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"content": "\u003cp>After families were informed last month that Sutter Health planned to join a growing list of health care providers \u003ca href=\"https://www.kqed.org/news/12065480/its-just-cruel-bay-area-parents-say-sutter-health-is-set-to-halt-trans-youth-care\">limiting gender-affirming care for minors\u003c/a>, some say the Northern California-based network is reversing course, despite mounting pressure from the federal government.\u003c/p>\n\u003cp>But the temporary reprieve is shaky, according to East Bay mother Nikki, whose 14-year-old son relies on a Sutter doctor for frequent, steady care. The Trump administration on Thursday announced funding restrictions that could effectively \u003ca href=\"https://www.npr.org/sections/shots-health-news/2025/12/18/nx-s1-5647789/transgender-gender-affirming-care-rfk-jr-dr-oz-trump\">halt all pediatric gender-affirming care\u003c/a>, and Nikki worries the move could push Sutter to backtrack — and make it nearly impossible to find a provider.\u003c/p>\n\u003cp>“I’m trying really hard to hold on to the victory of this last week and a half or so that this care has not stopped,” she told KQED. “But that unforeseeable future weighs heavily on my husband and I. We do our best to shelter our children, but this is the world intruding upon our lives and the government trying to make decisions for us.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In November, Nikki, who asked to be identified by only her first name for fear of retribution against her and her son’s caregiver, was informed that his care would be discontinued just weeks later, on Dec. 10. Several other families with transgender children said their doctors had relayed similar messages.\u003c/p>\n\u003cp>But last week, according to Nikki, her son’s doctor said the hospital network appeared to reverse course and would no longer stop offering treatments on that date.\u003c/p>\n\u003cp>In a statement, Sutter said it was working to ensure compliance with recent federal actions affecting gender-affirming care for patients under 19.\u003c/p>\n\u003cfigure id=\"attachment_11980957\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11980957\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240208-HospitalViolence-11-BL_qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240208-HospitalViolence-11-BL_qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240208-HospitalViolence-11-BL_qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240208-HospitalViolence-11-BL_qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240208-HospitalViolence-11-BL_qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240208-HospitalViolence-11-BL_qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The Sutter Health CPMC Davies Campus in San Francisco on Feb. 8, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Sutter-aligned physicians are engaging directly with their patients to have open and thoughtful conversations and to determine individual care plans that will meet anticipated requirements,” the nonprofit hospital network said, adding that gender-affirming surgeries for young patients had previously ceased. “We continue to support careful, patient-centered discussions with appropriate resources and guidance.”\u003c/p>\n\u003cp>Nikki said she’s still waiting for her son’s future appointments to be rescheduled after they were canceled last month, but she’s heard from other families that they’ve been able to get back on their caregivers’ calendars.\u003c/p>\n\u003cp>Still, she said, the last few weeks have been extremely nerve-wracking as she and other families awaited pending federal policy moves that would essentially ban gender-affirming care for youth, even in states where it’s legal.\u003c/p>\n\u003cp>That came Thursday morning, when Health Secretary Robert F. Kennedy Jr. and Medicaid Administrator Dr. Mehmet Oz announced two new rules.[aside postID=news_12065480 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/08/20250725_KaiserTransProtest_GC-1_qed.jpg']The first would prevent hospitals and doctors from receiving Medicaid reimbursements for gender-affirming care for children. Medicaid offers health coverage to millions of low-income Americans. The second would go further, blocking all funding from Medicaid and Medicare, which covers older people and those with disabilities, for medical centers that provide gender-affirming care to youth.\u003c/p>\n\u003cp>Hospitals rely heavily on Medicaid and Medicare funding to operate — combined, the two federal programs covered about 45% of spending on hospital care in 2023, \u003ca href=\"https://www.kff.org/health-costs/key-facts-about-hospitals/?entry=national-hospital-spending-spending-by-payer\">according to the health policy research organization KFF\u003c/a>.\u003c/p>\n\u003cp>The proposed rules have to go through a 60-day period during which the public can weigh in, and they are likely to face legal challenges; the American Civil Liberties Union has already said it plans to sue.\u003c/p>\n\u003cp>If they’re finalized, though, Nikki worries that it will become nearly impossible to find a doctor who offers the care her son needs.\u003c/p>\n\u003cp>“Then what am I going to do to find a physician? Who are those physicians?” Nikki asked.\u003c/p>\n\u003cp>That’s because other major networks have already moved to limit gender-affirming care in light of the Trump administration’s crackdown. In June, Stanford Medicine paused gender-affirming surgeries and stopped providing prescriptions for puberty blockers to young people, and Kaiser Permanente halted surgical care in July.\u003c/p>\n\u003cfigure id=\"attachment_12049926\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12049926\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-31_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-31_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-31_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-31_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Calder Storm waves a transgender flag at a rally and vigil, honoring transgender patients affected by Kaiser’s decision to halt gender-affirming care to minors, outside of Kaiser Permanente on July 25, 2025. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Nikki called the president’s efforts to withhold funding from caregivers who provide gender affirming care “financial sabotage.”\u003c/p>\n\u003cp>“It’s terrifying,” she said. “It feels completely helpless and hopeless.”\u003c/p>\n\u003cp>She’s been searching for a new provider who doesn’t rely on federal funding since the initial word last month from her Sutter doctor, but she hasn’t found one yet. The threat that her son’s care could be stopped with just days or weeks of notice is especially worrisome, she said, because of how time sensitive it is.\u003c/p>\n\u003cp>He takes a weekly testosterone shot, which has to be picked up one dose at a time, and re-prescribed every six months, due to their insurance coverage.\u003c/p>\n\u003cp>Right now, he’s out of refills. He’s still within his normal dose cycle, Nikki said, but if he’s unable to get a new prescription within days and falls behind, the effects will be pretty immediately noticeable.\u003c/p>\n\u003cp>While she thinks he’ll be able to see his Sutter caregiver for a prescription this time, if that option goes away in the future, “I’m, for lack of a word, shit out of luck,” Nikki said.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/nnavarro\">\u003cem>Natalia Navarro\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The first would prevent hospitals and doctors from receiving Medicaid reimbursements for gender-affirming care for children. Medicaid offers health coverage to millions of low-income Americans. The second would go further, blocking all funding from Medicaid and Medicare, which covers older people and those with disabilities, for medical centers that provide gender-affirming care to youth.\u003c/p>\n\u003cp>Hospitals rely heavily on Medicaid and Medicare funding to operate — combined, the two federal programs covered about 45% of spending on hospital care in 2023, \u003ca href=\"https://www.kff.org/health-costs/key-facts-about-hospitals/?entry=national-hospital-spending-spending-by-payer\">according to the health policy research organization KFF\u003c/a>.\u003c/p>\n\u003cp>The proposed rules have to go through a 60-day period during which the public can weigh in, and they are likely to face legal challenges; the American Civil Liberties Union has already said it plans to sue.\u003c/p>\n\u003cp>If they’re finalized, though, Nikki worries that it will become nearly impossible to find a doctor who offers the care her son needs.\u003c/p>\n\u003cp>“Then what am I going to do to find a physician? Who are those physicians?” Nikki asked.\u003c/p>\n\u003cp>That’s because other major networks have already moved to limit gender-affirming care in light of the Trump administration’s crackdown. In June, Stanford Medicine paused gender-affirming surgeries and stopped providing prescriptions for puberty blockers to young people, and Kaiser Permanente halted surgical care in July.\u003c/p>\n\u003cfigure id=\"attachment_12049926\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12049926\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-31_qed.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-31_qed.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-31_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/07/20250725_KaiserTransProtest_GC-31_qed-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Calder Storm waves a transgender flag at a rally and vigil, honoring transgender patients affected by Kaiser’s decision to halt gender-affirming care to minors, outside of Kaiser Permanente on July 25, 2025. