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"content": "\u003cp>State lawmakers have introduced legislation to ban unnecessary genital surgery for intersex babies that would be the first of its kind in the nation if it passes.\u003c/p>\n\u003cp>Senate Bill 201 would prohibit medical providers from performing cosmetic surgeries on intersex babies — individuals born with natural variations in sex characteristics or genitalia — until they can make their own decisions. Some of the surgeries that advocates say are medically unnecessary include reducing a clitoris, creating a vagina or removing healthy gonadal tissue.\u003c/p>\n\u003cp>“There are some procedures that violate our fundamental values as Californians,” state Sen. Scott Wiener, D-San Francisco, said Monday in introducing the legislation.\u003c/p>\n\u003cp>Advocates say these procedures are based on the desire to “normalize” genitalia but can have irreversible and harmful effects on puberty, fertility and gender expression.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/futureofyou/335790/boy-girl-both-neither-a-new-generation-overthrows-gender\">Boy? Girl? Both? Neither? A New Generation Overthrows Gender\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/futureofyou/335790/boy-girl-both-neither-a-new-generation-overthrows-gender\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/wp-content/uploads/sites/13/2020/01/Max-e1493051858120-1180x1044.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>If the bill passes, California would be the first state to prohibit non-consensual genital surgery for intersex infants.\u003c/p>\n\u003cp>“Instead of forcing conformity, we should celebrate our differences,” said Elizabeth Gill, an attorney with the ACLU of Northern California.\u003c/p>\n\u003cp>Wiener said non-consensual procedures on intersex infants is a human rights issue.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We banned conversion therapy for children — even if a psychiatrist thinks it’s appropriate,” Wiener said. “And by the same token, if an intersex baby is born and is healthy and does not medically require surgery to be healthy, we should not be allowing physicians to perform this cosmetic genital surgery that will have impacts for the rest of that person’s life.”\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/futureofyou/445189/trump-administration-memo-on-sex-and-gender-is-wrong-on-all-counts-say-experts\">Sex and Gender Memo by Trump Administration Is Wrong on All Counts, Say Experts\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/futureofyou/445189/trump-administration-memo-on-sex-and-gender-is-wrong-on-all-counts-say-experts\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/wp-content/uploads/sites/13/2018/10/GettyImages-1058061434-1180x787.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Hans Lindahl, of the intersex youth advocacy group \u003ca href=\"https://interactadvocates.org/\" rel=\"noopener\" target=\"_blank\">interACT\u003c/a>, said SB 201 would allow intersex people like herself to have autonomy over their bodies in the health care system.\u003c/p>\n\u003cp>“We’re not anti-surgery. We’re pro-consent. We just want the same rights as anyone else to make our own decisions about our own bodies,” Lindahl said.\u003c/p>\n\u003cp>If SB 201 passes, parents won’t be able to give consent for their children to undergo cosmetic genital surgery.\u003c/p>\n\u003cp>“Parents and doctors have a critically important role to play in the health and well-being of their children, but we should not deprive individuals of the right to choose whether to undergo invasive surgeries that are cosmetic, medically unnecessary and associated with long-term permanent health consequences,” Wiener said.\u003c/p>\n\u003cp>The California Medical Association, a group that represents thousands of California physicians, said they’re concerned the bill is “being overly prescriptive” and would “not give families and medical professionals the ability to take the specifics of each case into account.”\u003c/p>\n\u003cp>The legislation will be presented for committee hearing in the next few months.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>State lawmakers have introduced legislation to ban unnecessary genital surgery for intersex babies that would be the first of its kind in the nation if it passes.\u003c/p>\n\u003cp>Senate Bill 201 would prohibit medical providers from performing cosmetic surgeries on intersex babies — individuals born with natural variations in sex characteristics or genitalia — until they can make their own decisions. Some of the surgeries that advocates say are medically unnecessary include reducing a clitoris, creating a vagina or removing healthy gonadal tissue.\u003c/p>\n\u003cp>“There are some procedures that violate our fundamental values as Californians,” state Sen. Scott Wiener, D-San Francisco, said Monday in introducing the legislation.\u003c/p>\n\u003cp>Advocates say these procedures are based on the desire to “normalize” genitalia but can have irreversible and harmful effects on puberty, fertility and gender expression.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/futureofyou/335790/boy-girl-both-neither-a-new-generation-overthrows-gender\">Boy? Girl? Both? Neither? A New Generation Overthrows Gender\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/futureofyou/335790/boy-girl-both-neither-a-new-generation-overthrows-gender\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/wp-content/uploads/sites/13/2020/01/Max-e1493051858120-1180x1044.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>If the bill passes, California would be the first state to prohibit non-consensual genital surgery for intersex infants.\u003c/p>\n\u003cp>“Instead of forcing conformity, we should celebrate our differences,” said Elizabeth Gill, an attorney with the ACLU of Northern California.\u003c/p>\n\u003cp>Wiener said non-consensual procedures on intersex infants is a human rights issue.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We banned conversion therapy for children — even if a psychiatrist thinks it’s appropriate,” Wiener said. “And by the same token, if an intersex baby is born and is healthy and does not medically require surgery to be healthy, we should not be allowing physicians to perform this cosmetic genital surgery that will have impacts for the rest of that person’s life.”\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/futureofyou/445189/trump-administration-memo-on-sex-and-gender-is-wrong-on-all-counts-say-experts\">Sex and Gender Memo by Trump Administration Is Wrong on All Counts, Say Experts\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/futureofyou/445189/trump-administration-memo-on-sex-and-gender-is-wrong-on-all-counts-say-experts\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/wp-content/uploads/sites/13/2018/10/GettyImages-1058061434-1180x787.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Hans Lindahl, of the intersex youth advocacy group \u003ca href=\"https://interactadvocates.org/\" rel=\"noopener\" target=\"_blank\">interACT\u003c/a>, said SB 201 would allow intersex people like herself to have autonomy over their bodies in the health care system.\u003c/p>\n\u003cp>“We’re not anti-surgery. We’re pro-consent. We just want the same rights as anyone else to make our own decisions about our own bodies,” Lindahl said.\u003c/p>\n\u003cp>If SB 201 passes, parents won’t be able to give consent for their children to undergo cosmetic genital surgery.\u003c/p>\n\u003cp>“Parents and doctors have a critically important role to play in the health and well-being of their children, but we should not deprive individuals of the right to choose whether to undergo invasive surgeries that are cosmetic, medically unnecessary and associated with long-term permanent health consequences,” Wiener said.\u003c/p>\n\u003cp>The California Medical Association, a group that represents thousands of California physicians, said they’re concerned the bill is “being overly prescriptive” and would “not give families and medical professionals the ability to take the specifics of each case into account.”\u003c/p>\n\u003cp>The legislation will be presented for committee hearing in the next few months.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Task Force Outlines Strategy to Address California's Shortfall of Health Workers",
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"content": "\u003cp>Gov. Gavin Newsom has proposed bold steps to ensure more Californians have health coverage, but a new report underscores that his success may depend in part on large‐scale investments to expand the state’s health care workforce.\u003c/p>\n\u003cp>A coalition of health, labor and education leaders, in a \u003ca href=\"https://futurehealthworkforce.org/wp-content/uploads/2019/02/MeetingDemandForHealthFinalReportCFHWC.pdf\" rel=\"noopener\" target=\"_blank\">report\u003c/a> released Monday, cited a dearth of health care workers in many regions of the state and recommended spending up to $3 billion over 10 years to address the shortfall. It’s not clear where that money would come from, though the report cited several possible sources.\u003c/p>\n\u003cp>The proposals of the group, the \u003ca href=\"https://futurehealthworkforce.org/\" rel=\"noopener\" target=\"_blank\">California Future Health Workforce Commission\u003c/a>, include: creating more primary care and psychiatric residency slots; increasing the use of nurse practitioners; boosting scholarships for low‐income students who agree to work in underserved areas; and expanding the supply — and training — of home care workers.\u003c/p>\n\u003cp>The \u003ca href=\"https://futurehealthworkforce.org/about/commissioner-page-1/\" rel=\"noopener\" target=\"_blank\">commission\u003c/a> also recommended building a more culturally and linguistically diverse pool of health care professionals to better match California’s demographics.\u003c/p>\n\u003cp>To meet the needs of an aging population, the commission recommended training home care workers and putting them on a more defined career path. In addition, the report focuses on shortages in mental health care, with proposals to create a new training program for psychiatric nurse practitioners and expand the use of mental health peer counselors.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“As we strive to get everyone covered … we need to have the providers there to actually provide the care,” said California Assemblyman Jim Wood, a commission member and chairman of the state Assembly Health Committee. “We need to realize that this is a growing state and our workforce is not growing proportionally.”\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11721672/newsoms-tactic-not-yet-health-care-for-all-but-health-care-for-more\" rel=\"noopener\" target=\"_blank\">Newsom’s Tactic: Not Yet Health Care for All, But Health Care for More\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11721672/newsoms-tactic-not-yet-health-care-for-all-but-health-care-for-more\" rel=\"noopener\" target=\"_blank\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/wp-content/uploads/sites/10/2019/01/Newsom-1020x640.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Health care providers simply aren’t working in the areas of greatest need, resulting in a two‐tier system for the haves and have‐nots, he said.\u003c/p>\n\u003cp>An estimated 7 million Californians live in shortage areas, and the problem is expected to worsen as older physicians retire, baby boomers age and more people live with chronic diseases. About 45 percent of psychiatrists and 37 percent of psychologists in the state are over 60 years old, according to research from UCSF.\u003c/p>\n\u003cp>Among the areas experiencing shortages are the San Joaquin Valley and the Inland Empire, as well as the state’s rural northern and Sierra regions, according to the commission.\u003c/p>\n\u003cp>The \u003ca href=\"https://futurehealthworkforce.org/wp-content/uploads/2019/02/ExecutiveSummaryFinalReportCFHWC.pdf\" rel=\"noopener\" target=\"_blank\">report\u003c/a> comes less than a month after Newsom unveiled his ambitious health care agenda.\u003c/p>\n\u003cp>On his first day in office, the Democratic governor proposed extending Medicaid coverage to undocumented young adult immigrants, requiring all Californians to have health insurance, and supplementing federal health insurance subsidies with state money to help them pay for it. He also asked President Donald Trump and congressional leaders to amend federal law to allow California to move toward a single‐payer health care system.\u003c/p>\n\u003cp>Wood said such policies would not be effective without enough providers in the places where they are needed. “Coverage isn’t care, and we can’t just say ‘Everybody’s got coverage’ and walk away,” he said. “If you don’t have access to physicians or dentists or mental health providers in your area, that is an empty promise.”\u003c/p>\n\u003cp>The commission was established in August 2017 by several health philanthropies hoping to forge a strategy to build the workforce needed by 2030. It consisted of two dozen representatives from hospitals, schools, businesses and labor, and was chaired by University of California President Janet Napolitano and Dignity Health president and CEO Lloyd Dean.\u003c/p>\n\u003cp>Some of the commission’s proposals would face challenges — especially financial ones. Creating more residencies for primary care physicians and psychiatrists, for example, would cost an estimated $1.56 billion over a decade. And the state’s physicians are likely to oppose giving nurse practitioners more authority.\u003c/p>\n\u003cp>C. Dean Germano, CEO of Shasta Community Health Center in Redding, Calif., said his community has significant mental health needs and that health centers are often the first place many people go for treatment of depression or anxiety.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11710961/she-strived-to-be-the-perfect-mom-and-landed-in-the-psych-ward\" rel=\"noopener\" target=\"_blank\">She Strived to Be the Perfect Mom and Landed in the Psych Ward\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11710961/she-strived-to-be-the-perfect-mom-and-landed-in-the-psych-ward\" rel=\"noopener\" target=\"_blank\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/12/Lucy-0008-e1544224630222.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>“We are sort of handicapped by not having the workforce on the primary care side or on the mental health side,” he said, adding that training students to work in underserved communities is the “golden ticket.”\u003c/p>\n\u003cp>In Los Angeles County, L.A. Care Health Plan is already working to expand the primary care workforce by offering full scholarships to certain medical school students and loan repayment for physicians recruited to practice in underserved areas.\u003c/p>\n\u003cp>Investing in more health care professionals — especially primary care providers — can help reduce the overall cost of health care, said Dr. David Carlisle, president and CEO of Charles R. Drew University of Medicine and Science in Los Angeles who served on the commission. The state is expected to need an estimated 4,100 more primary care clinicians in 2030.\u003c/p>\n\u003cp>“We shouldn’t be intimidated by the $3 billion price tag because, in many ways, we are paying for this already,” Carlisle said. “This is part of the reason why our health care system is so expensive — because patients have to delay care until they are really sick.”\u003c/p>\n\u003cp>Wood said the estimated cost of the commission’s proposals is a small fraction of the state’s $201 billion annual budget. The report cited other possible funding sources, including philanthropic grants, education dollars, health plan contributions and federal dollars.\u003c/p>\n\u003cp>Newsom has “established a vision for how to pursue a pro‐health agenda” in California, Carlisle said. “This report provides him with a road map.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>(Four organizations funded the project of the California Future Health Workforce Commission: the California Endowment, California Health Care Foundation, the California Wellness Foundation and Blue Shield of California Foundation. Kaiser Health News, which produces California Healthline, has received support from each of these organizations.)\u003c/em>\u003c/p>\n\n",
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"headline": "Task Force Outlines Strategy to Address California's Shortfall of Health Workers",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Gavin Newsom has proposed bold steps to ensure more Californians have health coverage, but a new report underscores that his success may depend in part on large‐scale investments to expand the state’s health care workforce.\u003c/p>\n\u003cp>A coalition of health, labor and education leaders, in a \u003ca href=\"https://futurehealthworkforce.org/wp-content/uploads/2019/02/MeetingDemandForHealthFinalReportCFHWC.pdf\" rel=\"noopener\" target=\"_blank\">report\u003c/a> released Monday, cited a dearth of health care workers in many regions of the state and recommended spending up to $3 billion over 10 years to address the shortfall. It’s not clear where that money would come from, though the report cited several possible sources.\u003c/p>\n\u003cp>The proposals of the group, the \u003ca href=\"https://futurehealthworkforce.org/\" rel=\"noopener\" target=\"_blank\">California Future Health Workforce Commission\u003c/a>, include: creating more primary care and psychiatric residency slots; increasing the use of nurse practitioners; boosting scholarships for low‐income students who agree to work in underserved areas; and expanding the supply — and training — of home care workers.\u003c/p>\n\u003cp>The \u003ca href=\"https://futurehealthworkforce.org/about/commissioner-page-1/\" rel=\"noopener\" target=\"_blank\">commission\u003c/a> also recommended building a more culturally and linguistically diverse pool of health care professionals to better match California’s demographics.\u003c/p>\n\u003cp>To meet the needs of an aging population, the commission recommended training home care workers and putting them on a more defined career path. In addition, the report focuses on shortages in mental health care, with proposals to create a new training program for psychiatric nurse practitioners and expand the use of mental health peer counselors.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“As we strive to get everyone covered … we need to have the providers there to actually provide the care,” said California Assemblyman Jim Wood, a commission member and chairman of the state Assembly Health Committee. “We need to realize that this is a growing state and our workforce is not growing proportionally.”\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11721672/newsoms-tactic-not-yet-health-care-for-all-but-health-care-for-more\" rel=\"noopener\" target=\"_blank\">Newsom’s Tactic: Not Yet Health Care for All, But Health Care for More\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11721672/newsoms-tactic-not-yet-health-care-for-all-but-health-care-for-more\" rel=\"noopener\" target=\"_blank\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/wp-content/uploads/sites/10/2019/01/Newsom-1020x640.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Health care providers simply aren’t working in the areas of greatest need, resulting in a two‐tier system for the haves and have‐nots, he said.\u003c/p>\n\u003cp>An estimated 7 million Californians live in shortage areas, and the problem is expected to worsen as older physicians retire, baby boomers age and more people live with chronic diseases. About 45 percent of psychiatrists and 37 percent of psychologists in the state are over 60 years old, according to research from UCSF.\u003c/p>\n\u003cp>Among the areas experiencing shortages are the San Joaquin Valley and the Inland Empire, as well as the state’s rural northern and Sierra regions, according to the commission.\u003c/p>\n\u003cp>The \u003ca href=\"https://futurehealthworkforce.org/wp-content/uploads/2019/02/ExecutiveSummaryFinalReportCFHWC.pdf\" rel=\"noopener\" target=\"_blank\">report\u003c/a> comes less than a month after Newsom unveiled his ambitious health care agenda.\u003c/p>\n\u003cp>On his first day in office, the Democratic governor proposed extending Medicaid coverage to undocumented young adult immigrants, requiring all Californians to have health insurance, and supplementing federal health insurance subsidies with state money to help them pay for it. He also asked President Donald Trump and congressional leaders to amend federal law to allow California to move toward a single‐payer health care system.\u003c/p>\n\u003cp>Wood said such policies would not be effective without enough providers in the places where they are needed. “Coverage isn’t care, and we can’t just say ‘Everybody’s got coverage’ and walk away,” he said. “If you don’t have access to physicians or dentists or mental health providers in your area, that is an empty promise.”\u003c/p>\n\u003cp>The commission was established in August 2017 by several health philanthropies hoping to forge a strategy to build the workforce needed by 2030. It consisted of two dozen representatives from hospitals, schools, businesses and labor, and was chaired by University of California President Janet Napolitano and Dignity Health president and CEO Lloyd Dean.\u003c/p>\n\u003cp>Some of the commission’s proposals would face challenges — especially financial ones. Creating more residencies for primary care physicians and psychiatrists, for example, would cost an estimated $1.56 billion over a decade. And the state’s physicians are likely to oppose giving nurse practitioners more authority.\u003c/p>\n\u003cp>C. Dean Germano, CEO of Shasta Community Health Center in Redding, Calif., said his community has significant mental health needs and that health centers are often the first place many people go for treatment of depression or anxiety.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11710961/she-strived-to-be-the-perfect-mom-and-landed-in-the-psych-ward\" rel=\"noopener\" target=\"_blank\">She Strived to Be the Perfect Mom and Landed in the Psych Ward\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11710961/she-strived-to-be-the-perfect-mom-and-landed-in-the-psych-ward\" rel=\"noopener\" target=\"_blank\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/12/Lucy-0008-e1544224630222.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>“We are sort of handicapped by not having the workforce on the primary care side or on the mental health side,” he said, adding that training students to work in underserved communities is the “golden ticket.”\u003c/p>\n\u003cp>In Los Angeles County, L.A. Care Health Plan is already working to expand the primary care workforce by offering full scholarships to certain medical school students and loan repayment for physicians recruited to practice in underserved areas.\u003c/p>\n\u003cp>Investing in more health care professionals — especially primary care providers — can help reduce the overall cost of health care, said Dr. David Carlisle, president and CEO of Charles R. Drew University of Medicine and Science in Los Angeles who served on the commission. The state is expected to need an estimated 4,100 more primary care clinicians in 2030.\u003c/p>\n\u003cp>“We shouldn’t be intimidated by the $3 billion price tag because, in many ways, we are paying for this already,” Carlisle said. “This is part of the reason why our health care system is so expensive — because patients have to delay care until they are really sick.”\u003c/p>\n\u003cp>Wood said the estimated cost of the commission’s proposals is a small fraction of the state’s $201 billion annual budget. The report cited other possible funding sources, including philanthropic grants, education dollars, health plan contributions and federal dollars.\u003c/p>\n\u003cp>Newsom has “established a vision for how to pursue a pro‐health agenda” in California, Carlisle said. “This report provides him with a road map.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>(Four organizations funded the project of the California Future Health Workforce Commission: the California Endowment, California Health Care Foundation, the California Wellness Foundation and Blue Shield of California Foundation. Kaiser Health News, which produces California Healthline, has received support from each of these organizations.)\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>It was way easier for candidate Gavin Newsom to endorse \u003ca href=\"https://calmatters.org/articles/single-payer-health-care-what-californians-need-to-know/\">single-payer health care coverage\u003c/a> for everyone than it is now for Gov. Newsom to deliver it. Yet hardcore advocates say they’re pleased with the moves he’s made thus far—even if it may take years to come to fruition.\u003c/p>\n\u003cp>“This is a governor that is operating from a compass of action,” said Stephanie Roberson, government relations director for the politically powerful California Nurses Association, which hasn’t exactly been \u003ca href=\"https://calmatters.org/articles/union-boss-roseann-demoro-doesnt-play-nice/\">known for its patience\u003c/a> on the issue.\u003c/p>\n\u003cp>Newsom has taken two tacks. He’s asking the Trump administration to let the state create its own single-payer system offering coverage to all Californians—a move almost everyone regards as a very long shot. And he’s also pushing specific ideas to expand health care coverage to hundreds of thousands of still-uninsured Californians—a move that seems much more do-able.\u003c/p>\n\u003cp>During his campaign, Newsom \u003ca href=\"https://www.latimes.com/politics/essential/la-pol-ca-essential-politics-updates-in-speech-to-single-payer-advocates-1506103477-htmlstory.html\">promised the nurses\u003c/a> that he would make it happen. But the state can’t do it alone. That’s why he sent a letter to the federal government right out of the gate, asking the administration and Congress to set up an “innovation waiver” to allow California to create its own single-payer system.\u003c/p>\n\u003cp>[documentcloud url=\"https://www.documentcloud.org/documents/5698578-Letter-to-White-House.html\" width=800 height=800]\u003c/p>\n\u003cp>Experts say there is little chance the Trump administration will give the state the go-ahead on this.\u003c/p>\n\u003cp>“He’s making a statement and sometimes making statements is important—even if there’s little chance of making progress in the immediate future,” said Gerald Kominski, senior fellow at the \u003ca href=\"https://healthpolicy.ucla.edu/Pages/home.aspx\">UCLA Center for Health Policy Research\u003c/a>. “It’s a way of drawing a line in the sand.\u003c/p>\n\u003cp>”It’s also a way to stave off criticism from advocates,” said Jesus Ramirez-Valles, director of the \u003ca href=\"https://healthequity.sfsu.edu/\">Health Equity Institute\u003c/a> at San Francisco State University. “He can say ‘I tried it’ and there is no risk on him. If he doesn’t do what he promised, then he is risking opposition.”\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11712068/poll-californians-want-universal-health-coverage-free-community-college\">Poll: Californians Want Universal Health Coverage, Free Community College\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11712068/poll-californians-want-universal-health-coverage-free-community-college\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/RS249_doctor-examining-senior.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Federal permission would also require Congress to support a new waiver system—one that would allow the state to redirect funds that usually go to the federal government, such as Medicare income taxes, to a state funding authority that would manage and pay for a single-payer health care system, Kominski said.\u003c/p>\n\u003cp>Current waiver systems do not allow for this type of financial management by the state. Other states have used existing waiver programs for permission to set prices or to implement additional requirements, but not to collect federal money.\u003c/p>\n\u003cp>“You have to ask for the money,” said Roberson of the nurses union. “We are not going to sit on our hands and hope something is going to happen. This strengthens the governor’s commitment to Medicare for all.”\u003c/p>\n\u003cp>Meantime, Newsom is tackling the block of 3 million uninsured California residents by chipping away at the edges—proposing spending to help struggling middle-income families buy health insurance, and providing state coverage to some undocumented young adults.\u003c/p>\n\u003cblockquote class=\"twitter-tweet\">\n\u003cp dir=\"ltr\" lang=\"en\">Powerful forces may try to stand in our way, but California won’t back down. We’re going to build a universal healthcare system that covers every Californian and will inspire the nation.\u003ca href=\"https://t.co/Oa5nAFbA2Z\">https://t.co/Oa5nAFbA2Z\u003c/a>\u003c/p>\n\u003cp>— Gavin Newsom (@GavinNewsom) \u003ca href=\"https://twitter.com/GavinNewsom/status/1088614181174169601?ref_src=twsrc%5Etfw\">January 25, 2019\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>He’ll need approval from the Legislature, now a supermajority of Democrats, many of whom have supported similar ideas in recent years.\u003c/p>\n\u003cp>Two \u003ca href=\"http://www.ebudget.ca.gov/2019-20/pdf/BudgetSummary/HealthandHumanServices.pdf\">intertwined proposals\u003c/a> in his budget would offer hundreds of thousands of middle-income families additional state subsidies to buy health insurance, and require every Californian to obtain health coverage or pay a tax penalty.\u003c/p>\n\u003cp>This “state mandate” would replace the controversial federal mandate—a central component of the Affordable Care Act, or Obamacare— that the Trump administration recently canceled. A few other blue states were quicker to create a replacement state mandate, but California’s progressive lawmakers were wary of penalizing people who \u003ca href=\"https://calmatters.org/articles/california-ideas-counteract-obamacare-mandate-repeal/\">failed to buy health insurance\u003c/a> unless the state also cushioned the blow by offering people more subsidies to lower the costs.\u003c/p>\n\u003cp>Newsom also proposes to use $260 million in state funds to extend Medi-Cal, the government health program for people who can’t afford insurance, to low-income undocumented immigrants ages 18 to 26.\u003c/p>\n\u003cp>It’s a classic “Resistance State” action for Newsom, as California tries to counteract the Trump administration’s federal moves to undermine Obamacare. Last year a joint \u003ca href=\"http://laborcenter.berkeley.edu/pdf/2018/CA-Coverage-Gains-To-Erode-Without-Further-State-Action.pdf\">UCLA and UC Berkeley study\u003c/a> found that the uninsured rate in California would rise to nearly 13 percent by 2023 if nothing is done at the state level to prevent it.\u003c/p>\n\u003cp>Since the Affordable Care Act known as Obamacare was enacted, California’s uninsured rate has dropped from about 17 percent to roughly 7 percent. Roughly half of those 3 million remaining qualify for assistance.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/38f2f57c-a5b8-4386-bc7a-afd2c3af941f?src=embed\" title=\"The Uninsured\" width=\"800\" height=\"840\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The \u003ca href=\"https://www.coveredca.com/pdfs/fpl-chart.pdf\">federal poverty level\u003c/a> for 2019 is set at earnings of $12,140 for one person and $25,100 for a family of four.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/0eadb36d-d922-4353-aced-f5e9b46e787c?src=embed\" title=\"Income Limits for Current and Proposed Subsidies\" width=\"800\" height=\"717\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The budget does not include cost estimates for the additional subsidies but Newsom intends to pay for the expansion by having the state collect penalties from Californians who forego insurance. His budget proposal estimates that the mandate penalty could raise about $500 million a year, similar to what about \u003ca href=\"https://www.irs.gov/statistics/soi-tax-stats-historic-table-2\">600,000 Californians paid\u003c/a> to the federal government when it had a mandate and collected its own penalties.\u003c/p>\n\u003cp>Peter Lee, who directs the state health insurance exchange \u003ca href=\"https://www.coveredca.com/\">Covered California\u003c/a>, praised Newsom’s proposals during a recent\u003ca href=\"https://board.coveredca.com/meetings/\" target=\"_blank\" rel=\"noopener\"> board meeting.\u003c/a>\u003c/p>\n\u003cp>“Not only does his initiative propose an individual penalty show courage,” he said, “it shows some thoughtfulness about the challenges that middle-class Americans face.”\u003c/p>\n\u003cp>Enrollment for Covered California, which recently ended, was down 15 percent over last year. Lee said the elimination of the federal penalty is partly to blame.\u003c/p>\n\u003cp>A \u003ca href=\"https://board.coveredca.com/meetings/2019/01-17%20Meeting/Draft_Affordability_Report%20_1-16.pdf\" target=\"_blank\" rel=\"noopener\">draft affordability report\u003c/a> Covered California is preparing for the Legislature concludes that if Newsom’s two proposals—expanded subsidies and a mandate—are adopted, enrollment could rise by nearly 650,000 people.