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"content": "\u003cp>About two years ago, \u003ca href=\"https://www.kqed.org/science/677501/measure-aa-asks-bay-area-residents-to-help-protect-against-sea-level-rise\" target=\"_blank\" rel=\"noopener\">Bay Area voters passed Measure AA\u003c/a>, a regional $12 per year parcel tax, by nearly 70 percent. You might remember it as the “Clean and Healthy Bay” ballot measure. It’s goal is to restore thousands of acres of the the San Francisco Bay’s wetlands and to protect our shoreline against sea level rise.\u003c/p>\n\u003cp>Over the next 20 years, this tax is expected to raise $500 million for wetland restoration. Now part of that money is getting put to use. In April, the \u003ca href=\"http://sfbayrestore.org/\" target=\"_blank\" rel=\"noopener\">San Francisco Bay Restoration Authority\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11500303/a-year-after-measure-aa-passed-funding-remains-a-challenge-for-restoring-sf-bay-wetlands\" target=\"_blank\" rel=\"noopener\">the governing board set up by the state legislature to allocate Measure AA funds\u003c/a>, awarded close to $18 million in grants to eight projects.\u003c/p>\n\u003cfigure id=\"attachment_11675441\" class=\"wp-caption alignright\" style=\"max-width: 364px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11675441 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/06/map.png\" alt=\"Through Measure AA, eight restoration sites around the bay were awarded funds.\" width=\"364\" height=\"567\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/map.png 364w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/map-160x249.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/map-240x374.png 240w\" sizes=\"(max-width: 364px) 100vw, 364px\">\u003cfigcaption class=\"wp-caption-text\">Through Measure AA, eight restoration sites around the bay were awarded funds. \u003ccite>(Courtesy of the San Francisco Bay Restoration Authority)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>So where exactly is all that cash going to? To find that out we’ll \u003ca href=\"https://www.kqed.org/news/tag/measure-aa\" target=\"_blank\" rel=\"noopener\">visit all eight of the restoration sites\u003c/a> around the bay, plus an additional site slated to receive grant money later this year.\u003c/p>\n\u003cp>We start with the \u003ca href=\"http://www.southbayrestoration.org/\" target=\"_blank\" rel=\"noopener\">South Bay Salt Ponds Restoration Project\u003c/a>, which takes away more than $7 million from this first round of funding. This project is huge, spanning three counties: Alameda, Santa Clara and San Mateo. It aims to revitalize over 15,000 acres of former salt evaporation ponds over a 50-year period. That makes it the largest environmental restoration project West of the Mississippi.\u003c/p>\n\u003cp>Most of the money awarded to this project from the restoration authority will go towards habitat rehabilitation, flood protection measures and recreational improvements at five locations, focusing in on ponds in the Ravenswood and Alviso areas of the South Bay.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The best vantage point to view the entire salt pond project is from a plane above, but the peak of a windy hill in Bedwell Bayfront Park in Menlo Park can also give you a partial view of the ponds.\u003c/p>\n\u003cp>“If you look to the left you’ll see Greco Island which is a native salt marsh,” says John Bourgeois, executive manager for the project. “It’s a beautiful, lush green marsh at the margin of the bay.”\u003c/p>\n\u003cfigure id=\"attachment_11675417\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11675417 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut-800x534.jpg\" alt=\"\" width=\"800\" height=\"534\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut-1200x801.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut-1180x788.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut-960x641.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut-240x160.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut-375x250.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A view of two of the Ravenswood salt ponds that will be restored back to tidal wetlands. Facebook’s headquarters and the foot of the Dumbarton Bridge can be seen on the left. \u003ccite>(\u003ca href=\"https://www.flickr.com/photos/skrb/\">Yuichi Sakuraba\u003c/a>/flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Bourgeois says, Greco Island is untouched but the salt marshes around it were drained for its minerals. The difference between the two is stark.\u003c/p>\n\u003cp>“Pan over to the right and you see this bright white salt flat; you can see it’s kind of a moonscape,” says Bourgeois. “The goal of this project is to take what we’re seeing on the right here and convert it to what we see on the left here, this native lush tidal marsh.”\u003c/p>\n\u003cp>Other things you can see from this point: the foot of the Dumbarton Bridge, Highway 101, a PG&E substation and Facebook’s headquarters. All this infrastructure would benefit from the restoration because tidal marshes offer protection from sea level rise, says Bourgeois.\u003c/p>\n\u003cp>Although this project is huge in scale, it probably won’t be the next poster child for wetland restoration work. Frankly, it’s just not particularly beautiful. We’re not saving a redwood forest or cleaning up the banks of a beloved river here. But, Bourgeois says, beauty is in the eye of the beholder.\u003c/p>\n\u003cfigure id=\"attachment_11675416\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11675416 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut-1200x900.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut-1180x885.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The goal of the project is to get nearly all of the South Bay Salt Ponds looking like Greco Island (above), an untouched salt marsh near the Ravenswood salt ponds. \u003ccite>(\u003ca href=\"https://secure.flickr.com/photos/97276503@N02/\">Lindsay Kingston\u003c/a>/flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“They’re muddy and mucky and they smell but they are one of the most productive ecosystems on the planet, says Bourgeois. “They provide direct flood protection, they help clean the water and they have a tremendous amount of benefit beyond any sort of aesthetic or habitat value.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Project officials hope to start the restoration phase of a portion of the ponds, with the help of Measure AA money, this fall.\u003c/p>\n\n",
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"title": "South Bay Salt Ponds: It’s Not Pretty, Yet | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>About two years ago, \u003ca href=\"https://www.kqed.org/science/677501/measure-aa-asks-bay-area-residents-to-help-protect-against-sea-level-rise\" target=\"_blank\" rel=\"noopener\">Bay Area voters passed Measure AA\u003c/a>, a regional $12 per year parcel tax, by nearly 70 percent. You might remember it as the “Clean and Healthy Bay” ballot measure. It’s goal is to restore thousands of acres of the the San Francisco Bay’s wetlands and to protect our shoreline against sea level rise.\u003c/p>\n\u003cp>Over the next 20 years, this tax is expected to raise $500 million for wetland restoration. Now part of that money is getting put to use. In April, the \u003ca href=\"http://sfbayrestore.org/\" target=\"_blank\" rel=\"noopener\">San Francisco Bay Restoration Authority\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11500303/a-year-after-measure-aa-passed-funding-remains-a-challenge-for-restoring-sf-bay-wetlands\" target=\"_blank\" rel=\"noopener\">the governing board set up by the state legislature to allocate Measure AA funds\u003c/a>, awarded close to $18 million in grants to eight projects.\u003c/p>\n\u003cfigure id=\"attachment_11675441\" class=\"wp-caption alignright\" style=\"max-width: 364px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11675441 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/06/map.png\" alt=\"Through Measure AA, eight restoration sites around the bay were awarded funds.\" width=\"364\" height=\"567\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/map.png 364w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/map-160x249.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/map-240x374.png 240w\" sizes=\"(max-width: 364px) 100vw, 364px\">\u003cfigcaption class=\"wp-caption-text\">Through Measure AA, eight restoration sites around the bay were awarded funds. \u003ccite>(Courtesy of the San Francisco Bay Restoration Authority)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>So where exactly is all that cash going to? To find that out we’ll \u003ca href=\"https://www.kqed.org/news/tag/measure-aa\" target=\"_blank\" rel=\"noopener\">visit all eight of the restoration sites\u003c/a> around the bay, plus an additional site slated to receive grant money later this year.\u003c/p>\n\u003cp>We start with the \u003ca href=\"http://www.southbayrestoration.org/\" target=\"_blank\" rel=\"noopener\">South Bay Salt Ponds Restoration Project\u003c/a>, which takes away more than $7 million from this first round of funding. This project is huge, spanning three counties: Alameda, Santa Clara and San Mateo. It aims to revitalize over 15,000 acres of former salt evaporation ponds over a 50-year period. That makes it the largest environmental restoration project West of the Mississippi.\u003c/p>\n\u003cp>Most of the money awarded to this project from the restoration authority will go towards habitat rehabilitation, flood protection measures and recreational improvements at five locations, focusing in on ponds in the Ravenswood and Alviso areas of the South Bay.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The best vantage point to view the entire salt pond project is from a plane above, but the peak of a windy hill in Bedwell Bayfront Park in Menlo Park can also give you a partial view of the ponds.\u003c/p>\n\u003cp>“If you look to the left you’ll see Greco Island which is a native salt marsh,” says John Bourgeois, executive manager for the project. “It’s a beautiful, lush green marsh at the margin of the bay.”\u003c/p>\n\u003cfigure id=\"attachment_11675417\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11675417 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut-800x534.jpg\" alt=\"\" width=\"800\" height=\"534\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut-1200x801.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut-1180x788.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut-960x641.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut-240x160.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut-375x250.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31499_22504288767_321e598888_k-qut-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A view of two of the Ravenswood salt ponds that will be restored back to tidal wetlands. Facebook’s headquarters and the foot of the Dumbarton Bridge can be seen on the left. \u003ccite>(\u003ca href=\"https://www.flickr.com/photos/skrb/\">Yuichi Sakuraba\u003c/a>/flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Bourgeois says, Greco Island is untouched but the salt marshes around it were drained for its minerals. The difference between the two is stark.\u003c/p>\n\u003cp>“Pan over to the right and you see this bright white salt flat; you can see it’s kind of a moonscape,” says Bourgeois. “The goal of this project is to take what we’re seeing on the right here and convert it to what we see on the left here, this native lush tidal marsh.”\u003c/p>\n\u003cp>Other things you can see from this point: the foot of the Dumbarton Bridge, Highway 101, a PG&E substation and Facebook’s headquarters. All this infrastructure would benefit from the restoration because tidal marshes offer protection from sea level rise, says Bourgeois.\u003c/p>\n\u003cp>Although this project is huge in scale, it probably won’t be the next poster child for wetland restoration work. Frankly, it’s just not particularly beautiful. We’re not saving a redwood forest or cleaning up the banks of a beloved river here. But, Bourgeois says, beauty is in the eye of the beholder.\u003c/p>\n\u003cfigure id=\"attachment_11675416\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11675416 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut-1200x900.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut-1180x885.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/06/RS31496_9471037335_b104107027_k-qut-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The goal of the project is to get nearly all of the South Bay Salt Ponds looking like Greco Island (above), an untouched salt marsh near the Ravenswood salt ponds. \u003ccite>(\u003ca href=\"https://secure.flickr.com/photos/97276503@N02/\">Lindsay Kingston\u003c/a>/flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“They’re muddy and mucky and they smell but they are one of the most productive ecosystems on the planet, says Bourgeois. “They provide direct flood protection, they help clean the water and they have a tremendous amount of benefit beyond any sort of aesthetic or habitat value.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Project officials hope to start the restoration phase of a portion of the ponds, with the help of Measure AA money, this fall.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "should-insurance-companies-have-to-cover-fertility-treatments-for-cancer-patients",