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Nikki called the president’s efforts to withhold funding from caregivers who provide gender affirming care “financial sabotage.”\u003c/p>\n\u003cp>“It’s terrifying,” she said. “It feels completely helpless and hopeless.”\u003c/p>\n\u003cp>She’s been searching for a new provider who doesn’t rely on federal funding since the initial word last month from her Sutter doctor, but she hasn’t found one yet. The threat that her son’s care could be stopped with just days or weeks of notice is especially worrisome, she said, because of how time sensitive it is.\u003c/p>\n\u003cp>He takes a weekly testosterone shot, which has to be picked up one dose at a time, and re-prescribed every six months, due to their insurance coverage.\u003c/p>\n\u003cp>Right now, he’s out of refills. He’s still within his normal dose cycle, Nikki said, but if he’s unable to get a new prescription within days and falls behind, the effects will be pretty immediately noticeable.\u003c/p>\n\u003cp>While she thinks he’ll be able to see his Sutter caregiver for a prescription this time, if that option goes away in the future, “I’m, for lack of a word, shit out of luck,” Nikki said.\u003c/p>\n\u003cp>\u003cem>KQED’s \u003c/em>\u003ca href=\"https://www.kqed.org/author/nnavarro\">\u003cem>Natalia Navarro\u003c/em>\u003c/a>\u003cem> contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/sutter-health\">Sutter Health\u003c/a> announced plans on Monday for a new flagship medical center in \u003ca href=\"https://www.kqed.org/news/tag/santa-clara\">Santa Clara,\u003c/a> part of a multibillion-dollar investment to expand health care access in Silicon Valley.\u003c/p>\n\u003cp>The centerpiece of the $2.8 billion dual-campus plan is an eight-story medical center to be built on a 13.63-acre site near Levi’s Stadium. Sutter Health President and CEO Warner Thomas called the facility the “digital hospital of the future.”\u003c/p>\n\u003cp>“Today marks a turning point … for the future of health care here in Santa Clara and in Silicon Valley,” Thomas said, describing the new 272-bed hospital, which will replace an existing office park at 2831 and 2841 Mission College Blvd. “This will be the largest investment in the history of Sutter Health.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The new facility, slated to open in late 2031, will feature all private patient rooms, a full-service emergency department, intensive care units, advanced operating rooms and a Level III neonatal intensive care unit. Officials emphasized that the investment is designed to fill a critical gap in a region underserved by health systems.\u003c/p>\n\u003cp>Speaking at Monday’s event, Santa Clara County Supervisor Susan Ellenberg described the county’s emergency response system as being “under extraordinary strain,” noting that the county has the second-lowest ratio of ER treatment stations per resident in California.\u003c/p>\n\u003cp>“This level of demand clearly cannot be sustained by county facilities alone,” Ellenberg said. “The addition of a Sutter Health Medical Center … will help reduce the enormous pressure on county-operated facilities. It will also improve ambulance response times, access to care and provide more options for people who depend on us.”\u003c/p>\n\u003cp>Thomas reinforced the point, stating that the county’s hospital infrastructure has not “kept pace” with the region’s growth, lagging behind state and national averages for beds per capita.[aside postID=news_12062794 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/251104-MEASUREA-JG-1_qed.jpg']Santa Clara Mayor Lisa Gillmor called Sutter’s expansion “a very exciting day for Santa Clara” and a key step in meeting the needs of a growing population.\u003c/p>\n\u003cp>“The addition of the Sutter Health Hospital expands access, it increases capacity and gives our residents more choice, ensuring that more families can receive excellent care right here in Santa Clara, close to home,” Gillmor said.\u003c/p>\n\u003cp>The project, which includes the recently opened Sutter East Santa Clara Care Center, will create hubs for specialty care in cancer, women’s health and orthopedics. It will be integrated with the Palo Alto Foundation Medical Group to help with recruitment.\u003c/p>\n\u003cp>“In the 29 years I’ve worked here [in Santa Clara County], we haven’t had good enough access for our patients,” said Dr. Kurt VandeVort, CEO of PAFMG. “This is really a landmark investment.”\u003c/p>\n\u003cp>The initiative also includes a significant focus on workforce development. Thomas announced a new, multimillion-dollar partnership with the Santa Clara Unified School District to create “Health Career Pathways” to help prepare students for careers in health care.\u003c/p>\n\u003cp>SCUSD Superintendent Damon Wright said the collaboration would provide students with “hands-on, real-world experiences” and training for certification-eligible roles.\u003c/p>\n\u003cp>Sutter also plans to expand its Graduate Medical Education programs, aiming to train 1,000 residents and fellows annually by 2030, and is partnering with the West Valley-Mission Community College District on nursing and emergency services programs.\u003c/p>\n\u003cp>According to an independent analysis by \u003ca href=\"https://www.ey.com/en_us\">EY\u003c/a>, the new facilities are projected to support more than 5,000 jobs by 2031.\u003c/p>\n\u003cp>“This new medical center and the broader Santa Clara project represent a promise to this community to make accessing sought-after health care so much easier,” said Dr. Rebecca Fazilat, Board Chair of PAFMG.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Santa Clara Mayor Lisa Gillmor called Sutter’s expansion “a very exciting day for Santa Clara” and a key step in meeting the needs of a growing population.\u003c/p>\n\u003cp>“The addition of the Sutter Health Hospital expands access, it increases capacity and gives our residents more choice, ensuring that more families can receive excellent care right here in Santa Clara, close to home,” Gillmor said.\u003c/p>\n\u003cp>The project, which includes the recently opened Sutter East Santa Clara Care Center, will create hubs for specialty care in cancer, women’s health and orthopedics. It will be integrated with the Palo Alto Foundation Medical Group to help with recruitment.\u003c/p>\n\u003cp>“In the 29 years I’ve worked here [in Santa Clara County], we haven’t had good enough access for our patients,” said Dr. Kurt VandeVort, CEO of PAFMG. “This is really a landmark investment.”\u003c/p>\n\u003cp>The initiative also includes a significant focus on workforce development. Thomas announced a new, multimillion-dollar partnership with the Santa Clara Unified School District to create “Health Career Pathways” to help prepare students for careers in health care.\u003c/p>\n\u003cp>SCUSD Superintendent Damon Wright said the collaboration would provide students with “hands-on, real-world experiences” and training for certification-eligible roles.\u003c/p>\n\u003cp>Sutter also plans to expand its Graduate Medical Education programs, aiming to train 1,000 residents and fellows annually by 2030, and is partnering with the West Valley-Mission Community College District on nursing and emergency services programs.\u003c/p>\n\u003cp>According to an independent analysis by \u003ca href=\"https://www.ey.com/en_us\">EY\u003c/a>, the new facilities are projected to support more than 5,000 jobs by 2031.\u003c/p>\n\u003cp>“This new medical center and the broader Santa Clara project represent a promise to this community to make accessing sought-after health care so much easier,” said Dr. Rebecca Fazilat, Board Chair of PAFMG.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>San Francisco supervisors are urging \u003ca href=\"https://www.kqed.org/news/tag/sutter-health\">Sutter Health\u003c/a>’s California Pacific Medical Center to step up safety measures in its upcoming contract with a new union representing interns and residents, spurred by the story of a psychiatry resident who was knocked unconscious in an attack.\u003c/p>\n\u003cp>The Board of Supervisors passed a resolution this month, and in a letter dated June 6 to CPMC executives, including CEO Hamila Kownacki, supervisors urged the hospital system to “address concerns related to safe working conditions for resident physicians and patients.”\u003c/p>\n\u003cp>As part of the background material for the resolution, the supervisors cited the story of Dr. Dani Golomb, a psychiatry resident who was punched, dragged and knocked unconscious while working at a CPMC campus in September 2020. After Golomb shared her story \u003ca href=\"https://www.kqed.org/science/1991739/bay-area-medical-psychiatry-pushes-for-hospital-safety-after-violent-attack\">with KQED\u003c/a> in March, state regulators \u003ca href=\"https://www.kqed.org/news/11980953/california-regulators-investigate-sutter-health-over-unreported-assault-on-psychiatry-worker\">launched a subsequent review\u003c/a> into the previously unreported assault.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Sutter Health was legally required to file a violent incident report to state regulators within 72 hours, but the California Division of Occupational Safety and Health or Cal/OSHA, has no record of the incident. Sutter Health has acknowledged that the hospital did not initially report Golomb’s assault or injury but said it did note the assault in an injury log filed with Cal/OSHA later in 2020.\u003c/p>\n\u003cp>Golomb suffered a concussion and a traumatic brain injury. She missed more than a year of work as she recovered.