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"content": "\u003cp>Nearly 60 LGBTQ and public health groups have signed an open letter accusing Facebook of running misleading ads about medication aimed to prevent the transmission of HIV. The ads, paid for by personal injury attorneys, claim so-called pre-exposure prophylaxis (PrEP) medications like Truvada can have serious side effects.\u003c/p>\n\u003cp>\u003ca href=\"https://www.washingtonpost.com/technology/2019/12/09/facebook-ads-are-pushing-misinformation-about-hiv-prevention-drugs-lgbt-activists-say-harming-public-health/\" target=\"_blank\" rel=\"noopener noreferrer\">The Washington Post\u003c/a> found one Facebook page called “\u003ca href=\"https://www.facebook.com/acaseforwomen/\" target=\"_blank\" rel=\"noopener noreferrer\">A Case For Women\u003c/a>,” which ran ads last fall that said, “Truvada and other HIV prevention medications have been linked to serious bone and kidney problems.”\u003c/p>\n\u003cp>Foster City-based Gilead Sciences makes two HIV prevention medications, the older Truvada and the newer Descovy. Studies indicate Descovy may cause fewer side effects than Truvada, which has been shown to negatively affect kidney and bone health, because of differences in the drugs’ active ingredients. But if an ad doesn’t specify which drug it’s referring to, or if it only mentions Truvada, it can sound like all PrEP treatments are potentially detrimental.\u003c/p>\n\u003cp>In an \u003ca href=\"https://www.glaad.org/blog/open-letter-facebook\" target=\"_blank\" rel=\"noopener noreferrer\">open letter\u003c/a>, 58 groups — including the Desmond Tutu HIV Foundation in South Africa and the San Francisco AIDS Foundation — argue Facebook is ignoring their concerns that these ads put “people’s lives in imminent danger” because they scare people away from medications that prevent HIV transmission.\u003c/p>\n\u003cblockquote>\u003cp>This issue goes beyond misinformation, as it puts real people’s lives in imminent danger. The U.S. Centers for Disease Control and Prevention reports that when taken daily, PrEP is highly effective for preventing HIV from sex or injection drug use. The CDC states: “Studies have shown that PrEP reduces the risk of getting HIV from sex by about 99% when taken daily.” The World Health Organization recommends that “people at substantial risk of HIV infection should be offered PrEP as an additional prevention choice, as part of comprehensive prevention.”\u003c/p>\u003c/blockquote>\n\u003cp>“There are many, many people out there who aren’t on it that should be,” said social psychology professor \u003ca href=\"https://www.philliphammack.com\" target=\"_blank\" rel=\"noopener noreferrer\">Phillip Hammack\u003c/a>, who directs the Sexual and Gender Diversity Laboratory at UC Santa Cruz.\u003c/p>\n\u003cp>[aside postID=\"news_11764275,news_11787003,news_11783864\" label=\"More on Facebook\"]“We have a moral obligation to ensure that the messaging about public health is not misleading. Pre-exposure prophylaxis (PrEP) has been an extremely effective way of addressing the spread of HIV among many populations, including gay and bisexual men,” Hammack added.\u003c/p>\n\u003cp>Ironically, the open letter was published on \u003ca href=\"https://www.glaad.org\" target=\"_blank\" rel=\"noopener noreferrer\">GLAAD’s website\u003c/a>, which \u003ca href=\"https://www.facebook.com/help/202924156415780\" target=\"_blank\" rel=\"noopener noreferrer\">advises Facebook\u003c/a> on LGBT issues.\u003c/p>\n\u003cp>In a statement, Facebook countered, “We value our work with LGBTQ groups and constantly seek their input. While these ads do not violate our ad policies nor have they been rated false by third-party fact-checkers, we’re always examining ways to improve and help these key groups better understand how we apply our policies.”\u003c/p>\n\u003cp>While he doesn’t use Facebook, long-term HIV+ patient \u003ca href=\"http://www.sjsu.edu/hsr/about/faculty/lecturers/kevinroe/index.html\" target=\"_blank\" rel=\"noopener noreferrer\">Kevin Roe\u003c/a>, a lecturer at San Jose State’s Department of Public Health and Recreation, said he “fully supports anti PreP (Truvada) ads.” After about ten years on Truvada, Roe developed “moderate kidney disease and a large kidney stone that had to be cut out and was 95% Truvada isolates.”\u003c/p>\n\u003cp>This isn’t the first time Facebook’s assessment of controversial advertisements put the social media giant in the crosshairs of public opinion.\u003c/p>\n\u003cp>Facebook CEO Mark Zuckerberg has experienced a great deal of blowback following his attempts to frame the conversation as one about free speech, including at this event hosted by Georgetown University:\u003c/p>\n\u003cp>[youtube https://www.youtube.com/watch?v=nP–X4GhuP4]There’s no legislation that requires social media platforms ban misleading or controversial content. But Facebook can choose to carve out a particular exemption — and it has, in the case of \u003ca href=\"https://about.fb.com/news/2019/03/combatting-vaccine-misinformation/\" target=\"_blank\" rel=\"noopener noreferrer\">anti-vaccine content\u003c/a> as recently as last March.\u003c/p>\n\u003cp>Just last week, Facebook \u003ca href=\"https://about.fb.com/news/2019/12/taking-action-against-ad-fraud/\" target=\"_blank\" rel=\"noopener noreferrer\">announced a lawsuit\u003c/a> against advertisers that encouraged people to install malware that “enabled the defendants to compromise people’s Facebook accounts and run deceptive ads promoting items such as counterfeit goods and diet pills.”\u003c/p>\n\u003cp>The vast majority of Facebook’s revenues are \u003ca href=\"https://investor.fb.com/investor-news/press-release-details/2019/Facebook-Reports-Third-Quarter-2019-Results/default.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">driven by advertising\u003c/a>.\u003c/p>\n\u003cp>“Any kind of deterrent to this medication is not in the interest of public health,” said UCSC’s Hammack. “That’s the delicate balance, weighing the financial interests of a few and the larger, collective good for us all.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“We have a moral obligation to ensure that the messaging about public health is not misleading. Pre-exposure prophylaxis (PrEP) has been an extremely effective way of addressing the spread of HIV among many populations, including gay and bisexual men,” Hammack added.\u003c/p>\n\u003cp>Ironically, the open letter was published on \u003ca href=\"https://www.glaad.org\" target=\"_blank\" rel=\"noopener noreferrer\">GLAAD’s website\u003c/a>, which \u003ca href=\"https://www.facebook.com/help/202924156415780\" target=\"_blank\" rel=\"noopener noreferrer\">advises Facebook\u003c/a> on LGBT issues.\u003c/p>\n\u003cp>In a statement, Facebook countered, “We value our work with LGBTQ groups and constantly seek their input. While these ads do not violate our ad policies nor have they been rated false by third-party fact-checkers, we’re always examining ways to improve and help these key groups better understand how we apply our policies.”\u003c/p>\n\u003cp>While he doesn’t use Facebook, long-term HIV+ patient \u003ca href=\"http://www.sjsu.edu/hsr/about/faculty/lecturers/kevinroe/index.html\" target=\"_blank\" rel=\"noopener noreferrer\">Kevin Roe\u003c/a>, a lecturer at San Jose State’s Department of Public Health and Recreation, said he “fully supports anti PreP (Truvada) ads.” After about ten years on Truvada, Roe developed “moderate kidney disease and a large kidney stone that had to be cut out and was 95% Truvada isolates.”\u003c/p>\n\u003cp>This isn’t the first time Facebook’s assessment of controversial advertisements put the social media giant in the crosshairs of public opinion.\u003c/p>\n\u003cp>Facebook CEO Mark Zuckerberg has experienced a great deal of blowback following his attempts to frame the conversation as one about free speech, including at this event hosted by Georgetown University:\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/nP'\n title='//www.youtube.com/embed/nP'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>There’s no legislation that requires social media platforms ban misleading or controversial content. But Facebook can choose to carve out a particular exemption — and it has, in the case of \u003ca href=\"https://about.fb.com/news/2019/03/combatting-vaccine-misinformation/\" target=\"_blank\" rel=\"noopener noreferrer\">anti-vaccine content\u003c/a> as recently as last March.\u003c/p>\n\u003cp>Just last week, Facebook \u003ca href=\"https://about.fb.com/news/2019/12/taking-action-against-ad-fraud/\" target=\"_blank\" rel=\"noopener noreferrer\">announced a lawsuit\u003c/a> against advertisers that encouraged people to install malware that “enabled the defendants to compromise people’s Facebook accounts and run deceptive ads promoting items such as counterfeit goods and diet pills.”\u003c/p>\n\u003cp>The vast majority of Facebook’s revenues are \u003ca href=\"https://investor.fb.com/investor-news/press-release-details/2019/Facebook-Reports-Third-Quarter-2019-Results/default.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">driven by advertising\u003c/a>.\u003c/p>\n\u003cp>“Any kind of deterrent to this medication is not in the interest of public health,” said UCSC’s Hammack. “That’s the delicate balance, weighing the financial interests of a few and the larger, collective good for us all.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>When BJ Miller was a sophomore at Princeton University, he climbed atop a commuter train that had been parked for the night. What began as a lark took a tragic turn when 11,000 volts of electricity suddenly surged through his body.\u003c/p>\n\u003cp>“There was a big explosion, a big flash of light, and I was thrown … quite some distance,” Miller says. “My body was literally smoking.”\u003c/p>\n\u003cp>Miller survived that 1990 accident but lost both legs below the knee and half of one arm. Coming close to death and dealing with pain and disability inspired him to go into medicine and the field of \u003ca href=\"https://www.npr.org/tags/499181710/disability-rights\">disability rights\u003c/a>.\u003c/p>\n\u003cp>As a \u003ca href=\"https://www.npr.org/tags/134950354/palliative-care/archive?date=12-31-2013\">palliative care\u003c/a> physician at UCSF’s Cancer Center, \u003ca href=\"https://www.sfchronicle.com/news/article/BJ-Miller-pain-doctor-at-the-Zen-Hospice-Project-2369267.php\">Miller draws on his own experiences\u003c/a> to help people with their physical, emotional and spiritual pain at the end of their lives. His new book, with co-author Shoshana Berger, is \u003cem>A Beginner’s Guide to the End: Practical Advice for Living Life and Facing Death.\u003c/em>\u003c/p>\n\u003cp>Miller says it’s hard for him to regret the accident that changed his life.\u003c/p>\n\u003cp>“So much has flowed from it,” he says. “If I’m honest, there’s a little bit of pride. … [What] I’m a little proud of is the decision to work with this experience over time, to dig into it, to mine it, to find a creative energy in it.”\u003c/p>\n\u003chr>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>\u003cstrong>Interview highlights\u003c/strong>\u003c/h3>\n\u003cp>\u003cstrong>On how growing up with his mother, who had polio, influenced him\u003c/strong>\u003c/p>\n\u003cp>To grow up around disability from a young age, to have that carved into your worldview was, you can imagine, hugely helpful for me as a 19-year-old kid with ostensibly everything going for him. … To know in your bones that you’re on borrowed time with being “able-bodied” — I knew that. I didn’t have to learn that, and that was a huge advantage. …\u003c/p>\n\u003cp>In my early childhood, she used crutches and a brace and was extremely physically capable. And then, over time, from the early ’80s on, it’s just been a very slow decline to the point now where she really requires an electric wheelchair, has a little bit of ability to stand, but not for very long, etc. …\u003c/p>\n\u003cp>People think you’re Jesus because you’ve gone through something special. They treat you like you’ve got special knowledge, or they treat you a little bit like Frankenstein. Of course, those two responses are related. Neither of them is accurate. But that’s the kind of vibe you can get — a lot of us who have disabilities know very well. And I had seen that. I knew how to read that, thanks to my mother.\u003c/p>\n\u003cp>\u003cstrong>On deciding to pursue palliative medicine \u003c/strong>\u003c/p>\n\u003cp>I started doing a little work [in] arts advocacy and disability rights. But basically … thanks to the disability rights movement, I realized that disability is not something to be ashamed of. It’s not something to overcome, to put behind you — it’s something to work with. It doesn’t go away. I can’t overcome this; it’s my daily experience. So instead the compulsion was to work with it — in a professional way that I could make a living. And medicine lit up, theoretically, as a way where I could use these experiences and pay them forward in some way or draw from them — not overcome them and put them behind me.\u003c/p>\n\u003cp>[aside label=\"Related Coverage\" postID=news_11784435,futureofyou_443966,stateofhealth_364223]\u003c/p>\n\u003cp>\u003cstrong>On palliative care and the treatment of suffering \u003c/strong>\u003c/p>\n\u003cp>That’s why I think hospice and palliative medicine is so interesting. You don’t just treat pain. You treat suffering. Suffering is a multiheaded beast. … Basically palliative care is the treatment of suffering, versus the rest of medicine as the treatment of disease. …\u003c/p>\n\u003cp>So what is suffering? Well, suffering, there’s a lot of different ways to define it. \u003ca href=\"https://www.bmj.com/content/suppl/2005/07/18/331.7509.DC1\">Cicely Saunders\u003c/a>, the grandmother of hospice work, she called it “total pain.” That [it has] a physical component, a psychological and emotional component, a spiritual component. It’s a multiheaded entity. One might say it affects how you see yourself. It affects your identity. I’ve come to understand suffering as a wedge — a gap that opens up in you. The gap between the world you have and the world you want. So, it gets at your desire, it gets at your longing, it gets at what you’re lacking.\u003c/p>\n\u003cp>\u003cstrong>On finding the balance between life and death, and joy and sorrow\u003c/strong>\u003c/p>\n\u003cp>Coming out of the back side of the experience of my own injuries, my own brush with death, etc., I came out of there eventually holding life much more loosely. So it didn’t teach me to cling to life with my fingernails, that that was the way through. It taught me some adult trick of simultaneously holding on to opposing emotions. …\u003c/p>\n\u003cp>Grief does this. But anyone who’s dealt with pain — chronic pain — when the clouds part even for a moment and you have the absence of pain, it’s a stunning feeling. I remember feeling that I really wanted to stay close to that interface between joy and sorrow, between pain and pleasure, between life and death. It felt like such a rich, rich place that I had been forced into. I had to hang out there for a while, but I became a little enamored of it, because from there I could just as easily get to sorrow as I could get to joy. And that to me has felt like a kind of a dexterity or an agility, something very good. … So death is close by, pain is close by — so is the rest of life. So is the good stuff. That zone, it helps me imagine what my patients are going through, being close to death.\u003c/p>\n\u003cp>\u003cstrong>On how he helps his patients with both their fear of dying and their fear of being dead \u003c/strong>\u003c/p>\n\u003cp>Fear helps point to the things that you care about, the things you love, the things you’re afraid to lose. Fear is a big important subject and really requires and demands looking at. The sooner we do, the better, because oftentimes it’s not so darn scary. … It’s helpful when patients will confess some fear to me. … People say, “Actually I’m afraid of the pain I imagine is going to happen during the dying process.” So the fear of dying, the fear of the dying process. That’s an important distinction, because any hospice and palliative medicine team can do a lot to quell the pain and the sorrow that happens during the dying process. We have medications. We have ways of being with each other. We have ways of positioning your body. There’s all sorts of things to do, so suffering is not necessarily part of the dying process. And there’s a lot of reassurance. … We understand that process pretty well, and there’s a lot we can do. So that’s an important distinction. That’s pretty concrete. That’s knowable.\u003c/p>\n\u003cp>Now, some of my patients will say, “That’s one thing. But I’m actually afraid of being dead. I’m afraid of being in the ground. I’m afraid of what comes next or whatever else.” Then my response, of course, is, “Well, gosh, I don’t know what that’s like either. But let’s think about it. Let’s talk about it.” And when we push on that one, I think most of us can get to a place where we realize that we’re not just our bodies — and our bodies, once they’re dead, aren’t likely to be feeling anything.\u003c/p>\n\u003cp>But when you push on that one, you can open up [about] what is known as [the] modern acronym of FOMO — fear of missing out. That’s very often at the heart of people’s fear of being dead — like all that they’re going to miss. And this idea that the world is going to continue on without them, all the things they’re not going to get to see, etc. But if you go there, then what has that done? That has pointed us very squarely to all the things we love and care about. And then that becomes a nice compass for our way forward, how we’re going to live until we die. The fear there, the things we are afraid to miss, are the things we really should uptick in terms of our attention now.\u003c/p>\n\u003cp>\u003cem>Sam Briger and Joel Wolfram produced and edited this interview for broadcast. Bridget Bentz, Molly Seavy-Nesper and Deborah Franklin adapted it for the Web.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 Fresh Air. To see more, visit \u003ca href=\"http://www.npr.org/programs/fresh-air/\">Fresh Air\u003c/a>.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=After+A+Freak+Accident%2C+A+Doctor+Finds+Insight+Into+%27Living+Life+And+Facing+Death%27&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>When BJ Miller was a sophomore at Princeton University, he climbed atop a commuter train that had been parked for the night. What began as a lark took a tragic turn when 11,000 volts of electricity suddenly surged through his body.\u003c/p>\n\u003cp>“There was a big explosion, a big flash of light, and I was thrown … quite some distance,” Miller says. “My body was literally smoking.”\u003c/p>\n\u003cp>Miller survived that 1990 accident but lost both legs below the knee and half of one arm. Coming close to death and dealing with pain and disability inspired him to go into medicine and the field of \u003ca href=\"https://www.npr.org/tags/499181710/disability-rights\">disability rights\u003c/a>.\u003c/p>\n\u003cp>As a \u003ca href=\"https://www.npr.org/tags/134950354/palliative-care/archive?date=12-31-2013\">palliative care\u003c/a> physician at UCSF’s Cancer Center, \u003ca href=\"https://www.sfchronicle.com/news/article/BJ-Miller-pain-doctor-at-the-Zen-Hospice-Project-2369267.php\">Miller draws on his own experiences\u003c/a> to help people with their physical, emotional and spiritual pain at the end of their lives. His new book, with co-author Shoshana Berger, is \u003cem>A Beginner’s Guide to the End: Practical Advice for Living Life and Facing Death.\u003c/em>\u003c/p>\n\u003cp>Miller says it’s hard for him to regret the accident that changed his life.\u003c/p>\n\u003cp>“So much has flowed from it,” he says. “If I’m honest, there’s a little bit of pride. … [What] I’m a little proud of is the decision to work with this experience over time, to dig into it, to mine it, to find a creative energy in it.”\u003c/p>\n\u003chr>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>On palliative care and the treatment of suffering \u003c/strong>\u003c/p>\n\u003cp>That’s why I think hospice and palliative medicine is so interesting. You don’t just treat pain. You treat suffering. Suffering is a multiheaded beast. … Basically palliative care is the treatment of suffering, versus the rest of medicine as the treatment of disease. …\u003c/p>\n\u003cp>So what is suffering? Well, suffering, there’s a lot of different ways to define it. \u003ca href=\"https://www.bmj.com/content/suppl/2005/07/18/331.7509.DC1\">Cicely Saunders\u003c/a>, the grandmother of hospice work, she called it “total pain.” That [it has] a physical component, a psychological and emotional component, a spiritual component. It’s a multiheaded entity. One might say it affects how you see yourself. It affects your identity. I’ve come to understand suffering as a wedge — a gap that opens up in you. The gap between the world you have and the world you want. So, it gets at your desire, it gets at your longing, it gets at what you’re lacking.\u003c/p>\n\u003cp>\u003cstrong>On finding the balance between life and death, and joy and sorrow\u003c/strong>\u003c/p>\n\u003cp>Coming out of the back side of the experience of my own injuries, my own brush with death, etc., I came out of there eventually holding life much more loosely. So it didn’t teach me to cling to life with my fingernails, that that was the way through. It taught me some adult trick of simultaneously holding on to opposing emotions. …\u003c/p>\n\u003cp>Grief does this. But anyone who’s dealt with pain — chronic pain — when the clouds part even for a moment and you have the absence of pain, it’s a stunning feeling. I remember feeling that I really wanted to stay close to that interface between joy and sorrow, between pain and pleasure, between life and death. It felt like such a rich, rich place that I had been forced into. I had to hang out there for a while, but I became a little enamored of it, because from there I could just as easily get to sorrow as I could get to joy. And that to me has felt like a kind of a dexterity or an agility, something very good. … So death is close by, pain is close by — so is the rest of life. So is the good stuff. That zone, it helps me imagine what my patients are going through, being close to death.\u003c/p>\n\u003cp>\u003cstrong>On how he helps his patients with both their fear of dying and their fear of being dead \u003c/strong>\u003c/p>\n\u003cp>Fear helps point to the things that you care about, the things you love, the things you’re afraid to lose. Fear is a big important subject and really requires and demands looking at. The sooner we do, the better, because oftentimes it’s not so darn scary. … It’s helpful when patients will confess some fear to me. … People say, “Actually I’m afraid of the pain I imagine is going to happen during the dying process.” So the fear of dying, the fear of the dying process. That’s an important distinction, because any hospice and palliative medicine team can do a lot to quell the pain and the sorrow that happens during the dying process. We have medications. We have ways of being with each other. We have ways of positioning your body. There’s all sorts of things to do, so suffering is not necessarily part of the dying process. And there’s a lot of reassurance. … We understand that process pretty well, and there’s a lot we can do. So that’s an important distinction. That’s pretty concrete. That’s knowable.\u003c/p>\n\u003cp>Now, some of my patients will say, “That’s one thing. But I’m actually afraid of being dead. I’m afraid of being in the ground. I’m afraid of what comes next or whatever else.” Then my response, of course, is, “Well, gosh, I don’t know what that’s like either. But let’s think about it. Let’s talk about it.” And when we push on that one, I think most of us can get to a place where we realize that we’re not just our bodies — and our bodies, once they’re dead, aren’t likely to be feeling anything.\u003c/p>\n\u003cp>But when you push on that one, you can open up [about] what is known as [the] modern acronym of FOMO — fear of missing out. That’s very often at the heart of people’s fear of being dead — like all that they’re going to miss. And this idea that the world is going to continue on without them, all the things they’re not going to get to see, etc. But if you go there, then what has that done? That has pointed us very squarely to all the things we love and care about. And then that becomes a nice compass for our way forward, how we’re going to live until we die. The fear there, the things we are afraid to miss, are the things we really should uptick in terms of our attention now.\u003c/p>\n\u003cp>\u003cem>Sam Briger and Joel Wolfram produced and edited this interview for broadcast. Bridget Bentz, Molly Seavy-Nesper and Deborah Franklin adapted it for the Web.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 Fresh Air. To see more, visit \u003ca href=\"http://www.npr.org/programs/fresh-air/\">Fresh Air\u003c/a>.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=After+A+Freak+Accident%2C+A+Doctor+Finds+Insight+Into+%27Living+Life+And+Facing+Death%27&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "how-one-womans-search-for-her-homeless-mother-became-a-mission-to-help-others",