"title": "Should Insurance Companies Have to Cover Fertility Treatments for Cancer Patients?",
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"headTitle": "Should Insurance Companies Have to Cover Fertility Treatments for Cancer Patients? | KQED",
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"content": "\u003cp>When Alice Crisci was only 31 years old and working as a management consultant in Los Angeles, she was diagnosed with breast cancer.\u003c/p>\n\u003cp>Then, just as that was sinking in, her doctor gave her more bad news: It was highly likely that chemotherapy would leave her infertile.\u003c/p>\n\u003cp>Crisci had always wanted to have children. But the \u003ca href=\"https://www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/fertility-and-sexual-side-effects/fertility-and-women-with-cancer/how-cancer-treatments-affect-fertility.html\" target=\"_blank\" rel=\"noopener\">chemotherapy, radiation and surgery\u003c/a> could destroy her eggs and compromise her reproductive system.\u003c/p>\n\u003cp>Plus, she was about to spend years on powerful anti-tumor medications — taking away from her prime years for getting pregnant. Her doctors were eager to schedule surgery and start chemotherapy, and she needed to plan quickly.\u003c/p>\n\u003cp>Her 2008 diagnosis kicked off a flurry of research and high-stakes decisions.\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003cspan style=\"font-size: x-large\">‘\u003cstrong>I had to decide on surgery, \u003c/strong>decide on the type of reconstruction, decide on the type of treatment in terms of chemo and the follow-up, and decide on fertility preservation, decide on a sperm donor.’\u003c/span>\u003ccite>Alice Crisci\u003c/cite>\u003c/aside>\n\u003cp>“I had to decide on surgery, decide on the type of reconstruction, decide on the type of treatment in terms of chemo and the follow-up, and decide on fertility preservation, decide on a sperm donor,” said Crisci, who is 41.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It’s not just so simple as to do a lumpectomy or a mastectomy. Do I do a single or a double? Do I do fertility preservation or not? Do I do eggs alone or eggs and embryos? Do I split my cycle?”\u003c/p>\n\u003ch2>A lifetime of big decisions\u003c/h2>\n\u003cp>It’s like this for a lot of cancer patients in their childbearing years — a lifetime of big decisions crammed into a couple of weeks, while oncologists urge them to hurry up, schedule surgery and begin chemo.\u003c/p>\n\u003cp>It used to be that cancer patients gave up on having children of their own, but with technological advances in reproductive medicine, there are options now. Many younger patients go through treatments to preserve their fertility; they extract eggs, bank sperm and freeze embryos.\u003c/p>\n\u003cp>But when cancer patients want a chance at parenthood, who pays for the expensive treatments?\u003c/p>\n\u003ch2>Who pays?\u003c/h2>\n\u003cp>Many states are \u003ca href=\"http://www.allianceforfertilitypreservation.org/advocacy/state-legislation\" target=\"_blank\" rel=\"noopener\">considering legislation\u003c/a> to require insurance companies to cover fertility preservation for cancer patients. California has so far left these decisions up to health insurance companies and state regulators. Patient advocates and doctors say that’s not fair to vulnerable cancer patients who want a chance at parenthood.\u003c/p>\n\u003cp>Crisci was determined to get through her cancer treatment and become a mom someday, but there was more bad news — the cost. Her insurance would pay for the surgery and chemo, but not for the hormone injections, egg extraction and the yearly fees for storing materials until she was healthy enough to try for a baby.\u003c/p>\n\u003caside class=\"alignright\">\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/futureofyou/442280/new-cancer-care-dilemma-patients-want-immunotherapy-even-when-evidence-is-lacking\" target=\"_blank\" rel=\"noopener\">New Cancer Care Dilemma: Patients Want Immunotherapy Even When Evidence Is Lacking\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>For men who get cancer, preserving sperm is just a couple of thousand dollars. But when it comes to reproduction, human anatomy isn’t fair.\u003c/p>\n\u003cp>“It was a $20,000 expense I put on a credit card,” Crisci said, adding that it was never even a question to her whether or not to take the financial risk.\u003c/p>\n\u003cp>When Crisci told her live-in boyfriend they had to work fast to freeze embryos, he balked, and they broke up. Now, she also had to choose a sperm donor too.\u003c/p>\n\u003cp>Crisci was lucky. She had health insurance and a good salary to pay back the debt she took on for fertility treatment. But she and other cancer patient advocates worry about how other young women just starting out in life without savings or credit will come up with the money needed for these treatments.\u003c/p>\n\u003ch2>Expensive treatments\u003c/h2>\n\u003cp>“Those costs are high for anyone — IVF, fertility treatments. It’s a challenging time, even more challenging financially,” said Joyce Reinecke, executive director of the Alliance for Fertility Preservation, a national organization based in the East Bay. “For a young person who maybe hasn’t been working that long or is in college, it’s not feasible. They don’t have that choice to make if they don’t have that money.”\u003c/p>\n\u003cp>Reinecke was just married when she found out she had cancer. Now she has twin teenage daughters who are graduating from high school, but she remembers how daunting it felt to be fighting a deadly disease and trying to plan for a future she might not have.\u003c/p>\n\u003cp>For a long time, insurance companies didn’t cover infertility, or even consider it a disease. Now, the same treatments that preserve a cancer patient’s fertility are often still lumped together with elective treatments paid for out of pocket.\u003c/p>\n\u003ch2>Luxury vs. quality of life\u003c/h2>\n\u003cp>“People saw this, I think, in part as more of a luxury thing whereas we see it as kind of part of one of the core values in medicine. We’re trying to help people’s quality of life — their ability to have a family,” said Dr. Joseph Letourneau, a reproductive medicine specialist at UCSF’s Center for Reproductive Medicine.\u003c/p>\n\u003cp>Patient advocates and doctors say insurance coverage and regulations need to catch up with medical technology and cover fertility preservation for cancer patients.\u003c/p>\n\u003cp>“This is medically necessary, and these services now, such as sperm banking and egg freezing, are really standard medical procedures and they are part of the standard of cancer care,” Reinecke said.\u003c/p>\n\u003caside class=\"alignright\">\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/stateofhealth/323065/hype-offers-hope-and-risks-to-cancer-patients\" target=\"_blank\" rel=\"noopener\">Hype Offers Hope — and Risks — to Cancer Patients\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>She has worked to pass laws that require insurance companies to cover fertility preservation. She has \u003ca href=\"http://www.allianceforfertilitypreservation.org/advocacy/state-legislation\" target=\"_blank\" rel=\"noopener\">succeeded in three states\u003c/a> (Maryland, Connecticut and Rhode Island), but not California.\u003c/p>\n\u003cp>Reinecke said signing fertility preservation coverage into law would give all cancer patients, not just the rich ones, an equal chance at fertility treatments.\u003c/p>\n\u003cp>In Sacramento, three fertility preservation bills were introduced in the state Legislature. One made it as far as Gov. Jerry Brown’s desk \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201320140AB912\" target=\"_blank\" rel=\"noopener\">in 2013\u003c/a>, but he \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2017/09/2013_AB_912_Veto_Message.pdf\" target=\"_blank\" rel=\"noopener\">vetoed it\u003c/a>, saying he was reluctant to mandate any new insurance benefits just as Obamacare was coming into effect.\u003c/p>\n\u003ch2>Appeal and hope\u003c/h2>\n\u003cp>After the most recent attempt \u003ca href=\"https://californiahealthline.org/news/preserving-fertility-when-it-is-threatened-by-life-saving-medicine/\" target=\"_blank\" rel=\"noopener\">last year\u003c/a>, patient advocates decided to give up on new legislation and instead try to use existing regulations to get fertility preservation covered.\u003c/p>\n\u003cp>“This is a basic health care service that is medically necessary and therefore is covered. Then, whether an individual patient or not is entitled to that coverage, based on the medical facts of their case, is what’s at hand,” Reinecke said.\u003c/p>\n\u003cp>State regulators say when insurance companies deny coverage, patients can file an appeal with the California Department of Managed Health Care in Sacramento, which regulates HMOs to make sure medically necessary basic health care services are covered. This appeals process, called an \u003ca href=\"https://www.dmhc.ca.gov/fileacomplaint/independentmedicalreviewandcomplaintreports.aspx\" target=\"_blank\" rel=\"noopener\">Independent Medical Review,\u003c/a> requires patients to just fill out an \u003ca href=\"https://www.dmhc.ca.gov/fileacomplaint/submitanindependentmedicalreviewcomplaintform.aspx\" target=\"_blank\" rel=\"noopener\">online form\u003c/a>.\u003c/p>\n\u003cp>Filing an appeal is free, but it still requires patients to pay thousands of dollars out of pocket for fertility preservation treatments, and hope they get reimbursed later by their insurance companies.\u003c/p>\n\u003cp>Time-sensitive appeals are supposed to be expedited and completed within a week, but doctors like Letourneau say it usually takes a couple of months to get a decision. Letourneau said when he walks patients through this process, he spends a lot of time on the phone with them trying to ease their worries about cancer treatment, fertility choices and financial risks.\u003c/p>\n\u003cp>So far, the handful of Californians who have filed these appeals have won. But they still have to wait even longer for their insurance company to reimburse them.\u003c/p>\n\u003cp>Letourneau said the appeals process if flawed because it serves only patients who have the time, money and savvy to try to overturn their insurance company’s decision. He worries about the many cancer patients who can’t afford to try or may not even know that an appeal is an option.\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003cspan style=\"font-size: x-large\">‘\u003cstrong>For people who don’t have those resources, you might not be able to count on hope\u003c/strong>, and you might then just not be able to have children, and that’s just wrong.’\u003c/span>\u003ccite>Dr. Adams Dudley\u003c/cite>\u003c/aside>\n\u003cp>“Their cancer provider might look at them and say, ‘Gosh, I don’t want to provide them the false hope that they could go freeze their eggs when it’s going to be an out-of-pocket expense of $8,000 and I know they don’t have that.’ So why bring it up?” he said.\u003c/p>\n\u003cp>Oncologists and reproductive specialists are working together to serve patients, Letourneau said, and he’s hopeful that better coverage would mean \u003ca href=\"https://academic.oup.com/jnci/article/107/10/djv202/986599\" target=\"_blank\" rel=\"noopener\">more patients choose to treat their cancer more aggressively \u003c/a>— that they’ll feel better about taking anti-tumor medication longer, knowing there’s hope they can still get pregnant later on.\u003c/p>\n\u003cp>The Department of Managed Health Care stands by the appeals process, declining to answer questions about the many cancer patients who don’t have the time or money to file an appeal.