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"content": "\u003cp>California will become the first state in the country to pay for some adults living in the country illegally to have full health benefits as the solidly liberal state continues to distance itself from President Donald Trump’s administration.\u003c/p>\n\u003cp>Democrats in the state Legislature reached an agreement Sunday afternoon as part of a broader plan to spend $213 billion of state and federal tax money over the next year. The agreement means low-income adults between the ages of 19 and 25 living in California illegally would be eligible for Medi-Cal, California’s joint state and federal health insurance program for the poor and disabled.\u003c/p>\n\u003cp>Not everyone in that age group would get the health benefits — only those whose incomes are low enough to qualify for the program. State officials estimate that will be about 90,000 people at a cost of $98 million per year.\u003c/p>\n\u003cp>The move is part of a larger effort to make sure everyone in California has health insurance. The proposal also makes California the first state in the country to help middle-income families pay their monthly health insurance premiums. The agreement means a family of four earning as much as six times the federal poverty level — or more than $150,000 a year — would be eligible to get about $100 a month from the government to help pay their monthly health insurance premiums.\u003c/p>\n\u003cp>But to pay for part of it, the state will begin taxing people who don’t have health insurance. It’s a revival of the individual mandate penalty that had been law nationwide under former President Barack Obama’s health care law until Republicans in Congress eliminated it as part of the 2017 overhaul to the tax code.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The budget agreement still must be approved by the full state Legislature. State law requires lawmakers to enact a budget by midnight on June 15. If they don’t, lawmakers would lose their pay.\u003c/p>\n\u003cp>The health care proposals are a win for first-term Democratic Gov. Gavin Newsom, who \u003ca href=\"https://www.kqed.org/news/11745872/gov-gavin-newsom-balances-saving-spending-in-budget-aimed-at-tackling-inequality\">proposed\u003c/a> both of them. Several lawmakers in the Democratic-dominated state Legislature wanted to go further by offering health coverage to all adults living in California illegally. But Newsom opposed that, noting it would cost $3.4 billion.\u003c/p>\n\u003cp>Newsom did not get everything he wanted in the deal. Advocates say more than 1 million people in California don’t have access to safe drinking water. Newsom had proposed a 95-cent tax on most residential water bills as well as fees on dairies, animal farms and fertilizer sellers, to help water districts pay for improvements and boost supplies. Lawmakers rejected the tax, arguing it was too burdensome in a year when the state is projected to have a $21.5 billion surplus — the largest in at least 20 years.\u003c/p>\n\u003cp>Instead, lawmakers decided to use $130 million in existing tax revenue to pay for the drinking water improvements. Most of that money — about $100 million — would come from the state’s sale of carbon credits as part of its cap and trade program. The move means the state’s agricultural industry, whose pollution is often blamed for the drinking water problems, would have about $100 million less than it normally gets from the program for various projects.\u003c/p>\n\u003cp>Newsom also wanted to expand spend $800 million to boost the annual tax refunds for low-income people who have at least one child under the age of 6. But to pay for it, he wanted to selectively adopt some of the changes to the federal tax code that Trump signed into law in 2017. The changes, which would mostly impact businesses, would have brought the state an extra $1 billion.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But the Legislature did not include the tax changes in its version of the budget proposal. Instead, lawmakers said they hope to reach a tax agreement outside of the budget process by July 1.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California will become the first state in the country to pay for some adults living in the country illegally to have full health benefits as the solidly liberal state continues to distance itself from President Donald Trump’s administration.\u003c/p>\n\u003cp>Democrats in the state Legislature reached an agreement Sunday afternoon as part of a broader plan to spend $213 billion of state and federal tax money over the next year. The agreement means low-income adults between the ages of 19 and 25 living in California illegally would be eligible for Medi-Cal, California’s joint state and federal health insurance program for the poor and disabled.\u003c/p>\n\u003cp>Not everyone in that age group would get the health benefits — only those whose incomes are low enough to qualify for the program. State officials estimate that will be about 90,000 people at a cost of $98 million per year.\u003c/p>\n\u003cp>The move is part of a larger effort to make sure everyone in California has health insurance. The proposal also makes California the first state in the country to help middle-income families pay their monthly health insurance premiums. The agreement means a family of four earning as much as six times the federal poverty level — or more than $150,000 a year — would be eligible to get about $100 a month from the government to help pay their monthly health insurance premiums.\u003c/p>\n\u003cp>But to pay for part of it, the state will begin taxing people who don’t have health insurance. It’s a revival of the individual mandate penalty that had been law nationwide under former President Barack Obama’s health care law until Republicans in Congress eliminated it as part of the 2017 overhaul to the tax code.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The budget agreement still must be approved by the full state Legislature. State law requires lawmakers to enact a budget by midnight on June 15. If they don’t, lawmakers would lose their pay.\u003c/p>\n\u003cp>The health care proposals are a win for first-term Democratic Gov. Gavin Newsom, who \u003ca href=\"https://www.kqed.org/news/11745872/gov-gavin-newsom-balances-saving-spending-in-budget-aimed-at-tackling-inequality\">proposed\u003c/a> both of them. Several lawmakers in the Democratic-dominated state Legislature wanted to go further by offering health coverage to all adults living in California illegally. But Newsom opposed that, noting it would cost $3.4 billion.\u003c/p>\n\u003cp>Newsom did not get everything he wanted in the deal. Advocates say more than 1 million people in California don’t have access to safe drinking water. Newsom had proposed a 95-cent tax on most residential water bills as well as fees on dairies, animal farms and fertilizer sellers, to help water districts pay for improvements and boost supplies. Lawmakers rejected the tax, arguing it was too burdensome in a year when the state is projected to have a $21.5 billion surplus — the largest in at least 20 years.\u003c/p>\n\u003cp>Instead, lawmakers decided to use $130 million in existing tax revenue to pay for the drinking water improvements. Most of that money — about $100 million — would come from the state’s sale of carbon credits as part of its cap and trade program. The move means the state’s agricultural industry, whose pollution is often blamed for the drinking water problems, would have about $100 million less than it normally gets from the program for various projects.\u003c/p>\n\u003cp>Newsom also wanted to expand spend $800 million to boost the annual tax refunds for low-income people who have at least one child under the age of 6. But to pay for it, he wanted to selectively adopt some of the changes to the federal tax code that Trump signed into law in 2017. The changes, which would mostly impact businesses, would have brought the state an extra $1 billion.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But the Legislature did not include the tax changes in its version of the budget proposal. Instead, lawmakers said they hope to reach a tax agreement outside of the budget process by July 1.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "mental-health-parity-is-still-an-elusive-goal-in-u-s-insurance-coverage",
"title": "'Mental Health Parity' Is Still an Elusive Goal in U.S. Insurance Coverage",
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"content": "\u003cp>Amanda Bacon’s eating disorder was growing worse. She had lost 60% of her body weight and was consuming only about 100 calories a day.\u003c/p>\n\u003cp>But that wasn’t sick enough for her Medicaid managed-care company to cover an inpatient treatment program. She was told in 2017 that unless she weighed 10 pounds less — which would have put her at 5-foot-7 and 90 pounds — or was admitted to a psychiatric unit, she wasn’t eligible for coverage.\u003c/p>\n\u003cp>“I remember thinking, ‘I’m going to die,’ ” the Las Cruces, N.M., resident recalls.\u003c/p>\n\u003cp>Eventually, Bacon, now 35, switched to a plan that paid for treatment, although she says it was still an arduous process getting the services approved.\u003c/p>\n\u003cp>Many patients, like Bacon, struggle to get insurance coverage for their mental health treatment, even though two federal laws were designed to bring parity between mental and physical health care coverage. Recent studies and a legal case suggest serious disparities remain.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">[aside tag='stress' label='Related Coverage']\u003c/span>\u003c/p>\n\u003cp>The 2008 \u003ca href=\"https://www.cms.gov/cciio/programs-and-initiatives/other-insurance-protections/mhpaea_factsheet.html\">Mental Health Parity and Addiction Equity Act\u003c/a> required large group health plans that provide benefits for mental health problems to put that coverage on an equal footing with physical illness. Two years later, the Affordable Care Act required small-group and individual health plans sold on the insurance marketplaces \u003ca href=\"https://aspe.hhs.gov/report/affordable-care-act-expands-mental-health-and-substance-use-disorder-benefits-and-federal-parity-protections-62-million-americans\">to cover mental health services\u003c/a>, and do so at levels comparable with medical services. (In 2016, parity rules \u003ca href=\"https://www.medicaid.gov/medicaid/benefits/downloads/fact-sheet-cms-2333-f.pdf\">were also applied to Medicaid\u003c/a> managed-care plans, which cover the majority of people in that federal-state health program for low-income residents.)\u003c/p>\n\u003cp>The laws have been partially successful. Insurers are no longer permitted to write policies that charge higher copays or deductibles for mental health care, nor can they set annual or lifetime upper-limits on how much they will pay for such care. But advocates for patients say insurance companies still interpret mental health claims more stringently than those for physical illness.\u003c/p>\n\u003cp>“Insurance companies can easily circumvent mental health parity mandates by imposing restrictive standards of medical necessity,” says \u003ca href=\"https://www.psych-appeal.com/meiram-bendat/\">Meiram Bendat\u003c/a>, a lawyer leading a class-action lawsuit against a mental health subsidiary of UnitedHealthcare.\u003c/p>\n\u003cp>In a closely watched ruling, a \u003ca href=\"https://www.nytimes.com/2019/03/05/health/unitedhealth-mental-health-parity.html\">federal court in March sided with Bendat\u003c/a> and patients who alleged the insurer was deliberately shortchanging mental health claims. Chief Magistrate Judge \u003ca href=\"https://drive.google.com/file/d/1XuzFQV4Z6vClFnpYpTaoS4vBT_RPhQsN/view\">Joseph Spero of the U.S. District Court for the Northern District of California ruled\u003c/a> that United Behavioral Health wrote its \u003ca href=\"https://www.manatt.com/Insights/Newsletters/Health-Update/Level-of-Care-Criteria-Ruled-Inconsistent\">guidelines for treatment\u003c/a> much more narrowly than common medical standards, covering only enough care to stabilize patients “while ignoring the effective treatment of members’ underlying conditions.”\u003c/p>\n\u003cp>UnitedHealthcare works to “ensure our products meet the needs of our members and comply with state and federal law,” says spokeswoman Tracey Lempner.\u003c/p>\n\u003cp>Several studies, though, have found evidence of disparities in insurers’ decisions.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Growing gap in coverage in hospitals\u003c/strong>\u003c/p>\n\u003cp>In February, researchers at the \u003ca href=\"https://www.healthaffairs.org/doi/abs/10.1377/hlthaff.2018.05226\">Congressional Budget Office\u003c/a> reported that private insurance companies are paying 13% to 14% less for mental health care than Medicare does.\u003c/p>\n\u003cp>The insurance industry’s own data shows a \u003ca href=\"https://www.healthcostinstitute.org/images/easyblog_articles/276/HCCI-2017-Health-Care-Cost-and-Utilization-Report-02.12.19.pdf\">growing gap\u003c/a> between coverage of mental and physical care in hospitals and skilled nursing facilities. For the five years ending in 2017, out-of-pocket spending on inpatient mental health care grew nearly 13 times faster than all inpatient care, according to inpatient data reported in February by the \u003ca href=\"https://www.healthcostinstitute.org/about-hcci\">Health Care Cost Institute\u003c/a>, a research group funded by the insurance companies Aetna, Humana, UnitedHealthcare and Kaiser Permanente. (Kaiser Health News is not affiliated with Kaiser Permanente.)\u003c/p>\n\u003cp>And a \u003ca href=\"http://www.milliman.com/uploadedFiles/insight/2017/NQTLDisparityAnalysis.pdf\">2017 report\u003c/a> by the actuarial firm Milliman found that an office visit with a therapist is five times as likely to be out-of-network, and thus more expensive, than a primary care appointment.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">[aside tag='health' label='Related Coverage']\u003c/span>\u003c/p>\n\u003cp>In this environment, \u003ca href=\"https://journalistsresource.org/studies/government/health-care/mental-health-untreated-children-research/\">only half of the nearly 8 million children\u003c/a> who have been diagnosed with depression, anxiety or attention deficit hyperactivity disorder receive treatment, \u003ca href=\"https://jamanetwork.com/journals/jamapediatrics/fullarticle/2724377\">according to a February research letter\u003c/a> in the medical journal \u003cem>JAMA Pediatrics\u003c/em>. \u003ca href=\"https://www.samhsa.gov/data/sites/default/files/NSDUH-FFR1-2016/NSDUH-FFR1-2016.htm#tx\">Fewer than 1 in 5 people\u003c/a> with substance use disorder are treated, a national survey suggests, and, overall, \u003ca href=\"https://www.nimh.nih.gov/health/statistics/mental-illness.shtml\">nearly 6 in 10\u003c/a> people with mental illness get no treatment or medication, according to the National Institute Of Mental Health.\u003c/p>\n\u003cp>Amanda Bacon, who is still receiving care for her eating disorder, remembers fearing that she wouldn’t get treatment. She was at one point rushed to an emergency room for care, but after several days in the hospital she was sent home, no closer to getting well.