[aside postID=news_11989238 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/06/CMERWorkers01-1020x680.jpg']Board of Supervisors President Aaron Peskin, who co-sponsored the legislation, told KQED in a statement that the city is moving aggressively to staff up its essential health care workers. “But we won’t be able to expand our workforce if the health care system isn’t safe,” he said. “Health care workers who keep us safe and healthy deserve safety in their workplace, too.”\u003c/p>\n\u003cp>He added, “That starts with OSHA enforcement of reporting and tracking of assaults within our hospital network. Transparency and accountability are key.”\u003c/p>\n\u003cp>Golomb, for her part, told KQED that she felt heartened to know about the supervisors’ resolution.\u003c/p>\n\u003cp>“We’re simply asking for respect and dignity from [Sutter Health], and we haven’t really seen that,” she said. “We’ve been negotiating for our contract for months now, and they continuously refuse to put language in the contract about 24/7 security on our inpatient psych unit.”\u003c/p>\n\u003cp>In a statement emailed to KQED, a Sutter Health spokesperson said the hospital is addressing the concerns raised by the residents through ongoing reviews of current security practices, unit rounding and open dialogue regarding additional improvements.\u003c/p>\n\u003cp>The spokesperson added that the hospital system had reached 31 tentative agreements with the union through bargaining sessions, including an article related to employee health, safety and security.\u003c/p>\n\u003cp>“We appreciate the Board of Supervisors’ support of safe work environments and fair pay and benefits for healthcare workers,” the statement said. “We share this commitment and are doing our part to reach a fair contract for our residents, as we value their contributions to providing compassionate and quality patient care.”\u003c/p>\n\u003cp>Golomb and about 15 of her resident colleagues announced in January their plans to unionize and have been negotiating a first contract with the hospital system.\u003c/p>\n\u003cp>They have asked CPMC to increase its safety measures, pressing for a round-the-clock security presence in the inpatient psych unit and an intensive care unit.\u003c/p>\n\u003cp>Sutter Health has said it is committed to a fair contract and safe work environments. The hospital said it spent nearly $40 million to improve security for the unit where Golomb was attacked, purchasing cameras, panic buttons and duress alarms and securing doors. A security officer is now stationed there during the day.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Sutter Health was legally required to file a violent incident report to state regulators within 72 hours, but the California Division of Occupational Safety and Health or Cal/OSHA, has no record of the incident. Sutter Health has acknowledged that the hospital did not initially report Golomb’s assault or injury but said it did note the assault in an injury log filed with Cal/OSHA later in 2020.\u003c/p>\n\u003cp>Golomb suffered a concussion and a traumatic brain injury. She missed more than a year of work as she recovered.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Board of Supervisors President Aaron Peskin, who co-sponsored the legislation, told KQED in a statement that the city is moving aggressively to staff up its essential health care workers. “But we won’t be able to expand our workforce if the health care system isn’t safe,” he said. “Health care workers who keep us safe and healthy deserve safety in their workplace, too.”\u003c/p>\n\u003cp>He added, “That starts with OSHA enforcement of reporting and tracking of assaults within our hospital network. Transparency and accountability are key.”\u003c/p>\n\u003cp>Golomb, for her part, told KQED that she felt heartened to know about the supervisors’ resolution.\u003c/p>\n\u003cp>“We’re simply asking for respect and dignity from [Sutter Health], and we haven’t really seen that,” she said. “We’ve been negotiating for our contract for months now, and they continuously refuse to put language in the contract about 24/7 security on our inpatient psych unit.”\u003c/p>\n\u003cp>In a statement emailed to KQED, a Sutter Health spokesperson said the hospital is addressing the concerns raised by the residents through ongoing reviews of current security practices, unit rounding and open dialogue regarding additional improvements.\u003c/p>\n\u003cp>The spokesperson added that the hospital system had reached 31 tentative agreements with the union through bargaining sessions, including an article related to employee health, safety and security.\u003c/p>\n\u003cp>“We appreciate the Board of Supervisors’ support of safe work environments and fair pay and benefits for healthcare workers,” the statement said. “We share this commitment and are doing our part to reach a fair contract for our residents, as we value their contributions to providing compassionate and quality patient care.”\u003c/p>\n\u003cp>Golomb and about 15 of her resident colleagues announced in January their plans to unionize and have been negotiating a first contract with the hospital system.\u003c/p>\n\u003cp>They have asked CPMC to increase its safety measures, pressing for a round-the-clock security presence in the inpatient psych unit and an intensive care unit.\u003c/p>\n\u003cp>Sutter Health has said it is committed to a fair contract and safe work environments. The hospital said it spent nearly $40 million to improve security for the unit where Golomb was attacked, purchasing cameras, panic buttons and duress alarms and securing doors. A security officer is now stationed there during the day.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "California Regulators Investigate Sutter Health Over Unreported Assault on Psychiatry Worker",
"headTitle": "California Regulators Investigate Sutter Health Over Unreported Assault on Psychiatry Worker | KQED",
"content": "\u003cp>California regulators are reviewing Sutter Health’s handling of a violent assault on a psychiatry resident after she \u003ca href=\"https://www.kqed.org/science/1991739/bay-area-medical-psychiatry-pushes-for-hospital-safety-after-violent-attack\">shared her story with KQED\u003c/a>.\u003c/p>\n\u003cp>Dani Golomb was brutally beaten and knocked unconscious by a patient on Sept. 5, 2020, while working in the inpatient unit at California Pacific Medical Center. The patient jumped her from behind, shoving Golomb to the floor.[pullquote size=\"medium\" align=\"right\" citation=\"Dani Golomb, psychiatry resident, California Pacific Medical Center\"]‘I had one of these folding metal clipboards. [The patient] grabbed it out of my hand and smashed it repeatedly on my head.’[/pullquote]“I was punched in the head, neck and shoulders,” she told KQED in an interview. “I had one of these folding metal clipboards. [The patient] grabbed it out of my hand and smashed it repeatedly on my head.”\u003c/p>\n\u003cp>Golomb suffered a concussion and a traumatic brain injury. She missed more than a year of work as she recovered.\u003c/p>\n\u003cp>Sutter Health was legally required to file a violent incident report to state regulators within 72 hours, but the California Division of Occupational Safety and Health, or Cal/OSHA, has no record of the incident, the agency confirmed in an email to KQED. Cal/OSHA said it was “looking into the matter.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In an emailed statement, Sutter Health acknowledged that the hospital did not initially report Golomb’s assault or injury but said it did record the assault in an injury log filed with Cal/OSHA.\u003c/p>\n\u003cp>“I think, whether intentionally unreported or not, what upsets me the most is the possibility that more safety measures could have been implemented if Cal/OSHA had been aware of the violence,” Golomb said in an interview this week with KQED. “I think it’s a relief to hear that state regulators are looking into my case. I feel angry that it wasn’t properly reported in the first place.”\u003c/p>\n\u003cfigure id=\"attachment_11980970\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11980970\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240209-HOSPITALVIOLENCE-20-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240209-HOSPITALVIOLENCE-20-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240209-HOSPITALVIOLENCE-20-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240209-HOSPITALVIOLENCE-20-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240209-HOSPITALVIOLENCE-20-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240209-HOSPITALVIOLENCE-20-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240209-HOSPITALVIOLENCE-20-BL-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Dani Golomb, psychiatry resident at CPMC Sutter Davies Campus, poses for a portrait at her home in San Francisco on Feb. 9, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In 2014, California lawmakers passed what was touted as the nation’s strongest state workplace violence regulations for health care facilities. The law, SB 1299, was sponsored by the California Nurses Association. It requires hospitals to develop comprehensive workplace violence prevention plans, and it mandates strict reporting requirements for acute care settings, like the inpatient psychiatry unit where Golomb was beaten.[pullquote size=\"medium\" align=\"right\" citation=\"Carmen Comsti, lead regulatory specialist, California Nurses Association\"]‘Enforcement on a basic level has been lax. My sense is that no one at Cal/OSHA is really looking to see whether or not hospitals are reporting or not.’