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"content": "\u003cp>\u003cem>This story was originally published on July 31, 2019.\u003c/em>\u003c/p>\n\u003cp>[dropcap]G[/dropcap]rowing up, Robin Burton didn’t really know much about her mother, Cloudia Leslie Wells. “I was never told that my mom was mentally ill. My grandparents raised me, her mom and dad, and my mom would come home for a couple months and she’d be gone for a couple of years, and this was normal to me growing up,” she said.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Robin Burton, founder of the Facebook group Missing & Homeless']‘The only thing that I want to say to my mom whenever I find her is, “I love you.” That means more to me than anything else in the world, is just for her to hear those three words: “I love you.”‘[/pullquote]\u003c/p>\n\u003cp>Burton was an adult by the time she learned her mom had been diagnosed with paranoid schizophrenia. That finally answered questions unanswered when her mom was breezing in and out of her life. Like many kids who don’t understand what they’re looking at when they’re looking at severe mental illness, little Robin came up with a story.\u003c/p>\n\u003cp>“I thought that she was living the life of the rich and famous, and didn’t have time for me. That was so far from the truth,” she said.\u003c/p>\n\u003cp>That was a sadness she learned to live with early in life. But when Burton was in her 20s, she lost her mom in a new and different way. First, her grandparents died. Then, when her mom swung through town, sometime around Christmas in 1994, and learned about their deaths, she left and didn’t come back. Ever.\u003c/p>\n\u003cp>“I was 23 whenever she went missing, and I’m 48 years old now,” Burton said.\u003c/p>\n\u003cp>Schizophrenia can be a debilitating disease. There’s no known cure, though medications can help. “We don’t know what it is. We don’t know what causes it. I don’t even know what the meaning of a cure would be,” said \u003ca href=\"https://medicine.yale.edu/psychiatry/people/robert_rosenheck.profile\" target=\"_blank\" rel=\"noopener noreferrer\">Robert Rosenheck\u003c/a>, professor of psychiatry and of health policy at the Yale School of Medicine.\u003c/p>\n\u003cfigure id=\"attachment_11764368\" class=\"wp-caption aligncenter\" style=\"max-width: 720px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11764368\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/07/FB_IMG_1558461841538.jpg\" alt=\"A rare family photo of young Robin Burton with her mother, Cloudia Leslie Wells.\" width=\"720\" height=\"540\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/FB_IMG_1558461841538.jpg 720w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/FB_IMG_1558461841538-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/FB_IMG_1558461841538-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/FB_IMG_1558461841538-536x402.jpg 536w\" sizes=\"auto, (max-width: 720px) 100vw, 720px\">\u003cfigcaption class=\"wp-caption-text\">A rare family photo of young Robin Burton with her mother, Cloudia Leslie Wells. \u003ccite>(Courtesy of Robin Burton)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Scientists do know schizophrenia affects people of every race, culture and economic class. Common symptoms include delusions, social withdrawal and an inability to cope with strong emotions. “Schizophrenia interferes with all areas of mental life. It makes it hard to think clearly. It makes people fearful, angry sometimes, and sometimes numb,” Rosenheck added.\u003c/p>\n\u003cp>That’s why you see so many homeless people with schizophrenia. It’s hard for other people to connect with them and stay connected.\u003c/p>\n\u003cp>As the years wore on, Burton hired a private investigator to find Cloudia, though a lot of people told her to let it go. A lot of people tell her that now. But Burton won’t give up on the hope that Cloudia is still alive, and that there might be some benefit to seeing her again.\u003c/p>\n\u003cp>“I’m not here to judge my mom, and I’m not here to ask her any questions on why she didn’t come home, or where she’s been, because she has her own reasons. The only thing that I want to say to my mom whenever I find her is, ‘I love you.’ That means more to me than anything else in the world, is just for her to hear those three words: ‘I love you.’ ”\u003c/p>\n\u003cp>The question is, how to find her?\u003c/p>\n\u003ch2>The First Trip to California\u003c/h2>\n\u003cp>Burton lives in Collinsville, Illinois. “I work at Geico. I’m an insurance agent. I also bartend on the weekends,” at a popular local watering hole called Ardie and Tiny’s.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Robin Burton, founder of the Facebook group Missing & Homeless']‘You know, the question that I get asked a lot, and most families do that are looking for their missing loved ones that are living homeless, is maybe they don’t want to be found.’[/pullquote]One evening, almost five years ago, Burton was working at that bar, “and it was a slow night, and I had a phone call from my private investigator, and he had told me that he doesn’t know how he missed it. But my mom’s Social Security number was used at a homeless shelter in 2013.”\u003c/p>\n\u003cp>It was a homeless shelter in Santa Monica, California, roughly 2,000 miles from Collinsville.\u003c/p>\n\u003cp>Burton explained, “I didn’t think a whole lot of it because I’ve been on wild goose chases before. I told a customer, just for small talk, about the phone call conversation. Unbeknownst to me, that customer went home and started Googling the Web. Two days later, he called me on the phone and he said, ‘Robin, I need your email address. There’s something I want you to look at.’ ”\u003c/p>\n\u003cp>It was a 2014 article from the Los Angeles Times, talking about the annual point-in-time count of the local homeless population. There was one photograph up top, of a homeless woman on the street. “I knew immediately that it was her. Because your eyes don’t change.”\u003c/p>\n\u003cp>Burton called up the L.A. Times, and the reporter put Burton in touch with the photographer, who said the photo was taken one year before the article was written.\u003c/p>\n\u003cp>“January 2013 in Santa Monica, California, the exact same place and area my mom’s Social Security number was used. In the same year. And that was all the confirmation I needed, ’cause I already knew it was her,” Burton said.\u003c/p>\n\u003cp>That tip was 2 years old, but she decided to chase it down anyway. She set up a Go Fund Me page to get help paying for a rental car to get to California, and for a motel room to stay in when she got there.\u003c/p>\n\u003cp>A local \u003ca href=\"https://fox2now.com/2015/02/17/collinsville-woman-heads-to-la-to-find-her-mother-after-spotting-her-in-la-times-picture/\" target=\"_blank\" rel=\"noopener noreferrer\">Fox News\u003c/a> outlet broadcast a set-up story the night before Burton left for L.A. By then, Burton had talked with a police officer at the LAPD, who told her Cloudia had been sighted on L.A.’s skid row. Burton told Fox, “I’m not scared of skid row. That’s not my biggest fear. My biggest fear is my mom not wanting to come back with me. Alls I know is I have to find her. I gotta let her know I love her.”\u003c/p>\n\u003ch2>Lessons Learned on Skid Row\u003c/h2>\n\u003cfigure id=\"attachment_11764385\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11764385 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/07/RS27189_GettyImages-691243686-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/RS27189_GettyImages-691243686-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/RS27189_GettyImages-691243686-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/RS27189_GettyImages-691243686-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/RS27189_GettyImages-691243686-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/RS27189_GettyImages-691243686-qut-1200x800.jpg 1200w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A woman passes a wheelchair-bound homeless man on Spring Street on May 1, 2017, in Los Angeles. The 2017 Greater Los Angeles Homeless Count indicated a dramatic jump of 20 percent in the city of Los Angeles, while Los Angeles County has spiked 23 percent. \u003ccite>(David McNew/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There has been a skid row in Los Angeles since the late 19th century. There have been attempts to clear out the poverty and crime from this square mile in the heart of downtown since the 1950s.\u003c/p>\n\u003cp>But it’s never looked as bad as it does in modern times: a tent city of roughly 4,000 people has sprung up on these sun-baked concrete sidewalks, crawling with rats and bedbugs, reeking with the smell of human urine and feces.\u003c/p>\n\u003cp>Robin arrived in 2015 carrying a box of candy bars wrapped with her mom’s picture, but she made a critical mistake. She brought along another TV camera crew.\u003c/p>\n\u003cp>People on the streets were not happy to see that, or her. “The very first day out there was very scary and emotional for me. I broke down crying. I had to leave. I had to leave and I had to go back to my motel and take a deep breath and re-evaluate.”\u003c/p>\n\u003cp>Back in the motel room, Burton decided she needed to try again, in a different way. “Without the cameras, everything was so different. and it was actually the homeless that was helping me look for my mom. It was them that was telling me, ‘You know I wish I had somebody looking for me.’ ”\u003c/p>\n\u003cp>You could imagine Cloudia visiting a place like the \u003ca href=\"https://www.downtownwomenscenter.org\" target=\"_blank\" rel=\"noopener noreferrer\">Downtown Women’s Center\u003c/a>. Homeless and near-homeless women from all over Southern California come here looking for help for a range of problems.\u003c/p>\n\u003cp>“We serve about 4,000 women a year and it’s very fairly infrequent that we see them reunify. It’s really probably only about five a year,” said chief program officer Erika Hartman, who betrays in her voice a certain exhaustion at the very idea of what sounds like a much desired fairy-tale ending.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Robin Burton, founder of the Facebook group Missing & Homeless']‘I was very, very angry at God. How could you send me a picture after 20 years? How could I go out there and not find her? And it wasn’t until I came home and I realized I’m not alone. There are other families just like me.’[/pullquote]“Usually, at the point that they have come to skid row, they have really run out of other connections that they can turn to. Sometimes, it’s because they’ve really exhausted their relationships with people who are trying support them. Or who have set boundaries due to substance use. Lots of women report experiencing shame about homelessness,” Hartman said.\u003c/p>\n\u003cp>Even with help, three weeks passed with no sign of Cloudia. Some people told Burton they believed Cloudia must be dead. Whatever the case, Burton needed to go back home and get back to work.\u003c/p>\n\u003cp>That spring, Burton started a Facebook group called \u003ca href=\"https://www.facebook.com/MissingHomelessOrg/\" target=\"_blank\" rel=\"noopener noreferrer\">Missing & Homeless\u003c/a>. The concept is simple: post a person’s story, with enough details and photos, in the hopes somebody in the group will recognize that missing person and help put them in touch with the family looking for them.\u003c/p>\n\u003cp>“They’re not a piece of garbage, you know. They’re somebody’s mother. They’re somebody son. They’re somebody’s sister.”\u003c/p>\n\u003cfigure id=\"attachment_11764316\" class=\"wp-caption aligncenter\" style=\"max-width: 742px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11764316\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/07/1485734303999.jpeg\" alt=\"One of numerous posters Robin Burton has drawn up over the years in the search for her mother, believed to be homeless somewhere in California.\" width=\"742\" height=\"960\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/1485734303999.jpeg 742w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/1485734303999-160x207.jpeg 160w\" sizes=\"auto, (max-width: 742px) 100vw, 742px\">\u003cfigcaption class=\"wp-caption-text\">One of numerous posters Robin Burton has drawn up over the years in the search for her mother, believed to be homeless somewhere in California. \u003ccite>(Courtesy of Robin Burton)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>An Education in Finding People\u003c/h2>\n\u003cp>Robin said she functions like a reporter when a family contacts her for help. She presses them for more information. Where, exactly, did the person go missing? Are there any distinguishing characteristics, like eye color or tattoos? Do they suffer from mental illness or addiction?\u003c/p>\n\u003cp>The details make it easier to find somebody, but they also emotionally engage the Facebook group members. As opposed to say, some generic post about a Jane Doe.\u003c/p>\n\u003cp>“I had no idea when I started ‘Missing & Homeless’ what it was going to become, and how many followers and supporters that we were gonna have. Then we started finding people. Four years later, we have probably found 70 or 80 people,” Burton said.\u003c/p>\n\u003cp>It turns out a lot of the group’s 63,000 members are homeless themselves, typically logging into Facebook at public libraries — in part because they don’t have any barriers precluding them from getting involved.\u003c/p>\n\u003cp>[aside tag='homelessness' label='More on Homelessness']\u003c/p>\n\u003cp>Burton has had a number of frustrating conversations with health care providers and social service workers who won’t say boo about someone who friends and family are searching for.\u003c/p>\n\u003cp>“You can walk into a homeless shelter or a soup kitchen and they will not tell you if they’re there. My mom could be in the same building as me and I would never even know it. It’s heartbreaking, whenever you have a family member that is missing and living homeless, the lack of help that you get because of it,” Burton said.\u003c/p>\n\u003cp>There’s a very big reason why most social workers and health care providers would not tell Robin if her mom was in a particular building. It’s against federal law, specifically, the \u003ca href=\"https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html\" target=\"_blank\" rel=\"noopener noreferrer\">Health Insurance Portability and Accountability Act of 1996\u003c/a>. HIPAA, as most people call it, has a provision that protects the privacy of individuals’ medical records, including the fact of a person’s presence in a facility.\u003c/p>\n\u003cp>Hartman of the Downtown Women’s Center explained staff are happy to take a message and pass it on. But it’s the homeless person’s choice whether to connect. Always. In part, because they can’t presume the best about people who say they’re searching for a loved one.\u003c/p>\n\u003cp>“We have women who have been trafficked or abused or exploited by family members,” Hartman said. “Many of them don’t list an emergency contact. We have women who pass and we don’t know how to find a next of kin.”\u003c/p>\n\u003cp>In other words, many of these women have good reasons they don’t want to be found. Burton gets that. She’s also seen enough to know some people are just too far gone into the abyss of mental illness, or addiction, or both.\u003c/p>\n\u003cp>“I had a lady that was looking for her son that was schizophrenic, and he was found after, after five or six years, and she didn’t recognize him at first. You know, because the streets weather you. You change drastically. He didn’t recognize her either, and he said, ‘You’re not my mom.’ He’s missing again,” Burton said.\u003c/p>\n\u003cp>So far, we’ve been presuming that the right homeless person has been correctly identified. Sometimes, people eager to help say they’ve seen someone they actually haven’t.\u003c/p>\n\u003cp>It happened to Burton, just weeks after she returned home from skid row that first time. A volunteer from the Downtown Women’s Center called Burton to say Cloudia was there.\u003c/p>\n\u003cp>Burton bought a plane ticket. She was sitting on that plane ahead of takeoff, when she got another call saying the volunteer was mistaken. The timing was such that Burton flew to L.A. and back: an expensive, useless and emotionally painful trip.\u003c/p>\n\u003cp>Now, that wouldn’t stop Burton from recommending families make every effort to file missing person reports, and take all the other recommended steps. Because the wins, when they happen, are so satisfying.\u003c/p>\n\u003cfigure id=\"attachment_11764346\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11764346\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/07/RS38248_Corey-qut.jpg\" alt=\"A former workmate of Corey Abernathy's asked his parents for permission to post this on the Facebook group "Missing & Homeless." That's how a housemate of Abernathy's in San Francisco spotted it, and told him, and he called his parents after a radio silence of two years.\" width=\"1920\" height=\"1246\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/RS38248_Corey-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/RS38248_Corey-qut-160x104.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/RS38248_Corey-qut-800x519.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/RS38248_Corey-qut-1020x662.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/RS38248_Corey-qut-1200x779.jpg 1200w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A former workmate of Corey Abernathy asked his parents for permission to post this on the Facebook group “Missing & Homeless.” That’s how a housemate of Abernathy’s in San Francisco spotted it, and told him, and he called his parents after a radio silence of two years. \u003ccite>(Courtesy of Corey Abernathy)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>A Win in San Francisco\u003c/h2>\n\u003cp>Corey Abernathy, and his parents, Cathy and Robert Abernathy, agreed to meet me on a bright, breezy day at one of his favorite haunts in San Francisco: Crissy Field. When he was homeless, Corey used to camp in the Presidio, not far from where tourists whiz by on their rented bicycles and children eat ice cream while wearing fleece jackets.\u003c/p>\n\u003cp>“I just thought too much about life. I felt a lot of pressure,” Corey said. He’s 5-foot-9. About 160 pounds. Hair and beard close-cropped. His blue eyes twinkle in the sun. He looks like he’s gotten a lot of sun in recent years, but nothing that seems out of the ordinary for an athletic white man in his early 30s.\u003c/p>\n\u003cp>Corey was 28 when he decided to throw on a backpack one day and leave his parents’ home in Willits in Mendocino County. With no warning, or explanation — though there were signs when the family looks back on it — that he wasn’t happy. That he was drifting.\u003c/p>\n\u003cp>“I just remember that there was like a weird amount of anxiety on me,” Abernathy said. “I always tried to make sense of everything. I put too much pressure on myself that wasn’t really there. Yeah, the way I dealt with it was just drinking a lot.”\u003c/p>\n\u003cp>He’d struggled with anxiety since childhood. He didn’t seem to have a strong idea for a career the way his older brother had. He dropped out of Sacramento State almost as soon as he got there. He lost a job in retail, then switched to a local casino. But there, he was surrounded by alcohol, and the consequences were predictable.\u003c/p>\n\u003cp>Corey started reading about people who dropped out of society for a different kind of life. “So it wasn’t like one single moment. It was something I was thinking about for probably like a year,” he explained.\u003c/p>\n\u003cp>Then Corey got a DUI, something he was really ashamed about. He thought to himself, if he had no money, he wouldn’t be able to buy alcohol. And if he had nothing to worry about, he wouldn’t want to buy alcohol.\u003c/p>\n\u003cp>He explained, “My car got towed and I just said, ‘I’m done.’ At the time, it was a good feeling. I don’t have to deal with problems I can’t figure out anymore.”\u003c/p>\n\u003cp>But remember, he was living with his parents at the time. And when he walked out that front door, he left no note. No explanation. His mom, Cathy, is a registered nurse. His dad, Robert, is a retired custom cabinetmaker.\u003c/p>\n\u003cp>His father recalled the day, “Got home and the house was empty. To me, it looked like he’d just walked out the door to go out for a walk. Everything was still in his room. Nothing disturbed. He just disappeared.”\u003c/p>\n\u003cp>They called the police and filed a missing person’s report. Only to discover the police in Mendocino County have a loose attitude about adults who disappear, given the local marijuana growing industry’s reliance on seasonal workers. In this business, pruning is called “trimming,” and many of the trimmers come and go.\u003c/p>\n\u003cp>“In Mendocino County, Sonoma County if a adult is missing, they’re out trimming,” Cathy said. “It was October and it was trimming season. They took the report, but they weren’t doing anything with it.”\u003c/p>\n\u003cp>So Robert and Cathy had to start looking on their own. Corey’s friends helped. A former workmate tacking up a poster in Ukiah met a homeless person who directed them to Fort Bragg, where Robert and Cathy found Corey in a park, about six weeks after he disappeared. But Corey wouldn’t come back.\u003c/p>\n\u003cp>“I wasn’t ready to see them,” he said.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Corey Abernathy, building a new life for himself in San Francisco after more than three years homeless']‘I gave everything up, you know. It was like, I don’t know if I’m ever going to have a room again. I don’t know if I’m ever going to have a relationship again. I distinctively classified myself aside from society.’[/pullquote]\u003c/p>\n\u003cp>Robert described his thinking in that moment, “As much as I wanted to grab him and throw him in the car, I knew he’d be gone again. So that was the hardest decision I’ve ever had to make was to let him go.”\u003c/p>\n\u003cp>So they did, and Corey kept hitchhiking, to Point Arena, Gualala and finally San Francisco — where he proceeded to bounce from sleeping rough in the Presidio to side streets and shelters, sporadically sending his parents Facebook messages from public libraries. Until he stopped doing that. The last one was in February 2016.\u003c/p>\n\u003cp>“I felt regret and guilt. I knew I was going to have to figure out a way to speak to them, and yeah, apologize,” Corey said.\u003c/p>\n\u003cp>Every now and then, his parents would get a lead and take off to follow it, only to find it mistaken. Often, from somebody overcome with wishful thinking. A lot of guys on the street look like Corey. “OK, he’s here. He’s in Yuba City. He’s in Sacramento. Manteca. Denver. I mean, you name it, he was there,” Robert said.\u003c/p>\n\u003cp>Weeks turned into months, and then years. Corey’s last messages came from San Francisco. So Robert and Cathy drove south repeatedly to scour the city’s Tenderloin on foot. “He could be on the next block over headed in the opposite direction, and we’d never know it. You know, there were days when we walked 25 miles,” Robert said.\u003c/p>\n\u003cp>The night before Corey left his parents’ home in Willits, Cathy started having this recurring dream — nightmare, really.