can be the post-adrenaline feeling of flatness that Taylor experienced.\u003c/p>\n\u003cp>Good statistics on firefighter mental health are hard to find. But a \u003ca href=\"https://www.samhsa.gov/sites/default/files/dtac/supplementalresearchbulletin-firstresponders-may2018.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">recent research bulletin \u003c/a>posted by the U.S. Department of Health and Human Services says that firefighters are more likely than the public to suffer from depression, stress, substance abuse, post-traumatic stress disorder and suicidal thoughts.\u003c/p>\n\u003cfigure id=\"attachment_11862271\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862271\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/n0a2764_custom-30c43087ec6fdf3e216da75d4b934e1d540998f2-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">California’s fire agency helped check Newberry into a post-trauma retreat for first responders, where he underwent a week of intense psychotherapy. ‘It probably saved my life,’ he said. \u003ccite>(Talia Herman/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/29573853/\" target=\"_blank\" rel=\"noopener noreferrer\">2018 study\u003c/a> out of Florida State University, which surveyed a small number of wildland firefighters, found that they experienced an even higher risk of suicide than their urban counterparts. The concern is that worsening fire seasons will only amplify the problem.\u003c/p>\n\u003cp>Mike Ming, the head of Cal Fire’s Employee Support Services, which focuses on the mental and physical health of the state’s roughly 8,000 firefighters, said the last three to five years — some of the worst fire seasons in state history — have been particularly bad.\u003c/p>\n\u003cp>They’ve seen increases in firefighters suffering from burnout, PTSD, depression, anxiety, domestic violence and divorce. The pandemic, he said, is only making all of those things worse.\u003c/p>\n\u003cp>“Even your 30-year veterans,” Ming said. “They’re being brought to their knees by the stuff that we’re seeing that’s atypical in our careers.”\u003c/p>\n\u003ch3>\u003cstrong>Support Expands as Demand Grows\u003c/strong>\u003c/h3>\n\u003cp>A decade ago there were four people in Ming’s health and wellness program. Today, they have 26 permanent positions, on top of peer support members and others.\u003c/p>\n\u003cp>The idea of the program is to not only help California firefighters get the support or counseling they need \u003cem>after\u003c/em> an incident, but to give them the tools they need to better process what they’re experiencing in the moment. They’re taught mindfulness and wellness, breathing techniques that are used by Navy SEALs.\u003c/p>\n\u003cp>“We tell them Navy SEALs do this and then they’re like, ‘OK cool, we can do that. You’re cool? I’m cool,’ ” Ming said.\u003c/p>\n\u003cfigure id=\"attachment_11862272\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862272\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/n0a2419_custom-7242f70fda11bc53d00952c6b32e9aa84b26c5fe-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">Members of the Napa County Fire Rescue Team participate in training in Yountville. Demand is growing for post-traumatic retreats for firefighters and first responders as awareness of mental health issues grows and fires worsen. \u003ccite>(Talia Herman/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There can be grumblings from older veterans. In both Australia and California, firefighters talked about an old guard — veteran firefighters who aren’t keen to share feelings or put up with people who do.\u003c/p>\n\u003cp>Ming thinks they’ve broken through that stigma at Cal Fire. Older veterans, shaken by recent fires, are more willing to listen. Younger recruits are open to the conversation from the start.\u003c/p>\n\u003cp>Bodie Ronk, the national system coordinator for fire at the Bureau of Land Management, said the same is true for their firefighters. The Bureau of Land Management and U.S. Forest Service are adding mental fitness to their preseason training regimens. It’s now a priority. A push, Ronk said, that was prompted by suicides.\u003c/p>\n\u003cp>“[We’re] really focusing time on having these conversations, and stressing the importance of [firefighters] being able to have those conversations amongst each other,” Ronk said.\u003c/p>\n\u003cp>The National Wildfire Coordinating Group, which coordinates federal, state, tribal and private firefighting groups, selected \u003ca href=\"https://www.nwcg.gov/sites/default/files/committee/docs/mhsc-newsletter-burnout-2021.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">burnout as the topic \u003c/a>of its first newsletter in 2021.\u003c/p>\n\u003cp>“Burnout might occur if your work seems meaningless or if there is no end in sight under difficult work conditions,” it wrote.\u003c/p>\n\u003cp>A Forest Service employee who identifies as a smokejumper and former Hotshot wrote \u003ca href=\"https://www.change.org/p/united-states-department-of-agriculture-usda-improve-wildland-firefighter-mental-health-and-lower-our-suicide-rates?redirect=false\" target=\"_blank\" rel=\"noopener noreferrer\">a petition on the website Change.org\u003c/a>, asking Congress to address the issue by — among other things — hiring psychologists for every national forest.\u003c/p>\n\u003cfigure id=\"attachment_11862273\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862273\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/n0a2259_custom-1fa7fba7bc35d4701d558e2847a8006b6a6ca2d9-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">Newberry (center) attends a training with his Napa County Fire Rescue Team. The wellness program aims to not only provide support after an incident, but also help firefighters better process what they experience in the moment. \u003ccite>(Talia Herman/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Don’t call us ‘Heroes’ either because when divorces, mental health problems and declining wages are the reality, we don’t feel like heroes at all,” the smokejumper wrote.\u003c/p>\n\u003cp>Researcher Eriksen, who’s worked with firefighters in the U.S. and Australia, agrees that more resources would help, especially as climate change makes wildfire seasons more difficult to manage. But she said there are also things everyone can do.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“As a society we really need to step up and become more emotionally literate and more emotionally intelligent in the way that we deal with the fright of these types of events,” Eriksen said. “We need to step up and provide avenues for people to say, ‘I’m not coping. I need help.’ ”\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 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=As+Fires+Worsen%2C+A+Mental+Health+Crisis+For+Those+Battling+Them&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Somewhere near his 56th straight hour of chasing flames, Cal Fire Capt. Matt Newberry and his crew were hitting a wall. They’d been dispatched to the wildfire days earlier in the middle of the night. By the next morning, the fire had already ripped across 11,000 acres of Napa County, tearing even through the night the way fires do now.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cbr>\nDespite everything they’d done, hundreds of homes were in smolders.\u003c/p>\n\u003cp>A good friend and fellow firefighter, “one of the toughest dudes in our unit,” Newberry said, broke down. “Just fall to his knees and cry. He couldn’t do it anymore.”\u003c/p>\n\u003cp>Newberry had been there himself: Exhausted. Exasperated. Overwhelmed.\u003c/p>\n\u003cp>Firefighting has always been hard work. But each year fires just seem to get worse. \u003ca href=\"https://www.npr.org/2020/10/07/921209244/four-million-acres-have-burned-in-california-why-thats-the-wrong-number-to-focus\" target=\"_blank\" rel=\"noopener noreferrer\">Four million acres\u003c/a> in California. Millions more in \u003ca href=\"https://www.opb.org/article/2020/09/21/oregon-wildfires-climate-change-role/\" target=\"_blank\" rel=\"noopener noreferrer\">Oregon\u003c/a>, Washington and\u003ca href=\"https://www.cpr.org/2021/01/25/colorados-east-troublesome-wildfire-may-signal-a-new-era-of-big-fire-blow-ups/\" target=\"_blank\" rel=\"noopener noreferrer\"> Colorado\u003c/a>. Flames sweeping across\u003ca href=\"https://www.npr.org/2020/03/28/820294861/fires-where-they-are-not-supposed-to-happen-in-australia-s-ancient-rainforest\" target=\"_blank\" rel=\"noopener noreferrer\"> Eastern Australia\u003c/a>, the \u003ca href=\"https://www.npr.org/2020/08/14/902659716/brazils-environmentalists-worry-fire-season-will-worsen-amazons-deforestation\" target=\"_blank\" rel=\"noopener noreferrer\">Amazon\u003c/a> and\u003ca href=\"https://www.npr.org/2020/12/18/943219856/2020-may-be-the-hottest-year-on-record-heres-the-damage-it-did\" target=\"_blank\" rel=\"noopener noreferrer\"> the Arctic\u003c/a>. Thousands of homes destroyed. Lives lost.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“You just feel defeated,” said Newberry, who’s been fighting fire for more than 20 years. “The things that we used to do that worked 10 years ago are no longer working anymore.”