[/pullquote]“I authored legislation to help ensure safer working environments for the nurses and doctors who provide critical care for our communities, but it’s clear that more needs to be done to build on our efforts,” Sen. Alex Padilla, who wrote SB 1299 when he was a state lawmaker, said in a statement. “Physicians on the frontlines of our mental health crisis deserve a safe workplace.”\u003c/p>\n\u003cp>Since 2017, California hospitals have reported roughly 10,000 violent incidents annually to the state. Carmen Comsti, the California Nurses Association’s lead regulatory specialist, said that many hospitals are underreporting violent incidents, and regulators have not been holding facilities accountable.\u003c/p>\n\u003cp>“Enforcement on a basic level has been lax,” she said. “My sense is that no one at Cal/OSHA is really looking to see whether or not hospitals are reporting or not.”[aside label='More on Workplace Safety' tag='workplace-safety']“The violent incident reports are key to the success of implementation of workplace violence prevention plans,” Comsti continued. “[They allow] workers to know what is happening and can engage with their employer to say these things we need to improve.”\u003c/p>\n\u003cp>Golomb and her colleagues have pressed Sutter Health to increase its safety measures. Earlier this month, they delivered a petition to hospital management signed by more than 100 psychiatry residents, fellows and nurses who demanded a round-the-clock security presence in the inpatient psych unit and an intensive care unit.\u003c/p>\n\u003cp>“Our ability to continue to provide the highest standard of care is increasingly threatened by a growing concern for our own safety in our workplace,” the petition said.\u003c/p>\n\u003cp>Sutter claims it has spent nearly $40 million to improve security for the unit where Golomb was attacked, purchasing cameras, panic buttons, duress alarms and securing doors. A security officer is now stationed there during the day.\u003c/p>\n\u003cp>On March 8, the day after KQED’s story on Golomb was published, Warner Thomas, Sutter Health’s president and CEO, sent an email to hospital employees titled, “Keeping you safe from harm at work.”[pullquote size=\"medium\" align=\"right\" citation=\"Dani Golomb, psychiatry resident, California Pacific Medical Center\"]‘My goal since the beginning of all this was to work towards creating a safer environment for my peers, patients, nurses and the rest of our staff.’[/pullquote]The email noted Sutter’s plan to spend an additional $45 million to simplify workplace violence reporting, develop new signage, increase training and expand security officer patrols.\u003c/p>\n\u003cp>“Many of you have also voiced your concerns about safety at our Sutter Health worksites,” Thomas wrote. “I want to thank you for speaking up and talking about your experiences with me and other leaders.”\u003c/p>\n\u003cp>Golomb said there have been “notable improvements” at work, with a more consistent security presence. Residents were also given panic buttons.\u003c/p>\n\u003cp>“My goal since the beginning of all this was to work towards creating a safer environment for my peers, patients, nurses and the rest of our staff,” she said.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In an emailed statement, Sutter Health acknowledged that the hospital did not initially report Golomb’s assault or injury but said it did record the assault in an injury log filed with Cal/OSHA.\u003c/p>\n\u003cp>“I think, whether intentionally unreported or not, what upsets me the most is the possibility that more safety measures could have been implemented if Cal/OSHA had been aware of the violence,” Golomb said in an interview this week with KQED. “I think it’s a relief to hear that state regulators are looking into my case. I feel angry that it wasn’t properly reported in the first place.”\u003c/p>\n\u003cfigure id=\"attachment_11980970\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11980970\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240209-HOSPITALVIOLENCE-20-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240209-HOSPITALVIOLENCE-20-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240209-HOSPITALVIOLENCE-20-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240209-HOSPITALVIOLENCE-20-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240209-HOSPITALVIOLENCE-20-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240209-HOSPITALVIOLENCE-20-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240209-HOSPITALVIOLENCE-20-BL-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Dani Golomb, psychiatry resident at CPMC Sutter Davies Campus, poses for a portrait at her home in San Francisco on Feb. 9, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In 2014, California lawmakers passed what was touted as the nation’s strongest state workplace violence regulations for health care facilities. The law, SB 1299, was sponsored by the California Nurses Association. It requires hospitals to develop comprehensive workplace violence prevention plans, and it mandates strict reporting requirements for acute care settings, like the inpatient psychiatry unit where Golomb was beaten.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I authored legislation to help ensure safer working environments for the nurses and doctors who provide critical care for our communities, but it’s clear that more needs to be done to build on our efforts,” Sen. Alex Padilla, who wrote SB 1299 when he was a state lawmaker, said in a statement. “Physicians on the frontlines of our mental health crisis deserve a safe workplace.”\u003c/p>\n\u003cp>Since 2017, California hospitals have reported roughly 10,000 violent incidents annually to the state. Carmen Comsti, the California Nurses Association’s lead regulatory specialist, said that many hospitals are underreporting violent incidents, and regulators have not been holding facilities accountable.\u003c/p>\n\u003cp>“Enforcement on a basic level has been lax,” she said. “My sense is that no one at Cal/OSHA is really looking to see whether or not hospitals are reporting or not.”\u003c/p>\u003c/div>",
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"disqusTitle": "First Came Sutter Health. Next Could Be Stanford. Why Bay Area Nurses Are Walking Off the Job",
"title": "First Came Sutter Health. Next Could Be Stanford. Why Bay Area Nurses Are Walking Off the Job",
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"content": "\u003cp>\u003cspan style=\"font-weight: 400\">Across Northern California, over 8,000 Sutter Health nurses and other workers at 15 facilities went on a one-day strike Monday. Another 5,000 workers from Stanford Health Care and Lucile Packard Children’s Hospital are set to walk off the job next Monday, after contract negotiations came to a halt. \u003c/span>\u003c/p>\n\u003cp>The Sutter strike caused the nonprofit to hire temporary workers to make up for the staffing shortage. The nurses’ labor contract with Sutter expired in February, and negotiations have been ongoing since June 2021. Some of the issues being discussed are \u003ca href=\"https://www.kqed.org/news/11901728/nurses-concerned-about-working-conditions\">workplace protections\u003c/a> related to the pandemic, including personal protective equipment, minimal staffing and contact tracing. [pullquote size=\"medium\" align=\"right\" citation=\"Joanne Spetz, director, Philip R. Lee Institute for Health Policy Studies at UCSF\"]'Two years of working through pandemic conditions and all of the death and the stress and, in some cases, hostile patients and families and other experiences that nurses have had, a lot of them are saying, we need to be better compensated and have better protections in our work environments to feel like we want to stay in these jobs.'[/pullquote]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">KQED's Natalia Navarro sat down with Joanne Spetz, director of the Philip R. Lee Institute for Health Policy Studies at UCSF, to talk more about what's causing the labor issues in the nursing profession.\u003c/span>\u003c/p>\n\u003cp>\u003cem>This interview has been edited for brevity and clarity.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>NATALIA NAVARRO: \u003c/strong>\u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p0-0\"}]'>\u003cstrong>Can you just set up the basic stakes for us here? What are health workers asking for that they're not getting?\u003c/strong> \u003c/span>\u003c/p>\n\u003cp>\u003cstrong>JOANNE SPETZ\u003c/strong>: \u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p1-0\"}]'>Health workers had a very difficult and challenging time through the pandemic. They frequently were short-staffed — not necessarily that their employers intended to short-staff, but with so many people going out on quarantine and how difficult it was to get traveling and temporary staff to fill in the gaps, there has been a lot of stress and a lot of short-staffing and a lot of concern about turnover and the long-term sustainability of the workforce. \u003c/span>[aside postID=\"news_11892581\" label=\"Related Posts\"]\u003cstrong>\u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p2-0\"}]'>Along that vein, we have been hearing about a California nursing shortage. A 2021 CalMatters story said that \u003ca href=\"https://calmatters.org/health/coronavirus/2021/08/california-nurses-shortage/\">the understaffing was at a \"crisis point,\"\u003c/a> and that was a year ago. Can you talk to me about some of the driving factors behind this issue? \u003c/span>\u003c/strong>\u003c/p>\n\u003cp>We did a survey in late 2020, and what we found at that point is a lot of nurses that were close to retirement already left. I think there were a lot of nurses within a year or two of retirement who looked at the situation and said, \"I'm older, I'm at higher risk, I don't want to work in these circumstances,\" and they left the workforce. So that left hospitals already with short-staffing issues.