\u003c/p>\n\u003cp>Today, because of her disability, Bacon’s primary medical insurance is through Medicare, which has paid for treatment that her earlier Medicaid provider, Molina Healthcare, refused. She has been treated in four inpatient programs in the past two years — twice through Presbyterian Centennial Care, a Medicaid plan she switched to after Molina, and twice though her current Medicare plan. Bacon is also enrolled in a state-run Medicaid plan.\u003c/p>\n\u003cp>Molina says it can’t comment on Bacon’s case. “Molina complies with mental health parity laws,” say spokeswoman Danielle Smith, and it “applies industry-recognized medical necessity criteria in any medical determinations affecting mental health.”\u003c/p>\n\u003cp>\u003cstrong>The ‘wrong criteria’\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.austenriggs.org/staff/eric-m-plakun\">Dr. Eric Plakun\u003c/a>, CEO of the Austen Riggs Center, a psychiatric hospital and residential program in Massachusetts, says that often insurers are “using the wrong criteria” for what makes something medically necessary. They pay enough only to stabilize a patient’s condition, Plakun says, but not enough to improve their underlying illness. He was one of the experts who testified in the case before Judge Spero in California.\u003c/p>\n\u003cp>Insurers say they recognize the importance of mental health care coverage and that they are \u003ca href=\"https://www.ahip.org/mental-health-parity-issue-brief/\">complying with the law\u003c/a>.\u003c/p>\n\u003cp>Cathryn Donaldson, a spokeswoman for the trade group America’s Health Insurance Plans, says the industry supports parity, but that it is also harder to prove when a mental health treatment is needed.\u003c/p>\n\u003cp>Compared with the data on medical and surgical care, she says, the data and standards to measure mental health care “trail far behind.” She cited \u003ca href=\"https://www.mnhospitals.org/Portals/0/Documents/policy-advocacy/mental-health/MHA%20Mental%20Health%20Avoidable%20Days%20Study%20Report%20July%202016.pdf\">a 2016 study\u003c/a> of Minnesota hospitals, where nearly one-fifth of the time patients spent in psychiatric units occurred after they were stabilized and ready to be discharged.\u003c/p>\n\u003cp>“Just like doctors use scientific evidence to determine the safest, most effective treatments,” insurers do the same to cover treatment “consistent with guidelines showing when and where it’s effective for patients,” Donaldson says.\u003c/p>\n\u003cp>Health plans commonly apply several controls that limit their coverage of mental health care. And these strategies by insurers are legal — unless they are applied more strictly for mental health care than medical care.\u003c/p>\n\u003cp>For example, they often require patients to try cheaper options first, a strategy called “fail first.” Patients referred by their doctors to a residential program for opioid addiction, for example, might be denied coverage by their insurers until they try — and fail — to improve at a less expensive part-time out-patient program.\u003c/p>\n\u003cp>Hiring doctors, nurses and pharmacists to review claims is another technique.\u003c/p>\n\u003cp>Dr. Frederick Villars, who reviews mental health claims for Aetna, remembers arguing with insurers to approve treatment when he was a practicing psychiatrist. His team decides what Aetna will cover based on clinical standards, he says. And providers upset about a coverage decision “are well aware of what these guidelines are.”\u003c/p>\n\u003cp>“It’s not a pleasant process,” Villars says, “but it’s the only tool that exists in this setting to try to keep costs under control.”\u003c/p>\n\u003cp>\u003ca href=\"http://khn.org/\">\u003cem>Kaiser Health News\u003c/em>\u003c/a>\u003cem> is a nonprofit, editorially independent program of the Kaiser Family Foundation. It is not affiliated with Kaiser Permanente. \u003c/em>\u003cem>Graison Dangor is a journalist living in Brooklyn.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 Kaiser Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a>.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=%27Mental+Health+Parity%27+Is+Still+An+Elusive+Goal+In+U.S.+Insurance+Coverage&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>Amanda Bacon’s eating disorder was growing worse. She had lost 60% of her body weight and was consuming only about 100 calories a day.\u003c/p>\n\u003cp>But that wasn’t sick enough for her Medicaid managed-care company to cover an inpatient treatment program. She was told in 2017 that unless she weighed 10 pounds less — which would have put her at 5-foot-7 and 90 pounds — or was admitted to a psychiatric unit, she wasn’t eligible for coverage.\u003c/p>\n\u003cp>“I remember thinking, ‘I’m going to die,’ ” the Las Cruces, N.M., resident recalls.\u003c/p>\n\u003cp>Eventually, Bacon, now 35, switched to a plan that paid for treatment, although she says it was still an arduous process getting the services approved.\u003c/p>\n\u003cp>Many patients, like Bacon, struggle to get insurance coverage for their mental health treatment, even though two federal laws were designed to bring parity between mental and physical health care coverage. Recent studies and a legal case suggest serious disparities remain.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>The 2008 \u003ca href=\"https://www.cms.gov/cciio/programs-and-initiatives/other-insurance-protections/mhpaea_factsheet.html\">Mental Health Parity and Addiction Equity Act\u003c/a> required large group health plans that provide benefits for mental health problems to put that coverage on an equal footing with physical illness. Two years later, the Affordable Care Act required small-group and individual health plans sold on the insurance marketplaces \u003ca href=\"https://aspe.hhs.gov/report/affordable-care-act-expands-mental-health-and-substance-use-disorder-benefits-and-federal-parity-protections-62-million-americans\">to cover mental health services\u003c/a>, and do so at levels comparable with medical services. (In 2016, parity rules \u003ca href=\"https://www.medicaid.gov/medicaid/benefits/downloads/fact-sheet-cms-2333-f.pdf\">were also applied to Medicaid\u003c/a> managed-care plans, which cover the majority of people in that federal-state health program for low-income residents.)\u003c/p>\n\u003cp>The laws have been partially successful. Insurers are no longer permitted to write policies that charge higher copays or deductibles for mental health care, nor can they set annual or lifetime upper-limits on how much they will pay for such care. But advocates for patients say insurance companies still interpret mental health claims more stringently than those for physical illness.\u003c/p>\n\u003cp>“Insurance companies can easily circumvent mental health parity mandates by imposing restrictive standards of medical necessity,” says \u003ca href=\"https://www.psych-appeal.com/meiram-bendat/\">Meiram Bendat\u003c/a>, a lawyer leading a class-action lawsuit against a mental health subsidiary of UnitedHealthcare.\u003c/p>\n\u003cp>In a closely watched ruling, a \u003ca href=\"https://www.nytimes.com/2019/03/05/health/unitedhealth-mental-health-parity.html\">federal court in March sided with Bendat\u003c/a> and patients who alleged the insurer was deliberately shortchanging mental health claims. Chief Magistrate Judge \u003ca href=\"https://drive.google.com/file/d/1XuzFQV4Z6vClFnpYpTaoS4vBT_RPhQsN/view\">Joseph Spero of the U.S. District Court for the Northern District of California ruled\u003c/a> that United Behavioral Health wrote its \u003ca href=\"https://www.manatt.com/Insights/Newsletters/Health-Update/Level-of-Care-Criteria-Ruled-Inconsistent\">guidelines for treatment\u003c/a> much more narrowly than common medical standards, covering only enough care to stabilize patients “while ignoring the effective treatment of members’ underlying conditions.”\u003c/p>\n\u003cp>UnitedHealthcare works to “ensure our products meet the needs of our members and comply with state and federal law,” says spokeswoman Tracey Lempner.\u003c/p>\n\u003cp>Several studies, though, have found evidence of disparities in insurers’ decisions.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Growing gap in coverage in hospitals\u003c/strong>\u003c/p>\n\u003cp>In February, researchers at the \u003ca href=\"https://www.healthaffairs.org/doi/abs/10.1377/hlthaff.2018.05226\">Congressional Budget Office\u003c/a> reported that private insurance companies are paying 13% to 14% less for mental health care than Medicare does.\u003c/p>\n\u003cp>The insurance industry’s own data shows a \u003ca href=\"https://www.healthcostinstitute.org/images/easyblog_articles/276/HCCI-2017-Health-Care-Cost-and-Utilization-Report-02.12.19.pdf\">growing gap\u003c/a> between coverage of mental and physical care in hospitals and skilled nursing facilities. For the five years ending in 2017, out-of-pocket spending on inpatient mental health care grew nearly 13 times faster than all inpatient care, according to inpatient data reported in February by the \u003ca href=\"https://www.healthcostinstitute.org/about-hcci\">Health Care Cost Institute\u003c/a>, a research group funded by the insurance companies Aetna, Humana, UnitedHealthcare and Kaiser Permanente. (Kaiser Health News is not affiliated with Kaiser Permanente.)\u003c/p>\n\u003cp>And a \u003ca href=\"http://www.milliman.com/uploadedFiles/insight/2017/NQTLDisparityAnalysis.pdf\">2017 report\u003c/a> by the actuarial firm Milliman found that an office visit with a therapist is five times as likely to be out-of-network, and thus more expensive, than a primary care appointment.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>In this environment, \u003ca href=\"https://journalistsresource.org/studies/government/health-care/mental-health-untreated-children-research/\">only half of the nearly 8 million children\u003c/a> who have been diagnosed with depression, anxiety or attention deficit hyperactivity disorder receive treatment, \u003ca href=\"https://jamanetwork.com/journals/jamapediatrics/fullarticle/2724377\">according to a February research letter\u003c/a> in the medical journal \u003cem>JAMA Pediatrics\u003c/em>. \u003ca href=\"https://www.samhsa.gov/data/sites/default/files/NSDUH-FFR1-2016/NSDUH-FFR1-2016.htm#tx\">Fewer than 1 in 5 people\u003c/a> with substance use disorder are treated, a national survey suggests, and, overall, \u003ca href=\"https://www.nimh.nih.gov/health/statistics/mental-illness.shtml\">nearly 6 in 10\u003c/a> people with mental illness get no treatment or medication, according to the National Institute Of Mental Health.\u003c/p>\n\u003cp>Amanda Bacon, who is still receiving care for her eating disorder, remembers fearing that she wouldn’t get treatment. She was at one point rushed to an emergency room for care, but after several days in the hospital she was sent home, no closer to getting well.\u003c/p>\n\u003cp>Today, because of her disability, Bacon’s primary medical insurance is through Medicare, which has paid for treatment that her earlier Medicaid provider, Molina Healthcare, refused. She has been treated in four inpatient programs in the past two years — twice through Presbyterian Centennial Care, a Medicaid plan she switched to after Molina, and twice though her current Medicare plan. Bacon is also enrolled in a state-run Medicaid plan.\u003c/p>\n\u003cp>Molina says it can’t comment on Bacon’s case. “Molina complies with mental health parity laws,” say spokeswoman Danielle Smith, and it “applies industry-recognized medical necessity criteria in any medical determinations affecting mental health.”\u003c/p>\n\u003cp>\u003cstrong>The ‘wrong criteria’\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.austenriggs.org/staff/eric-m-plakun\">Dr. Eric Plakun\u003c/a>, CEO of the Austen Riggs Center, a psychiatric hospital and residential program in Massachusetts, says that often insurers are “using the wrong criteria” for what makes something medically necessary. They pay enough only to stabilize a patient’s condition, Plakun says, but not enough to improve their underlying illness. He was one of the experts who testified in the case before Judge Spero in California.\u003c/p>\n\u003cp>Insurers say they recognize the importance of mental health care coverage and that they are \u003ca href=\"https://www.ahip.org/mental-health-parity-issue-brief/\">complying with the law\u003c/a>.\u003c/p>\n\u003cp>Cathryn Donaldson, a spokeswoman for the trade group America’s Health Insurance Plans, says the industry supports parity, but that it is also harder to prove when a mental health treatment is needed.\u003c/p>\n\u003cp>Compared with the data on medical and surgical care, she says, the data and standards to measure mental health care “trail far behind.” She cited \u003ca href=\"https://www.mnhospitals.org/Portals/0/Documents/policy-advocacy/mental-health/MHA%20Mental%20Health%20Avoidable%20Days%20Study%20Report%20July%202016.pdf\">a 2016 study\u003c/a> of Minnesota hospitals, where nearly one-fifth of the time patients spent in psychiatric units occurred after they were stabilized and ready to be discharged.\u003c/p>\n\u003cp>“Just like doctors use scientific evidence to determine the safest, most effective treatments,” insurers do the same to cover treatment “consistent with guidelines showing when and where it’s effective for patients,” Donaldson says.\u003c/p>\n\u003cp>Health plans commonly apply several controls that limit their coverage of mental health care. And these strategies by insurers are legal — unless they are applied more strictly for mental health care than medical care.\u003c/p>\n\u003cp>For example, they often require patients to try cheaper options first, a strategy called “fail first.” Patients referred by their doctors to a residential program for opioid addiction, for example, might be denied coverage by their insurers until they try — and fail — to improve at a less expensive part-time out-patient program.\u003c/p>\n\u003cp>Hiring doctors, nurses and pharmacists to review claims is another technique.\u003c/p>\n\u003cp>Dr. Frederick Villars, who reviews mental health claims for Aetna, remembers arguing with insurers to approve treatment when he was a practicing psychiatrist. His team decides what Aetna will cover based on clinical standards, he says. And providers upset about a coverage decision “are well aware of what these guidelines are.”\u003c/p>\n\u003cp>“It’s not a pleasant process,” Villars says, “but it’s the only tool that exists in this setting to try to keep costs under control.”\u003c/p>\n\u003cp>\u003ca href=\"http://khn.org/\">\u003cem>Kaiser Health News\u003c/em>\u003c/a>\u003cem> is a nonprofit, editorially independent program of the Kaiser Family Foundation. It is not affiliated with Kaiser Permanente. \u003c/em>\u003cem>Graison Dangor is a journalist living in Brooklyn.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 Kaiser Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a>.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=%27Mental+Health+Parity%27+Is+Still+An+Elusive+Goal+In+U.S.+Insurance+Coverage&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The Oakland City Council voted unanimously on Tuesday night to \u003ca href=\"http://bit.ly/fioreoakshrooms\" target=\"_blank\" rel=\"noopener\">decriminalize the use of magic mushrooms\u003c/a>.\u003c/p>\n\u003cp>Oakland is now the second city in the United States to OK the use of psychoactive plants and fungi after Denver kicked things off.\u003c/p>\n\u003cp>Before you accuse the City Council of trying to relive the era of Grateful Dead \u003ca href=\"https://www.dead.net/tags/oakland-coliseum-stadium\" target=\"_blank\" rel=\"noopener\">Oakland Coliseum appearances\u003c/a>, understand that nowadays people are touting “etheogenic plant practices” as a way to overcome depression, addiction and post-traumatic stress.