\u003c/p>\n\u003ch2>‘Cancer Patients Often Don’t Have Time’\u003c/h2>\n\u003cp>A couple of months is an eternity when you’re treating cancer, according to Dr. Adams Dudley, a health policy expert with UCSF.\u003c/p>\n\u003cp>“For people who don’t have those resources, you might not be able to count on hope, and you might then just not be able to have children, and that’s just wrong,” Dudley said.\u003c/p>\n\u003cp>Patients shouldn’t be forced to choose between fighting cancer aggressively, the chance to have children and going into debt to preserve their fertility, he said.\u003c/p>\n\u003caside class=\"alignright\">\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/futureofyou/442273/therapy-made-from-patients-immune-system-shows-promise-for-advanced-breast-cancer\" target=\"_blank\" rel=\"noopener\">Therapy Made From Patient’s Immune System Shows Promise For Advanced Breast Cancer\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>Dudley argues that leaving these decisions up to state regulators and a slow-moving bureaucracy isn’t fair to the vast majority of patients who don’t have thousands of dollars to risk on the chance of bearing their own children someday. And it means that everyone who’d benefit from extracting eggs isn’t getting the chance to do so, he said.\u003c/p>\n\u003cp>“The problem with this appeals process is that it takes time, and cancer patients often don’t have time. Particularly the kinds of cancers that people of childbearing age get can be really aggressive, really terrible things that you need to get into and treat right away,” Dudley said.\u003c/p>\n\u003cp>The delay in covering an effective but expensive treatment is common in the field of reproductive health, Dudley added.\u003c/p>\n\u003cp>“If there were a new treatment that allowed you to have some really good outcome in almost any other disease, there wouldn’t be an issue of whether or not it would be covered. We’d just cover it. We wouldn’t say, ‘Oh, there are new chemotherapies that really improve your survival from cancer, but you can’t have them because they’re too expensive.’ We don’t do that generally. But we tend to treat reproductive health and mental health differently,” he said.\u003c/p>\n\u003cp>Dudley said state regulators and politicians should realize that the way insurers — governed by state regulators — treat reproductive health and fertility preservation has a huge impact on the lives of cancer patients.\u003c/p>\n\u003ch2>A happy ending for Alice\u003c/h2>\n\u003cp>For Alice Crisci, going into debt to pay for fertility treatment helped her get through the dark, lonely moments soon after her diagnosis. With each expensive injection of hormones, she was banking on the fact that her body still worked and that she would beat cancer, resume a normal life and eventually have a baby.\u003c/p>\n\u003cp>“The injections were a little bit painful, but I was in control. I was the one who got to do it. Nobody was doing it to me. And I felt like I was stimulating life force,” she said.\u003c/p>\n\u003cp>Crisci’s story has a happy ending. She’s an \u003ca href=\"http://www.fertileaction.org/about/alices-story/\" target=\"_blank\" rel=\"noopener\">entrepreneur\u003c/a> living in San Carlos, and single mom to a curly-headed 4-year-old named Dante.\u003c/p>\n\u003cp>“I named him Dante because it means enduring. We certainly endured a lot to get to be together,” she said.\u003c/p>\n\u003cp>Crisci and other advocates want other cancer patients to have a chance at parenthood, too.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Since January, they’ve been pressing state regulators to issue a formal letter telling insurers that California considers fertility preservation to be medically necessary and therefore should be covered.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Alice Crisci was only 31 years old and working as a management consultant in Los Angeles, she was diagnosed with breast cancer.\u003c/p>\n\u003cp>Then, just as that was sinking in, her doctor gave her more bad news: It was highly likely that chemotherapy would leave her infertile.\u003c/p>\n\u003cp>Crisci had always wanted to have children. But the \u003ca href=\"https://www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/fertility-and-sexual-side-effects/fertility-and-women-with-cancer/how-cancer-treatments-affect-fertility.html\" target=\"_blank\" rel=\"noopener\">chemotherapy, radiation and surgery\u003c/a> could destroy her eggs and compromise her reproductive system.\u003c/p>\n\u003cp>Plus, she was about to spend years on powerful anti-tumor medications — taking away from her prime years for getting pregnant. Her doctors were eager to schedule surgery and start chemotherapy, and she needed to plan quickly.\u003c/p>\n\u003cp>Her 2008 diagnosis kicked off a flurry of research and high-stakes decisions.\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003cspan style=\"font-size: x-large\">‘\u003cstrong>I had to decide on surgery, \u003c/strong>decide on the type of reconstruction, decide on the type of treatment in terms of chemo and the follow-up, and decide on fertility preservation, decide on a sperm donor.’\u003c/span>\u003ccite>Alice Crisci\u003c/cite>\u003c/aside>\n\u003cp>“I had to decide on surgery, decide on the type of reconstruction, decide on the type of treatment in terms of chemo and the follow-up, and decide on fertility preservation, decide on a sperm donor,” said Crisci, who is 41.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It’s not just so simple as to do a lumpectomy or a mastectomy. Do I do a single or a double? Do I do fertility preservation or not? Do I do eggs alone or eggs and embryos? Do I split my cycle?”\u003c/p>\n\u003ch2>A lifetime of big decisions\u003c/h2>\n\u003cp>It’s like this for a lot of cancer patients in their childbearing years — a lifetime of big decisions crammed into a couple of weeks, while oncologists urge them to hurry up, schedule surgery and begin chemo.\u003c/p>\n\u003cp>It used to be that cancer patients gave up on having children of their own, but with technological advances in reproductive medicine, there are options now. Many younger patients go through treatments to preserve their fertility; they extract eggs, bank sperm and freeze embryos.\u003c/p>\n\u003cp>But when cancer patients want a chance at parenthood, who pays for the expensive treatments?\u003c/p>\n\u003ch2>Who pays?\u003c/h2>\n\u003cp>Many states are \u003ca href=\"http://www.allianceforfertilitypreservation.org/advocacy/state-legislation\" target=\"_blank\" rel=\"noopener\">considering legislation\u003c/a> to require insurance companies to cover fertility preservation for cancer patients. California has so far left these decisions up to health insurance companies and state regulators. Patient advocates and doctors say that’s not fair to vulnerable cancer patients who want a chance at parenthood.\u003c/p>\n\u003cp>Crisci was determined to get through her cancer treatment and become a mom someday, but there was more bad news — the cost. Her insurance would pay for the surgery and chemo, but not for the hormone injections, egg extraction and the yearly fees for storing materials until she was healthy enough to try for a baby.\u003c/p>\n\u003caside class=\"alignright\">\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/futureofyou/442280/new-cancer-care-dilemma-patients-want-immunotherapy-even-when-evidence-is-lacking\" target=\"_blank\" rel=\"noopener\">New Cancer Care Dilemma: Patients Want Immunotherapy Even When Evidence Is Lacking\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>For men who get cancer, preserving sperm is just a couple of thousand dollars. But when it comes to reproduction, human anatomy isn’t fair.\u003c/p>\n\u003cp>“It was a $20,000 expense I put on a credit card,” Crisci said, adding that it was never even a question to her whether or not to take the financial risk.\u003c/p>\n\u003cp>When Crisci told her live-in boyfriend they had to work fast to freeze embryos, he balked, and they broke up. Now, she also had to choose a sperm donor too.\u003c/p>\n\u003cp>Crisci was lucky. She had health insurance and a good salary to pay back the debt she took on for fertility treatment. But she and other cancer patient advocates worry about how other young women just starting out in life without savings or credit will come up with the money needed for these treatments.\u003c/p>\n\u003ch2>Expensive treatments\u003c/h2>\n\u003cp>“Those costs are high for anyone — IVF, fertility treatments. It’s a challenging time, even more challenging financially,” said Joyce Reinecke, executive director of the Alliance for Fertility Preservation, a national organization based in the East Bay. “For a young person who maybe hasn’t been working that long or is in college, it’s not feasible. They don’t have that choice to make if they don’t have that money.”\u003c/p>\n\u003cp>Reinecke was just married when she found out she had cancer. Now she has twin teenage daughters who are graduating from high school, but she remembers how daunting it felt to be fighting a deadly disease and trying to plan for a future she might not have.\u003c/p>\n\u003cp>For a long time, insurance companies didn’t cover infertility, or even consider it a disease. Now, the same treatments that preserve a cancer patient’s fertility are often still lumped together with elective treatments paid for out of pocket.\u003c/p>\n\u003ch2>Luxury vs. quality of life\u003c/h2>\n\u003cp>“People saw this, I think, in part as more of a luxury thing whereas we see it as kind of part of one of the core values in medicine. We’re trying to help people’s quality of life — their ability to have a family,” said Dr. Joseph Letourneau, a reproductive medicine specialist at UCSF’s Center for Reproductive Medicine.\u003c/p>\n\u003cp>Patient advocates and doctors say insurance coverage and regulations need to catch up with medical technology and cover fertility preservation for cancer patients.\u003c/p>\n\u003cp>“This is medically necessary, and these services now, such as sperm banking and egg freezing, are really standard medical procedures and they are part of the standard of cancer care,” Reinecke said.\u003c/p>\n\u003caside class=\"alignright\">\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/stateofhealth/323065/hype-offers-hope-and-risks-to-cancer-patients\" target=\"_blank\" rel=\"noopener\">Hype Offers Hope — and Risks — to Cancer Patients\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>She has worked to pass laws that require insurance companies to cover fertility preservation. She has \u003ca href=\"http://www.allianceforfertilitypreservation.org/advocacy/state-legislation\" target=\"_blank\" rel=\"noopener\">succeeded in three states\u003c/a> (Maryland, Connecticut and Rhode Island), but not California.\u003c/p>\n\u003cp>Reinecke said signing fertility preservation coverage into law would give all cancer patients, not just the rich ones, an equal chance at fertility treatments.\u003c/p>\n\u003cp>In Sacramento, three fertility preservation bills were introduced in the state Legislature. One made it as far as Gov. Jerry Brown’s desk \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201320140AB912\" target=\"_blank\" rel=\"noopener\">in 2013\u003c/a>, but he \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2017/09/2013_AB_912_Veto_Message.pdf\" target=\"_blank\" rel=\"noopener\">vetoed it\u003c/a>, saying he was reluctant to mandate any new insurance benefits just as Obamacare was coming into effect.\u003c/p>\n\u003ch2>Appeal and hope\u003c/h2>\n\u003cp>After the most recent attempt \u003ca href=\"https://californiahealthline.org/news/preserving-fertility-when-it-is-threatened-by-life-saving-medicine/\" target=\"_blank\" rel=\"noopener\">last year\u003c/a>, patient advocates decided to give up on new legislation and instead try to use existing regulations to get fertility preservation covered.\u003c/p>\n\u003cp>“This is a basic health care service that is medically necessary and therefore is covered. Then, whether an individual patient or not is entitled to that coverage, based on the medical facts of their case, is what’s at hand,” Reinecke said.\u003c/p>\n\u003cp>State regulators say when insurance companies deny coverage, patients can file an appeal with the California Department of Managed Health Care in Sacramento, which regulates HMOs to make sure medically necessary basic health care services are covered. This appeals process, called an \u003ca href=\"https://www.dmhc.ca.gov/fileacomplaint/independentmedicalreviewandcomplaintreports.aspx\" target=\"_blank\" rel=\"noopener\">Independent Medical Review,\u003c/a> requires patients to just fill out an \u003ca href=\"https://www.dmhc.ca.gov/fileacomplaint/submitanindependentmedicalreviewcomplaintform.aspx\" target=\"_blank\" rel=\"noopener\">online form\u003c/a>.