\u003c/p>\n\u003cp>And then when we had the more contagious variants, we had a lot of concerns about nurses going out on basically quarantines. And that left the nurses who were not on quarantine with even fewer nurses to help out with the work. In the long term, two years of working through pandemic conditions and all of the death and the stress and, in some cases, hostile patients and families and other experiences that nurses have had, a lot of them are saying, \"We need to be better compensated and have better protections in our work environments to feel like we want to stay in these jobs.\"\u003c/p>\n\u003cp>The analysis that we did based on that 2020 data suggested that we may have a pretty significant shortage for the next five or six years, but we're waiting for newly graduated nurses to come online and take up the jobs that have been so rapidly vacated. And that was more than a year ago that we did that analysis. So we don't know yet if things have gotten worse or, perhaps, as things are beginning to settle down with the pandemic, maybe things are going to start looking a little bit better. Hopefully, we'll be able to get some data to learn more about that over the next six or nine months or so.\u003c/p>\n\u003cp>\u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p4-0\"}]'>\u003cstrong>These two groups, these two unions of nurses that are either striking or considering striking very soon, one of their big concerns is access to PPE, other protective equipment. Tell me, what is the issue with that at this point in the pandemic?\u003c/strong>\u003c/span>\u003c/p>\n\u003cp class=\"tr-paragraph\" data-pm-slice='2 2 [\"paragraph-wrapper\",null]'>Well, fortunately, a lot of those concerns did calm down after the first six or nine months or so when PPE was so impossible to get ahold of. That said, these kinds of concerns can continue to exist. And I think for a lot of health care workers, they may have concerns about relaxing some of the restrictions that may bring family members in who aren't required to have equipment. And if that's happening, then the nursing staff and the other health professionals may feel like they want more protection because the people around them may be less protected. I think that is going to be an ongoing concern, especially about the quality of the equipment and its availability and trying to move into a more sustainable pattern of of use.\u003c/p>\n\u003cp class=\"tr-paragraph\" data-pm-slice='2 2 [\"paragraph-wrapper\",null]'>Depending on the situation, the strikes coming up are generally registered nurses and generally in hospitals. But there are other settings like nursing homes that have been hit really hard, and there was a long period of time where family members were really not allowed to go into nursing homes. What people haven't really talked about for nurses and nursing assistants in those settings is how much extra workload that put on those staff. Often, family members go in and help take a meal with a loved one and help feed them and help provide other services or other support to their family member, which relieve some of the workload and the burden for the paid staff in a nursing home setting. When the family members were kicked out, the nursing staff had all that extra work that they needed to do, and there was no emotional support for the family members beyond the staff, so it's incredibly burdensome. So I think that's another area where we don't see any strikes coming up in the next week or two, but I think we really need to keep a close eye on what's going to happen in nursing homes next.\u003c/p>\n\u003cp>\u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p4-0\"}]'>\u003cstrong>Let's talk about the responses from hospital administrators. Stanford Health Care has doubled down on their plan to cut off health insurance coverage for the nurses if they go through with the strike next week. Of course, there's been a big backlash to that decision. Have you seen any responses from hospitals or hospital systems that have worked at improving conditions for nurses?\u003c/strong> \u003c/span>\u003c/p>\n\u003cp>I think a lot of those systems are trying to make various improvements, although it's not always advertised what improvements that they're making until there are allegations about problems. I'm at University of California, San Francisco, and so of course, I may be somewhat biased, but I know that our leadership has been putting a lot of work into trying to have adequate staffing and trying to promote a really highly respectful culture and make sure that staff understand how appreciated they are. But I can't entirely speak to the responses in the other organizations cutting off health benefits. First, there may be some practical and legal issues about trying to do that with any rapidity. But the last time Stanford had a big strike, that strike went on for more than a year. So they and the administration there may be really wanting to come down hard in trying to deter a strike because the last one was so drawn out and so painful for them.\u003c/p>\n\u003cp>\u003cem>KQED's Natalia Navarro, Sara Hossaini and Mary Franklin Harvin contributed reporting to this story.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Across Northern California, over 8,000 Sutter Health nurses and other workers at 15 facilities went on a one-day strike on Monday over staffing and workplace conditions related to the pandemic.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-weight: 400\">Across Northern California, over 8,000 Sutter Health nurses and other workers at 15 facilities went on a one-day strike Monday. Another 5,000 workers from Stanford Health Care and Lucile Packard Children’s Hospital are set to walk off the job next Monday, after contract negotiations came to a halt. \u003c/span>\u003c/p>\n\u003cp>The Sutter strike caused the nonprofit to hire temporary workers to make up for the staffing shortage. The nurses’ labor contract with Sutter expired in February, and negotiations have been ongoing since June 2021. Some of the issues being discussed are \u003ca href=\"https://www.kqed.org/news/11901728/nurses-concerned-about-working-conditions\">workplace protections\u003c/a> related to the pandemic, including personal protective equipment, minimal staffing and contact tracing. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">KQED's Natalia Navarro sat down with Joanne Spetz, director of the Philip R. Lee Institute for Health Policy Studies at UCSF, to talk more about what's causing the labor issues in the nursing profession.\u003c/span>\u003c/p>\n\u003cp>\u003cem>This interview has been edited for brevity and clarity.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>NATALIA NAVARRO: \u003c/strong>\u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p0-0\"}]'>\u003cstrong>Can you just set up the basic stakes for us here? What are health workers asking for that they're not getting?\u003c/strong> \u003c/span>\u003c/p>\n\u003cp>\u003cstrong>JOANNE SPETZ\u003c/strong>: \u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p1-0\"}]'>Health workers had a very difficult and challenging time through the pandemic. They frequently were short-staffed — not necessarily that their employers intended to short-staff, but with so many people going out on quarantine and how difficult it was to get traveling and temporary staff to fill in the gaps, there has been a lot of stress and a lot of short-staffing and a lot of concern about turnover and the long-term sustainability of the workforce. \u003c/span>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cstrong>\u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p2-0\"}]'>Along that vein, we have been hearing about a California nursing shortage. A 2021 CalMatters story said that \u003ca href=\"https://calmatters.org/health/coronavirus/2021/08/california-nurses-shortage/\">the understaffing was at a \"crisis point,\"\u003c/a> and that was a year ago. Can you talk to me about some of the driving factors behind this issue? \u003c/span>\u003c/strong>\u003c/p>\n\u003cp>We did a survey in late 2020, and what we found at that point is a lot of nurses that were close to retirement already left. I think there were a lot of nurses within a year or two of retirement who looked at the situation and said, \"I'm older, I'm at higher risk, I don't want to work in these circumstances,\" and they left the workforce. So that left hospitals already with short-staffing issues.\u003c/p>\n\u003cp>And then when we had the more contagious variants, we had a lot of concerns about nurses going out on basically quarantines. And that left the nurses who were not on quarantine with even fewer nurses to help out with the work. In the long term, two years of working through pandemic conditions and all of the death and the stress and, in some cases, hostile patients and families and other experiences that nurses have had, a lot of them are saying, \"We need to be better compensated and have better protections in our work environments to feel like we want to stay in these jobs.\"\u003c/p>\n\u003cp>The analysis that we did based on that 2020 data suggested that we may have a pretty significant shortage for the next five or six years, but we're waiting for newly graduated nurses to come online and take up the jobs that have been so rapidly vacated. And that was more than a year ago that we did that analysis. So we don't know yet if things have gotten worse or, perhaps, as things are beginning to settle down with the pandemic, maybe things are going to start looking a little bit better. Hopefully, we'll be able to get some data to learn more about that over the next six or nine months or so.