\u003c/p>\n\u003cp>In it, she keeps getting woken up by her nephew, Bobby, who committed suicide in 2010. It’s like he was a contact from the underworld, trying to tell her something about her son.\u003c/p>\n\u003cp>“He’d wake me up that, ‘We gotta get going.’ I was on the hard ground. I was cold. I wasn’t safe. I had to get moving. You know, we had to get moving,” she recalled.\u003c/p>\n\u003cp>Then, at some point, the nightmares abruptly stopped. Cathy had two theories about what happened to Corey. “Maybe, you know, he’s getting his life together. Or he wasn’t on this earth anymore. You know, it was one of the two.”\u003c/p>\n\u003cp>As it happened, this was right around the time Corey was ready for rehab. He got involved with \u003ca href=\"https://www.aa.org\" target=\"_blank\" rel=\"noopener noreferrer\">Alcoholics Anonymous\u003c/a>. He got into a sober living facility.\u003c/p>\n\u003cp>But he didn’t reconnect with his parents. And two years passed. That’s when, early this year, one of Corey’s old workmates posted on “Missing & Homeless.” And someone Corey lives with recognized him. And told Corey. And Corey called home.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Robert Abernathy, whose son went missing for more than three years']‘You see the homeless. You hear about people missing family. And that’s supposed to happen to other people. It’s not supposed to happen to you. With Corey missing, I am much, much, much more aware of how it’s happening everywhere. Man, this is an epidemic.’[/pullquote]\u003c/p>\n\u003cp>“I don’t even remember the drive down here. You know, we sat down, and he talked about why — some of the things that made him leave. And him realizing that the DUI, everybody gets one and it’s nothing to run from, but this is something he’s been thinking about, and it’s something he needed to finish. And it’s like, he’s part of our family, and as I told him, he’s going to be my son forever, no matter what. I still love him,” Robert said.\u003c/p>\n\u003cp>These days, Robert and Cathy come down from Willits periodically to visit Corey in San Francisco.\u003c/p>\n\u003cp>Corey doesn’t have a strong answer as to why he didn’t call his parents before a prompt from the acquaintance who spotted him on “Missing & Homeless.” What Corey can say is that he was ready when he got the nudge.\u003c/p>\n\u003ch2>The Kind of Story Robin Burton Lives For\u003c/h2>\n\u003cp>“A lot of homeless are afraid to contact their family because they don’t know if they’re going to be turned away,” Burton said. “Some, you know, it’s just they’ve been gone for so long they don’t even know what to say to families anymore. Those are our miracle stories. There was a reason he was supposed to be found, and there was closure.”\u003c/p>\n\u003cp>The search for Cloudia morphed into something else for Burton. She’s found a mission, a purpose in life, as a guide for others in need. The story about Burton’s search for her mom has become an invitation for people to trust her. “The same people have probably heard it a thousand times. Well, now they’re coming to me for help and we’re finding their families.”\u003c/p>\n\u003cp>That’s not to say there haven’t been personal wins for Burton, too. She never knew who her father was. But this summer, she found him. She was told as a kid that her mom got pregnant at 17, and had her at 18. But her grandparents didn’t know who her father was.\u003c/p>\n\u003cp>Recently, Burton took a DNA test and it led to Kansas and her 71- year-old dad. He doesn’t profess to remember Cloudia, but has met with Burton once already — and she’s going to Kansas soon to spend some vacation time with him.\u003c/p>\n\u003cp>Burton’s got a new lead for Cloudia, by the way, from someone in San Francisco who thought they saw her back in June. She would be 66 years old now. White woman, round face that’s probably slouched somewhat with age, presumed shoulder-length gray hair. Might still answer to the name of Cloudia. Or Leslie. Or Diane. Or some other name we don’t know about. Yet.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This story was originally published on July 31, 2019.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">G\u003c/span>\u003c/p>\u003cp>rowing up, Robin Burton didn’t really know much about her mother, Cloudia Leslie Wells. “I was never told that my mom was mentally ill. My grandparents raised me, her mom and dad, and my mom would come home for a couple months and she’d be gone for a couple of years, and this was normal to me growing up,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘The only thing that I want to say to my mom whenever I find her is, “I love you.” That means more to me than anything else in the world, is just for her to hear those three words: “I love you.”‘",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Burton was an adult by the time she learned her mom had been diagnosed with paranoid schizophrenia. That finally answered questions unanswered when her mom was breezing in and out of her life. Like many kids who don’t understand what they’re looking at when they’re looking at severe mental illness, little Robin came up with a story.\u003c/p>\n\u003cp>“I thought that she was living the life of the rich and famous, and didn’t have time for me. That was so far from the truth,” she said.\u003c/p>\n\u003cp>That was a sadness she learned to live with early in life. But when Burton was in her 20s, she lost her mom in a new and different way. First, her grandparents died. Then, when her mom swung through town, sometime around Christmas in 1994, and learned about their deaths, she left and didn’t come back. Ever.\u003c/p>\n\u003cp>“I was 23 whenever she went missing, and I’m 48 years old now,” Burton said.\u003c/p>\n\u003cp>Schizophrenia can be a debilitating disease. There’s no known cure, though medications can help. “We don’t know what it is. We don’t know what causes it. I don’t even know what the meaning of a cure would be,” said \u003ca href=\"https://medicine.yale.edu/psychiatry/people/robert_rosenheck.profile\" target=\"_blank\" rel=\"noopener noreferrer\">Robert Rosenheck\u003c/a>, professor of psychiatry and of health policy at the Yale School of Medicine.\u003c/p>\n\u003cfigure id=\"attachment_11764368\" class=\"wp-caption aligncenter\" style=\"max-width: 720px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11764368\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/07/FB_IMG_1558461841538.jpg\" alt=\"A rare family photo of young Robin Burton with her mother, Cloudia Leslie Wells.\" width=\"720\" height=\"540\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/FB_IMG_1558461841538.jpg 720w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/FB_IMG_1558461841538-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/FB_IMG_1558461841538-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/FB_IMG_1558461841538-536x402.jpg 536w\" sizes=\"auto, (max-width: 720px) 100vw, 720px\">\u003cfigcaption class=\"wp-caption-text\">A rare family photo of young Robin Burton with her mother, Cloudia Leslie Wells. \u003ccite>(Courtesy of Robin Burton)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Scientists do know schizophrenia affects people of every race, culture and economic class. Common symptoms include delusions, social withdrawal and an inability to cope with strong emotions. “Schizophrenia interferes with all areas of mental life. It makes it hard to think clearly. It makes people fearful, angry sometimes, and sometimes numb,” Rosenheck added.\u003c/p>\n\u003cp>That’s why you see so many homeless people with schizophrenia. It’s hard for other people to connect with them and stay connected.\u003c/p>\n\u003cp>As the years wore on, Burton hired a private investigator to find Cloudia, though a lot of people told her to let it go. A lot of people tell her that now. But Burton won’t give up on the hope that Cloudia is still alive, and that there might be some benefit to seeing her again.\u003c/p>\n\u003cp>“I’m not here to judge my mom, and I’m not here to ask her any questions on why she didn’t come home, or where she’s been, because she has her own reasons. The only thing that I want to say to my mom whenever I find her is, ‘I love you.’ That means more to me than anything else in the world, is just for her to hear those three words: ‘I love you.’ ”\u003c/p>\n\u003cp>The question is, how to find her?\u003c/p>\n\u003ch2>The First Trip to California\u003c/h2>\n\u003cp>Burton lives in Collinsville, Illinois. “I work at Geico. I’m an insurance agent. I also bartend on the weekends,” at a popular local watering hole called Ardie and Tiny’s.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘You know, the question that I get asked a lot, and most families do that are looking for their missing loved ones that are living homeless, is maybe they don’t want to be found.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>One evening, almost five years ago, Burton was working at that bar, “and it was a slow night, and I had a phone call from my private investigator, and he had told me that he doesn’t know how he missed it. But my mom’s Social Security number was used at a homeless shelter in 2013.”\u003c/p>\n\u003cp>It was a homeless shelter in Santa Monica, California, roughly 2,000 miles from Collinsville.\u003c/p>\n\u003cp>Burton explained, “I didn’t think a whole lot of it because I’ve been on wild goose chases before. I told a customer, just for small talk, about the phone call conversation. Unbeknownst to me, that customer went home and started Googling the Web. Two days later, he called me on the phone and he said, ‘Robin, I need your email address. There’s something I want you to look at.’ ”\u003c/p>\n\u003cp>It was a 2014 article from the Los Angeles Times, talking about the annual point-in-time count of the local homeless population. There was one photograph up top, of a homeless woman on the street. “I knew immediately that it was her. Because your eyes don’t change.”\u003c/p>\n\u003cp>Burton called up the L.A. Times, and the reporter put Burton in touch with the photographer, who said the photo was taken one year before the article was written.\u003c/p>\n\u003cp>“January 2013 in Santa Monica, California, the exact same place and area my mom’s Social Security number was used. In the same year. And that was all the confirmation I needed, ’cause I already knew it was her,” Burton said.\u003c/p>\n\u003cp>That tip was 2 years old, but she decided to chase it down anyway. She set up a Go Fund Me page to get help paying for a rental car to get to California, and for a motel room to stay in when she got there.\u003c/p>\n\u003cp>A local \u003ca href=\"https://fox2now.com/2015/02/17/collinsville-woman-heads-to-la-to-find-her-mother-after-spotting-her-in-la-times-picture/\" target=\"_blank\" rel=\"noopener noreferrer\">Fox News\u003c/a> outlet broadcast a set-up story the night before Burton left for L.A. By then, Burton had talked with a police officer at the LAPD, who told her Cloudia had been sighted on L.A.’s skid row. Burton told Fox, “I’m not scared of skid row. That’s not my biggest fear. My biggest fear is my mom not wanting to come back with me. Alls I know is I have to find her. I gotta let her know I love her.”\u003c/p>\n\u003ch2>Lessons Learned on Skid Row\u003c/h2>\n\u003cfigure id=\"attachment_11764385\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11764385 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/07/RS27189_GettyImages-691243686-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/RS27189_GettyImages-691243686-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/RS27189_GettyImages-691243686-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/RS27189_GettyImages-691243686-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/RS27189_GettyImages-691243686-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/RS27189_GettyImages-691243686-qut-1200x800.jpg 1200w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A woman passes a wheelchair-bound homeless man on Spring Street on May 1, 2017, in Los Angeles. The 2017 Greater Los Angeles Homeless Count indicated a dramatic jump of 20 percent in the city of Los Angeles, while Los Angeles County has spiked 23 percent. \u003ccite>(David McNew/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There has been a skid row in Los Angeles since the late 19th century. There have been attempts to clear out the poverty and crime from this square mile in the heart of downtown since the 1950s.\u003c/p>\n\u003cp>But it’s never looked as bad as it does in modern times: a tent city of roughly 4,000 people has sprung up on these sun-baked concrete sidewalks, crawling with rats and bedbugs, reeking with the smell of human urine and feces.\u003c/p>\n\u003cp>Robin arrived in 2015 carrying a box of candy bars wrapped with her mom’s picture, but she made a critical mistake. She brought along another TV camera crew.\u003c/p>\n\u003cp>People on the streets were not happy to see that, or her. “The very first day out there was very scary and emotional for me. I broke down crying. I had to leave. I had to leave and I had to go back to my motel and take a deep breath and re-evaluate.”\u003c/p>\n\u003cp>Back in the motel room, Burton decided she needed to try again, in a different way. “Without the cameras, everything was so different. and it was actually the homeless that was helping me look for my mom. It was them that was telling me, ‘You know I wish I had somebody looking for me.’ ”\u003c/p>\n\u003cp>You could imagine Cloudia visiting a place like the \u003ca href=\"https://www.downtownwomenscenter.org\" target=\"_blank\" rel=\"noopener noreferrer\">Downtown Women’s Center\u003c/a>. Homeless and near-homeless women from all over Southern California come here looking for help for a range of problems.\u003c/p>\n\u003cp>“We serve about 4,000 women a year and it’s very fairly infrequent that we see them reunify. It’s really probably only about five a year,” said chief program officer Erika Hartman, who betrays in her voice a certain exhaustion at the very idea of what sounds like a much desired fairy-tale ending.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘I was very, very angry at God. How could you send me a picture after 20 years? How could I go out there and not find her? And it wasn’t until I came home and I realized I’m not alone. There are other families just like me.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Usually, at the point that they have come to skid row, they have really run out of other connections that they can turn to. Sometimes, it’s because they’ve really exhausted their relationships with people who are trying support them. Or who have set boundaries due to substance use. Lots of women report experiencing shame about homelessness,” Hartman said.\u003c/p>\n\u003cp>Even with help, three weeks passed with no sign of Cloudia. Some people told Burton they believed Cloudia must be dead. Whatever the case, Burton needed to go back home and get back to work.\u003c/p>\n\u003cp>That spring, Burton started a Facebook group called \u003ca href=\"https://www.facebook.com/MissingHomelessOrg/\" target=\"_blank\" rel=\"noopener noreferrer\">Missing & Homeless\u003c/a>. The concept is simple: post a person’s story, with enough details and photos, in the hopes somebody in the group will recognize that missing person and help put them in touch with the family looking for them.\u003c/p>\n\u003cp>“They’re not a piece of garbage, you know. They’re somebody’s mother. They’re somebody son. They’re somebody’s sister.”\u003c/p>\n\u003cfigure id=\"attachment_11764316\" class=\"wp-caption aligncenter\" style=\"max-width: 742px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11764316\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/07/1485734303999.jpeg\" alt=\"One of numerous posters Robin Burton has drawn up over the years in the search for her mother, believed to be homeless somewhere in California.\" width=\"742\" height=\"960\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/1485734303999.jpeg 742w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/1485734303999-160x207.jpeg 160w\" sizes=\"auto, (max-width: 742px) 100vw, 742px\">\u003cfigcaption class=\"wp-caption-text\">One of numerous posters Robin Burton has drawn up over the years in the search for her mother, believed to be homeless somewhere in California. \u003ccite>(Courtesy of Robin Burton)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>An Education in Finding People\u003c/h2>\n\u003cp>Robin said she functions like a reporter when a family contacts her for help. She presses them for more information. Where, exactly, did the person go missing? Are there any distinguishing characteristics, like eye color or tattoos? Do they suffer from mental illness or addiction?\u003c/p>\n\u003cp>The details make it easier to find somebody, but they also emotionally engage the Facebook group members. As opposed to say, some generic post about a Jane Doe.\u003c/p>\n\u003cp>“I had no idea when I started ‘Missing & Homeless’ what it was going to become, and how many followers and supporters that we were gonna have. Then we started finding people. Four years later, we have probably found 70 or 80 people,” Burton said.\u003c/p>\n\u003cp>It turns out a lot of the group’s 63,000 members are homeless themselves, typically logging into Facebook at public libraries — in part because they don’t have any barriers precluding them from getting involved.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Burton has had a number of frustrating conversations with health care providers and social service workers who won’t say boo about someone who friends and family are searching for.\u003c/p>\n\u003cp>“You can walk into a homeless shelter or a soup kitchen and they will not tell you if they’re there. My mom could be in the same building as me and I would never even know it. It’s heartbreaking, whenever you have a family member that is missing and living homeless, the lack of help that you get because of it,” Burton said.\u003c/p>\n\u003cp>There’s a very big reason why most social workers and health care providers would not tell Robin if her mom was in a particular building. It’s against federal law, specifically, the \u003ca href=\"https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html\" target=\"_blank\" rel=\"noopener noreferrer\">Health Insurance Portability and Accountability Act of 1996\u003c/a>. HIPAA, as most people call it, has a provision that protects the privacy of individuals’ medical records, including the fact of a person’s presence in a facility.\u003c/p>\n\u003cp>Hartman of the Downtown Women’s Center explained staff are happy to take a message and pass it on. But it’s the homeless person’s choice whether to connect. Always. In part, because they can’t presume the best about people who say they’re searching for a loved one.\u003c/p>\n\u003cp>“We have women who have been trafficked or abused or exploited by family members,” Hartman said. “Many of them don’t list an emergency contact. We have women who pass and we don’t know how to find a next of kin.”\u003c/p>\n\u003cp>In other words, many of these women have good reasons they don’t want to be found. Burton gets that. She’s also seen enough to know some people are just too far gone into the abyss of mental illness, or addiction, or both.\u003c/p>\n\u003cp>“I had a lady that was looking for her son that was schizophrenic, and he was found after, after five or six years, and she didn’t recognize him at first. You know, because the streets weather you. You change drastically. He didn’t recognize her either, and he said, ‘You’re not my mom.’ He’s missing again,” Burton said.\u003c/p>\n\u003cp>So far, we’ve been presuming that the right homeless person has been correctly identified. Sometimes, people eager to help say they’ve seen someone they actually haven’t.\u003c/p>\n\u003cp>It happened to Burton, just weeks after she returned home from skid row that first time. A volunteer from the Downtown Women’s Center called Burton to say Cloudia was there.\u003c/p>\n\u003cp>Burton bought a plane ticket. She was sitting on that plane ahead of takeoff, when she got another call saying the volunteer was mistaken. The timing was such that Burton flew to L.A. and back: an expensive, useless and emotionally painful trip.\u003c/p>\n\u003cp>Now, that wouldn’t stop Burton from recommending families make every effort to file missing person reports, and take all the other recommended steps. Because the wins, when they happen, are so satisfying.\u003c/p>\n\u003cfigure id=\"attachment_11764346\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11764346\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/07/RS38248_Corey-qut.jpg\" alt=\"A former workmate of Corey Abernathy's asked his parents for permission to post this on the Facebook group "Missing & Homeless." That's how a housemate of Abernathy's in San Francisco spotted it, and told him, and he called his parents after a radio silence of two years.\" width=\"1920\" height=\"1246\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/RS38248_Corey-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/RS38248_Corey-qut-160x104.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/RS38248_Corey-qut-800x519.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/RS38248_Corey-qut-1020x662.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/07/RS38248_Corey-qut-1200x779.jpg 1200w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A former workmate of Corey Abernathy asked his parents for permission to post this on the Facebook group “Missing & Homeless.” That’s how a housemate of Abernathy’s in San Francisco spotted it, and told him, and he called his parents after a radio silence of two years. \u003ccite>(Courtesy of Corey Abernathy)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>A Win in San Francisco\u003c/h2>\n\u003cp>Corey Abernathy, and his parents, Cathy and Robert Abernathy, agreed to meet me on a bright, breezy day at one of his favorite haunts in San Francisco: Crissy Field. When he was homeless, Corey used to camp in the Presidio, not far from where tourists whiz by on their rented bicycles and children eat ice cream while wearing fleece jackets.\u003c/p>\n\u003cp>“I just thought too much about life. I felt a lot of pressure,” Corey said. He’s 5-foot-9. About 160 pounds. Hair and beard close-cropped. His blue eyes twinkle in the sun. He looks like he’s gotten a lot of sun in recent years, but nothing that seems out of the ordinary for an athletic white man in his early 30s.\u003c/p>\n\u003cp>Corey was 28 when he decided to throw on a backpack one day and leave his parents’ home in Willits in Mendocino County. With no warning, or explanation — though there were signs when the family looks back on it — that he wasn’t happy. That he was drifting.\u003c/p>\n\u003cp>“I just remember that there was like a weird amount of anxiety on me,” Abernathy said. “I always tried to make sense of everything. I put too much pressure on myself that wasn’t really there. Yeah, the way I dealt with it was just drinking a lot.”\u003c/p>\n\u003cp>He’d struggled with anxiety since childhood. He didn’t seem to have a strong idea for a career the way his older brother had. He dropped out of Sacramento State almost as soon as he got there. He lost a job in retail, then switched to a local casino. But there, he was surrounded by alcohol, and the consequences were predictable.\u003c/p>\n\u003cp>Corey started reading about people who dropped out of society for a different kind of life. “So it wasn’t like one single moment. It was something I was thinking about for probably like a year,” he explained.\u003c/p>\n\u003cp>Then Corey got a DUI, something he was really ashamed about. He thought to himself, if he had no money, he wouldn’t be able to buy alcohol. And if he had nothing to worry about, he wouldn’t want to buy alcohol.\u003c/p>\n\u003cp>He explained, “My car got towed and I just said, ‘I’m done.’ At the time, it was a good feeling. I don’t have to deal with problems I can’t figure out anymore.”\u003c/p>\n\u003cp>But remember, he was living with his parents at the time. And when he walked out that front door, he left no note. No explanation. His mom, Cathy, is a registered nurse. His dad, Robert, is a retired custom cabinetmaker.