\u003c/p>\n\u003cfigure id=\"attachment_11862267\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862267\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/gettyimages-1228838218_custom-205ab31c5bf27c86c7ba965eed53535d4821c2d6-800x476.jpg\" alt=\"\" width=\"800\" height=\"476\">\u003cfigcaption class=\"wp-caption-text\">Firefighters work the scene as the Glass Fire continues to burn in Calistoga, California, on Oct. 1, 2020. The United States’ west coast experienced a record-breaking fire season, with five of the state’s six biggest blazes in history burning simultaneously, and nearly 4 million acres scorched. \u003ccite>(Josh Edelson/AFP via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The warming climate is making fire seasons longer, and increasing the frequency, intensity and range of wildfires around the world. That’s put a growing psychological strain on the people tasked with trying to contain them. Society still expects firefighters to put fires out — a conviction demonstrated every time \u003ca href=\"https://www.pnas.org/content/115/13/3314\" target=\"_blank\" rel=\"noopener noreferrer\">a new subdivision or home\u003c/a> is built in a fire-prone area. Firefighters still expect to corral flames and protect homes.\u003c/p>\n\u003cp>“That becomes a very difficult tradition to uphold when something like climate change is completely obliterating all of the parameters that they used to live within,” said Christine Eriksen, a researcher who focuses on the social impacts of wildfire.\u003c/p>\n\u003cp>Overnight lows are getting hotter, \u003ca href=\"https://www.scientificamerican.com/article/one-climate-change-wildfire-risk-lurks-in-the-dark/\" target=\"_blank\" rel=\"noopener noreferrer\">fueling more active fires at night\u003c/a>. Warming temperatures and human development are making \u003ca href=\"https://www.npr.org/2020/03/28/820294861/fires-where-they-are-not-supposed-to-happen-in-australia-s-ancient-rainforest\" target=\"_blank\" rel=\"noopener noreferrer\">more parts of the world\u003c/a> susceptible to flame. Big fires, 10,000 acres and up, used to happen on Newberry’s unit a few times a year. “Now we’re burning 10,000 acres in a couple hours,” he said.\u003c/p>\n\u003cp>The change is unsettling.\u003c/p>\n\u003cfigure id=\"attachment_11857060\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11857060\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut-1536x1022.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2021/01/RS44829_021_KQED_BigBasin_Fire_09102020-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Redwood trees after the CZU Lightning Complex wildfires burned much of the area at Big Basin Redwoods State Park on Sept. 10, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Many of these firefighters who are often portrayed as heroes in media reportage, they don’t feel like heroes. They feel like they failed,” Eriksen said. “So there are some real issues going on in terms of their well being.”\u003c/p>\n\u003cp>Firefighters are more likely to die from suicide than in the line of duty, according to the Firefighter Behavioral Health Alliance, a nonprofit that tracks first responder suicides in the U.S. and offers support to their families. Depression, addiction, anxiety, post-traumatic stress disorder aren’t uncommon. At times, the symptoms reveal themselves during fire season. More often, it’s in the weeks and months after the smoke has cleared.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>For Steve Hillyar, a volunteer firefighter in Australia’s New South Wales, it was sleepless nights and smoke detectors that got to him.\u003c/p>\n\u003cp>“Most people don’t realize that when a house is on fire, or multiple houses, that’s all you hear,” he said, standing by the charred wreckage of his home. “Smoke detectors.”\u003c/p>\n\u003cp>Sophie Taylor was having trouble sleeping, too. She’d been made a brigade captain on Australia’s South Coast just months before the historic wildfires chased people in her area from mountains to beach. Without the adrenaline rush, she said, “You just feel flat all the time.”\u003c/p>\n\u003cp>Ian Spall, a chaplain with New South Wales’ Rural Fire Service, was grappling with his faith after spending a summer talking to the families of dead and injured firefighters.\u003c/p>\n\u003cp>“From a spiritual and psychological perspective I found this space very confronting, because I have faith that God intervenes and I had faith that God would intervene,” Spall said. “And then it didn’t happen.”\u003c/p>\n\u003cfigure id=\"attachment_11862269\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862269\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/dsc03113-edit_custom-3366a60d8f67df975beee1a1650613ba1d1d38cf-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">Sophie Taylor was made a brigade captain on Australia’s South Coast just months before historic wildfires chased people from mountains to the beach. She says she feels flat without the adrenaline rush of fighting an active fire. \u003ccite>(Nathan Rott/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>‘I Crumbled’\u003c/strong>\u003c/h3>\n\u003cp>For Newberry, it was an accumulation of events. He’d be shook up after a call, but just “sucked it up,” he said. “Because that’s how it’s been for 100 years.” Then in 2015, four firefighters, local guys, were badly burnt on the\u003ca href=\"https://www.pressdemocrat.com/article/news/burned-firefighters-were-out-gunned-by-valley-fire/?gallery=BA691395-0402-4683-9FE9-EA33C4981D37\" target=\"_blank\" rel=\"noopener noreferrer\"> Valley Fire\u003c/a>. One was a good friend. The next summer, on \u003ca href=\"https://www.kqed.org/news/11405049/widow-of-bulldozer-operator-killed-in-soberanes-fire-struggles-to-get-by\" target=\"_blank\" rel=\"noopener noreferrer\">the Soberanes Fire\u003c/a>, a bulldozer drove off a steep embankment right near Newberry, pinning its driver to the ground and killing him.\u003c/p>\n\u003cp>“At that point, I just wanted to quit,” Newberry said. “I crumbled.”\u003c/p>\n\u003cp>He started drinking and using drugs. His marriage was falling apart, as was his relationship with his four daughters. All of the joy he took from firefighting was gone.\u003c/p>\n\u003cp>His employer, California’s fire agency, helped check him into a post-trauma retreat for first responders, where he underwent a week of intense psychotherapy. “It probably saved my life,” Newberry said. “It definitely saved my marriage and my career.”\u003c/p>\n\u003cfigure id=\"attachment_11862270\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862270\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/n0a2836_custom-6285c0700303ef18a67549e18bdaf986681a51d8-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">For Newberry, it was an accumulation of events. He’d be shook up after a call, but just “sucked it up,” he said. “Because that’s how it’s been for 100 years.” \u003ccite>(Talia Herman/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Demand is growing for post-traumatic retreats for firefighters and first responders as awareness of mental health issues grows and fires worsen. Newberry guesses at least 40 people from his unit alone have been to a similar program.\u003c/p>\n\u003cp>During last year’s unprecedented fires in California, Newberry, who now doubles as a peer counselor, said he was taking three or four calls a day from colleagues looking for help. The calls continued weeks after fire season officially ended in December.\u003c/p>\n\u003cp>Men and women were having trouble adjusting to life back home after being away in some cases for more than a month. “You always think, ‘Oh yeah, it’ll be the same as it was before I left for work,’ ” Newberry said. “And it’s not. S… happened.”\u003c/p>\n\u003cp>For seasonal and volunteer firefighters, the offseason can bring isolation. They’re no longer with their crew; no longer around a community of people with shared experiences. Finances can grow tight. No fires, no money. Beneath all of it can be the post-adrenaline feeling of flatness that Taylor experienced.\u003c/p>\n\u003cp>Good statistics on firefighter mental health are hard to find. But a \u003ca href=\"https://www.samhsa.gov/sites/default/files/dtac/supplementalresearchbulletin-firstresponders-may2018.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">recent research bulletin \u003c/a>posted by the U.S. Department of Health and Human Services says that firefighters are more likely than the public to suffer from depression, stress, substance abuse, post-traumatic stress disorder and suicidal thoughts.\u003c/p>\n\u003cfigure id=\"attachment_11862271\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862271\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/n0a2764_custom-30c43087ec6fdf3e216da75d4b934e1d540998f2-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">California’s fire agency helped check Newberry into a post-trauma retreat for first responders, where he underwent a week of intense psychotherapy. ‘It probably saved my life,’ he said. \u003ccite>(Talia Herman/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/29573853/\" target=\"_blank\" rel=\"noopener noreferrer\">2018 study\u003c/a> out of Florida State University, which surveyed a small number of wildland firefighters, found that they experienced an even higher risk of suicide than their urban counterparts. The concern is that worsening fire seasons will only amplify the problem.