\u003c/p>\n\u003cp>\u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p4-0\"}]'>\u003cstrong>These two groups, these two unions of nurses that are either striking or considering striking very soon, one of their big concerns is access to PPE, other protective equipment. Tell me, what is the issue with that at this point in the pandemic?\u003c/strong>\u003c/span>\u003c/p>\n\u003cp class=\"tr-paragraph\" data-pm-slice='2 2 [\"paragraph-wrapper\",null]'>Well, fortunately, a lot of those concerns did calm down after the first six or nine months or so when PPE was so impossible to get ahold of. That said, these kinds of concerns can continue to exist. And I think for a lot of health care workers, they may have concerns about relaxing some of the restrictions that may bring family members in who aren't required to have equipment. And if that's happening, then the nursing staff and the other health professionals may feel like they want more protection because the people around them may be less protected. I think that is going to be an ongoing concern, especially about the quality of the equipment and its availability and trying to move into a more sustainable pattern of of use.\u003c/p>\n\u003cp class=\"tr-paragraph\" data-pm-slice='2 2 [\"paragraph-wrapper\",null]'>Depending on the situation, the strikes coming up are generally registered nurses and generally in hospitals. But there are other settings like nursing homes that have been hit really hard, and there was a long period of time where family members were really not allowed to go into nursing homes. What people haven't really talked about for nurses and nursing assistants in those settings is how much extra workload that put on those staff. Often, family members go in and help take a meal with a loved one and help feed them and help provide other services or other support to their family member, which relieve some of the workload and the burden for the paid staff in a nursing home setting. When the family members were kicked out, the nursing staff had all that extra work that they needed to do, and there was no emotional support for the family members beyond the staff, so it's incredibly burdensome. So I think that's another area where we don't see any strikes coming up in the next week or two, but I think we really need to keep a close eye on what's going to happen in nursing homes next.\u003c/p>\n\u003cp>\u003cspan data-pm-slice='1 1 [\"paragraph-wrapper\",null,\"paragraph\",{\"id\":\"p4-0\"}]'>\u003cstrong>Let's talk about the responses from hospital administrators. Stanford Health Care has doubled down on their plan to cut off health insurance coverage for the nurses if they go through with the strike next week. Of course, there's been a big backlash to that decision. Have you seen any responses from hospitals or hospital systems that have worked at improving conditions for nurses?\u003c/strong> \u003c/span>\u003c/p>\n\u003cp>I think a lot of those systems are trying to make various improvements, although it's not always advertised what improvements that they're making until there are allegations about problems. I'm at University of California, San Francisco, and so of course, I may be somewhat biased, but I know that our leadership has been putting a lot of work into trying to have adequate staffing and trying to promote a really highly respectful culture and make sure that staff understand how appreciated they are. But I can't entirely speak to the responses in the other organizations cutting off health benefits. First, there may be some practical and legal issues about trying to do that with any rapidity. But the last time Stanford had a big strike, that strike went on for more than a year. So they and the administration there may be really wanting to come down hard in trying to deter a strike because the last one was so drawn out and so painful for them.\u003c/p>\n\u003cp>\u003cem>KQED's Natalia Navarro, Sara Hossaini and Mary Franklin Harvin contributed reporting to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Sutter Health, a large nonprofit health care system with 24 hospitals, 34 surgery centers and 5,500 physicians across Northern California, has reached a preliminary settlement agreement in a closely watched antitrust case brought by self-funded employers and later joined by California's Office of the Attorney General.\u003c/p>\n\u003cp>The agreement was announced in San Francisco Superior Court on Wednesday, just before opening arguments were expected to begin.\u003c/p>\n\u003cp>Details have not been made public, and the parties declined to talk to reporters. Superior Court Judge Anne-Christine Massullo told the jury that details likely will be made public during approval hearings in February or March.\u003c/p>\n\u003cp>There were audible cheers from the jury following the announcement that the trial, which was expected to last for three months, would not continue.\u003c/p>\n\u003cp>Sutter, which is based in Sacramento, stood accused of violating California's antitrust laws by using its market power to illegally drive up prices.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Health care costs in Northern California, where Sutter is dominant, are 20% to 30% higher than in Southern California, even after adjusting for cost of living, according to a \u003ca href=\"http://petris.org/wp-content/uploads/2018/03/CA-Consolidation-Full-Report_03.26.18.pdf\">2018 study\u003c/a> from the Nicholas C. Petris Center on Health Care Markets and Consumer Welfare at UC Berkeley, that was cited in the complaint.\u003c/p>\n\u003cp>The case was a massive undertaking, representing years of work and millions of pages of documents, California Attorney General Xavier Becerra said before the trial. Sutter was expected to face damages of up to $2.7 billion.\u003c/p>\n\u003cp>Sutter Health consistently denied the allegations and argued that it used its market power to improve care for patients and expand access to people in rural areas. The chain of health care facilities had $13 billion in operating revenue in 2018.\u003c/p>\n\u003cp>The case was expected to have nationwide implications on how hospital systems negotiate prices with insurers. It is not yet clear what effect, if any, a settlement agreement would have on Sutter's tactics or those of other large systems.\u003c/p>\n\u003chr>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://khn.org/\">Kaiser Health News\u003c/a> \u003cem>is a nonprofit, editorially independent program of the Kaiser Family Foundation. KHN is not affiliated with Kaiser Permanente.\u003c/em> \u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 Kaiser Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Hospital+Giant+Sutter+Health+Agrees+To+Settlement+In+Big+Antitrust+Fight&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Sutter Health, a large nonprofit health care system with 24 hospitals, 34 surgery centers and 5,500 physicians across Northern California, has reached a preliminary settlement agreement in a closely watched antitrust case brought by self-funded employers and later joined by California's Office of the Attorney General.\u003c/p>\n\u003cp>The agreement was announced in San Francisco Superior Court on Wednesday, just before opening arguments were expected to begin.\u003c/p>\n\u003cp>Details have not been made public, and the parties declined to talk to reporters. Superior Court Judge Anne-Christine Massullo told the jury that details likely will be made public during approval hearings in February or March.\u003c/p>\n\u003cp>There were audible cheers from the jury following the announcement that the trial, which was expected to last for three months, would not continue.\u003c/p>\n\u003cp>Sutter, which is based in Sacramento, stood accused of violating California's antitrust laws by using its market power to illegally drive up prices.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Health care costs in Northern California, where Sutter is dominant, are 20% to 30% higher than in Southern California, even after adjusting for cost of living, according to a \u003ca href=\"http://petris.org/wp-content/uploads/2018/03/CA-Consolidation-Full-Report_03.26.18.pdf\">2018 study\u003c/a> from the Nicholas C. Petris Center on Health Care Markets and Consumer Welfare at UC Berkeley, that was cited in the complaint.\u003c/p>\n\u003cp>The case was a massive undertaking, representing years of work and millions of pages of documents, California Attorney General Xavier Becerra said before the trial. Sutter was expected to face damages of up to $2.7 billion.\u003c/p>\n\u003cp>Sutter Health consistently denied the allegations and argued that it used its market power to improve care for patients and expand access to people in rural areas. The chain of health care facilities had $13 billion in operating revenue in 2018.\u003c/p>\n\u003cp>The case was expected to have nationwide implications on how hospital systems negotiate prices with insurers. It is not yet clear what effect, if any, a settlement agreement would have on Sutter's tactics or those of other large systems.\u003c/p>\n\u003chr>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://khn.org/\">Kaiser Health News\u003c/a> \u003cem>is a nonprofit, editorially independent program of the Kaiser Family Foundation. KHN is not affiliated with Kaiser Permanente.\u003c/em> \u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 Kaiser Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Hospital+Giant+Sutter+Health+Agrees+To+Settlement+In+Big+Antitrust+Fight&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California Sues Sutter Health Alleging Excessive Pricing",