\u003c/p>\n\u003cp>Funding the subsidies with penalties is, of course, a bit of a Catch-22: The more successful California is in getting people to obtain health care, the smaller the penalty fund to pay for the subsidies that help fund that care.\u003c/p>\n\u003cp>“You’re accomplishing your goal, but you’re taking away revenue,” Kominski said. “This is the kind of problem we should be happy to have.”\u003c/p>\n\u003cp>The conundrum is reminiscent of the state’s tobacco tax, which was intended to deter people from smoking. Success has meant a drop in the amount of money the tax brings in.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/e221a34e-9b03-4257-9021-bb6c216bb105?src=embed\" title=\"KFF Poll - Health care\" width=\"800\" height=\"658\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Despite what many see as dismal prospects for single-payer in California so long as the Trump administration can quash the state’s waiver request, the California Nurses Association is undaunted. They’re working on a soon-to-be-introduced single-payer bill, more detailed than the version that \u003ca href=\"https://calmatters.org/articles/trump_california/single-payer-health-bill-set-aside/\" target=\"_blank\" rel=\"noopener\">died in 2017\u003c/a>. That one carried a \u003ca href=\"https://oag.ca.gov/system/files/initiatives/pdfs/fiscal-impact-estimate-report%2817-0019%29.pdf\" target=\"_blank\" rel=\"noopener\">$400 billion price tag\u003c/a>, more than three times the state’s annual budget, lacked support from then-Gov. Jerry Brown and was scant on details. The new version, nurses union rep Roberson said, will be specific about how single-payer would work and how it would be paid for.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We’re not eradicating providers, we are not seeking to dismantle hospitals,” she said. “The fundamental structure of healthcare delivery will stay in place, what we are changing is how healthcare is financed.”\u003c/p>\n\u003cp>And if the Trump administration rejects the waiver request? Roberson sees other paths to a state single-payer system, including petitioning the Centers for Medicare and Medicaid, or trying to set up a system under Affordable Care Act provisions.\u003c/p>\n\u003cp>If the nurses union and other single-payer advocates end up pursuing those other avenues, the question becomes whether Newsom will as well.\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>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>It was way easier for candidate Gavin Newsom to endorse \u003ca href=\"https://calmatters.org/articles/single-payer-health-care-what-californians-need-to-know/\">single-payer health care coverage\u003c/a> for everyone than it is now for Gov. Newsom to deliver it. Yet hardcore advocates say they’re pleased with the moves he’s made thus far—even if it may take years to come to fruition.\u003c/p>\n\u003cp>“This is a governor that is operating from a compass of action,” said Stephanie Roberson, government relations director for the politically powerful California Nurses Association, which hasn’t exactly been \u003ca href=\"https://calmatters.org/articles/union-boss-roseann-demoro-doesnt-play-nice/\">known for its patience\u003c/a> on the issue.\u003c/p>\n\u003cp>Newsom has taken two tacks. He’s asking the Trump administration to let the state create its own single-payer system offering coverage to all Californians—a move almost everyone regards as a very long shot. And he’s also pushing specific ideas to expand health care coverage to hundreds of thousands of still-uninsured Californians—a move that seems much more do-able.\u003c/p>\n\u003cp>During his campaign, Newsom \u003ca href=\"https://www.latimes.com/politics/essential/la-pol-ca-essential-politics-updates-in-speech-to-single-payer-advocates-1506103477-htmlstory.html\">promised the nurses\u003c/a> that he would make it happen. But the state can’t do it alone. That’s why he sent a letter to the federal government right out of the gate, asking the administration and Congress to set up an “innovation waiver” to allow California to create its own single-payer system.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Experts say there is little chance the Trump administration will give the state the go-ahead on this.\u003c/p>\n\u003cp>“He’s making a statement and sometimes making statements is important—even if there’s little chance of making progress in the immediate future,” said Gerald Kominski, senior fellow at the \u003ca href=\"https://healthpolicy.ucla.edu/Pages/home.aspx\">UCLA Center for Health Policy Research\u003c/a>. “It’s a way of drawing a line in the sand.\u003c/p>\n\u003cp>”It’s also a way to stave off criticism from advocates,” said Jesus Ramirez-Valles, director of the \u003ca href=\"https://healthequity.sfsu.edu/\">Health Equity Institute\u003c/a> at San Francisco State University. “He can say ‘I tried it’ and there is no risk on him. If he doesn’t do what he promised, then he is risking opposition.”\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11712068/poll-californians-want-universal-health-coverage-free-community-college\">Poll: Californians Want Universal Health Coverage, Free Community College\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11712068/poll-californians-want-universal-health-coverage-free-community-college\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/RS249_doctor-examining-senior.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Federal permission would also require Congress to support a new waiver system—one that would allow the state to redirect funds that usually go to the federal government, such as Medicare income taxes, to a state funding authority that would manage and pay for a single-payer health care system, Kominski said.\u003c/p>\n\u003cp>Current waiver systems do not allow for this type of financial management by the state. Other states have used existing waiver programs for permission to set prices or to implement additional requirements, but not to collect federal money.\u003c/p>\n\u003cp>“You have to ask for the money,” said Roberson of the nurses union. “We are not going to sit on our hands and hope something is going to happen. This strengthens the governor’s commitment to Medicare for all.”\u003c/p>\n\u003cp>Meantime, Newsom is tackling the block of 3 million uninsured California residents by chipping away at the edges—proposing spending to help struggling middle-income families buy health insurance, and providing state coverage to some undocumented young adults.\u003c/p>\n\u003cblockquote class=\"twitter-tweet\">\n\u003cp dir=\"ltr\" lang=\"en\">Powerful forces may try to stand in our way, but California won’t back down. We’re going to build a universal healthcare system that covers every Californian and will inspire the nation.\u003ca href=\"https://t.co/Oa5nAFbA2Z\">https://t.co/Oa5nAFbA2Z\u003c/a>\u003c/p>\n\u003cp>— Gavin Newsom (@GavinNewsom) \u003ca href=\"https://twitter.com/GavinNewsom/status/1088614181174169601?ref_src=twsrc%5Etfw\">January 25, 2019\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>He’ll need approval from the Legislature, now a supermajority of Democrats, many of whom have supported similar ideas in recent years.\u003c/p>\n\u003cp>Two \u003ca href=\"http://www.ebudget.ca.gov/2019-20/pdf/BudgetSummary/HealthandHumanServices.pdf\">intertwined proposals\u003c/a> in his budget would offer hundreds of thousands of middle-income families additional state subsidies to buy health insurance, and require every Californian to obtain health coverage or pay a tax penalty.\u003c/p>\n\u003cp>This “state mandate” would replace the controversial federal mandate—a central component of the Affordable Care Act, or Obamacare— that the Trump administration recently canceled. A few other blue states were quicker to create a replacement state mandate, but California’s progressive lawmakers were wary of penalizing people who \u003ca href=\"https://calmatters.org/articles/california-ideas-counteract-obamacare-mandate-repeal/\">failed to buy health insurance\u003c/a> unless the state also cushioned the blow by offering people more subsidies to lower the costs.\u003c/p>\n\u003cp>Newsom also proposes to use $260 million in state funds to extend Medi-Cal, the government health program for people who can’t afford insurance, to low-income undocumented immigrants ages 18 to 26.\u003c/p>\n\u003cp>It’s a classic “Resistance State” action for Newsom, as California tries to counteract the Trump administration’s federal moves to undermine Obamacare. Last year a joint \u003ca href=\"http://laborcenter.berkeley.edu/pdf/2018/CA-Coverage-Gains-To-Erode-Without-Further-State-Action.pdf\">UCLA and UC Berkeley study\u003c/a> found that the uninsured rate in California would rise to nearly 13 percent by 2023 if nothing is done at the state level to prevent it.\u003c/p>\n\u003cp>Since the Affordable Care Act known as Obamacare was enacted, California’s uninsured rate has dropped from about 17 percent to roughly 7 percent. Roughly half of those 3 million remaining qualify for assistance.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/38f2f57c-a5b8-4386-bc7a-afd2c3af941f?src=embed\" title=\"The Uninsured\" width=\"800\" height=\"840\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The \u003ca href=\"https://www.coveredca.com/pdfs/fpl-chart.pdf\">federal poverty level\u003c/a> for 2019 is set at earnings of $12,140 for one person and $25,100 for a family of four.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/0eadb36d-d922-4353-aced-f5e9b46e787c?src=embed\" title=\"Income Limits for Current and Proposed Subsidies\" width=\"800\" height=\"717\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The budget does not include cost estimates for the additional subsidies but Newsom intends to pay for the expansion by having the state collect penalties from Californians who forego insurance. His budget proposal estimates that the mandate penalty could raise about $500 million a year, similar to what about \u003ca href=\"https://www.irs.gov/statistics/soi-tax-stats-historic-table-2\">600,000 Californians paid\u003c/a> to the federal government when it had a mandate and collected its own penalties.\u003c/p>\n\u003cp>Peter Lee, who directs the state health insurance exchange \u003ca href=\"https://www.coveredca.com/\">Covered California\u003c/a>, praised Newsom’s proposals during a recent\u003ca href=\"https://board.coveredca.com/meetings/\" target=\"_blank\" rel=\"noopener\"> board meeting.\u003c/a>\u003c/p>\n\u003cp>“Not only does his initiative propose an individual penalty show courage,” he said, “it shows some thoughtfulness about the challenges that middle-class Americans face.”\u003c/p>\n\u003cp>Enrollment for Covered California, which recently ended, was down 15 percent over last year. Lee said the elimination of the federal penalty is partly to blame.\u003c/p>\n\u003cp>A \u003ca href=\"https://board.coveredca.com/meetings/2019/01-17%20Meeting/Draft_Affordability_Report%20_1-16.pdf\" target=\"_blank\" rel=\"noopener\">draft affordability report\u003c/a> Covered California is preparing for the Legislature concludes that if Newsom’s two proposals—expanded subsidies and a mandate—are adopted, enrollment could rise by nearly 650,000 people.\u003c/p>\n\u003cp>Funding the subsidies with penalties is, of course, a bit of a Catch-22: The more successful California is in getting people to obtain health care, the smaller the penalty fund to pay for the subsidies that help fund that care.\u003c/p>\n\u003cp>“You’re accomplishing your goal, but you’re taking away revenue,” Kominski said. “This is the kind of problem we should be happy to have.”\u003c/p>\n\u003cp>The conundrum is reminiscent of the state’s tobacco tax, which was intended to deter people from smoking. Success has meant a drop in the amount of money the tax brings in.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://e.infogram.com/e221a34e-9b03-4257-9021-bb6c216bb105?src=embed\" title=\"KFF Poll - Health care\" width=\"800\" height=\"658\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Despite what many see as dismal prospects for single-payer in California so long as the Trump administration can quash the state’s waiver request, the California Nurses Association is undaunted. They’re working on a soon-to-be-introduced single-payer bill, more detailed than the version that \u003ca href=\"https://calmatters.org/articles/trump_california/single-payer-health-bill-set-aside/\" target=\"_blank\" rel=\"noopener\">died in 2017\u003c/a>. That one carried a \u003ca href=\"https://oag.ca.gov/system/files/initiatives/pdfs/fiscal-impact-estimate-report%2817-0019%29.pdf\" target=\"_blank\" rel=\"noopener\">$400 billion price tag\u003c/a>, more than three times the state’s annual budget, lacked support from then-Gov. Jerry Brown and was scant on details. The new version, nurses union rep Roberson said, will be specific about how single-payer would work and how it would be paid for.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We’re not eradicating providers, we are not seeking to dismantle hospitals,” she said. “The fundamental structure of healthcare delivery will stay in place, what we are changing is how healthcare is financed.”\u003c/p>\n\u003cp>And if the Trump administration rejects the waiver request? Roberson sees other paths to a state single-payer system, including petitioning the Centers for Medicare and Medicaid, or trying to set up a system under Affordable Care Act provisions.\u003c/p>\n\u003cp>If the nurses union and other single-payer advocates end up pursuing those other avenues, the question becomes whether Newsom will as well.\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>\u003c/div>",
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"slug": "middle-class-californians-heres-whats-in-gov-newsoms-budget-for-you",
"title": "Middle-Class Californians: Here’s What’s in Gov. Newsom’s Budget for You",
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"headTitle": "Middle-Class Californians: Here’s What’s in Gov. Newsom’s Budget for You | KQED",
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"content": "\u003cp>California’s middle class is reaching a breaking point. Especially when it comes to the high cost of housing. So says the state’s new governor, Gavin Newsom.\u003c/p>\n\u003cp>“Housing. This is the issue,” Newsom said at a press conference earlier this month, unveiling his \u003ca href=\"http://www.ebudget.ca.gov/FullBudgetSummary.pdf\" target=\"_blank\" rel=\"noopener\">first budget proposal as governor\u003c/a>. “Unless we get serious about it, this state will continue to lose its middle class, and the dream will be limited to fewer and fewer people.”\u003c/p>\n\u003cp>Middle-class Californians could find some relief under Newsom’s $209 billion budget, which includes new spending aimed at getting cities to approve more housing. Other proposals could bring down the cost of health care and higher education for Californians who currently make too much to qualify for state help.\u003c/p>\n\u003cp>But middle-class California families won’t find much help shouldering other expenses, like the looming cost of caring for aging family members.\u003c/p>\n\u003cp>What does “middle-class” even mean in California?\u003c/p>\n\u003cp>In a state where families of four earning up to $117,400 meet the federal government’s definition of “low-income” in \u003ca href=\"https://www.nytimes.com/2018/06/30/us/bay-area-housing-market.html\" target=\"_blank\" rel=\"noopener\">certain regions\u003c/a>, there may be no definitive answer on what qualifies as “middle-class.”\u003c/p>\n\u003cp>But according to a recent \u003ca href=\"http://www.pewresearch.org/fact-tank/2018/09/06/the-american-middle-class-is-stable-in-size-but-losing-ground-financially-to-upper-income-families/\" target=\"_blank\" rel=\"noopener\">Pew Research Center analysis\u003c/a> of government wage data, families of four in California can be considered middle-class if they make anywhere between $59,702 and $179,105 per year.\u003c/p>\n\u003cp>Direct subsidies in the governor’s budget tend to go toward Californians making less. Newsom noted that no state has a higher \u003ca href=\"https://laist.com/2018/09/12/california_still_has_the_nations_highest_poverty_rate_blame_housing_costs.php\" target=\"_blank\" rel=\"noopener\">poverty rate\u003c/a> than California. He wants to try to lower it by giving higher tax refunds to full-time workers earning up to $15 an hour through an expanded version of the state’s earned income tax credit.\u003c/p>\n\u003cp>He’s also proposing a large boost in spending to subsidize the development of affordable housing for low-income residents. His budget calls for increasing the state’s low-income housing tax credit from $80 million to $500 million per year.\u003c/p>\n\u003cp>The budget also includes a $500-million bump to the California Housing Finance Agency’s mixed‑income loan program, which finances developments that include units for moderate-income residents.\u003c/p>\n\u003cp>https://www.youtube.com/embed/SrWC9XnKPKI?start=3865\u003c/p>\n\u003ch3>Housing\u003c/h3>\n\u003cp>The governor’s budget doesn’t propose similar housing subsidies for most middle-class Californians. Matthew Lewis, director of communications for the pro-housing group \u003ca href=\"https://cayimby.org/about/\" target=\"_blank\" rel=\"noopener\">California YIMBY\u003c/a>, said that approach makes sense.\u003c/p>\n\u003cp>“As a matter of policy, you don’t provide subsidies to people who are making over $80,000 a year,” said Lewis. “But in California, that’s the middle class.”\u003c/p>\n\u003cp>Lewis doesn’t think Newsom can subsidize his way toward a solution to the state’s housing crisis. Instead, he and other housing advocates like what Newsom’s budget does to push local governments to approve more housing in general.\u003c/p>\n\u003cp>“It appears that Governor Newsom is himself a YIMBY,” said Lewis.\u003c/p>\n\u003cp>Under Newsom’s budget, cities that meet housing goals set by the state would be rewarded with money from a $500 million state fund, and they could use that money for whatever they want.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11719937/controversial-bay-area-housing-plan-heads-to-state-legislature\">Controversial Bay Area Housing Plan Heads to State Legislature\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11719937/controversial-bay-area-housing-plan-heads-to-state-legislature\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/GettyImages-1046169802-1020x680.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>“In other words, he’s starting to build funds that would actually financially encourage cities to build more housing,” said \u003ca href=\"https://beaconecon.com/people/bio/christopher_thornberg\" target=\"_blank\" rel=\"noopener\">Chris Thornberg of Beacon Economics\u003c/a>. He said that should help address California’s housing supply problems. “That’s really helpful for California’s middle class.”\u003c/p>\n\u003cp>Newsom has also discussed punishing cities that fail to meet their housing goals by withholding transit funding. It’s an idea that has not gone over well with local governments.\u003c/p>\n\u003cp>In \u003ca href=\"http://www.cacities.org/Top/News/Press-Releases/2019/League-of-California-Cities-Issues-Statement-on-Go\">a statement\u003c/a> on the governor’s budget, League of California Cities executive director Carolyn Coleman said her organization was concerned about proposals “that would raid local transportation funds that voters have repeatedly dedicated to local communities.”\u003c/p>\n\u003ch3>Health Care\u003c/h3>\n\u003cp>The words “middle-class” only appear once in Newsom’s \u003ca href=\"http://www.ebudget.ca.gov/FullBudgetSummary.pdf\" target=\"_blank\" rel=\"noopener\">280-page budget proposal\u003c/a>. They show up under his plan to expand health care subsidies.\u003c/p>\n\u003cp>One Californian encouraged by that move is Heather Altman. She works as an environmental consultant out of her home in Long Beach. She gets to be her own boss, and she makes decent money.\u003c/p>\n\u003cp>“I guess I do consider myself middle class,” Altman said.\u003c/p>\n\u003cp>She would not have started her business back in 2014 without Obamacare. It meant she could finally afford her own health insurance. She no longer needed to get it through an employer. She has asthma, a pre-existing condition that made individual coverage unaffordable in the past.\u003c/p>\n\u003cp>Back in 2014, “My premium was $356 for a platinum plan,” Altman said. “I thought that was super affordable.”\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11716531/newsoms-first-act-as-governor-expanding-health-coverage\">Newsom’s First Act as Governor? Expanding Health Coverage\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11716531/newsoms-first-act-as-governor-expanding-health-coverage\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/NewsomInaugWaving-1020x691.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Premiums for the same plan have more than doubled, to $761 per month. Altman has switched to a plan with a lower premium. But add in the routine costs of treating her asthma, and she’s spending more than $800 a month.\u003c/p>\n\u003cp>“That’s very difficult to budget,” Altman said. “And it certainly isn’t sustainable.”\u003c/p>\n\u003cp>Currently, individuals who earn up to $48,560 a year are eligible for \u003ca href=\"https://www.healthforcalifornia.com/covered-california/income-limits\" target=\"_blank\" rel=\"noopener\">subsidized premiums\u003c/a> through Covered California. Altman makes too much to qualify. But Newsom’s budget calls for raising annual income limits for individuals to $72,840 and for families of four to $150,600.\u003c/p>\n\u003cp>“Had that subsidy bracket been in place when I started my business, there would have been years that I would have qualified,” Altman said. “I’m hopeful that some of these changes may make a meaningful difference in my financial bottom line.”\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-11721624\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/Healthcare-Subsidies-chart-800x618.jpg\" alt=\"\" width=\"800\" height=\"618\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Healthcare-Subsidies-chart-800x618.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Healthcare-Subsidies-chart-160x124.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Healthcare-Subsidies-chart-1020x788.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Healthcare-Subsidies-chart-1200x927.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Healthcare-Subsidies-chart.jpg 1650w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/p>\n\u003cp>Altman has shared her story with the advocacy organization \u003ca href=\"https://health-access.org/about-us/staff/\" target=\"_blank\" rel=\"noopener\">Health Access California\u003c/a>. Executive director Anthony Wright said Newsom’s budget is promising for Californians like her.\u003c/p>\n\u003cp>“Current law has cliffs where the assistance runs out,” Wright said. “The extra help will allow some families to get coverage that otherwise couldn’t afford it.”\u003c/p>\n\u003cp>Newsom plans to pay for the expanded subsidies by creating a state version of the Affordable Care Act’s federal mandate to either buy health insurance or pay a tax penalty (which has gone to $0 under the Trump administration).\u003c/p>\n\u003cp>In \u003ca href=\"https://lao.ca.gov/Publications/Report/3916?utm_source=laowww&utm_medium=email&utm_campaign=3916\" target=\"_blank\" rel=\"noopener\">a report\u003c/a> on the governor’s budget, the California Legislative Analyst’s Office notes that this approach could create a funding conflict. If the state tax penalty works, it should drive more people to buy insurance. But then, “less funding would be available for premium subsidies.”\u003c/p>\n\u003ch3>College\u003c/h3>\n\u003cp>Higher education is another big drain on middle-class budgets. Newsom’s budget calls for a tuition freeze at state universities, earmarking $300 million for the California State University system and $240 million for the University of California system each year.\u003c/p>\n\u003cp>University of Southern California professor of sociology \u003ca href=\"https://dornsife.usc.edu/pere/pastor/\" target=\"_blank\" rel=\"noopener\">Manuel Pastor\u003c/a> said middle-class families could also get a break under Newsom’s $40 million plan to make a second year of community college tuition-free.\u003c/p>\n\u003cp>“If you can make the first and second year free, you’re lowering the cost for a lot of middle class parents of a four-year education,” Pastor said.\u003c/p>\n\u003ch3>The Cost of Caring for Family Members, Young and Old\u003c/h3>\n\u003cp>Universal preschool and six months of paid family leave for parents are still on Newsom’s agenda. But this budget won’t pay for those goals.\u003c/p>\n\u003cp>Stanford University assistant professor of health research and policy \u003ca href=\"https://web.stanford.edu/~mrossin/\" target=\"_blank\" rel=\"noopener\">Maya Rossin-Slater\u003c/a> said California’s existing paid family leave law could be strengthened. Right now, many parents don’t use it.\u003c/p>\n\u003cp>Her research \u003ca href=\"https://web.stanford.edu/~mrossin/AKMdraft_Oct2018.pdf\" target=\"_blank\" rel=\"noopener\">shows California workers\u003c/a> at smaller, lower-paying companies are less likely to take paid family leave than higher-paid workers. That could be, in part, because workers fear that under existing law, their jobs won’t be protected while they’re out.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11708405/pricey-real-estate-prompts-scammers-to-target-senior-homeowners\">Pricey Real Estate Prompts Scammers to Target Senior Homeowners\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11708405/pricey-real-estate-prompts-scammers-to-target-senior-homeowners\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/11/Homes-1038x576.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>“Job protection, I think, is crucial,” Rossin-Slater said, “Especially for middle-class families that might worry about not having a job to return to after the leave.”\u003c/p>\n\u003cp>Longer paid family leave could help alleviate some of the high cost of child care, which often costs middle-class parents more than \u003ca href=\"https://www.scpr.org/news/2016/04/13/59477/childcare-costs-more-than-college-tuition-in-calif/\" target=\"_blank\" rel=\"noopener\">college tuition\u003c/a>.\u003c/p>\n\u003cp>California’s population is aging. With more and more baby boomers retiring, the cost of caring for elderly parents will also start to stack up for more middle class families.\u003c/p>\n\u003cp>The governor’s budget includes a 15.2 percent increase in general fund spending for in-home supportive services. But USC gerontology professor \u003ca href=\"http://gero.usc.edu/faculty/donna-benton-ph-d/\" target=\"_blank\" rel=\"noopener\">Donna Benton\u003c/a> said most Californians don’t qualify for the low-income program. So they’re stuck spending thousands of dollars a year on caregiving.\u003c/p>\n\u003cp>Out-of-pocket costs eat up 20 percent of caregivers’ income, on average. Some caregivers have to quit their jobs.\u003c/p>\n\u003cp>“Family members in general sacrifice a lot,” said Benton. “And then when they go to look for services for themselves, usually they’re not going to qualify.”\u003c/p>\n\u003cp>Benton was part of a state task force that issued a \u003ca href=\"http://tffc.usc.edu/2018/07/02/final-report-from-the-california-task-force-on-family-caregiving-2/\" target=\"_blank\" rel=\"noopener\">number of recommendations\u003c/a> to help ease the cost. Among their ideas was a tax credit for caregiving expenses, as well as more funding for resource centers throughout the state that serve caregivers regardless of income level.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>When Benton looked through Newsom’s budget, she said, “I didn’t see anything that, I would say, touched on any of the recommendations.”\u003c/p>\n\u003cp>Long Beach environmental consultant Heather Altman lives near her parents, who are now in their 70s. She said they’re in a good financial position right now. But she wonders if they’ll end up needing her help in the future.\u003c/p>\n\u003cp>“Should it come to that time, then yeah, that responsibility falls to me,” she said.\u003c/p>\n\u003cp>The same will be true for millions of middle-class Californians.\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/news/series/californiadream/\" target=\"_blank\" rel=\"noopener\">The California Dream series\u003c/a> is a statewide media collaboration of CALmatters, KPBS, KPCC, KQED and Capital Public Radio with support from the Corporation for Public Broadcasting, the James Irvine Foundation and the College Futures Foundation.\u003c/em>\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-11660142\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/04/CADreamBanner.jpg%20https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/04/CADreamBanner.jpg\" alt=\"\" width=\"1867\" height=\"512\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/04/CADreamBanner.jpg 1867w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/04/CADreamBanner-160x44.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/04/CADreamBanner-800x219.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/04/CADreamBanner-1020x280.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/04/CADreamBanner-1180x324.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/04/CADreamBanner-960x263.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/04/CADreamBanner-240x66.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/04/CADreamBanner-375x103.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/04/CADreamBanner-520x143.jpg 520w\" sizes=\"auto, (max-width: 1867px) 100vw, 1867px\">\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Health insurance and higher education could become more affordable — but probably not the cost of caring for aging family members.",
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"title": "Middle-Class Californians: Here’s What’s in Gov. Newsom’s Budget for You | KQED",