\u003c/p>\n\u003cp>Mike Ming, the head of Cal Fire’s Employee Support Services, which focuses on the mental and physical health of the state’s roughly 8,000 firefighters, said the last three to five years — some of the worst fire seasons in state history — have been particularly bad.\u003c/p>\n\u003cp>They’ve seen increases in firefighters suffering from burnout, PTSD, depression, anxiety, domestic violence and divorce. The pandemic, he said, is only making all of those things worse.\u003c/p>\n\u003cp>“Even your 30-year veterans,” Ming said. “They’re being brought to their knees by the stuff that we’re seeing that’s atypical in our careers.”\u003c/p>\n\u003ch3>\u003cstrong>Support Expands as Demand Grows\u003c/strong>\u003c/h3>\n\u003cp>A decade ago there were four people in Ming’s health and wellness program. Today, they have 26 permanent positions, on top of peer support members and others.\u003c/p>\n\u003cp>The idea of the program is to not only help California firefighters get the support or counseling they need \u003cem>after\u003c/em> an incident, but to give them the tools they need to better process what they’re experiencing in the moment. They’re taught mindfulness and wellness, breathing techniques that are used by Navy SEALs.\u003c/p>\n\u003cp>“We tell them Navy SEALs do this and then they’re like, ‘OK cool, we can do that. You’re cool? I’m cool,’ ” Ming said.\u003c/p>\n\u003cfigure id=\"attachment_11862272\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862272\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/n0a2419_custom-7242f70fda11bc53d00952c6b32e9aa84b26c5fe-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">Members of the Napa County Fire Rescue Team participate in training in Yountville. Demand is growing for post-traumatic retreats for firefighters and first responders as awareness of mental health issues grows and fires worsen. \u003ccite>(Talia Herman/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There can be grumblings from older veterans. In both Australia and California, firefighters talked about an old guard — veteran firefighters who aren’t keen to share feelings or put up with people who do.\u003c/p>\n\u003cp>Ming thinks they’ve broken through that stigma at Cal Fire. Older veterans, shaken by recent fires, are more willing to listen. Younger recruits are open to the conversation from the start.\u003c/p>\n\u003cp>Bodie Ronk, the national system coordinator for fire at the Bureau of Land Management, said the same is true for their firefighters. The Bureau of Land Management and U.S. Forest Service are adding mental fitness to their preseason training regimens. It’s now a priority. A push, Ronk said, that was prompted by suicides.\u003c/p>\n\u003cp>“[We’re] really focusing time on having these conversations, and stressing the importance of [firefighters] being able to have those conversations amongst each other,” Ronk said.\u003c/p>\n\u003cp>The National Wildfire Coordinating Group, which coordinates federal, state, tribal and private firefighting groups, selected \u003ca href=\"https://www.nwcg.gov/sites/default/files/committee/docs/mhsc-newsletter-burnout-2021.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">burnout as the topic \u003c/a>of its first newsletter in 2021.\u003c/p>\n\u003cp>“Burnout might occur if your work seems meaningless or if there is no end in sight under difficult work conditions,” it wrote.\u003c/p>\n\u003cp>A Forest Service employee who identifies as a smokejumper and former Hotshot wrote \u003ca href=\"https://www.change.org/p/united-states-department-of-agriculture-usda-improve-wildland-firefighter-mental-health-and-lower-our-suicide-rates?redirect=false\" target=\"_blank\" rel=\"noopener noreferrer\">a petition on the website Change.org\u003c/a>, asking Congress to address the issue by — among other things — hiring psychologists for every national forest.\u003c/p>\n\u003cfigure id=\"attachment_11862273\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11862273\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/02/n0a2259_custom-1fa7fba7bc35d4701d558e2847a8006b6a6ca2d9-800x533.jpg\" alt=\"\" width=\"800\" height=\"533\">\u003cfigcaption class=\"wp-caption-text\">Newberry (center) attends a training with his Napa County Fire Rescue Team. The wellness program aims to not only provide support after an incident, but also help firefighters better process what they experience in the moment. \u003ccite>(Talia Herman/NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Don’t call us ‘Heroes’ either because when divorces, mental health problems and declining wages are the reality, we don’t feel like heroes at all,” the smokejumper wrote.\u003c/p>\n\u003cp>Researcher Eriksen, who’s worked with firefighters in the U.S. and Australia, agrees that more resources would help, especially as climate change makes wildfire seasons more difficult to manage. But she said there are also things everyone can do.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>A national health care provider has administered COVID-19 vaccinations to patients not yet eligible for the scarce vaccine, including those with connections to company leaders and customers of its concierge medical service, according to internal communications leaked to NPR.\u003c/p>\n\u003cp>San Francisco-based One Medical has been allocated thousands of vaccine doses by local health departments in some of the areas they provide medical services. People with connections to company leadership were set up with vaccine appointments, despite not yet being eligible under local public health guidelines, and some patients were permitted to skip the line ahead of other high-risk patients.\u003c/p>\n\u003cp>[aside postID=\"news_11855623\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/01/GettyImages-1230603226-1020x605.jpg\"]The problems have occurred in numerous company locations across several states. The Washington State Department of Health, citing a complaint it received this month, told NPR it had halted COVID-19 vaccine distribution to the company. Other regulators have also received complaints or stopped providing the vaccine.\u003c/p>\n\u003cp>One Medical brands itself a high-end health care provider serving a relatively affluent clientele that pays a $199 fee annually to receive easy online access to appointments, telemedicine and access to a streamlined, tech-focused medical experience. The company went public with an IPO in January 2020, with a valuation in the billions.\u003c/p>\n\u003cp>One Medical’s shortcomings take place amid broader anecdotal evidence that suggests patients of various health care providers throughout the country are \u003ca href=\"https://www.npr.org/sections/health-shots/2021/02/09/965841419/does-loose-enforcement-of-vaccine-eligibility-rules-encourage-line-jumping\">skipping the line\u003c/a> due in part to loose enforcement. The situation highlights a \u003ca href=\"https://www.npr.org/sections/health-shots/2021/02/06/964139633/is-it-ever-ok-to-jump-ahead-in-the-vaccine-line\">serious ethical issue\u003c/a>: determining who is entitled to a vaccine at a time of scarce availability and who is responsible for enforcing eligibility rules.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Experts say an appropriate system for vaccine distribution focuses on first targeting those most at risk for serious consequences from COVID-19. “We’re trying to focus on those individuals who are most likely to develop severe illness or death, and to most likely be exposed to the virus,” said Gabriel Lázaro-Muñoz, who teaches medical ethics and health policy at the Baylor College of Medicine in Houston. “The overall goal is to save as many lives as possible, and with that we are not valuing any life over another.”\u003c/p>\n\u003cp>One Medical claims it does not allow for ineligible patients to be vaccinated knowingly, and that it was confident that it was “doing everything reasonably in our power to ensure … our adherence to state and local department of health vaccine eligibility guidelines.” But NPR obtained internal communications that tell a different story.\u003c/p>\n\u003ch3>\u003cstrong>‘We Are Not Policing’\u003c/strong>\u003c/h3>\n\u003cp>Messages between doctors, medical practitioners, administrative staff and leadership show that multiple staffers across One Medical locations in several states — Washington, Oregon and California — privately raised the alarm about what they believed were lax oversight and inappropriate practices within the organization. They also show what appear to be favors done for those close to the organization’s senior staff.\u003c/p>\n\u003cp>“It seems if you don’t screen out those jumping the [queue], then many will jump in the line and push those that need the vaccine further behind, delaying a potentially life saving injection. This could impact MANY members,” one doctor in California wrote to his colleagues in January, according to the internal documents.