\u003c/p>\n\u003cp>His father recalled the day, “Got home and the house was empty. To me, it looked like he’d just walked out the door to go out for a walk. Everything was still in his room. Nothing disturbed. He just disappeared.”\u003c/p>\n\u003cp>They called the police and filed a missing person’s report. Only to discover the police in Mendocino County have a loose attitude about adults who disappear, given the local marijuana growing industry’s reliance on seasonal workers. In this business, pruning is called “trimming,” and many of the trimmers come and go.\u003c/p>\n\u003cp>“In Mendocino County, Sonoma County if a adult is missing, they’re out trimming,” Cathy said. “It was October and it was trimming season. They took the report, but they weren’t doing anything with it.”\u003c/p>\n\u003cp>So Robert and Cathy had to start looking on their own. Corey’s friends helped. A former workmate tacking up a poster in Ukiah met a homeless person who directed them to Fort Bragg, where Robert and Cathy found Corey in a park, about six weeks after he disappeared. But Corey wouldn’t come back.\u003c/p>\n\u003cp>“I wasn’t ready to see them,” he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘I gave everything up, you know. It was like, I don’t know if I’m ever going to have a room again. I don’t know if I’m ever going to have a relationship again. I distinctively classified myself aside from society.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Robert described his thinking in that moment, “As much as I wanted to grab him and throw him in the car, I knew he’d be gone again. So that was the hardest decision I’ve ever had to make was to let him go.”\u003c/p>\n\u003cp>So they did, and Corey kept hitchhiking, to Point Arena, Gualala and finally San Francisco — where he proceeded to bounce from sleeping rough in the Presidio to side streets and shelters, sporadically sending his parents Facebook messages from public libraries. Until he stopped doing that. The last one was in February 2016.\u003c/p>\n\u003cp>“I felt regret and guilt. I knew I was going to have to figure out a way to speak to them, and yeah, apologize,” Corey said.\u003c/p>\n\u003cp>Every now and then, his parents would get a lead and take off to follow it, only to find it mistaken. Often, from somebody overcome with wishful thinking. A lot of guys on the street look like Corey. “OK, he’s here. He’s in Yuba City. He’s in Sacramento. Manteca. Denver. I mean, you name it, he was there,” Robert said.\u003c/p>\n\u003cp>Weeks turned into months, and then years. Corey’s last messages came from San Francisco. So Robert and Cathy drove south repeatedly to scour the city’s Tenderloin on foot. “He could be on the next block over headed in the opposite direction, and we’d never know it. You know, there were days when we walked 25 miles,” Robert said.\u003c/p>\n\u003cp>The night before Corey left his parents’ home in Willits, Cathy started having this recurring dream — nightmare, really.\u003c/p>\n\u003cp>In it, she keeps getting woken up by her nephew, Bobby, who committed suicide in 2010. It’s like he was a contact from the underworld, trying to tell her something about her son.\u003c/p>\n\u003cp>“He’d wake me up that, ‘We gotta get going.’ I was on the hard ground. I was cold. I wasn’t safe. I had to get moving. You know, we had to get moving,” she recalled.\u003c/p>\n\u003cp>Then, at some point, the nightmares abruptly stopped. Cathy had two theories about what happened to Corey. “Maybe, you know, he’s getting his life together. Or he wasn’t on this earth anymore. You know, it was one of the two.”\u003c/p>\n\u003cp>As it happened, this was right around the time Corey was ready for rehab. He got involved with \u003ca href=\"https://www.aa.org\" target=\"_blank\" rel=\"noopener noreferrer\">Alcoholics Anonymous\u003c/a>. He got into a sober living facility.\u003c/p>\n\u003cp>But he didn’t reconnect with his parents. And two years passed. That’s when, early this year, one of Corey’s old workmates posted on “Missing & Homeless.” And someone Corey lives with recognized him. And told Corey. And Corey called home.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘You see the homeless. You hear about people missing family. And that’s supposed to happen to other people. It’s not supposed to happen to you. With Corey missing, I am much, much, much more aware of how it’s happening everywhere. Man, this is an epidemic.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I don’t even remember the drive down here. You know, we sat down, and he talked about why — some of the things that made him leave. And him realizing that the DUI, everybody gets one and it’s nothing to run from, but this is something he’s been thinking about, and it’s something he needed to finish. And it’s like, he’s part of our family, and as I told him, he’s going to be my son forever, no matter what. I still love him,” Robert said.\u003c/p>\n\u003cp>These days, Robert and Cathy come down from Willits periodically to visit Corey in San Francisco.\u003c/p>\n\u003cp>Corey doesn’t have a strong answer as to why he didn’t call his parents before a prompt from the acquaintance who spotted him on “Missing & Homeless.” What Corey can say is that he was ready when he got the nudge.\u003c/p>\n\u003ch2>The Kind of Story Robin Burton Lives For\u003c/h2>\n\u003cp>“A lot of homeless are afraid to contact their family because they don’t know if they’re going to be turned away,” Burton said. “Some, you know, it’s just they’ve been gone for so long they don’t even know what to say to families anymore. Those are our miracle stories. There was a reason he was supposed to be found, and there was closure.”\u003c/p>\n\u003cp>The search for Cloudia morphed into something else for Burton. She’s found a mission, a purpose in life, as a guide for others in need. The story about Burton’s search for her mom has become an invitation for people to trust her. “The same people have probably heard it a thousand times. Well, now they’re coming to me for help and we’re finding their families.”\u003c/p>\n\u003cp>That’s not to say there haven’t been personal wins for Burton, too. She never knew who her father was. But this summer, she found him. She was told as a kid that her mom got pregnant at 17, and had her at 18. But her grandparents didn’t know who her father was.\u003c/p>\n\u003cp>Recently, Burton took a DNA test and it led to Kansas and her 71- year-old dad. He doesn’t profess to remember Cloudia, but has met with Burton once already — and she’s going to Kansas soon to spend some vacation time with him.\u003c/p>\n\u003cp>Burton’s got a new lead for Cloudia, by the way, from someone in San Francisco who thought they saw her back in June. She would be 66 years old now. White woman, round face that’s probably slouched somewhat with age, presumed shoulder-length gray hair. Might still answer to the name of Cloudia. Or Leslie. Or Diane. Or some other name we don’t know about. Yet.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Primary care doctors are a hot commodity across California.\u003c/p>\n\u003cp>Students are being lured by full-ride scholarships to medical schools. New grads are specifically recruited for training residencies. And full-fledged doctors are being offered loan repayment programs to serve low-income residents or work in underserved areas.\u003c/p>\n\u003cp>These efforts are intended to ease or stave off the physician shortage expected to peak within the next decade in California. By 2030, the state will be short some 4,000 physicians, according to a study from the HealthForce Center at UC San Francisco.\u003c/p>\n\u003cp>The shortage is already acute in rural and inner city areas, especially in the Inland Empire of Southern California where the number of physicians needs to double just to reach the recommended amount to serve the fast-growing population.\u003c/p>\n\u003cp>“The Inland Empire region has one of the lowest ratios of physicians, including primary care physicians, and that creates a number of challenges,” said Dr. Geoffrey Leung, ambulatory medical director for the Riverside University Health System. “ When we have delays in care, that can result in sort of chronic illnesses or acute illnesses that become worse.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>With high student loans, medical school grads have been turning to better-paying specialties instead of primary care, such as family practice, pediatrics or obstetrics, leaving some areas in dire need.\u003c/p>\n\u003cp>“In California in particular, what’s unique is that the total number of physicians isn’t as big of a problem as where they are located,” said Mark Henderson, professor of internal medicine and associate dean of admissions at the UC Davis School of Medicine. “It’s really a maldistribution problem.”\u003c/p>\n\u003cp>Health insurers, medical professionals and community leaders are working on solutions. This summer, the state offered 250-plus doctors loan repayment plans in exchange for ensuring 30% of their caseloads were Medi-Cal patients.\u003c/p>\n\u003cp>Meanwhile, insurer LA Care is spending millions on recruiting new doctors and, in South Los Angeles, the Martin Luther King Jr. Community Hospital is working to create a new residency program. In the Inland Empire, leaders are working to create a “middle school to medical school” pipeline.\u003c/p>\n\u003cp>Because doctors tend to practice near where they trained, where they are from or where they have a family connection, resources are being poured into the expansion or creation of training programs that are situated where the need is.\u003c/p>\n\u003cfigure id=\"attachment_11789007\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11789007\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2019/11/PHYSICIAN-SHORTAGE-SOLUTION-photo-3-800x594.jpg\" alt=\"\" width=\"800\" height=\"594\">\u003cfigcaption class=\"wp-caption-text\">Dr. Moazzum Bajwa completed his residency with Riverside County’s University Health System and stayed on as a full-fledged physician and faculty member of the residency. \u003ccite>(Elizabeth Aguilera/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Most Impacted Region In The State: The Inland Empire\u003c/h3>\n\u003cp>Inland Empire officials have been working on this for quite some time. A statewide report from The Future Health Workforce Commission released this year found the number of physicians is 35 per 100,000 people, compared to the recommended 70 doctors, making it the most impacted region in the state.\u003c/p>\n\u003cp>Because of that need the state approved a new University of California medical school that opened in 2013 at UC Riverside specifically to train doctors to serve the local area. It offers scholarships to students who promise to return after residency to practice in the area and reaches out to kids interested in health careers.\u003c/p>\n\u003cp>The county and medical school have partnered to expand long-standing residency programs by inviting more students to train in the area. And both institutions recruit with an eye toward geographic nativity, meaning if an applicant is from or has a connection to the area they get priority.\u003c/p>\n\u003cp>For cancer survivor Cesilia Jimenez these efforts by the county are paying off.\u003c/p>\n\u003cp>Recently Jimenez received the results of her latest scans at the Moreno Valley Community Health Center from Dr. Moazzum Bajwa.\u003c/p>\n\u003cp>She had been putting it off.\u003c/p>\n\u003cp>“I’ve been so nervous to hear those results, I knew I wanted to hear them from you,” she told Bajwa after he assured her that everything on the scans looked good.\u003c/p>\n\u003cp>It was Bajwa, who was a resident at the time, who diagnosed a cancerous tumor in her neck and got her treatment for it after she had sought answers for years as to why she was losing her ability to walk.\u003c/p>\n\u003cfigure id=\"attachment_11789006\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11789006\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2019/11/PHYSICIAN-SHORTAGE-SOLUTION-photo-2-800x567.jpg\" alt=\"\" width=\"800\" height=\"567\">\u003cfigcaption class=\"wp-caption-text\">Dr. Moazzum Bajwa and patient Cesilia Jimenez hug after her recent appointment. Jimenez said he’s a godsend and that without him she might still be trying to figure out what was wrong. \u003ccite>(Elizabeth Aguilera/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Now, he is an attending physician and teaching residents through Riverside University Health System and the UCR medical school. Bajwa is considered a success story in Riverside County’s efforts to grow, recruit and retain primary care doctors in the region.\u003c/p>\n\u003cp>So far the county is seeing success, Leung said. About four out of 10 residents stay in the Inland Empire after their training and eight to nine stay in Southern California. While those numbers are not that different from other programs across the state, opening the medical school and expanding training slots have kept doctors in the area.\u003cbr>\nDr. Takesha Cooper is on the admissions committee at the medical school, where priority is given to applicants who have a permanent or active mailing address in the area or went to college or attended high school in the Inland Empire.\u003c/p>\n\u003cp>“We do a holistic review and don’t just look at test scores,” she said. “We call it mission fits.”\u003c/p>\n\u003cp>Cooper defines it as applicants with connections to the area and who believe in the school’s mission to help the medically underserved region and train a diverse workforce of physicians. “We have to focus and attract and try to keep people who are growing up in this area, who have ties and are more likely to stay,” she said.\u003c/p>\n\u003cp>So far, the medical school is seeing early success. Of its 128 graduates, about 31% are training as residents in the Inland Empire.\u003c/p>\n\u003ch3>“I Needed To Serve This Population”\u003c/h3>\n\u003cp>Cooper is the kind of local student the school hopes to capture.\u003c/p>\n\u003cp>She grew up in Moreno Valley long before the medical school opened. She went away for college, completed medical school at the University of Southern California and moved to the Bay Area for her residency and a fellowship in child and adolescent psychiatry.\u003c/p>\n\u003cp>And, as statistics bear out, she set up her practice in Palo Alto, near Stanford where she finished her training.\u003cbr>\n“I did that for five years but I started to feel like I’m not really needed here,” she said. “My heart told me I needed to serve this population.”\u003c/p>\n\u003cp>So she came back to Riverside to practice and then she joined the faculty at UCR and has since helped start a residency in general adult psychiatry and a fellowship in child psychiatry as a way to train and keep much-needed mental health professionals in the area.\u003c/p>\n\u003cp>“If our residents had to go to UCLA or UC San Diego or Irvine, chances are they would have stayed in that area and practiced,” she said. “It’s what I did.”\u003c/p>\n\u003cp>It’s the same strategy the county uses in recruiting medical school graduates like Bajwa to its residency programs, said Dr. Adolfo Aguilera, associate director of the University Health System residency program, who also stayed on after he trained in Riverside more than two decades ago.\u003c/p>\n\u003cp>“When somebody has a connection to the area, you know, they are invested in what they’re going to be doing,” he said. “If they’re here to stay, they’re going to want to make sure that they are providing the best care that they can, that they are essentially trying to build the program so that we’re able to outreach to our community and serve their needs”\u003c/p>\n\u003cp>Bajwa is from the East Coast but the program’s goals matched his when he interviewed and Riverside was his first choice. He also had another reason for coming and staying: His wife is from Riverside and she’s also a physician.\u003c/p>\n\u003cp>“The connection with my wife is what brought me out here first,” he said. “But it was the community and identity of building something bigger than myself that I fell in love with.”\u003c/p>\n\u003cp>That’s what Leung, Aguilera and others in Riverside hope will happen with many of the students and residents they recruit. And they are not alone.\u003c/p>\n\u003cfigure id=\"attachment_11789008\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11789008\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2019/11/PHYSICIAN-SHORTAGE-SOLUTION-photo-4-800x566.jpg\" alt=\"\" width=\"800\" height=\"566\">\u003cfigcaption class=\"wp-caption-text\">Dr. Adolfo Aguilera is associate director of the Riverside County University Health System and University of California School of Medicine residency program and physician in charge at the Moreno Valley Community Health Center. s \u003ccite>(Elizabeth Aguilera/CalMatter)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Recruiting Physicians Where They Are Needed\u003c/h3>\n\u003cp>This kind of thinking is happening across the state in areas lacking physicians.\u003c/p>\n\u003cp>In Northern California, UC Davis has partnered with the Oregon Health and Science University in Portland and created a program called COMPADRE, or California Oregon Medical Partnership to Address Disparities in Rural Education. It focuses on the area between Davis and Portland to recruit kids to medical school and to provide a program that allows them to train where they are from.\u003c/p>\n\u003cp>“We’ll modify their curriculum to allow them to remain in their home community for a large part of their training to keep them connected to a community health center in the region,” Henderson said. “If we get physicians who actually grew up or have a connection to these communities they will be less burned out and will have meaningful relationships to the community and the hospital.”\u003c/p>\n\u003cp>In urban South Los Angeles, the MLK Jr. Community Hospital set up its own medical group in 2016 that recruits and hires physicians to practice in the neighborhood and is slated to start a residency training program in 2022, said Elaine Batchlor, CEO of the hospital.\u003c/p>\n\u003cp>“The strategy is to recruit doctors who have an interest in working in underserved communities, to offer them a state of the art practice environment with high quality colleagues,” she said. “We offer market compensation and the possibility of having loans forgiven because they are working in a medically underserved area.”\u003c/p>\n\u003cp>Bringing residency slots to communities is a strategy that costs money. These slots are usually paid for by the Medicare program but the federal government has not created new residency positions in years. So the program at MLK and other new training sites are being funded by the host institutions or insurers like LA Care Health Plan.\u003c/p>\n\u003cp>LA Care serves 2 million Medi-Cal patients in Southern California. Last year the insurer committed 5% of its reserves, about $31 million a year for five years, to a program called Elevating the Safety Net, said John Baackes, CEO of the organization. It includes scholarships for medical school students, funding for residency slots, grants to clinics and private practices to recruit primary care doctors into Los Angeles County and loan repayment up to $180,000 for those newly recruited physicians who stay three years.\u003c/p>\n\u003cp>“We’re hoping that when their three years is up they will have fallen in love with L.A. and their practice and they’ll stay on with us,” Baackes said. “We’re aimed at the safety net populations, those people who are on Medi-Cal or uninsured, and we think this is the right thing to do is invest in the future of this population.”\u003c/p>\n\u003cp>In Riverside, the residency program that produced Dr. Bajwa is also partly supported by the county. Riverside County funds 52 positions beyond what the federal government provides.\u003c/p>\n\u003cp>“We are over our cap, which means every resident that we add on top of that limit are entirely funded through the county,” said Leung, of Riverside University Health System. “Any improvement that we make in the Inland Empire area whether it is in workforce, education or in terms of policy or the way we think about developing neighborhoods, all of those things help make the Inland Empire the sort of area that people want to move to and that help us with recruiting doctors, resident physicians and medical school students.”\u003c/p>\n\u003cp>For patients, having access to a doctor over the long term that they know and trust pays off.\u003c/p>\n\u003cp>Before Dr. Bajwa, Cesilia Jimenez never knew who she was going to see at the clinic.\u003c/p>\n\u003cp>“It feels good to just come and he knows what we are going to talk about and not me explaining to the doctor what I’ve been through,” she said.\u003c/p>\n\u003cp>When she left their appointment Bajwa gave her a hug before she walked out on her own.\u003c/p>\n\u003cp>“Many programs talk about serving the underserved but here the focus that the faculty have on actually taking care of the community and doing outreach in the community is just unparalleled I think,” Bajwa said. “That was something I wanted to be a part of.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\n",
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"excerpt": "The doctor shortage is already acute in rural and inner city areas, especially in the Inland Empire, where the number of physicians needs to double just to serve the fast-growing population.",