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Oakland City Council voted unanimously on Tuesday night to \u003ca href=\"http://bit.ly/fioreoakshrooms\" target=\"_blank\" rel=\"noopener\">decriminalize the use of magic mushrooms\u003c/a>.\u003c/p>\n\u003cp>Oakland is now the second city in the United States to OK the use of psychoactive plants and fungi after Denver kicked things off.\u003c/p>\n\u003cp>Before you accuse the City Council of trying to relive the era of Grateful Dead \u003ca href=\"https://www.dead.net/tags/oakland-coliseum-stadium\" target=\"_blank\" rel=\"noopener\">Oakland Coliseum appearances\u003c/a>, understand that nowadays people are touting “etheogenic plant practices” as a way to overcome depression, addiction and post-traumatic stress.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The Oakland City Council voted unanimously Tuesday night to decriminalize the adult use and possession of entheogenic, or psychoactive, plants and fungi, such as ‘magic’ mushrooms. That makes the city the second in the U.S. to decriminalize psychedelic plants. Denver voters in May approved a similar measure for people 21 and older.\u003c/p>\n\u003cp>Oakland’s measure would make the “investigation and arrest of individuals involved with the adult use of entheogenic plants on the federal Schedule 1 list be amongst the lowest priority for the city of Oakland.”\u003c/p>\n\u003cp>[aside postID=\"news_11750909,forum_2010101871313\" label=\"How Oakland Got Here\"]The City Council vote came after a string of speakers testified that psychedelics, such as ayahuasca and peyote, helped them overcome depression, drug addiction and post-traumatic stress disorder. \u003ca href=\"https://www.kqed.org/news/11750909\" rel=\"noopener\" target=\"_blank\">Similar testimony swayed the public safety committee last week\u003c/a>, which approved the measure to come before a full council.\u003c/p>\n\u003cp>Use of the plants “saved my life,” said one man who described himself as a former heroin addict. “I don’t know how to describe it other than miraculous.”\u003c/p>\n\u003cp>“There’s some evidence that one of the active components in psilocybin mushrooms can be used as a medical treatment in some patients, but this is also based off studies that have been small or very preliminary,” said Dr. Brian Anderson \u003ca href=\"https://www.kqed.org/forum/2010101871313/oakland-considers-decriminalizing-psychedelic-mushrooms\" rel=\"noopener\" target=\"_blank\">on KQED’s Forum\u003c/a>. Anderson is a psychiatrist at San Francisco General Hospital who has done studies on the use of psychedelic plants in religious ceremonies.\u003c/p>\n\u003cp>He said there have been some trials suggesting the effects on depression or PTSD can be large when used as a form of drug-assisted psychotherapy. Those trials, though, remain small and far from FDA approval.\u003c/p>\n\u003cp>[pullquote size=\"small\" citation=\"Councilmember Noel Gallo\"]“Growing up in the Mexican community, this was our cure, that was our Walgreens. We didn’t have a Walgreens. We didn’t have a way to pay for any drugs. These are plants we have known for thousands of years in our community and that we continue to use.”[/pullquote]However, medical uses were not the only reasons cited for passing the measure. A number of advocates also argued the plants never should have been criminalized in the first place.\u003c/p>\n\u003cp>“We’re here to fix a wrong that never should have occurred,” said Carlos Plazola at the original public safety hearing. Plazola is chair of Decriminalize Nature Oakland, which sponsored the proposal.\u003c/p>\n\u003cp>Councilwoman Rebecca Kaplan agreed at the time. “Richard Nixon launched a war [on drugs] that we all know is stupid, racist, wasteful and expensive, and it is long past time for us to continue fighting Nixon’s war for him,” she said.\u003c/p>\n\u003cp>The City Council vote makes the investigation and arrest of adults who grow, possess, use or distribute entheogenic plants one of the lowest priorities for police. No city funds could be used to enforce laws criminalizing the substances, and the Alameda County District Attorney would stop prosecuting people who have been apprehended for use or possession. The Oakland Police Department has said they’ve dealt with 19 cases of suspected psychedelic mushrooms over the last five years, and are not certain about cases of other plants listed.\u003c/p>\n\u003cp>The ordinance also directs the city administrator to come back within a year to provide the council with an assessment of the law’s community impact.\u003c/p>\n\u003cp>Alameda County Deputy District Attorney Teresa Drenick declined to comment.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Councilmember Noel Gallo, who introduced the resolution, said decriminalizing such plants would enable Oakland police to focus on serious crime.\u003c/p>\n\u003cp>Critics, though, were concerned about unsafe use, especially in schools and by vulnerable populations.\u003c/p>\n\u003cp>Amendments offered by Councilmember Loren Taylor added caveats that the substances “are not for everyone,” recommending that people with PTSD or major depression seek professional help before using them and that people “don’t go solo” but seek expert guidance and have a trusted friend present during the use.\u003c/p>\n\u003cp>[aside postID=\"futureofyou_441705\"]To address such concerns, Gallo said earlier, lawmakers would have to establish rules and regulations about the use of such substances, including what exactly can be used, how to use them and what associated risks are. Plazola, whose group sponsored the measure, also presented an educational proposal and said his organization would be working on community outreach.\u003c/p>\n\u003cp>Magic mushrooms would remain illegal under both federal and state laws. Entheogenic substances are considered Schedule 1 drugs under the federal Controlled Substances Act, which categorizes drugs that have potential for abuse and no medical value.\u003c/p>\n\u003cp>Entheogenic plants have long been used in religious and cultural contexts. Gallo remembers his grandmother treating his family members with plants, including entheogenic ones, for a variety of ailments.\u003c/p>\n\u003cp>“Growing up in the Mexican community, this was our cure,” he said. Hemp oils, mushrooms and yerba buenas — an aromatic plant known for its medicinal properties — “that was our Walgreens. We didn’t have a Walgreens. We didn’t have a way to pay for any drugs. These are plants we have known for thousands of years in our community and that we continue to use.”\u003c/p>\n\u003cp>\u003cem>Kelly O’Mara contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Oakland City Council voted unanimously Tuesday night to decriminalize the adult use and possession of entheogenic, or psychoactive, plants and fungi, such as ‘magic’ mushrooms. That makes the city the second in the U.S. to decriminalize psychedelic plants. Denver voters in May approved a similar measure for people 21 and older.\u003c/p>\n\u003cp>Oakland’s measure would make the “investigation and arrest of individuals involved with the adult use of entheogenic plants on the federal Schedule 1 list be amongst the lowest priority for the city of Oakland.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The City Council vote came after a string of speakers testified that psychedelics, such as ayahuasca and peyote, helped them overcome depression, drug addiction and post-traumatic stress disorder. \u003ca href=\"https://www.kqed.org/news/11750909\" rel=\"noopener\" target=\"_blank\">Similar testimony swayed the public safety committee last week\u003c/a>, which approved the measure to come before a full council.\u003c/p>\n\u003cp>Use of the plants “saved my life,” said one man who described himself as a former heroin addict. “I don’t know how to describe it other than miraculous.”\u003c/p>\n\u003cp>“There’s some evidence that one of the active components in psilocybin mushrooms can be used as a medical treatment in some patients, but this is also based off studies that have been small or very preliminary,” said Dr. Brian Anderson \u003ca href=\"https://www.kqed.org/forum/2010101871313/oakland-considers-decriminalizing-psychedelic-mushrooms\" rel=\"noopener\" target=\"_blank\">on KQED’s Forum\u003c/a>. Anderson is a psychiatrist at San Francisco General Hospital who has done studies on the use of psychedelic plants in religious ceremonies.\u003c/p>\n\u003cp>He said there have been some trials suggesting the effects on depression or PTSD can be large when used as a form of drug-assisted psychotherapy. Those trials, though, remain small and far from FDA approval.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "“Growing up in the Mexican community, this was our cure, that was our Walgreens. We didn’t have a Walgreens. We didn’t have a way to pay for any drugs. These are plants we have known for thousands of years in our community and that we continue to use.”",
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"content": "\u003cdiv class=\"post-body\">\u003cp>However, medical uses were not the only reasons cited for passing the measure. A number of advocates also argued the plants never should have been criminalized in the first place.\u003c/p>\n\u003cp>“We’re here to fix a wrong that never should have occurred,” said Carlos Plazola at the original public safety hearing. Plazola is chair of Decriminalize Nature Oakland, which sponsored the proposal.\u003c/p>\n\u003cp>Councilwoman Rebecca Kaplan agreed at the time. “Richard Nixon launched a war [on drugs] that we all know is stupid, racist, wasteful and expensive, and it is long past time for us to continue fighting Nixon’s war for him,” she said.\u003c/p>\n\u003cp>The City Council vote makes the investigation and arrest of adults who grow, possess, use or distribute entheogenic plants one of the lowest priorities for police. No city funds could be used to enforce laws criminalizing the substances, and the Alameda County District Attorney would stop prosecuting people who have been apprehended for use or possession. The Oakland Police Department has said they’ve dealt with 19 cases of suspected psychedelic mushrooms over the last five years, and are not certain about cases of other plants listed.\u003c/p>\n\u003cp>The ordinance also directs the city administrator to come back within a year to provide the council with an assessment of the law’s community impact.\u003c/p>\n\u003cp>Alameda County Deputy District Attorney Teresa Drenick declined to comment.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Councilmember Noel Gallo, who introduced the resolution, said decriminalizing such plants would enable Oakland police to focus on serious crime.\u003c/p>\n\u003cp>Critics, though, were concerned about unsafe use, especially in schools and by vulnerable populations.\u003c/p>\n\u003cp>Amendments offered by Councilmember Loren Taylor added caveats that the substances “are not for everyone,” recommending that people with PTSD or major depression seek professional help before using them and that people “don’t go solo” but seek expert guidance and have a trusted friend present during the use.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>To address such concerns, Gallo said earlier, lawmakers would have to establish rules and regulations about the use of such substances, including what exactly can be used, how to use them and what associated risks are. Plazola, whose group sponsored the measure, also presented an educational proposal and said his organization would be working on community outreach.\u003c/p>\n\u003cp>Magic mushrooms would remain illegal under both federal and state laws. Entheogenic substances are considered Schedule 1 drugs under the federal Controlled Substances Act, which categorizes drugs that have potential for abuse and no medical value.\u003c/p>\n\u003cp>Entheogenic plants have long been used in religious and cultural contexts. Gallo remembers his grandmother treating his family members with plants, including entheogenic ones, for a variety of ailments.\u003c/p>\n\u003cp>“Growing up in the Mexican community, this was our cure,” he said. Hemp oils, mushrooms and yerba buenas — an aromatic plant known for its medicinal properties — “that was our Walgreens. We didn’t have a Walgreens. We didn’t have a way to pay for any drugs. These are plants we have known for thousands of years in our community and that we continue to use.”\u003c/p>\n\u003cp>\u003cem>Kelly O’Mara contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cb>Special Counsel Speaks Out\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">On Wednesday, special counsel Robert Mueller declined to clear President Trump of obstruction of justice in his first public comments on his two-year investigation into Russian meddling in the 2016 presidential race. Speaking at the Department of Justice, he said, “If we had confidence that the president clearly did not commit a crime, we would have said so.” He also declined to appear before Congress to answer questions about the investigation, and claimed that the report detailing his findings was his “testimony.” But some prominent Democrats, including congressman Adam Schiff, disagreed with that assertion and still want him to testify, while nearly half of the Democratic presidential candidates now support starting impeachment proceedings. \u003c/span>\u003c/p>\n\u003cp>\u003cb>Guest:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">U.S. Rep. Adam Schiff, D-Burbank\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Democratic Presidential Candidate Beto O’Rourke\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">The California Democratic Party state convention kicked off in San Francisco today. This year’s gathering has attracted the attention of Democratic presidential hopefuls, 14 of whom will be in attendance and making their case to delegates, activists and political operatives ahead of the state’s primary in March. We spoke with one of those candidates, Beto O’Rourke of Texas, about immigration, universal health care and President Trump.