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"headline": "Middle-Class Californians: Here’s What’s in Gov. Newsom’s Budget for You",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California’s middle class is reaching a breaking point. Especially when it comes to the high cost of housing. So says the state’s new governor, Gavin Newsom.\u003c/p>\n\u003cp>“Housing. This is the issue,” Newsom said at a press conference earlier this month, unveiling his \u003ca href=\"http://www.ebudget.ca.gov/FullBudgetSummary.pdf\" target=\"_blank\" rel=\"noopener\">first budget proposal as governor\u003c/a>. “Unless we get serious about it, this state will continue to lose its middle class, and the dream will be limited to fewer and fewer people.”\u003c/p>\n\u003cp>Middle-class Californians could find some relief under Newsom’s $209 billion budget, which includes new spending aimed at getting cities to approve more housing. Other proposals could bring down the cost of health care and higher education for Californians who currently make too much to qualify for state help.\u003c/p>\n\u003cp>But middle-class California families won’t find much help shouldering other expenses, like the looming cost of caring for aging family members.\u003c/p>\n\u003cp>What does “middle-class” even mean in California?\u003c/p>\n\u003cp>In a state where families of four earning up to $117,400 meet the federal government’s definition of “low-income” in \u003ca href=\"https://www.nytimes.com/2018/06/30/us/bay-area-housing-market.html\" target=\"_blank\" rel=\"noopener\">certain regions\u003c/a>, there may be no definitive answer on what qualifies as “middle-class.”\u003c/p>\n\u003cp>But according to a recent \u003ca href=\"http://www.pewresearch.org/fact-tank/2018/09/06/the-american-middle-class-is-stable-in-size-but-losing-ground-financially-to-upper-income-families/\" target=\"_blank\" rel=\"noopener\">Pew Research Center analysis\u003c/a> of government wage data, families of four in California can be considered middle-class if they make anywhere between $59,702 and $179,105 per year.\u003c/p>\n\u003cp>Direct subsidies in the governor’s budget tend to go toward Californians making less. Newsom noted that no state has a higher \u003ca href=\"https://laist.com/2018/09/12/california_still_has_the_nations_highest_poverty_rate_blame_housing_costs.php\" target=\"_blank\" rel=\"noopener\">poverty rate\u003c/a> than California. He wants to try to lower it by giving higher tax refunds to full-time workers earning up to $15 an hour through an expanded version of the state’s earned income tax credit.\u003c/p>\n\u003cp>He’s also proposing a large boost in spending to subsidize the development of affordable housing for low-income residents. His budget calls for increasing the state’s low-income housing tax credit from $80 million to $500 million per year.\u003c/p>\n\u003cp>The budget also includes a $500-million bump to the California Housing Finance Agency’s mixed‑income loan program, which finances developments that include units for moderate-income residents.\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/SrWC9XnKPKI?start=3865'\n title='//www.youtube.com/embed/SrWC9XnKPKI?start=3865'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003ch3>Housing\u003c/h3>\n\u003cp>The governor’s budget doesn’t propose similar housing subsidies for most middle-class Californians. Matthew Lewis, director of communications for the pro-housing group \u003ca href=\"https://cayimby.org/about/\" target=\"_blank\" rel=\"noopener\">California YIMBY\u003c/a>, said that approach makes sense.\u003c/p>\n\u003cp>“As a matter of policy, you don’t provide subsidies to people who are making over $80,000 a year,” said Lewis. “But in California, that’s the middle class.”\u003c/p>\n\u003cp>Lewis doesn’t think Newsom can subsidize his way toward a solution to the state’s housing crisis. Instead, he and other housing advocates like what Newsom’s budget does to push local governments to approve more housing in general.\u003c/p>\n\u003cp>“It appears that Governor Newsom is himself a YIMBY,” said Lewis.\u003c/p>\n\u003cp>Under Newsom’s budget, cities that meet housing goals set by the state would be rewarded with money from a $500 million state fund, and they could use that money for whatever they want.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11719937/controversial-bay-area-housing-plan-heads-to-state-legislature\">Controversial Bay Area Housing Plan Heads to State Legislature\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11719937/controversial-bay-area-housing-plan-heads-to-state-legislature\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/GettyImages-1046169802-1020x680.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>“In other words, he’s starting to build funds that would actually financially encourage cities to build more housing,” said \u003ca href=\"https://beaconecon.com/people/bio/christopher_thornberg\" target=\"_blank\" rel=\"noopener\">Chris Thornberg of Beacon Economics\u003c/a>. He said that should help address California’s housing supply problems. “That’s really helpful for California’s middle class.”\u003c/p>\n\u003cp>Newsom has also discussed punishing cities that fail to meet their housing goals by withholding transit funding. It’s an idea that has not gone over well with local governments.\u003c/p>\n\u003cp>In \u003ca href=\"http://www.cacities.org/Top/News/Press-Releases/2019/League-of-California-Cities-Issues-Statement-on-Go\">a statement\u003c/a> on the governor’s budget, League of California Cities executive director Carolyn Coleman said her organization was concerned about proposals “that would raid local transportation funds that voters have repeatedly dedicated to local communities.”\u003c/p>\n\u003ch3>Health Care\u003c/h3>\n\u003cp>The words “middle-class” only appear once in Newsom’s \u003ca href=\"http://www.ebudget.ca.gov/FullBudgetSummary.pdf\" target=\"_blank\" rel=\"noopener\">280-page budget proposal\u003c/a>. They show up under his plan to expand health care subsidies.\u003c/p>\n\u003cp>One Californian encouraged by that move is Heather Altman. She works as an environmental consultant out of her home in Long Beach. She gets to be her own boss, and she makes decent money.\u003c/p>\n\u003cp>“I guess I do consider myself middle class,” Altman said.\u003c/p>\n\u003cp>She would not have started her business back in 2014 without Obamacare. It meant she could finally afford her own health insurance. She no longer needed to get it through an employer. She has asthma, a pre-existing condition that made individual coverage unaffordable in the past.\u003c/p>\n\u003cp>Back in 2014, “My premium was $356 for a platinum plan,” Altman said. “I thought that was super affordable.”\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11716531/newsoms-first-act-as-governor-expanding-health-coverage\">Newsom’s First Act as Governor? Expanding Health Coverage\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11716531/newsoms-first-act-as-governor-expanding-health-coverage\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/NewsomInaugWaving-1020x691.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Premiums for the same plan have more than doubled, to $761 per month. Altman has switched to a plan with a lower premium. But add in the routine costs of treating her asthma, and she’s spending more than $800 a month.\u003c/p>\n\u003cp>“That’s very difficult to budget,” Altman said. “And it certainly isn’t sustainable.”\u003c/p>\n\u003cp>Currently, individuals who earn up to $48,560 a year are eligible for \u003ca href=\"https://www.healthforcalifornia.com/covered-california/income-limits\" target=\"_blank\" rel=\"noopener\">subsidized premiums\u003c/a> through Covered California. Altman makes too much to qualify. But Newsom’s budget calls for raising annual income limits for individuals to $72,840 and for families of four to $150,600.\u003c/p>\n\u003cp>“Had that subsidy bracket been in place when I started my business, there would have been years that I would have qualified,” Altman said. “I’m hopeful that some of these changes may make a meaningful difference in my financial bottom line.”\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-11721624\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/Healthcare-Subsidies-chart-800x618.jpg\" alt=\"\" width=\"800\" height=\"618\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Healthcare-Subsidies-chart-800x618.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Healthcare-Subsidies-chart-160x124.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Healthcare-Subsidies-chart-1020x788.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Healthcare-Subsidies-chart-1200x927.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Healthcare-Subsidies-chart.jpg 1650w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/p>\n\u003cp>Altman has shared her story with the advocacy organization \u003ca href=\"https://health-access.org/about-us/staff/\" target=\"_blank\" rel=\"noopener\">Health Access California\u003c/a>. Executive director Anthony Wright said Newsom’s budget is promising for Californians like her.\u003c/p>\n\u003cp>“Current law has cliffs where the assistance runs out,” Wright said. “The extra help will allow some families to get coverage that otherwise couldn’t afford it.”\u003c/p>\n\u003cp>Newsom plans to pay for the expanded subsidies by creating a state version of the Affordable Care Act’s federal mandate to either buy health insurance or pay a tax penalty (which has gone to $0 under the Trump administration).\u003c/p>\n\u003cp>In \u003ca href=\"https://lao.ca.gov/Publications/Report/3916?utm_source=laowww&utm_medium=email&utm_campaign=3916\" target=\"_blank\" rel=\"noopener\">a report\u003c/a> on the governor’s budget, the California Legislative Analyst’s Office notes that this approach could create a funding conflict. If the state tax penalty works, it should drive more people to buy insurance. But then, “less funding would be available for premium subsidies.”\u003c/p>\n\u003ch3>College\u003c/h3>\n\u003cp>Higher education is another big drain on middle-class budgets. Newsom’s budget calls for a tuition freeze at state universities, earmarking $300 million for the California State University system and $240 million for the University of California system each year.\u003c/p>\n\u003cp>University of Southern California professor of sociology \u003ca href=\"https://dornsife.usc.edu/pere/pastor/\" target=\"_blank\" rel=\"noopener\">Manuel Pastor\u003c/a> said middle-class families could also get a break under Newsom’s $40 million plan to make a second year of community college tuition-free.\u003c/p>\n\u003cp>“If you can make the first and second year free, you’re lowering the cost for a lot of middle class parents of a four-year education,” Pastor said.\u003c/p>\n\u003ch3>The Cost of Caring for Family Members, Young and Old\u003c/h3>\n\u003cp>Universal preschool and six months of paid family leave for parents are still on Newsom’s agenda. But this budget won’t pay for those goals.\u003c/p>\n\u003cp>Stanford University assistant professor of health research and policy \u003ca href=\"https://web.stanford.edu/~mrossin/\" target=\"_blank\" rel=\"noopener\">Maya Rossin-Slater\u003c/a> said California’s existing paid family leave law could be strengthened. Right now, many parents don’t use it.\u003c/p>\n\u003cp>Her research \u003ca href=\"https://web.stanford.edu/~mrossin/AKMdraft_Oct2018.pdf\" target=\"_blank\" rel=\"noopener\">shows California workers\u003c/a> at smaller, lower-paying companies are less likely to take paid family leave than higher-paid workers. That could be, in part, because workers fear that under existing law, their jobs won’t be protected while they’re out.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11708405/pricey-real-estate-prompts-scammers-to-target-senior-homeowners\">Pricey Real Estate Prompts Scammers to Target Senior Homeowners\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11708405/pricey-real-estate-prompts-scammers-to-target-senior-homeowners\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/11/Homes-1038x576.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>“Job protection, I think, is crucial,” Rossin-Slater said, “Especially for middle-class families that might worry about not having a job to return to after the leave.”\u003c/p>\n\u003cp>Longer paid family leave could help alleviate some of the high cost of child care, which often costs middle-class parents more than \u003ca href=\"https://www.scpr.org/news/2016/04/13/59477/childcare-costs-more-than-college-tuition-in-calif/\" target=\"_blank\" rel=\"noopener\">college tuition\u003c/a>.\u003c/p>\n\u003cp>California’s population is aging. With more and more baby boomers retiring, the cost of caring for elderly parents will also start to stack up for more middle class families.\u003c/p>\n\u003cp>The governor’s budget includes a 15.2 percent increase in general fund spending for in-home supportive services. But USC gerontology professor \u003ca href=\"http://gero.usc.edu/faculty/donna-benton-ph-d/\" target=\"_blank\" rel=\"noopener\">Donna Benton\u003c/a> said most Californians don’t qualify for the low-income program. So they’re stuck spending thousands of dollars a year on caregiving.\u003c/p>\n\u003cp>Out-of-pocket costs eat up 20 percent of caregivers’ income, on average. Some caregivers have to quit their jobs.\u003c/p>\n\u003cp>“Family members in general sacrifice a lot,” said Benton. “And then when they go to look for services for themselves, usually they’re not going to qualify.”\u003c/p>\n\u003cp>Benton was part of a state task force that issued a \u003ca href=\"http://tffc.usc.edu/2018/07/02/final-report-from-the-california-task-force-on-family-caregiving-2/\" target=\"_blank\" rel=\"noopener\">number of recommendations\u003c/a> to help ease the cost. Among their ideas was a tax credit for caregiving expenses, as well as more funding for resource centers throughout the state that serve caregivers regardless of income level.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>When Benton looked through Newsom’s budget, she said, “I didn’t see anything that, I would say, touched on any of the recommendations.”\u003c/p>\n\u003cp>Long Beach environmental consultant Heather Altman lives near her parents, who are now in their 70s. She said they’re in a good financial position right now. But she wonders if they’ll end up needing her help in the future.\u003c/p>\n\u003cp>“Should it come to that time, then yeah, that responsibility falls to me,” she said.\u003c/p>\n\u003cp>The same will be true for millions of middle-class Californians.\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/news/series/californiadream/\" target=\"_blank\" rel=\"noopener\">The California Dream series\u003c/a> is a statewide media collaboration of CALmatters, KPBS, KPCC, KQED and Capital Public Radio with support from the Corporation for Public Broadcasting, the James Irvine Foundation and the College Futures Foundation.\u003c/em>\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-11660142\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/04/CADreamBanner.jpg%20https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/04/CADreamBanner.jpg\" alt=\"\" width=\"1867\" height=\"512\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/04/CADreamBanner.jpg 1867w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/04/CADreamBanner-160x44.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/04/CADreamBanner-800x219.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/04/CADreamBanner-1020x280.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/04/CADreamBanner-1180x324.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/04/CADreamBanner-960x263.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/04/CADreamBanner-240x66.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/04/CADreamBanner-375x103.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/04/CADreamBanner-520x143.jpg 520w\" sizes=\"auto, (max-width: 1867px) 100vw, 1867px\">\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>When Jessy Rosales was a sophomore at UC Riverside, she had a boyfriend and she was taking birth control pills. Still, she got pregnant.\u003c/p>\n\u003cp>Rosales was clear that she was not ready to have a baby. She wanted a medication abortion, where she’d take one pill at the clinic and a second one at home a day or two later to induce a miscarriage.\u003c/p>\n\u003cp>“I just wanted the intimacy of dealing with it on my own in the privacy of my own home,” she said. “And being able to cry if I wanted to cry or just being able to curl up in my bed right away.”\u003c/p>\n\u003cp>Public university health centers in California do not perform abortions, but lawmakers will soon begin debate on a bill — \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200SB24\" target=\"_blank\" rel=\"noopener\">SB 24\u003c/a> — that would require health centers at all 34 University of California and California State University campuses to provide medication abortions.\u003c/p>\n\u003cp>It’s the second attempt at this bill, after then-Gov. Jerry Brown \u003ca href=\"https://www.sfchronicle.com/politics/article/Abortion-pills-at-uc-california-state-SB320-brown-13270520.php\" target=\"_blank\" rel=\"noopener\">vetoed\u003c/a> a previous version last fall.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The bill’s authors say they’re trying again because they want to remove the obstacles women face accessing medication abortion off campus. For example, Rosales was given three off-campus referrals for abortion providers by her student health center, but the first clinic she called didn’t do abortions after all, and the second didn’t take her insurance.\u003c/p>\n\u003cp>By the time she could get an appointment at a third clinic, she was already into the second trimester of pregnancy — too late for a medication abortion, which can be done only up to 10 weeks. Rosales ended up having a surgical procedure.\u003c/p>\n\u003cp>“The doctor kept telling me to relax, to relax, and I couldn’t because it just hurt so bad,” she remembered. “I was just afraid and alone.”\u003c/p>\n\u003cp>Rosales graduated last year and is now advocating for the bill, working as a reproductive justice activist with the Women’s Foundation of California.\u003c/p>\n\u003cp>That group, along with a few other private donors, have agreed to pay for all the upfront equipment and training costs, namely, ultrasound equipment to determine how many weeks pregnant a woman is, and training on how to use the equipment and determine when it’s safe and effective to prescribe the pills.\u003c/p>\n\u003cp>But it’s unclear if universities would eventually need to dip into tax dollars or student fees for ongoing costs. Critics say that’s not fair to students who oppose abortion.\u003c/p>\n\u003cp>“Just by attending school and paying student fees, they would be paying for abortion,” said Anna Bakh, Northern California coordinator for Students for Life of America, which has 90 student groups throughout California. “That goes completely against their conscience.”\u003c/p>\n\u003cp>University officials testified during legislative hearings last year that not all CSU campuses and none of the UC campuses are able to bill and get reimbursed for services through state health programs, like Medi-Cal. It could be too much of an administrative or fiscal burden to establish billing systems needed to do so, they added, meaning some clinical costs, as well as security or liability costs, could fall to them.\u003c/p>\n\u003cp>Up to 519 women at public universities seek a medication abortion every month in California, according to estimates from \u003ca href=\"https://www.jahonline.org/article/S1054-139X(18)30185-X/fulltext\" target=\"_blank\" rel=\"noopener\">a study\u003c/a> published in the Journal of Adolescent Health last summer.\u003c/p>\n\u003cp>The same research found that off-campus abortion providers were an average 6 miles away from public university campuses.\u003c/p>\n\u003cp>That’s an easy Uber ride away, said abortion opponent Anna Bakh.\u003c/p>\n\u003cp>“We’re questioning our legislators as to why their solution was to bring abortion onto campus, rather than providing transportation,” she said.\u003c/p>\n\u003cp>Last year, the earlier version of the bill — \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB320\" target=\"_blank\" rel=\"noopener\">SB 320\u003c/a> — was approved by the Legislature, but Brown vetoed it, citing the study on average distances students had to travel for abortions.\u003c/p>\n\u003cp>“Because the services required by this bill are widely available off-campus, this bill is not necessary,” he wrote in his \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=201720180SB320\" target=\"_blank\" rel=\"noopener\">veto message\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>This was about a month before the election, and then-candidate for governor, Gavin Newsom, said he would have supported the bill. Now that Newsom is in the governor’s office, he did not comment on the current bill.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Jessy Rosales was a sophomore at UC Riverside, she had a boyfriend and she was taking birth control pills. Still, she got pregnant.\u003c/p>\n\u003cp>Rosales was clear that she was not ready to have a baby. She wanted a medication abortion, where she’d take one pill at the clinic and a second one at home a day or two later to induce a miscarriage.\u003c/p>\n\u003cp>“I just wanted the intimacy of dealing with it on my own in the privacy of my own home,” she said. “And being able to cry if I wanted to cry or just being able to curl up in my bed right away.”\u003c/p>\n\u003cp>Public university health centers in California do not perform abortions, but lawmakers will soon begin debate on a bill — \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200SB24\" target=\"_blank\" rel=\"noopener\">SB 24\u003c/a> — that would require health centers at all 34 University of California and California State University campuses to provide medication abortions.\u003c/p>\n\u003cp>It’s the second attempt at this bill, after then-Gov. Jerry Brown \u003ca href=\"https://www.sfchronicle.com/politics/article/Abortion-pills-at-uc-california-state-SB320-brown-13270520.php\" target=\"_blank\" rel=\"noopener\">vetoed\u003c/a> a previous version last fall.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The bill’s authors say they’re trying again because they want to remove the obstacles women face accessing medication abortion off campus. For example, Rosales was given three off-campus referrals for abortion providers by her student health center, but the first clinic she called didn’t do abortions after all, and the second didn’t take her insurance.\u003c/p>\n\u003cp>By the time she could get an appointment at a third clinic, she was already into the second trimester of pregnancy — too late for a medication abortion, which can be done only up to 10 weeks. Rosales ended up having a surgical procedure.\u003c/p>\n\u003cp>“The doctor kept telling me to relax, to relax, and I couldn’t because it just hurt so bad,” she remembered. “I was just afraid and alone.”\u003c/p>\n\u003cp>Rosales graduated last year and is now advocating for the bill, working as a reproductive justice activist with the Women’s Foundation of California.\u003c/p>\n\u003cp>That group, along with a few other private donors, have agreed to pay for all the upfront equipment and training costs, namely, ultrasound equipment to determine how many weeks pregnant a woman is, and training on how to use the equipment and determine when it’s safe and effective to prescribe the pills.\u003c/p>\n\u003cp>But it’s unclear if universities would eventually need to dip into tax dollars or student fees for ongoing costs. Critics say that’s not fair to students who oppose abortion.\u003c/p>\n\u003cp>“Just by attending school and paying student fees, they would be paying for abortion,” said Anna Bakh, Northern California coordinator for Students for Life of America, which has 90 student groups throughout California. “That goes completely against their conscience.”\u003c/p>\n\u003cp>University officials testified during legislative hearings last year that not all CSU campuses and none of the UC campuses are able to bill and get reimbursed for services through state health programs, like Medi-Cal. It could be too much of an administrative or fiscal burden to establish billing systems needed to do so, they added, meaning some clinical costs, as well as security or liability costs, could fall to them.\u003c/p>\n\u003cp>Up to 519 women at public universities seek a medication abortion every month in California, according to estimates from \u003ca href=\"https://www.jahonline.org/article/S1054-139X(18)30185-X/fulltext\" target=\"_blank\" rel=\"noopener\">a study\u003c/a> published in the Journal of Adolescent Health last summer.\u003c/p>\n\u003cp>The same research found that off-campus abortion providers were an average 6 miles away from public university campuses.\u003c/p>\n\u003cp>That’s an easy Uber ride away, said abortion opponent Anna Bakh.\u003c/p>\n\u003cp>“We’re questioning our legislators as to why their solution was to bring abortion onto campus, rather than providing transportation,” she said.\u003c/p>\n\u003cp>Last year, the earlier version of the bill — \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB320\" target=\"_blank\" rel=\"noopener\">SB 320\u003c/a> — was approved by the Legislature, but Brown vetoed it, citing the study on average distances students had to travel for abortions.\u003c/p>\n\u003cp>“Because the services required by this bill are widely available off-campus, this bill is not necessary,” he wrote in his \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=201720180SB320\" target=\"_blank\" rel=\"noopener\">veto message\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>This was about a month before the election, and then-candidate for governor, Gavin Newsom, said he would have supported the bill. Now that Newsom is in the governor’s office, he did not comment on the current bill.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "at-prather-ranch-cows-are-raised-for-fine-steaks-and-biomedical-research",
"title": "The Curious Second Life of a Prather Ranch Cow: Biomedical Research",
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"content": "\u003cp>[dropcap]I[/dropcap]n a slaughterhouse in Macdoel, a speck of a town in Siskiyou County, just south of the Oregon border, seven workers step around each other and four cow carcasses on the kill floor, their movements almost a dance.\u003c/p>\n\u003cp>\u003ca href=\"http://www.pratherranch.com/\">Prather Ranch\u003c/a> co-owner Mary Rickert explains the process.\u003c/p>\n\u003cp>“Just on the other side of that panel, the animal’s knocked unconscious,” she says. “The throats are slit, they have to be bled out. Then they’re laid on this cradle,” where they’re skinned. Workers remove the animal’s organs and spinal cord, then cut the carcass in half with a saw.\u003c/p>\n\u003cp>That’s where Emily Rosecrans, sporting brightly painted nails, takes over. She trims off imperfections from the carcass.\u003c/p>\n\u003cp>“I look for hair, feces, bruises, pretty much anything I wouldn’t want to eat,” she says.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘If we’re gonna take the animal’s life, I believe we have the moral obligation to utilize the animal as much as possible. First, it’s good business; but it’s good morals.’\u003ccite>Jim Rickert, Prather Ranch co-owner\u003c/cite>\u003c/aside>\n\u003cp>After an on-site USDA inspector looks the carcass up and down, Rosecrans says, “I wash it and then I spray with vinegar, which is a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/9713753\">natural antiseptic\u003c/a>, so it stops the growth of any bad bacteria and helps to stop E. coli.”\u003c/p>\n\u003cp>She then moves the carcass into a cooler.\u003c/p>\n\u003cp>Mary’s husband, Jim Rickert, works away from the main action.\u003c/p>\n\u003cp>“I’m boning out the cow head,” he explains. “You kind of have to know how an animal is put together so you can take it apart.”\u003c/p>\n\u003cp>He puts all the meat he says he wouldn’t feed to his grandchildren on one tray — that’ll be sold as pet food — and the really good stuff goes on another tray.\u003c/p>\n\u003cfigure id=\"attachment_11719407\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11719407\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/6ae6a537-pratherjim-800x897.jpg\" alt=\"Jim Rickert removes meat from the cow head. Some will go for pet food, some will go to market.\" width=\"800\" height=\"897\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/6ae6a537-pratherjim-800x897.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/6ae6a537-pratherjim-160x179.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/6ae6a537-pratherjim-1020x1144.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/6ae6a537-pratherjim-1070x1200.jpg 1070w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/6ae6a537-pratherjim.jpg 1440w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Jim Rickert removes meat from the cow head. Some will go for pet food, some will go to market. \u003ccite>(Lisa Morehouse/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“There’s a nice beef cheek right there,” he says. “It goes down to a restaurant in San Francisco, and as I recall they sell a dinner there, a beef cheek dinner, and for $75. I’ve never been able to afford one, but that’s what I hear.”\u003c/p>\n\u003cp>The people in this room work carefully. There are the USDA standards and Jim’s “grandchildren test.”\u003c/p>\n\u003ch3>Beef Is Much More Than ‘What’s for Dinner’\u003c/h3>\n\u003cp>Aside from food sales, Prather Ranch will also sell parts of these animals to companies in the biomedical field. The hides, for example, go to make a purified collagen solution used in cell research. And bones? Some have been made into screws for things like knee surgery.\u003c/p>\n\u003cp>“Cow bones are real popular,” says Jim Rickert. “There’s one company that takes all this stuff for dental work,” grinding bones up for fillings.\u003c/p>\n\u003cp>Another company is researching ways to replace parts of human bones. They’re using Prather Ranch cow bones, which have been 3D-printed with human cells.\u003c/p>\n\u003cp>“Pretty strange science, but really fascinating,” says Jim Rickert. “And we like doing our part of it. If we’re gonna take the animal’s life, I believe we have the moral obligation to utilize the animal as much as possible. First it’s good business; but it’s good morals.”\u003c/p>\n\u003cfigure id=\"attachment_11718929\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11718929\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/RS34650_IMG_0533-qut.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RS34650_IMG_0533-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RS34650_IMG_0533-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RS34650_IMG_0533-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RS34650_IMG_0533-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RS34650_IMG_0533-qut-1200x900.jpg 1200w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Mary Rickert outside a pasture where Prather Ranch cows eat organic grasses. \u003ccite>(Lisa Morehouse/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Companies come to Prather Ranch for a variety of bovine parts, Mary Rickert says. “We’ve done all the way from pituitary glands to eyeballs to uteri to pericardium.”\u003c/p>\n\u003cp>In some ways, this is nothing new. Indigenous people around the world have used plants and whole animals for medicine as well as food.\u003c/p>\n\u003cp>Jim Rickert says that in Western medicine, “There’s clear evidence of people using bones from pigs clear back to the 1700s,” though not very successfully.\u003c/p>\n\u003cp>“You’ve heard of catgut?” he asks, “Well I think that was one of the things that was used at times for suturing.”\u003c/p>\n\u003ch3>A ‘Closed Herd’ and a Beauty Trend\u003c/h3>\n\u003cp>The Rickerts met and fell in love at Cal Poly-San Luis Obispo, and within a decade, they came up to Prather Ranch to manage the operation. They faced a money-losing business, and had to get creative, Jim explains.\u003c/p>\n\u003cp>“I shrunk the herd down to about 250 mother cows. We just didn’t buy replacement females,” he says.\u003c/p>\n\u003cp>That created what’s now known as a “closed herd.” All animals in the herd are born within it; no new ones are introduced. That decision changed everything. Because, at the same time, in the early 1990s, two things were happening that, on the surface, seem to have nothing to do with each other.\u003c/p>\n\u003cp>The first was an animal health scare.\u003c/p>\n\u003cp>\u003ca href=\"https://www.centerforfoodsafety.org/issues/1040/mad-cow-disease/timeline-mad-cow-disease-outbreaks\">Mad cow disease\u003c/a> — more formally known as bovine spongiform encephalopathy — “was really developing into a real serious health crisis in the United Kingdom and Europe,” Mary says.\u003c/p>\n\u003cp>The second? A beauty trend: dermal fillers.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Remember the pillowy lips of actresses in the 1990s? That look came from collagen injections that came from cowhides. Jim says an old friend, an early pioneer in collagen dermal fillers, knew that Prather Ranch had a closed herd, which made it much less susceptible to problems like mad cow disease. He knew he could make a cleaner, safer collagen with their cowhides. So he called them up.\u003c/p>\n\u003cp>“And I remember going, ‘Really?’ ” Jim says with a laugh.\u003c/p>\n\u003cp>“Puffy lips wasn’t exactly our primary life goal at that point,” Mary adds.\u003c/p>\n\u003cp>But the Rickerts wanted to keep the ranch going. That collagen company built them the slaughterhouse on-site. Eventually, biomedical companies came knocking for cow parts, too. He won’t talk about the financials, but Jim says there have been years when they’ve made more money selling beef byproducts for medical use than they made selling beef.\u003c/p>\n\u003cfigure id=\"attachment_11718934\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11718934\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/RS34646_IMG_0537-qut.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RS34646_IMG_0537-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RS34646_IMG_0537-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RS34646_IMG_0537-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RS34646_IMG_0537-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RS34646_IMG_0537-qut-1200x900.jpg 1200w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Employee Craig Holbrook prepares a femur for a medical client. \u003ccite>(Lisa Morehouse/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The companies that buy from Prather Ranch sign confidentiality agreements, but one executive — whose company turns Prather Ranch cowhides into purified collagen for cell research, cancer research and 3D bio printing — says that a hide from Prather Ranch can cost him thousands of dollars more than those from other sources.\u003c/p>\n\u003cp>In the processing room, employee Craig Holbrook preps a femur bone for a medical client. He saws the bone, double-bags it in plastic, then sends it through a vacuum sealer. Packages like this are then sent via FedEx to customers across the country.\u003c/p>\n\u003cp>One result of meeting all the FDA standards to sell the parts to medical companies? The Rickerts set themselves up to produce really high-quality beef.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/10791095/sierra-cattlewomen-work-off-ranch-to-help-family-stay-in-the-business\">Sierra Cattlewomen Work Off-Ranch to Help Family Stay in the Business\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/10791095/sierra-cattlewomen-work-off-ranch-to-help-family-stay-in-the-business\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2015/12/CattlewomenMain-1038x576.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/series/california-foodways\" target=\"_blank\" rel=\"noopener\">Follow reporter Lisa Morehouse’s full California Foodways series\u003c/a>\u003c/p>\n\u003c/aside>\n\u003cp>Mary says they do DNA testing on bulls specifically for genes that increase the likelihood of marbling and tenderness in the beef. It’s a sought-after quality, and pretty expensive.\u003c/p>\n\u003cp>Mary also says she and her husband share a core belief: that they should handle animals gently until the very last minute.\u003c/p>\n\u003cp>At the “knock box,” where cows get knocked out by a stun gun before being moved to the kill floor, she points out a quote by animal behaviorist Temple Grandin, who advocates for humane slaughter of livestock.\u003c/p>\n\u003cp>It reads, “I believe that the place an animal dies is a sacred one. The ritual could be something very simple, such as a moment of silence, no words, one pure moment of silence. I can picture it perfectly.”\u003c/p>\n\u003cp>Mary says, “I wanted to put that over our knock box so we always remember that this animal is giving its life not only for food but also to improve the quality of life for people for medical reasons.”\u003c/p>\n\u003cp>She says she wants everyone at the slaughterhouse to think about that.\u003c/p>\n\u003cp>\u003cem>This piece was produced in collaboration with the \u003ca href=\"http://thefern.org/\">Food & Environment Reporting Network\u003c/a>, a nonprofit investigative news organization.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "The California ranch’s co-owner emphasizes using the whole animal. ‘This animal is giving its life not only for food, but also to improve the quality of life for people for medical reasons.'",