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"title": "Med School Free Rides and Loan Repayments — California Tries to Boost Its Dwindling Doctor Supply | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Primary care doctors are a hot commodity across California.\u003c/p>\n\u003cp>Students are being lured by full-ride scholarships to medical schools. New grads are specifically recruited for training residencies. And full-fledged doctors are being offered loan repayment programs to serve low-income residents or work in underserved areas.\u003c/p>\n\u003cp>These efforts are intended to ease or stave off the physician shortage expected to peak within the next decade in California. By 2030, the state will be short some 4,000 physicians, according to a study from the HealthForce Center at UC San Francisco.\u003c/p>\n\u003cp>The shortage is already acute in rural and inner city areas, especially in the Inland Empire of Southern California where the number of physicians needs to double just to reach the recommended amount to serve the fast-growing population.\u003c/p>\n\u003cp>“The Inland Empire region has one of the lowest ratios of physicians, including primary care physicians, and that creates a number of challenges,” said Dr. Geoffrey Leung, ambulatory medical director for the Riverside University Health System. “ When we have delays in care, that can result in sort of chronic illnesses or acute illnesses that become worse.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>With high student loans, medical school grads have been turning to better-paying specialties instead of primary care, such as family practice, pediatrics or obstetrics, leaving some areas in dire need.\u003c/p>\n\u003cp>“In California in particular, what’s unique is that the total number of physicians isn’t as big of a problem as where they are located,” said Mark Henderson, professor of internal medicine and associate dean of admissions at the UC Davis School of Medicine. “It’s really a maldistribution problem.”\u003c/p>\n\u003cp>Health insurers, medical professionals and community leaders are working on solutions. This summer, the state offered 250-plus doctors loan repayment plans in exchange for ensuring 30% of their caseloads were Medi-Cal patients.\u003c/p>\n\u003cp>Meanwhile, insurer LA Care is spending millions on recruiting new doctors and, in South Los Angeles, the Martin Luther King Jr. Community Hospital is working to create a new residency program. In the Inland Empire, leaders are working to create a “middle school to medical school” pipeline.\u003c/p>\n\u003cp>Because doctors tend to practice near where they trained, where they are from or where they have a family connection, resources are being poured into the expansion or creation of training programs that are situated where the need is.\u003c/p>\n\u003cfigure id=\"attachment_11789007\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11789007\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2019/11/PHYSICIAN-SHORTAGE-SOLUTION-photo-3-800x594.jpg\" alt=\"\" width=\"800\" height=\"594\">\u003cfigcaption class=\"wp-caption-text\">Dr. Moazzum Bajwa completed his residency with Riverside County’s University Health System and stayed on as a full-fledged physician and faculty member of the residency. \u003ccite>(Elizabeth Aguilera/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Most Impacted Region In The State: The Inland Empire\u003c/h3>\n\u003cp>Inland Empire officials have been working on this for quite some time. A statewide report from The Future Health Workforce Commission released this year found the number of physicians is 35 per 100,000 people, compared to the recommended 70 doctors, making it the most impacted region in the state.\u003c/p>\n\u003cp>Because of that need the state approved a new University of California medical school that opened in 2013 at UC Riverside specifically to train doctors to serve the local area. It offers scholarships to students who promise to return after residency to practice in the area and reaches out to kids interested in health careers.\u003c/p>\n\u003cp>The county and medical school have partnered to expand long-standing residency programs by inviting more students to train in the area. And both institutions recruit with an eye toward geographic nativity, meaning if an applicant is from or has a connection to the area they get priority.\u003c/p>\n\u003cp>For cancer survivor Cesilia Jimenez these efforts by the county are paying off.\u003c/p>\n\u003cp>Recently Jimenez received the results of her latest scans at the Moreno Valley Community Health Center from Dr. Moazzum Bajwa.\u003c/p>\n\u003cp>She had been putting it off.\u003c/p>\n\u003cp>“I’ve been so nervous to hear those results, I knew I wanted to hear them from you,” she told Bajwa after he assured her that everything on the scans looked good.\u003c/p>\n\u003cp>It was Bajwa, who was a resident at the time, who diagnosed a cancerous tumor in her neck and got her treatment for it after she had sought answers for years as to why she was losing her ability to walk.\u003c/p>\n\u003cfigure id=\"attachment_11789006\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11789006\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2019/11/PHYSICIAN-SHORTAGE-SOLUTION-photo-2-800x567.jpg\" alt=\"\" width=\"800\" height=\"567\">\u003cfigcaption class=\"wp-caption-text\">Dr. Moazzum Bajwa and patient Cesilia Jimenez hug after her recent appointment. Jimenez said he’s a godsend and that without him she might still be trying to figure out what was wrong. \u003ccite>(Elizabeth Aguilera/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Now, he is an attending physician and teaching residents through Riverside University Health System and the UCR medical school. Bajwa is considered a success story in Riverside County’s efforts to grow, recruit and retain primary care doctors in the region.\u003c/p>\n\u003cp>So far the county is seeing success, Leung said. About four out of 10 residents stay in the Inland Empire after their training and eight to nine stay in Southern California. While those numbers are not that different from other programs across the state, opening the medical school and expanding training slots have kept doctors in the area.\u003cbr>\nDr. Takesha Cooper is on the admissions committee at the medical school, where priority is given to applicants who have a permanent or active mailing address in the area or went to college or attended high school in the Inland Empire.\u003c/p>\n\u003cp>“We do a holistic review and don’t just look at test scores,” she said. “We call it mission fits.”\u003c/p>\n\u003cp>Cooper defines it as applicants with connections to the area and who believe in the school’s mission to help the medically underserved region and train a diverse workforce of physicians. “We have to focus and attract and try to keep people who are growing up in this area, who have ties and are more likely to stay,” she said.\u003c/p>\n\u003cp>So far, the medical school is seeing early success. Of its 128 graduates, about 31% are training as residents in the Inland Empire.\u003c/p>\n\u003ch3>“I Needed To Serve This Population”\u003c/h3>\n\u003cp>Cooper is the kind of local student the school hopes to capture.\u003c/p>\n\u003cp>She grew up in Moreno Valley long before the medical school opened. She went away for college, completed medical school at the University of Southern California and moved to the Bay Area for her residency and a fellowship in child and adolescent psychiatry.\u003c/p>\n\u003cp>And, as statistics bear out, she set up her practice in Palo Alto, near Stanford where she finished her training.\u003cbr>\n“I did that for five years but I started to feel like I’m not really needed here,” she said. “My heart told me I needed to serve this population.”\u003c/p>\n\u003cp>So she came back to Riverside to practice and then she joined the faculty at UCR and has since helped start a residency in general adult psychiatry and a fellowship in child psychiatry as a way to train and keep much-needed mental health professionals in the area.\u003c/p>\n\u003cp>“If our residents had to go to UCLA or UC San Diego or Irvine, chances are they would have stayed in that area and practiced,” she said. “It’s what I did.”\u003c/p>\n\u003cp>It’s the same strategy the county uses in recruiting medical school graduates like Bajwa to its residency programs, said Dr. Adolfo Aguilera, associate director of the University Health System residency program, who also stayed on after he trained in Riverside more than two decades ago.\u003c/p>\n\u003cp>“When somebody has a connection to the area, you know, they are invested in what they’re going to be doing,” he said. “If they’re here to stay, they’re going to want to make sure that they are providing the best care that they can, that they are essentially trying to build the program so that we’re able to outreach to our community and serve their needs”\u003c/p>\n\u003cp>Bajwa is from the East Coast but the program’s goals matched his when he interviewed and Riverside was his first choice. He also had another reason for coming and staying: His wife is from Riverside and she’s also a physician.\u003c/p>\n\u003cp>“The connection with my wife is what brought me out here first,” he said. “But it was the community and identity of building something bigger than myself that I fell in love with.”\u003c/p>\n\u003cp>That’s what Leung, Aguilera and others in Riverside hope will happen with many of the students and residents they recruit. And they are not alone.\u003c/p>\n\u003cfigure id=\"attachment_11789008\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11789008\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2019/11/PHYSICIAN-SHORTAGE-SOLUTION-photo-4-800x566.jpg\" alt=\"\" width=\"800\" height=\"566\">\u003cfigcaption class=\"wp-caption-text\">Dr. Adolfo Aguilera is associate director of the Riverside County University Health System and University of California School of Medicine residency program and physician in charge at the Moreno Valley Community Health Center. s \u003ccite>(Elizabeth Aguilera/CalMatter)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Recruiting Physicians Where They Are Needed\u003c/h3>\n\u003cp>This kind of thinking is happening across the state in areas lacking physicians.\u003c/p>\n\u003cp>In Northern California, UC Davis has partnered with the Oregon Health and Science University in Portland and created a program called COMPADRE, or California Oregon Medical Partnership to Address Disparities in Rural Education. It focuses on the area between Davis and Portland to recruit kids to medical school and to provide a program that allows them to train where they are from.\u003c/p>\n\u003cp>“We’ll modify their curriculum to allow them to remain in their home community for a large part of their training to keep them connected to a community health center in the region,” Henderson said. “If we get physicians who actually grew up or have a connection to these communities they will be less burned out and will have meaningful relationships to the community and the hospital.”\u003c/p>\n\u003cp>In urban South Los Angeles, the MLK Jr. Community Hospital set up its own medical group in 2016 that recruits and hires physicians to practice in the neighborhood and is slated to start a residency training program in 2022, said Elaine Batchlor, CEO of the hospital.\u003c/p>\n\u003cp>“The strategy is to recruit doctors who have an interest in working in underserved communities, to offer them a state of the art practice environment with high quality colleagues,” she said. “We offer market compensation and the possibility of having loans forgiven because they are working in a medically underserved area.”\u003c/p>\n\u003cp>Bringing residency slots to communities is a strategy that costs money. These slots are usually paid for by the Medicare program but the federal government has not created new residency positions in years. So the program at MLK and other new training sites are being funded by the host institutions or insurers like LA Care Health Plan.\u003c/p>\n\u003cp>LA Care serves 2 million Medi-Cal patients in Southern California. Last year the insurer committed 5% of its reserves, about $31 million a year for five years, to a program called Elevating the Safety Net, said John Baackes, CEO of the organization. It includes scholarships for medical school students, funding for residency slots, grants to clinics and private practices to recruit primary care doctors into Los Angeles County and loan repayment up to $180,000 for those newly recruited physicians who stay three years.\u003c/p>\n\u003cp>“We’re hoping that when their three years is up they will have fallen in love with L.A. and their practice and they’ll stay on with us,” Baackes said. “We’re aimed at the safety net populations, those people who are on Medi-Cal or uninsured, and we think this is the right thing to do is invest in the future of this population.”\u003c/p>\n\u003cp>In Riverside, the residency program that produced Dr. Bajwa is also partly supported by the county. Riverside County funds 52 positions beyond what the federal government provides.\u003c/p>\n\u003cp>“We are over our cap, which means every resident that we add on top of that limit are entirely funded through the county,” said Leung, of Riverside University Health System. “Any improvement that we make in the Inland Empire area whether it is in workforce, education or in terms of policy or the way we think about developing neighborhoods, all of those things help make the Inland Empire the sort of area that people want to move to and that help us with recruiting doctors, resident physicians and medical school students.”\u003c/p>\n\u003cp>For patients, having access to a doctor over the long term that they know and trust pays off.\u003c/p>\n\u003cp>Before Dr. Bajwa, Cesilia Jimenez never knew who she was going to see at the clinic.\u003c/p>\n\u003cp>“It feels good to just come and he knows what we are going to talk about and not me explaining to the doctor what I’ve been through,” she said.\u003c/p>\n\u003cp>When she left their appointment Bajwa gave her a hug before she walked out on her own.\u003c/p>\n\u003cp>“Many programs talk about serving the underserved but here the focus that the faculty have on actually taking care of the community and doing outreach in the community is just unparalleled I think,” Bajwa said. “That was something I wanted to be a part of.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "trump-wants-insurers-and-hospitals-to-show-real-prices-to-patients",
"title": "Trump Wants Insurers and Hospitals to Show Real Prices to Patients",
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"headTitle": "Trump Wants Insurers and Hospitals to Show Real Prices to Patients | KQED",
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"content": "\u003cp>President Trump has made price transparency a centerpiece of his health care agenda. Friday he announced two regulatory changes in a bid to provide more easy-to-read price information to patients.\u003c/p>\n\u003cp>The first effort targets hospitals, \u003ca href=\"https://www.cms.gov/newsroom/fact-sheets/cy-2020-hospital-outpatient-prospective-payment-system-opps-policy-changes-hospital-price\" target=\"_blank\" rel=\"noopener noreferrer\">finalizing a rule\u003c/a> that requires them to display their secret, negotiated rates to patients starting in January 2021. The second is \u003ca href=\"https://www.cms.gov/newsroom/fact-sheets/transparency-coverage-proposed-rule-cms-9915-p\" target=\"_blank\" rel=\"noopener noreferrer\">a proposal\u003c/a> to make insurance companies show patients their expected out-of-pocket costs through an online tool. That proposed rule is subject to 60 days of public comment, and it’s unclear when it would go into effect.\u003c/p>\n\u003cp>“Our goal is to give patients the knowledge they need about the real price of health care services,” said Trump. “They’ll be able to check them, compare them, go to different locations, so they can shop for the highest-quality care at the lowest cost.”\u003c/p>\n\u003cp>Administration officials heralded both rules as historic and transformative to the health care system.\u003c/p>\n\u003cp>“Under the status quo, health care prices are about as clear as mud to patients,” said Center for Medicare & Medicaid Services Administrator Seema Verma in a written statement. “Today’s rules usher in a new era that upends the status quo to empower patients and put them first.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>As NPR has reported, \u003ca href=\"https://www.npr.org/sections/health-shots/2019/06/24/735578519/trumps-plan-to-lower-your-hospital-costs-heres-what-you-need-to-know\" target=\"_blank\" rel=\"noopener noreferrer\">hospitals are currently\u003c/a> required to post their “list prices” online, but that information has been very hard to use and doesn’t tell consumers much about what they are likely to pay. The new rule makes hospitals show what they really pay for services — not the list prices — and requires them to make that information easy to read and easy to access.\u003c/p>\n\u003cp>“I don’t know if the hospitals are going to like me too much anymore with this,” Trump said in a White House news conference Friday afternoon. “That’s OK.” He later added, “We’re stopping American patients from just getting — pure and simple, two words, very simple words — ripped off. Because they’ve been ripped off for years. For a lot of years.”\u003c/p>\n\u003cp>[aside postID=\"news_11752360\" label= \"Related Coverage\"]\u003c/p>\n\u003cp>The second rule Trump announced Friday (which is a proposed rule, still subject to public comments before being finalized) affects insurance companies. It would essentially make insurers give patients their “explanation of benefits” upfront. It would require insurers to explain how much a service would cost, how much your plan would pay and how much you would owe — before the service is performed. The idea is that patients could use that information to shop around ahead of time for a better deal — assuming a better deal can be found, and the service isn’t a medical emergency.\u003c/p>\n\u003cp>Certainly these rules would give patients more information than they currently have. The other promise of these rules — that they will bring down health care costs — is more of an open question.\u003c/p>\n\u003cp>\u003ca href=\"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&s=higher&dct=PS&D=CMS-2019-0109\" target=\"_blank\" rel=\"noopener noreferrer\">In public comments\u003c/a> for the hospital rule, hospitals argued that having to make their negotiated rates public would backfire — if a hospital is charging less than another one nearby, it could theoretically raise its price to more closely match its competitor’s.\u003c/p>\n\u003cp>Secretary of Health and Human Services Alex Azar dismissed that argument on a call with reporters Friday morning.\u003c/p>\n\u003cp>“This is a canard,” he said. “Point me to one sector of the American economy where the disclosure of having price information in a competitive marketplace actually leads to higher prices as opposed to lower prices.”\u003c/p>\n\u003cp>Larry Levitt, executive vice president of the Kaiser Family Foundation, \u003ca href=\"https://twitter.com/larry_levitt/status/1195354683197530112\" target=\"_blank\" rel=\"noopener noreferrer\">pointed out on Twitter\u003c/a> that the penalty for hospitals that defy Trump’s transparency rule was “quite weak.”\u003c/p>\n\u003cp>https://twitter.com/larry_levitt/status/1195354683197530112\u003c/p>\n\u003cp>“A maximum fine of $300 per day,” he wrote. “The technical term for that is ‘chump change.’ I wonder how many hospitals will just pay the fine.”\u003c/p>\n\u003cp>There’s also an open question about whether these rules will survive legal challenges. Another Trump administration proposal to show \u003ca href=\"https://www.npr.org/2019/07/09/739770699/judge-blocks-trump-rule-requiring-pharma-companies-to-say-price-of-drugs-in-tv-a\" target=\"_blank\" rel=\"noopener noreferrer\">drug list prices in television ads\u003c/a> was blocked in the courts.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We may face litigation, but we feel we’re on a very sound legal footing for what we’re asking,” Azar told reporters.\u003c/p>\n\u003cdiv class=\"fullattribution\">\u003cem>Copyright 2019 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=Trump+Wants+Insurers+and+Hospitals+To+Show+Real+Prices+To+Patients&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/em>\u003c/div>\n\n",
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"excerpt": "Two regulations announced Friday take aim at health care prices. One, to affect patients by 2021, addresses hospital rates. The second, a proposal, would require more upfront clarity from insurers.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>President Trump has made price transparency a centerpiece of his health care agenda. Friday he announced two regulatory changes in a bid to provide more easy-to-read price information to patients.\u003c/p>\n\u003cp>The first effort targets hospitals, \u003ca href=\"https://www.cms.gov/newsroom/fact-sheets/cy-2020-hospital-outpatient-prospective-payment-system-opps-policy-changes-hospital-price\" target=\"_blank\" rel=\"noopener noreferrer\">finalizing a rule\u003c/a> that requires them to display their secret, negotiated rates to patients starting in January 2021. The second is \u003ca href=\"https://www.cms.gov/newsroom/fact-sheets/transparency-coverage-proposed-rule-cms-9915-p\" target=\"_blank\" rel=\"noopener noreferrer\">a proposal\u003c/a> to make insurance companies show patients their expected out-of-pocket costs through an online tool. That proposed rule is subject to 60 days of public comment, and it’s unclear when it would go into effect.\u003c/p>\n\u003cp>“Our goal is to give patients the knowledge they need about the real price of health care services,” said Trump. “They’ll be able to check them, compare them, go to different locations, so they can shop for the highest-quality care at the lowest cost.”\u003c/p>\n\u003cp>Administration officials heralded both rules as historic and transformative to the health care system.\u003c/p>\n\u003cp>“Under the status quo, health care prices are about as clear as mud to patients,” said Center for Medicare & Medicaid Services Administrator Seema Verma in a written statement. “Today’s rules usher in a new era that upends the status quo to empower patients and put them first.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>As NPR has reported, \u003ca href=\"https://www.npr.org/sections/health-shots/2019/06/24/735578519/trumps-plan-to-lower-your-hospital-costs-heres-what-you-need-to-know\" target=\"_blank\" rel=\"noopener noreferrer\">hospitals are currently\u003c/a> required to post their “list prices” online, but that information has been very hard to use and doesn’t tell consumers much about what they are likely to pay. The new rule makes hospitals show what they really pay for services — not the list prices — and requires them to make that information easy to read and easy to access.\u003c/p>\n\u003cp>“I don’t know if the hospitals are going to like me too much anymore with this,” Trump said in a White House news conference Friday afternoon. “That’s OK.” He later added, “We’re stopping American patients from just getting — pure and simple, two words, very simple words — ripped off. Because they’ve been ripped off for years. For a lot of years.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The second rule Trump announced Friday (which is a proposed rule, still subject to public comments before being finalized) affects insurance companies. It would essentially make insurers give patients their “explanation of benefits” upfront. It would require insurers to explain how much a service would cost, how much your plan would pay and how much you would owe — before the service is performed. The idea is that patients could use that information to shop around ahead of time for a better deal — assuming a better deal can be found, and the service isn’t a medical emergency.\u003c/p>\n\u003cp>Certainly these rules would give patients more information than they currently have. The other promise of these rules — that they will bring down health care costs — is more of an open question.\u003c/p>\n\u003cp>\u003ca href=\"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&s=higher&dct=PS&D=CMS-2019-0109\" target=\"_blank\" rel=\"noopener noreferrer\">In public comments\u003c/a> for the hospital rule, hospitals argued that having to make their negotiated rates public would backfire — if a hospital is charging less than another one nearby, it could theoretically raise its price to more closely match its competitor’s.\u003c/p>\n\u003cp>Secretary of Health and Human Services Alex Azar dismissed that argument on a call with reporters Friday morning.\u003c/p>\n\u003cp>“This is a canard,” he said. “Point me to one sector of the American economy where the disclosure of having price information in a competitive marketplace actually leads to higher prices as opposed to lower prices.”\u003c/p>\n\u003cp>Larry Levitt, executive vice president of the Kaiser Family Foundation, \u003ca href=\"https://twitter.com/larry_levitt/status/1195354683197530112\" target=\"_blank\" rel=\"noopener noreferrer\">pointed out on Twitter\u003c/a> that the penalty for hospitals that defy Trump’s transparency rule was “quite weak.”\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>“A maximum fine of $300 per day,” he wrote. “The technical term for that is ‘chump change.’ I wonder how many hospitals will just pay the fine.”\u003c/p>\n\u003cp>There’s also an open question about whether these rules will survive legal challenges. Another Trump administration proposal to show \u003ca href=\"https://www.npr.org/2019/07/09/739770699/judge-blocks-trump-rule-requiring-pharma-companies-to-say-price-of-drugs-in-tv-a\" target=\"_blank\" rel=\"noopener noreferrer\">drug list prices in television ads\u003c/a> was blocked in the courts.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We may face litigation, but we feel we’re on a very sound legal footing for what we’re asking,” Azar told reporters.\u003c/p>\n\u003cdiv class=\"fullattribution\">\u003cem>Copyright 2019 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=Trump+Wants+Insurers+and+Hospitals+To+Show+Real+Prices+To+Patients&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/em>\u003c/div>\n\n\u003c/div>\u003c/p>",
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"title": "Marin Woman Dies of Vaping-Related Illness in First Recorded Bay Area Fatality Linked to E-Cigarettes",