\u003c/p>\n\u003cp>“I have had two [patients] today, both in their 20-30s without risk factors and are tech workers who have gotten their covid vaccines. One was thru us,” wrote another One Medical doctor in Washington state. “I’m curious how these [people] are able to sign up for vaccines when we have a long list of higher priority [patients]? … I just want to understand how they can be prioritized for a vaccine when those at higher tiers have to wait.”\u003c/p>\n\u003cp>These internal communications indicate that ineligible friends and family of One Medical leadership were vaccinated, as were work-from-home administrative, support and IT staff at the company’s headquarters in San Francisco. While health care workers waited in line in January, One Medical made the decision to offer the vaccine to any of its San Francisco staff, regardless of whether they were front-line workers.\u003c/p>\n\u003cp>Lázaro-Muñoz, the ethics professor, said that offering the vaccine to all staff regardless of whether they see patients was unethical.\u003c/p>\n\u003cp>“There might not be regulations stopping this company from giving [the COVID vaccine] to their employees. But from an ethical standpoint, when you look at what is right and wrong, this is wrong,” Lázaro-Muñoz told NPR. “Your life and the life of your co-workers and those who work in this company is not any more valuable than the life of the elderly people that are not getting access to that vaccine, thanks to your criteria and system of distributing that vaccine.”\u003c/p>\n\u003cp>One Medical said that it had asked some of its staff to volunteer time in their clinics. However, all of its staff in San Francisco were provided an opportunity to receive the vaccine, regardless of the nature of their job.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Gabriel Lázaro-Muñoz, Baylor College of Medicine ethics professor\"]‘There might not be regulations stopping this company from giving [the COVID vaccine] to their employees. But from an ethical standpoint, when you look at what is right and wrong, this is wrong.’[/pullquote]Further, patients of One Medical who were ineligible to be vaccinated based on local guidelines were also permitted to book vaccination appointments through an online portal. So was at least one executive of a partner organization with One Medical. Internal communications show that providers trying to get eligible health care workers vaccinated were instead told to put them on a waitlist.\u003c/p>\n\u003cp>“Why are young patients without health problems, on a trial membership … allowed to book and receive a covid vaccine while health care workers are being waitlisted?” one medical professional asked in January. “I just saw two appointments for such.”\u003c/p>\n\u003cp>There were also shortcomings with the company’s vaccine sign-up system. A question asking patients whether they were in an eligible category was not added to the online portal until Jan. 14, though One Medical started vaccinating patients on Jan. 1. During this two-week period, \u003ca href=\"https://www.npr.org/sections/health-shots/2021/01/21/958870301/the-current-deadly-u-s-coronavirus-surge-has-peaked-researchers-say\">COVID-19 cases\u003c/a> in the United States reached their highest peak.\u003c/p>\n\u003cp>Following this, the internal documents show that in January, even if patients noted that they were not in an eligible category for vaccination, some could continue to book an appointment for the COVID-19 vaccine. Suggestions on how the tech-heavy company could use algorithms to scan for ineligible patients were turned down.\u003c/p>\n\u003cp>One Medical said that blocking ineligible patients from booking vaccination appointments would have called for a complete overhaul of their system and was too technologically difficult to rebuild in the required time frame.\u003c/p>\n\u003cp>The documents also show that in January, One Medical was not verifying the eligibility of patients it vaccinated by requiring ID or other evidence at the point of vaccine administration.\u003c/p>\n\u003cp>“I have questions about our approach of not requiring [patients] to bring proof of vaccine eligibility,” said a One Medical staffer. “A quick Google search indicates that this is not consistent with many states’ requirements. … I am concerned about advertising an overly permissive approach.”\u003c/p>\n\u003cp>As ineligible patients began to get vaccines, staff started raising concerns that word was spreading about One Medical’s lax enforcement of eligibility requirements.\u003c/p>\n\u003cp>“I’ve had a few patients straight up tell me that once they realized there was no screening that they would be telling their friends,” another medical provider in California wrote. “My partner and I were shocked when we got ours through One Med … that at no point were we asked if we met criteria — let alone asked to prove it.”\u003c/p>\n\u003cp>Employees were told not to try to enforce the rules barring ineligible patients. “Scanning schedules and cancelling appointments [for ineligible patients] is not recommended,” Spencer Blackman, the director of clinical education at the company said in a communication to a range of staff. He added in another note to a doctor, “If this person sees themself in a tier that is being vaccinated they can attest to that and make an appointment. You don’t get to make the decision if someone ‘gets’ [a] vaccine or not.”\u003c/p>\n\u003cp>“We are not policing,” Blackman wrote in January, setting off objections in internal company communications.\u003c/p>\n\u003cp>When asked why One Medical did not verify eligibility, Chief Medical Officer Andrew Diamond said, “There was never guidance that said ‘do not verify’… that would be counter to our principles.” When told NPR was in possession of communications that indicated otherwise, he responded, “That’s clearly not the guidance, nor is that the intent of the guidance. We’ve been far clearer since then.”\u003c/p>\n\u003cp>In fact, many localities require medical providers to check for eligibility documentation. In Los Angeles County, where One Medical has been provided thousands of doses, vaccination is limited currently to health care workers, long-term care facility residents and persons over the age of 65. Proper documentation of eligibility is required for vaccination. “Providers are then responsible for confirming eligibility responses and requesting accepted documentation of eligibility, once [the patient] arrives for onsite appointment,” an L.A. County Department of Public Health spokesperson said.\u003c/p>\n\u003cp>And in Alameda County, where the company was given close to 1,000 doses, the public health department said that personal ID and proof of a health care role is “required” for the vaccine doses that One Medical received.\u003c/p>\n\u003cp>As Forbes was preparing \u003ca href=\"https://www.forbes.com/sites/leahrosenbaum/2021/02/03/one-medical-let-people-jump-the-line-for-covid-19-vaccines/?sh=3de7af892350\">a story about One Medical’s practices\u003c/a>, One Medical leadership sent out a note to staff warning of consequences, threatening them with “disciplinary action, up to and including termination” if they leaked internal communications. One Medical disputed this characterization. “One Medical is not, and has never been an organization that threatens its staff,” a spokesperson said, characterizing the note as merely “reminders about our business code of conduct.”\u003c/p>\n\u003ch3>Regulators Take Action\u003c/h3>\n\u003cp>It is not clear how many ineligible vaccine doses were distributed, and One Medical declined to provide a figure on how many total doses it had administered. But the company has likely provided tens of thousands of doses: Of the few jurisdictions that produced information on the doses it allocated to One Medical, San Francisco said it had provided the company with 12,000 doses, while Los Angeles County said it had provided them nearly 6,000 doses.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"vaccines\"]One Medical’s practices have not gone unnoticed by state and local regulators. The Washington State Department of Health told NPR that they had halted allocation of vaccine doses to One Medical due to a complaint received on Feb. 10. “We are currently in communication with One Medical regarding the complaint we received,” a state spokesperson said. “We are removing them from the state’s Vaccine Locations webpage and One Medical will not be receiving vaccine from us until this issue is resolved.” One Medical disputed the reason for the halt, and said that it was a misunderstanding.\u003c/p>\n\u003cp>Bob Ferguson, the attorney general of Washington state, is also concerned about the wider issue of ineligible patients receiving COVID-19 vaccinations. While not commenting on whether or not there were any ongoing investigations into the topic, or on any individual company, a spokesperson for the attorney general said that Ferguson was “extremely concerned. And he has had conversations with his team about this issue.”\u003c/p>\n\u003cp>Los Angeles County’s Department of Public Health has also received a complaint about One Medical — and has reached out to express a warning by phone and email. “Public Health told One Medical if there are breaches and they are not holding tight to our priority groups, and checking and validating groups, we could not allocate vaccine to them any longer,” a spokesperson said. “We reinforced the fact that we could not provide vaccine to any entity not following our partner guidance for checking and ensuring people getting vaccinated are part of our priority groups.” One Medical claimed that complaints and warnings are both common for medical providers.