\u003c/span>\u003c/p>\n\u003cp>\u003cb>Guest:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\"> Beto O’Rourke, Democratic presidential candidate\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Universal Mental Health Care and Decriminalizing Psychedelic Mushrooms\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">This week, San Francisco Supervisors Hillary Ronen and Matt Haney announced a plan to provide free mental health care and substance abuse treatment to any city resident, even those with health insurance. To help pay for the plan, called Mental Health SF, a ballot measure would ask voters to approve a tax on businesses whose CEOs make 100 times more than the median salary of their employees. Existing state funds to pay for mental health services for low-income residents could also be used. Meanwhile, across the bay, Oakland moved one step closer to becoming the second city in the nation, after Denver, to decriminalize the use of psychedelic mushrooms and other naturally occurring hallucinogens. \u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cb>Guests:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">April Dembosky, health correspondent, KQED \u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Keith Humphreys, professor of psychiatry, Stanford University\u003c/span>\u003c/li>\n\u003c/ul>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>Special Counsel Speaks Out\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">On Wednesday, special counsel Robert Mueller declined to clear President Trump of obstruction of justice in his first public comments on his two-year investigation into Russian meddling in the 2016 presidential race. Speaking at the Department of Justice, he said, “If we had confidence that the president clearly did not commit a crime, we would have said so.” He also declined to appear before Congress to answer questions about the investigation, and claimed that the report detailing his findings was his “testimony.” But some prominent Democrats, including congressman Adam Schiff, disagreed with that assertion and still want him to testify, while nearly half of the Democratic presidential candidates now support starting impeachment proceedings. \u003c/span>\u003c/p>\n\u003cp>\u003cb>Guest:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">U.S. Rep. Adam Schiff, D-Burbank\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Democratic Presidential Candidate Beto O’Rourke\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">The California Democratic Party state convention kicked off in San Francisco today. This year’s gathering has attracted the attention of Democratic presidential hopefuls, 14 of whom will be in attendance and making their case to delegates, activists and political operatives ahead of the state’s primary in March. We spoke with one of those candidates, Beto O’Rourke of Texas, about immigration, universal health care and President Trump.\u003c/span>\u003c/p>\n\u003cp>\u003cb>Guest:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\"> Beto O’Rourke, Democratic presidential candidate\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Universal Mental Health Care and Decriminalizing Psychedelic Mushrooms\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">This week, San Francisco Supervisors Hillary Ronen and Matt Haney announced a plan to provide free mental health care and substance abuse treatment to any city resident, even those with health insurance. To help pay for the plan, called Mental Health SF, a ballot measure would ask voters to approve a tax on businesses whose CEOs make 100 times more than the median salary of their employees. Existing state funds to pay for mental health services for low-income residents could also be used. Meanwhile, across the bay, Oakland moved one step closer to becoming the second city in the nation, after Denver, to decriminalize the use of psychedelic mushrooms and other naturally occurring hallucinogens. \u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>A resolution to decriminalize certain natural psychedelic plants and fungi — such as “magic” mushrooms — was approved by an Oakland City Council committee Tuesday night and is expected to go to the full council for a vote on June 4.\u003c/p>\n\u003cp>If the measure passes, Oakland would become the second city in the country to decriminalize entheogenic plants, \u003ca href=\"https://www.apnews.com/52a82fbd262b49b1ad035c4e4919e513\" target=\"_blank\" rel=\"noopener\">following Denver earlier this month\u003c/a>.\u003c/p>\n\u003cp>The proposal would make the “investigation and arrest of individuals involved with the adult use of entheogenic plants on the federal Schedule 1 list be amongst the lowest priority for the city of Oakland.”\u003c/p>\n\u003cp>“We’re here to fix a wrong that never should have occurred,” said Carlos Plazola, chair of Decriminalize Nature Oakland, which was sponsoring the resolution.\u003c/p>\n\u003cp>[aside postID=\"forum_2010101871313\" label='On KQED's Forum']\u003c/p>\n\u003cp>Plazola gave a presentation on the proposal Tuesday night to the Oakland City Council’s public safety committee, which ultimately passed the resolution with three votes and one abstention. The presentation included a number of doctors speaking on the potential mental health benefits of entheogenic plants and nearly an hour of public testimony — and one standing ovation — largely in support of decriminalization.\u003c/p>\n\u003cp>“They should never have been Schedule 1 substances in the first place based on any sort of scientific evidence,” said Dr. Kelan Thomas, a psychiatric pharmacist. Thomas told the committee he had published one of the first review papers on clinical trials with psychedelics and, while there have only been limited studies so far, the plants have been found to be incredibly effective in treating mental health issues.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“There’s some evidence that one of the active components in psilocybin mushrooms can be used as a medical treatment in some patients, but this is also based off studies that have been small or very preliminary,” said Dr. Brian Anderson \u003ca href=\"https://www.kqed.org/forum/2010101871313/oakland-considers-decriminalizing-psychedelic-mushrooms\" target=\"_blank\" rel=\"noopener\">on KQED’s Forum\u003c/a> on Wednesday. Anderson is a psychiatrist at San Francisco General Hospital who has done studies on the use of psychedelic plants in religious ceremonies.\u003c/p>\n\u003cp>[pullquote align=\"right\" citation=\"Oakland Councilwoman Rebecca Kaplan\"]‘Richard Nixon launched a war [on drugs] that we all know is stupid, racist, wasteful and expensive, and it is long past time for us to continue fighting Nixon’s war for him.’[/pullquote]\u003c/p>\n\u003cp>Anderson noted that trials have shown these plants work distinctly differently from other available treatments for mental health. Psychedelic mushrooms’ effects on depression, for instance, can be large, when used as a form of drug-assisted psychotherapy. But this has been tested only on a few hundred patients in the last few years in the U.S. and maybe a couple of thousand in clinical trials in the last 20 years, he said. “It’s a little early to think we’ll be able to get FDA permission at this time.”\u003c/p>\n\u003cp>However, that’s far from what is being proposed in Oakland.\u003c/p>\n\u003cp>“This is about decriminalization. This is not about legalizing and being able to go get it from your physician,” said Anderson.\u003c/p>\n\u003cp>While proponents argue psychedelic plants and fungi can ease depression and anxiety, and can even be used to treat cancer patients, critics have concerns about educating the public on safe use.\u003c/p>\n\u003cp>“One of the things I’m focused on is that we introduce things the right way,” said Councilwoman Loren Taylor, who ultimately abstained from the vote. “How we deploy and how we support safe use and responsible use [is] a big piece for me.”\u003c/p>\n\u003cp>[aside postID=\"futureofyou_441705\"]\u003c/p>\n\u003cp>Although Taylor said he’s supportive of how valuable psychedelic plants can be in certain settings, he’s also concerned about making sure mushrooms don’t become a fad with high school kids or get into the hands of those who are vulnerable or susceptible.\u003c/p>\n\u003cp>It’s a concern that Plazola, who is sponsoring the measure, acknowledged both in his presentation to the committee and on \u003ca href=\"https://www.kqed.org/forum/2010101871313/oakland-considers-decriminalizing-psychedelic-mushrooms\" target=\"_blank\" rel=\"noopener\">KQED’s Forum Wednesday morning\u003c/a>.\u003c/p>\n\u003cp>“It’s really about education,” Plazola said on Forum. At the meeting Tuesday night, he presented an education resource guide and a plan for how his organization and others would reach out to Oakland residents over the next two years to provide support and information. For example, he said, they would advise anyone with schizophrenia or bipolar disorder to consult with a doctor before taking entheogenic plants.\u003c/p>\n\u003cp>Plazola, however, also argued that the criminalization of these plants has contributed to mass incarceration based on “irrational fears.” At the same time, he said, the mental health crisis has also hit those communities who do not have access to these resources.\u003c/p>\n\u003cp>[aside postID=\"arts_13858117\"]\u003c/p>\n\u003cp>“The question that people should be asking themselves is, ‘What did the world look like before [these plants] were criminalized?'” he said. There is a long history of different plants being used in various religious ceremonies throughout the world, like ayahuasca tea among certain groups in Brazil or peyote among indigenous peoples in Mexico.\u003c/p>\n\u003cp>Councilwoman Rebecca Kaplan agreed with the assessment that the plants and fungi never should have been criminalized in the first place.\u003c/p>\n\u003cp>“Richard Nixon launched a war [on drugs] that we all know is stupid, racist, wasteful and expensive, and it is long past time for us to continue fighting Nixon’s war for him,” she said.\u003c/p>\n\u003cp>The Oakland Police Department said they have dealt with 19 cases of suspected psychedelic mushrooms over the last five years, and were not certain about cases of other plants listed in the resolution.\u003c/p>\n\u003cp>If it passes, Plazola said Decriminalize Nature Oakland hopes to use the measure as a model for other cities and states.\u003c/p>\n\u003cp>Decriminalization in Denver was passed by ballot, with 51 percent of the vote. A similar measure is likely to be on \u003ca href=\"https://www.wweek.com/news/state/2019/04/03/why-stop-at-one-campaign-to-legalize-psychedelic-mushrooms-oregon-has-two-and-they-dont-get-along/\" target=\"_blank\" rel=\"noopener\">the ballot in Oregon in the fall of 2020\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "A resolution to decriminalize certain psychedelic plants was approved by a City Council committee Tuesday. If the full council OKs it, Oakland would become the second U.S. city to decriminalize 'magic' mushrooms.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A resolution to decriminalize certain natural psychedelic plants and fungi — such as “magic” mushrooms — was approved by an Oakland City Council committee Tuesday night and is expected to go to the full council for a vote on June 4.\u003c/p>\n\u003cp>If the measure passes, Oakland would become the second city in the country to decriminalize entheogenic plants, \u003ca href=\"https://www.apnews.com/52a82fbd262b49b1ad035c4e4919e513\" target=\"_blank\" rel=\"noopener\">following Denver earlier this month\u003c/a>.\u003c/p>\n\u003cp>The proposal would make the “investigation and arrest of individuals involved with the adult use of entheogenic plants on the federal Schedule 1 list be amongst the lowest priority for the city of Oakland.”\u003c/p>\n\u003cp>“We’re here to fix a wrong that never should have occurred,” said Carlos Plazola, chair of Decriminalize Nature Oakland, which was sponsoring the resolution.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Plazola gave a presentation on the proposal Tuesday night to the Oakland City Council’s public safety committee, which ultimately passed the resolution with three votes and one abstention. The presentation included a number of doctors speaking on the potential mental health benefits of entheogenic plants and nearly an hour of public testimony — and one standing ovation — largely in support of decriminalization.\u003c/p>\n\u003cp>“They should never have been Schedule 1 substances in the first place based on any sort of scientific evidence,” said Dr. Kelan Thomas, a psychiatric pharmacist. Thomas told the committee he had published one of the first review papers on clinical trials with psychedelics and, while there have only been limited studies so far, the plants have been found to be incredibly effective in treating mental health issues.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“There’s some evidence that one of the active components in psilocybin mushrooms can be used as a medical treatment in some patients, but this is also based off studies that have been small or very preliminary,” said Dr. Brian Anderson \u003ca href=\"https://www.kqed.org/forum/2010101871313/oakland-considers-decriminalizing-psychedelic-mushrooms\" target=\"_blank\" rel=\"noopener\">on KQED’s Forum\u003c/a> on Wednesday. Anderson is a psychiatrist at San Francisco General Hospital who has done studies on the use of psychedelic plants in religious ceremonies.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Anderson noted that trials have shown these plants work distinctly differently from other available treatments for mental health. Psychedelic mushrooms’ effects on depression, for instance, can be large, when used as a form of drug-assisted psychotherapy. But this has been tested only on a few hundred patients in the last few years in the U.S. and maybe a couple of thousand in clinical trials in the last 20 years, he said. “It’s a little early to think we’ll be able to get FDA permission at this time.”\u003c/p>\n\u003cp>However, that’s far from what is being proposed in Oakland.\u003c/p>\n\u003cp>“This is about decriminalization. This is not about legalizing and being able to go get it from your physician,” said Anderson.\u003c/p>\n\u003cp>While proponents argue psychedelic plants and fungi can ease depression and anxiety, and can even be used to treat cancer patients, critics have concerns about educating the public on safe use.\u003c/p>\n\u003cp>“One of the things I’m focused on is that we introduce things the right way,” said Councilwoman Loren Taylor, who ultimately abstained from the vote. “How we deploy and how we support safe use and responsible use [is] a big piece for me.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Although Taylor said he’s supportive of how valuable psychedelic plants can be in certain settings, he’s also concerned about making sure mushrooms don’t become a fad with high school kids or get into the hands of those who are vulnerable or susceptible.\u003c/p>\n\u003cp>It’s a concern that Plazola, who is sponsoring the measure, acknowledged both in his presentation to the committee and on \u003ca href=\"https://www.kqed.org/forum/2010101871313/oakland-considers-decriminalizing-psychedelic-mushrooms\" target=\"_blank\" rel=\"noopener\">KQED’s Forum Wednesday morning\u003c/a>.\u003c/p>\n\u003cp>“It’s really about education,” Plazola said on Forum. At the meeting Tuesday night, he presented an education resource guide and a plan for how his organization and others would reach out to Oakland residents over the next two years to provide support and information. For example, he said, they would advise anyone with schizophrenia or bipolar disorder to consult with a doctor before taking entheogenic plants.\u003c/p>\n\u003cp>Plazola, however, also argued that the criminalization of these plants has contributed to mass incarceration based on “irrational fears.” At the same time, he said, the mental health crisis has also hit those communities who do not have access to these resources.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The question that people should be asking themselves is, ‘What did the world look like before [these plants] were criminalized?'” he said. There is a long history of different plants being used in various religious ceremonies throughout the world, like ayahuasca tea among certain groups in Brazil or peyote among indigenous peoples in Mexico.\u003c/p>\n\u003cp>Councilwoman Rebecca Kaplan agreed with the assessment that the plants and fungi never should have been criminalized in the first place.\u003c/p>\n\u003cp>“Richard Nixon launched a war [on drugs] that we all know is stupid, racist, wasteful and expensive, and it is long past time for us to continue fighting Nixon’s war for him,” she said.\u003c/p>\n\u003cp>The Oakland Police Department said they have dealt with 19 cases of suspected psychedelic mushrooms over the last five years, and were not certain about cases of other plants listed in the resolution.\u003c/p>\n\u003cp>If it passes, Plazola said Decriminalize Nature Oakland hopes to use the measure as a model for other cities and states.\u003c/p>\n\u003cp>Decriminalization in Denver was passed by ballot, with 51 percent of the vote. A similar measure is likely to be on \u003ca href=\"https://www.wweek.com/news/state/2019/04/03/why-stop-at-one-campaign-to-legalize-psychedelic-mushrooms-oregon-has-two-and-they-dont-get-along/\" target=\"_blank\" rel=\"noopener\">the ballot in Oregon in the fall of 2020\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "concerns-for-lgbtq-care-reproductive-services-lead-ucsf-to-nix-closer-ties-with-dignity-health",