\u003c/p>\n\u003cp>Filing an appeal is free, but it still requires patients to pay thousands of dollars out of pocket for fertility preservation treatments, and hope they get reimbursed later by their insurance companies.\u003c/p>\n\u003cp>Time-sensitive appeals are supposed to be expedited and completed within a week, but doctors like Letourneau say it usually takes a couple of months to get a decision. Letourneau said when he walks patients through this process, he spends a lot of time on the phone with them trying to ease their worries about cancer treatment, fertility choices and financial risks.\u003c/p>\n\u003cp>So far, the handful of Californians who have filed these appeals have won. But they still have to wait even longer for their insurance company to reimburse them.\u003c/p>\n\u003cp>Letourneau said the appeals process if flawed because it serves only patients who have the time, money and savvy to try to overturn their insurance company’s decision. He worries about the many cancer patients who can’t afford to try or may not even know that an appeal is an option.\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003cspan style=\"font-size: x-large\">‘\u003cstrong>For people who don’t have those resources, you might not be able to count on hope\u003c/strong>, and you might then just not be able to have children, and that’s just wrong.’\u003c/span>\u003ccite>Dr. Adams Dudley\u003c/cite>\u003c/aside>\n\u003cp>“Their cancer provider might look at them and say, ‘Gosh, I don’t want to provide them the false hope that they could go freeze their eggs when it’s going to be an out-of-pocket expense of $8,000 and I know they don’t have that.’ So why bring it up?” he said.\u003c/p>\n\u003cp>Oncologists and reproductive specialists are working together to serve patients, Letourneau said, and he’s hopeful that better coverage would mean \u003ca href=\"https://academic.oup.com/jnci/article/107/10/djv202/986599\" target=\"_blank\" rel=\"noopener\">more patients choose to treat their cancer more aggressively \u003c/a>— that they’ll feel better about taking anti-tumor medication longer, knowing there’s hope they can still get pregnant later on.\u003c/p>\n\u003cp>The Department of Managed Health Care stands by the appeals process, declining to answer questions about the many cancer patients who don’t have the time or money to file an appeal.\u003c/p>\n\u003ch2>‘Cancer Patients Often Don’t Have Time’\u003c/h2>\n\u003cp>A couple of months is an eternity when you’re treating cancer, according to Dr. Adams Dudley, a health policy expert with UCSF.\u003c/p>\n\u003cp>“For people who don’t have those resources, you might not be able to count on hope, and you might then just not be able to have children, and that’s just wrong,” Dudley said.\u003c/p>\n\u003cp>Patients shouldn’t be forced to choose between fighting cancer aggressively, the chance to have children and going into debt to preserve their fertility, he said.\u003c/p>\n\u003caside class=\"alignright\">\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/futureofyou/442273/therapy-made-from-patients-immune-system-shows-promise-for-advanced-breast-cancer\" target=\"_blank\" rel=\"noopener\">Therapy Made From Patient’s Immune System Shows Promise For Advanced Breast Cancer\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>Dudley argues that leaving these decisions up to state regulators and a slow-moving bureaucracy isn’t fair to the vast majority of patients who don’t have thousands of dollars to risk on the chance of bearing their own children someday. And it means that everyone who’d benefit from extracting eggs isn’t getting the chance to do so, he said.\u003c/p>\n\u003cp>“The problem with this appeals process is that it takes time, and cancer patients often don’t have time. Particularly the kinds of cancers that people of childbearing age get can be really aggressive, really terrible things that you need to get into and treat right away,” Dudley said.\u003c/p>\n\u003cp>The delay in covering an effective but expensive treatment is common in the field of reproductive health, Dudley added.\u003c/p>\n\u003cp>“If there were a new treatment that allowed you to have some really good outcome in almost any other disease, there wouldn’t be an issue of whether or not it would be covered. We’d just cover it. We wouldn’t say, ‘Oh, there are new chemotherapies that really improve your survival from cancer, but you can’t have them because they’re too expensive.’ We don’t do that generally. But we tend to treat reproductive health and mental health differently,” he said.\u003c/p>\n\u003cp>Dudley said state regulators and politicians should realize that the way insurers — governed by state regulators — treat reproductive health and fertility preservation has a huge impact on the lives of cancer patients.\u003c/p>\n\u003ch2>A happy ending for Alice\u003c/h2>\n\u003cp>For Alice Crisci, going into debt to pay for fertility treatment helped her get through the dark, lonely moments soon after her diagnosis. With each expensive injection of hormones, she was banking on the fact that her body still worked and that she would beat cancer, resume a normal life and eventually have a baby.\u003c/p>\n\u003cp>“The injections were a little bit painful, but I was in control. I was the one who got to do it. Nobody was doing it to me. And I felt like I was stimulating life force,” she said.\u003c/p>\n\u003cp>Crisci’s story has a happy ending. She’s an \u003ca href=\"http://www.fertileaction.org/about/alices-story/\" target=\"_blank\" rel=\"noopener\">entrepreneur\u003c/a> living in San Carlos, and single mom to a curly-headed 4-year-old named Dante.\u003c/p>\n\u003cp>“I named him Dante because it means enduring. We certainly endured a lot to get to be together,” she said.\u003c/p>\n\u003cp>Crisci and other advocates want other cancer patients to have a chance at parenthood, too.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Since January, they’ve been pressing state regulators to issue a formal letter telling insurers that California considers fertility preservation to be medically necessary and therefore should be covered.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Faculty, staff, students and even the Chinese consulate are increasingly demanding accountability from the University of Southern California in how it handled the case of Dr. George Tyndall.\u003c/p>\n\u003cp>Tyndall is the former university gynecologist accused of sexually inappropriate behavior with students during their medical exams. The Los Angeles Police Department is now investigating 52 complaints about Tyndall, which range from unnecessary touching in the course of pelvic exams to inappropriate sexual comments.\u003c/p>\n\u003cp>On Saturday, about two dozen University of Southern California students and alumni marched from the school’s student health center to the university’s main quad chanting “USC transparency.” They called for help for Tyndall’s alleged victims and a full accounting of USC’s possible role in covering up his actions.\u003c/p>\n\u003cp>“We are at a breaking point,” alumna Viva Symanski, who alleges Tyndall sexually abused her, said at a podium. “Things have to change. USC must change.”\u003c/p>\n\u003cp>Last summer, in a confidential deal, Tyndall was allowed to resign from the university with a financial payout. USC didn’t report the allegations against Tyndall to state medical authorities, nor did it inform his patients. His alleged sexual misconduct is thought to have gone on for years — he worked at the school for nearly three decades before his suspension in 2016.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I think the university, as much as I love it, was extremely complicit in this,” said Ariel Sobel, a USC graduate who helped organize the march. She’s the co-founder of \u003ca href=\"https://www.facebook.com/events/268630200345888\" target=\"_blank\" rel=\"noopener\">Justice for Trojans\u003c/a>, a group trying to help women who say they were abused by Tyndall.\u003c/p>\n\u003cp>“Some are asking for legal support,” said Sobel. “Some are looking for other survivors to talk to. Some are looking for therapy. Some just want to have someone talk on the phone with them and listen to them.”\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>Read More of KQED’s Coverage of the USC Scandal\u003c/h3>\n\u003cp>\u003c/p>\n\u003cul>\n\u003cli>\n\u003ca href=\"https://www.kqed.org/news/11670933/usc-president-c-l-max-nikias-stepping-down-amid-gynecologist-scandal\" target=\"_blank\" rel=\"noopener\">USC President C.L. Max Nikias Stepping Down Amid Gynecologist Scandal\u003c/a>\n\u003c/li>\n\u003cli>\n\u003ca href=\"https://www.kqed.org/news/11671505/criminal-investigation-into-usc-gynecologist-expected-to-grow-2\" target=\"_blank\" rel=\"noopener\">Criminal Investigation Into USC Gynecologist Expected to Grow\u003c/a>\n\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>Chinese students at USC are particularly concerned about the allegations against Tyndall.\u003c/p>\n\u003cp>In recent years, the university has aggressively recruited students from China. About 5,500 are currently enrolled at the school.\u003c/p>\n\u003cp>“We Chinese students, we come from a relatively conservative culture,” said Andy Zhang, a sophomore and member of the Chinese Student Association.\u003c/p>\n\u003cp>Zhang explained students from China who were Tyndall’s patients might be reluctant to report sexual misconduct because of language issues and cultural differences.\u003c/p>\n\u003cp>“It could be more difficult for our students, when they run into uncomfortable situations, it can be difficult for them to speak out,” said Zhang, who went on to say Chinese student groups are reaching out to possible victims to offer assistance.\u003c/p>\n\u003cp>Meanwhile, the Chinese consulate in Los Angeles has demanded a full investigation by USC into Tyndall and possible abuse of Chinese nationals by him.\u003c/p>\n\u003cp>Pressure on the university is also coming from USC’s faculty and staff. After 200 of them signed a letter demanding the resignation of school president Max Nikias, he stepped down last month.\u003c/p>\n\u003cp>“So it’s happened once and I think the issue now is to make sure that it doesn’t happen again,” said LaVonna Blair Lewis with USC’s Sol Price School of Public Policy.\u003c/p>\n\u003cp>Echoing others on campus, Blair Lewis says she believes in recent years the university has been too focused on fundraising and boosting its place in academic rankings instead of protecting students. She hopes priorities now change.\u003c/p>\n\u003cp>“And, again, what are we going to do to make sure that we’re not having this same story being told with different names?” said Blair Lewis.\u003c/p>\n\u003cp>USC didn’t respond to a request for an interview. Instead it sent a statement about measures it is taking to protect students. These measures include educating students seeking gynecological services about their rights and how to report complaints.\u003c/p>\n\u003cp>The school has also established a hotline and started an investigation into Tyndall.\u003c/p>\n\u003cp>The LAPD has launched its own investigation into dozens of cases involving Tyndall. The university also faces a growing number of lawsuits, including from celebrity attorney Gloria Allred. This week, she said, she’ll add more than 20 additional plaintiffs to a suit she’s filed against USC.\u003c/p>\n\u003cp>“It should not have taken decades for these women to finally be protected,” said Allred.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2018 KCRW. To see more, visit \u003ca href=\"http://www.kcrw.com\" target=\"_blank\" rel=\"noopener\">KCRW\u003c/a>.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Faculty, staff, students and even the Chinese consulate are increasingly demanding accountability from the University of Southern California in how it handled the case of Dr. George Tyndall.\u003c/p>\n\u003cp>Tyndall is the former university gynecologist accused of sexually inappropriate behavior with students during their medical exams. The Los Angeles Police Department is now investigating 52 complaints about Tyndall, which range from unnecessary touching in the course of pelvic exams to inappropriate sexual comments.\u003c/p>\n\u003cp>On Saturday, about two dozen University of Southern California students and alumni marched from the school’s student health center to the university’s main quad chanting “USC transparency.” They called for help for Tyndall’s alleged victims and a full accounting of USC’s possible role in covering up his actions.