\u003c/p>\n\u003cp>The Alameda County Public Health Department said One Medical offices in the county had received 975 doses of the COVID-19 vaccine, but received no more after the health care company indicated its desire to vaccinate ineligible patients. “Alameda County did not fulfill One Medical’s next request in early February for additional doses when they indicated that they planned to vaccinate more than their health care workers (who were the only approved group prioritized for vaccinations at the time),” said a county spokesperson. One Medical said that this explanation was “categorically untrue,” but did not contest that their vaccine allocation has not continued beyond the original 975 doses.\u003c/p>\n\u003cp>The San Francisco Department of Public Health stressed, “One Medical was engaged primarily to provide vaccine to in-home support services (IHSS), other in-home care providers and health care workers … SF DPH expects all its vaccine provider partners to follow State and SF DPH vaccination eligibility guidelines.”\u003c/p>\n\u003cp>One Medical contested several elements of this story, claiming that it “does not allow for ineligible persons to be vaccinated knowingly.” It also said that it had fired several members of its clinical staff due to disregard for eligibility requirements.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“We are doing absolutely everything in our power to vaccinate as many eligible people as possible,” said Diamond, the chief medical officer of One Medical, attributing difficulties to the “fog of war” that occurs during a period of “myriad uncertainties, conflicting jurisdictional guidance and profound public anxieties.”\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 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=High-End+Medical+Provider+Let+Ineligible+People+Skip+COVID-19+Vaccine+Line&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A national health care provider has administered COVID-19 vaccinations to patients not yet eligible for the scarce vaccine, including those with connections to company leaders and customers of its concierge medical service, according to internal communications leaked to NPR.\u003c/p>\n\u003cp>San Francisco-based One Medical has been allocated thousands of vaccine doses by local health departments in some of the areas they provide medical services. People with connections to company leadership were set up with vaccine appointments, despite not yet being eligible under local public health guidelines, and some patients were permitted to skip the line ahead of other high-risk patients.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The problems have occurred in numerous company locations across several states. The Washington State Department of Health, citing a complaint it received this month, told NPR it had halted COVID-19 vaccine distribution to the company. Other regulators have also received complaints or stopped providing the vaccine.\u003c/p>\n\u003cp>One Medical brands itself a high-end health care provider serving a relatively affluent clientele that pays a $199 fee annually to receive easy online access to appointments, telemedicine and access to a streamlined, tech-focused medical experience. The company went public with an IPO in January 2020, with a valuation in the billions.\u003c/p>\n\u003cp>One Medical’s shortcomings take place amid broader anecdotal evidence that suggests patients of various health care providers throughout the country are \u003ca href=\"https://www.npr.org/sections/health-shots/2021/02/09/965841419/does-loose-enforcement-of-vaccine-eligibility-rules-encourage-line-jumping\">skipping the line\u003c/a> due in part to loose enforcement. The situation highlights a \u003ca href=\"https://www.npr.org/sections/health-shots/2021/02/06/964139633/is-it-ever-ok-to-jump-ahead-in-the-vaccine-line\">serious ethical issue\u003c/a>: determining who is entitled to a vaccine at a time of scarce availability and who is responsible for enforcing eligibility rules.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Experts say an appropriate system for vaccine distribution focuses on first targeting those most at risk for serious consequences from COVID-19. “We’re trying to focus on those individuals who are most likely to develop severe illness or death, and to most likely be exposed to the virus,” said Gabriel Lázaro-Muñoz, who teaches medical ethics and health policy at the Baylor College of Medicine in Houston. “The overall goal is to save as many lives as possible, and with that we are not valuing any life over another.”\u003c/p>\n\u003cp>One Medical claims it does not allow for ineligible patients to be vaccinated knowingly, and that it was confident that it was “doing everything reasonably in our power to ensure … our adherence to state and local department of health vaccine eligibility guidelines.” But NPR obtained internal communications that tell a different story.\u003c/p>\n\u003ch3>\u003cstrong>‘We Are Not Policing’\u003c/strong>\u003c/h3>\n\u003cp>Messages between doctors, medical practitioners, administrative staff and leadership show that multiple staffers across One Medical locations in several states — Washington, Oregon and California — privately raised the alarm about what they believed were lax oversight and inappropriate practices within the organization. They also show what appear to be favors done for those close to the organization’s senior staff.\u003c/p>\n\u003cp>“It seems if you don’t screen out those jumping the [queue], then many will jump in the line and push those that need the vaccine further behind, delaying a potentially life saving injection. This could impact MANY members,” one doctor in California wrote to his colleagues in January, according to the internal documents.\u003c/p>\n\u003cp>“I have had two [patients] today, both in their 20-30s without risk factors and are tech workers who have gotten their covid vaccines. One was thru us,” wrote another One Medical doctor in Washington state. “I’m curious how these [people] are able to sign up for vaccines when we have a long list of higher priority [patients]? … I just want to understand how they can be prioritized for a vaccine when those at higher tiers have to wait.”\u003c/p>\n\u003cp>These internal communications indicate that ineligible friends and family of One Medical leadership were vaccinated, as were work-from-home administrative, support and IT staff at the company’s headquarters in San Francisco. While health care workers waited in line in January, One Medical made the decision to offer the vaccine to any of its San Francisco staff, regardless of whether they were front-line workers.\u003c/p>\n\u003cp>Lázaro-Muñoz, the ethics professor, said that offering the vaccine to all staff regardless of whether they see patients was unethical.\u003c/p>\n\u003cp>“There might not be regulations stopping this company from giving [the COVID vaccine] to their employees. But from an ethical standpoint, when you look at what is right and wrong, this is wrong,” Lázaro-Muñoz told NPR. “Your life and the life of your co-workers and those who work in this company is not any more valuable than the life of the elderly people that are not getting access to that vaccine, thanks to your criteria and system of distributing that vaccine.”\u003c/p>\n\u003cp>One Medical said that it had asked some of its staff to volunteer time in their clinics. However, all of its staff in San Francisco were provided an opportunity to receive the vaccine, regardless of the nature of their job.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Further, patients of One Medical who were ineligible to be vaccinated based on local guidelines were also permitted to book vaccination appointments through an online portal. So was at least one executive of a partner organization with One Medical. Internal communications show that providers trying to get eligible health care workers vaccinated were instead told to put them on a waitlist.\u003c/p>\n\u003cp>“Why are young patients without health problems, on a trial membership … allowed to book and receive a covid vaccine while health care workers are being waitlisted?” one medical professional asked in January. “I just saw two appointments for such.”\u003c/p>\n\u003cp>There were also shortcomings with the company’s vaccine sign-up system. A question asking patients whether they were in an eligible category was not added to the online portal until Jan. 14, though One Medical started vaccinating patients on Jan. 1. During this two-week period, \u003ca href=\"https://www.npr.org/sections/health-shots/2021/01/21/958870301/the-current-deadly-u-s-coronavirus-surge-has-peaked-researchers-say\">COVID-19 cases\u003c/a> in the United States reached their highest peak.