"title": "Concerns for LGBTQ Care, Reproductive Services, Lead UCSF to Nix Closer Ties With Dignity Health",
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"content": "\u003cp>UCSF Medical Center officials said Tuesday they no longer would pursue a \u003ca href=\"https://khn.org/news/will-ties-to-a-catholic-hospital-system-tie-doctors-hands/\" target=\"_blank\" rel=\"noopener\">formal affiliation\u003c/a> with Dignity Health, a large Catholic health care system that restricts care on the basis of religious doctrine.\u003c/p>\n\u003cp>[pullquote size='small' align='right' citation='Dr. Daniel Grossman, a professor of obstetrics and gynecology']‘Particularly in this moment when the rights of women and LGBT folks are under attack, this [affiliation] was just not the right decision, and I’m glad they recognized that.’[/pullquote]The decision follows months of heated protest from hundreds of UCSF faculty and staffers who argued that such an arrangement would compromise patient care and threaten the famously progressive health system’s reputation as a provider of unbiased and evidence‐based care.\u003c/p>\n\u003cp>In a \u003ca href=\"https://khn.org/wp-content/uploads/sites/2/2019/05/Statement_DH_5.28.193.pdf\" target=\"_blank\" rel=\"noopener\">letter to staff\u003c/a> announcing the decision to end negotiations, UCSF Chancellor Sam Hawgood and UCSF Health President and CEO Mark Laret cited “strong concerns about a significantly expanded UCSF relationship with a health care system that has certain limits on women’s reproductive services, LGBTQ care, and end‐of‐life options.”\u003c/p>\n\u003cp>Among other prohibitions, Dignity hospitals ban in vitro fertilization, physician‐assisted death and abortions (unless the mother’s life is at risk).\u003c/p>\n\u003cp>Twenty‐four of Dignity’s 39 hospitals prohibit contraception services and gender‐affirming care for transgender people, such as hormone therapy and surgical procedures.\u003c/p>\n\u003cp>The proposal sharply split faculty and the medical staff at UCSF, who aired their differences in heated public forums. Supporters of a closer alliance with Dignity said it would add capacity to a public health care system that is strapped for bed space and turns away more than 800 patients a year. They also noted that Dignity is California’s largest private provider for patients with Medi‐Cal, the state‐federal insurance program for the poor.\u003c/p>\n\u003cp>Dignity hospitals are bound by ethical and religious directives from the United States Conference of Catholic Bishops.\u003c/p>\n\u003cp>Under the proposed affiliation, UCSF would have remained independent and continued to provide such services, but UCSF physicians would have had to abide by Dignity’s care restrictions while practicing at Dignity hospitals. Dignity, meanwhile, would have benefited from operating under capacity.\u003c/p>\n\u003cp>The two systems already have a relationship among several departments, including neurology, adolescent psychology and pediatric burn care. The new proposal would have deepened the affiliation at Dignity’s four Bay Area hospitals.\u003c/p>\n\u003cp>[pullquote]“In a written statement, a Dignity Health spokesperson said system officials understand the concerns raised by UCSF faculty and others and ‘agree that we cannot move forward.’ “[/pullquote]UCSF said the decision to end negotiations was made over the past several days, following internal meetings with Dignity officials and members of the UC Board of Regents, whose approval was required. In a written statement, a Dignity Health spokesperson said system officials understand the concerns raised by UCSF faculty and others, and “agree that we cannot move forward.”\u003c/p>\n\u003cp>In April, Laret told a meeting of the UC Regents that UCSF had no “good Plan B” for adding capacity and that disengaging from the partnership would be “catastrophic for the health care delivery system in San Francisco.” On Tuesday, UCSF released an \u003ca href=\"https://khn.org/wp-content/uploads/sites/2/2019/05/UCSF-Dignity-Health-FAQ-5.28.20192.pdf\" target=\"_blank\" rel=\"noopener\">FAQ\u003c/a> saying the medical center would continue to look for new ways to work with Dignity, including in the areas of adolescent and adult psychiatry, surgical services, primary care and cancer care.\u003c/p>\n\u003cp>[aside tag='ucsf' label='More Coverage of UCSF']The proposal for formal affiliation had drawn vocal opposition from California’s lieutenant governor, some major UCSF donors and dozens of organizations advocating for reproductive rights and the gay and transgender communities.\u003c/p>\n\u003cp>“I’m really happy they made this decision,” said Dr. Daniel Grossman, a professor of obstetrics and gynecology who helped write a letter of \u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2019/04/UCSF-Collaboration-with-Dignity-CHI-4.2.19.pdf\" target=\"_blank\" rel=\"noopener\">opposition\u003c/a> that was signed by more than 1,500 faculty members, residents, students and alumni. “Particularly in this moment when the rights of women and LGBT folks are under attack, this [affiliation] was just not the right decision, and I’m glad they recognized that. It’s important that California remain a haven state for these services.”\u003c/p>\n\u003cp>But Grossman said he remains concerned about UCSF’s ongoing collaboration with Dignity, and the possibility it still could expand.\u003c/p>\n\u003cp>“We need to be vigilant and really hold them accountable moving forward,” he said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "In ending the talks, UCSF leaders cited 'strong concerns about a significantly expanded UCSF relationship with a health care system that has certain limits on women’s reproductive services, LGBTQ care, and end‐of‐life options.'",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>UCSF Medical Center officials said Tuesday they no longer would pursue a \u003ca href=\"https://khn.org/news/will-ties-to-a-catholic-hospital-system-tie-doctors-hands/\" target=\"_blank\" rel=\"noopener\">formal affiliation\u003c/a> with Dignity Health, a large Catholic health care system that restricts care on the basis of religious doctrine.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘Particularly in this moment when the rights of women and LGBT folks are under attack, this [affiliation] was just not the right decision, and I’m glad they recognized that.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The decision follows months of heated protest from hundreds of UCSF faculty and staffers who argued that such an arrangement would compromise patient care and threaten the famously progressive health system’s reputation as a provider of unbiased and evidence‐based care.\u003c/p>\n\u003cp>In a \u003ca href=\"https://khn.org/wp-content/uploads/sites/2/2019/05/Statement_DH_5.28.193.pdf\" target=\"_blank\" rel=\"noopener\">letter to staff\u003c/a> announcing the decision to end negotiations, UCSF Chancellor Sam Hawgood and UCSF Health President and CEO Mark Laret cited “strong concerns about a significantly expanded UCSF relationship with a health care system that has certain limits on women’s reproductive services, LGBTQ care, and end‐of‐life options.”\u003c/p>\n\u003cp>Among other prohibitions, Dignity hospitals ban in vitro fertilization, physician‐assisted death and abortions (unless the mother’s life is at risk).\u003c/p>\n\u003cp>Twenty‐four of Dignity’s 39 hospitals prohibit contraception services and gender‐affirming care for transgender people, such as hormone therapy and surgical procedures.\u003c/p>\n\u003cp>The proposal sharply split faculty and the medical staff at UCSF, who aired their differences in heated public forums. Supporters of a closer alliance with Dignity said it would add capacity to a public health care system that is strapped for bed space and turns away more than 800 patients a year. They also noted that Dignity is California’s largest private provider for patients with Medi‐Cal, the state‐federal insurance program for the poor.\u003c/p>\n\u003cp>Dignity hospitals are bound by ethical and religious directives from the United States Conference of Catholic Bishops.\u003c/p>\n\u003cp>Under the proposed affiliation, UCSF would have remained independent and continued to provide such services, but UCSF physicians would have had to abide by Dignity’s care restrictions while practicing at Dignity hospitals. Dignity, meanwhile, would have benefited from operating under capacity.\u003c/p>\n\u003cp>The two systems already have a relationship among several departments, including neurology, adolescent psychology and pediatric burn care. The new proposal would have deepened the affiliation at Dignity’s four Bay Area hospitals.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>UCSF said the decision to end negotiations was made over the past several days, following internal meetings with Dignity officials and members of the UC Board of Regents, whose approval was required. In a written statement, a Dignity Health spokesperson said system officials understand the concerns raised by UCSF faculty and others, and “agree that we cannot move forward.”\u003c/p>\n\u003cp>In April, Laret told a meeting of the UC Regents that UCSF had no “good Plan B” for adding capacity and that disengaging from the partnership would be “catastrophic for the health care delivery system in San Francisco.” On Tuesday, UCSF released an \u003ca href=\"https://khn.org/wp-content/uploads/sites/2/2019/05/UCSF-Dignity-Health-FAQ-5.28.20192.pdf\" target=\"_blank\" rel=\"noopener\">FAQ\u003c/a> saying the medical center would continue to look for new ways to work with Dignity, including in the areas of adolescent and adult psychiatry, surgical services, primary care and cancer care.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The proposal for formal affiliation had drawn vocal opposition from California’s lieutenant governor, some major UCSF donors and dozens of organizations advocating for reproductive rights and the gay and transgender communities.\u003c/p>\n\u003cp>“I’m really happy they made this decision,” said Dr. Daniel Grossman, a professor of obstetrics and gynecology who helped write a letter of \u003ca href=\"https://californiahealthline.org/wp-content/uploads/sites/3/2019/04/UCSF-Collaboration-with-Dignity-CHI-4.2.19.pdf\" target=\"_blank\" rel=\"noopener\">opposition\u003c/a> that was signed by more than 1,500 faculty members, residents, students and alumni. “Particularly in this moment when the rights of women and LGBT folks are under attack, this [affiliation] was just not the right decision, and I’m glad they recognized that. It’s important that California remain a haven state for these services.”\u003c/p>\n\u003cp>But Grossman said he remains concerned about UCSF’s ongoing collaboration with Dignity, and the possibility it still could expand.\u003c/p>\n\u003cp>“We need to be vigilant and really hold them accountable moving forward,” he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>San Francisco Supervisors Hillary Ronen and Matt Haney want the city to offer free mental health care and substance abuse treatment to any city resident in need.\u003c/p>\n\u003cp>The supervisors, along with state Assemblyman Phil Ting (D-San Francisco), on Tuesday are announcing a push for a November ballot measure to create what they say would be the first universal mental health care system in the nation.\u003c/p>\n\u003cp>[pullquote size=“small” align=”right” citation=\"San Francisco Supervisor Hillary Ronen\"]‘Mental health and substance use programs in San Francisco right now are completely uncoordinated and a mess. We all see it … when we walk on the street and see people in misery.’[/pullquote]\u003c/p>\n\u003cp>“We have a crisis of people who are severely addicted to drugs and that have severe mental health illnesses that are wandering the street and that desperately need help,” Ronen said in an interview Tuesday morning.\u003c/p>\n\u003cp>“San Franciscans are ready for a bold and big change. They’re sick of little measures around the edges. They want a fix to this crisis. The status quo is dangerous,” she said. “We can’t keep failing.”\u003c/p>\n\u003cp>The plan, which would be called Mental Health SF, would be similar to the city’s \u003ca href=\"https://healthysanfrancisco.org/\" target=\"_blank\" rel=\"noopener\">Healthy San Francisco\u003c/a> program that offers health care services to uninsured city residents. It would provide treatment to anyone who has a mental health illness or substance addiction and asks for help — even if they have health insurance.\u003c/p>\n\u003cp>The proposal, first reported on by the \u003ca href=\"https://www.sfchronicle.com/bayarea/heatherknight/article/Bold-plan-to-tackle-SF-s-crisis-on-the-streets-13899585.php?psid=34ve\" target=\"_blank\" rel=\"noopener\">San Francisco Chronicle\u003c/a>, would be paid for by state funding and a proposed tax increase on companies that pay their chief executive officers 100 times more than the median compensation paid to their employees.\u003c/p>\n\u003cp>“We have become one of the most unequal cities in the country, with CEOs making hundreds and hundreds times more than their average worker,” Haney said.\u003c/p>\n\u003cp>[aside postID=news_11742865,news_11741821 label='Homelessness and Mental Health']\u003c/p>\n\u003cp>The plan calls for a 24-hour, seven-days-a-week service center that accepts anyone no matter how severe their needs and an office that would coordinate care.\u003c/p>\n\u003cp>“Mental health and substance use programs in San Francisco right now are completely uncoordinated and a mess. We all see it … when we walk on the street and see people in misery,” Ronen said. “Every single day we see people being released onto the street with their hospital bands on who are still clearly in crisis and don’t know what to do and where to go,” she said.\u003c/p>\n\u003cp>The program would also expand residential treatment and housing services already operating in San Francisco for people with severe mental illness and substance abuse.\u003c/p>\n\u003cp>Ronen and Haney plan to put a separate measure on the fall ballot, dubbed the Excessive CEO Salary Tax, that would place an extra surcharge on businesses that have chief executives who make at least 100 times more than the firms’ typical workers. They believe the tax would generate about $80 million a year, adding to the city’s $370 million annual budget for mental health and substance abuse treatment.\u003c/p>\n\u003cp>Mental Health SF would rely on some state money as well. The state Medi-Cal program covers half the cost of services to low-income Californians enrolled in the program. Ronen said San Francisco should draw down more funding from Proposition 63, a tax approved by voters in 2004 to fund services for Californians with serious mental illnesses.