\u003c/p>\n\u003cp>“We are at a breaking point,” alumna Viva Symanski, who alleges Tyndall sexually abused her, said at a podium. “Things have to change. USC must change.”\u003c/p>\n\u003cp>Last summer, in a confidential deal, Tyndall was allowed to resign from the university with a financial payout. USC didn’t report the allegations against Tyndall to state medical authorities, nor did it inform his patients. His alleged sexual misconduct is thought to have gone on for years — he worked at the school for nearly three decades before his suspension in 2016.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I think the university, as much as I love it, was extremely complicit in this,” said Ariel Sobel, a USC graduate who helped organize the march. She’s the co-founder of \u003ca href=\"https://www.facebook.com/events/268630200345888\" target=\"_blank\" rel=\"noopener\">Justice for Trojans\u003c/a>, a group trying to help women who say they were abused by Tyndall.\u003c/p>\n\u003cp>“Some are asking for legal support,” said Sobel. “Some are looking for other survivors to talk to. Some are looking for therapy. Some just want to have someone talk on the phone with them and listen to them.”\u003c/p>\n\u003caside class=\"alignright\">\n\u003ch3>Read More of KQED’s Coverage of the USC Scandal\u003c/h3>\n\u003cp>\u003c/p>\n\u003cul>\n\u003cli>\n\u003ca href=\"https://www.kqed.org/news/11670933/usc-president-c-l-max-nikias-stepping-down-amid-gynecologist-scandal\" target=\"_blank\" rel=\"noopener\">USC President C.L. Max Nikias Stepping Down Amid Gynecologist Scandal\u003c/a>\n\u003c/li>\n\u003cli>\n\u003ca href=\"https://www.kqed.org/news/11671505/criminal-investigation-into-usc-gynecologist-expected-to-grow-2\" target=\"_blank\" rel=\"noopener\">Criminal Investigation Into USC Gynecologist Expected to Grow\u003c/a>\n\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>Chinese students at USC are particularly concerned about the allegations against Tyndall.\u003c/p>\n\u003cp>In recent years, the university has aggressively recruited students from China. About 5,500 are currently enrolled at the school.\u003c/p>\n\u003cp>“We Chinese students, we come from a relatively conservative culture,” said Andy Zhang, a sophomore and member of the Chinese Student Association.\u003c/p>\n\u003cp>Zhang explained students from China who were Tyndall’s patients might be reluctant to report sexual misconduct because of language issues and cultural differences.\u003c/p>\n\u003cp>“It could be more difficult for our students, when they run into uncomfortable situations, it can be difficult for them to speak out,” said Zhang, who went on to say Chinese student groups are reaching out to possible victims to offer assistance.\u003c/p>\n\u003cp>Meanwhile, the Chinese consulate in Los Angeles has demanded a full investigation by USC into Tyndall and possible abuse of Chinese nationals by him.\u003c/p>\n\u003cp>Pressure on the university is also coming from USC’s faculty and staff. After 200 of them signed a letter demanding the resignation of school president Max Nikias, he stepped down last month.\u003c/p>\n\u003cp>“So it’s happened once and I think the issue now is to make sure that it doesn’t happen again,” said LaVonna Blair Lewis with USC’s Sol Price School of Public Policy.\u003c/p>\n\u003cp>Echoing others on campus, Blair Lewis says she believes in recent years the university has been too focused on fundraising and boosting its place in academic rankings instead of protecting students. She hopes priorities now change.\u003c/p>\n\u003cp>“And, again, what are we going to do to make sure that we’re not having this same story being told with different names?” said Blair Lewis.\u003c/p>\n\u003cp>USC didn’t respond to a request for an interview. Instead it sent a statement about measures it is taking to protect students. These measures include educating students seeking gynecological services about their rights and how to report complaints.\u003c/p>\n\u003cp>The school has also established a hotline and started an investigation into Tyndall.\u003c/p>\n\u003cp>The LAPD has launched its own investigation into dozens of cases involving Tyndall. The university also faces a growing number of lawsuits, including from celebrity attorney Gloria Allred. This week, she said, she’ll add more than 20 additional plaintiffs to a suit she’s filed against USC.\u003c/p>\n\u003cp>“It should not have taken decades for these women to finally be protected,” said Allred.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2018 KCRW. To see more, visit \u003ca href=\"http://www.kcrw.com\" target=\"_blank\" rel=\"noopener\">KCRW\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The nationwide outbreak of E. Coli tied to romaine lettuce grown in Yuma, Arizona, has now sickened 45 people in California, according to state health officials.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention (CDC) on Friday announced an \u003ca href=\"https://www.cdc.gov/ecoli/2018/o157h7-04-18/index.html\" target=\"_blank\" rel=\"noopener\">update\u003c/a> on the number of cases around the country: At least 197 people in 35 states have now become sick from the outbreak.\u003c/p>\n\u003cp>That was an increase of 25 cases since May 16.\u003c/p>\n\u003cp>The CDC says five people have died from the outbreak and 89 people have been hospitalized. Of those hospitalized, 26 have developed hemolytic uremic syndrome, a type of kidney failure.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.kqed.org/news/11669868/under-pressure-state-reveals-where-e-coli-lettuce-death-took-place\" target=\"_blank\" rel=\"noopener\">first person\u003c/a> reported to die in connection with the 0157:H7 E. coli strain was an 87-year-old man from Raymond, a community in Madera County, according to the California Department of Public Health (CDPH).\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>State and county health officials have declined to identify the man.\u003c/p>\n\u003cp>The other fatalities were in New York, Minnesota and Arkansas.\u003c/p>\n\u003cp>Federal health officials say most of the recent cases involve people who ate lettuce from the Yuma growing region that was still on store shelves and others who had close contact with someone who was sick with the outbreak strain.\u003c/p>\n\u003cp>Initially, the CDC said there were 39 cases in California.\u003c/p>\n\u003cp>As of last Friday, the number jumped to 45, according to CDPH spokesman Corey Egel.\u003c/p>\n\u003cp>The state agency has also declined to provide a breakdown by county of E. Coli lettuce cases.\u003c/p>\n\u003cp>“To protect patient confidentiality, the California Department of Public Health is not releasing the county of residence of reported cases because many California counties have small populations,” Egel said in an email.\u003c/p>\n\u003cp>Federal health officials say the illnesses took place between March 13 and May 12.\u003c/p>\n\u003cp>Most E. coli bacteria are not harmful. But health officials warn that some produce toxins can cause severe illness.\u003c/p>\n\u003cp>People who get sick from the bacteria can come down with symptoms several days after swallowing the germ. Many suffer bloody diarrhea, severe stomach cramps and vomiting.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In mid-May, the CDC \u003ca href=\"https://www.npr.org/sections/thesalt/2018/05/22/613254356/cdc-gives-the-all-clear-to-start-eating-romaine-lettuce-again\" target=\"_blank\" rel=\"noopener\">announced\u003c/a> that consumers can start buying romaine lettuce again because the product that’s for sale now in restaurants and grocery stores is coming from the Salinas Valley.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The nationwide outbreak of E. Coli tied to romaine lettuce grown in Yuma, Arizona, has now sickened 45 people in California, according to state health officials.\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention (CDC) on Friday announced an \u003ca href=\"https://www.cdc.gov/ecoli/2018/o157h7-04-18/index.html\" target=\"_blank\" rel=\"noopener\">update\u003c/a> on the number of cases around the country: At least 197 people in 35 states have now become sick from the outbreak.\u003c/p>\n\u003cp>That was an increase of 25 cases since May 16.\u003c/p>\n\u003cp>The CDC says five people have died from the outbreak and 89 people have been hospitalized. Of those hospitalized, 26 have developed hemolytic uremic syndrome, a type of kidney failure.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.kqed.org/news/11669868/under-pressure-state-reveals-where-e-coli-lettuce-death-took-place\" target=\"_blank\" rel=\"noopener\">first person\u003c/a> reported to die in connection with the 0157:H7 E. coli strain was an 87-year-old man from Raymond, a community in Madera County, according to the California Department of Public Health (CDPH).\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>State and county health officials have declined to identify the man.\u003c/p>\n\u003cp>The other fatalities were in New York, Minnesota and Arkansas.\u003c/p>\n\u003cp>Federal health officials say most of the recent cases involve people who ate lettuce from the Yuma growing region that was still on store shelves and others who had close contact with someone who was sick with the outbreak strain.\u003c/p>\n\u003cp>Initially, the CDC said there were 39 cases in California.\u003c/p>\n\u003cp>As of last Friday, the number jumped to 45, according to CDPH spokesman Corey Egel.\u003c/p>\n\u003cp>The state agency has also declined to provide a breakdown by county of E. Coli lettuce cases.\u003c/p>\n\u003cp>“To protect patient confidentiality, the California Department of Public Health is not releasing the county of residence of reported cases because many California counties have small populations,” Egel said in an email.\u003c/p>\n\u003cp>Federal health officials say the illnesses took place between March 13 and May 12.\u003c/p>\n\u003cp>Most E. coli bacteria are not harmful. But health officials warn that some produce toxins can cause severe illness.\u003c/p>\n\u003cp>People who get sick from the bacteria can come down with symptoms several days after swallowing the germ. Many suffer bloody diarrhea, severe stomach cramps and vomiting.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In mid-May, the CDC \u003ca href=\"https://www.npr.org/sections/thesalt/2018/05/22/613254356/cdc-gives-the-all-clear-to-start-eating-romaine-lettuce-again\" target=\"_blank\" rel=\"noopener\">announced\u003c/a> that consumers can start buying romaine lettuce again because the product that’s for sale now in restaurants and grocery stores is coming from the Salinas Valley.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Criminal Investigation Into USC Gynecologist Expected to Grow",