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"title": "The Curious Second Life of a Prather Ranch Cow: Biomedical Research | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">I\u003c/span>\u003c/p>\u003cp>n a slaughterhouse in Macdoel, a speck of a town in Siskiyou County, just south of the Oregon border, seven workers step around each other and four cow carcasses on the kill floor, their movements almost a dance.\u003c/p>\n\u003cp>\u003ca href=\"http://www.pratherranch.com/\">Prather Ranch\u003c/a> co-owner Mary Rickert explains the process.\u003c/p>\n\u003cp>“Just on the other side of that panel, the animal’s knocked unconscious,” she says. “The throats are slit, they have to be bled out. Then they’re laid on this cradle,” where they’re skinned. Workers remove the animal’s organs and spinal cord, then cut the carcass in half with a saw.\u003c/p>\n\u003cp>That’s where Emily Rosecrans, sporting brightly painted nails, takes over. She trims off imperfections from the carcass.\u003c/p>\n\u003cp>“I look for hair, feces, bruises, pretty much anything I wouldn’t want to eat,” she says.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘If we’re gonna take the animal’s life, I believe we have the moral obligation to utilize the animal as much as possible. First, it’s good business; but it’s good morals.’\u003ccite>Jim Rickert, Prather Ranch co-owner\u003c/cite>\u003c/aside>\n\u003cp>After an on-site USDA inspector looks the carcass up and down, Rosecrans says, “I wash it and then I spray with vinegar, which is a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/9713753\">natural antiseptic\u003c/a>, so it stops the growth of any bad bacteria and helps to stop E. coli.”\u003c/p>\n\u003cp>She then moves the carcass into a cooler.\u003c/p>\n\u003cp>Mary’s husband, Jim Rickert, works away from the main action.\u003c/p>\n\u003cp>“I’m boning out the cow head,” he explains. “You kind of have to know how an animal is put together so you can take it apart.”\u003c/p>\n\u003cp>He puts all the meat he says he wouldn’t feed to his grandchildren on one tray — that’ll be sold as pet food — and the really good stuff goes on another tray.\u003c/p>\n\u003cfigure id=\"attachment_11719407\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11719407\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/6ae6a537-pratherjim-800x897.jpg\" alt=\"Jim Rickert removes meat from the cow head. Some will go for pet food, some will go to market.\" width=\"800\" height=\"897\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/6ae6a537-pratherjim-800x897.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/6ae6a537-pratherjim-160x179.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/6ae6a537-pratherjim-1020x1144.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/6ae6a537-pratherjim-1070x1200.jpg 1070w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/6ae6a537-pratherjim.jpg 1440w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Jim Rickert removes meat from the cow head. Some will go for pet food, some will go to market. \u003ccite>(Lisa Morehouse/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“There’s a nice beef cheek right there,” he says. “It goes down to a restaurant in San Francisco, and as I recall they sell a dinner there, a beef cheek dinner, and for $75. I’ve never been able to afford one, but that’s what I hear.”\u003c/p>\n\u003cp>The people in this room work carefully. There are the USDA standards and Jim’s “grandchildren test.”\u003c/p>\n\u003ch3>Beef Is Much More Than ‘What’s for Dinner’\u003c/h3>\n\u003cp>Aside from food sales, Prather Ranch will also sell parts of these animals to companies in the biomedical field. The hides, for example, go to make a purified collagen solution used in cell research. And bones? Some have been made into screws for things like knee surgery.\u003c/p>\n\u003cp>“Cow bones are real popular,” says Jim Rickert. “There’s one company that takes all this stuff for dental work,” grinding bones up for fillings.\u003c/p>\n\u003cp>Another company is researching ways to replace parts of human bones. They’re using Prather Ranch cow bones, which have been 3D-printed with human cells.\u003c/p>\n\u003cp>“Pretty strange science, but really fascinating,” says Jim Rickert. “And we like doing our part of it. If we’re gonna take the animal’s life, I believe we have the moral obligation to utilize the animal as much as possible. First it’s good business; but it’s good morals.”\u003c/p>\n\u003cfigure id=\"attachment_11718929\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11718929\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/RS34650_IMG_0533-qut.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RS34650_IMG_0533-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RS34650_IMG_0533-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RS34650_IMG_0533-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RS34650_IMG_0533-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RS34650_IMG_0533-qut-1200x900.jpg 1200w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Mary Rickert outside a pasture where Prather Ranch cows eat organic grasses. \u003ccite>(Lisa Morehouse/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Companies come to Prather Ranch for a variety of bovine parts, Mary Rickert says. “We’ve done all the way from pituitary glands to eyeballs to uteri to pericardium.”\u003c/p>\n\u003cp>In some ways, this is nothing new. Indigenous people around the world have used plants and whole animals for medicine as well as food.\u003c/p>\n\u003cp>Jim Rickert says that in Western medicine, “There’s clear evidence of people using bones from pigs clear back to the 1700s,” though not very successfully.\u003c/p>\n\u003cp>“You’ve heard of catgut?” he asks, “Well I think that was one of the things that was used at times for suturing.”\u003c/p>\n\u003ch3>A ‘Closed Herd’ and a Beauty Trend\u003c/h3>\n\u003cp>The Rickerts met and fell in love at Cal Poly-San Luis Obispo, and within a decade, they came up to Prather Ranch to manage the operation. They faced a money-losing business, and had to get creative, Jim explains.\u003c/p>\n\u003cp>“I shrunk the herd down to about 250 mother cows. We just didn’t buy replacement females,” he says.\u003c/p>\n\u003cp>That created what’s now known as a “closed herd.” All animals in the herd are born within it; no new ones are introduced. That decision changed everything. Because, at the same time, in the early 1990s, two things were happening that, on the surface, seem to have nothing to do with each other.\u003c/p>\n\u003cp>The first was an animal health scare.\u003c/p>\n\u003cp>\u003ca href=\"https://www.centerforfoodsafety.org/issues/1040/mad-cow-disease/timeline-mad-cow-disease-outbreaks\">Mad cow disease\u003c/a> — more formally known as bovine spongiform encephalopathy — “was really developing into a real serious health crisis in the United Kingdom and Europe,” Mary says.\u003c/p>\n\u003cp>The second? A beauty trend: dermal fillers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Remember the pillowy lips of actresses in the 1990s? That look came from collagen injections that came from cowhides. Jim says an old friend, an early pioneer in collagen dermal fillers, knew that Prather Ranch had a closed herd, which made it much less susceptible to problems like mad cow disease. He knew he could make a cleaner, safer collagen with their cowhides. So he called them up.\u003c/p>\n\u003cp>“And I remember going, ‘Really?’ ” Jim says with a laugh.\u003c/p>\n\u003cp>“Puffy lips wasn’t exactly our primary life goal at that point,” Mary adds.\u003c/p>\n\u003cp>But the Rickerts wanted to keep the ranch going. That collagen company built them the slaughterhouse on-site. Eventually, biomedical companies came knocking for cow parts, too. He won’t talk about the financials, but Jim says there have been years when they’ve made more money selling beef byproducts for medical use than they made selling beef.\u003c/p>\n\u003cfigure id=\"attachment_11718934\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11718934\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/RS34646_IMG_0537-qut.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RS34646_IMG_0537-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RS34646_IMG_0537-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RS34646_IMG_0537-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RS34646_IMG_0537-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RS34646_IMG_0537-qut-1200x900.jpg 1200w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Employee Craig Holbrook prepares a femur for a medical client. \u003ccite>(Lisa Morehouse/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The companies that buy from Prather Ranch sign confidentiality agreements, but one executive — whose company turns Prather Ranch cowhides into purified collagen for cell research, cancer research and 3D bio printing — says that a hide from Prather Ranch can cost him thousands of dollars more than those from other sources.\u003c/p>\n\u003cp>In the processing room, employee Craig Holbrook preps a femur bone for a medical client. He saws the bone, double-bags it in plastic, then sends it through a vacuum sealer. Packages like this are then sent via FedEx to customers across the country.\u003c/p>\n\u003cp>One result of meeting all the FDA standards to sell the parts to medical companies? The Rickerts set themselves up to produce really high-quality beef.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/10791095/sierra-cattlewomen-work-off-ranch-to-help-family-stay-in-the-business\">Sierra Cattlewomen Work Off-Ranch to Help Family Stay in the Business\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/10791095/sierra-cattlewomen-work-off-ranch-to-help-family-stay-in-the-business\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2015/12/CattlewomenMain-1038x576.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/series/california-foodways\" target=\"_blank\" rel=\"noopener\">Follow reporter Lisa Morehouse’s full California Foodways series\u003c/a>\u003c/p>\n\u003c/aside>\n\u003cp>Mary says they do DNA testing on bulls specifically for genes that increase the likelihood of marbling and tenderness in the beef. It’s a sought-after quality, and pretty expensive.\u003c/p>\n\u003cp>Mary also says she and her husband share a core belief: that they should handle animals gently until the very last minute.\u003c/p>\n\u003cp>At the “knock box,” where cows get knocked out by a stun gun before being moved to the kill floor, she points out a quote by animal behaviorist Temple Grandin, who advocates for humane slaughter of livestock.\u003c/p>\n\u003cp>It reads, “I believe that the place an animal dies is a sacred one. The ritual could be something very simple, such as a moment of silence, no words, one pure moment of silence. I can picture it perfectly.”\u003c/p>\n\u003cp>Mary says, “I wanted to put that over our knock box so we always remember that this animal is giving its life not only for food but also to improve the quality of life for people for medical reasons.”\u003c/p>\n\u003cp>She says she wants everyone at the slaughterhouse to think about that.\u003c/p>\n\u003cp>\u003cem>This piece was produced in collaboration with the \u003ca href=\"http://thefern.org/\">Food & Environment Reporting Network\u003c/a>, a nonprofit investigative news organization.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>After Gavin Newsom took the oath of office Monday — \u003ca href=\"https://www.kqed.org/news/11716306/a-family-affair-as-gavin-newsom-becomes-californias-40th-governor\" target=\"_blank\" rel=\"noopener\">becoming California’s 40th governor\u003c/a> — attention in the capital is turning to the state budget, Newsom’s first opportunity to officially lay out his administration’s policy priorities.\u003c/p>\n\u003cp>As the most progressive Democrat elected to the state’s highest office in decades, groups on the left \u003ca href=\"https://www.kqed.org/news/11703925/high-expectations-on-the-left-for-governor-elect-gavin-newsom\" target=\"_blank\" rel=\"noopener\">have high expectations\u003c/a> for funding on issues like child care, housing and health care.\u003c/p>\n\u003cp>The latter was addressed on Newsom’s first day in office, when the new governor announced he will \u003ca href=\"https://www.kqed.org/news/11716531/newsoms-first-act-as-governor-expanding-health-coverage\" target=\"_blank\" rel=\"noopener\">propose expanding Medi-Cal\u003c/a> coverage to undocumented immigrants up to age 26.\u003c/p>\n\u003cp>But with state coffers currently flush with cash, interest groups and Democratic legislators will surely press the new governor to spend more of it on their other priorities. Traditionally powerful Sacramento groups representing business and agriculture are also hoping to have their needs addressed in Newsom’s initial spending plan.\u003c/p>\n\u003cp>KQED reached out to a dozen different organizations to ask what they’d like to see from Newsom’s first budget. Here are some of their responses:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cfigure id=\"attachment_11716247\" class=\"wp-caption alignright\" style=\"max-width: 188px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11716247 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/Herald-Mike-Legislative-Advocate-2.jpg\" alt=\"\" width=\"188\" height=\"215\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Herald-Mike-Legislative-Advocate-2.jpg 188w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Herald-Mike-Legislative-Advocate-2-160x183.jpg 160w\" sizes=\"auto, (max-width: 188px) 100vw, 188px\">\u003cfigcaption class=\"wp-caption-text\">Mike Herald\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Mike Herald, director of policy advocacy, \u003ca href=\"https://wclp.org/\" target=\"_blank\" rel=\"noopener\">Western Center on Law and Poverty\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>“Western Center on Law and Poverty would like to see Governor Newsom end deep poverty for all \u003ca href=\"https://www.cdss.ca.gov/CalWORKS\" target=\"_blank\" rel=\"noopener\">CalWORKS\u003c/a> (California’s public assistance program) families by increasing CalWORKS grants above 50 percent of the federal poverty level.”\u003c/p>\n\u003cfigure id=\"attachment_11715988\" class=\"wp-caption alignright\" style=\"max-width: 185px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-11715988\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/R.-Jacobsen-2014.2.jpg\" alt=\"\" width=\"185\" height=\"187\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/R.-Jacobsen-2014.2.jpg 102w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/R.-Jacobsen-2014.2-32x32.jpg 32w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/R.-Jacobsen-2014.2-50x50.jpg 50w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/R.-Jacobsen-2014.2-64x64.jpg 64w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/R.-Jacobsen-2014.2-96x96.jpg 96w\" sizes=\"auto, (max-width: 185px) 100vw, 185px\">\u003cfigcaption class=\"wp-caption-text\">Ryan Jacobsen\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Ryan Jacobsen, CEO/executive director, \u003ca href=\"http://www.fcfb.org/\" target=\"_blank\" rel=\"noopener\">Fresno County Farm Bureau\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>“The Central Valley faces many challenges over the next few years but none greater than the Sustainable Groundwater Management Act (SGMA). Combined with recently adopted increases in the minimum flow requirements to the Delta and water cutbacks from over the past decade, SGMA will have devastating, community-wide impacts. We hope to see Governor Newsom propose resources towards better understanding and mitigating the impacts of SGMA as well as contributing additional finances to capital projects that actually yield water supplies. State and local investment towards SGMA compliance is needed immediately and long-term in order to soften the impending losses.”\u003c/p>\n\u003cfigure id=\"attachment_11715964\" class=\"wp-caption alignright\" style=\"max-width: 190px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-11715964\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/lempert.jpeg\" alt=\"\" width=\"190\" height=\"190\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/lempert.jpeg 400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/lempert-160x160.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/lempert-32x32.jpeg 32w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/lempert-50x50.jpeg 50w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/lempert-64x64.jpeg 64w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/lempert-96x96.jpeg 96w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/lempert-128x128.jpeg 128w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/lempert-150x150.jpeg 150w\" sizes=\"auto, (max-width: 190px) 100vw, 190px\">\u003cfigcaption class=\"wp-caption-text\">Ted Lempert\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Ted Lempert, president, \u003ca href=\"https://www.childrennow.org/\" target=\"_blank\" rel=\"noopener\">Children Now\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>“We hope to see Governor Newsom proposes significant funding to support the whole child. In addition to his \u003ca href=\"https://www.latimes.com/politics/essential/la-pol-ca-essential-politics-may-2018-gov-elect-gavin-newsom-will-propose-1546395091-htmlstory.html\" target=\"_blank\" rel=\"noopener\">proposed investments\u003c/a> in early care and education, we hope to see additional funding for STEM education, especially early math and science for kids-of-color and girls, which will strengthen his focus on early childhood programs and school readiness.”\u003c/p>\n\u003cfigure id=\"attachment_11715974\" class=\"wp-caption alignright\" style=\"max-width: 188px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-11715974\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/Tyrone-Buckley-Housing-California-headshot-1-1024x684-800x534.jpg\" alt=\"\" width=\"188\" height=\"125\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Tyrone-Buckley-Housing-California-headshot-1-1024x684-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Tyrone-Buckley-Housing-California-headshot-1-1024x684-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Tyrone-Buckley-Housing-California-headshot-1-1024x684-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Tyrone-Buckley-Housing-California-headshot-1-1024x684.jpg 1024w\" sizes=\"auto, (max-width: 188px) 100vw, 188px\">\u003cfigcaption class=\"wp-caption-text\">Tyrone Buckley\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Tyrone Buckley, policy director at \u003ca href=\"https://www.housingca.org/\" target=\"_blank\" rel=\"noopener\">Housing California\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-11715972\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/buckley.jpg\" alt=\"\" width=\"1\" height=\"1\">\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>“We hope to see Gov. Newsom surpass previous administrations by dedicating an ongoing portion of the budget to provide stable, affordable homes for the 1.5 million low-income families over-burdened by housing costs and the 130,000 Californians experiencing homelessness on any given night, which is the foundation we need if the new administration is committed to racial, health, and economic equity.”\u003c/p>\n\u003cfigure id=\"attachment_11715977\" class=\"wp-caption alignright\" style=\"max-width: 185px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-11715977\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/jim-wunderman.jpg\" alt=\"\" width=\"185\" height=\"150\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/jim-wunderman.jpg 734w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/jim-wunderman-160x130.jpg 160w\" sizes=\"auto, (max-width: 185px) 100vw, 185px\">\u003cfigcaption class=\"wp-caption-text\">Jim Wunderman\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Jim Wunderman, president and CEO of the \u003ca href=\"http://www.bayareacouncil.org/\" target=\"_blank\" rel=\"noopener\">Bay Area Council\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>“We hope Governor Newsom takes a measured approach to any new spending, focusing on California’s long-term fiscal stability and making strategic investments in critical areas like housing, transportation and education. We’re extremely excited about Gov. Newsom’s announcement to invest almost $2 billion in early education and child care, two areas that can return huge dividends for our economy and quality of life. Even more effective than spending precious public dollars to address California’s biggest challenges is focusing on legislative and policy reforms that can leverage the power of the marketplace to spur investment.”\u003c/p>\n\u003cfigure id=\"attachment_11716557\" class=\"wp-caption alignright\" style=\"max-width: 160px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-11716557\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/RobersonS-160x185.jpg\" alt=\"Stephanie Roberson\" width=\"160\" height=\"185\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RobersonS-160x185.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RobersonS-800x925.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RobersonS-1020x1179.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RobersonS-1038x1200.jpg 1038w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RobersonS.jpg 1200w\" sizes=\"auto, (max-width: 160px) 100vw, 160px\">\u003cfigcaption class=\"wp-caption-text\">Stephanie Roberson\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Stephanie Roberson, Government Relations Director, \u003ca href=\"https://www.nationalnursesunited.org/california-nurses-association\" target=\"_blank\" rel=\"noopener\">California Nurses Association\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>“CNA supports funding that would restore the infrastructure of our communities, including but not limited to public education, access to safety net healthcare, and balancing a full budget. Apart from the budget, our priority for this next governor is to fully implement a \u003cem>Medicare for All\u003c/em> system in the state of California. This system is the best system that can cover all residents where they can enjoy comprehensive, safe, therapeutic health care, not just more insurance.”\u003c/p>\n\u003cfigure id=\"attachment_11716249\" class=\"wp-caption alignright\" style=\"max-width: 160px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11716249 size-thumbnail\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/Lenore-Anderson-1-160x182.jpg\" alt=\"\" width=\"160\" height=\"182\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Lenore-Anderson-1-160x182.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Lenore-Anderson-1.jpg 678w\" sizes=\"auto, (max-width: 160px) 100vw, 160px\">\u003cfigcaption class=\"wp-caption-text\">Lenore Anderson\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Lenore Anderson, executive director of \u003ca href=\"https://safeandjust.org/\" target=\"_blank\" rel=\"noopener\">Californians for Safety and Justice\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>“Despite major progress on criminal justice reform and reducing incarceration, the prison budget has remained stubbornly high. We would like to see a reduction in state prison spending in this budget and subsequent budgets and a corollary increase in investments in mental health treatment.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"title": "Here's What California Interest Groups Want to See in Gavin Newsom's Budget | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>After Gavin Newsom took the oath of office Monday — \u003ca href=\"https://www.kqed.org/news/11716306/a-family-affair-as-gavin-newsom-becomes-californias-40th-governor\" target=\"_blank\" rel=\"noopener\">becoming California’s 40th governor\u003c/a> — attention in the capital is turning to the state budget, Newsom’s first opportunity to officially lay out his administration’s policy priorities.\u003c/p>\n\u003cp>As the most progressive Democrat elected to the state’s highest office in decades, groups on the left \u003ca href=\"https://www.kqed.org/news/11703925/high-expectations-on-the-left-for-governor-elect-gavin-newsom\" target=\"_blank\" rel=\"noopener\">have high expectations\u003c/a> for funding on issues like child care, housing and health care.\u003c/p>\n\u003cp>The latter was addressed on Newsom’s first day in office, when the new governor announced he will \u003ca href=\"https://www.kqed.org/news/11716531/newsoms-first-act-as-governor-expanding-health-coverage\" target=\"_blank\" rel=\"noopener\">propose expanding Medi-Cal\u003c/a> coverage to undocumented immigrants up to age 26.\u003c/p>\n\u003cp>But with state coffers currently flush with cash, interest groups and Democratic legislators will surely press the new governor to spend more of it on their other priorities. Traditionally powerful Sacramento groups representing business and agriculture are also hoping to have their needs addressed in Newsom’s initial spending plan.\u003c/p>\n\u003cp>KQED reached out to a dozen different organizations to ask what they’d like to see from Newsom’s first budget. Here are some of their responses:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cfigure id=\"attachment_11716247\" class=\"wp-caption alignright\" style=\"max-width: 188px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11716247 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/Herald-Mike-Legislative-Advocate-2.jpg\" alt=\"\" width=\"188\" height=\"215\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Herald-Mike-Legislative-Advocate-2.jpg 188w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Herald-Mike-Legislative-Advocate-2-160x183.jpg 160w\" sizes=\"auto, (max-width: 188px) 100vw, 188px\">\u003cfigcaption class=\"wp-caption-text\">Mike Herald\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Mike Herald, director of policy advocacy, \u003ca href=\"https://wclp.org/\" target=\"_blank\" rel=\"noopener\">Western Center on Law and Poverty\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>“Western Center on Law and Poverty would like to see Governor Newsom end deep poverty for all \u003ca href=\"https://www.cdss.ca.gov/CalWORKS\" target=\"_blank\" rel=\"noopener\">CalWORKS\u003c/a> (California’s public assistance program) families by increasing CalWORKS grants above 50 percent of the federal poverty level.”\u003c/p>\n\u003cfigure id=\"attachment_11715988\" class=\"wp-caption alignright\" style=\"max-width: 185px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-11715988\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/R.-Jacobsen-2014.2.jpg\" alt=\"\" width=\"185\" height=\"187\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/R.-Jacobsen-2014.2.jpg 102w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/R.-Jacobsen-2014.2-32x32.jpg 32w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/R.-Jacobsen-2014.2-50x50.jpg 50w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/R.-Jacobsen-2014.2-64x64.jpg 64w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/R.-Jacobsen-2014.2-96x96.jpg 96w\" sizes=\"auto, (max-width: 185px) 100vw, 185px\">\u003cfigcaption class=\"wp-caption-text\">Ryan Jacobsen\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Ryan Jacobsen, CEO/executive director, \u003ca href=\"http://www.fcfb.org/\" target=\"_blank\" rel=\"noopener\">Fresno County Farm Bureau\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>“The Central Valley faces many challenges over the next few years but none greater than the Sustainable Groundwater Management Act (SGMA). Combined with recently adopted increases in the minimum flow requirements to the Delta and water cutbacks from over the past decade, SGMA will have devastating, community-wide impacts. We hope to see Governor Newsom propose resources towards better understanding and mitigating the impacts of SGMA as well as contributing additional finances to capital projects that actually yield water supplies. State and local investment towards SGMA compliance is needed immediately and long-term in order to soften the impending losses.”\u003c/p>\n\u003cfigure id=\"attachment_11715964\" class=\"wp-caption alignright\" style=\"max-width: 190px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-11715964\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/lempert.jpeg\" alt=\"\" width=\"190\" height=\"190\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/lempert.jpeg 400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/lempert-160x160.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/lempert-32x32.jpeg 32w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/lempert-50x50.jpeg 50w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/lempert-64x64.jpeg 64w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/lempert-96x96.jpeg 96w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/lempert-128x128.jpeg 128w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/lempert-150x150.jpeg 150w\" sizes=\"auto, (max-width: 190px) 100vw, 190px\">\u003cfigcaption class=\"wp-caption-text\">Ted Lempert\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Ted Lempert, president, \u003ca href=\"https://www.childrennow.org/\" target=\"_blank\" rel=\"noopener\">Children Now\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>“We hope to see Governor Newsom proposes significant funding to support the whole child. In addition to his \u003ca href=\"https://www.latimes.com/politics/essential/la-pol-ca-essential-politics-may-2018-gov-elect-gavin-newsom-will-propose-1546395091-htmlstory.html\" target=\"_blank\" rel=\"noopener\">proposed investments\u003c/a> in early care and education, we hope to see additional funding for STEM education, especially early math and science for kids-of-color and girls, which will strengthen his focus on early childhood programs and school readiness.”\u003c/p>\n\u003cfigure id=\"attachment_11715974\" class=\"wp-caption alignright\" style=\"max-width: 188px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-11715974\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/Tyrone-Buckley-Housing-California-headshot-1-1024x684-800x534.jpg\" alt=\"\" width=\"188\" height=\"125\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Tyrone-Buckley-Housing-California-headshot-1-1024x684-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Tyrone-Buckley-Housing-California-headshot-1-1024x684-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Tyrone-Buckley-Housing-California-headshot-1-1024x684-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Tyrone-Buckley-Housing-California-headshot-1-1024x684.jpg 1024w\" sizes=\"auto, (max-width: 188px) 100vw, 188px\">\u003cfigcaption class=\"wp-caption-text\">Tyrone Buckley\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Tyrone Buckley, policy director at \u003ca href=\"https://www.housingca.org/\" target=\"_blank\" rel=\"noopener\">Housing California\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-11715972\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/buckley.jpg\" alt=\"\" width=\"1\" height=\"1\">\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>“We hope to see Gov. Newsom surpass previous administrations by dedicating an ongoing portion of the budget to provide stable, affordable homes for the 1.5 million low-income families over-burdened by housing costs and the 130,000 Californians experiencing homelessness on any given night, which is the foundation we need if the new administration is committed to racial, health, and economic equity.”