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The program would also use some funding from an IPO tax recently proposed by Supervisor Gordon Mar to raise the employer payroll tax on stock-based compensation.\u003c/p>\n\u003cp>A representative for a leading business lobbying group raised concerns about the idea.\u003c/p>\n\u003cp>“There’s little question that we need to do a far better job of providing mental health care services. It’s not just a San Francisco issue, it’s an issue across the entire Bay Area and California,” said Rufus Jeffris, a spokesman for the Bay Area Council.\u003c/p>\n\u003cp>“A big danger in this proposal is relying on highly volatile jobs and wealth taxes to fund an ongoing expansion of services. And given criticism about a lack of coordination and coherence in a system that some have described as ‘devastatingly broken,’ voters will need to decide whether spending more money is the right approach,” Jeffris said in an email.\u003c/p>\n\u003cp>Notably absent from the press conference announcing the plan were San Francisco’s mayor, London Breed, and anyone from the city’s department of public health.\u003c/p>\n\u003cp>Both offices said they couldn’t comment on the proposal yet because they both hadn’t seen it until Tuesday, when it was announced to the public.\u003c/p>\n\u003cp>Those offices have been trying to address shortfalls in mental health care. The mayor recently hired the city’s first ever director of mental health reform, Dr. Anton Nigusse Bland, who previously directed psychiatric emergency services at San Francisco General Hospital.\u003c/p>\n\u003cp>He is now tasked with evaluating the city’s mental health and substance abuse treatment services, particularly for homeless people, and making recommendations for changes.\u003c/p>\n\u003cp>The city is also participating in a pilot project overhauling the delivery of drug treatment services through Medi-Cal – a project that includes some features proposed in the Mental Health SF program.\u003c/p>\n\u003cp>But Ronen says it’s not nearly enough.\u003c/p>\n\u003cp>“We haven’t seen a single plan that comes out of the mayor’s office to deal with this crisis at the scale that we’re dealing with,” Ronen said. “We need a massive overhaul.”\u003c/p>\n\u003cp>To staff the program, Ronen believes the city can accomplish what the private health care industry can’t. Kaiser Permanente has been the target of numerous complaints about long wait times for mental health appointments, which clinicians there say is due to under staffing. Their union recently authorized a strike over the issue, following a five-day strike in December. Patients with Blue Shield coverage say when they call therapists listed on the insurer’s network, most are not taking new patients.\u003c/p>\n\u003cp>Both companies routinely explain this by saying there is a shortage of clinicians. But Ronen says this is an excuse.\u003c/p>\n\u003cp>“Part of Mental Health SF is we’re going to pay people what we need to pay them to attract them, and we’re going to have the revenue to do so,” she said.\u003c/p>\n\u003cp>The program will also rely heavily on peer counselors, who don’t carry the same high-level degree that demands such high salaries.\u003c/p>\n\u003cp>“Sometimes the best care, and the best coaching, it comes from people who’ve experienced the illness themselves,” she said.\u003c/p>\n\u003cp>The two supervisors plan to officially introduce the measure at next Tuesday’s board meeting. They need six supervisors to support the proposal, and currently five are backing it. Along with Ronen and Haney, Supervisors Mar, Shamann Walton and Norman Yee are on board. Ronen expects Supervisor Aaron Peskin to back it as well.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We have a crisis of people who are severely addicted to drugs and that have severe mental health illnesses that are wandering the street and that desperately need help,” Ronen said in an interview Tuesday morning.\u003c/p>\n\u003cp>“San Franciscans are ready for a bold and big change. They’re sick of little measures around the edges. They want a fix to this crisis. The status quo is dangerous,” she said. “We can’t keep failing.”\u003c/p>\n\u003cp>The plan, which would be called Mental Health SF, would be similar to the city’s \u003ca href=\"https://healthysanfrancisco.org/\" target=\"_blank\" rel=\"noopener\">Healthy San Francisco\u003c/a> program that offers health care services to uninsured city residents. It would provide treatment to anyone who has a mental health illness or substance addiction and asks for help — even if they have health insurance.\u003c/p>\n\u003cp>The proposal, first reported on by the \u003ca href=\"https://www.sfchronicle.com/bayarea/heatherknight/article/Bold-plan-to-tackle-SF-s-crisis-on-the-streets-13899585.php?psid=34ve\" target=\"_blank\" rel=\"noopener\">San Francisco Chronicle\u003c/a>, would be paid for by state funding and a proposed tax increase on companies that pay their chief executive officers 100 times more than the median compensation paid to their employees.\u003c/p>\n\u003cp>“We have become one of the most unequal cities in the country, with CEOs making hundreds and hundreds times more than their average worker,” Haney said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The program would also use some funding from an IPO tax recently proposed by Supervisor Gordon Mar to raise the employer payroll tax on stock-based compensation.\u003c/p>\n\u003cp>A representative for a leading business lobbying group raised concerns about the idea.\u003c/p>\n\u003cp>“There’s little question that we need to do a far better job of providing mental health care services. It’s not just a San Francisco issue, it’s an issue across the entire Bay Area and California,” said Rufus Jeffris, a spokesman for the Bay Area Council.\u003c/p>\n\u003cp>“A big danger in this proposal is relying on highly volatile jobs and wealth taxes to fund an ongoing expansion of services. And given criticism about a lack of coordination and coherence in a system that some have described as ‘devastatingly broken,’ voters will need to decide whether spending more money is the right approach,” Jeffris said in an email.\u003c/p>\n\u003cp>Notably absent from the press conference announcing the plan were San Francisco’s mayor, London Breed, and anyone from the city’s department of public health.\u003c/p>\n\u003cp>Both offices said they couldn’t comment on the proposal yet because they both hadn’t seen it until Tuesday, when it was announced to the public.\u003c/p>\n\u003cp>Those offices have been trying to address shortfalls in mental health care. The mayor recently hired the city’s first ever director of mental health reform, Dr. Anton Nigusse Bland, who previously directed psychiatric emergency services at San Francisco General Hospital.\u003c/p>\n\u003cp>He is now tasked with evaluating the city’s mental health and substance abuse treatment services, particularly for homeless people, and making recommendations for changes.\u003c/p>\n\u003cp>The city is also participating in a pilot project overhauling the delivery of drug treatment services through Medi-Cal – a project that includes some features proposed in the Mental Health SF program.\u003c/p>\n\u003cp>But Ronen says it’s not nearly enough.\u003c/p>\n\u003cp>“We haven’t seen a single plan that comes out of the mayor’s office to deal with this crisis at the scale that we’re dealing with,” Ronen said. “We need a massive overhaul.”\u003c/p>\n\u003cp>To staff the program, Ronen believes the city can accomplish what the private health care industry can’t. Kaiser Permanente has been the target of numerous complaints about long wait times for mental health appointments, which clinicians there say is due to under staffing. Their union recently authorized a strike over the issue, following a five-day strike in December. Patients with Blue Shield coverage say when they call therapists listed on the insurer’s network, most are not taking new patients.\u003c/p>\n\u003cp>Both companies routinely explain this by saying there is a shortage of clinicians. But Ronen says this is an excuse.\u003c/p>\n\u003cp>“Part of Mental Health SF is we’re going to pay people what we need to pay them to attract them, and we’re going to have the revenue to do so,” she said.\u003c/p>\n\u003cp>The program will also rely heavily on peer counselors, who don’t carry the same high-level degree that demands such high salaries.\u003c/p>\n\u003cp>“Sometimes the best care, and the best coaching, it comes from people who’ve experienced the illness themselves,” she said.\u003c/p>\n\u003cp>The two supervisors plan to officially introduce the measure at next Tuesday’s board meeting. They need six supervisors to support the proposal, and currently five are backing it. Along with Ronen and Haney, Supervisors Mar, Shamann Walton and Norman Yee are on board. Ronen expects Supervisor Aaron Peskin to back it as well.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The federal Department of Health and Human Services is proposing to roll back an Obama-era policy intended to protect transgender people from discrimination in health care.\u003c/p>\n\u003cp>Roger Severino, director of the HHS Office for Civil Rights, said \u003ca href=\"https://www.hhs.gov/about/news/2019/05/24/hhs-proposes-to-revise-aca-section-1557-rule.html\">the proposed rule\u003c/a>, released Friday, would revise protections put into place in 2016 as part of the Affordable Care Act that defined discrimination “on the basis of sex” to include gender identity. Gender identity was interpreted as one’s “internal sense of being male, female, neither, or a combination of male and female.”\u003c/p>\n\u003cp>[aside postID=news_11739834,news_11736415,news_11713470,futureofyou_445189 label='Related Coverage']\u003c/p>\n\u003cp>Two lawsuits temporarily blocked that definition from being implemented. Today’s proposed action by HHS would go along with those court rulings and permanently remove gender identity from the classes protected from discrimination by the health care law.\u003c/p>\n\u003cp>Severino said at a press briefing that the proposed rule conforms with existing law.\u003c/p>\n\u003cp>“When Congress prohibited sex discrimination, it did so according to the plain meaning of the term, and we are making our regulations conform,” said Severino in a statement.\u003c/p>\n\u003cp>“We have concluded in our most recent filing with the court that discrimination on the basis of sex does not cover gender identity,” he said during a press briefing.\u003c/p>\n\u003cp>Jocelyn Samuels, the former head of HHS’s Office for Civil Rights, says that the 2016 policy defining sex to include gender identity was based on how the courts had treated sex discrimination laws in education and employment.\u003c/p>\n\u003cp>“We determined based on extensive analysis of the law, and the way that the law had been applied under employment discrimination laws and education discrimination laws, that sex discrimination included not just discrimination against women and men, but also discrimination based on sex stereotyping and gender identity,” says Samuels, who is now director of the \u003ca href=\"https://williamsinstitute.law.ucla.edu/\">Williams Institute\u003c/a> at the UCLA School of Law.\u003c/p>\n\u003cp>However, that rule had been on hold after a Texas judge, on the last day of 2016, \u003ca href=\"https://www.texastribune.org/2016/12/31/texas-judge-issues-injunction-transgender-health-p/\">ruled\u003c/a> that the Obama administration exceeded its authority by interpreting sex discrimination to include discrimination against transgender people. The Trump administration signaled that it intended to reverse the rule when it told the judge there was no need to issue a final ruling because it was rewriting the rule.\u003c/p>\n\u003cp>Samuels says the change is “extraordinarily damaging” to transgender people.\u003c/p>\n\u003cp>Research from the Williams Institute found that more than 780,000 transgender people live in states that lack legal protections from gender identity discrimination in public accommodations, such as health care facilities. Twenty-eight states lack such protections, according to the Williams Institute.\u003c/p>\n\u003cp>[pullquote size=“medium” align=”right” citation=\"Kris Hayashi, Executive Director at the Transgender Law Center\"]“It’s literally a matter of life and death for transgender people living with HIV, transgender people of color, transgender people with disabilities, for so many of us who already face intense discrimination, harassment, and violence.”[/pullquote]\u003c/p>\n\u003cp>“This proposed rule is yet another outright attack by the Trump administration on the health, the well-being, and the survival of transgender people in this country,” said Executive Director at the Transgender Law Center Kris Hayashi.\u003c/p>\n\u003cp>“This rule would endanger the lives of transgender people all across the country. It would make it harder for us to get all forms of health care — from flu shots to physicals to cancer screenings. It’s literally a matter of life and death for transgender people living with HIV, transgender people of color, transgender people with disabilities, for so many of us who already face intense discrimination, harassment, and violence.”\u003c/p>\n\u003cp>A 2017 \u003ca href=\"https://www.npr.org/documents/2017/nov/npr-discrimination-lgbtq-final.pdf\">NPR poll\u003c/a> found that 31% of transgender Americans lack regular access to health care. And 22% said they avoided doctors or health care for fear of being discriminated against. The poll is part of a partnership with the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Health.\u003c/p>\n\u003cp>The\u003ca href=\"https://www.hrc.org/\"> Human Rights Campaign\u003c/a> says fear of discrimination causes many LGBTQ people to avoid seeking medical care. The group cites studies that show 70% of transgender patients say they have experienced discrimination in a health care setting.\u003c/p>\n\u003cp>“Everyone deserves access to medically necessary care and should never be turned away because of who they are,” says David Stacy, the group’s director of government affairs.\u003c/p>\n\u003cp>“This is perhaps the single most damaging, dangerous policy change this administration has proposed,” said Shannon Minter, Legal Director of of the National Center for Lesbian Rights\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>This week, the Department of Housing and Urban Development also \u003ca href=\"https://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201904&RIN=2506-AC53\">proposed a new rule\u003c/a> related to transgender people. It would undo protections for transgender people who go to federally funded homeless shelters. Critics say the change would allow shelter operators to turn transgender individuals away because of their gender identity, or to require transgender men to use women-only shelters and vice versa.\u003c/p>\n\u003cp>Today’s proposed rule from HHS’s Office for Civil Rights also proposes to reverse language in the Obama-era rule that included termination of pregnancy in the definition of sex discrimination.\u003c/p>\n\u003cp>It also would retain language in the 2016 rule that ensured protection for persons with disabilities in health care settings. It includes provisions to provide language access to non-English speakers. In addition, it rolls back regulation requiring the mailing of language access notices. HHS estimates it will save $3.6 billion in the first five years after finalization.