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"content": "\u003cp>LOS ANGELES — The University of Southern California has received hundreds of complaints about a former school gynecologist suspected of conducting inappropriate exams for decades, prompting the resignation of the school president and a police investigation.\u003c/p>\n\u003cp>More than two dozen lawsuits have been filed and police are investigating allegations from more than 50 women, so far.\u003c/p>\n\u003cp>Whether Dr. George Tyndall faces charges, though, depends on if complaints about creepy comments, improper photos in the exam room and uncomfortable probing went beyond dubious doctoring and into the criminal realm.\u003c/p>\n\u003cp>The university has come under fire since \u003ca href=\"http://www.latimes.com/local/california/la-me-usc-george-tyndall-sg-storygallery.html\" target=\"_blank\" rel=\"noopener\">the Los Angeles Times reported earlier this month\u003c/a> that complaints and comments about Tyndall’s care went unheeded by the school for decades and that USC failed to report him to the state medical board even after the school quietly forced him into retirement last year.\u003c/p>\n\u003cp>Two administrators were fired and President C.L. Max Nikias agreed to step down Friday after criticism for leadership failures during a string of scandals that included reports by the Times that the university’s \u003ca href=\"http://www.latimes.com/local/lanow/la-me-ln-usc-dean-patients-20170717-story.html\" target=\"_blank\" rel=\"noopener\">former medical school dean\u003c/a> used drugs with criminals and was present when a woman overdosed in a Pasadena hotel room.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Lawsuits accuse Tyndall, the school’s staff gynecologist for nearly three decades, of using his authority to sexually abuse women between 1990 and 2016. The suits allege the school concealed the conduct.\u003c/p>\n\u003cp>Tyndall was a “serial sexual predator” who groped breasts and used his fingers to penetrate rectums and vaginas for no medically necessary purpose, attorney John Manly said in a suit filed Friday. Tyndall is also accused of taking close-up photos of genitalia and commenting on the bodies of women, their race and sexual activity.\u003c/p>\n\u003cp>In some instances, Tyndall is accused of conducting vaginal exams without gloves when students were only seeking birth control.\u003c/p>\n\u003cp>Tyndall, 71, denied wrongdoing in interviews with the Times. He didn’t return phone calls or an email from The Associated Press. It wasn’t known Tuesday if he has an attorney.\u003c/p>\n\u003cp>USC concluded in 2016 that Tyndall violated policies on harassment and making racially discriminatory and sexually inappropriate remarks, but two criminal law experts it consulted said there was no criminal activity to report, the school said.\u003c/p>\n\u003cfigure id=\"attachment_11671516\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11671516\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/USCPrez-800x525.jpg\" alt=\"USC President C.L. Max Nikias agreed to step down Friday after criticism for leadership failures during a string of scandals.\" width=\"800\" height=\"525\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/USCPrez-800x525.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/USCPrez-160x105.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/USCPrez-1020x669.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/USCPrez-1200x787.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/USCPrez.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/USCPrez-1180x774.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/USCPrez-960x630.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/USCPrez-240x157.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/USCPrez-375x246.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/USCPrez-520x341.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">USC President C.L. Max Nikias agreed to step down Friday after criticism for leadership failures during a string of scandals. \u003ccite>(Leon Bennett/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Los Angeles police said they are looking into behavior and practices that appear to go beyond the norms of medical and gynecological exams.\u003c/p>\n\u003cp>“Many of them are just inappropriate comments which, obviously, do not constitute a crime,” police Capt. Billy Hayes said at a news conference Tuesday asking more women to come forward. “We could look at the issue of penetration as one of the more significant crimes.”\u003c/p>\n\u003cp>The allegations have similarities to \u003ca href=\"https://www.npr.org/tags/563260360/larry-nassar\" target=\"_blank\" rel=\"noopener\">the case of Larry Nassar\u003c/a>, the disgraced former sports doctor at Michigan State University and USA Gymnastics now serving multiple life terms in prison. Michigan State agreed to a $500 million settlement with more than 300 of his victims.\u003c/p>\n\u003cp>One key difference with the high-profile case involving Olympic champions, though, is that Tyndall as a gynecologist could argue his treatments were within the scope of his medical expertise.\u003c/p>\n\u003cp>Internal investigations by USC got mixed reviews on Tyndall’s practice of using a finger before inserting a speculum during pelvic exams. One expert said it could be considered acceptable, though another review found it outdated.\u003c/p>\n\u003cp>Some women who have spoken about their encounters — some of whom were on their first visits to a gynecologist — said they didn’t realize their treatment was improper until they saw recent news stories.\u003c/p>\n\u003cp>“These women had no idea they were being sexually abused,” said attorney Ron Labriola, who is working with Manly. “They said it was odd, it was weird, but that’s different from (perceiving it) as a sexual assault.”\u003c/p>\n\u003cp>That could make it challenging but not impossible for authorities to pursue charges against Tyndall, particularly given the potential number of complaints.\u003c/p>\n\u003cfigure id=\"attachment_11671521\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11671521\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/HealthCenter-800x528.jpg\" alt=\"The entrance to the Engemann Student Health Center on the campus of USC in Los Angeles.\" width=\"800\" height=\"528\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/HealthCenter-800x528.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/HealthCenter-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/HealthCenter-1020x673.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/HealthCenter-1200x792.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/HealthCenter.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/HealthCenter-1180x779.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/HealthCenter-960x634.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/HealthCenter-240x158.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/HealthCenter-375x247.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/HealthCenter-520x343.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The entrance to the Engemann Student Health Center on the campus of USC in Los Angeles. \u003ccite>(ROBYN BECK/AFP/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A jury in Casper, Wyoming, this year convicted a gynecologist who touched women in ways they said were unusual and made them feel uncomfortable. Prosecutor Mike Blonigen said there is often no physical evidence or eyewitnesses in such cases, and the difference between proper care and a crime can be subtle.\u003c/p>\n\u003cp>“Some of the challenges are distinguishing between clumsy execution in the procedure and illegal touching. That’s hard to do,” Blonigen said. “The thought that my doctor is molesting me is a hard thing to process.”\u003c/p>\n\u003cp>Dr. Paul Harnetty was sentenced to 20 to 30 years in prison on two counts of second-degree sexual assault.\u003c/p>\n\u003cp>Successful prosecutions almost always involve multiple women who can provide corroborating testimony, Blonigen said. In Harnetty’s case, six patients testified against him, though he was cleared of several counts.\u003c/p>\n\u003cp>If there’s a single victim, the case can devolve into a he said-she said dispute, said Michele Goodwin, a law professor at the University of California, Irvine. In the medical environment, a typical defense is that it was part of an exam and there were no supporting eyewitnesses or video.\u003c/p>\n\u003cp>In Tyndall’s case, female nurses or medical assistants known as chaperones who often accompany male gynecologists during exams, had complained about his behavior, including his use of a camera, the Times reported. Those colleagues could provide valuable testimony.\u003c/p>\n\u003cp>But Goodwin pointed out that chaperones can’t see everything in such an intimate setting.\u003c/p>\n\u003cp>“A gynecological exam can include things that are very graphic,” Goodwin said. “That is also what makes these types of cases so frightening for these young women. … The abuse happens to be hidden in the worst way.”\u003c/p>\n\u003cp>If investigators can’t find physical evidence of abuse, they will see if women reported incidents at the time to roommates, family members or others, and whether medical records match up with when they said they were abused.\u003c/p>\n\u003cp>One advantage prosecutors have is they can present evidence of similar misconduct the defendant may not be charged with to show a pattern, said criminal defense attorney Robert A. Schwartz, who is not involved in the case.\u003c/p>\n\u003cp>Jurors were unable to convict Bill Cosby of sexual assault at his first trial when only one additional woman testified against him. Cosby was convicted at a second trial after five other women testified about prior bad acts dating to the 1980s.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“Most doctors as a defendant in a criminal case would get the benefit of the doubt,” Schwartz said. “What tips the scales against the doctor and his testimony would be the sheer volume of complaints.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>LOS ANGELES — The University of Southern California has received hundreds of complaints about a former school gynecologist suspected of conducting inappropriate exams for decades, prompting the resignation of the school president and a police investigation.\u003c/p>\n\u003cp>More than two dozen lawsuits have been filed and police are investigating allegations from more than 50 women, so far.\u003c/p>\n\u003cp>Whether Dr. George Tyndall faces charges, though, depends on if complaints about creepy comments, improper photos in the exam room and uncomfortable probing went beyond dubious doctoring and into the criminal realm.\u003c/p>\n\u003cp>The university has come under fire since \u003ca href=\"http://www.latimes.com/local/california/la-me-usc-george-tyndall-sg-storygallery.html\" target=\"_blank\" rel=\"noopener\">the Los Angeles Times reported earlier this month\u003c/a> that complaints and comments about Tyndall’s care went unheeded by the school for decades and that USC failed to report him to the state medical board even after the school quietly forced him into retirement last year.\u003c/p>\n\u003cp>Two administrators were fired and President C.L. Max Nikias agreed to step down Friday after criticism for leadership failures during a string of scandals that included reports by the Times that the university’s \u003ca href=\"http://www.latimes.com/local/lanow/la-me-ln-usc-dean-patients-20170717-story.html\" target=\"_blank\" rel=\"noopener\">former medical school dean\u003c/a> used drugs with criminals and was present when a woman overdosed in a Pasadena hotel room.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Lawsuits accuse Tyndall, the school’s staff gynecologist for nearly three decades, of using his authority to sexually abuse women between 1990 and 2016. The suits allege the school concealed the conduct.\u003c/p>\n\u003cp>Tyndall was a “serial sexual predator” who groped breasts and used his fingers to penetrate rectums and vaginas for no medically necessary purpose, attorney John Manly said in a suit filed Friday. Tyndall is also accused of taking close-up photos of genitalia and commenting on the bodies of women, their race and sexual activity.\u003c/p>\n\u003cp>In some instances, Tyndall is accused of conducting vaginal exams without gloves when students were only seeking birth control.\u003c/p>\n\u003cp>Tyndall, 71, denied wrongdoing in interviews with the Times. He didn’t return phone calls or an email from The Associated Press. It wasn’t known Tuesday if he has an attorney.\u003c/p>\n\u003cp>USC concluded in 2016 that Tyndall violated policies on harassment and making racially discriminatory and sexually inappropriate remarks, but two criminal law experts it consulted said there was no criminal activity to report, the school said.\u003c/p>\n\u003cfigure id=\"attachment_11671516\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11671516\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/USCPrez-800x525.jpg\" alt=\"USC President C.L. Max Nikias agreed to step down Friday after criticism for leadership failures during a string of scandals.\" width=\"800\" height=\"525\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/USCPrez-800x525.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/USCPrez-160x105.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/USCPrez-1020x669.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/USCPrez-1200x787.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/USCPrez.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/USCPrez-1180x774.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/USCPrez-960x630.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/USCPrez-240x157.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/USCPrez-375x246.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/USCPrez-520x341.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">USC President C.L. Max Nikias agreed to step down Friday after criticism for leadership failures during a string of scandals. \u003ccite>(Leon Bennett/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Los Angeles police said they are looking into behavior and practices that appear to go beyond the norms of medical and gynecological exams.