\u003c/p>\n\u003cfigure id=\"attachment_11715977\" class=\"wp-caption alignright\" style=\"max-width: 185px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-11715977\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/jim-wunderman.jpg\" alt=\"\" width=\"185\" height=\"150\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/jim-wunderman.jpg 734w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/jim-wunderman-160x130.jpg 160w\" sizes=\"auto, (max-width: 185px) 100vw, 185px\">\u003cfigcaption class=\"wp-caption-text\">Jim Wunderman\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Jim Wunderman, president and CEO of the \u003ca href=\"http://www.bayareacouncil.org/\" target=\"_blank\" rel=\"noopener\">Bay Area Council\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>“We hope Governor Newsom takes a measured approach to any new spending, focusing on California’s long-term fiscal stability and making strategic investments in critical areas like housing, transportation and education. We’re extremely excited about Gov. Newsom’s announcement to invest almost $2 billion in early education and child care, two areas that can return huge dividends for our economy and quality of life. Even more effective than spending precious public dollars to address California’s biggest challenges is focusing on legislative and policy reforms that can leverage the power of the marketplace to spur investment.”\u003c/p>\n\u003cfigure id=\"attachment_11716557\" class=\"wp-caption alignright\" style=\"max-width: 160px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-11716557\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/RobersonS-160x185.jpg\" alt=\"Stephanie Roberson\" width=\"160\" height=\"185\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RobersonS-160x185.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RobersonS-800x925.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RobersonS-1020x1179.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RobersonS-1038x1200.jpg 1038w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/RobersonS.jpg 1200w\" sizes=\"auto, (max-width: 160px) 100vw, 160px\">\u003cfigcaption class=\"wp-caption-text\">Stephanie Roberson\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Stephanie Roberson, Government Relations Director, \u003ca href=\"https://www.nationalnursesunited.org/california-nurses-association\" target=\"_blank\" rel=\"noopener\">California Nurses Association\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>“CNA supports funding that would restore the infrastructure of our communities, including but not limited to public education, access to safety net healthcare, and balancing a full budget. Apart from the budget, our priority for this next governor is to fully implement a \u003cem>Medicare for All\u003c/em> system in the state of California. This system is the best system that can cover all residents where they can enjoy comprehensive, safe, therapeutic health care, not just more insurance.”\u003c/p>\n\u003cfigure id=\"attachment_11716249\" class=\"wp-caption alignright\" style=\"max-width: 160px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11716249 size-thumbnail\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/Lenore-Anderson-1-160x182.jpg\" alt=\"\" width=\"160\" height=\"182\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Lenore-Anderson-1-160x182.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/01/Lenore-Anderson-1.jpg 678w\" sizes=\"auto, (max-width: 160px) 100vw, 160px\">\u003cfigcaption class=\"wp-caption-text\">Lenore Anderson\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Lenore Anderson, executive director of \u003ca href=\"https://safeandjust.org/\" target=\"_blank\" rel=\"noopener\">Californians for Safety and Justice\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>“Despite major progress on criminal justice reform and reducing incarceration, the prison budget has remained stubbornly high. We would like to see a reduction in state prison spending in this budget and subsequent budgets and a corollary increase in investments in mental health treatment.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>California’s newly sworn-in governor didn’t waste any time tackling one of his key campaign pledges: expanding health care access in the Golden State.\u003c/p>\n\u003cp>Gov. Gavin Newsom \u003ca href=\"https://www.facebook.com/GavinNewsom/videos/349455942557314/\">rolled out a package of health care proposals and policies\u003c/a> a few hours after his inauguration, including an \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2019/01/1.7.19-EO-N-01-19-1.pdf\">executive order\u003c/a> to create a new California surgeon general, and another that would consolidate the state’s prescription drug negotiating power.\u003c/p>\n\u003cp>Right now, state health care programs like Medi-Cal for low-income Californians, CalPERS for retirees and the prison system all negotiate drug prices separately. Gov. Newsom’s order directs state agencies to bargain together, and opens the door for private employers to join them, creating what Newsom’s office calls the “biggest single-purchaser system for drugs.”\u003c/p>\n\u003cp>The new governor also wants to expand subsidies to help people buy medical coverage through Covered California — the Affordable Care Act marketplace — by both increasing the amount of financial assistance given to current eligible families and expanding access to middle-income families. Under the proposal, individuals who earn $72,000 a year, and a family of four that earns $150,000 could qualify for subsidies.\u003c/p>\n\u003cp>Newsom also wants to give undocumented young adults the ability to stay on Medi-Cal, the state’s Medicaid program, longer. \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>California already covers undocumented children through Medi-Cal until they turn 19. Newsom’s proposal would extend that to age 26, which is a compromise with health advocates who wanted coverage for all undocumented adults. Because the Affordable Care Act prohibits the use of federal funds to cover people in the country illegally, the entire cost of the Medi-Cal expansion would be shouldered by the state — one reason former Gov. Jerry Brown declined to allocate money for this during his tenure.\u003c/p>\n\u003cp>The expansion of Medi-Cal and the marketplace subsidy changes will all be part of Newsom’s first state budget, set to be unveiled Thursday.\u003c/p>\n\u003cp>In a statement, Newsom said he would pay for the expansions in part by restoring the individual mandate — the requirement that all adults carry health insurance — something Congressional Republicans eliminated with the passage of their tax bill in late 2017.\u003c/p>\n\u003cp>“Every person should have access to quality, affordable health care,” Newsom said in his inaugural address. “Far-away judges and politicians may turn back our progress. But we will never waver in our pursuit of guaranteed health care for all Californians. We will use both our market power and our moral power to demand fairer prices for prescription drugs. We will stop stigmatizing mental health and start supporting it. And we will always protect a woman’s right to choose.”\u003c/p>\n\u003cp>Health care advocates cheered Newsom’s proposals as steps in the right direction.\u003c/p>\n\u003cp>“Our health system is stronger when everyone is included. These steps outlined today would put California on an aspirational and achievable path to universal coverage,” said Anthony Wright, executive director of Health Access California. \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Last year, voters supported Governor Newsom in a health care election, and were clamoring not just to protect their care, but for the real, tangible steps to improve access and affordability to care.”\u003c/p>\n\n",
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"excerpt": "Gov. Gavin Newsom rolled out a package of health care proposals just hours after his inauguration, including orders to create a new California surgeon general and to consolidate the state's prescription drug negotiating power.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California’s newly sworn-in governor didn’t waste any time tackling one of his key campaign pledges: expanding health care access in the Golden State.\u003c/p>\n\u003cp>Gov. Gavin Newsom \u003ca href=\"https://www.facebook.com/GavinNewsom/videos/349455942557314/\">rolled out a package of health care proposals and policies\u003c/a> a few hours after his inauguration, including an \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2019/01/1.7.19-EO-N-01-19-1.pdf\">executive order\u003c/a> to create a new California surgeon general, and another that would consolidate the state’s prescription drug negotiating power.\u003c/p>\n\u003cp>Right now, state health care programs like Medi-Cal for low-income Californians, CalPERS for retirees and the prison system all negotiate drug prices separately. Gov. Newsom’s order directs state agencies to bargain together, and opens the door for private employers to join them, creating what Newsom’s office calls the “biggest single-purchaser system for drugs.”\u003c/p>\n\u003cp>The new governor also wants to expand subsidies to help people buy medical coverage through Covered California — the Affordable Care Act marketplace — by both increasing the amount of financial assistance given to current eligible families and expanding access to middle-income families. Under the proposal, individuals who earn $72,000 a year, and a family of four that earns $150,000 could qualify for subsidies.\u003c/p>\n\u003cp>Newsom also wants to give undocumented young adults the ability to stay on Medi-Cal, the state’s Medicaid program, longer. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California already covers undocumented children through Medi-Cal until they turn 19. Newsom’s proposal would extend that to age 26, which is a compromise with health advocates who wanted coverage for all undocumented adults. Because the Affordable Care Act prohibits the use of federal funds to cover people in the country illegally, the entire cost of the Medi-Cal expansion would be shouldered by the state — one reason former Gov. Jerry Brown declined to allocate money for this during his tenure.\u003c/p>\n\u003cp>The expansion of Medi-Cal and the marketplace subsidy changes will all be part of Newsom’s first state budget, set to be unveiled Thursday.\u003c/p>\n\u003cp>In a statement, Newsom said he would pay for the expansions in part by restoring the individual mandate — the requirement that all adults carry health insurance — something Congressional Republicans eliminated with the passage of their tax bill in late 2017.\u003c/p>\n\u003cp>“Every person should have access to quality, affordable health care,” Newsom said in his inaugural address. “Far-away judges and politicians may turn back our progress. But we will never waver in our pursuit of guaranteed health care for all Californians. We will use both our market power and our moral power to demand fairer prices for prescription drugs. We will stop stigmatizing mental health and start supporting it. And we will always protect a woman’s right to choose.”\u003c/p>\n\u003cp>Health care advocates cheered Newsom’s proposals as steps in the right direction.\u003c/p>\n\u003cp>“Our health system is stronger when everyone is included. These steps outlined today would put California on an aspirational and achievable path to universal coverage,” said Anthony Wright, executive director of Health Access California. \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Last year, voters supported Governor Newsom in a health care election, and were clamoring not just to protect their care, but for the real, tangible steps to improve access and affordability to care.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "californias-new-insurance-commissioner-hires-ex-lobbyist-for-a-company-under-investigation",
"title": "California’s New Insurance Commissioner Hires Ex-Lobbyist for a Company Under Investigation",
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"headTitle": "California’s New Insurance Commissioner Hires Ex-Lobbyist for a Company Under Investigation | KQED",
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"content": "\u003cp>One of two people leading state Sen. Ricardo Lara’s transition as California’s newly elected insurance commissioner worked until last month as the Sacramento lobbyist for a major drugmaker that is the subject of an investigation by the Department of Insurance that Lara soon will head.\u003c/p>\n\u003cp>Lara, a Democrat from Bell Gardens, will be sworn in as insurance commissioner on Monday, succeeding Dave Jones, who was termed out.\u003c/p>\n\u003cp>In December, Lara issued a press release announcing that Michael Martinez would help lead his transition to the 1,300-employee department. That release described Martinez, a former insurance department official and aide to Gov. Jerry Brown, as “currently working in California’s life sciences sector.”\u003c/p>\n\u003cp>The release neglected to elaborate on the work Martinez did in the life sciences sector and it didn’t identify his employer.\u003c/p>\n\u003cp>In a separate public filing with the secretary of state, Martinez disclosed that until December, he had been a lobbyist for the Foster City-based pharmaceutical company, Gilead Sciences.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Gilead, in turn, disclosed in filings with the U.S. Securities and Exchange Commission as recently as Nov. 6 — Election Day — that the California Department of Insurance and Alameda County District Attorney’s Office issued subpoenas in October 2017 requesting documents related to its marketing, and interactions with specialty pharmacies.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/futureofyou/441435/hiv-patients-say-gilead-suppressed-safer-drug-to-preserve-profits\">HIV Patients Say Gilead Suppressed Safer Drug to Preserve Profits\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/futureofyou/441435/hiv-patients-say-gilead-suppressed-safer-drug-to-preserve-profits\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/GettyImages-1008152-e1546899795708.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Gilead also disclosed it received subpoenas for similar information from U.S. attorney’s offices in Massachusetts and the Southern District of New York, and from the U.S. Department of Health and Human Services.\u003c/p>\n\u003cp>The company said it is cooperating with the inquiries. It did not respond to CALmatters’ requests for comment. Nor did the Department of Insurance comment on the investigation, and outgoing insurance commissioner Jones could not be reached.\u003c/p>\n\u003cp>Gilead’s drugs include Truvada, otherwise known as PrEP, short for pre-exposure prophylaxis. Truvada protects users from contracting HIV, the virus that leads to acquired immune deficiency syndrome. As part of its marketing, Gilead reimburses consumers for their co-payments, regardless of their income levels.\u003c/p>\n\u003cp>In a statement to CALmatters, Lara’s office said: “Commissioner-elect Lara looks forward to Mr. Martinez rejoining the Department of Insurance, where he served under Commissioner Jones with great integrity before serving in Governor Brown’s administration. His new role will be announced in coming days.”\u003c/p>\n\u003cp>The statement did not say whether Martinez would be walled off from any investigation of Gilead.\u003c/p>\n\u003cp>Reflecting the revolving door that regularly swings in Sacramento, Martinez worked for almost a decade as a lobbyist for the firm Manatt, Phelps & Phillips in Sacramento before going to work for the Insurance Department after Jones was elected in 2010, and later for Brown. He joined Gilead at the end of 2017, and worked as its Sacramento lobbyist for a year.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/10714214/in-sacramento-limits-are-few-on-revolving-door-between-government-and-private-jobs\">In Sacramento, Limits Are Few on Revolving Door Between Government and Private Jobs\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/10714214/in-sacramento-limits-are-few-on-revolving-door-between-government-and-private-jobs\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2015/10/Screen-Shot-2015-10-14-at-4.56.10-PM-1038x576.png\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>In Sacramento, Gilead regularly lobbies on legislation related to drug pricing, including the landmark 2017 legislation requiring that pharmaceutical companies disclose if they are raising prices on their products.\u003c/p>\n\u003cp>Gilead also is a regular campaign donor, joining other pharmaceutical companies by spending $4 million to oppose a 2016 initiative that sought to cut prescription drug prices, and spending another $670,000 since 2013 on various candidates and campaigns. Lara received $4,000 from Gilead for his insurance commissioner campaign.\u003c/p>\n\u003cp>In the Democratic wave that swept California, Lara defeated former Insurance Commissioner Steve Poizner, a former Republican-turned no-party-preference candidate, by a 52.9-47.1 percent margin.\u003c/p>\n\u003cp>As insurance commissioner, Lara will oversee a department with 1,325 employees, a budget of $287 million and a significant law enforcement operation.\u003c/p>\n\u003cp>The department shares authority over aspects of health insurance — and thus prescription drugs — with the Department of Managed Health Care.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://calmatters.org/\" target=\"_blank\" rel=\"noopener\">CALmatters\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\n",
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"excerpt": "Michael Martinez, a top aide to newly elected California Insurance Commissioner Ricardo Lara, worked for Gilead Sciences until last month. Gilead, a major drugmaker, is under investigation by the department Lara now heads.",
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"title": "California’s New Insurance Commissioner Hires Ex-Lobbyist for a Company Under Investigation | KQED",
"description": "Michael Martinez, a top aide to newly elected California Insurance Commissioner Ricardo Lara, worked for Gilead Sciences until last month. Gilead, a major drugmaker, is under investigation by the department Lara now heads.",
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"headline": "California’s New Insurance Commissioner Hires Ex-Lobbyist for a Company Under Investigation",
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"nprByline": "\u003cstrong>\u003ca href=\"https://calmatters.org/articles/author/dan-morain/\">Dan Morain\u003c/a>\u003c/strong>\u003cbr>CALmatters",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>One of two people leading state Sen. Ricardo Lara’s transition as California’s newly elected insurance commissioner worked until last month as the Sacramento lobbyist for a major drugmaker that is the subject of an investigation by the Department of Insurance that Lara soon will head.\u003c/p>\n\u003cp>Lara, a Democrat from Bell Gardens, will be sworn in as insurance commissioner on Monday, succeeding Dave Jones, who was termed out.\u003c/p>\n\u003cp>In December, Lara issued a press release announcing that Michael Martinez would help lead his transition to the 1,300-employee department. That release described Martinez, a former insurance department official and aide to Gov. Jerry Brown, as “currently working in California’s life sciences sector.”\u003c/p>\n\u003cp>The release neglected to elaborate on the work Martinez did in the life sciences sector and it didn’t identify his employer.\u003c/p>\n\u003cp>In a separate public filing with the secretary of state, Martinez disclosed that until December, he had been a lobbyist for the Foster City-based pharmaceutical company, Gilead Sciences.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Gilead, in turn, disclosed in filings with the U.S. Securities and Exchange Commission as recently as Nov. 6 — Election Day — that the California Department of Insurance and Alameda County District Attorney’s Office issued subpoenas in October 2017 requesting documents related to its marketing, and interactions with specialty pharmacies.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/futureofyou/441435/hiv-patients-say-gilead-suppressed-safer-drug-to-preserve-profits\">HIV Patients Say Gilead Suppressed Safer Drug to Preserve Profits\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/futureofyou/441435/hiv-patients-say-gilead-suppressed-safer-drug-to-preserve-profits\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/01/GettyImages-1008152-e1546899795708.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Gilead also disclosed it received subpoenas for similar information from U.S. attorney’s offices in Massachusetts and the Southern District of New York, and from the U.S. Department of Health and Human Services.\u003c/p>\n\u003cp>The company said it is cooperating with the inquiries. It did not respond to CALmatters’ requests for comment. Nor did the Department of Insurance comment on the investigation, and outgoing insurance commissioner Jones could not be reached.\u003c/p>\n\u003cp>Gilead’s drugs include Truvada, otherwise known as PrEP, short for pre-exposure prophylaxis. Truvada protects users from contracting HIV, the virus that leads to acquired immune deficiency syndrome. As part of its marketing, Gilead reimburses consumers for their co-payments, regardless of their income levels.\u003c/p>\n\u003cp>In a statement to CALmatters, Lara’s office said: “Commissioner-elect Lara looks forward to Mr. Martinez rejoining the Department of Insurance, where he served under Commissioner Jones with great integrity before serving in Governor Brown’s administration. His new role will be announced in coming days.”\u003c/p>\n\u003cp>The statement did not say whether Martinez would be walled off from any investigation of Gilead.\u003c/p>\n\u003cp>Reflecting the revolving door that regularly swings in Sacramento, Martinez worked for almost a decade as a lobbyist for the firm Manatt, Phelps & Phillips in Sacramento before going to work for the Insurance Department after Jones was elected in 2010, and later for Brown. He joined Gilead at the end of 2017, and worked as its Sacramento lobbyist for a year.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/10714214/in-sacramento-limits-are-few-on-revolving-door-between-government-and-private-jobs\">In Sacramento, Limits Are Few on Revolving Door Between Government and Private Jobs\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/10714214/in-sacramento-limits-are-few-on-revolving-door-between-government-and-private-jobs\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2015/10/Screen-Shot-2015-10-14-at-4.56.10-PM-1038x576.png\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>In Sacramento, Gilead regularly lobbies on legislation related to drug pricing, including the landmark 2017 legislation requiring that pharmaceutical companies disclose if they are raising prices on their products.\u003c/p>\n\u003cp>Gilead also is a regular campaign donor, joining other pharmaceutical companies by spending $4 million to oppose a 2016 initiative that sought to cut prescription drug prices, and spending another $670,000 since 2013 on various candidates and campaigns. Lara received $4,000 from Gilead for his insurance commissioner campaign.\u003c/p>\n\u003cp>In the Democratic wave that swept California, Lara defeated former Insurance Commissioner Steve Poizner, a former Republican-turned no-party-preference candidate, by a 52.9-47.1 percent margin.\u003c/p>\n\u003cp>As insurance commissioner, Lara will oversee a department with 1,325 employees, a budget of $287 million and a significant law enforcement operation.\u003c/p>\n\u003cp>The department shares authority over aspects of health insurance — and thus prescription drugs — with the Department of Managed Health Care.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://calmatters.org/\" target=\"_blank\" rel=\"noopener\">CALmatters\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "she-strived-to-be-the-perfect-mom-and-landed-in-the-psych-ward",
"title": "She Strived to Be the Perfect Mom and Landed in the Psych Ward",
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"content": "\u003cp>\u003cem>Originally Published Dec 7, 2018\u003c/em>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"http://itunes.apple.com/us/podcast/the-california-report-magazine/id1314750545?mt=2\" target=\"_blank\" rel=\"noopener\">Listen to this and more in-depth storytelling by subscribing to The California Report Magazine podcast.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>[dropcap]L[/dropcap]isa Abramson says that even after all she’s been through – the helicopters circling her house, the snipers on the roof, and the car ride to jail – she still wants to have a second child.\u003c/p>\n\u003cp>Because, in the beginning, when her daughter was born, Lisa was smitten, just like the mom she’d imagined she would be. She’d look into her baby’s round, alert eyes and feel the adrenaline rush through her. She had so much energy. She was so excited.\u003c/p>\n\u003cp>“I actually was thinking like, ‘I don’t get why other moms say they’re so tired or this is so hard. I got this,’” she says.\u003c/p>\n\u003cp>Lisa wanted to be the perfect mom. She was ready to be the perfect mom. She’d been a successful marketing executive for a Silicon Valley tech company and a successful entrepreneur. And that first week after her baby was born, everything was going according to plan. The world was nothing but love.\u003c/p>\n\u003cp>But even when Lisa did get tired, and she got time to sleep, she couldn’t.\u003c/p>\n\u003cp>Then, the baby started losing weight, and the pediatrician told Lisa to feed her every two hours.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘It weighed on me as ‘I failed as a mom. I can’t feed my child.’ I needed to feed her, that was the most important thing, and my well-being didn’t matter.’\u003ccite>Lisa Abramson, new mother\u003c/cite>\u003c/aside>\n\u003cp>“That meant breastfeed and then pump, and then feed her the pumped milk and then clean the pumping parts, which is always something no one thinks about but takes about 20 minutes,” she says. “Basically, through that every two-hour feeding cycle, I had 10 minutes of downtime.”\u003c/p>\n\u003cp>Lisa started to feel like she couldn’t keep up. She felt overwhelmed and guilty. Really guilty.\u003c/p>\n\u003cp>“It weighed on me as ‘I failed as a mom. I can’t feed my child,’” she says. “I needed to feed her, that was the most important thing, and my well-being didn’t matter.”\u003c/p>\n\u003cp>She was barely sleeping. Even when she could get a release from breastfeeding purgatory, she couldn’t relax. As she got more and more exhausted, she started to get…confused.\u003c/p>\n\u003cp>“I was having a conversation with someone, their voices were just distorted and it was really hard for me to understand what they were saying.”\u003c/p>\n\u003cp>She tried going to a spin class, something she loved and had done up until the baby was born.\u003c/p>\n\u003cp>But 10 minutes in, she was out of there.\u003c/p>\n\u003cp>“That was not a good idea, because the noises and intense volume of the spin class was really alarming to me. It felt like the walls were talking to me,” she says. “I just said to my husband probably a hundred, 200 times that day, ‘Am I crazy? Am I crazy? Am I crazy?’”\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003c/h3>\n\u003c/aside>\n\u003cp>But then, about a month after the birth, her clarity came back.\u003c/p>\n\u003cp>It was like she woke up from a dream. It rained every day for the next week. The day the sun came out, she noticed police helicopters circling over their apartment. She heard them land on top of the building.\u003c/p>\n\u003cp>“There were snipers on the roof and there were spy cams in our bedroom and everyone was watching me and my cellphone was giving me weird messages,” she says.\u003c/p>\n\u003cp>Lisa waited for the police to come in and take her. But the next morning, she woke up in her own bed. The cops had arrested the nanny instead.\u003c/p>\n\u003cp>This was wrong, she thought, the nanny shouldn’t be punished for her crime. Lisa told her husband it wasn’t fair. She was going to put an end to all this. She was going to jump off the Golden Gate Bridge. And that’s when her husband told her he was going to drive her to the police station himself.\u003c/p>\n\u003cp>“It was like, ‘Oh, okay, he’s taking me in and I guess I’m getting arrested,’” Lisa says. “I remember my mom cooked me eggs and it was like, ‘You should eat these before you go.’ And I was like, ‘Oh, she’s giving me my final meal before I go to jail.’”\u003c/p>\n\u003cp>From her husband’s perspective, this was one of the worst days of his life.\u003c/p>\n\u003cp>“I’m bringing my wife to the hospital and then checking her into an inpatient unit. It was really, really challenging,” says David Abramson, relaying what really happened that day.\u003c/p>\n\u003ch2>Not Jail, the Psych Ward\u003c/h2>\n\u003cp>There was no crime, the nanny wasn’t arrested, and Lisa’s destination that day was not jail, but rather the general psychiatric ward of Sutter Health’s California Pacific Medical Center in San Francisco – though the hospital didn’t feel far off from where Lisa believed she was going.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘You have to wait for the door to be unlocked, the buzzer, and there’s security and it felt almost like bringing Lisa to jail, even though she didn’t do anything.’\u003ccite>David Abramson, Lisa’s husband\u003c/cite>\u003c/aside>\n\u003cp>“You have to wait for the door to be unlocked, the buzzer, and there’s security and it felt almost like bringing Lisa to jail, even though she didn’t do anything,” David recalls. “That was probably the most heart-wrenching thing, was having to leave her that night with the hospital staff. You could see in her eyes and her body language that she was panicked all of a sudden that we were leaving.”\u003c/p>\n\u003cp>The other patients were there for drug overdoses or alcohol withdrawal. People were screaming. One patient thought he was a dog, crawling around on all fours, barking. It didn’t seem like the right place for a new mom.\u003c/p>\n\u003cp>“Probably for the first five days I just didn’t speak to anyone,” Lisa says. “I don’t know if I couldn’t speak or I wasn’t speaking, but I was terrified enough of the environment that I decided I wasn’t going to answer anyone’s questions. I wasn’t going to talk to anyone.”\u003c/p>\n\u003cp>Lisa still thought this was all part of some conspiracy.\u003c/p>\n\u003cp>“I just thought I was there because I did something wrong,” she says. “Because I tried to get out to leave and I was locked in so you can’t leave. I was like, ‘Maybe I am in a jail, but it looks like a hospital? They’re saying it’s a hospital, but it’s really a jail?’”\u003c/p>\n\u003cp>Lisa doesn’t remember any doctors or nurses telling her why she was there or what was going on.\u003c/p>\n\u003cp>“They’re just like, ‘Take these medications,’ and they’re pissed at me because I wasn’t cooperating and going to any of the groups or talking to anyone,” she says. “No one told me what my diagnosis was, why I was there.”\u003c/p>\n\u003caside class=\"pullquote alignright\">‘I really was just like, “No. I’ve heard of postpartum depression. No, I have never heard that there’s postpartum crazy.” ‘ \u003ccite>Lisa Abramson\u003c/cite>\u003c/aside>\n\u003cp>It wasn’t until Lisa had been in the hospital more than a week that she remembers her husband telling her why she was there. He brought her a print out from the internet on postpartum psychosis.\u003c/p>\n\u003cp>“That was the first time where I was like, ‘He’s on my side. He made up this disease just to make me feel better. That was so sweet,’” she says.\u003c/p>\n\u003cp>The papers said it was elevated hormones from childbirth plus sleep deprivation that can trigger confusion and paranoia. Lisa figured it took her husband hours to photoshop all this.\u003c/p>\n\u003cp>“I really was just like, ‘No. I’ve heard of postpartum depression. No, I have never heard that there’s postpartum crazy.”\u003c/p>\n\u003ch2>New Data on Moms Who Die By Suicide\u003c/h2>\n\u003cp>Postpartum psychosis is real. It’s rare – it affects one or two women out of every thousand that give birth. But experts believe more women are affected than previously thought. And more of them are ending up dead, by suicide.\u003c/p>\n\u003cp>There are a handful of doctors and researchers trying to figure out why. States have never kept good data on this, so each suicide is like a mystery, and it takes a team of medical detectives to piece it together.\u003c/p>\n\u003cp>They start with death certificates and coroner reports, then work backward. They track down hospital records to figure out when the woman gave birth. Then they study medical charts for clues, signs of mental illness that the original doctors didn’t catch.\u003c/p>\n\u003cp>California researchers just finished their first big study like this. The state’s public health department hasn’t published it yet, but The California Report got a preview of some of the data: 99 new moms in the state died by suicide over a ten-year period.\u003c/p>\n\u003cp>The investigators determined that of those 99 suicides, 98 were preventable.\u003c/p>\n\u003cp>Nearly every single woman might not have died if the health care system in California had done a better job taking care of them: if women had been screened better, diagnosed better, treated better.\u003c/p>\n\u003cp>“The work that we do here is less than 10 percent of what needs to be done,” says Nirmaljit Dhami, a psychiatrist at El Camino Hospital in Mountain View. She’s one of the doctor-detectives who reviewed the suicides, but she did not talk about the report or share data from it.