\u003c/p>\n\u003cp>Severino said that his office would continue to vigorously enforce prohibitions of discrimination on the basis of race, color, national origin, disability, age and sex in health care.\u003c/p>\n\u003cp>\u003cem>KQED’s Hope McKenney contributed reporting to this story.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 NPR. To see more, visit \u003ca href=\"https://www.npr.org\" target=\"_blank\" rel=\"noopener\">NPR.org\u003c/a>.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Trump+Administration+Proposes+Rule+To+Reverse+Protections+For+Transgender+Patients&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Two lawsuits temporarily blocked that definition from being implemented. Today’s proposed action by HHS would go along with those court rulings and permanently remove gender identity from the classes protected from discrimination by the health care law.\u003c/p>\n\u003cp>Severino said at a press briefing that the proposed rule conforms with existing law.\u003c/p>\n\u003cp>“When Congress prohibited sex discrimination, it did so according to the plain meaning of the term, and we are making our regulations conform,” said Severino in a statement.\u003c/p>\n\u003cp>“We have concluded in our most recent filing with the court that discrimination on the basis of sex does not cover gender identity,” he said during a press briefing.\u003c/p>\n\u003cp>Jocelyn Samuels, the former head of HHS’s Office for Civil Rights, says that the 2016 policy defining sex to include gender identity was based on how the courts had treated sex discrimination laws in education and employment.\u003c/p>\n\u003cp>“We determined based on extensive analysis of the law, and the way that the law had been applied under employment discrimination laws and education discrimination laws, that sex discrimination included not just discrimination against women and men, but also discrimination based on sex stereotyping and gender identity,” says Samuels, who is now director of the \u003ca href=\"https://williamsinstitute.law.ucla.edu/\">Williams Institute\u003c/a> at the UCLA School of Law.\u003c/p>\n\u003cp>However, that rule had been on hold after a Texas judge, on the last day of 2016, \u003ca href=\"https://www.texastribune.org/2016/12/31/texas-judge-issues-injunction-transgender-health-p/\">ruled\u003c/a> that the Obama administration exceeded its authority by interpreting sex discrimination to include discrimination against transgender people. The Trump administration signaled that it intended to reverse the rule when it told the judge there was no need to issue a final ruling because it was rewriting the rule.\u003c/p>\n\u003cp>Samuels says the change is “extraordinarily damaging” to transgender people.\u003c/p>\n\u003cp>Research from the Williams Institute found that more than 780,000 transgender people live in states that lack legal protections from gender identity discrimination in public accommodations, such as health care facilities. Twenty-eight states lack such protections, according to the Williams Institute.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“This proposed rule is yet another outright attack by the Trump administration on the health, the well-being, and the survival of transgender people in this country,” said Executive Director at the Transgender Law Center Kris Hayashi.\u003c/p>\n\u003cp>“This rule would endanger the lives of transgender people all across the country. It would make it harder for us to get all forms of health care — from flu shots to physicals to cancer screenings. It’s literally a matter of life and death for transgender people living with HIV, transgender people of color, transgender people with disabilities, for so many of us who already face intense discrimination, harassment, and violence.”\u003c/p>\n\u003cp>A 2017 \u003ca href=\"https://www.npr.org/documents/2017/nov/npr-discrimination-lgbtq-final.pdf\">NPR poll\u003c/a> found that 31% of transgender Americans lack regular access to health care. And 22% said they avoided doctors or health care for fear of being discriminated against. The poll is part of a partnership with the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Health.\u003c/p>\n\u003cp>The\u003ca href=\"https://www.hrc.org/\"> Human Rights Campaign\u003c/a> says fear of discrimination causes many LGBTQ people to avoid seeking medical care. The group cites studies that show 70% of transgender patients say they have experienced discrimination in a health care setting.\u003c/p>\n\u003cp>“Everyone deserves access to medically necessary care and should never be turned away because of who they are,” says David Stacy, the group’s director of government affairs.\u003c/p>\n\u003cp>“This is perhaps the single most damaging, dangerous policy change this administration has proposed,” said Shannon Minter, Legal Director of of the National Center for Lesbian Rights\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Frequent Assaults on Workers at San Leandro Psychiatric Hospital, Records Show",
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"content": "\u003cp>Staff at a psychiatric hospital in San Leandro were punched, slapped, spit on and kicked — mostly by patients — in at least 80 separate instances over the last year, according to records kept by the agency that operates the facility.\u003c/p>\n\u003cp>[aside label=\"related stories\" tag=\"john-george-psychiatric-hospital\"]\u003c/p>\n\u003cp>In some cases they were also bitten, scratched and had their hair pulled.\u003c/p>\n\u003cp>The union representing workers at John George Psychiatric Hospital has for years called for safer workplace conditions and more staffing, and is now pointing to the new data to cast light on the dangers of the job.\u003c/p>\n\u003cp>Overseen by the Alameda Health System, a public hospital authority that manages John George, the log details a litany of assaults on staff between May 2018 and the beginning of this month. The incidents occurred in several hospital units, including its emergency room, facility hallways and inpatient rooms, according to the log.\u003c/p>\n\u003cp>“It’s an incredible feeling of vulnerability and anxiety and distraction when this kind of thing can happen.” said Rachel Odes, a staff nurse at John George, who has studied workplace violence in healthcare settings.”We are short of staff, perpetually. We don’t have a deep enough bench to bring in replacement staff when someone gets hurt.”\u003c/p>\n\u003cp>The records include the time each assault happened, where in the hospital it occurred, the type of physical force used and whether the “aggressor” was a patient or a coworker. But no names or detailed descriptions are included.\u003c/p>\n\u003cp>“We are committed to providing a safe working environment that supports our staff’s ability to care for our patients, including staffing to state mandated staffing ratios at all facilities,” AHS said in a statement on Thursday.\u003c/p>\n\u003cp>AHS also said it would adhere to new workplace safety law requirements by reporting on a broader set of incidents to state regulators “including inappropriate touching or contact, and patients who resist hands-on staff assistance such as medication administration, restraint, seclusion or redirection.”\u003c/p>\n\u003cp>“In addition to this, we continue to implement various safety measures to ensure we are able to meet our patient needs and support our employees in delivering high quality care,” the statement said.\u003c/p>\n\u003cp>In \u003ca href=\"https://www.kqed.org/news/11692990/state-fines-psychiatric-hospital-in-attack-on-nurse-amid-renewed-staffing-concerns\" target=\"_blank\" rel=\"noopener\">an incident\u003c/a> on Sept. 13, 2017, a patient at the hospital punched a nurse in the face and continued hitting him after he fell down, slamming his head into the ground, fracturing his facial bones and inducing a seizure. David McElveen, the victim of the attack, later suffered from a stroke and short-term memory problems.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘It’s an incredible feeling of vulnerability and anxiety and distraction when this kind of thing can happen.’ \u003ccite>Rachel Odes, staff nurse at John George Psychiatric Hospital\u003c/cite>\u003c/aside>\n\u003cp>California’s Division of Occupational Safety and Health (Cal/OSHA) subsequently fined AHS more than $11,000 in connection with the incident after identifying major shortcomings in the hospital’s mandated injury and illness prevention program.\u003c/p>\n\u003cp>The findings sparked calls by John George workers, represented by Service Employees International Union Local 1021, for additional staffing and more effective safety measures. AHS officials said then that creating and maintaining a safe environment for their workers, patients and visitors was a top priority.\u003c/p>\n\u003cp>But staff and union officials say the dangers are still present.\u003c/p>\n\u003cp>Odes said she witnessed an attack as recently as last weekend, when a nurse was discharging a patient who did not want to leave.\u003c/p>\n\u003cp>“He punched this nurse in the face,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In some cases they were also bitten, scratched and had their hair pulled.\u003c/p>\n\u003cp>The union representing workers at John George Psychiatric Hospital has for years called for safer workplace conditions and more staffing, and is now pointing to the new data to cast light on the dangers of the job.\u003c/p>\n\u003cp>Overseen by the Alameda Health System, a public hospital authority that manages John George, the log details a litany of assaults on staff between May 2018 and the beginning of this month. The incidents occurred in several hospital units, including its emergency room, facility hallways and inpatient rooms, according to the log.\u003c/p>\n\u003cp>“It’s an incredible feeling of vulnerability and anxiety and distraction when this kind of thing can happen.” said Rachel Odes, a staff nurse at John George, who has studied workplace violence in healthcare settings.”We are short of staff, perpetually. We don’t have a deep enough bench to bring in replacement staff when someone gets hurt.”\u003c/p>\n\u003cp>The records include the time each assault happened, where in the hospital it occurred, the type of physical force used and whether the “aggressor” was a patient or a coworker. But no names or detailed descriptions are included.\u003c/p>\n\u003cp>“We are committed to providing a safe working environment that supports our staff’s ability to care for our patients, including staffing to state mandated staffing ratios at all facilities,” AHS said in a statement on Thursday.\u003c/p>\n\u003cp>AHS also said it would adhere to new workplace safety law requirements by reporting on a broader set of incidents to state regulators “including inappropriate touching or contact, and patients who resist hands-on staff assistance such as medication administration, restraint, seclusion or redirection.”\u003c/p>\n\u003cp>“In addition to this, we continue to implement various safety measures to ensure we are able to meet our patient needs and support our employees in delivering high quality care,” the statement said.\u003c/p>\n\u003cp>In \u003ca href=\"https://www.kqed.org/news/11692990/state-fines-psychiatric-hospital-in-attack-on-nurse-amid-renewed-staffing-concerns\" target=\"_blank\" rel=\"noopener\">an incident\u003c/a> on Sept. 13, 2017, a patient at the hospital punched a nurse in the face and continued hitting him after he fell down, slamming his head into the ground, fracturing his facial bones and inducing a seizure. David McElveen, the victim of the attack, later suffered from a stroke and short-term memory problems.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘It’s an incredible feeling of vulnerability and anxiety and distraction when this kind of thing can happen.’ \u003ccite>Rachel Odes, staff nurse at John George Psychiatric Hospital\u003c/cite>\u003c/aside>\n\u003cp>California’s Division of Occupational Safety and Health (Cal/OSHA) subsequently fined AHS more than $11,000 in connection with the incident after identifying major shortcomings in the hospital’s mandated injury and illness prevention program.\u003c/p>\n\u003cp>The findings sparked calls by John George workers, represented by Service Employees International Union Local 1021, for additional staffing and more effective safety measures. AHS officials said then that creating and maintaining a safe environment for their workers, patients and visitors was a top priority.\u003c/p>\n\u003cp>But staff and union officials say the dangers are still present.\u003c/p>\n\u003cp>Odes said she witnessed an attack as recently as last weekend, when a nurse was discharging a patient who did not want to leave.\u003c/p>\n\u003cp>“He punched this nurse in the face,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Vivian Song of Sacramento tries to keep up with the latest makeup trends. While she pays attention to the ingredients in her beauty routine, she says others are clueless.\u003c/p>\n\u003cp>“Not a lot of girls know what they’re putting on their face,” she said. “Whatever’s trending, they’re going to put it on.”\u003c/p>\n\u003cp>California’s Legislature considered banning the sale of of cosmetics containing any of at least 15 toxic chemicals and minerals — including formaldehyde, asbestos and mercury. But after major pushback from powerful players such as the California Chamber of Commerce, which put the bill on its annual list of “\u003ca href=\"https://advocacy.calchamber.com/policy/bill-tracking/job-killers/2019-job-killer-list/\" target=\"_blank\" rel=\"noopener\">job killers\u003c/a>,” \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200AB495\" target=\"_blank\" rel=\"noopener\">Assembly Bill 495\u003c/a> failed to survive its first committee hearing.\u003c/p>\n\u003cfigure id=\"attachment_11748557\" class=\"wp-caption alignright\" style=\"max-width: 1280px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11748557 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1.jpg\" alt=\"\" width=\"1280\" height=\"1070\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1.jpg 1280w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1-160x134.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1-800x669.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1-1020x853.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1-1200x1003.jpg 1200w\" sizes=\"(max-width: 1280px) 100vw, 1280px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Vivian Song, 19, says she wears organic makeup to alleviate breakouts. \u003ccite>(Elizabeth Castillo/CALmatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“The goal of this bill is to bring California up to par with the majority of European and other nations that have already banned these cosmetics with highly toxic chemicals,” said Democratic Assemblyman Al Muratsuchi of Torrance, the bill’s author. “We certainly don’t want to kill jobs, but we want to make sure that these products are not being sold when there’s strong scientific evidence indicating there are harmful impacts on women, men and children.”\u003c/p>\n\u003cp>But the Chamber said it would have imposed “onerous and unnecessary economic burdens on California manufacturers and retailers by immediately banning thousands of personal care products from being sold in California….The mere presence of a chemical in a product cannot be a proxy for ‘exposure.’ Actual exposure at a level sufficient to cause harm, as determined via rigorous analysis, should be the standard for more regulation.”