\u003c/p>\n\u003cp>Following this, the internal documents show that in January, even if patients noted that they were not in an eligible category for vaccination, some could continue to book an appointment for the COVID-19 vaccine. Suggestions on how the tech-heavy company could use algorithms to scan for ineligible patients were turned down.\u003c/p>\n\u003cp>One Medical said that blocking ineligible patients from booking vaccination appointments would have called for a complete overhaul of their system and was too technologically difficult to rebuild in the required time frame.\u003c/p>\n\u003cp>The documents also show that in January, One Medical was not verifying the eligibility of patients it vaccinated by requiring ID or other evidence at the point of vaccine administration.\u003c/p>\n\u003cp>“I have questions about our approach of not requiring [patients] to bring proof of vaccine eligibility,” said a One Medical staffer. “A quick Google search indicates that this is not consistent with many states’ requirements. … I am concerned about advertising an overly permissive approach.”\u003c/p>\n\u003cp>As ineligible patients began to get vaccines, staff started raising concerns that word was spreading about One Medical’s lax enforcement of eligibility requirements.\u003c/p>\n\u003cp>“I’ve had a few patients straight up tell me that once they realized there was no screening that they would be telling their friends,” another medical provider in California wrote. “My partner and I were shocked when we got ours through One Med … that at no point were we asked if we met criteria — let alone asked to prove it.”\u003c/p>\n\u003cp>Employees were told not to try to enforce the rules barring ineligible patients. “Scanning schedules and cancelling appointments [for ineligible patients] is not recommended,” Spencer Blackman, the director of clinical education at the company said in a communication to a range of staff. He added in another note to a doctor, “If this person sees themself in a tier that is being vaccinated they can attest to that and make an appointment. You don’t get to make the decision if someone ‘gets’ [a] vaccine or not.”\u003c/p>\n\u003cp>“We are not policing,” Blackman wrote in January, setting off objections in internal company communications.\u003c/p>\n\u003cp>When asked why One Medical did not verify eligibility, Chief Medical Officer Andrew Diamond said, “There was never guidance that said ‘do not verify’… that would be counter to our principles.” When told NPR was in possession of communications that indicated otherwise, he responded, “That’s clearly not the guidance, nor is that the intent of the guidance. We’ve been far clearer since then.”\u003c/p>\n\u003cp>In fact, many localities require medical providers to check for eligibility documentation. In Los Angeles County, where One Medical has been provided thousands of doses, vaccination is limited currently to health care workers, long-term care facility residents and persons over the age of 65. Proper documentation of eligibility is required for vaccination. “Providers are then responsible for confirming eligibility responses and requesting accepted documentation of eligibility, once [the patient] arrives for onsite appointment,” an L.A. County Department of Public Health spokesperson said.\u003c/p>\n\u003cp>And in Alameda County, where the company was given close to 1,000 doses, the public health department said that personal ID and proof of a health care role is “required” for the vaccine doses that One Medical received.\u003c/p>\n\u003cp>As Forbes was preparing \u003ca href=\"https://www.forbes.com/sites/leahrosenbaum/2021/02/03/one-medical-let-people-jump-the-line-for-covid-19-vaccines/?sh=3de7af892350\">a story about One Medical’s practices\u003c/a>, One Medical leadership sent out a note to staff warning of consequences, threatening them with “disciplinary action, up to and including termination” if they leaked internal communications. One Medical disputed this characterization. “One Medical is not, and has never been an organization that threatens its staff,” a spokesperson said, characterizing the note as merely “reminders about our business code of conduct.”\u003c/p>\n\u003ch3>Regulators Take Action\u003c/h3>\n\u003cp>It is not clear how many ineligible vaccine doses were distributed, and One Medical declined to provide a figure on how many total doses it had administered. But the company has likely provided tens of thousands of doses: Of the few jurisdictions that produced information on the doses it allocated to One Medical, San Francisco said it had provided the company with 12,000 doses, while Los Angeles County said it had provided them nearly 6,000 doses.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>One Medical’s practices have not gone unnoticed by state and local regulators. The Washington State Department of Health told NPR that they had halted allocation of vaccine doses to One Medical due to a complaint received on Feb. 10. “We are currently in communication with One Medical regarding the complaint we received,” a state spokesperson said. “We are removing them from the state’s Vaccine Locations webpage and One Medical will not be receiving vaccine from us until this issue is resolved.” One Medical disputed the reason for the halt, and said that it was a misunderstanding.\u003c/p>\n\u003cp>Bob Ferguson, the attorney general of Washington state, is also concerned about the wider issue of ineligible patients receiving COVID-19 vaccinations. While not commenting on whether or not there were any ongoing investigations into the topic, or on any individual company, a spokesperson for the attorney general said that Ferguson was “extremely concerned. And he has had conversations with his team about this issue.”\u003c/p>\n\u003cp>Los Angeles County’s Department of Public Health has also received a complaint about One Medical — and has reached out to express a warning by phone and email. “Public Health told One Medical if there are breaches and they are not holding tight to our priority groups, and checking and validating groups, we could not allocate vaccine to them any longer,” a spokesperson said. “We reinforced the fact that we could not provide vaccine to any entity not following our partner guidance for checking and ensuring people getting vaccinated are part of our priority groups.” One Medical claimed that complaints and warnings are both common for medical providers.\u003c/p>\n\u003cp>The Alameda County Public Health Department said One Medical offices in the county had received 975 doses of the COVID-19 vaccine, but received no more after the health care company indicated its desire to vaccinate ineligible patients. “Alameda County did not fulfill One Medical’s next request in early February for additional doses when they indicated that they planned to vaccinate more than their health care workers (who were the only approved group prioritized for vaccinations at the time),” said a county spokesperson. One Medical said that this explanation was “categorically untrue,” but did not contest that their vaccine allocation has not continued beyond the original 975 doses.\u003c/p>\n\u003cp>The San Francisco Department of Public Health stressed, “One Medical was engaged primarily to provide vaccine to in-home support services (IHSS), other in-home care providers and health care workers … SF DPH expects all its vaccine provider partners to follow State and SF DPH vaccination eligibility guidelines.”\u003c/p>\n\u003cp>One Medical contested several elements of this story, claiming that it “does not allow for ineligible persons to be vaccinated knowingly.” It also said that it had fired several members of its clinical staff due to disregard for eligibility requirements.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We are doing absolutely everything in our power to vaccinate as many eligible people as possible,” said Diamond, the chief medical officer of One Medical, attributing difficulties to the “fog of war” that occurs during a period of “myriad uncertainties, conflicting jurisdictional guidance and profound public anxieties.”\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2021 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=High-End+Medical+Provider+Let+Ineligible+People+Skip+COVID-19+Vaccine+Line&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>There’s hope that the coronavirus pandemic will end soon as the pace of COVID-19 vaccinations picks up in California. But we’re not out of the woods yet. The past year has already \u003ca href=\"https://www.kqed.org/news/11808968/coronavirus-is-impacting-the-bay-areas-mental-health-where-can-you-find-help\">taken a toll on mental health\u003c/a>, and it’s going to take fortitude to get through the rest of the year. Here are some tips from mental health experts on how to keep us grounded and healthy into a post-coronavirus future.\u003c/p>\n\u003ch3>Anxious? Break It Down\u003c/h3>\n\u003cp>At \u003ca href=\"https://www.crisissupport.org/\">Crisis Support Services of Alameda County\u003c/a>, the staff answers over 40,000 calls a year to their 24-hour hotline. One helpful strategy for folks feeling overwhelmed, says Executive Director Narges Zohoury Dillon, is to identify what is — and isn’t — within their control.