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/stateofhealth/185843/just-like-patients-therapists-also-battle-insurance-red-tape\">Frustrated You Can’t Find a Therapist? They’re Frustrated, Too\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/stateofhealth/185843/just-like-patients-therapists-also-battle-insurance-red-tape\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/12/Final.Insurance-e1464020830149-800x449.jpg\" alt=\"\" />\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>She is an expert in postpartum mental illness and often treats women in crisis, cleaning up what OB/GYNs miss. Based on her clinical experience and observations, she says a lot of doctors don’t know the early signs of postpartum psychosis; they don’t know that the symptoms wax and wane.\u003c/p>\n\u003cp>“A lot of times the patient will present very clearly, then at other times, will present with acute confusion and disorganization,” she says.\u003c/p>\n\u003cp>Like Lisa Abramson, of sound mind in one moment, then believing the walls are talking to her in the next.\u003c/p>\n\u003cp>“This is a symptom that clinicians who are not trained in this field can easily miss,” Dhami says, “because when they see the patient in their office with the family, they can think that the patient is normal and is probably suffering from sleep deprivation and discharge them home,” she says.\u003c/p>\n\u003cp>This is how women die. In the U.S., mental health problems are one of the leading causes of death among new moms, according to a 2018 report from the Building U.S. Capacity to Review and Prevent Maternal Deaths initiative at the CDC. Mental health problems are number seven on the list, nearly tied with high blood pressure complications. For white women, mental health problems are the fourth leading cause of death.\u003c/p>\n\u003cp>Even when women do get into care, Dhami says, it’s often inadequate or inappropriate. Doctors prescribe the wrong medications. Insurance companies push patients out of psych units before they’re ready. And the staff at psych units are generally not trained in these illnesses, Dhami says, and they may not be equipped for even the physical needs of new moms.\u003c/p>\n\u003cfigure id=\"attachment_11711000\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11711000\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/12/Lucy-0038-800x532.jpg\" alt=\"\" width=\"800\" height=\"532\" />\u003cfigcaption class=\"wp-caption-text\">David Abramson researched postpartum psychosis on the internet when he suspected his wife Lisa was showing signs of it after having their first daughter, Lucy. \u003ccite>(Claire Mulkey)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Take Lisa Abramson’s inpatient experience. When Lisa first arrived at the psych ward, her husband told the resident who admitted her that he thought Lisa had postpartum psychosis. The resident said to him, “Postpartum, what?” He promised David he’d study up on it.\u003c/p>\n\u003cp>Then, several days into Lisa’s stay, she complained of pain in her breasts. She’d stopped breastfeeding the instant she left home, and it didn’t seem to occur to anyone that her breast would become engorged.\u003c/p>\n\u003cp>Her husband had to negotiate to bring in Lisa’s breast pump from home. She remembers being put in a room with padded walls that looked like a solitary confinement chamber from a horror movie.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘A lot of times, symptoms of postpartum depression and psychosis involve the mother feeling that she’s like a bad mom.’\u003ccite>Dr. Nirmaljit Dhami, a psychiatrist at El Camino Hospital in Mountain View\u003c/cite>\u003c/aside>\n\u003cp>“That was where they sent me to go pump, and under supervision from doctors because they were worried,” she says. “God knows what I would do with the breast pump. A breast pump is a torture device already.”\u003c/p>\n\u003cp>But the worst thing of all, was not being allowed to see her baby. The inpatient unit has a strict policy: no infants or children on the ward. The hospital says this is intended as a safety measure, for everybody. Her family argued with the staff.\u003c/p>\n\u003cp>“They said, ‘She’s a new mom and she needs to see her baby. That’s keeping this bond going, it’s really, it’s important,” Lisa recalls, tearing up. “That was the hard part, was not getting to see her.”\u003c/p>\n\u003cp>About five days into her time there, Lisa’s family was able to negotiate short one-hour visits with her daughter, supervised by a person who kept looking at his watch.\u003c/p>\n\u003cp>Lisa’s family was so unhappy with her care at the hospital that her husband practically broke her out of there. They found Dr. Dhami and asked her to take over Lisa’s treatment. She enrolled in a comprehensive outpatient program Dhami runs at El Camino Hospital, called the Maternal Outreach Mood Services (MOMS) program, where Lisa could bring her baby along.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/stateofhealth/362850/to-screen-or-not-to-screen-doctors-debate-post-partum-depression-testing\">To Screen or Not to Screen? Doctors Debate Post Partum Depression Testing\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/stateofhealth/362850/to-screen-or-not-to-screen-doctors-debate-post-partum-depression-testing\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/wp-content/uploads/sites/27/2018/03/Wendy-Root-Askew-1180x885.jpg\" alt=\"\" />\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Dr. Dhami says separating a mother from her newborn actually makes it harder for the mom to recover.\u003c/p>\n\u003cp>“A lot of times, symptoms of postpartum depression and psychosis involve the mother feeling that she’s like a bad mom,” she says. “It is a difficult situation for the mother to be in when she has so many negative thoughts and ruminations about herself and her ability to be a good mom.”\u003c/p>\n\u003cp>Under Dr. Dhami’s care, Lisa started to reclaim her grip on reality, but she didn’t know how long it would be before she’d start to feel better. She wondered if she’d ever feel like herself again.\u003c/p>\n\u003cp>California Pacific Medical Center declined to comment on Lisa’s case specifically, even though Lisa authorized the hospital to discuss her medical records. The inpatient psychiatric medical director, Dr. Stephanie Wilson, says breast pumps are now available to women who need them, and providers review new moms’ wishes to see their babies on a case-by-case basis.\u003c/p>\n\u003cp>“We take into full consideration all of the circumstances and the details of that patient, of the infant, and really seeing what, if any, benefit, or even potential harm, it could have to the mother,” Wilson says. “Once the symptoms of depression and psychosis start to get better, that’s when I would start to allow more visitations.”\u003c/p>\n\u003ch2>A Different Kind of Care for Moms\u003c/h2>\n\u003cp>There’s plenty of research dating back to the 1940’s on the ideal protocols for inpatient treatment of postpartum mental illnesses. The gold standard is to admit the mother and the baby into the hospital together, on a specialized mother-baby unit.\u003c/p>\n\u003cp>They’re treated as a pair. Part of the mom’s therapy is getting guidance on how to read the baby’s cues, and how to meet the baby’s needs as well as her own. At night, the baby sleeps in a supervised nursery, so mom can get uninterrupted sleep. In the United Kingdom, there are 21 of these mother-baby units. In France, there are 15. They’re in Belgium, New Zealand. There’s one in India.\u003c/p>\n\u003cp>In the U.S., there are zero.\u003c/p>\n\u003cp>The closest thing there is to a mother-baby unit in the U.S. is 3,000 miles from where Lisa lives – the hospital at the University of North Carolina in Chapel Hill.\u003c/p>\n\u003cp>The perinatal psychiatric unit here is reserved exclusively for pregnant women and new moms. They accept all kinds of commercial insurance and Medicaid, so any woman, wealthy or low-income can get treated here.\u003c/p>\n\u003cfigure id=\"attachment_11710976\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11710976\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/12/IMG_3438-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" />\u003cfigcaption class=\"wp-caption-text\">Nurse Anna Soloway reads from the “Dear Mom” book at the perinatal psychiatry unit at UNC-Chapel Hill. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>When women first arrive, nurses show them the “Dear Mom” book, where women who are close to being discharged write notes to the women just being admitted:\u003c/p>\n\u003cp>“Dear moms or mom to be: This place has saved my life and it will save yours…\u003c/p>\n\u003cp>Dear mom: You may think you’re the only “crazy” girl in the world like this, but I promise you, you’re not alone…\u003c/p>\n\u003cp>Dear mammas, you are strong, you are beyond brave and strong for coming here, and your family deserves you…\u003c/p>\n\u003cp>Dear mom: You are a wonderful mother…”\u003c/p>\n\u003cp>“There is a need for them to see other moms going through what they’re going through,” says psychiatrist Mary Kimmel, who runs the unit. She wears a denim jacket and black suede ankle boots, and whenever a patient asks if she’s a mom, too, she says yes, she had two kids.\u003c/p>\n\u003cp>She says everything here is tailored to the specific needs of new moms. Every room has a hospital-grade breast pump, there’s a lactation consultant who helps women with breastfeeding, and there’s a designated refrigerator for moms to store pumped milk.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/futureofyou/2703/womens-health-is-too-often-overlooked-will-digital-health-be-the-exception\">Women’s Health is Too Often Overlooked; Will Digital Health be the Exception?\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/futureofyou/2703/womens-health-is-too-often-overlooked-will-digital-health-be-the-exception\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/wp-content/uploads/sites/27/2016/11/sad-child-770.jpg\" alt=\"\" />\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>The most distinctive feature about the program is the visitor policy. Most afternoons, the unit is bustling with husbands and kids.\u003c/p>\n\u003cp>“Babies can come to the unit and we really encourage that,” Kimmel says. “We encourage older kids to also come to the unit.”\u003c/p>\n\u003cp>Toddlers scurry around the day room during visiting hours, coloring, playing with toys, playing with each other. Women cradle their newborns, rocking them, feeding them.\u003c/p>\n\u003cp>The babies are not allowed to stay overnight though. There’s no nursery here like the units in Europe.\u003c/p>\n\u003cp>The main reason for that is the insurance companies.\u003c/p>\n\u003cp>Kimmel says no insurer in the U.S. would ever pay for a healthy baby to be admitted to the hospital.\u003c/p>\n\u003cp>“That baby doesn’t have a distinct need to be admitted and so it’s not possible to bill for that baby being at the hospital,” she says. And without that, the hospital can’t afford to run a nursery.\u003c/p>\n\u003cfigure id=\"attachment_11710977\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11710977\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/12/IMG_3469-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" />\u003cfigcaption class=\"wp-caption-text\">Psychiatrist Mary Kimmel runs the mom’s psychiatry unit at UNC-Chapel Hill. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The unit is small — it has five beds — and women spend most of their time in the day room, a hospital lounge with a table and couch and a TV that’s usually tuned in to a home makeover show. The staff do what they can to make it feel homey here, less like a hospital, but there’s still a wall of glass around the nurses’ station, and patients have to knock on the window when they come to ask for something.\u003c/p>\n\u003cp>The days are very structured, with a range of treatments, all tailored specifically to pregnant women and new moms. There’s one-on-one therapy and lots of group classes: parenting and time management lessons, where women practice asking their partner for help. And a favorite among the moms: relaxation class.\u003c/p>\n\u003cp>“Get yourself as comfortable as you can, let your body relax,” murmurs recreational therapist Amber Koo over slow meditation music.\u003c/p>\n\u003cp>She puts on a special light machine that projects little stars onto the ceiling. That gives women a place to focus their mind, away from the negative thoughts coursing through their heads.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/mindshift/32835/got-a-minute-try-meditating\">Got a Minute? Try Meditating!\u003c/a>\u003c/h3>\n\u003c/aside>\n\u003cp>“Allow your breath to start going in your nose slowly,” Koo says.\u003c/p>\n\u003cp>For Alice Sarti, the moms unit at UNC was the first place that gave her hope as a new mom. After she had her son, she became engulfed by mania. She had dealt with depression many times before, but never this.\u003c/p>\n\u003cp>“Every minute I had to fill with a task: researching daycares, doing and re-doing my budget,” she says. “I’m not going to line up three bottles, I’m going to line up 17 bottles.”\u003c/p>\n\u003cp>She became an exaggerated version of herself. Super mom. She’s a business analyst and loves getting things done. She loved how productive she was. But then things started to spiral.\u003c/p>\n\u003cp>“There was a definite snap,” she says. “I started yelling about things that didn’t make sense. They made sense to me.”\u003c/p>\n\u003cp>It’s like the television show Homeland, when bipolar CIA agent Carrie Mathison sets up a situation room. She covers the walls with news articles and photos of the terrorists she’s chasing. She criss-crosses yellow string in all directions to illustrate the connections she sees.\u003c/p>\n\u003cp>It was like that in Alice’s mind.\u003c/p>\n\u003cp>“There was a logical chain there in my head, but externally those links were so far apart,” she says.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘I did have a social worker tell me I was going to lose my child if I didn’t ‘pull it together,’\u003ccite>Alice Sarti, new mother\u003c/cite>\u003c/aside>\n\u003cp>To her family, it was just an incoherent rage. They called the police and they took Alice to the nearest hospital that had an available bed, in this case, not the mom’s unit at UNC, but rather a general psych ward.\u003c/p>\n\u003cp>“You saw people that couldn’t speak, that could barely walk. People that were discharged in that condition,” she says.\u003c/p>\n\u003cp>Alice didn’t want to be drugged like that. She refused to take any meds, and that made her unpopular with the staff.\u003c/p>\n\u003cp>“I did have a social worker tell me I was going to lose my child if I didn’t ‘pull it together,’” she says.\u003c/p>\n\u003cp>During her three-week stay, she saw her son once, for 20 minutes.\u003c/p>\n\u003cp>“I was not able to touch him on any level. He was in his car seat and I reached for him and I was yelled at,” she says.\u003c/p>\n\u003cp>It’s hard for her to admit what it was like coming back to him, after she was discharged.\u003c/p>\n\u003cp>“It felt like a burden,” she says. “It felt like, ‘How am I ever going to do this?’ I held him, I bathed him, and I did all the things, but the connection was not there. I lost time with my son and I’m never going to get it back.”\u003c/p>\n\u003cp>Alice was not feeling better when she was sent home from that hospital. She ended up in another hospital, and discharged again, her mania still boiling. She eventually ended up at the mom’s psych unit at UNC Chapel Hill.\u003c/p>\n\u003cp>Finally, everyone seemed to understand what she was going through, the pressure she was feeling, the guilt. She saw her son regularly, and staff helped her start to re-establish her bond with him.\u003c/p>\n\u003cp>“It was this incredibly nurturing environment,” she says. “It changed the trajectory of my life and my son’s life.”\u003c/p>\n\u003cfigure id=\"attachment_11710979\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11710979\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/12/us_0918-800x450.jpg\" alt=\"\" width=\"800\" height=\"450\" />\u003cfigcaption class=\"wp-caption-text\">Alice Sarti got help at the mom’s unit reconnecting with her son, and recovering from postpartum mental illness. \u003ccite>(Courtesy of Alice Sarti)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But even at this seemingly perfect place, things go wrong. When Alice was discharged, her mania cleared. But then she slipped into the deepest, darkest depression she had ever known. She checked herself into UNC again, afraid she was going to kill herself.\u003c/p>\n\u003cp>With Alice, and other patients, doctors are under so much pressure to get moms home quickly, sometimes they overshoot on the medications, says Dr. Mary Kimmel, who runs the unit. Some of that pressure comes from the moms themselves, who want to be with their kids, but it also comes from the insurance companies.\u003c/p>\n\u003cp>UNC’s mom’s unit pays the bills like other hospitals – they take insurance to cover the costs of care.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/futureofyou/442703/u-s-suicide-rates-are-rising-faster-among-women-than-men\">U.S. Suicide Rates Are Rising Faster Among Women Than Men\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/futureofyou/442703/u-s-suicide-rates-are-rising-faster-among-women-than-men\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/06/gender-depression-1-c396c6b070b1002bd68febe0f9805c93a75ea72a-1-1180x885.jpg\" alt=\"\" />\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>But the longer a patient stays, the more an insurer has to pay, and that’s not good for their bottom line. Kimmel and other doctors say as soon as a patient comes off suicide watch, insurers start calling, asking when she can go home.\u003c/p>\n\u003cp>“Our average length of stay runs from about one week to two weeks,” Kimmel says.\u003c/p>\n\u003cp>In Europe?\u003c/p>\n\u003cp>“About 40 to 50 days is the average length of stay there,” she says.\u003c/p>\n\u003cp>That means doctors in the U.S. start patients on new drugs, but don’t have time to see if they work. Or, they have to start women on the most intense medications that force her to stop breastfeeding, instead of slower therapies that could extend the mother’s time to feed her infant breast milk.\u003c/p>\n\u003cp>It also means that patients like Alice can end up hospitalized four times before they get better.\u003c/p>\n\u003cp>Insurers insist the decision to discharge is not just about cost, but about what’s best for patients.\u003c/p>\n\u003cp>“We want to make sure that they’re getting the care that they need in the most appropriate setting,” says Kate Berry, senior vice president of Clinical Innovation for America’s Health Insurance Plans, a trade group for insurers.\u003c/p>\n\u003cp>Hospitals are not necessarily the ideal environment, she says, especially for making sure medications are stabilized.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11632413/the-plan-to-get-women-vets-to-use-more-health-services\">The Plan to Get Women Vets to Use More Health Services\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11632413/the-plan-to-get-women-vets-to-use-more-health-services\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/wp-content/uploads/sites/10/2017/11/178431-full-1020x680.jpg\" alt=\"\" />\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>“There are other settings where the care can continue,” she says, “such as a partial hospital or an intensive outpatient care setting that may be more supportive of having the mom and the baby together.”\u003c/p>\n\u003cp>Alice says mental hospitals in the US are just warehousing people. Only the mom’s unit felt like a place of healing, and despite the limitations of the system, it was the only thing that worked for her.\u003c/p>\n\u003cp>“It’s a different kind of place,” she says. “It’s the type of mental health care that everyone should have access to, not just mothers. That’s what mental health care in this country should look like, and it doesn’t come close.”\u003c/p>\n\u003cp>Right now, UNC is the only hospital in the country that has a designated psych unit just for pregnant women and new moms. A hospital in New York has a women’s only unit. And El Camino Hospital in Mountain View, where Dr. Dhami practices, will soon start construction on a women’s-only psych unit with a special focus on new moms. It’s slated to open in 2019.\u003c/p>\n\u003ch2>Back in Silicon Valley\u003c/h2>\n\u003cp>Two years after giving birth, Lisa Abramson plays catch with her daughter Lucy.\u003c/p>\n\u003cp>“Ready? Set? Go!” Lucy shouts, and Lisa rolls her a mini rubber soccer ball.\u003c/p>\n\u003cfigure id=\"attachment_11710982\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11710982\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/12/IMG_2269-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" />\u003cfigcaption class=\"wp-caption-text\">Lisa plays ball with her daughter, Lucy, age two pictured here. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lisa feels like she’s back to her normal self. But she’s been thinking a lot about her experience with postpartum psychosis.\u003c/p>\n\u003cp>Lisa is pregnant again.\u003c/p>\n\u003cp>“That was the most courageous moment of my life,” she says. “Without knowing anything of how this is really going to work out, ‘let’s try it again.’\u003c/p>\n\u003cp>She’s terrified, though, the psychosis will come back.\u003c/p>\n\u003cp>“It might still happen again. They say there’s about a 50 percent chance,” she says. “I can try to set up a more optimal situation, but you also just don’t know and it’s out of your control, which is hard.”\u003c/p>\n\u003cp>The number one thing she wants to avoid – is going back to the hospital.\u003c/p>\n\u003cp>“The hospitalization was probably the most traumatic of the whole experience,” Lisa says.\u003c/p>\n\u003cp>Her plan this time around is to make sure she’s getting enough sleep. She’s going to have a therapist and psychiatrist lined up if she needs medication. And if she can’t stand the tyranny of the breastfeeding schedule, she’s going to let it go. More than anything else, she’s giving herself permission to put herself first.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘I’m trying to put myself first, guilt-free, and know that that makes me a better mom.’\u003ccite>Lisa Abramson\u003c/cite>\u003c/aside>\n\u003cp>Part of the inspiration for this is…Oprah. Lisa’s been listening to the podcast Making Oprah, chronicling the history of the daytime talk show.\u003c/p>\n\u003cp>In it, Oprah talks about a show they were producing about where women put themselves on their “list.” She interviewed a life coach who had women draw up a list of all the people and things they needed to take care of. Then Oprah asked, where are you on that list?\u003c/p>\n\u003cp>Most of the women said, “I wasn’t on the list at all.” And if they were, they were last.\u003c/p>\n\u003cp>Lisa was shocked by what happened next.\u003c/p>\n\u003cp>“Then the coach said, ‘Okay, I want you to put you at the top of that list,’” Lisa says. “And the crowd booed. They booed her off the stage.”\u003c/p>\n\u003cp>That was 1992.\u003c/p>\n\u003cp>Lisa says, today in Silicon Valley, it doesn’t feel like much has changed. This is Ground Zero for women striving to have it all: high-stress career running a tech company, and two perfect kids. Women here think the over-achiever culture is one reason postpartum depression and anxiety rates are higher in California compared to the rest of the country.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11486296/california-senate-votes-to-expand-parental-leave-law\">California Senate Votes to Expand Parental Leave Law\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11486296/california-senate-votes-to-expand-parental-leave-law\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/wp-content/uploads/sites/10/2017/05/RS25455_20170515_StateCapitol_Sen_Hannah-BethJackson_credit_BertJohnson-2-qut-1180x787.jpg\" alt=\"\" />\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Lisa says she still feels intense pressure to be the perfect mom.\u003c/p>\n\u003cp>“We’ve got so many messages of just self-sacrifice: Do anything for your kids, drop everything. That’s what it means to be a good mom and for me, that’s not what made me a good mom. That’s what made me fall apart,” she says. “I’m trying to put myself first, guilt-free, and know that that makes me a better mom.”\u003c/p>\n\u003cp>Lisa feels so strongly about this, she’s writing a book about it. It’s called the “Wise Mama Guide to Maternity Leave,” and it’s all about convincing Silicon Valley go-getters how to go easy on themselves when they have a baby.\u003c/p>\n\u003cp>She says throw out those ideas of fitting into your skinny jeans in a few weeks, pushing a cute stroller all put together. Shift your goals from giving a presentation to 100 people, to changing 15 diapers in a day.\u003c/p>\n\u003cp>“At Trader Joe’s, they say ‘Do you want help out to your car?’ Just say yes and practice feeling uncomfortable getting other people to really help you,” Lisa says.\u003c/p>\n\u003cp>Some Silicon Valley companies have asked Lisa to come talk to their female employees about how to not be so Type A about their maternity leave. She gives online courses, too.\u003c/p>\n\u003cp>“They’re like, ‘Oh I thought I could still get some stuff done, or I could tackle a project that I’ve been forgetting about during maternity leave.’ I’m like, ‘No, no,” she says.\u003c/p>\n\u003cp>It’s an interesting message from a woman who is herself cranking out a book while she’s pregnant. But then again, that’s the point. Finish everything well before the baby comes.\u003c/p>\n\u003cfigure id=\"attachment_11710983\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11710983\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/12/Lisa-and-Baby-Vivian_Aug-2017-800x532.jpg\" alt=\"\" width=\"800\" height=\"532\" />\u003cfigcaption class=\"wp-caption-text\">Lisa Abramson snuggles with her youngest daughter, Vivian. \u003ccite>(Claire Mulkey)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lucy, is almost five now. Her second daughter, Vivian, is a year and a half.\u003c/p>\n\u003cp>The postpartum psychosis did not come again. With all the precautions Lisa took to protect her sleep, to ask for help, to put herself first, she warded off the helicopters and the snipers.\u003c/p>\n\u003cp>Lisa says she loves being a mom.\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Originally Published Dec 7, 2018\u003c/em>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"http://itunes.apple.com/us/podcast/the-california-report-magazine/id1314750545?mt=2\" target=\"_blank\" rel=\"noopener\">Listen to this and more in-depth storytelling by subscribing to The California Report Magazine podcast.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">L\u003c/span>\u003c/p>\u003cp>isa Abramson says that even after all she’s been through – the helicopters circling her house, the snipers on the roof, and the car ride to jail – she still wants to have a second child.\u003c/p>\n\u003cp>Because, in the beginning, when her daughter was born, Lisa was smitten, just like the mom she’d imagined she would be. She’d look into her baby’s round, alert eyes and feel the adrenaline rush through her. She had so much energy. She was so excited.\u003c/p>\n\u003cp>“I actually was thinking like, ‘I don’t get why other moms say they’re so tired or this is so hard. I got this,’” she says.\u003c/p>\n\u003cp>Lisa wanted to be the perfect mom. She was ready to be the perfect mom. She’d been a successful marketing executive for a Silicon Valley tech company and a successful entrepreneur. And that first week after her baby was born, everything was going according to plan. The world was nothing but love.\u003c/p>\n\u003cp>But even when Lisa did get tired, and she got time to sleep, she couldn’t.\u003c/p>\n\u003cp>Then, the baby started losing weight, and the pediatrician told Lisa to feed her every two hours.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘It weighed on me as ‘I failed as a mom. I can’t feed my child.’ I needed to feed her, that was the most important thing, and my well-being didn’t matter.’\u003ccite>Lisa Abramson, new mother\u003c/cite>\u003c/aside>\n\u003cp>“That meant breastfeed and then pump, and then feed her the pumped milk and then clean the pumping parts, which is always something no one thinks about but takes about 20 minutes,” she says. “Basically, through that every two-hour feeding cycle, I had 10 minutes of downtime.”\u003c/p>\n\u003cp>Lisa started to feel like she couldn’t keep up. She felt overwhelmed and guilty. Really guilty.\u003c/p>\n\u003cp>“It weighed on me as ‘I failed as a mom. I can’t feed my child,’” she says. “I needed to feed her, that was the most important thing, and my well-being didn’t matter.”\u003c/p>\n\u003cp>She was barely sleeping. Even when she could get a release from breastfeeding purgatory, she couldn’t relax. As she got more and more exhausted, she started to get…confused.\u003c/p>\n\u003cp>“I was having a conversation with someone, their voices were just distorted and it was really hard for me to understand what they were saying.”\u003c/p>\n\u003cp>She tried going to a spin class, something she loved and had done up until the baby was born.\u003c/p>\n\u003cp>But 10 minutes in, she was out of there.\u003c/p>\n\u003cp>“That was not a good idea, because the noises and intense volume of the spin class was really alarming to me. It felt like the walls were talking to me,” she says. “I just said to my husband probably a hundred, 200 times that day, ‘Am I crazy? Am I crazy? Am I crazy?’”\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003c/h3>\n\u003c/aside>\n\u003cp>But then, about a month after the birth, her clarity came back.\u003c/p>\n\u003cp>It was like she woke up from a dream. It rained every day for the next week. The day the sun came out, she noticed police helicopters circling over their apartment. She heard them land on top of the building.\u003c/p>\n\u003cp>“There were snipers on the roof and there were spy cams in our bedroom and everyone was watching me and my cellphone was giving me weird messages,” she says.\u003c/p>\n\u003cp>Lisa waited for the police to come in and take her. But the next morning, she woke up in her own bed. The cops had arrested the nanny instead.\u003c/p>\n\u003cp>This was wrong, she thought, the nanny shouldn’t be punished for her crime. Lisa told her husband it wasn’t fair. She was going to put an end to all this. She was going to jump off the Golden Gate Bridge. And that’s when her husband told her he was going to drive her to the police station himself.\u003c/p>\n\u003cp>“It was like, ‘Oh, okay, he’s taking me in and I guess I’m getting arrested,’” Lisa says. “I remember my mom cooked me eggs and it was like, ‘You should eat these before you go.’ And I was like, ‘Oh, she’s giving me my final meal before I go to jail.’”\u003c/p>\n\u003cp>From her husband’s perspective, this was one of the worst days of his life.\u003c/p>\n\u003cp>“I’m bringing my wife to the hospital and then checking her into an inpatient unit. It was really, really challenging,” says David Abramson, relaying what really happened that day.\u003c/p>\n\u003ch2>Not Jail, the Psych Ward\u003c/h2>\n\u003cp>There was no crime, the nanny wasn’t arrested, and Lisa’s destination that day was not jail, but rather the general psychiatric ward of Sutter Health’s California Pacific Medical Center in San Francisco – though the hospital didn’t feel far off from where Lisa believed she was going.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘You have to wait for the door to be unlocked, the buzzer, and there’s security and it felt almost like bringing Lisa to jail, even though she didn’t do anything.’\u003ccite>David Abramson, Lisa’s husband\u003c/cite>\u003c/aside>\n\u003cp>“You have to wait for the door to be unlocked, the buzzer, and there’s security and it felt almost like bringing Lisa to jail, even though she didn’t do anything,” David recalls. “That was probably the most heart-wrenching thing, was having to leave her that night with the hospital staff. You could see in her eyes and her body language that she was panicked all of a sudden that we were leaving.”\u003c/p>\n\u003cp>The other patients were there for drug overdoses or alcohol withdrawal. People were screaming. One patient thought he was a dog, crawling around on all fours, barking. It didn’t seem like the right place for a new mom.\u003c/p>\n\u003cp>“Probably for the first five days I just didn’t speak to anyone,” Lisa says. “I don’t know if I couldn’t speak or I wasn’t speaking, but I was terrified enough of the environment that I decided I wasn’t going to answer anyone’s questions. I wasn’t going to talk to anyone.”\u003c/p>\n\u003cp>Lisa still thought this was all part of some conspiracy.\u003c/p>\n\u003cp>“I just thought I was there because I did something wrong,” she says. “Because I tried to get out to leave and I was locked in so you can’t leave. I was like, ‘Maybe I am in a jail, but it looks like a hospital? They’re saying it’s a hospital, but it’s really a jail?’”