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"content": "\u003cp>California’s Attorney General Xavier Becerra announced a lawsuit Friday against Sutter Health, alleging the hospital giant engaged in anti-competitive conduct that drove up prices for patients and employers in the state.\u003c/p>\n\u003cp>The lawsuit marked a bold move by the state's Attorney General against the dominant health care system in Northern California as concerns mount nationally about consolidation among hospitals, insurers and other industry middlemen.\u003c/p>\n\u003cp>“It’s time to hold health care corporations accountable,” Becerra said at a news conference Friday. “We seek to stop Sutter from continuing this illegal conduct.”\u003c/p>\n\u003cp>Sutter, which owns 24 hospitals, reported a net income of $893 million last year on $12.4 billion in revenue.\u003c/p>\n\u003cp>In a statement Friday, Sutter said it had not yet seen the state’s complaint and couldn’t comment on specific claims.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Overall, Sutter said, “healthy competition and choice exists across Northern California” for consumers seeking medical care, and that its charges for an inpatient stay are lower than what other nearby hospitals charge.\u003c/p>\n\u003cp>“Sutter Health is proud to save patients, government payers and health plans hundreds of millions of dollars each year by providing more efficient and integrated care,” the statement said.\u003c/p>\n\u003cp>This high-profile legal fight will attract attention from employers and policymakers across the country amid growing alarm about the financial implications of industry consolidation. Large health systems are gaining market clout and the ability to raise prices by acquiring more hospitals, outpatient surgery centers and physicians’ offices.\u003c/p>\n\u003cp>Martin Gaynor, a health care economist at Carnegie Mellon University, said California’s lawsuit may portend more litigation at the state level.\u003c/p>\n\u003cp>“There are a number of markets in the U.S. that are dominated by one very large, powerful health system,” Gaynor said. “It could be that we’re going to see a new level of activity by state antitrust enforcers looking at competition in their own backyards.”\u003c/p>\n\u003cp>The \u003ca href=\"https://californiahealthline.org/news/major-employers-decry-sutter-healths-tactics-in-dispute-over-prices/\" target=\"_blank\" rel=\"noopener\">complaints\u003c/a> about Sutter’s high prices and market power have persisted for years.\u003c/p>\n\u003cp>A \u003ca href=\"https://khn.org/news/as-hospital-chains-grow-so-do-their-prices-for-care/\" target=\"_blank\" rel=\"noopener\">2016 study\u003c/a> found that hospital prices at Sutter and Dignity Health, the two biggest hospital chains in California, were 25 percent higher than at other hospitals around the state. Researchers at the University of Southern California said the giant health systems used their market power to drive up prices — making the average patient admission at both chains nearly $4,000 more expensive.\u003c/p>\n\u003cfigure id=\"attachment_11659158\" class=\"wp-caption alignleft\" style=\"max-width: 500px\">\u003cimg class=\"size-full wp-image-11659158\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/03/becerra_1350.jpg\" alt=\"\" width=\"500\" height=\"333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/03/becerra_1350.jpg 500w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/becerra_1350-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/becerra_1350-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/becerra_1350-375x250.jpg 375w\" sizes=\"(max-width: 500px) 100vw, 500px\">\u003cfigcaption class=\"wp-caption-text\">“It’s time to hold health care corporations accountable,” California Attorney General Xavier Becerra said at a news conference Friday. \u003ccite>(Ana B. Ibarra/California Healthline)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>This week, researchers at University of California-Berkeley issued a \u003ca href=\"http://petris.org/wp-content/uploads/2018/03/CA-Consolidation-Full-Report_03.26.18.pdf\" target=\"_blank\" rel=\"noopener\">report\u003c/a> that examined the consolidation of the hospital, physician and health insurance markets in California from 2010 to 2016. The authors said 44 of California’s 58 counties had “highly concentrated” hospital markets.\u003c/p>\n\u003cp>The problem is worse in Northern California and the report said prices for medical procedures are often up to 30 percent higher there than in Southern California, which has more competition.\u003c/p>\n\u003cp>“Consumers are paying more for health care as a result of market consolidation. It is now time for regulators and legislators to take action,” according to the report by the Petris Center on Health Care Markets and Consumer Welfare at UC-Berkeley.\u003c/p>\n\u003cp>After the report was issued Monday, Becerra said his office would be reviewing those findings and pledged to apply more scrutiny to health care mergers and anti-competitive practices across the state.\u003c/p>\n\u003cp>Sutter Health has gobbled up doctor practices across the Bay Area, gaining market muscle that has pushed costs upward. Obstetricians employed by Sutter Health, for example, are reimbursed about three times more for the same service than independent doctors, according to a \u003ca href=\"https://khn.org/news/guess-who-pays-the-price-when-hospital-giants-hire-your-private-practitioner/\">KHN review of OB-GYN charges\u003c/a> on several insurers’ online cost estimators. It’s a key reason why Northern California is the \u003ca href=\"https://khn.org/news/if-you-want-to-spend-a-bundle-on-your-bundle-of-joy-go-to-northern-california/\">most expensive place\u003c/a> in the country to have a baby.\u003c/p>\n\u003cdiv class=\"mceTemp\">\u003c/div>\n\u003cp>Becerra’s lawsuit could build off a similar \u003ca href=\"https://khn.org/news/health-giant-sutter-destroys-evidence-in-high-profile-antitrust-case-over-high-prices/\" target=\"_blank\" rel=\"noopener\">civil case\u003c/a> filed in 2014 by a grocery workers’ health plan.\u003c/p>\n\u003cp>The plaintiffs in that case, scheduled for trial next year, allege Sutter is violating antitrust and fair competition laws. The plaintiffs have been requesting documents related to contracting practices, such as “gag clauses” that prevent patients from seeking negotiated rates and choosing a cheaper provider. They also are challenging “all-or-nothing” terms that require every facility in a health system to be included in insurance networks.\u003c/p>\n\u003cp>In November, the \u003ca href=\"https://californiahealthline.files.wordpress.com/2017/11/sutter-nov-13-order.pdf\" target=\"_blank\" rel=\"noopener\">state judge\u003c/a> handling the grocery workers’ case said Sutter was “grossly reckless” when it intentionally destroyed 192 boxes of documents that employers and labor unions were seeking in the lawsuit. San Francisco County Superior Court Judge Curtis E.A. Karnow said Sutter destroyed documents “knowing that the evidence was relevant to antitrust issues. … There is no good explanation for the specific and unusual destruction here.”\u003c/p>\n\u003cp>The lead plaintiffs, the United Food and Commercial Workers and its Employers Benefit Trust, are a joint employer-union health plan that represents more than 60,000 employees, dependents and retirees. The court certified its case as a class action in August, allowing hundreds of other employers and self-funded health plans to potentially benefit from the litigation.\u003c/p>\n\u003cp>In addition to its 24 hospitals, Sutter’s nonprofit health system has 35 surgery centers, 32 urgent-care clinics and more than 5,000 physicians in its network.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>California Healthline reporter Ana Ibarra and KHN senior correspondent Jenny Gold contributed reporting.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California’s Attorney General Xavier Becerra announced a lawsuit Friday against Sutter Health, alleging the hospital giant engaged in anti-competitive conduct that drove up prices for patients and employers in the state.\u003c/p>\n\u003cp>The lawsuit marked a bold move by the state's Attorney General against the dominant health care system in Northern California as concerns mount nationally about consolidation among hospitals, insurers and other industry middlemen.\u003c/p>\n\u003cp>“It’s time to hold health care corporations accountable,” Becerra said at a news conference Friday. “We seek to stop Sutter from continuing this illegal conduct.”\u003c/p>\n\u003cp>Sutter, which owns 24 hospitals, reported a net income of $893 million last year on $12.4 billion in revenue.\u003c/p>\n\u003cp>In a statement Friday, Sutter said it had not yet seen the state’s complaint and couldn’t comment on specific claims.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Overall, Sutter said, “healthy competition and choice exists across Northern California” for consumers seeking medical care, and that its charges for an inpatient stay are lower than what other nearby hospitals charge.\u003c/p>\n\u003cp>“Sutter Health is proud to save patients, government payers and health plans hundreds of millions of dollars each year by providing more efficient and integrated care,” the statement said.