\u003c/p>\n\u003cp>“Many of them are just inappropriate comments which, obviously, do not constitute a crime,” police Capt. Billy Hayes said at a news conference Tuesday asking more women to come forward. “We could look at the issue of penetration as one of the more significant crimes.”\u003c/p>\n\u003cp>The allegations have similarities to \u003ca href=\"https://www.npr.org/tags/563260360/larry-nassar\" target=\"_blank\" rel=\"noopener\">the case of Larry Nassar\u003c/a>, the disgraced former sports doctor at Michigan State University and USA Gymnastics now serving multiple life terms in prison. Michigan State agreed to a $500 million settlement with more than 300 of his victims.\u003c/p>\n\u003cp>One key difference with the high-profile case involving Olympic champions, though, is that Tyndall as a gynecologist could argue his treatments were within the scope of his medical expertise.\u003c/p>\n\u003cp>Internal investigations by USC got mixed reviews on Tyndall’s practice of using a finger before inserting a speculum during pelvic exams. One expert said it could be considered acceptable, though another review found it outdated.\u003c/p>\n\u003cp>Some women who have spoken about their encounters — some of whom were on their first visits to a gynecologist — said they didn’t realize their treatment was improper until they saw recent news stories.\u003c/p>\n\u003cp>“These women had no idea they were being sexually abused,” said attorney Ron Labriola, who is working with Manly. “They said it was odd, it was weird, but that’s different from (perceiving it) as a sexual assault.”\u003c/p>\n\u003cp>That could make it challenging but not impossible for authorities to pursue charges against Tyndall, particularly given the potential number of complaints.\u003c/p>\n\u003cfigure id=\"attachment_11671521\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11671521\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/HealthCenter-800x528.jpg\" alt=\"The entrance to the Engemann Student Health Center on the campus of USC in Los Angeles.\" width=\"800\" height=\"528\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/HealthCenter-800x528.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/HealthCenter-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/HealthCenter-1020x673.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/HealthCenter-1200x792.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/HealthCenter.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/HealthCenter-1180x779.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/HealthCenter-960x634.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/HealthCenter-240x158.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/HealthCenter-375x247.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2018/05/HealthCenter-520x343.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The entrance to the Engemann Student Health Center on the campus of USC in Los Angeles. \u003ccite>(ROBYN BECK/AFP/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A jury in Casper, Wyoming, this year convicted a gynecologist who touched women in ways they said were unusual and made them feel uncomfortable. Prosecutor Mike Blonigen said there is often no physical evidence or eyewitnesses in such cases, and the difference between proper care and a crime can be subtle.\u003c/p>\n\u003cp>“Some of the challenges are distinguishing between clumsy execution in the procedure and illegal touching. That’s hard to do,” Blonigen said. “The thought that my doctor is molesting me is a hard thing to process.”\u003c/p>\n\u003cp>Dr. Paul Harnetty was sentenced to 20 to 30 years in prison on two counts of second-degree sexual assault.\u003c/p>\n\u003cp>Successful prosecutions almost always involve multiple women who can provide corroborating testimony, Blonigen said. In Harnetty’s case, six patients testified against him, though he was cleared of several counts.\u003c/p>\n\u003cp>If there’s a single victim, the case can devolve into a he said-she said dispute, said Michele Goodwin, a law professor at the University of California, Irvine. In the medical environment, a typical defense is that it was part of an exam and there were no supporting eyewitnesses or video.\u003c/p>\n\u003cp>In Tyndall’s case, female nurses or medical assistants known as chaperones who often accompany male gynecologists during exams, had complained about his behavior, including his use of a camera, the Times reported. Those colleagues could provide valuable testimony.\u003c/p>\n\u003cp>But Goodwin pointed out that chaperones can’t see everything in such an intimate setting.\u003c/p>\n\u003cp>“A gynecological exam can include things that are very graphic,” Goodwin said. “That is also what makes these types of cases so frightening for these young women. … The abuse happens to be hidden in the worst way.”\u003c/p>\n\u003cp>If investigators can’t find physical evidence of abuse, they will see if women reported incidents at the time to roommates, family members or others, and whether medical records match up with when they said they were abused.\u003c/p>\n\u003cp>One advantage prosecutors have is they can present evidence of similar misconduct the defendant may not be charged with to show a pattern, said criminal defense attorney Robert A. Schwartz, who is not involved in the case.\u003c/p>\n\u003cp>Jurors were unable to convict Bill Cosby of sexual assault at his first trial when only one additional woman testified against him. Cosby was convicted at a second trial after five other women testified about prior bad acts dating to the 1980s.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Most doctors as a defendant in a criminal case would get the benefit of the doubt,” Schwartz said. “What tips the scales against the doctor and his testimony would be the sheer volume of complaints.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "A Scaled-Back Bid to Care for Undocumented Californians",
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"content": "\u003cp>After shelving a plan to provide full government health benefits to all undocumented, low-income adults in the state, California lawmakers are trying to extend coverage to seniors and the disabled in that population.\u003c/p>\n\u003cp>An estimated 1.8 million adult immigrants live in California without authorization, and roughly 1.2 million of them are poor enough to qualify for Medi-Cal, the state’s version of Medicaid. They can get care in emergency rooms, but a proposed new law would have provided them with full Medi-Cal benefits, including preventive care. \u003c/p>\n\u003cp>That idea, contained in bills by Democratic Sens. Ricardo \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB974\" rel=\"noopener\" target=\"_blank\">Lara\u003c/a> of Bell Gardens and Joaquin \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180AB2965\" rel=\"noopener\" target=\"_blank\">Arambula\u003c/a> of Fresno, took a major hit this week when the measures were placed in the dreaded “suspense file,” where bills sit in limbo and often die. Instead, Democratic lawmakers have included a vastly scaled-back version in the ongoing budget negotiations, which will conclude in mid-June.\u003c/p>\n\u003cp>The original plan was estimated to cost California $3 billion a year, and Gov. Jerry Brown has signaled extreme reluctance to spend such a large portion of the state’s nearly $9 billion surplus. And billions in taxpayer funds for undocumented residents may be an especially hard sell in this election year, when state Republicans are using illegal immigration as a wedge issue, hoping to drive GOP voters to the polls to support their candidates and causes.\u003c/p>\n\u003cp>Democratic lawmakers are now pushing for $250 million in the next budget to cover roughly 114,000 low-income seniors and disabled residents who are undocumented. \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In 2016, the state extended Medi-Cal benefits to undocumented children, and nearly 250,000 have enrolled since then, at a cost to the state of about $280 million. Adults’ health care is more expensive overall than children’s. \u003c/p>\n\u003cp>Opponents have said it’s a mistake for the state to pay for full-scope health care benefits to any portion of the undocumented population—whether it’s adults, children or seniors—not just because of the cost but also on principle, because many people without documentation are here illegally.\u003c/p>\n\u003cp>John Baackes is CEO of LA Care Health Plan, the largest publicly operated health plan in the nation. Baackes said the undocumented adult population is the largest segment of people in the state without health insurance, and getting them coverage is a huge cost-saver in the long run. \u003c/p>\n\u003cp>“Their care right now is episodic and inefficient—and expensive,” he said. California is already paying to care for them in emergency rooms and other urgent-care facilities, so the choice is whether or not to do that in a low-cost way, he said. \u003c/p>\n\u003cp>Including the low-income undocumented population in Medi-Cal potentially could save federal dollars, because it would ease the financial burden of free care received at federally qualified health centers. \u003c/p>\n\u003cp>Lara has argued that providing full care would save the state money, both in the expense of care and in increased worker productivity, because working adults wouldn’t wait till they’re really sick and rush to get expensive emergency room care. \u003c/p>\n\u003cp>He and others said the Trump administration’s crackdown on illegal immigration is deterring some residents from seeking needed care. Immigration and health care advocates have speculated that’s why enrollment of undocumented children in California’s public health services has been slower than expected. Many immigrants fear that using those services could lead immigration officials to deport them or family members. \u003c/p>\n\u003cp>“The fear-mongering is higher now,” Lara said. But he said California needs to blaze its own path, to look at its long-term future: “Fear in the immigrant community was there before Trump, and it will be there after Trump.”\u003c/p>\n\u003cp>In the end,Sacramento policy shifts almost always come down to cost, said Micah Weinberg, president of the Bay Area Council Economic Institute, a nonprofit think tank based in San Francisco.\u003c/p>\n\u003cp>Multiple studies have shown, he said, that immigrants are a benefit to communities where they live. The real problem, Weinberg said, is that health care costs too much, so adding undocumented adults becomes a pricier proposition than it should be. \u003c/p>\n\u003cp>“More health care for more people costs more money,” Weinberg said. “There’s no way around that.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org\" rel=\"noopener\" target=\"_blank\">CALmatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/p>\n\n",