\u003c/p>\n\u003cp>Lisa doesn’t remember any doctors or nurses telling her why she was there or what was going on.\u003c/p>\n\u003cp>“They’re just like, ‘Take these medications,’ and they’re pissed at me because I wasn’t cooperating and going to any of the groups or talking to anyone,” she says. “No one told me what my diagnosis was, why I was there.”\u003c/p>\n\u003caside class=\"pullquote alignright\">‘I really was just like, “No. I’ve heard of postpartum depression. No, I have never heard that there’s postpartum crazy.” ‘ \u003ccite>Lisa Abramson\u003c/cite>\u003c/aside>\n\u003cp>It wasn’t until Lisa had been in the hospital more than a week that she remembers her husband telling her why she was there. He brought her a print out from the internet on postpartum psychosis.\u003c/p>\n\u003cp>“That was the first time where I was like, ‘He’s on my side. He made up this disease just to make me feel better. That was so sweet,’” she says.\u003c/p>\n\u003cp>The papers said it was elevated hormones from childbirth plus sleep deprivation that can trigger confusion and paranoia. Lisa figured it took her husband hours to photoshop all this.\u003c/p>\n\u003cp>“I really was just like, ‘No. I’ve heard of postpartum depression. No, I have never heard that there’s postpartum crazy.”\u003c/p>\n\u003ch2>New Data on Moms Who Die By Suicide\u003c/h2>\n\u003cp>Postpartum psychosis is real. It’s rare – it affects one or two women out of every thousand that give birth. But experts believe more women are affected than previously thought. And more of them are ending up dead, by suicide.\u003c/p>\n\u003cp>There are a handful of doctors and researchers trying to figure out why. States have never kept good data on this, so each suicide is like a mystery, and it takes a team of medical detectives to piece it together.\u003c/p>\n\u003cp>They start with death certificates and coroner reports, then work backward. They track down hospital records to figure out when the woman gave birth. Then they study medical charts for clues, signs of mental illness that the original doctors didn’t catch.\u003c/p>\n\u003cp>California researchers just finished their first big study like this. The state’s public health department hasn’t published it yet, but The California Report got a preview of some of the data: 99 new moms in the state died by suicide over a ten-year period.\u003c/p>\n\u003cp>The investigators determined that of those 99 suicides, 98 were preventable.\u003c/p>\n\u003cp>Nearly every single woman might not have died if the health care system in California had done a better job taking care of them: if women had been screened better, diagnosed better, treated better.\u003c/p>\n\u003cp>“The work that we do here is less than 10 percent of what needs to be done,” says Nirmaljit Dhami, a psychiatrist at El Camino Hospital in Mountain View. She’s one of the doctor-detectives who reviewed the suicides, but she did not talk about the report or share data from it.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/stateofhealth/185843/just-like-patients-therapists-also-battle-insurance-red-tape\">Frustrated You Can’t Find a Therapist? They’re Frustrated, Too\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/stateofhealth/185843/just-like-patients-therapists-also-battle-insurance-red-tape\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/12/Final.Insurance-e1464020830149-800x449.jpg\" alt=\"\" />\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>She is an expert in postpartum mental illness and often treats women in crisis, cleaning up what OB/GYNs miss. Based on her clinical experience and observations, she says a lot of doctors don’t know the early signs of postpartum psychosis; they don’t know that the symptoms wax and wane.\u003c/p>\n\u003cp>“A lot of times the patient will present very clearly, then at other times, will present with acute confusion and disorganization,” she says.\u003c/p>\n\u003cp>Like Lisa Abramson, of sound mind in one moment, then believing the walls are talking to her in the next.\u003c/p>\n\u003cp>“This is a symptom that clinicians who are not trained in this field can easily miss,” Dhami says, “because when they see the patient in their office with the family, they can think that the patient is normal and is probably suffering from sleep deprivation and discharge them home,” she says.\u003c/p>\n\u003cp>This is how women die. In the U.S., mental health problems are one of the leading causes of death among new moms, according to a 2018 report from the Building U.S. Capacity to Review and Prevent Maternal Deaths initiative at the CDC. Mental health problems are number seven on the list, nearly tied with high blood pressure complications. For white women, mental health problems are the fourth leading cause of death.\u003c/p>\n\u003cp>Even when women do get into care, Dhami says, it’s often inadequate or inappropriate. Doctors prescribe the wrong medications. Insurance companies push patients out of psych units before they’re ready. And the staff at psych units are generally not trained in these illnesses, Dhami says, and they may not be equipped for even the physical needs of new moms.\u003c/p>\n\u003cfigure id=\"attachment_11711000\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11711000\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/12/Lucy-0038-800x532.jpg\" alt=\"\" width=\"800\" height=\"532\" />\u003cfigcaption class=\"wp-caption-text\">David Abramson researched postpartum psychosis on the internet when he suspected his wife Lisa was showing signs of it after having their first daughter, Lucy. \u003ccite>(Claire Mulkey)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Take Lisa Abramson’s inpatient experience. When Lisa first arrived at the psych ward, her husband told the resident who admitted her that he thought Lisa had postpartum psychosis. The resident said to him, “Postpartum, what?” He promised David he’d study up on it.\u003c/p>\n\u003cp>Then, several days into Lisa’s stay, she complained of pain in her breasts. She’d stopped breastfeeding the instant she left home, and it didn’t seem to occur to anyone that her breast would become engorged.\u003c/p>\n\u003cp>Her husband had to negotiate to bring in Lisa’s breast pump from home. She remembers being put in a room with padded walls that looked like a solitary confinement chamber from a horror movie.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘A lot of times, symptoms of postpartum depression and psychosis involve the mother feeling that she’s like a bad mom.’\u003ccite>Dr. Nirmaljit Dhami, a psychiatrist at El Camino Hospital in Mountain View\u003c/cite>\u003c/aside>\n\u003cp>“That was where they sent me to go pump, and under supervision from doctors because they were worried,” she says. “God knows what I would do with the breast pump. A breast pump is a torture device already.”\u003c/p>\n\u003cp>But the worst thing of all, was not being allowed to see her baby. The inpatient unit has a strict policy: no infants or children on the ward. The hospital says this is intended as a safety measure, for everybody. Her family argued with the staff.\u003c/p>\n\u003cp>“They said, ‘She’s a new mom and she needs to see her baby. That’s keeping this bond going, it’s really, it’s important,” Lisa recalls, tearing up. “That was the hard part, was not getting to see her.”\u003c/p>\n\u003cp>About five days into her time there, Lisa’s family was able to negotiate short one-hour visits with her daughter, supervised by a person who kept looking at his watch.\u003c/p>\n\u003cp>Lisa’s family was so unhappy with her care at the hospital that her husband practically broke her out of there. They found Dr. Dhami and asked her to take over Lisa’s treatment. She enrolled in a comprehensive outpatient program Dhami runs at El Camino Hospital, called the Maternal Outreach Mood Services (MOMS) program, where Lisa could bring her baby along.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/stateofhealth/362850/to-screen-or-not-to-screen-doctors-debate-post-partum-depression-testing\">To Screen or Not to Screen? Doctors Debate Post Partum Depression Testing\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/stateofhealth/362850/to-screen-or-not-to-screen-doctors-debate-post-partum-depression-testing\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/wp-content/uploads/sites/27/2018/03/Wendy-Root-Askew-1180x885.jpg\" alt=\"\" />\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Dr. Dhami says separating a mother from her newborn actually makes it harder for the mom to recover.\u003c/p>\n\u003cp>“A lot of times, symptoms of postpartum depression and psychosis involve the mother feeling that she’s like a bad mom,” she says. “It is a difficult situation for the mother to be in when she has so many negative thoughts and ruminations about herself and her ability to be a good mom.”\u003c/p>\n\u003cp>Under Dr. Dhami’s care, Lisa started to reclaim her grip on reality, but she didn’t know how long it would be before she’d start to feel better. She wondered if she’d ever feel like herself again.\u003c/p>\n\u003cp>California Pacific Medical Center declined to comment on Lisa’s case specifically, even though Lisa authorized the hospital to discuss her medical records. The inpatient psychiatric medical director, Dr. Stephanie Wilson, says breast pumps are now available to women who need them, and providers review new moms’ wishes to see their babies on a case-by-case basis.\u003c/p>\n\u003cp>“We take into full consideration all of the circumstances and the details of that patient, of the infant, and really seeing what, if any, benefit, or even potential harm, it could have to the mother,” Wilson says. “Once the symptoms of depression and psychosis start to get better, that’s when I would start to allow more visitations.”\u003c/p>\n\u003ch2>A Different Kind of Care for Moms\u003c/h2>\n\u003cp>There’s plenty of research dating back to the 1940’s on the ideal protocols for inpatient treatment of postpartum mental illnesses. The gold standard is to admit the mother and the baby into the hospital together, on a specialized mother-baby unit.\u003c/p>\n\u003cp>They’re treated as a pair. Part of the mom’s therapy is getting guidance on how to read the baby’s cues, and how to meet the baby’s needs as well as her own. At night, the baby sleeps in a supervised nursery, so mom can get uninterrupted sleep. In the United Kingdom, there are 21 of these mother-baby units. In France, there are 15. They’re in Belgium, New Zealand. There’s one in India.\u003c/p>\n\u003cp>In the U.S., there are zero.\u003c/p>\n\u003cp>The closest thing there is to a mother-baby unit in the U.S. is 3,000 miles from where Lisa lives – the hospital at the University of North Carolina in Chapel Hill.\u003c/p>\n\u003cp>The perinatal psychiatric unit here is reserved exclusively for pregnant women and new moms. They accept all kinds of commercial insurance and Medicaid, so any woman, wealthy or low-income can get treated here.\u003c/p>\n\u003cfigure id=\"attachment_11710976\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11710976\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/12/IMG_3438-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" />\u003cfigcaption class=\"wp-caption-text\">Nurse Anna Soloway reads from the “Dear Mom” book at the perinatal psychiatry unit at UNC-Chapel Hill. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>When women first arrive, nurses show them the “Dear Mom” book, where women who are close to being discharged write notes to the women just being admitted:\u003c/p>\n\u003cp>“Dear moms or mom to be: This place has saved my life and it will save yours…\u003c/p>\n\u003cp>Dear mom: You may think you’re the only “crazy” girl in the world like this, but I promise you, you’re not alone…\u003c/p>\n\u003cp>Dear mammas, you are strong, you are beyond brave and strong for coming here, and your family deserves you…\u003c/p>\n\u003cp>Dear mom: You are a wonderful mother…”\u003c/p>\n\u003cp>“There is a need for them to see other moms going through what they’re going through,” says psychiatrist Mary Kimmel, who runs the unit. She wears a denim jacket and black suede ankle boots, and whenever a patient asks if she’s a mom, too, she says yes, she had two kids.\u003c/p>\n\u003cp>She says everything here is tailored to the specific needs of new moms. Every room has a hospital-grade breast pump, there’s a lactation consultant who helps women with breastfeeding, and there’s a designated refrigerator for moms to store pumped milk.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/futureofyou/2703/womens-health-is-too-often-overlooked-will-digital-health-be-the-exception\">Women’s Health is Too Often Overlooked; Will Digital Health be the Exception?\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/futureofyou/2703/womens-health-is-too-often-overlooked-will-digital-health-be-the-exception\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/wp-content/uploads/sites/27/2016/11/sad-child-770.jpg\" alt=\"\" />\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>The most distinctive feature about the program is the visitor policy. Most afternoons, the unit is bustling with husbands and kids.\u003c/p>\n\u003cp>“Babies can come to the unit and we really encourage that,” Kimmel says. “We encourage older kids to also come to the unit.”\u003c/p>\n\u003cp>Toddlers scurry around the day room during visiting hours, coloring, playing with toys, playing with each other. Women cradle their newborns, rocking them, feeding them.\u003c/p>\n\u003cp>The babies are not allowed to stay overnight though. There’s no nursery here like the units in Europe.\u003c/p>\n\u003cp>The main reason for that is the insurance companies.\u003c/p>\n\u003cp>Kimmel says no insurer in the U.S. would ever pay for a healthy baby to be admitted to the hospital.\u003c/p>\n\u003cp>“That baby doesn’t have a distinct need to be admitted and so it’s not possible to bill for that baby being at the hospital,” she says. And without that, the hospital can’t afford to run a nursery.\u003c/p>\n\u003cfigure id=\"attachment_11710977\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11710977\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/12/IMG_3469-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" />\u003cfigcaption class=\"wp-caption-text\">Psychiatrist Mary Kimmel runs the mom’s psychiatry unit at UNC-Chapel Hill. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The unit is small — it has five beds — and women spend most of their time in the day room, a hospital lounge with a table and couch and a TV that’s usually tuned in to a home makeover show. The staff do what they can to make it feel homey here, less like a hospital, but there’s still a wall of glass around the nurses’ station, and patients have to knock on the window when they come to ask for something.\u003c/p>\n\u003cp>The days are very structured, with a range of treatments, all tailored specifically to pregnant women and new moms. There’s one-on-one therapy and lots of group classes: parenting and time management lessons, where women practice asking their partner for help. And a favorite among the moms: relaxation class.\u003c/p>\n\u003cp>“Get yourself as comfortable as you can, let your body relax,” murmurs recreational therapist Amber Koo over slow meditation music.\u003c/p>\n\u003cp>She puts on a special light machine that projects little stars onto the ceiling. That gives women a place to focus their mind, away from the negative thoughts coursing through their heads.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/mindshift/32835/got-a-minute-try-meditating\">Got a Minute? Try Meditating!\u003c/a>\u003c/h3>\n\u003c/aside>\n\u003cp>“Allow your breath to start going in your nose slowly,” Koo says.\u003c/p>\n\u003cp>For Alice Sarti, the moms unit at UNC was the first place that gave her hope as a new mom. After she had her son, she became engulfed by mania. She had dealt with depression many times before, but never this.\u003c/p>\n\u003cp>“Every minute I had to fill with a task: researching daycares, doing and re-doing my budget,” she says. “I’m not going to line up three bottles, I’m going to line up 17 bottles.”\u003c/p>\n\u003cp>She became an exaggerated version of herself. Super mom. She’s a business analyst and loves getting things done. She loved how productive she was. But then things started to spiral.\u003c/p>\n\u003cp>“There was a definite snap,” she says. “I started yelling about things that didn’t make sense. They made sense to me.”\u003c/p>\n\u003cp>It’s like the television show Homeland, when bipolar CIA agent Carrie Mathison sets up a situation room. She covers the walls with news articles and photos of the terrorists she’s chasing. She criss-crosses yellow string in all directions to illustrate the connections she sees.\u003c/p>\n\u003cp>It was like that in Alice’s mind.\u003c/p>\n\u003cp>“There was a logical chain there in my head, but externally those links were so far apart,” she says.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘I did have a social worker tell me I was going to lose my child if I didn’t ‘pull it together,’\u003ccite>Alice Sarti, new mother\u003c/cite>\u003c/aside>\n\u003cp>To her family, it was just an incoherent rage. They called the police and they took Alice to the nearest hospital that had an available bed, in this case, not the mom’s unit at UNC, but rather a general psych ward.\u003c/p>\n\u003cp>“You saw people that couldn’t speak, that could barely walk. People that were discharged in that condition,” she says.\u003c/p>\n\u003cp>Alice didn’t want to be drugged like that. She refused to take any meds, and that made her unpopular with the staff.\u003c/p>\n\u003cp>“I did have a social worker tell me I was going to lose my child if I didn’t ‘pull it together,’” she says.\u003c/p>\n\u003cp>During her three-week stay, she saw her son once, for 20 minutes.\u003c/p>\n\u003cp>“I was not able to touch him on any level. He was in his car seat and I reached for him and I was yelled at,” she says.\u003c/p>\n\u003cp>It’s hard for her to admit what it was like coming back to him, after she was discharged.\u003c/p>\n\u003cp>“It felt like a burden,” she says. “It felt like, ‘How am I ever going to do this?’ I held him, I bathed him, and I did all the things, but the connection was not there. I lost time with my son and I’m never going to get it back.”\u003c/p>\n\u003cp>Alice was not feeling better when she was sent home from that hospital. She ended up in another hospital, and discharged again, her mania still boiling. She eventually ended up at the mom’s psych unit at UNC Chapel Hill.\u003c/p>\n\u003cp>Finally, everyone seemed to understand what she was going through, the pressure she was feeling, the guilt. She saw her son regularly, and staff helped her start to re-establish her bond with him.\u003c/p>\n\u003cp>“It was this incredibly nurturing environment,” she says. “It changed the trajectory of my life and my son’s life.”\u003c/p>\n\u003cfigure id=\"attachment_11710979\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11710979\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/12/us_0918-800x450.jpg\" alt=\"\" width=\"800\" height=\"450\" />\u003cfigcaption class=\"wp-caption-text\">Alice Sarti got help at the mom’s unit reconnecting with her son, and recovering from postpartum mental illness. \u003ccite>(Courtesy of Alice Sarti)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But even at this seemingly perfect place, things go wrong. When Alice was discharged, her mania cleared. But then she slipped into the deepest, darkest depression she had ever known. She checked herself into UNC again, afraid she was going to kill herself.\u003c/p>\n\u003cp>With Alice, and other patients, doctors are under so much pressure to get moms home quickly, sometimes they overshoot on the medications, says Dr. Mary Kimmel, who runs the unit. Some of that pressure comes from the moms themselves, who want to be with their kids, but it also comes from the insurance companies.\u003c/p>\n\u003cp>UNC’s mom’s unit pays the bills like other hospitals – they take insurance to cover the costs of care.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/futureofyou/442703/u-s-suicide-rates-are-rising-faster-among-women-than-men\">U.S. Suicide Rates Are Rising Faster Among Women Than Men\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/futureofyou/442703/u-s-suicide-rates-are-rising-faster-among-women-than-men\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/06/gender-depression-1-c396c6b070b1002bd68febe0f9805c93a75ea72a-1-1180x885.jpg\" alt=\"\" />\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>But the longer a patient stays, the more an insurer has to pay, and that’s not good for their bottom line. Kimmel and other doctors say as soon as a patient comes off suicide watch, insurers start calling, asking when she can go home.\u003c/p>\n\u003cp>“Our average length of stay runs from about one week to two weeks,” Kimmel says.\u003c/p>\n\u003cp>In Europe?\u003c/p>\n\u003cp>“About 40 to 50 days is the average length of stay there,” she says.\u003c/p>\n\u003cp>That means doctors in the U.S. start patients on new drugs, but don’t have time to see if they work. Or, they have to start women on the most intense medications that force her to stop breastfeeding, instead of slower therapies that could extend the mother’s time to feed her infant breast milk.\u003c/p>\n\u003cp>It also means that patients like Alice can end up hospitalized four times before they get better.\u003c/p>\n\u003cp>Insurers insist the decision to discharge is not just about cost, but about what’s best for patients.\u003c/p>\n\u003cp>“We want to make sure that they’re getting the care that they need in the most appropriate setting,” says Kate Berry, senior vice president of Clinical Innovation for America’s Health Insurance Plans, a trade group for insurers.\u003c/p>\n\u003cp>Hospitals are not necessarily the ideal environment, she says, especially for making sure medications are stabilized.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11632413/the-plan-to-get-women-vets-to-use-more-health-services\">The Plan to Get Women Vets to Use More Health Services\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11632413/the-plan-to-get-women-vets-to-use-more-health-services\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/wp-content/uploads/sites/10/2017/11/178431-full-1020x680.jpg\" alt=\"\" />\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>“There are other settings where the care can continue,” she says, “such as a partial hospital or an intensive outpatient care setting that may be more supportive of having the mom and the baby together.”\u003c/p>\n\u003cp>Alice says mental hospitals in the US are just warehousing people. Only the mom’s unit felt like a place of healing, and despite the limitations of the system, it was the only thing that worked for her.\u003c/p>\n\u003cp>“It’s a different kind of place,” she says. “It’s the type of mental health care that everyone should have access to, not just mothers. That’s what mental health care in this country should look like, and it doesn’t come close.”\u003c/p>\n\u003cp>Right now, UNC is the only hospital in the country that has a designated psych unit just for pregnant women and new moms. A hospital in New York has a women’s only unit. And El Camino Hospital in Mountain View, where Dr. Dhami practices, will soon start construction on a women’s-only psych unit with a special focus on new moms. It’s slated to open in 2019.\u003c/p>\n\u003ch2>Back in Silicon Valley\u003c/h2>\n\u003cp>Two years after giving birth, Lisa Abramson plays catch with her daughter Lucy.\u003c/p>\n\u003cp>“Ready? Set? Go!” Lucy shouts, and Lisa rolls her a mini rubber soccer ball.\u003c/p>\n\u003cfigure id=\"attachment_11710982\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11710982\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/12/IMG_2269-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" />\u003cfigcaption class=\"wp-caption-text\">Lisa plays ball with her daughter, Lucy, age two pictured here. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lisa feels like she’s back to her normal self. But she’s been thinking a lot about her experience with postpartum psychosis.\u003c/p>\n\u003cp>Lisa is pregnant again.\u003c/p>\n\u003cp>“That was the most courageous moment of my life,” she says. “Without knowing anything of how this is really going to work out, ‘let’s try it again.’\u003c/p>\n\u003cp>She’s terrified, though, the psychosis will come back.\u003c/p>\n\u003cp>“It might still happen again. They say there’s about a 50 percent chance,” she says. “I can try to set up a more optimal situation, but you also just don’t know and it’s out of your control, which is hard.”\u003c/p>\n\u003cp>The number one thing she wants to avoid – is going back to the hospital.\u003c/p>\n\u003cp>“The hospitalization was probably the most traumatic of the whole experience,” Lisa says.\u003c/p>\n\u003cp>Her plan this time around is to make sure she’s getting enough sleep. She’s going to have a therapist and psychiatrist lined up if she needs medication. And if she can’t stand the tyranny of the breastfeeding schedule, she’s going to let it go. More than anything else, she’s giving herself permission to put herself first.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘I’m trying to put myself first, guilt-free, and know that that makes me a better mom.’\u003ccite>Lisa Abramson\u003c/cite>\u003c/aside>\n\u003cp>Part of the inspiration for this is…Oprah. Lisa’s been listening to the podcast Making Oprah, chronicling the history of the daytime talk show.\u003c/p>\n\u003cp>In it, Oprah talks about a show they were producing about where women put themselves on their “list.” She interviewed a life coach who had women draw up a list of all the people and things they needed to take care of. Then Oprah asked, where are you on that list?\u003c/p>\n\u003cp>Most of the women said, “I wasn’t on the list at all.” And if they were, they were last.\u003c/p>\n\u003cp>Lisa was shocked by what happened next.\u003c/p>\n\u003cp>“Then the coach said, ‘Okay, I want you to put you at the top of that list,’” Lisa says. “And the crowd booed. They booed her off the stage.”\u003c/p>\n\u003cp>That was 1992.\u003c/p>\n\u003cp>Lisa says, today in Silicon Valley, it doesn’t feel like much has changed. This is Ground Zero for women striving to have it all: high-stress career running a tech company, and two perfect kids. Women here think the over-achiever culture is one reason postpartum depression and anxiety rates are higher in California compared to the rest of the country.\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11486296/california-senate-votes-to-expand-parental-leave-law\">California Senate Votes to Expand Parental Leave Law\u003c/a>\u003c/h3>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11486296/california-senate-votes-to-expand-parental-leave-law\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/wp-content/uploads/sites/10/2017/05/RS25455_20170515_StateCapitol_Sen_Hannah-BethJackson_credit_BertJohnson-2-qut-1180x787.jpg\" alt=\"\" />\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>Lisa says she still feels intense pressure to be the perfect mom.\u003c/p>\n\u003cp>“We’ve got so many messages of just self-sacrifice: Do anything for your kids, drop everything. That’s what it means to be a good mom and for me, that’s not what made me a good mom. That’s what made me fall apart,” she says. “I’m trying to put myself first, guilt-free, and know that that makes me a better mom.”\u003c/p>\n\u003cp>Lisa feels so strongly about this, she’s writing a book about it. It’s called the “Wise Mama Guide to Maternity Leave,” and it’s all about convincing Silicon Valley go-getters how to go easy on themselves when they have a baby.\u003c/p>\n\u003cp>She says throw out those ideas of fitting into your skinny jeans in a few weeks, pushing a cute stroller all put together. Shift your goals from giving a presentation to 100 people, to changing 15 diapers in a day.\u003c/p>\n\u003cp>“At Trader Joe’s, they say ‘Do you want help out to your car?’ Just say yes and practice feeling uncomfortable getting other people to really help you,” Lisa says.\u003c/p>\n\u003cp>Some Silicon Valley companies have asked Lisa to come talk to their female employees about how to not be so Type A about their maternity leave. She gives online courses, too.\u003c/p>\n\u003cp>“They’re like, ‘Oh I thought I could still get some stuff done, or I could tackle a project that I’ve been forgetting about during maternity leave.’ I’m like, ‘No, no,” she says.\u003c/p>\n\u003cp>It’s an interesting message from a woman who is herself cranking out a book while she’s pregnant. But then again, that’s the point. Finish everything well before the baby comes.\u003c/p>\n\u003cfigure id=\"attachment_11710983\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11710983\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/12/Lisa-and-Baby-Vivian_Aug-2017-800x532.jpg\" alt=\"\" width=\"800\" height=\"532\" />\u003cfigcaption class=\"wp-caption-text\">Lisa Abramson snuggles with her youngest daughter, Vivian. \u003ccite>(Claire Mulkey)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lucy, is almost five now. Her second daughter, Vivian, is a year and a half.\u003c/p>\n\u003cp>The postpartum psychosis did not come again. With all the precautions Lisa took to protect her sleep, to ask for help, to put herself first, she warded off the helicopters and the snipers.\u003c/p>\n\u003cp>Lisa says she loves being a mom.\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "rohnert-park-police-department-says-its-fixing-seizure-policies-as-it-faces-yet-another-suit",
"title": "Rohnert Park Police Department Says It’s Fixing Seizure Policies as It Faces Yet Another Suit",
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"headTitle": "Rohnert Park Police Department Says It’s Fixing Seizure Policies as It Faces Yet Another Suit | KQED",