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"content": "\u003cp>A previously healthy Marin County woman in her 40s who started vaping six months ago has died, county officials announced Wednesday.\u003c/p>\n\u003cp>“With sadness, we report that there has been a death in our community suspected to be caused by severe lung injury associated with vaping,” said Dr. Matt Willis, a public health officer with Marin Health and Human Services, in a news release.\u003c/p>\n\u003cp>Marin County Chief Deputy Coroner Robert Fielding identified the victim as Amanda Arconti, a 45-year-old Marin County resident who also had an apartment in Vacaville, \u003ca href=\"https://www.ktvu.com/news/health-dept-woman-dies-after-complications-related-to-e-cigarettes-could-be-fourth-possible-vaping-fatality-in-california\" target=\"_blank\" rel=\"noopener noreferrer\">KTVU reported\u003c/a>. She died on Nov. 7 at Novato Community Hospital.\u003c/p>\n\u003cp>Her death appears to be linked to either vaping or previous tobacco use, Fielding said, but noted that a coming autopsy would determine the final cause of death.\u003c/p>\n\u003cp>Arconti was admitted to the hospital last Thursday, describing symptoms that had persisted for about four days, including coughing, shortness of breath, chest pain and fever, Willis said. Her condition then rapidly progressed to respiratory distress, he added, at which point she was transferred to the hospital’s intensive care unit and placed on a breathing machine before dying the following day.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“This is one of the characteristics of this kind of lung injury: It can be really rapidly progressive in people who are otherwise healthy,” he said.\u003c/p>\n\u003cp>Her death marks the fourth vaping-related fatality in California since July, and the 40th recorded nationally \u003ca href=\"https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html\" target=\"_blank\" rel=\"noopener noreferrer\">by the U.S. Centers for Disease Control and Prevention\u003c/a>. The agency has also documented over 2,000 suspected cases nationwide of lung damage associated with e-cigarettes in the growing epidemic.[aside label=\"related content\" tag=\"e-cigarettes\"]\u003c/p>\n\u003cp>Marin Health and Human Services issued a warning in September recommending that residents cease e-cigarette use and vaping until the cause of the outbreak is discovered. Most cities in Marin County also recently moved to ban the sale of flavored tobacco beginning in January 2020.\u003c/p>\n\u003cp>Willis said his agency is working with the CDC and the California Department of Public Health to obtain test samples of the vaping liquid the woman used and hopes to determine what specifically contributed to her death.\u003c/p>\n\u003cp>“We’re refining what those compounds might be and are going to be using the public health lab to actually test samples themselves that we have collected,” Willis said. His team is relying on the victim’s family members to collect and provide additional evidence, and hopes to have test results within a few weeks, he said.\u003c/p>\n\u003cp>Although the specific products or compounds that cause lung injury after use of e-cigarettes are still unknown, the CDC \u003ca href=\"https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html\" target=\"_blank\" rel=\"noopener noreferrer\">announced last week\u003c/a> that vitamin E acetate may be a contributor in some cases.\u003c/p>\n\u003cp>Oil-based vitamin E is sometimes added to vaping liquids, especially those containing the psychoactive cannabis compound THC, but numerous confirmed cases of lung injury have not been tied to THC, county officials said.\u003c/p>\n\u003cp>There are several thousand formulations of vaping liquids, many of which have not been tested for safety, according to the county.\u003c/p>\n\u003cp>Symptoms of e-cigarette and vaping-associated lung injury, (EVALI) can include shortness of breath, coughing or chest pain, often accompanied by nausea, fever, vomiting or diarrhea. Anyone experiencing these symptoms after using e-cigarettes should seek prompt medical attention, health officials said.\u003c/p>\n\u003cp>“The message is simple: It’s not safe to vape,” Willis said. “Until we have a better understanding of the cause of this outbreak, it’s best to avoid these products entirely.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This article includes reporting from Bay City News’ James Lanaras.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A previously healthy Marin County woman in her 40s who started vaping six months ago has died, county officials announced Wednesday.\u003c/p>\n\u003cp>“With sadness, we report that there has been a death in our community suspected to be caused by severe lung injury associated with vaping,” said Dr. Matt Willis, a public health officer with Marin Health and Human Services, in a news release.\u003c/p>\n\u003cp>Marin County Chief Deputy Coroner Robert Fielding identified the victim as Amanda Arconti, a 45-year-old Marin County resident who also had an apartment in Vacaville, \u003ca href=\"https://www.ktvu.com/news/health-dept-woman-dies-after-complications-related-to-e-cigarettes-could-be-fourth-possible-vaping-fatality-in-california\" target=\"_blank\" rel=\"noopener noreferrer\">KTVU reported\u003c/a>. She died on Nov. 7 at Novato Community Hospital.\u003c/p>\n\u003cp>Her death appears to be linked to either vaping or previous tobacco use, Fielding said, but noted that a coming autopsy would determine the final cause of death.\u003c/p>\n\u003cp>Arconti was admitted to the hospital last Thursday, describing symptoms that had persisted for about four days, including coughing, shortness of breath, chest pain and fever, Willis said. Her condition then rapidly progressed to respiratory distress, he added, at which point she was transferred to the hospital’s intensive care unit and placed on a breathing machine before dying the following day.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“This is one of the characteristics of this kind of lung injury: It can be really rapidly progressive in people who are otherwise healthy,” he said.\u003c/p>\n\u003cp>Her death marks the fourth vaping-related fatality in California since July, and the 40th recorded nationally \u003ca href=\"https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html\" target=\"_blank\" rel=\"noopener noreferrer\">by the U.S. Centers for Disease Control and Prevention\u003c/a>. The agency has also documented over 2,000 suspected cases nationwide of lung damage associated with e-cigarettes in the growing epidemic.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Marin Health and Human Services issued a warning in September recommending that residents cease e-cigarette use and vaping until the cause of the outbreak is discovered. Most cities in Marin County also recently moved to ban the sale of flavored tobacco beginning in January 2020.\u003c/p>\n\u003cp>Willis said his agency is working with the CDC and the California Department of Public Health to obtain test samples of the vaping liquid the woman used and hopes to determine what specifically contributed to her death.\u003c/p>\n\u003cp>“We’re refining what those compounds might be and are going to be using the public health lab to actually test samples themselves that we have collected,” Willis said. His team is relying on the victim’s family members to collect and provide additional evidence, and hopes to have test results within a few weeks, he said.\u003c/p>\n\u003cp>Although the specific products or compounds that cause lung injury after use of e-cigarettes are still unknown, the CDC \u003ca href=\"https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html\" target=\"_blank\" rel=\"noopener noreferrer\">announced last week\u003c/a> that vitamin E acetate may be a contributor in some cases.\u003c/p>\n\u003cp>Oil-based vitamin E is sometimes added to vaping liquids, especially those containing the psychoactive cannabis compound THC, but numerous confirmed cases of lung injury have not been tied to THC, county officials said.\u003c/p>\n\u003cp>There are several thousand formulations of vaping liquids, many of which have not been tested for safety, according to the county.\u003c/p>\n\u003cp>Symptoms of e-cigarette and vaping-associated lung injury, (EVALI) can include shortness of breath, coughing or chest pain, often accompanied by nausea, fever, vomiting or diarrhea. Anyone experiencing these symptoms after using e-cigarettes should seek prompt medical attention, health officials said.\u003c/p>\n\u003cp>“The message is simple: It’s not safe to vape,” Willis said. “Until we have a better understanding of the cause of this outbreak, it’s best to avoid these products entirely.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This article includes reporting from Bay City News’ James Lanaras.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>San Francisco Mayor London Breed and Supervisors Matt Haney and Hillary Ronen announced a deal Tuesday reconciling their dueling plans to reform the city’s fragmented mental health care system.\u003c/p>\n\u003cp>The trio introduced the agreement outside of City Hall, following months of often tense negotiations on ways to overhaul the treatment of residents grappling with homelessness, mental health and substance abuse issues.\u003c/p>\n\u003cp>In October, Breed announced she was backing her own comprehensive health care plan — called Urgent Care SF — geared towards some 4,000 homeless San Franciscans suffering from mental illness and substance abuse, an initiative she placed on the March 2020 ballot.\u003c/p>\n\u003cp>Similarly, Ronen and Haney also announced last month they had filed paperwork to put their own proposal — dubbed Mental Health SF — on the same ballot. That more sweeping plan pushed for systemic change to the city’s mental health system, a proposal Breed criticized as too broad and costly.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"mental-health-sf\"]Under the new deal, both sides are pulling their respective measures from the ballot, avoiding what promised to be a long, costly fight in the coming months. Instead, the new plan — still called Mental Health SF — is now being introduced as legislation to the Board of Supervisors.\u003c/p>\n\u003cp>“People didn’t want to see competing ballot measures — a bunch of politics that actually would’ve delayed the solution,” Haney said on Tuesday. “What we’ve put forward here with Mental Health SF is the vision and the framework and the accountability structure to have a system that actually works, because the one we have right now is disjointed, disconnected and is failing our city.”\u003c/p>\n\u003cp>The agreement incorporates Breed’s original demand to prioritize treatment for the city’s most vulnerable population. But it also retains Ronen and Haney’s push to create an Office of Private Insurance Accountability to make sure residents with mental health needs, including those with insurance, receive adequate care.\u003c/p>\n\u003cp>The new program would also include a 24-hour drop-in center with access to psychiatrists and medication for anyone who needs it, regardless of insurance status.\u003c/p>\n\u003cp>“I am so excited for the future of mental health in San Francisco because I know this is the right way to do it,” Breed said. “We have to start looking at mental health in a whole other way than we did in the past. What happens when someone is a schizophrenic? What happens when someone develops dementia or all these other things? What are we doing to make sure we are helping these people and meeting them where they are?”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>However, without a funding source, the effort to approve and implement the program may be far from over.\u003c/p>\n\u003cp>City officials still need to identify a funding source, Haney noted. The program is estimated to cost at least $100 million annually, on top of the $400 million the city already spends on behavioral health services.\u003c/p>\n\u003cp>Funding sources could include a public housing bond, a gross receipts business tax or funding from Proposition C, the a measure passed by voters in 2018 that increases taxes on the city’s biggest corporations to fund housing and homelessness services.\u003c/p>\n\u003cp>Despite the funding vagaries, Ronen said she was optimistic the program would be fully operational within the next two years.\u003c/p>\n\u003cp>“We just created the first universal mental health and substance use system in the country,” she said. “We’re no longer going to waste money, time and the goodwill of patients, and the rest of us quite frankly, by watching people cycle from the street to emergency services, to residential treatment and then right back out on the street, where it is almost impossible to get better.”\u003c/p>\n\u003cp>\u003cem>Additional reporting included from Bay City News’ Daniel Montes.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco Mayor London Breed and Supervisors Matt Haney and Hillary Ronen announced a deal Tuesday reconciling their dueling plans to reform the city’s fragmented mental health care system.\u003c/p>\n\u003cp>The trio introduced the agreement outside of City Hall, following months of often tense negotiations on ways to overhaul the treatment of residents grappling with homelessness, mental health and substance abuse issues.\u003c/p>\n\u003cp>In October, Breed announced she was backing her own comprehensive health care plan — called Urgent Care SF — geared towards some 4,000 homeless San Franciscans suffering from mental illness and substance abuse, an initiative she placed on the March 2020 ballot.\u003c/p>\n\u003cp>Similarly, Ronen and Haney also announced last month they had filed paperwork to put their own proposal — dubbed Mental Health SF — on the same ballot. That more sweeping plan pushed for systemic change to the city’s mental health system, a proposal Breed criticized as too broad and costly.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Under the new deal, both sides are pulling their respective measures from the ballot, avoiding what promised to be a long, costly fight in the coming months. Instead, the new plan — still called Mental Health SF — is now being introduced as legislation to the Board of Supervisors.\u003c/p>\n\u003cp>“People didn’t want to see competing ballot measures — a bunch of politics that actually would’ve delayed the solution,” Haney said on Tuesday. “What we’ve put forward here with Mental Health SF is the vision and the framework and the accountability structure to have a system that actually works, because the one we have right now is disjointed, disconnected and is failing our city.”\u003c/p>\n\u003cp>The agreement incorporates Breed’s original demand to prioritize treatment for the city’s most vulnerable population. But it also retains Ronen and Haney’s push to create an Office of Private Insurance Accountability to make sure residents with mental health needs, including those with insurance, receive adequate care.\u003c/p>\n\u003cp>The new program would also include a 24-hour drop-in center with access to psychiatrists and medication for anyone who needs it, regardless of insurance status.\u003c/p>\n\u003cp>“I am so excited for the future of mental health in San Francisco because I know this is the right way to do it,” Breed said. “We have to start looking at mental health in a whole other way than we did in the past. What happens when someone is a schizophrenic? What happens when someone develops dementia or all these other things? What are we doing to make sure we are helping these people and meeting them where they are?”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>However, without a funding source, the effort to approve and implement the program may be far from over.\u003c/p>\n\u003cp>City officials still need to identify a funding source, Haney noted. The program is estimated to cost at least $100 million annually, on top of the $400 million the city already spends on behavioral health services.\u003c/p>\n\u003cp>Funding sources could include a public housing bond, a gross receipts business tax or funding from Proposition C, the a measure passed by voters in 2018 that increases taxes on the city’s biggest corporations to fund housing and homelessness services.\u003c/p>\n\u003cp>Despite the funding vagaries, Ronen said she was optimistic the program would be fully operational within the next two years.\u003c/p>\n\u003cp>“We just created the first universal mental health and substance use system in the country,” she said. “We’re no longer going to waste money, time and the goodwill of patients, and the rest of us quite frankly, by watching people cycle from the street to emergency services, to residential treatment and then right back out on the street, where it is almost impossible to get better.”\u003c/p>\n\u003cp>\u003cem>Additional reporting included from Bay City News’ Daniel Montes.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>San Francisco voters \u003ca href=\"http://bit.ly/2WWaweU\" target=\"_blank\" rel=\"noopener\">overwhelmingly rejected\u003c/a> Juul-funded Proposition C, which would have overturned the ban on the sale and distribution of e-cigarettes in the city.\u003c/p>\n\u003cp>In June, the San Francisco Board of Supervisors voted unanimously for the ban until vaping products are reviewed by the U.S. Food and Drug Administration.\u003c/p>\n\u003cp>San Francisco-based Juul Labs — which received a multi-billion dollar cash infusion from tobacco giant Altria last year — poured over $18 million into pushing Proposition C.\u003c/p>\n\u003cp>Amid greater attention to health risks caused by vaping and with a new CEO, Juul \u003ca href=\"https://www.kqed.org/news/11778007/juuls-19-million-change-of-heart\" target=\"_blank\" rel=\"noopener\">pulled the plug\u003c/a> on its support for the ballot measure before Tuesday’s election.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco voters \u003ca href=\"http://bit.ly/2WWaweU\" target=\"_blank\" rel=\"noopener\">overwhelmingly rejected\u003c/a> Juul-funded Proposition C, which would have overturned the ban on the sale and distribution of e-cigarettes in the city.\u003c/p>\n\u003cp>In June, the San Francisco Board of Supervisors voted unanimously for the ban until vaping products are reviewed by the U.S. Food and Drug Administration.\u003c/p>\n\u003cp>San Francisco-based Juul Labs — which received a multi-billion dollar cash infusion from tobacco giant Altria last year — poured over $18 million into pushing Proposition C.\u003c/p>\n\u003cp>Amid greater attention to health risks caused by vaping and with a new CEO, Juul \u003ca href=\"https://www.kqed.org/news/11778007/juuls-19-million-change-of-heart\" target=\"_blank\" rel=\"noopener\">pulled the plug\u003c/a> on its support for the ballot measure before Tuesday’s election.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>E-cigarette maker Juul Labs announced Thursday it will suspend sales of most of its flavored products — including mango, fruit and cucumber — which are widely considered an on-ramp to vaping for teenagers.\u003c/p>\n\u003cp>The move comes as the industry faces immense scrutiny. Several states have instituted bans on flavored products, and the Trump administration has signaled that a\u003ca href=\"https://www.npr.org/sections/health-shots/2019/09/11/759851853/fda-to-banish-flavored-e-cigarettes-to-combat-youth-vaping\"> federal ban may be in the works.\u003c/a>\u003c/p>\n\u003cp>Juul Labs’ new CEO K.C. Crosthwaite said the company is focused on “earning the trust of society” and is working to “combat underage use while providing an alternative to adult smokers,” according to a \u003ca href=\"https://newsroom.juul.com/juul-labs-suspends-sale-of-non-tobacco-non-menthol-based-flavors-in-the-u-s/\">company release\u003c/a> announcing the change.\u003c/p>\n\u003cp>At a time when an estimated 25% of high school seniors in the U.S. say they’ve vaped within the last 30 days, the company is also under pressure to limit marketing and advertising to youth.[aside label=\"more e-cigarette coverage\" tag=\"e-cigarettes\"]\u003c/p>\n\u003cp>Juul’s move to suspend flavors comes the same day that a small nonprofit group, Center for Environmental Health, announced a \u003ca href=\"https://www.ceh.org/news-events/press-releases/content/ceh-settles-juul-worlds-largest-e-cigarette-provider-signs-first-legally-binding-agreement-restricting-marketing-children-teens/\">legally binding agreement\u003c/a> of its lawsuit with the company that will limit Juul’s marketing to kids and teens in specific ways.\u003c/p>\n\u003cp>For instance, Juul cannot advertise at sporting events or concerts that allow people under the age of 21 to attend. The company may not pay for or permit company employees to appear at schools. And, the company can’t use models in their ads that are under the age of 28.\u003c/p>\n\u003cp>In a statement to NPR, a Juul spokesperson wrote, “We agree that no youth should use JUUL products and we are committed to combating underage use.” The statement goes on to say that this “settlement affirms voluntarily responsible marketing practices that JUUL Labs has had in place.”\u003c/p>\n\u003cp>The company says it does not market to youth. “Our products exist solely to help adult smokers find an alternative to combustible cigarettes,” the spokesperson concludes.\u003c/p>\n\u003cp>But Center for Environmental Health CEO Michael Green says the settlement can help hold Juul accountable.\u003c/p>\n\u003cp>“We don’t trust them, we think that their entire model is based on addicting a new generation of young people,” Green says. “The fact that [the agreement is] court-enforceable means that we are going to watch them very closely — and if they violate it by one inch we can go back to court and we can force them to stop.”\u003c/p>\n\u003cp>The settlement is enforceable only in California — and only for a finite period. Public health experts say it’s a step in the right direction, but more action from federal regulators is needed to rein in the epidemic of teen vaping.\u003c/p>\n\u003cp>“The tobacco industry has a long history of making loud, public pronouncements and then failing to follow through,” says \u003ca href=\"https://www.lung.org/about-us/our-leadership/paul-billings.html\">Paul Billings\u003c/a>, the senior vice president for advocacy at the American Lung Association.\u003c/p>\n\u003cp>Billings says the federal government needs to remove flavored e-cigarette products from the market. And he says the Food and Drug Administration, the agency that has regulatory authority, needs to act. \u003c/p>\n\u003cp>“FDA has been dragging its feet for more than a decade,” Billings says. “It’s past time for FDA to enforce the law to provide oversight over e-cigarette products.”\u003c/p>\n\u003cp>As concern over the vaping-related lung illnesses has grown this year, there has been renewed focus on the wider epidemic of teen vaping. And many Americans seem to be in favor of federal action — according to the results of a \u003ca href=\"https://www.kff.org/other/issue-brief/data-note-vaping-and-e-cigarettes/\">new poll from the Kaiser Family Foundation.\u003c/a>\u003c/p>\n\u003cp>“When it comes to banning the sale of flavored e-cigarettes, 52% [of respondents] were in support of a ban,” says \u003ca href=\"https://www.kff.org/person/liz-hamel/\">Liz Hamel\u003c/a>, director of public opinion and survey research at KFF. The poll also found that about half of respondents also support a ban on sales of all e-cigarettes.\u003c/p>\n\u003cp>Some anti-smoking advocates say Juul’s voluntary suspension of its flavored products may have minimal impact, given that the company plans to continue to sell mint- and menthol-flavored e-cigarettes.\u003c/p>\n\u003cp>Robin Koval, CEO and president of Truth Initiative, said in a statement that those two flavors are among the most popular among youth. \u003c/p>\n\u003cp>“We also know, as does the tobacco industry, that menthol has been, and continues to be, the starter flavor of choice for young cigarette users,” she added.\u003c/p>\n\u003cp>\u003ca href=\"https://www.mikebloomberg.com/news/mike-bloomberg-statement-on-todays-juul-announcement/\">In a statement\u003c/a>, Michael Bloomberg, former New York City mayor and philanthropist, called Juul’s move to suspend flavors “too little and too late.”\u003c/p>\n\u003cp>Bloomberg Philanthropies launched its \u003ca href=\"https://urldefense.proofpoint.com/v2/url?u=https-3A__fightflavoredecigs.org_&d=DwMFAg&c=E2nBno7hEddFhl23N5nD1Q&r=jYlnX1OnItymBcYNYHda_Q&m=9NqFOgYvRR4y0R6-Jb50J76nsEUqcpmRz1mfp4W6U9U&s=B3lbzaD6jBYNJfnIKH9YIrTkFxZdyxH_k4RrE52CSfg&e=\">“Protect Kids: Fight Flavored E-Cigarettes”\u003c/a> initiative last month. \u003c/p>\n\u003cp>“Juul’s decision to keep mint- and menthol-flavored e-cigarettes on the shelves is a page right out of the tobacco industry’s playbook,” Bloomberg said.