\u003c/p>\n\u003cp>Advocates said the bill would allow California to step in where the federal government had failed to protect consumers. \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In March, the federal Food and Drug Administration identified asbestos in makeup sold at Claire’s, a retailer located in malls nationwide. The agency asked Claire’s to recall the makeup, but it did not. Only after the FDA released a public statement did the retailer pull the product from its shelves.\u003c/p>\n\u003cp>“At Claire’s, customer safety is paramount, and we pride ourselves on providing our customers with the highest quality and safest products,” the retailer said in a \u003ca href=\"https://twitter.com/claires/status/1103303881776422912/photo/1?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1103303881776422912&ref_url=https%3A%2F%2Fcalmatters.org%2Farticles%2Fblog%2Ftoxics-in-cosmetics-california-legislature-rejects-makeup-ban%2F\" target=\"_blank\" rel=\"noopener\">statement\u003c/a>. “Out of an abundance of caution, we have removed the three products identified by the FDA from our stores, and are also removing any remaining talc based cosmetic products.”\u003c/p>\n\u003cp>https://twitter.com/claires/status/1103303881776422912?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1103303881776422912&ref_url=https%3A%2F%2Fcalmatters.org%2Farticles%2Fblog%2Ftoxics-in-cosmetics-california-legislature-rejects-makeup-ban%2F\u003c/p>\n\u003cp>Even so, the FDA \u003ca href=\"https://www.fda.gov/news-events/press-announcements/statement-fda-commissioner-scott-gottlieb-md-and-susan-mayne-phd-director-center-food-safety-and\" target=\"_blank\" rel=\"noopener\">noted\u003c/a>: “To be clear, there are currently no legal requirements for any cosmetic manufacturer marketing products to American consumers to test their products for safety.”\u003c/p>\n\u003cp>“It’s ultimately still the honor system,” said Scott Faber of the Environmental Working Group, a sponsor of the Muratsuchi’s bill in California.\u003c/p>\n\u003cp>There is no amount of contact with asbestos — a combination of six naturally occurring minerals — that is considered safe, according to multiple government agencies, including the federal \u003ca href=\"https://www.atsdr.cdc.gov/toxprofiles/tp61.pdf\" target=\"_blank\" rel=\"noopener\">Centers for Disease Control\u003c/a>. Asbestos also appears on California’s Proposition 65 \u003ca href=\"https://oehha.ca.gov/proposition-65/chemicals/asbestos\" target=\"_blank\" rel=\"noopener\">list\u003c/a> and is known to cause cancer.\u003c/p>\n\u003cp>Asbestos can sometimes be found in talc, a mineral frequently used in certain personal care products like baby powder and eye shadow. A Reuters \u003ca href=\"https://www.reuters.com/investigates/special-report/johnsonandjohnson-cancer/\" target=\"_blank\" rel=\"noopener\">report\u003c/a> concluded that Johnson and Johnson knew its baby powder was sometimes contaminated with asbestos and the company knowingly kept that information from the public and regulators. The company faced thousands of lawsuits from those who claimed the asbestos-tainted products caused cancer.\u003c/p>\n\u003cp>[aside postID='science_1941369,news_11732921,science_1937767' label='chemical regulation']\u003c/p>\n\u003cp>Others argue that there is enough cosmetic regulation and the bill would make it difficult for manufacturers and retailers.\u003c/p>\n\u003cp>“This bill proposes an outright \u003ca href=\"https://calmatters.org/articles/california-hotel-shampoo-bottles-plastic-toiletries/\" target=\"_blank\" rel=\"noopener\">ban\u003c/a> on many ingredients extensively reviewed by independent experts worldwide and found safe for use in cosmetics,” said Jay Ansell of the Personal Care Products Council at the bill’s committee hearing. (The Council also opposes a bill that plans to ban tiny hotel toiletries.) “The ban would adversely affect tens of thousands of products and potentially compromise the ability to provide consumers with the safe high-quality products they expect.”\u003c/p>\n\u003cp>More than a decade ago, the state launched the California Safe Cosmetics Program, which features an updated, searchable \u003ca href=\"https://safecosmetics.cdph.ca.gov/search/Default.aspx\" target=\"_blank\" rel=\"noopener\">database\u003c/a> of products containing potentially harmful chemicals and minerals. Last year then-Gov. Jerry Brown line-item vetoed money to update the program and boost staff.\u003c/p>\n\u003cp>It currently features more than two dozen common cosmetics containing lead, for instance, and nearly a dozen containing arsenic.\u003c/p>\n\u003cp>While companies are required to report harmful chemicals, there is no enforcement of company disclosure.\u003c/p>\n\u003cp>Lead, another element the bill sought to ban, is more difficult to navigate. The substance is commonly found in small amounts in water and soil, according to the federal \u003ca href=\"https://www.epa.gov/lead/learn-about-lead\">Environmental Protection Agency\u003c/a>. Opponents argued that companies wouldn’t intentionally add lead to products, but since it’s so commonplace, trace amount of the element can still be found in makeup.\u003c/p>\n\u003cp>So where do Californians go from here? Muratsuchi said he plans to try again next year.\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"http://CALmatters.org\" target=\"_blank\" rel=\"noopener\">CALmatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Vivian Song of Sacramento tries to keep up with the latest makeup trends. While she pays attention to the ingredients in her beauty routine, she says others are clueless.\u003c/p>\n\u003cp>“Not a lot of girls know what they’re putting on their face,” she said. “Whatever’s trending, they’re going to put it on.”\u003c/p>\n\u003cp>California’s Legislature considered banning the sale of of cosmetics containing any of at least 15 toxic chemicals and minerals — including formaldehyde, asbestos and mercury. But after major pushback from powerful players such as the California Chamber of Commerce, which put the bill on its annual list of “\u003ca href=\"https://advocacy.calchamber.com/policy/bill-tracking/job-killers/2019-job-killer-list/\" target=\"_blank\" rel=\"noopener\">job killers\u003c/a>,” \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200AB495\" target=\"_blank\" rel=\"noopener\">Assembly Bill 495\u003c/a> failed to survive its first committee hearing.\u003c/p>\n\u003cfigure id=\"attachment_11748557\" class=\"wp-caption alignright\" style=\"max-width: 1280px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11748557 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1.jpg\" alt=\"\" width=\"1280\" height=\"1070\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1.jpg 1280w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1-160x134.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1-800x669.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1-1020x853.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/05/toxic-cosmetics-photo-1-1200x1003.jpg 1200w\" sizes=\"(max-width: 1280px) 100vw, 1280px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Vivian Song, 19, says she wears organic makeup to alleviate breakouts. \u003ccite>(Elizabeth Castillo/CALmatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“The goal of this bill is to bring California up to par with the majority of European and other nations that have already banned these cosmetics with highly toxic chemicals,” said Democratic Assemblyman Al Muratsuchi of Torrance, the bill’s author. “We certainly don’t want to kill jobs, but we want to make sure that these products are not being sold when there’s strong scientific evidence indicating there are harmful impacts on women, men and children.”\u003c/p>\n\u003cp>But the Chamber said it would have imposed “onerous and unnecessary economic burdens on California manufacturers and retailers by immediately banning thousands of personal care products from being sold in California….The mere presence of a chemical in a product cannot be a proxy for ‘exposure.’ Actual exposure at a level sufficient to cause harm, as determined via rigorous analysis, should be the standard for more regulation.”\u003c/p>\n\u003cp>Advocates said the bill would allow California to step in where the federal government had failed to protect consumers. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In March, the federal Food and Drug Administration identified asbestos in makeup sold at Claire’s, a retailer located in malls nationwide. The agency asked Claire’s to recall the makeup, but it did not. Only after the FDA released a public statement did the retailer pull the product from its shelves.\u003c/p>\n\u003cp>“At Claire’s, customer safety is paramount, and we pride ourselves on providing our customers with the highest quality and safest products,” the retailer said in a \u003ca href=\"https://twitter.com/claires/status/1103303881776422912/photo/1?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed%7Ctwterm%5E1103303881776422912&ref_url=https%3A%2F%2Fcalmatters.org%2Farticles%2Fblog%2Ftoxics-in-cosmetics-california-legislature-rejects-makeup-ban%2F\" target=\"_blank\" rel=\"noopener\">statement\u003c/a>. “Out of an abundance of caution, we have removed the three products identified by the FDA from our stores, and are also removing any remaining talc based cosmetic products.”\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Even so, the FDA \u003ca href=\"https://www.fda.gov/news-events/press-announcements/statement-fda-commissioner-scott-gottlieb-md-and-susan-mayne-phd-director-center-food-safety-and\" target=\"_blank\" rel=\"noopener\">noted\u003c/a>: “To be clear, there are currently no legal requirements for any cosmetic manufacturer marketing products to American consumers to test their products for safety.”\u003c/p>\n\u003cp>“It’s ultimately still the honor system,” said Scott Faber of the Environmental Working Group, a sponsor of the Muratsuchi’s bill in California.\u003c/p>\n\u003cp>There is no amount of contact with asbestos — a combination of six naturally occurring minerals — that is considered safe, according to multiple government agencies, including the federal \u003ca href=\"https://www.atsdr.cdc.gov/toxprofiles/tp61.pdf\" target=\"_blank\" rel=\"noopener\">Centers for Disease Control\u003c/a>. Asbestos also appears on California’s Proposition 65 \u003ca href=\"https://oehha.ca.gov/proposition-65/chemicals/asbestos\" target=\"_blank\" rel=\"noopener\">list\u003c/a> and is known to cause cancer.\u003c/p>\n\u003cp>Asbestos can sometimes be found in talc, a mineral frequently used in certain personal care products like baby powder and eye shadow. A Reuters \u003ca href=\"https://www.reuters.com/investigates/special-report/johnsonandjohnson-cancer/\" target=\"_blank\" rel=\"noopener\">report\u003c/a> concluded that Johnson and Johnson knew its baby powder was sometimes contaminated with asbestos and the company knowingly kept that information from the public and regulators. The company faced thousands of lawsuits from those who claimed the asbestos-tainted products caused cancer.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Others argue that there is enough cosmetic regulation and the bill would make it difficult for manufacturers and retailers.\u003c/p>\n\u003cp>“This bill proposes an outright \u003ca href=\"https://calmatters.org/articles/california-hotel-shampoo-bottles-plastic-toiletries/\" target=\"_blank\" rel=\"noopener\">ban\u003c/a> on many ingredients extensively reviewed by independent experts worldwide and found safe for use in cosmetics,” said Jay Ansell of the Personal Care Products Council at the bill’s committee hearing. (The Council also opposes a bill that plans to ban tiny hotel toiletries.) “The ban would adversely affect tens of thousands of products and potentially compromise the ability to provide consumers with the safe high-quality products they expect.”\u003c/p>\n\u003cp>More than a decade ago, the state launched the California Safe Cosmetics Program, which features an updated, searchable \u003ca href=\"https://safecosmetics.cdph.ca.gov/search/Default.aspx\" target=\"_blank\" rel=\"noopener\">database\u003c/a> of products containing potentially harmful chemicals and minerals. Last year then-Gov. Jerry Brown line-item vetoed money to update the program and boost staff.\u003c/p>\n\u003cp>It currently features more than two dozen common cosmetics containing lead, for instance, and nearly a dozen containing arsenic.\u003c/p>\n\u003cp>While companies are required to report harmful chemicals, there is no enforcement of company disclosure.\u003c/p>\n\u003cp>Lead, another element the bill sought to ban, is more difficult to navigate. The substance is commonly found in small amounts in water and soil, according to the federal \u003ca href=\"https://www.epa.gov/lead/learn-about-lead\">Environmental Protection Agency\u003c/a>. Opponents argued that companies wouldn’t intentionally add lead to products, but since it’s so commonplace, trace amount of the element can still be found in makeup.\u003c/p>\n\u003cp>So where do Californians go from here? Muratsuchi said he plans to try again next year.\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"http://CALmatters.org\" target=\"_blank\" rel=\"noopener\">CALmatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"tagline": "The flip side of gentrification, told through one town",
"info": "Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?",
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},
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"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
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},
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"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"order": 8
},
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},
"link": "https://www.cityarts.net",
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"order": 1
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"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"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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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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}
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"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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"id": "fresh-air",
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"hidden-brain": {
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
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"source": "NPR"
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"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"jerrybrown": {
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"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. ",
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"order": 18
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},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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},
"link": "/radio/program/latino-usa",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
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},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
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},
"masters-of-scale": {
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"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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