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"content": "\u003cp>The Rohnert Park Department of Public Safety is announcing revised policies aimed at tracking money and other evidence taken by police officers. The city says the changes come at the preliminary recommendation of a police policy consultant hired to investigate the department’s drug and cash seizures.\u003c/p>\n\u003cp>And the city faces yet another lawsuit in connection with those same seizures.\u003c/p>\n\u003caside class=\"alignleft\">\n\u003ch4 style=\"text-align: center\">\u003ca href=\"https://www.kqed.org/news/11673412/highway-robbery-drivers-allege-rohnert-park-police-illegally-seized-cannabis-cash\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"color: #000000\">‘Highway Robbery’: Drivers Allege Rohnert Park Police Illegally Seized Cannabis, Cash\u003c/span>\u003c/a>\u003c/h4>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11673412/highway-robbery-drivers-allege-rohnert-park-police-illegally-seized-cannabis-cash\" target=\"_blank\" rel=\"noopener\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/06/RS31344_IMG_3493-qut.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>The suit filed Thursday in federal court alleges that Rohnert Park police officers violated the civil rights of a cannabis farmer. It is the second lawsuit to be filed against Rohnert Park since \u003ca href=\"https://www.kqed.org/news/11673412/highway-robbery-drivers-allege-rohnert-park-police-illegally-seized-cannabis-cash\" target=\"_blank\" rel=\"noopener\">KQED reported\u003c/a> on a series of allegations that Rohnert Park officers illegally seized marijuana and cash from them.\u003c/p>\n\u003cp>Rohnert Park Assistant City Manager Don Schwartz wrote in an email that the city cannot comment on pending litigation. He said that an internal investigation launched around April is ongoing.\u003c/p>\n\u003cp>The sergeant at the center of the allegations, Jacy Tatum, quit the department in June. In August, the director of the department, Brian Masterson, \u003ca href=\"https://www.kqed.org/news/11681642/rohnert-park-police-chief-to-retire-amid-questions-over-seized-marijuana-and-cash\" target=\"_blank\" rel=\"noopener\">retired\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>‘Putting it on Paper’\u003c/strong>\u003c/p>\n\u003cp>In response to the allegations, the city also hired former Oakland Police Chief Howard Jordan to investigate the department’s drug and cash seizure practices and policies. Jordan’s full report has not yet been presented to the City Council, and he declined to comment because he is not authorized to speak about the investigation.\u003c/p>\n\u003cp>But Rohnert Park police Cmdr. Aaron Johnson said the following recommended policy changes are already underway:\u003c/p>\n\u003cul>\n\u003cli>Seized cash will be counted on camera.\u003c/li>\n\u003cli>If cash seizure exceeds $1,000, a supervisor will do a verification count.\u003c/li>\n\u003cli>Documentation of the circumstances of the seizure\u003c/li>\n\u003cli>Documentation of the names of people who have had property seized\u003c/li>\n\u003cli>Hiring a second property technician\u003c/li>\n\u003cli>Installing cameras in the property room\u003c/li>\n\u003cli>Creating a room for evidence processing\u003c/li>\n\u003cli>A new property and evidence packaging manual\u003c/li>\n\u003c/ul>\n\u003cp>Johnson said these changes are primarily a clarification of the department’s written policy, as Jordan has recommended. Johnson said he and his fellow officers were already following the procedures laid out in the new policy for the most part.\u003c/p>\n\u003cp>“Obviously, it is not a secret that there are a couple cases in which it didn’t happen, allegedly,” Johnson said. “It’s nice to have someone from the outside come in and say, ‘Hey, why don’t you try this language or change it this way so that it is crystal-clear in the event anyone ever had a question on how to do it’.”\u003c/p>\n\u003cp>Over the past three to four months, Johnson said, the evidence clerk has also worked to inventory every piece of evidence in the department’s property room. He said nothing was missing.\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003cspan style=\"font-size: x-large\">‘I commend them for getting to Kindergarten Cop level with all this stuff’\u003c/span>\u003ccite>Izaak Schwaiger\u003c/cite>\u003c/aside>\n\u003cp>“I checked a homicide case from the ’80s,” Johnson said. “And I can’t tell you what the evidence was, but the clerk went right to the freezer, opened the freezer, pulled the envelope out and, lo and behold, there was evidence from the ’80s on a homicide case.”\u003c/p>\n\u003cp>Johnson would not directly address whether former Sgt. Tatum was operating outside the policies and procedures of the department.\u003c/p>\n\u003cp>Johnson said media scrutiny of “a few incidents” have tainted the whole department.\u003c/p>\n\u003cp>“We do a great job at providing excellent service to our community,” he said. “Unfortunately, this did not help us.”\u003c/p>\n\u003cp>\u003cstrong>Mounting Litigation\u003c/strong>\u003c/p>\n\u003cp>The \u003ca href=\"https://www.documentcloud.org/documents/5662973-HuedellComplaint.html\" target=\"_blank\" rel=\"noopener\">lawsuit\u003c/a> filed Thursday stems from a Dec. 29, 2017, traffic stop. Then-Sgt. Tatum and Officer Joseph Huffaker pulled over Huedell Freeman as he was driving past Cloverdale, a small town about 40 miles north of Rohnert Park on the Mendocino-Sonoma County border.\u003c/p>\n\u003cp>The complaint alleges that the officers unlawfully pulled Freeman over and seized 47 pounds of marijuana from the 60-year-old cannabis farmer. Freeman has said he was transporting his legally grown product to a legal dispensary in Southern California. He tried through his lawyer to recover his cannabis.\u003c/p>\n\u003cfigure id=\"attachment_11673823\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11673823 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut-800x600.jpg\" alt=\"Huedell Freeman was pulled over by Rohnert Park Public Safety Officers on December 29, 2017.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut-1200x900.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut-1180x885.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Huedell Freeman was pulled over by Rohnert Park Public Safety officers on Dec. 29, 2017. \u003ccite>(Sukey Lewis/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The city never returned it.\u003c/p>\n\u003cp>Freeman is suing for the value of the cannabis and for damages related to the allegedly unlawful stop.\u003c/p>\n\u003cp>His attorney, Stephen Gallenson, said Freeman filed the suit because he wants to be made whole financially, but also because he wants to prevent this kind of thing from happening to someone else.\u003c/p>\n\u003cp>“This is just outrageous conduct,” Gallenson said. “I think Hue feels that way, and he wanted to do something that would stop law enforcement, in this particular case Rohnert Park police department, from engaging in this behavior.”\u003c/p>\n\u003cp>City officials said they could not comment on the lawsuit. Rohnert Park denied an earlier claim for damages Freeman filed with the city.\u003c/p>\n\u003caside class=\"alignleft\">\n\u003ch4 style=\"text-align: center\">\u003ca href=\"https://www.kqed.org/news/11678122/documentation-missing-for-at-least-800-pounds-of-marijuana-seized-by-rohnert-park-police\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"color: #000000\">Records Missing for at Least 800 Pounds of Marijuana Seized by Rohnert Park Police\u003c/span>\u003c/a>\u003c/h4>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11678122/documentation-missing-for-at-least-800-pounds-of-marijuana-seized-by-rohnert-park-police\" target=\"_blank\" rel=\"noopener\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/07/rohnertpot_final001-1180x631.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>A Texas resident named Zeke Flatten filed a lawsuit against Rohnert Park in November. That complaint alleges Rohnert Park officers conspired to steal 3 pounds of cannabis from him during a traffic stop. On Thursday, the city filed a \u003ca href=\"https://www.documentcloud.org/documents/5657219-MotiontoDismissFlatten1.html\" target=\"_blank\" rel=\"noopener\">motion to dismiss\u003c/a> the suit, denying Flatten’s claims.\u003c/p>\n\u003cp>One of the attorneys representing Flatten, Izaak Schwaiger, said the department’s recent policy changes could signal a step in the right direction, but they’re long overdue.\u003c/p>\n\u003cp>“I mean, I commend them for getting to Kindergarten Cop level with all this stuff,” Schwaiger said. “That’s terrific. But if this is their best response to really compelling evidence that they’ve got a corrupt and criminal element within their organization, it’s never going to be enough.”\u003c/p>\n\u003cp>\u003cstrong>More Change on the Horizon?\u003c/strong>\u003c/p>\n\u003cp>Another attorney who recently \u003ca href=\"https://www.kqed.org/news/11702984/federal-jury-rohnert-park-police-violated-couples-constitutional-rights\" target=\"_blank\" rel=\"noopener\">won a case at trial\u003c/a> against Rohnert Park is also seeking to change the way the city’s police do business. A federal jury found in November that Tatum and two other officers violated a couple’s constitutional rights during a 2014 search of their home. The officers were looking for Elva and Raul Barajas’ adult son, who was on probation.\u003c/p>\n\u003cp>The jury awarded the couple $70,000 in punitive damages against Tatum, who entered their home through the back door with his gun drawn as two other officers talked with Barajas at their front door.\u003c/p>\n\u003cp>The Barajas’ attorney, Arturo González, is seeking a court order that would require the department to create a written policy for probation searches, and additional training for officers doing probation searches.\u003c/p>\n\u003caside class=\"alignright\">\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11681642/rohnert-park-police-chief-to-retire-amid-questions-over-seized-marijuana-and-cash\" target=\"_blank\" rel=\"noopener\">Rohnert Park Police Chief to Retire Amid Questions Over Seized Marijuana and Cash\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11701249/ex-cops-credibility-is-key-question-in-federal-suit-against-rohnert-park\" target=\"_blank\" rel=\"noopener\">Ex-Cop’s Credibility Is Key Question in Federal Suit Against Rohnert Park\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11702984/federal-jury-rohnert-park-police-violated-couples-constitutional-rights\" target=\"_blank\" rel=\"noopener\">Federal Jury: Rohnert Park Police Violated Couple’s Constitutional Rights\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>“They can’t be running in through the back door when the officers are knocking on the front,” González said. “They only should search the areas that the law allows them to search. And lastly, and this is important, they shouldn’t be conducting probation searches when nobody is home.”\u003c/p>\n\u003cp>“The City is currently evaluating its options regarding the Barajas matter,” Assistant City Manager Schwartz wrote in an email. “We have no further comment at this time.”\u003c/p>\n\u003cp>A judge is set to hear arguments on the request for a court order in early January. González said he will also seek to recover about $500,000 in legal fees in connection with the case.\u003c/p>\n\u003cp>\u003cstrong>Looking Ahead\u003c/strong>\u003c/p>\n\u003cp>The city has also hired a new director of its public safety department.\u003c/p>\n\u003cp>Cmdr. Johnson was on the committee that hired Tim Mattos, the former police chief of Suisun City, to lead the department.\u003c/p>\n\u003cp>Mattos “seems like a phenomenal human being,” Johnson said. “And from everything I’ve heard, he’s all about the community. He’s about accountability, which is good, and he’s also about mentorship and developing people.”\u003c/p>\n\u003cp>Johnson said he is looking forward to 2019.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“We’re going to get through our stains and our black eyes,” he said. “And we’re not just putting makeup on the black eye. Our black eyes are going to heal. We’re going to move forward.”\u003c/p>\n\n",
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"title": "Rohnert Park Police Department Says It’s Fixing Seizure Policies as It Faces Yet Another Suit | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Rohnert Park Department of Public Safety is announcing revised policies aimed at tracking money and other evidence taken by police officers. The city says the changes come at the preliminary recommendation of a police policy consultant hired to investigate the department’s drug and cash seizures.\u003c/p>\n\u003cp>And the city faces yet another lawsuit in connection with those same seizures.\u003c/p>\n\u003caside class=\"alignleft\">\n\u003ch4 style=\"text-align: center\">\u003ca href=\"https://www.kqed.org/news/11673412/highway-robbery-drivers-allege-rohnert-park-police-illegally-seized-cannabis-cash\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"color: #000000\">‘Highway Robbery’: Drivers Allege Rohnert Park Police Illegally Seized Cannabis, Cash\u003c/span>\u003c/a>\u003c/h4>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11673412/highway-robbery-drivers-allege-rohnert-park-police-illegally-seized-cannabis-cash\" target=\"_blank\" rel=\"noopener\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/06/RS31344_IMG_3493-qut.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>The suit filed Thursday in federal court alleges that Rohnert Park police officers violated the civil rights of a cannabis farmer. It is the second lawsuit to be filed against Rohnert Park since \u003ca href=\"https://www.kqed.org/news/11673412/highway-robbery-drivers-allege-rohnert-park-police-illegally-seized-cannabis-cash\" target=\"_blank\" rel=\"noopener\">KQED reported\u003c/a> on a series of allegations that Rohnert Park officers illegally seized marijuana and cash from them.\u003c/p>\n\u003cp>Rohnert Park Assistant City Manager Don Schwartz wrote in an email that the city cannot comment on pending litigation. He said that an internal investigation launched around April is ongoing.\u003c/p>\n\u003cp>The sergeant at the center of the allegations, Jacy Tatum, quit the department in June. In August, the director of the department, Brian Masterson, \u003ca href=\"https://www.kqed.org/news/11681642/rohnert-park-police-chief-to-retire-amid-questions-over-seized-marijuana-and-cash\" target=\"_blank\" rel=\"noopener\">retired\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>‘Putting it on Paper’\u003c/strong>\u003c/p>\n\u003cp>In response to the allegations, the city also hired former Oakland Police Chief Howard Jordan to investigate the department’s drug and cash seizure practices and policies. Jordan’s full report has not yet been presented to the City Council, and he declined to comment because he is not authorized to speak about the investigation.\u003c/p>\n\u003cp>But Rohnert Park police Cmdr. Aaron Johnson said the following recommended policy changes are already underway:\u003c/p>\n\u003cul>\n\u003cli>Seized cash will be counted on camera.\u003c/li>\n\u003cli>If cash seizure exceeds $1,000, a supervisor will do a verification count.\u003c/li>\n\u003cli>Documentation of the circumstances of the seizure\u003c/li>\n\u003cli>Documentation of the names of people who have had property seized\u003c/li>\n\u003cli>Hiring a second property technician\u003c/li>\n\u003cli>Installing cameras in the property room\u003c/li>\n\u003cli>Creating a room for evidence processing\u003c/li>\n\u003cli>A new property and evidence packaging manual\u003c/li>\n\u003c/ul>\n\u003cp>Johnson said these changes are primarily a clarification of the department’s written policy, as Jordan has recommended. Johnson said he and his fellow officers were already following the procedures laid out in the new policy for the most part.\u003c/p>\n\u003cp>“Obviously, it is not a secret that there are a couple cases in which it didn’t happen, allegedly,” Johnson said. “It’s nice to have someone from the outside come in and say, ‘Hey, why don’t you try this language or change it this way so that it is crystal-clear in the event anyone ever had a question on how to do it’.”\u003c/p>\n\u003cp>Over the past three to four months, Johnson said, the evidence clerk has also worked to inventory every piece of evidence in the department’s property room. He said nothing was missing.\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003cspan style=\"font-size: x-large\">‘I commend them for getting to Kindergarten Cop level with all this stuff’\u003c/span>\u003ccite>Izaak Schwaiger\u003c/cite>\u003c/aside>\n\u003cp>“I checked a homicide case from the ’80s,” Johnson said. “And I can’t tell you what the evidence was, but the clerk went right to the freezer, opened the freezer, pulled the envelope out and, lo and behold, there was evidence from the ’80s on a homicide case.”\u003c/p>\n\u003cp>Johnson would not directly address whether former Sgt. Tatum was operating outside the policies and procedures of the department.\u003c/p>\n\u003cp>Johnson said media scrutiny of “a few incidents” have tainted the whole department.\u003c/p>\n\u003cp>“We do a great job at providing excellent service to our community,” he said. “Unfortunately, this did not help us.”\u003c/p>\n\u003cp>\u003cstrong>Mounting Litigation\u003c/strong>\u003c/p>\n\u003cp>The \u003ca href=\"https://www.documentcloud.org/documents/5662973-HuedellComplaint.html\" target=\"_blank\" rel=\"noopener\">lawsuit\u003c/a> filed Thursday stems from a Dec. 29, 2017, traffic stop. Then-Sgt. Tatum and Officer Joseph Huffaker pulled over Huedell Freeman as he was driving past Cloverdale, a small town about 40 miles north of Rohnert Park on the Mendocino-Sonoma County border.\u003c/p>\n\u003cp>The complaint alleges that the officers unlawfully pulled Freeman over and seized 47 pounds of marijuana from the 60-year-old cannabis farmer. Freeman has said he was transporting his legally grown product to a legal dispensary in Southern California. He tried through his lawyer to recover his cannabis.\u003c/p>\n\u003cfigure id=\"attachment_11673823\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11673823 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut-800x600.jpg\" alt=\"Huedell Freeman was pulled over by Rohnert Park Public Safety Officers on December 29, 2017.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut-1200x900.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut-1180x885.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31334_IMG_2735-qut-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Huedell Freeman was pulled over by Rohnert Park Public Safety officers on Dec. 29, 2017. \u003ccite>(Sukey Lewis/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The city never returned it.\u003c/p>\n\u003cp>Freeman is suing for the value of the cannabis and for damages related to the allegedly unlawful stop.\u003c/p>\n\u003cp>His attorney, Stephen Gallenson, said Freeman filed the suit because he wants to be made whole financially, but also because he wants to prevent this kind of thing from happening to someone else.\u003c/p>\n\u003cp>“This is just outrageous conduct,” Gallenson said. “I think Hue feels that way, and he wanted to do something that would stop law enforcement, in this particular case Rohnert Park police department, from engaging in this behavior.”\u003c/p>\n\u003cp>City officials said they could not comment on the lawsuit. Rohnert Park denied an earlier claim for damages Freeman filed with the city.\u003c/p>\n\u003caside class=\"alignleft\">\n\u003ch4 style=\"text-align: center\">\u003ca href=\"https://www.kqed.org/news/11678122/documentation-missing-for-at-least-800-pounds-of-marijuana-seized-by-rohnert-park-police\" target=\"_blank\" rel=\"noopener\">\u003cspan style=\"color: #000000\">Records Missing for at Least 800 Pounds of Marijuana Seized by Rohnert Park Police\u003c/span>\u003c/a>\u003c/h4>\n\u003cfigure>\u003ca href=\"https://www.kqed.org/news/11678122/documentation-missing-for-at-least-800-pounds-of-marijuana-seized-by-rohnert-park-police\" target=\"_blank\" rel=\"noopener\">\u003cimg decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/07/rohnertpot_final001-1180x631.jpg\" alt=\"\">\u003c/a>\u003c/figure>\n\u003c/aside>\n\u003cp>A Texas resident named Zeke Flatten filed a lawsuit against Rohnert Park in November. That complaint alleges Rohnert Park officers conspired to steal 3 pounds of cannabis from him during a traffic stop. On Thursday, the city filed a \u003ca href=\"https://www.documentcloud.org/documents/5657219-MotiontoDismissFlatten1.html\" target=\"_blank\" rel=\"noopener\">motion to dismiss\u003c/a> the suit, denying Flatten’s claims.\u003c/p>\n\u003cp>One of the attorneys representing Flatten, Izaak Schwaiger, said the department’s recent policy changes could signal a step in the right direction, but they’re long overdue.\u003c/p>\n\u003cp>“I mean, I commend them for getting to Kindergarten Cop level with all this stuff,” Schwaiger said. “That’s terrific. But if this is their best response to really compelling evidence that they’ve got a corrupt and criminal element within their organization, it’s never going to be enough.”\u003c/p>\n\u003cp>\u003cstrong>More Change on the Horizon?\u003c/strong>\u003c/p>\n\u003cp>Another attorney who recently \u003ca href=\"https://www.kqed.org/news/11702984/federal-jury-rohnert-park-police-violated-couples-constitutional-rights\" target=\"_blank\" rel=\"noopener\">won a case at trial\u003c/a> against Rohnert Park is also seeking to change the way the city’s police do business. A federal jury found in November that Tatum and two other officers violated a couple’s constitutional rights during a 2014 search of their home. The officers were looking for Elva and Raul Barajas’ adult son, who was on probation.\u003c/p>\n\u003cp>The jury awarded the couple $70,000 in punitive damages against Tatum, who entered their home through the back door with his gun drawn as two other officers talked with Barajas at their front door.\u003c/p>\n\u003cp>The Barajas’ attorney, Arturo González, is seeking a court order that would require the department to create a written policy for probation searches, and additional training for officers doing probation searches.\u003c/p>\n\u003caside class=\"alignright\">\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11681642/rohnert-park-police-chief-to-retire-amid-questions-over-seized-marijuana-and-cash\" target=\"_blank\" rel=\"noopener\">Rohnert Park Police Chief to Retire Amid Questions Over Seized Marijuana and Cash\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11701249/ex-cops-credibility-is-key-question-in-federal-suit-against-rohnert-park\" target=\"_blank\" rel=\"noopener\">Ex-Cop’s Credibility Is Key Question in Federal Suit Against Rohnert Park\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11702984/federal-jury-rohnert-park-police-violated-couples-constitutional-rights\" target=\"_blank\" rel=\"noopener\">Federal Jury: Rohnert Park Police Violated Couple’s Constitutional Rights\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>“They can’t be running in through the back door when the officers are knocking on the front,” González said. “They only should search the areas that the law allows them to search. And lastly, and this is important, they shouldn’t be conducting probation searches when nobody is home.”\u003c/p>\n\u003cp>“The City is currently evaluating its options regarding the Barajas matter,” Assistant City Manager Schwartz wrote in an email. “We have no further comment at this time.”\u003c/p>\n\u003cp>A judge is set to hear arguments on the request for a court order in early January. González said he will also seek to recover about $500,000 in legal fees in connection with the case.\u003c/p>\n\u003cp>\u003cstrong>Looking Ahead\u003c/strong>\u003c/p>\n\u003cp>The city has also hired a new director of its public safety department.\u003c/p>\n\u003cp>Cmdr. Johnson was on the committee that hired Tim Mattos, the former police chief of Suisun City, to lead the department.\u003c/p>\n\u003cp>Mattos “seems like a phenomenal human being,” Johnson said. “And from everything I’ve heard, he’s all about the community. He’s about accountability, which is good, and he’s also about mentorship and developing people.”\u003c/p>\n\u003cp>Johnson said he is looking forward to 2019.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We’re going to get through our stains and our black eyes,” he said. “And we’re not just putting makeup on the black eye. Our black eyes are going to heal. We’re going to move forward.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "sidestepping-congress-trump-administration-proposes-more-work-rules-for-food-stamps",
"title": "Sidestepping Congress, Trump Administration Proposes More Work Rules for Food Stamps",
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"headTitle": "Sidestepping Congress, Trump Administration Proposes More Work Rules for Food Stamps | KQED",
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"content": "\u003cp>House Republicans couldn’t get stricter work rules for those who receive food stamps into law. So the Trump administration is attempting to sidestep Congress and add them anyway. \u003c/p>\n\u003cp>On Thursday, the Department of Agriculture unveiled \u003ca href=\"https://fns-prod.azureedge.net/sites/default/files/snap/ABAWDtoOFR.pdf\" rel=\"noopener\" target=\"_blank\">a regulatory proposal\u003c/a> to expand work requirements for those in the Supplemental Nutrition Assistance Program, or SNAP. \u003c/p>\n\u003cp>The proposed rule change makes it harder for states to waive work requirements in areas that have high unemployment, currently defined as 20 percent above the national average. \u003c/p>\n\u003cp>The USDA is calling for those waivers to be limited to one year, down from up to two years states can currently request. It also wants to slash states’ ability to “bank” waivers for future years and is pushing to restrict waivers under certain criteria where local unemployment is around 7 percent. \u003c/p>\n\u003cp>In all, the proposed rule could reduce areas that qualify for waivers by roughly 75 percent, according to USDA officials.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The change to the federal SNAP program, which is overseen by the USDA, comes on the same day President Trump is expected to sign the \u003ca href=\"https://www.npr.org/2018/12/11/673453156/farm-bill-compromise-reached-with-snap-changes-out-industrial-hemp-in\" rel=\"noopener\" target=\"_blank\">$867 billion \u003c/a>farm bill into law. \u003c/p>\n\u003cp>“These actions will save hard-working taxpayers $15 billion over 10 years,” said Agriculture Secretary Sonny Perdue, adding that the proposed rule would also get Trump “to support a farm bill he might otherwise have opposed.”\u003c/p>\n\u003cp>Under current law, able-bodied adults without dependents — commonly referred to by the acronym “ABAWDs” — are required to work 20 hours a week or be in a job training program. An ABAWD is classified as someone 18 to 49 who is not elderly, a woman who is pregnant or someone living with a disability. \u003c/p>\n\u003cp>According to a USDA \u003ca href=\"https://fns-prod.azureedge.net/sites/default/files/snap/ABAWDSFactSheet.pdf\" rel=\"noopener\" target=\"_blank\">fact sheet\u003c/a>, 2.8 million individual ABAWDs on SNAP rolls in 2016 were not working. If the proposed rule change from USDA is approved, roughly 755,000 would lose food stamp benefits as a result of the new waiver restrictions. \u003c/p>\n\u003cp>This is the latest push by the Trump administration to call for stricter work requirements as a way to move more Americans off public assistance and toward self-sufficiency, often pointing to the low unemployment rate, currently at 3.7 percent, as evidence jobs are available.\u003c/p>\n\u003cp>“This restores the dignity of work to a sizable segment of our population, while it’s also respectful of the taxpayers who fund the [SNAP] program,” Perdue said. \u003c/p>\n\u003cp>Farm bill negotiations were bogged down for months over work requirement provisions included in the \u003ca href=\"https://www.npr.org/2018/06/21/622365893/house-passes-farm-bill-with-controversial-work-requirements\" rel=\"noopener\" target=\"_blank\">House-passed\u003c/a> version of the farm bill. Those provisions, supported by House Republicans and the president were eventually \u003ca href=\"https://www.npr.org/2018/12/11/673453156/farm-bill-compromise-reached-with-snap-changes-out-industrial-hemp-in\" rel=\"noopener\" target=\"_blank\">weeded out\u003c/a> of the final bill. \u003c/p>\n\u003cp>Democrats on Capitol Hill lambasted the proposal, including Sen. Debbie Stabenow, D-Mich., the ranking member on the Senate Committee on Agriculture, Nutrition and Forestry, saying the change was “driven by ideology.” \u003c/p>\n\u003cp>“This regulation blatantly ignores the bipartisan Farm Bill that the president is signing today and disregards over 20 years of history giving states flexibility to request waivers based on local job conditions,” Stabenow said in a statement. \u003c/p>\n\u003cp>“I do not support unilateral and unjustified changes that would take food away from families,” she said.\u003c/p>\n\u003cp>Rep. Mike Conaway, R-Texas, the chairman of the House Agriculture committee, cheered the administration’s push. \u003c/p>\n\u003cp>“This is an issue we took head-on in the House-passed farm bill, creating a road map for states to more effectively engage [able-bodied adults without dependents] in this booming economy,” Conaway said in a statement. \u003c/p>\n\u003cp>“I applaud the proposed rule and proudly stand with the Trump administration in demonstrating the importance of state accountability and recipient success.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Once the proposed rule is published in the Federal Register, it will be open for 60 days for the public to comment. \u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Sidestepping+Congress%2C+Trump+Administration+Proposes+More+Work+Rules+For+Food+Stamps&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"excerpt": "The Agriculture Department wants to limit states' ability to apply for exemption waivers. It wants more able-bodied people to work in exchange for federal food benefits. ",
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"title": "Sidestepping Congress, Trump Administration Proposes More Work Rules for Food Stamps | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>House Republicans couldn’t get stricter work rules for those who receive food stamps into law. So the Trump administration is attempting to sidestep Congress and add them anyway. \u003c/p>\n\u003cp>On Thursday, the Department of Agriculture unveiled \u003ca href=\"https://fns-prod.azureedge.net/sites/default/files/snap/ABAWDtoOFR.pdf\" rel=\"noopener\" target=\"_blank\">a regulatory proposal\u003c/a> to expand work requirements for those in the Supplemental Nutrition Assistance Program, or SNAP. \u003c/p>\n\u003cp>The proposed rule change makes it harder for states to waive work requirements in areas that have high unemployment, currently defined as 20 percent above the national average. \u003c/p>\n\u003cp>The USDA is calling for those waivers to be limited to one year, down from up to two years states can currently request. It also wants to slash states’ ability to “bank” waivers for future years and is pushing to restrict waivers under certain criteria where local unemployment is around 7 percent. \u003c/p>\n\u003cp>In all, the proposed rule could reduce areas that qualify for waivers by roughly 75 percent, according to USDA officials.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The change to the federal SNAP program, which is overseen by the USDA, comes on the same day President Trump is expected to sign the \u003ca href=\"https://www.npr.org/2018/12/11/673453156/farm-bill-compromise-reached-with-snap-changes-out-industrial-hemp-in\" rel=\"noopener\" target=\"_blank\">$867 billion \u003c/a>farm bill into law. \u003c/p>\n\u003cp>“These actions will save hard-working taxpayers $15 billion over 10 years,” said Agriculture Secretary Sonny Perdue, adding that the proposed rule would also get Trump “to support a farm bill he might otherwise have opposed.”\u003c/p>\n\u003cp>Under current law, able-bodied adults without dependents — commonly referred to by the acronym “ABAWDs” — are required to work 20 hours a week or be in a job training program. An ABAWD is classified as someone 18 to 49 who is not elderly, a woman who is pregnant or someone living with a disability. \u003c/p>\n\u003cp>According to a USDA \u003ca href=\"https://fns-prod.azureedge.net/sites/default/files/snap/ABAWDSFactSheet.pdf\" rel=\"noopener\" target=\"_blank\">fact sheet\u003c/a>, 2.8 million individual ABAWDs on SNAP rolls in 2016 were not working. If the proposed rule change from USDA is approved, roughly 755,000 would lose food stamp benefits as a result of the new waiver restrictions. \u003c/p>\n\u003cp>This is the latest push by the Trump administration to call for stricter work requirements as a way to move more Americans off public assistance and toward self-sufficiency, often pointing to the low unemployment rate, currently at 3.7 percent, as evidence jobs are available.\u003c/p>\n\u003cp>“This restores the dignity of work to a sizable segment of our population, while it’s also respectful of the taxpayers who fund the [SNAP] program,” Perdue said. \u003c/p>\n\u003cp>Farm bill negotiations were bogged down for months over work requirement provisions included in the \u003ca href=\"https://www.npr.org/2018/06/21/622365893/house-passes-farm-bill-with-controversial-work-requirements\" rel=\"noopener\" target=\"_blank\">House-passed\u003c/a> version of the farm bill. Those provisions, supported by House Republicans and the president were eventually \u003ca href=\"https://www.npr.org/2018/12/11/673453156/farm-bill-compromise-reached-with-snap-changes-out-industrial-hemp-in\" rel=\"noopener\" target=\"_blank\">weeded out\u003c/a> of the final bill. \u003c/p>\n\u003cp>Democrats on Capitol Hill lambasted the proposal, including Sen. Debbie Stabenow, D-Mich., the ranking member on the Senate Committee on Agriculture, Nutrition and Forestry, saying the change was “driven by ideology.” \u003c/p>\n\u003cp>“This regulation blatantly ignores the bipartisan Farm Bill that the president is signing today and disregards over 20 years of history giving states flexibility to request waivers based on local job conditions,” Stabenow said in a statement. \u003c/p>\n\u003cp>“I do not support unilateral and unjustified changes that would take food away from families,” she said.\u003c/p>\n\u003cp>Rep. Mike Conaway, R-Texas, the chairman of the House Agriculture committee, cheered the administration’s push. \u003c/p>\n\u003cp>“This is an issue we took head-on in the House-passed farm bill, creating a road map for states to more effectively engage [able-bodied adults without dependents] in this booming economy,” Conaway said in a statement. \u003c/p>\n\u003cp>“I applaud the proposed rule and proudly stand with the Trump administration in demonstrating the importance of state accountability and recipient success.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Once the proposed rule is published in the Federal Register, it will be open for 60 days for the public to comment. \u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Sidestepping+Congress%2C+Trump+Administration+Proposes+More+Work+Rules+For+Food+Stamps&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"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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"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.",
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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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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"politicalbreakdown": {
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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"pri-the-world": {
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"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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},
"reveal": {
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"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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"officialWebsiteLink": "https://www.revealnews.org/episodes/",
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"order": 16
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},
"science-friday": {
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