\u003c/p>\n\u003cp>There is evidence that vaping has hooked millions of teenagers on nicotine, a very addictive compound that may be \u003ca href=\"https://www.npr.org/sections/health-shots/2019/10/10/768588170/how-vaping-nicotine-can-affect-a-teenage-brain\">harmful to the teenage brain.\u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Some evidence also suggests that teens get addicted to nicotine faster by vaping than by smoking cigarettes. Stan Glantz, a professor of medicine at UC San Francisco who has studied tobacco, says one reason may be the use of the nicotine salts in the newest generation of vaping products. \u003c/p>\n\u003cp>“It allows kids to inhale a much higher dose of nicotine per puff,” Glantz says.\u003c/p>\n\u003cp>And that can make it harder to kick the habit.\u003c/p>\n\u003cp>Copyright 2019 NPR. To see more, visit https://www.npr.org.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Flavored e-cigarettes have hooked millions of teens on nicotine. After months of intense public pressure, Juul Labs now says it will suspend sales of many flavors. But some call the move too little, too late.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>E-cigarette maker Juul Labs announced Thursday it will suspend sales of most of its flavored products — including mango, fruit and cucumber — which are widely considered an on-ramp to vaping for teenagers.\u003c/p>\n\u003cp>The move comes as the industry faces immense scrutiny. Several states have instituted bans on flavored products, and the Trump administration has signaled that a\u003ca href=\"https://www.npr.org/sections/health-shots/2019/09/11/759851853/fda-to-banish-flavored-e-cigarettes-to-combat-youth-vaping\"> federal ban may be in the works.\u003c/a>\u003c/p>\n\u003cp>Juul Labs’ new CEO K.C. Crosthwaite said the company is focused on “earning the trust of society” and is working to “combat underage use while providing an alternative to adult smokers,” according to a \u003ca href=\"https://newsroom.juul.com/juul-labs-suspends-sale-of-non-tobacco-non-menthol-based-flavors-in-the-u-s/\">company release\u003c/a> announcing the change.\u003c/p>\n\u003cp>At a time when an estimated 25% of high school seniors in the U.S. say they’ve vaped within the last 30 days, the company is also under pressure to limit marketing and advertising to youth.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Juul’s move to suspend flavors comes the same day that a small nonprofit group, Center for Environmental Health, announced a \u003ca href=\"https://www.ceh.org/news-events/press-releases/content/ceh-settles-juul-worlds-largest-e-cigarette-provider-signs-first-legally-binding-agreement-restricting-marketing-children-teens/\">legally binding agreement\u003c/a> of its lawsuit with the company that will limit Juul’s marketing to kids and teens in specific ways.\u003c/p>\n\u003cp>For instance, Juul cannot advertise at sporting events or concerts that allow people under the age of 21 to attend. The company may not pay for or permit company employees to appear at schools. And, the company can’t use models in their ads that are under the age of 28.\u003c/p>\n\u003cp>In a statement to NPR, a Juul spokesperson wrote, “We agree that no youth should use JUUL products and we are committed to combating underage use.” The statement goes on to say that this “settlement affirms voluntarily responsible marketing practices that JUUL Labs has had in place.”\u003c/p>\n\u003cp>The company says it does not market to youth. “Our products exist solely to help adult smokers find an alternative to combustible cigarettes,” the spokesperson concludes.\u003c/p>\n\u003cp>But Center for Environmental Health CEO Michael Green says the settlement can help hold Juul accountable.\u003c/p>\n\u003cp>“We don’t trust them, we think that their entire model is based on addicting a new generation of young people,” Green says. “The fact that [the agreement is] court-enforceable means that we are going to watch them very closely — and if they violate it by one inch we can go back to court and we can force them to stop.”\u003c/p>\n\u003cp>The settlement is enforceable only in California — and only for a finite period. Public health experts say it’s a step in the right direction, but more action from federal regulators is needed to rein in the epidemic of teen vaping.\u003c/p>\n\u003cp>“The tobacco industry has a long history of making loud, public pronouncements and then failing to follow through,” says \u003ca href=\"https://www.lung.org/about-us/our-leadership/paul-billings.html\">Paul Billings\u003c/a>, the senior vice president for advocacy at the American Lung Association.\u003c/p>\n\u003cp>Billings says the federal government needs to remove flavored e-cigarette products from the market. And he says the Food and Drug Administration, the agency that has regulatory authority, needs to act. \u003c/p>\n\u003cp>“FDA has been dragging its feet for more than a decade,” Billings says. “It’s past time for FDA to enforce the law to provide oversight over e-cigarette products.”\u003c/p>\n\u003cp>As concern over the vaping-related lung illnesses has grown this year, there has been renewed focus on the wider epidemic of teen vaping. And many Americans seem to be in favor of federal action — according to the results of a \u003ca href=\"https://www.kff.org/other/issue-brief/data-note-vaping-and-e-cigarettes/\">new poll from the Kaiser Family Foundation.\u003c/a>\u003c/p>\n\u003cp>“When it comes to banning the sale of flavored e-cigarettes, 52% [of respondents] were in support of a ban,” says \u003ca href=\"https://www.kff.org/person/liz-hamel/\">Liz Hamel\u003c/a>, director of public opinion and survey research at KFF. The poll also found that about half of respondents also support a ban on sales of all e-cigarettes.\u003c/p>\n\u003cp>Some anti-smoking advocates say Juul’s voluntary suspension of its flavored products may have minimal impact, given that the company plans to continue to sell mint- and menthol-flavored e-cigarettes.\u003c/p>\n\u003cp>Robin Koval, CEO and president of Truth Initiative, said in a statement that those two flavors are among the most popular among youth. \u003c/p>\n\u003cp>“We also know, as does the tobacco industry, that menthol has been, and continues to be, the starter flavor of choice for young cigarette users,” she added.\u003c/p>\n\u003cp>\u003ca href=\"https://www.mikebloomberg.com/news/mike-bloomberg-statement-on-todays-juul-announcement/\">In a statement\u003c/a>, Michael Bloomberg, former New York City mayor and philanthropist, called Juul’s move to suspend flavors “too little and too late.”\u003c/p>\n\u003cp>Bloomberg Philanthropies launched its \u003ca href=\"https://urldefense.proofpoint.com/v2/url?u=https-3A__fightflavoredecigs.org_&d=DwMFAg&c=E2nBno7hEddFhl23N5nD1Q&r=jYlnX1OnItymBcYNYHda_Q&m=9NqFOgYvRR4y0R6-Jb50J76nsEUqcpmRz1mfp4W6U9U&s=B3lbzaD6jBYNJfnIKH9YIrTkFxZdyxH_k4RrE52CSfg&e=\">“Protect Kids: Fight Flavored E-Cigarettes”\u003c/a> initiative last month. \u003c/p>\n\u003cp>“Juul’s decision to keep mint- and menthol-flavored e-cigarettes on the shelves is a page right out of the tobacco industry’s playbook,” Bloomberg said.\u003c/p>\n\u003cp>There is evidence that vaping has hooked millions of teenagers on nicotine, a very addictive compound that may be \u003ca href=\"https://www.npr.org/sections/health-shots/2019/10/10/768588170/how-vaping-nicotine-can-affect-a-teenage-brain\">harmful to the teenage brain.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Some evidence also suggests that teens get addicted to nicotine faster by vaping than by smoking cigarettes. Stan Glantz, a professor of medicine at UC San Francisco who has studied tobacco, says one reason may be the use of the nicotine salts in the newest generation of vaping products. \u003c/p>\n\u003cp>“It allows kids to inhale a much higher dose of nicotine per puff,” Glantz says.\u003c/p>\n\u003cp>And that can make it harder to kick the habit.\u003c/p>\n\u003cp>Copyright 2019 NPR. To see more, visit https://www.npr.org.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Did the Bay Area Experience a 'Birthquake' After Loma Prieta?",
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"content": "\u003cp>As a teenager, Floyd Hijada eventually came to understand why his dad had given him the nickname “Mr. Earthquake.”\u003c/p>\n\u003cp>“It confused me at first because the earthquake happened in October, but I was born in July,” said Hijada, the sixth and youngest child in his family. “But I guess, you know, that’s how it works.”\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation=\"Floyd Hijada\"]‘It confused me at first because the earthquake happened in October, but I was born in July. But I guess, you know, that’s how it works.’[/pullquote]\u003c/p>\n\u003cp>Hijada’s parents worked opposite schedules, he explained, so the two normally spent little time together. But that changed in the days after the Loma Prieta earthquake in 1989, when their routine came to an abrupt halt and the couple found themselves cooped up in their Daly City home without power.\u003c/p>\n\u003cp>“I already had five kids and we didn’t want any more,” Eleanor Hijada, then 37, \u003ca href=\"https://www.chicagotribune.com/news/ct-xpm-1990-07-31-9003040182-story.html\" target=\"_blank\" rel=\"noopener\">told San Francisco Examiner\u003c/a> reporter Annie Nakao in July 1990, after giving birth to her son just about nine months after the big quake.\u003c/p>\n\u003cp>“I was afraid. I rushed home,” Hijada’s mother said, recounting that fateful day. “My husband didn’t go to work. I was so scared. I had to be close to him. … I was very, very close.”\u003c/p>\n\u003cp>That Examiner article made the front page of the paper, which his parents framed and proudly displayed in the living room.\u003c/p>\n\u003cfigure id=\"attachment_11780895\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"https://ww2.kqed.org/news/2019/10/18/did-the-bay-area-have-a-birthquake-after-loma-prieta/floyd2/\" rel=\"attachment wp-att-11780895\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11780895\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/10/floyd2.jpeg\" alt=\"\" width=\"400\" height=\"711\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/10/floyd2.jpeg 567w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/10/floyd2-160x284.jpeg 160w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The front page of the San Francisco Examiner from July 1990, featuring an article about the Bay Area’s potential “baby boomlet.” Floyd Hijada, then a newborn, is pictured being held by his father. \u003ccite>(Courtesy of Floyd Hijada)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I kind of grew up hearing about it,” said Floyd Hijada, who now lives in Concord and works as a graphic designer. “It became like this little discussion piece.”\u003c/p>\n\u003cp>The article described a “baby boomlet” of sorts that had occurred that July in the maternity ward of Seton Medical Center in Daly City.\u003c/p>\n\u003cp>Births at Seton had risen 25% since the first of the month, Nakao reported. On July 10, 1990, Hijada was one of 23 babies in the hospital’s newborn nursery, as compared to eight on the same day the previous year.\u003c/p>\n\u003cp>“We can’t account for it,” Dr. Gwen Marcus, of Seton, told Nakao at the time. But Marcus said talking to the expectant mothers had led to speculation that the temblor was indeed a factor, so much so that the hospital had dubbed the newborns “quake babies.”\u003c/p>\n\u003cp>Asked if he’d ever gotten a chance to meet any of his nursery companions, Hijada said, “No, man. I wish I did. You know, we’d be like a league of superheroes or something. I know there were a lot more [of them].”\u003c/p>\n\u003cp>In her story, Nakao acknowledged that the birth spike at Seton may have been an aberration. None of the other local hospitals she contacted at the time reported any unusual increases, although some said it was too soon to tell.\u003c/p>\n\u003cp>“I can’t say it’s all due to the quake,” Kathy Kohrman, Seton’s spokeswoman at the time, told Nakao. “But when we talk to some of the moms about quake babies, they kind of giggle, look away and turn red.”\u003c/p>\n\u003cp>It’s been a longstanding but largely unsubstantiated theory that mini baby booms occur after natural disasters or other events that confine people indoors.\u003c/p>\n\u003cp>Major natural disasters \u003ca href=\"https://qz.com/1313810/fact-or-fiction-disasters-spur-baby-booms/\" target=\"_blank\" rel=\"noopener\">are commonly followed\u003c/a>, roughly nine months later, by headlines pronouncing a spike in new humans. Such was the case with Hurricanes\u003ca href=\"https://www.nytimes.com/2013/05/27/nyregion/preparing-for-hurricane-babies.html\"> Sandy, \u003c/a>\u003ca href=\"http://www.orlandosentinel.com/health/os-hurricane-babies-20180620-story.html\">Irma\u003c/a>, \u003ca href=\"http://www.orlandosentinel.com/news/breaking-news/96396028-132.html\">Maria\u003c/a> and \u003ca href=\"https://www.cbsnews.com/news/hurricane-harvey-babies-some-hospitals-see-spike-in-births-months-after-the-storm/\">Harvey.\u003c/a>The supposed phenomenon has even been linked to government shutdowns in Washington, D.C. — dubbed “\u003ca href=\"https://www.washingtonpost.com/lifestyle/style/is-washington-in-the-midst-of-a-post-shutdown-baby-boom/2014/07/28/2b561522-1349-11e4-9285-4243a40ddc97_story.html\" target=\"_blank\" rel=\"noopener\">furlough fertility\u003c/a>” — when federal workers have a lot more time on their hands.[aside label=\"related stories\" tag=\"loma-prieta\"]\u003c/p>\n\u003cp>But aside from anecdotal evidence from local hospitals, few population studies have established any strong relationship between natural disasters and birth rates.\u003c/p>\n\u003cp>\u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/11915406\">A 2002 study published in the Journal of Family Psychology\u003c/a> found that in in 1990, the year after Hurricane Hugo struck, marriages and births spiked in the 24 South Carolina counties that had been declared disaster areas. But, to the researchers’ surprise, so too, did divorce rates.\u003c/p>\n\u003cp>Meanwhile, a \u003ca href=\"http://www.econ2.jhu.edu/people/hu/fertility_jpope2010.pdf\" target=\"_blank\" rel=\"noopener\">2008 study\u003c/a> in the Journal of Population Economics, examining six years of birth and storm-advisory data from 47 Atlantic and Gulf Coast counties, found that low-severity storm advisories are “associated with a positive and significant fertility effect,” while high-severity advisories “have a significant negative fertility effect.”\u003c/p>\n\u003cp>Hijada, who turns 30 in July, can’t say for sure if he’s an anomaly or a data point in a wider trend. But the theory, he said, does seem pretty plausible.\u003c/p>\n\u003cp>These days, when Hijada feels the earth shake, as he did intensely on Monday night during the 4.5 magnitude quake in nearby Pleasant Hill, he said he tries not to overthink it.\u003c/p>\n\u003cp>“It does remind me of how I came to be,” he said. “I joke around about it a lot. Like, ‘Oh yeah, I felt that before it came. I knew it was coming.’ ”\u003c/p>\n\u003cp>Hijada quips that the fame and fortune he thought would come from being a “quake baby” never really materialized, despite his front-page splash early on in life.\u003c/p>\n\u003cp>“It took 29 years for somebody to hit me up about it [again],” he said, referring to this interview. “But I’m glad somebody did.”\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As a teenager, Floyd Hijada eventually came to understand why his dad had given him the nickname “Mr. Earthquake.”\u003c/p>\n\u003cp>“It confused me at first because the earthquake happened in October, but I was born in July,” said Hijada, the sixth and youngest child in his family. “But I guess, you know, that’s how it works.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘It confused me at first because the earthquake happened in October, but I was born in July. But I guess, you know, that’s how it works.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Hijada’s parents worked opposite schedules, he explained, so the two normally spent little time together. But that changed in the days after the Loma Prieta earthquake in 1989, when their routine came to an abrupt halt and the couple found themselves cooped up in their Daly City home without power.\u003c/p>\n\u003cp>“I already had five kids and we didn’t want any more,” Eleanor Hijada, then 37, \u003ca href=\"https://www.chicagotribune.com/news/ct-xpm-1990-07-31-9003040182-story.html\" target=\"_blank\" rel=\"noopener\">told San Francisco Examiner\u003c/a> reporter Annie Nakao in July 1990, after giving birth to her son just about nine months after the big quake.\u003c/p>\n\u003cp>“I was afraid. I rushed home,” Hijada’s mother said, recounting that fateful day. “My husband didn’t go to work. I was so scared. I had to be close to him. … I was very, very close.”\u003c/p>\n\u003cp>That Examiner article made the front page of the paper, which his parents framed and proudly displayed in the living room.\u003c/p>\n\u003cfigure id=\"attachment_11780895\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"https://ww2.kqed.org/news/2019/10/18/did-the-bay-area-have-a-birthquake-after-loma-prieta/floyd2/\" rel=\"attachment wp-att-11780895\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11780895\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/10/floyd2.jpeg\" alt=\"\" width=\"400\" height=\"711\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/10/floyd2.jpeg 567w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/10/floyd2-160x284.jpeg 160w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The front page of the San Francisco Examiner from July 1990, featuring an article about the Bay Area’s potential “baby boomlet.” Floyd Hijada, then a newborn, is pictured being held by his father. \u003ccite>(Courtesy of Floyd Hijada)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I kind of grew up hearing about it,” said Floyd Hijada, who now lives in Concord and works as a graphic designer. “It became like this little discussion piece.”\u003c/p>\n\u003cp>The article described a “baby boomlet” of sorts that had occurred that July in the maternity ward of Seton Medical Center in Daly City.\u003c/p>\n\u003cp>Births at Seton had risen 25% since the first of the month, Nakao reported. On July 10, 1990, Hijada was one of 23 babies in the hospital’s newborn nursery, as compared to eight on the same day the previous year.\u003c/p>\n\u003cp>“We can’t account for it,” Dr. Gwen Marcus, of Seton, told Nakao at the time. But Marcus said talking to the expectant mothers had led to speculation that the temblor was indeed a factor, so much so that the hospital had dubbed the newborns “quake babies.”\u003c/p>\n\u003cp>Asked if he’d ever gotten a chance to meet any of his nursery companions, Hijada said, “No, man. I wish I did. You know, we’d be like a league of superheroes or something. I know there were a lot more [of them].”\u003c/p>\n\u003cp>In her story, Nakao acknowledged that the birth spike at Seton may have been an aberration. None of the other local hospitals she contacted at the time reported any unusual increases, although some said it was too soon to tell.\u003c/p>\n\u003cp>“I can’t say it’s all due to the quake,” Kathy Kohrman, Seton’s spokeswoman at the time, told Nakao. “But when we talk to some of the moms about quake babies, they kind of giggle, look away and turn red.”\u003c/p>\n\u003cp>It’s been a longstanding but largely unsubstantiated theory that mini baby booms occur after natural disasters or other events that confine people indoors.\u003c/p>\n\u003cp>Major natural disasters \u003ca href=\"https://qz.com/1313810/fact-or-fiction-disasters-spur-baby-booms/\" target=\"_blank\" rel=\"noopener\">are commonly followed\u003c/a>, roughly nine months later, by headlines pronouncing a spike in new humans. Such was the case with Hurricanes\u003ca href=\"https://www.nytimes.com/2013/05/27/nyregion/preparing-for-hurricane-babies.html\"> Sandy, \u003c/a>\u003ca href=\"http://www.orlandosentinel.com/health/os-hurricane-babies-20180620-story.html\">Irma\u003c/a>, \u003ca href=\"http://www.orlandosentinel.com/news/breaking-news/96396028-132.html\">Maria\u003c/a> and \u003ca href=\"https://www.cbsnews.com/news/hurricane-harvey-babies-some-hospitals-see-spike-in-births-months-after-the-storm/\">Harvey.\u003c/a>The supposed phenomenon has even been linked to government shutdowns in Washington, D.C. — dubbed “\u003ca href=\"https://www.washingtonpost.com/lifestyle/style/is-washington-in-the-midst-of-a-post-shutdown-baby-boom/2014/07/28/2b561522-1349-11e4-9285-4243a40ddc97_story.html\" target=\"_blank\" rel=\"noopener\">furlough fertility\u003c/a>” — when federal workers have a lot more time on their hands.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But aside from anecdotal evidence from local hospitals, few population studies have established any strong relationship between natural disasters and birth rates.\u003c/p>\n\u003cp>\u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/11915406\">A 2002 study published in the Journal of Family Psychology\u003c/a> found that in in 1990, the year after Hurricane Hugo struck, marriages and births spiked in the 24 South Carolina counties that had been declared disaster areas. But, to the researchers’ surprise, so too, did divorce rates.\u003c/p>\n\u003cp>Meanwhile, a \u003ca href=\"http://www.econ2.jhu.edu/people/hu/fertility_jpope2010.pdf\" target=\"_blank\" rel=\"noopener\">2008 study\u003c/a> in the Journal of Population Economics, examining six years of birth and storm-advisory data from 47 Atlantic and Gulf Coast counties, found that low-severity storm advisories are “associated with a positive and significant fertility effect,” while high-severity advisories “have a significant negative fertility effect.”\u003c/p>\n\u003cp>Hijada, who turns 30 in July, can’t say for sure if he’s an anomaly or a data point in a wider trend. But the theory, he said, does seem pretty plausible.\u003c/p>\n\u003cp>These days, when Hijada feels the earth shake, as he did intensely on Monday night during the 4.5 magnitude quake in nearby Pleasant Hill, he said he tries not to overthink it.\u003c/p>\n\u003cp>“It does remind me of how I came to be,” he said. “I joke around about it a lot. Like, ‘Oh yeah, I felt that before it came. I knew it was coming.’ ”\u003c/p>\n\u003cp>Hijada quips that the fame and fortune he thought would come from being a “quake baby” never really materialized, despite his front-page splash early on in life.\u003c/p>\n\u003cp>“It took 29 years for somebody to hit me up about it [again],” he said, referring to this interview. “But I’m glad somebody did.”\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cp>Drugmakers fought hard against California’s groundbreaking drug price transparency law, passed in 2017. Now, state health officials have released their \u003ca href=\"https://oshpd.ca.gov/visualizations/prescription-drug-wholesale-acquisition-cost-increases/\">first report\u003c/a> on the price hikes those drug companies sought to shield.\u003c/p>\n\u003cp>Pharmaceutical companies raised the “wholesale acquisition cost” of their drugs — the list price for wholesalers without discounts or rebates — by a median of 25.8% from 2017 through the first quarter of 2019, according to the Office of Statewide Health Planning and Development. (The median is a value at the midpoint of data distribution.)\u003c/p>\n\u003cp>Generic drugs saw the largest median increase of 37.6% during that time. By comparison, the annual inflation rate during the period was 2%.\u003c/p>\n\u003cp>[aside link1=\"https://www.kqed.org/stateofhealth/223329/drug-price-transparency-laws-may-not-drive-down-spiraling-costs-for-consumers,Drug Price Transparency Laws May Not Drive Down Spiraling Costs for Consumers\" link2=\"https://www.kqed.org/stateofhealth/361263/other-states-closely-watching-fate-of-californias-drug-price-transparency-bill,Other States Closely Watching Fate of California Drug Price Transparency Bill\" label=\"Drug Price Transparency\"]Several drugs stood out for far heftier price increases: The cost of a generic liquid version of Prozac, for example, rose from $9 to $69 in just the first quarter of 2019, an increase of 667%. Guanfacine, a generic medication for attention deficit hyperactivity disorder (ADHD), on the market since 2010, rose more than 200% in the first quarter of 2019 to $87 for 100 2-milligram pills. Amneal Pharmaceuticals, which makes Guanfacine, cited “manufacturing costs” and “market conditions” as reasons for the price hike.