\u003c/p>\n\u003cp>The key is to break down the amount of time you’re looking ahead. If worrying about what might happen a month from now is giving you a sense of looming doom, try focusing instead on the next few minutes or hours. Dillon says zooming in to a smaller amount of time helps us with that “sense of overwhelm that comes with what’s going to happen.”\u003c/p>\n\u003ch3>Keep Up Your Self-Care Routine\u003c/h3>\n\u003cp>At the start of the COVID-19 pandemic and the first shelter-in-place order, the \u003ca href=\"https://www.kqed.org/news/11807751/a-coronavirus-care-package-care-for-yourself-others-and-still-have-fun\">internet was full of creative ways people were taking care of themselves\u003c/a>. Livestream concerts, Zoom workouts and other self-care tips abounded.\u003c/p>\n\u003cp>Whatever worked to help you relax and take care of yourself then — whether it was yoga, adopting a pet or giving yourself a manicure — stick to that routine, says \u003ca href=\"https://profiles.stanford.edu/allison-thompson\">Allison Thompson\u003c/a>, a psychologist and a clinical associate professor at the Stanford University School of Medicine. Thompson understands it can be hard to stay resilient over the long term, but a consistent routine helps, she says.\u003c/p>\n\u003cp>[baycuriouspodcastinfo]\u003c/p>\n\u003cp>“I am a firm believer in self-care. For me, it’s making sure that I exercise and that I cook,” she added. But she stresses that self-care looks different for each of us, so do whatever makes you feel nourished and comforted. That might include setting boundaries in your work day, staying connected to the important people in your life and asking for support from friends and family when you need it.\u003c/p>\n\u003ch3>Don’t Avoid Things, Do What Feels Safe\u003c/h3>\n\u003cp>Maybe like me, you’ve avoided supermarkets during the pandemic and the idea of entering one still feels a little scary. Thompson, who specializes in treating post-traumatic stress disorder, says in a post-pandemic world we can learn from research-based treatments that work for trauma.\u003c/p>\n\u003cp>She says that people tend to deal with their anxiety by avoiding. “Avoidance is a wonderful short-term strategy, but an awful long-term strategy.”\u003c/p>\n\u003cp>Thompson tells her patients to make a list of the things they’ve been avoiding because of trauma. Then she has them go out and do those things mindfully.\u003c/p>\n\u003cp>[aside postID=\"news_11837358,arts_13881725\"]\u003c/p>\n\u003cp>“If someone says, ‘Oh, gosh, I used to love to go for hikes, but now I’m really afraid,’ take the precautions you need to,” she says. “Wear a mask, be socially distant from people who you don’t know. But you’ll probably find, ‘I feel better doing this than I feel staying inside of my home and avoiding this thing that I know that I really enjoy.’ ”\u003c/p>\n\u003ch3>Limit Your COVID Information to Trusted Sources\u003c/h3>\n\u003cp>If you find yourself getting confused about the changes in the vaccine rollout or feeling fearful about new variants of the disease, sticking to a few trusted sources for coronavirus information can ease the added stress of information overload. Look to guidance from your health care provider, local county health department, California Department of Public Health or Centers for Disease Control and Prevention, says Dillon.\u003c/p>\n\u003cp>“Conflicting information results in confusion,” she says. “And that’s a place where anxiety thrives.”\u003c/p>\n\u003cp>Even with these coping strategies, both Dillon and Thompson say there will be lingering mental health effects from this year, even after vaccinations become more accessible. Some people will be slow to return to public forums or crowded events, while others may feel heightened threat from even minor illness.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And while there might be relief in getting to see friends and family in person again, even that could come with some anxiety, Thompson says. We’ve all had to navigate difficult conversations about exposure and risk over the past year — tensions that may persist into the future.\u003c/p>\n\u003cp>Ultimately, the lasting impact of the pandemic on mental health is a picture still coming into focus, especially because the economic repercussions \u003ca href=\"https://www.kqed.org/news/11840071/mental-health-and-racial-justice-why-advocates-want-to-get-police-out-of-crisis-responses\">could be felt for a long time to come\u003c/a>. Dillon says that data on the emotional and relationship challenges after a pandemic don’t exist yet. So researchers are learning what they can from other “community-wide trauma” events like natural disasters or the 2008 recession.\u003c/p>\n\u003cp>One thing we know: \u003ca href=\"https://www.apa.org/topics/covid-19/domestic-violence-child-abuse\">Incidents of violence increase\u003c/a> when families are under financial stress. “So that’s something that we worry about, depending on how long the economic recovery takes,” says Dillon.\u003c/p>\n\u003cp>There is one positive mental health outcome that both Dillon and Thompson agree on: \u003ca href=\"https://www.kqed.org/science/1963133/telehealth-is-having-a-huge-moment-during-coronavirus-crisis\">Telehealth is here to stay\u003c/a>. Thompson says that while the technology has existed for years, the pandemic forced mental health providers online fast. Though this may open the door for more patient access, some people might be left out.\u003c/p>\n\u003cp>“Not every patient has a smartphone to do a video visit or has a computer and internet to do a video visit,” Thompson says. “A lot of people, particularly those of color, might live in households with multiple generations and they have no privacy.”\u003c/p>\n\u003cp>But telehealth also helps with overcoming other barriers to access, like transportation, mobility and time, Dillon says. A one-hour appointment could turn into a three-hour commitment if you don’t have a car and take public transportation.\u003c/p>\n\u003cp>Both mental health providers say it’s important to recognize that even though life might feel more limited and boring in some ways right now, that could still be a mental health strain. We all need to be gentle with ourselves, look out for our loved ones and show empathy even after the “emergency” is over.\u003c/p>\n\u003ch3>More Resources\u003c/h3>\n\u003cp>\u003ca href=\"https://www.crisissupport.org/\">Crisis Support Services of Alameda County\u003c/a>\u003cbr>\n1-800-273-8255\u003c/p>\n\u003cp>\u003ca href=\"https://suicidepreventionlifeline.org/\">National Suicide Prevention Lifeline\u003c/a>\u003cbr>\n800-273-8255\u003c/p>\n\u003cp>\u003ca href=\"https://www.samhsa.gov/find-help/national-helpline\">Substance Abuse and Mental Health Services Administration Hotline\u003c/a>\u003cbr>\n800-662-4357\u003c/p>\n\u003cp>\u003ca href=\"https://safeandsound.org/for-parents/\">Safe & Sound’s Parental Stress TALK Line\u003c/a>\u003cbr>\n415-441-5437\u003c/p>\n\u003cp>\u003ca href=\"https://www.cuav.org/\">CUAV (Community Unite Against Violence) LGBTQ+ Support\u003c/a>\u003cbr>\n415-333-4357\u003c/p>\n\u003cp>\u003ca href=\"https://www.cpedv.org/member-service/family-violence-law-center-0\">Family Violence Law Center\u003c/a>\u003cbr>\n510-208-0220\u003c/p>\n\u003cp>[baycuriousquestion]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Mental health experts say the effects of the coronavirus pandemic on well-being could be felt even after vaccinations are more accessible. Here are some tips to take care of yourself.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>There’s hope that the coronavirus pandemic will end soon as the pace of COVID-19 vaccinations picks up in California. But we’re not out of the woods yet. The past year has already \u003ca href=\"https://www.kqed.org/news/11808968/coronavirus-is-impacting-the-bay-areas-mental-health-where-can-you-find-help\">taken a toll on mental health\u003c/a>, and it’s going to take fortitude to get through the rest of the year. Here are some tips from mental health experts on how to keep us grounded and healthy into a post-coronavirus future.\u003c/p>\n\u003ch3>Anxious? Break It Down\u003c/h3>\n\u003cp>At \u003ca href=\"https://www.crisissupport.org/\">Crisis Support Services of Alameda County\u003c/a>, the staff answers over 40,000 calls a year to their 24-hour hotline. One helpful strategy for folks feeling overwhelmed, says Executive Director Narges Zohoury Dillon, is to identify what is — and isn’t — within their control.\u003c/p>\n\u003cp>The key is to break down the amount of time you’re looking ahead. If worrying about what might happen a month from now is giving you a sense of looming doom, try focusing instead on the next few minutes or hours. Dillon says zooming in to a smaller amount of time helps us with that “sense of overwhelm that comes with what’s going to happen.”\u003c/p>\n\u003ch3>Keep Up Your Self-Care Routine\u003c/h3>\n\u003cp>At the start of the COVID-19 pandemic and the first shelter-in-place order, the \u003ca href=\"https://www.kqed.org/news/11807751/a-coronavirus-care-package-care-for-yourself-others-and-still-have-fun\">internet was full of creative ways people were taking care of themselves\u003c/a>. Livestream concerts, Zoom workouts and other self-care tips abounded.