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"excerpt": "A Democratic bid to extend government health coverage to all undocumented, low-income adults in California has been put on hold. Lawmakers now hope to cover at least the seniors and the disabled.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>After shelving a plan to provide full government health benefits to all undocumented, low-income adults in the state, California lawmakers are trying to extend coverage to seniors and the disabled in that population.\u003c/p>\n\u003cp>An estimated 1.8 million adult immigrants live in California without authorization, and roughly 1.2 million of them are poor enough to qualify for Medi-Cal, the state’s version of Medicaid. They can get care in emergency rooms, but a proposed new law would have provided them with full Medi-Cal benefits, including preventive care. \u003c/p>\n\u003cp>That idea, contained in bills by Democratic Sens. Ricardo \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB974\" rel=\"noopener\" target=\"_blank\">Lara\u003c/a> of Bell Gardens and Joaquin \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180AB2965\" rel=\"noopener\" target=\"_blank\">Arambula\u003c/a> of Fresno, took a major hit this week when the measures were placed in the dreaded “suspense file,” where bills sit in limbo and often die. Instead, Democratic lawmakers have included a vastly scaled-back version in the ongoing budget negotiations, which will conclude in mid-June.\u003c/p>\n\u003cp>The original plan was estimated to cost California $3 billion a year, and Gov. Jerry Brown has signaled extreme reluctance to spend such a large portion of the state’s nearly $9 billion surplus. And billions in taxpayer funds for undocumented residents may be an especially hard sell in this election year, when state Republicans are using illegal immigration as a wedge issue, hoping to drive GOP voters to the polls to support their candidates and causes.\u003c/p>\n\u003cp>Democratic lawmakers are now pushing for $250 million in the next budget to cover roughly 114,000 low-income seniors and disabled residents who are undocumented. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In 2016, the state extended Medi-Cal benefits to undocumented children, and nearly 250,000 have enrolled since then, at a cost to the state of about $280 million. Adults’ health care is more expensive overall than children’s. \u003c/p>\n\u003cp>Opponents have said it’s a mistake for the state to pay for full-scope health care benefits to any portion of the undocumented population—whether it’s adults, children or seniors—not just because of the cost but also on principle, because many people without documentation are here illegally.\u003c/p>\n\u003cp>John Baackes is CEO of LA Care Health Plan, the largest publicly operated health plan in the nation. Baackes said the undocumented adult population is the largest segment of people in the state without health insurance, and getting them coverage is a huge cost-saver in the long run. \u003c/p>\n\u003cp>“Their care right now is episodic and inefficient—and expensive,” he said. California is already paying to care for them in emergency rooms and other urgent-care facilities, so the choice is whether or not to do that in a low-cost way, he said. \u003c/p>\n\u003cp>Including the low-income undocumented population in Medi-Cal potentially could save federal dollars, because it would ease the financial burden of free care received at federally qualified health centers. \u003c/p>\n\u003cp>Lara has argued that providing full care would save the state money, both in the expense of care and in increased worker productivity, because working adults wouldn’t wait till they’re really sick and rush to get expensive emergency room care. \u003c/p>\n\u003cp>He and others said the Trump administration’s crackdown on illegal immigration is deterring some residents from seeking needed care. Immigration and health care advocates have speculated that’s why enrollment of undocumented children in California’s public health services has been slower than expected. Many immigrants fear that using those services could lead immigration officials to deport them or family members. \u003c/p>\n\u003cp>“The fear-mongering is higher now,” Lara said. But he said California needs to blaze its own path, to look at its long-term future: “Fear in the immigrant community was there before Trump, and it will be there after Trump.”\u003c/p>\n\u003cp>In the end,Sacramento policy shifts almost always come down to cost, said Micah Weinberg, president of the Bay Area Council Economic Institute, a nonprofit think tank based in San Francisco.\u003c/p>\n\u003cp>Multiple studies have shown, he said, that immigrants are a benefit to communities where they live. The real problem, Weinberg said, is that health care costs too much, so adding undocumented adults becomes a pricier proposition than it should be. \u003c/p>\n\u003cp>“More health care for more people costs more money,” Weinberg said. “There’s no way around that.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org\" rel=\"noopener\" target=\"_blank\">CALmatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "bill-to-create-state-health-care-price-controls-dies",
"title": "Bill to Create State Health Care Price Controls Dies",
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"content": "\u003cp>A proposal to create government price controls in California for surgeries, hospital stays, doctor visits and other health care services died Friday when it failed to clear a key committee, but the author says he plans to bring it back next year.\u003c/p>\n\u003cp>The measure was a longshot from the beginning, but it drew national attention from health care policy observers. Hospitals, doctors and other influential health care providers lobbied intensely against the bill, which they said would lead to longer waits for medical care.\u003c/p>\n\u003cp>The bill has helped to change the national debate over health care costs and brought a wide variety of health care interests to the table, said Assemblyman Ash Kalra, a San Jose Democrat who wrote the bill.\u003c/p>\n\u003cp>https://twitter.com/Ash_Kalra/status/1000208776123723776\u003c/p>\n\u003cp>“This is the type of attention and investment we need to find a solution to the skyrocketing costs of health care,” Kalra said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Kalra’s proposal would have affected private health plans, including those offered by employers and purchased by individuals. A nine-member commission appointed by the governor and legislative leaders would have set prices for everything from physical exams to allergy tests to heart bypass surgery. No other state has such a requirement.\u003c/p>\n\u003cp>https://twitter.com/Ash_Kalra/status/1000188884112715776\u003c/p>\n\u003cp>Prices would have been tied to Medicare’s rate for a particular service or procedure, with that price as a floor. There would have been a process for doctors or hospitals to argue that their unique circumstances warrant payments higher than the state’s standard rate.\u003c/p>\n\u003cp>It was backed by influential unions frustrated that health care costs are gobbling an increasing share of employee compensation.\u003c/p>\n\u003cp>Health care providers warned that price controls would encourage doctors to move out of state or retire, making it harder for people to see physicians when they’re sick and force hospitals to lay off staff and in some cases shut down.\u003c/p>\n\u003cp>Theodore Mazer, a San Diego physician who is president of the California Medical Association, applauded the Assembly “for recognizing that this deeply flawed legislation would result in enormous costs to the state and restricted access to care for millions.”\u003c/p>\n\u003cp>In recent decades, health care spending has risen faster than inflation and wages while employers and health plans have shifted more of the costs onto consumers through higher premiums, deductibles and copays. Americans spend more per capita on health care than citizens of other developed countries.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Meanwhile, a wave of consolidation by hospitals, physician groups and insurance companies has given industry players more power to demand higher rates.\u003c/p>\n\n",
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"content": "\u003cp>Public health officials said Monday that \u003ca href=\"https://www.kqed.org/news/11666021/first-death-reported-in-romaine-lettuce-e-coli-outbreak-and-its-in-california\" target=\"_blank\" rel=\"noopener\">the only confirmed death from the national outbreak of E. coli\u003c/a> from bagged Arizona lettuce took place in California’s Madera County.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/bayareabites/127977/dozens-of-victims-are-still-coping-with-the-e-coli-outbreak-in-romaine-lettuce\" target=\"_blank\" rel=\"noopener\">The national outbreak\u003c/a> sickened 172 people in 32 states between March 13 and May 2. It was linked to lettuce from the Yuma, Arizona, growing region.\u003c/p>\n\u003cp>Of those who became ill, federal health officials say 75 people were hospitalized. Earlier this month, federal officials announced that 39 people in California became sick from eating the lettuce, including one person who died.\u003c/p>\n\u003cp>At that point, representatives for the California Department of Public Health (CDPH) refused to provide any details about the person who died, including where the death took place, citing laws protecting the privacy of medical patients.\u003c/p>\n\u003cp>“The fundamental principle is that CDPH and local health departments are required to keep this information confidential and may not release information that could identify the subject of such a report,” the department said in a statement emailed to KQED in early May.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>For several weeks, KQED pressed agency officials to release the name of the county where the E. coli patient died and the department repeatedly refused. That changed on Monday.\u003c/p>\n\u003cp>“It is Madera County,” said Corey Egel, a CDPH spokesman, in an email.\u003c/p>\n\u003cp>Health officials in Madera County confirmed the one death in their county attributed to the E. coli outbreak, noting a pathology report that linked the case to the recent strain.\u003c/p>\n\u003cp>But, like the state, they would not release any information about the patient’s gender and age, also citing privacy concerns.\u003c/p>\n\u003cp>“We really need to hold those details due to patient confidentiality,” said Sara Bosse, the county’s director of public health.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.fda.gov/Food/RecallsOutbreaksEmergencies/Outbreaks/ucm604254.htm#update\" target=\"_blank\" rel=\"noopener\">Food and Drug Administration\u003c/a> is still looking for the source of the outbreak at farms and packaging plants around Yuma.\u003c/p>\n\u003cp>The FDA said it received confirmation from officials in Arizona that the romaine lettuce tied to the outbreak was no longer being produced and distributed. The agency added that it was unlikely that any romaine lettuce from the Yuma area was still available in stores or restaurants because it has a 21-day shelf life.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Federal health officials say symptoms connected to the E. coli outbreak include severe stomach cramps and bloody diarrhea. Most people get better within five to seven days but a small percentage of those diagnosed with the particular strain can experience more severe symptoms.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Public health officials said Monday that \u003ca href=\"https://www.kqed.org/news/11666021/first-death-reported-in-romaine-lettuce-e-coli-outbreak-and-its-in-california\" target=\"_blank\" rel=\"noopener\">the only confirmed death from the national outbreak of E. coli\u003c/a> from bagged Arizona lettuce took place in California’s Madera County.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/bayareabites/127977/dozens-of-victims-are-still-coping-with-the-e-coli-outbreak-in-romaine-lettuce\" target=\"_blank\" rel=\"noopener\">The national outbreak\u003c/a> sickened 172 people in 32 states between March 13 and May 2. It was linked to lettuce from the Yuma, Arizona, growing region.\u003c/p>\n\u003cp>Of those who became ill, federal health officials say 75 people were hospitalized. Earlier this month, federal officials announced that 39 people in California became sick from eating the lettuce, including one person who died.\u003c/p>\n\u003cp>At that point, representatives for the California Department of Public Health (CDPH) refused to provide any details about the person who died, including where the death took place, citing laws protecting the privacy of medical patients.\u003c/p>\n\u003cp>“The fundamental principle is that CDPH and local health departments are required to keep this information confidential and may not release information that could identify the subject of such a report,” the department said in a statement emailed to KQED in early May.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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}
},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"order": 1
},
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"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
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"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
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"id": "fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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},
"hidden-brain": {
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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},
"link": "/radio/program/how-i-built-this",
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"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"order": 18
},
"link": "/podcasts/jerrybrown",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
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"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
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"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
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"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
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