\u003c/p>\n\u003cp>“Even at a time when there is a microscope on this industry, they’re going ahead with drug price increases for hundreds of drugs well above the rate of inflation,” said Anthony Wright, executive director of the California advocacy group Health Access.\u003c/p>\n\u003cp>The national debate over exorbitant prescription drug prices — and how to relieve them — was supposed to take center stage in recent weeks, as House Speaker Nancy Pelosi released \u003ca href=\"https://www.kqed.org/news/11775310/pelosi-unveils-plan-to-lower-prescription-drug-costs-a-rare-priority-shared-with-trump\" target=\"_blank\" rel=\"noopener\">a plan\u003c/a> to negotiate prices for as many as 250 name-brand drugs, including high-priced insulin, for Medicare beneficiaries. Another \u003ca href=\"https://www.cnbc.com/2019/07/23/key-senate-panel-unveils-bipartisan-bill-to-lower-drug-prices-for-seniors.html\">plan\u003c/a> under consideration in the Senate would set a maximum out-of-pocket cost for prescription drugs for Medicare patients and penalize drug companies if prices rose faster than inflation.\u003c/p>\n\u003cp>President Trump has also highlighted drug prices as an issue in his reelection campaign. But lawmakers’ efforts to hammer out legislation are likely to be overshadowed, for now, by presidential impeachment proceedings. In Nevada, health officials in early October \u003ca href=\"https://thenevadaindependent.com/article/nevada-levies-17-million-in-fines-on-drug-companies-for-noncompliance-with-diabetes-drug-transparency-law\">fined companies $17 million\u003c/a> for failing to comply with the state’s 2-year-old transparency law requiring diabetes drug manufacturers to disclose detailed financial and pricing information.\u003c/p>\n\u003cp>California’s new drug law requires companies to report drug price increases quarterly. Only companies that met certain standards — they raised the price of a drug within the first quarter and the price had risen by at least 16% since January 2017 — had to submit data. The companies that met the standards were required to provide pricing data for the previous five years. In its initial report, the state focused its analysis on drug-pricing trends for about 1,000 products from January 2017 through March 2019.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>California’s transparency law also requires drugmakers to state why they are raising prices. Over time, that information, in addition to cost disclosures, could create “one of the more comprehensive and official drug databases on prices that we have nationwide,” Wright said. “That, in itself, is progress, so that we can get better information on the rationale for drug price increases.”\u003c/p>\n\u003cp>But the data does not reflect discounts and rebates for insurers and pharmacy benefit managers and bears little resemblance to what consumers actually pay, said Priscilla VanderVeer, a spokeswoman for the trade group Pharmaceutical Research and Manufacturers of America. The group filed a \u003ca href=\"https://www.documentcloud.org/documents/6440510-PHRMA-v-California-SB-17-COMPLAINT-12-8-17.html\">lawsuit\u003c/a> seeking to overturn the California legislation that has not yet been resolved.\u003c/p>\n\u003cp>“If transparency legislation only looks at one part of the pharmaceutical supply chain, without getting into the various middlemen like insurers and pharmacy benefit managers that ultimately determine what patients have to pay at the pharmacy counter, it won’t help patients access or afford their medicines,” VanderVeer said in an email.\u003c/p>\n\u003cp>State Sen. Richard Pan, D-Sacramento, a pediatrician who chairs the Senate Health Committee, agrees — up to a point.\u003c/p>\n\u003cp>“Transparency always has value,” Pan said. But policymakers need more data on how much insurers and consumers are spending on prescription drugs, he said.\u003c/p>\n\u003cp>And he wonders why the price of generic drugs, including those with plenty of competition, rose at higher rates.\u003c/p>\n\u003cp>His concerns were echoed by University of Southern California policy researchers, who recently published a \u003ca href=\"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2751892\">study\u003c/a> that concluded most state-level drug-transparency laws are “insufficient” to reveal the true transaction prices for prescription drugs, or where in the distribution system excessive profits lie.\u003c/p>\n\u003cp>[aside postID=\"news_11740765\"]“The question is, why are these prices going up? Typically, there are competing stories for that,” said Neeraj Sood, vice dean of the University of Southern California’s School of Public Policy and an author of the study. “Maybe cost of production is going up,” he said. “Maybe there’s a drug shortage, or some competitors got eliminated. This reporting of [wholesale acquisition cost] data doesn’t really tell us which of these stories is true.”\u003c/p>\n\u003cp>For now, California’s new data is not likely to be of much help to consumers, Pan said. But he said it might help state officials in their bid to overhaul the way the state purchases drugs for 13 million people served by Medi-Cal, the state’s Medicaid program for low-income residents. Gov. Gavin Newsom’s \u003ca href=\"https://www.sfchronicle.com/business/article/Will-Gavin-Newsom-s-plan-lower-prescription-14404947.php\">controversial plan\u003c/a> to have the state, rather than individual Medi-Cal managed-care plans, negotiate directly with drugmakers would save the state an estimated $393 million a year by 2023, according to the administration.\u003c/p>\n\u003cp>\u003cem>This \u003ca href=\"https://khn.org\">KHN\u003c/a> story first published on \u003ca href=\"http://www.californiahealthline.org/\">California Healthline\u003c/a>, a service of the \u003ca href=\"http://www.chcf.org/\">California Health Care Foundation\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a> (KHN) is a national health policy news service. It is an editorially independent program of the \u003ca href=\"http://www.kff.org/\">Henry J. Kaiser Family Foundation\u003c/a> which is not affiliated with Kaiser Permanente.\u003c/em>\u003c/p>\n\u003cp>\u003cimg decoding=\"async\" src=\"https://ssl.google-analytics.com/collect?v=1&t=event&ec=Republish&tid=UA-53070700-2&z=1571082607988&cid=2bb4d33e-9a0c-4133-b010-815b74d09391&ea=https%3A%2F%2Fkhn.org%2Fnews%2Fcalifornias-new-transparency-law-reveals-steep-rise-in-wholesale-drug-prices%2F&el=California%E2%80%99s%20New%20Transparency%20Law%20Reveals%20Steep%20Rise%20In%20Wholesale%20Drug%20Prices\">\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Drugmakers fought hard against California’s groundbreaking drug price transparency law, passed in 2017. Now, state health officials have released their \u003ca href=\"https://oshpd.ca.gov/visualizations/prescription-drug-wholesale-acquisition-cost-increases/\">first report\u003c/a> on the price hikes those drug companies sought to shield.\u003c/p>\n\u003cp>Pharmaceutical companies raised the “wholesale acquisition cost” of their drugs — the list price for wholesalers without discounts or rebates — by a median of 25.8% from 2017 through the first quarter of 2019, according to the Office of Statewide Health Planning and Development. (The median is a value at the midpoint of data distribution.)\u003c/p>\n\u003cp>Generic drugs saw the largest median increase of 37.6% during that time. By comparison, the annual inflation rate during the period was 2%.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Several drugs stood out for far heftier price increases: The cost of a generic liquid version of Prozac, for example, rose from $9 to $69 in just the first quarter of 2019, an increase of 667%. Guanfacine, a generic medication for attention deficit hyperactivity disorder (ADHD), on the market since 2010, rose more than 200% in the first quarter of 2019 to $87 for 100 2-milligram pills. Amneal Pharmaceuticals, which makes Guanfacine, cited “manufacturing costs” and “market conditions” as reasons for the price hike.\u003c/p>\n\u003cp>“Even at a time when there is a microscope on this industry, they’re going ahead with drug price increases for hundreds of drugs well above the rate of inflation,” said Anthony Wright, executive director of the California advocacy group Health Access.\u003c/p>\n\u003cp>The national debate over exorbitant prescription drug prices — and how to relieve them — was supposed to take center stage in recent weeks, as House Speaker Nancy Pelosi released \u003ca href=\"https://www.kqed.org/news/11775310/pelosi-unveils-plan-to-lower-prescription-drug-costs-a-rare-priority-shared-with-trump\" target=\"_blank\" rel=\"noopener\">a plan\u003c/a> to negotiate prices for as many as 250 name-brand drugs, including high-priced insulin, for Medicare beneficiaries. Another \u003ca href=\"https://www.cnbc.com/2019/07/23/key-senate-panel-unveils-bipartisan-bill-to-lower-drug-prices-for-seniors.html\">plan\u003c/a> under consideration in the Senate would set a maximum out-of-pocket cost for prescription drugs for Medicare patients and penalize drug companies if prices rose faster than inflation.\u003c/p>\n\u003cp>President Trump has also highlighted drug prices as an issue in his reelection campaign. But lawmakers’ efforts to hammer out legislation are likely to be overshadowed, for now, by presidential impeachment proceedings. In Nevada, health officials in early October \u003ca href=\"https://thenevadaindependent.com/article/nevada-levies-17-million-in-fines-on-drug-companies-for-noncompliance-with-diabetes-drug-transparency-law\">fined companies $17 million\u003c/a> for failing to comply with the state’s 2-year-old transparency law requiring diabetes drug manufacturers to disclose detailed financial and pricing information.\u003c/p>\n\u003cp>California’s new drug law requires companies to report drug price increases quarterly. Only companies that met certain standards — they raised the price of a drug within the first quarter and the price had risen by at least 16% since January 2017 — had to submit data. The companies that met the standards were required to provide pricing data for the previous five years. In its initial report, the state focused its analysis on drug-pricing trends for about 1,000 products from January 2017 through March 2019.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California’s transparency law also requires drugmakers to state why they are raising prices. Over time, that information, in addition to cost disclosures, could create “one of the more comprehensive and official drug databases on prices that we have nationwide,” Wright said. “That, in itself, is progress, so that we can get better information on the rationale for drug price increases.”\u003c/p>\n\u003cp>But the data does not reflect discounts and rebates for insurers and pharmacy benefit managers and bears little resemblance to what consumers actually pay, said Priscilla VanderVeer, a spokeswoman for the trade group Pharmaceutical Research and Manufacturers of America. The group filed a \u003ca href=\"https://www.documentcloud.org/documents/6440510-PHRMA-v-California-SB-17-COMPLAINT-12-8-17.html\">lawsuit\u003c/a> seeking to overturn the California legislation that has not yet been resolved.\u003c/p>\n\u003cp>“If transparency legislation only looks at one part of the pharmaceutical supply chain, without getting into the various middlemen like insurers and pharmacy benefit managers that ultimately determine what patients have to pay at the pharmacy counter, it won’t help patients access or afford their medicines,” VanderVeer said in an email.\u003c/p>\n\u003cp>State Sen. Richard Pan, D-Sacramento, a pediatrician who chairs the Senate Health Committee, agrees — up to a point.\u003c/p>\n\u003cp>“Transparency always has value,” Pan said. But policymakers need more data on how much insurers and consumers are spending on prescription drugs, he said.\u003c/p>\n\u003cp>And he wonders why the price of generic drugs, including those with plenty of competition, rose at higher rates.\u003c/p>\n\u003cp>His concerns were echoed by University of Southern California policy researchers, who recently published a \u003ca href=\"https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2751892\">study\u003c/a> that concluded most state-level drug-transparency laws are “insufficient” to reveal the true transaction prices for prescription drugs, or where in the distribution system excessive profits lie.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The question is, why are these prices going up? Typically, there are competing stories for that,” said Neeraj Sood, vice dean of the University of Southern California’s School of Public Policy and an author of the study. “Maybe cost of production is going up,” he said. “Maybe there’s a drug shortage, or some competitors got eliminated. This reporting of [wholesale acquisition cost] data doesn’t really tell us which of these stories is true.”\u003c/p>\n\u003cp>For now, California’s new data is not likely to be of much help to consumers, Pan said. But he said it might help state officials in their bid to overhaul the way the state purchases drugs for 13 million people served by Medi-Cal, the state’s Medicaid program for low-income residents. Gov. Gavin Newsom’s \u003ca href=\"https://www.sfchronicle.com/business/article/Will-Gavin-Newsom-s-plan-lower-prescription-14404947.php\">controversial plan\u003c/a> to have the state, rather than individual Medi-Cal managed-care plans, negotiate directly with drugmakers would save the state an estimated $393 million a year by 2023, according to the administration.\u003c/p>\n\u003cp>\u003cem>This \u003ca href=\"https://khn.org\">KHN\u003c/a> story first published on \u003ca href=\"http://www.californiahealthline.org/\">California Healthline\u003c/a>, a service of the \u003ca href=\"http://www.chcf.org/\">California Health Care Foundation\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a> (KHN) is a national health policy news service. It is an editorially independent program of the \u003ca href=\"http://www.kff.org/\">Henry J. Kaiser Family Foundation\u003c/a> which is not affiliated with Kaiser Permanente.\u003c/em>\u003c/p>\n\u003cp>\u003cimg decoding=\"async\" src=\"https://ssl.google-analytics.com/collect?v=1&t=event&ec=Republish&tid=UA-53070700-2&z=1571082607988&cid=2bb4d33e-9a0c-4133-b010-815b74d09391&ea=https%3A%2F%2Fkhn.org%2Fnews%2Fcalifornias-new-transparency-law-reveals-steep-rise-in-wholesale-drug-prices%2F&el=California%E2%80%99s%20New%20Transparency%20Law%20Reveals%20Steep%20Rise%20In%20Wholesale%20Drug%20Prices\">\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>PG&E’s planned power outages are sparking panic among people with health conditions who rely on electricity to power medical devices at home — devices that help them stay comfortable, or stay alive.\u003c/p>\n\u003cp>Patients who need oxygen machines running nonstop to breathe began calling their nurses as soon as the outages were announced, asking what they should do.\u003c/p>\n\u003cp>“We’ve dealt with power outages before, but never to this extent,” said Emma Baron, a nurse and vice president of quality, education and compliance at Hospice East Bay. “This is not that the electricity is out for 10 hours or six hours. This is going to be days, five or six days.”\u003c/p>\n\u003cp>PG&E decided to start cutting power to 800,000 customers in California earlier this week to reduce risks of wildfires amid forecasts of windy, dry weather. A PG&E spokesperson said Thursday that 29,819 customers with medical needs would be affected by the outages. These are households enrolled in the utility’s \u003ca href=\"https://www.pge.com/en_US/residential/save-energy-money/help-paying-your-bill/longer-term-assistance/medical-condition-related/medical-baseline-allowance/medical-baseline-allowance.page#targetText=The%20Medical%20Baseline%20Program%2C%20also,due%20to%20qualifying%20medical%20conditions.&targetText=A%20lower%20rate%20on%20your,a%20Public%20Safety%20Power%20Shutoff\" target=\"_blank\" rel=\"noopener\">medical baseline program\u003c/a>, which offers lower energy rates for older and disabled people who need extra power to operate ventilators, dialysis machines or mechanized wheelchairs.\u003c/p>\n\u003ch3>PG&E to Customers With Disabilities: You Need to Prepare\u003c/h3>\n\u003cp>Utilities tell these customers to plan for power loss by purchasing backup generators. But there are other medically vulnerable people who are not part of the program, who do not get this warning and are not sure what to do.\u003c/p>\n\u003cp>One of the first things the nurses at Hospice East Bay did to help patients in their care was go shopping.\u003c/p>\n\u003cp>Nurses called their medical supplier to order backup oxygen tanks that can run without power. They were told supplies were already starting to run low because of increased demand related to the outages.\u003c/p>\n\u003cp>[aside label=\"more PG&E shutoff coverage\" tag=\"power-shutoff\"]\u003c/p>\n\u003cp>Next, they went to Target to buy foam mattresses for patients with bed sores or skin conditions who usually rely on airflow mattresses that must be plugged in to stay inflated and keep air streaming continuously. Regular mattresses can be too hard and aggravate sensitive or infected skin.\u003c/p>\n\u003cp>“We bought the foam pads as a temporary measure,” Baron said, “because we’re not able to get egg crate foam from the vendors we have. They’re backlogged now because of all the requests.”\u003c/p>\n\u003cp>Finally, nurses called all the families who have an electric bed at home that allows people to sit up, raise their feet or lower the whole bed to make it easier to get in and out of.\u003c/p>\n\u003cp>“We advised them that they need to put the bed in the most comfortable position for the patient, because once the electricity goes off, they’re not going to be able to reposition that bed for as many days as it’s off,” Baron said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>Hospitals and Outpatient Clinics Coordinate Care\u003c/h3>\n\u003cp>Hospitals don’t anticipate any major interruptions to care because they have emergency generators that keep all critical systems running during an outage.\u003c/p>\n\u003cp>But some outpatient appointments and procedures may need to be rescheduled at affected Kaiser Permanente and Sutter Health locations, which so far include Santa Rosa, Lakeport, Auburn and Jackson.\u003c/p>\n\u003cp>“We will communicate with members who are affected, by phone and text,” said Tom Hanenburg, chief operating officer for Kaiser Permanente Northern California.\u003c/p>\n\u003cp>Hospital officials echoed the recommendation for a generator for people who rely on medical devices at home, as well as rechargeable batteries to run CPAP machines that help people with sleep apnea breathe at night.\u003c/p>\n\u003cp>They also recommend that “refrigerated medications be moved to small coolers packed with ice or cooling bricks, but not cold enough to freeze the medication. A closed refrigerator can maintain its temperature for 2-3 hours.”\u003c/p>\n\u003cp>Besides the logistics of keeping life-sustaining devices running, nurses at Hospice East Bay are also working hard to keep patients calm. Nurses, social workers and spiritual advisors were told to fill up their gas tanks so they won’t miss any home visits.\u003c/p>\n\u003cp>“These are people who are frail, elderly and in the last six months of their lives,” Baron said. “So every day counts for them.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>PG&E’s planned power outages are sparking panic among people with health conditions who rely on electricity to power medical devices at home — devices that help them stay comfortable, or stay alive.\u003c/p>\n\u003cp>Patients who need oxygen machines running nonstop to breathe began calling their nurses as soon as the outages were announced, asking what they should do.\u003c/p>\n\u003cp>“We’ve dealt with power outages before, but never to this extent,” said Emma Baron, a nurse and vice president of quality, education and compliance at Hospice East Bay. “This is not that the electricity is out for 10 hours or six hours. This is going to be days, five or six days.”\u003c/p>\n\u003cp>PG&E decided to start cutting power to 800,000 customers in California earlier this week to reduce risks of wildfires amid forecasts of windy, dry weather. A PG&E spokesperson said Thursday that 29,819 customers with medical needs would be affected by the outages. These are households enrolled in the utility’s \u003ca href=\"https://www.pge.com/en_US/residential/save-energy-money/help-paying-your-bill/longer-term-assistance/medical-condition-related/medical-baseline-allowance/medical-baseline-allowance.page#targetText=The%20Medical%20Baseline%20Program%2C%20also,due%20to%20qualifying%20medical%20conditions.&targetText=A%20lower%20rate%20on%20your,a%20Public%20Safety%20Power%20Shutoff\" target=\"_blank\" rel=\"noopener\">medical baseline program\u003c/a>, which offers lower energy rates for older and disabled people who need extra power to operate ventilators, dialysis machines or mechanized wheelchairs.\u003c/p>\n\u003ch3>PG&E to Customers With Disabilities: You Need to Prepare\u003c/h3>\n\u003cp>Utilities tell these customers to plan for power loss by purchasing backup generators. But there are other medically vulnerable people who are not part of the program, who do not get this warning and are not sure what to do.\u003c/p>\n\u003cp>One of the first things the nurses at Hospice East Bay did to help patients in their care was go shopping.\u003c/p>\n\u003cp>Nurses called their medical supplier to order backup oxygen tanks that can run without power. They were told supplies were already starting to run low because of increased demand related to the outages.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
"title": "Close All Tabs",
"tagline": "Your irreverent guide to the trends redefining our world",
"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"order": 1
},
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"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
"site": "radio",
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},
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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}
},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"freakonomics-radio": {
"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/4s8b",
"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
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},
"fresh-air": {
"id": "fresh-air",
"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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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"id": "here-and-now",
"title": "Here & Now",
"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
"id": "how-i-built-this",
"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
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"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
"imageAlt": "KQED Hyphenación",
"officialWebsiteLink": "/podcasts/hyphenacion",
"meta": {
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"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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"amazon": "https://music.amazon.com/podcasts/6c3dd23c-93fb-4aab-97ba-1725fa6315f1/hyphenaci%C3%B3n",
"rss": "https://feeds.megaphone.fm/KQINC2275451163"
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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",
"imageAlt": "KQED The Political Mind of Jerry Brown",
"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
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"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
"meta": {
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"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
"meta": {
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
"subscribe": {
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"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"
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},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
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