\u003c/p>\n\u003cp>Whatever worked to help you relax and take care of yourself then — whether it was yoga, adopting a pet or giving yourself a manicure — stick to that routine, says \u003ca href=\"https://profiles.stanford.edu/allison-thompson\">Allison Thompson\u003c/a>, a psychologist and a clinical associate professor at the Stanford University School of Medicine. Thompson understands it can be hard to stay resilient over the long term, but a consistent routine helps, she says.\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>“I am a firm believer in self-care. For me, it’s making sure that I exercise and that I cook,” she added. But she stresses that self-care looks different for each of us, so do whatever makes you feel nourished and comforted. That might include setting boundaries in your work day, staying connected to the important people in your life and asking for support from friends and family when you need it.\u003c/p>\n\u003ch3>Don’t Avoid Things, Do What Feels Safe\u003c/h3>\n\u003cp>Maybe like me, you’ve avoided supermarkets during the pandemic and the idea of entering one still feels a little scary. Thompson, who specializes in treating post-traumatic stress disorder, says in a post-pandemic world we can learn from research-based treatments that work for trauma.\u003c/p>\n\u003cp>She says that people tend to deal with their anxiety by avoiding. “Avoidance is a wonderful short-term strategy, but an awful long-term strategy.”\u003c/p>\n\u003cp>Thompson tells her patients to make a list of the things they’ve been avoiding because of trauma. Then she has them go out and do those things mindfully.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“If someone says, ‘Oh, gosh, I used to love to go for hikes, but now I’m really afraid,’ take the precautions you need to,” she says. “Wear a mask, be socially distant from people who you don’t know. But you’ll probably find, ‘I feel better doing this than I feel staying inside of my home and avoiding this thing that I know that I really enjoy.’ ”\u003c/p>\n\u003ch3>Limit Your COVID Information to Trusted Sources\u003c/h3>\n\u003cp>If you find yourself getting confused about the changes in the vaccine rollout or feeling fearful about new variants of the disease, sticking to a few trusted sources for coronavirus information can ease the added stress of information overload. Look to guidance from your health care provider, local county health department, California Department of Public Health or Centers for Disease Control and Prevention, says Dillon.\u003c/p>\n\u003cp>“Conflicting information results in confusion,” she says. “And that’s a place where anxiety thrives.”\u003c/p>\n\u003cp>Even with these coping strategies, both Dillon and Thompson say there will be lingering mental health effects from this year, even after vaccinations become more accessible. Some people will be slow to return to public forums or crowded events, while others may feel heightened threat from even minor illness.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And while there might be relief in getting to see friends and family in person again, even that could come with some anxiety, Thompson says. We’ve all had to navigate difficult conversations about exposure and risk over the past year — tensions that may persist into the future.\u003c/p>\n\u003cp>Ultimately, the lasting impact of the pandemic on mental health is a picture still coming into focus, especially because the economic repercussions \u003ca href=\"https://www.kqed.org/news/11840071/mental-health-and-racial-justice-why-advocates-want-to-get-police-out-of-crisis-responses\">could be felt for a long time to come\u003c/a>. Dillon says that data on the emotional and relationship challenges after a pandemic don’t exist yet. So researchers are learning what they can from other “community-wide trauma” events like natural disasters or the 2008 recession.\u003c/p>\n\u003cp>One thing we know: \u003ca href=\"https://www.apa.org/topics/covid-19/domestic-violence-child-abuse\">Incidents of violence increase\u003c/a> when families are under financial stress. “So that’s something that we worry about, depending on how long the economic recovery takes,” says Dillon.\u003c/p>\n\u003cp>There is one positive mental health outcome that both Dillon and Thompson agree on: \u003ca href=\"https://www.kqed.org/science/1963133/telehealth-is-having-a-huge-moment-during-coronavirus-crisis\">Telehealth is here to stay\u003c/a>. Thompson says that while the technology has existed for years, the pandemic forced mental health providers online fast. Though this may open the door for more patient access, some people might be left out.\u003c/p>\n\u003cp>“Not every patient has a smartphone to do a video visit or has a computer and internet to do a video visit,” Thompson says. “A lot of people, particularly those of color, might live in households with multiple generations and they have no privacy.”\u003c/p>\n\u003cp>But telehealth also helps with overcoming other barriers to access, like transportation, mobility and time, Dillon says. A one-hour appointment could turn into a three-hour commitment if you don’t have a car and take public transportation.\u003c/p>\n\u003cp>Both mental health providers say it’s important to recognize that even though life might feel more limited and boring in some ways right now, that could still be a mental health strain. We all need to be gentle with ourselves, look out for our loved ones and show empathy even after the “emergency” is over.\u003c/p>\n\u003ch3>More Resources\u003c/h3>\n\u003cp>\u003ca href=\"https://www.crisissupport.org/\">Crisis Support Services of Alameda County\u003c/a>\u003cbr>\n1-800-273-8255\u003c/p>\n\u003cp>\u003ca href=\"https://suicidepreventionlifeline.org/\">National Suicide Prevention Lifeline\u003c/a>\u003cbr>\n800-273-8255\u003c/p>\n\u003cp>\u003ca href=\"https://www.samhsa.gov/find-help/national-helpline\">Substance Abuse and Mental Health Services Administration Hotline\u003c/a>\u003cbr>\n800-662-4357\u003c/p>\n\u003cp>\u003ca href=\"https://safeandsound.org/for-parents/\">Safe & Sound’s Parental Stress TALK Line\u003c/a>\u003cbr>\n415-441-5437\u003c/p>\n\u003cp>\u003ca href=\"https://www.cuav.org/\">CUAV (Community Unite Against Violence) LGBTQ+ Support\u003c/a>\u003cbr>\n415-333-4357\u003c/p>\n\u003cp>\u003ca href=\"https://www.cpedv.org/member-service/family-violence-law-center-0\">Family Violence Law Center\u003c/a>\u003cbr>\n510-208-0220\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"source": "BBC World Service"
},
"link": "/radio/program/bbc-world-service",
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},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"officialWebsiteLink": "/californiareport",
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"order": 8
},
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}
},
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"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
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"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
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"order": 1
},
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"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"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.",
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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},
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"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.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"freakonomics-radio": {
"id": "freakonomics-radio",
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"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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},
"hidden-brain": {
"id": "hidden-brain",
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
"site": "news",
"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
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"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"order": 18
},
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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"source": "npr"
},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
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},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
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"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"rss": "https://feeds.npr.org/510360/podcast.xml"
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},
"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",
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"info": "One of public radio's most dynamic voices, Sam Sanders helped launch The NPR Politics Podcast and hosted NPR's hit show It's Been A Minute. Now, the award-winning host returns with something brand new, The Sam Sanders Show. Every week, Sam Sanders and friends dig into the culture that shapes our lives: what's driving the biggest trends, how artists really think, and even the memes you can't stop scrolling past. Sam is beloved for his way of unpacking the world and bringing you up close to fresh currents and engaging conversations. The Sam Sanders Show is smart, funny and always a good time.",
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