\u003c/p>\n\u003cp>This high-profile legal fight will attract attention from employers and policymakers across the country amid growing alarm about the financial implications of industry consolidation. Large health systems are gaining market clout and the ability to raise prices by acquiring more hospitals, outpatient surgery centers and physicians’ offices.\u003c/p>\n\u003cp>Martin Gaynor, a health care economist at Carnegie Mellon University, said California’s lawsuit may portend more litigation at the state level.\u003c/p>\n\u003cp>“There are a number of markets in the U.S. that are dominated by one very large, powerful health system,” Gaynor said. “It could be that we’re going to see a new level of activity by state antitrust enforcers looking at competition in their own backyards.”\u003c/p>\n\u003cp>The \u003ca href=\"https://californiahealthline.org/news/major-employers-decry-sutter-healths-tactics-in-dispute-over-prices/\" target=\"_blank\" rel=\"noopener\">complaints\u003c/a> about Sutter’s high prices and market power have persisted for years.\u003c/p>\n\u003cp>A \u003ca href=\"https://khn.org/news/as-hospital-chains-grow-so-do-their-prices-for-care/\" target=\"_blank\" rel=\"noopener\">2016 study\u003c/a> found that hospital prices at Sutter and Dignity Health, the two biggest hospital chains in California, were 25 percent higher than at other hospitals around the state. Researchers at the University of Southern California said the giant health systems used their market power to drive up prices — making the average patient admission at both chains nearly $4,000 more expensive.\u003c/p>\n\u003cfigure id=\"attachment_11659158\" class=\"wp-caption alignleft\" style=\"max-width: 500px\">\u003cimg class=\"size-full wp-image-11659158\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/03/becerra_1350.jpg\" alt=\"\" width=\"500\" height=\"333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/03/becerra_1350.jpg 500w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/becerra_1350-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/becerra_1350-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/03/becerra_1350-375x250.jpg 375w\" sizes=\"(max-width: 500px) 100vw, 500px\">\u003cfigcaption class=\"wp-caption-text\">“It’s time to hold health care corporations accountable,” California Attorney General Xavier Becerra said at a news conference Friday. \u003ccite>(Ana B. Ibarra/California Healthline)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>This week, researchers at University of California-Berkeley issued a \u003ca href=\"http://petris.org/wp-content/uploads/2018/03/CA-Consolidation-Full-Report_03.26.18.pdf\" target=\"_blank\" rel=\"noopener\">report\u003c/a> that examined the consolidation of the hospital, physician and health insurance markets in California from 2010 to 2016. The authors said 44 of California’s 58 counties had “highly concentrated” hospital markets.\u003c/p>\n\u003cp>The problem is worse in Northern California and the report said prices for medical procedures are often up to 30 percent higher there than in Southern California, which has more competition.\u003c/p>\n\u003cp>“Consumers are paying more for health care as a result of market consolidation. It is now time for regulators and legislators to take action,” according to the report by the Petris Center on Health Care Markets and Consumer Welfare at UC-Berkeley.\u003c/p>\n\u003cp>After the report was issued Monday, Becerra said his office would be reviewing those findings and pledged to apply more scrutiny to health care mergers and anti-competitive practices across the state.\u003c/p>\n\u003cp>Sutter Health has gobbled up doctor practices across the Bay Area, gaining market muscle that has pushed costs upward. Obstetricians employed by Sutter Health, for example, are reimbursed about three times more for the same service than independent doctors, according to a \u003ca href=\"https://khn.org/news/guess-who-pays-the-price-when-hospital-giants-hire-your-private-practitioner/\">KHN review of OB-GYN charges\u003c/a> on several insurers’ online cost estimators. It’s a key reason why Northern California is the \u003ca href=\"https://khn.org/news/if-you-want-to-spend-a-bundle-on-your-bundle-of-joy-go-to-northern-california/\">most expensive place\u003c/a> in the country to have a baby.\u003c/p>\n\u003cdiv class=\"mceTemp\">\u003c/div>\n\u003cp>Becerra’s lawsuit could build off a similar \u003ca href=\"https://khn.org/news/health-giant-sutter-destroys-evidence-in-high-profile-antitrust-case-over-high-prices/\" target=\"_blank\" rel=\"noopener\">civil case\u003c/a> filed in 2014 by a grocery workers’ health plan.\u003c/p>\n\u003cp>The plaintiffs in that case, scheduled for trial next year, allege Sutter is violating antitrust and fair competition laws. The plaintiffs have been requesting documents related to contracting practices, such as “gag clauses” that prevent patients from seeking negotiated rates and choosing a cheaper provider. They also are challenging “all-or-nothing” terms that require every facility in a health system to be included in insurance networks.\u003c/p>\n\u003cp>In November, the \u003ca href=\"https://californiahealthline.files.wordpress.com/2017/11/sutter-nov-13-order.pdf\" target=\"_blank\" rel=\"noopener\">state judge\u003c/a> handling the grocery workers’ case said Sutter was “grossly reckless” when it intentionally destroyed 192 boxes of documents that employers and labor unions were seeking in the lawsuit. San Francisco County Superior Court Judge Curtis E.A. Karnow said Sutter destroyed documents “knowing that the evidence was relevant to antitrust issues. … There is no good explanation for the specific and unusual destruction here.”\u003c/p>\n\u003cp>The lead plaintiffs, the United Food and Commercial Workers and its Employers Benefit Trust, are a joint employer-union health plan that represents more than 60,000 employees, dependents and retirees. The court certified its case as a class action in August, allowing hundreds of other employers and self-funded health plans to potentially benefit from the litigation.\u003c/p>\n\u003cp>In addition to its 24 hospitals, Sutter’s nonprofit health system has 35 surgery centers, 32 urgent-care clinics and more than 5,000 physicians in its network.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>California Healthline reporter Ana Ibarra and KHN senior correspondent Jenny Gold contributed reporting.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Health Giant Sutter Destroys Evidence In Crucial Antitrust Case Over High Prices",
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"content": "\u003cp>Sutter Health intentionally destroyed 192 boxes of documents that employers and labor unions were seeking in a lawsuit that accuses the giant Northern California health system of abusing its market power and charging inflated prices, according to a state judge.\u003c/p>\n\u003cp>In a \u003ca href=\"https://californiahealthline.files.wordpress.com/2017/11/sutter-nov-13-order.pdf\">ruling this week\u003c/a>, San Francisco County Superior Court Judge Curtis E.A. Karnow said Sutter destroyed documents “knowing that the evidence was relevant to antitrust issues. … There is no good explanation for the specific and unusual destruction here.”\u003c/p>\n\u003cp>Karnow cited an internal email by a Sutter employee who said she was “running and hiding” after ordering the records destroyed in 2015. “The most generous interpretation to Sutter is that it was grossly reckless,” the judge wrote in his 12-page ruling.\u003c/p>\n\u003cp>Sutter, which has 24 hospitals and nearly $12 billion in annual revenue, said the destruction was a regrettable mistake.\u003c/p>\n\u003cp>Employers and policymakers across the country are closely watching this legal fight amid growing concern about the financial implications of industry consolidation. Large health systems are gaining market clout and the ability to raise prices by acquiring more hospitals, outpatient surgery centers and physician offices.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It’s stunning what Sutter did to cover up incriminating documents in this case,” said Richard Grossman, the lead plaintiffs’ lawyer representing a class of more than 1,500 employer-funded health plans.\u003c/p>\n\u003cp>In April 2014, a grocery workers’ health plan sued Sutter and alleged it was violating antitrust and unfair competition laws. The plaintiffs began requesting documents related to contracting practices, such as “gag clauses” that prevent patients from seeing negotiated rates and choosing a cheaper provider and “all-or-nothing” terms that require every facility in a health system to be included in insurance networks \u003c/p>\n\u003cp>Sutter disputes the broader allegations in the lawsuit over its market conduct and said its charges are in line with its competitors’.\u003c/p>\n\u003cp>The judge said that in 2015 \u003ca href=\"https://www.youtube.com/watch?v=hLtEtJgW7no\">Melissa Brendt\u003c/a>, Sutter’s chief contracting officer in the managed-care department, and an assistant general counsel, Daniela Almeida, authorized Brendt’s executive assistant to destroy 10 years’ worth of managed-care documents going back to 1995. The company earlier had scheduled the documents to be destroyed in 2035 — 20 years later.\u003c/p>\n\u003cp>The executive assistant, Sina Santagata, testified in a deposition she wasn’t aware of any other time in her 17 years at Sutter when the managed-care department destroyed records held in storage.\u003c/p>\n\u003cp>In his \u003ca href=\"https://californiahealthline.files.wordpress.com/2017/11/sutter-nov-13-order.pdf\">Nov. 13 ruling\u003c/a> against Sutter, the judge singled out an email by Santagata as “particularly noteworthy.”\u003c/p>\n\u003cp>The executive assistant emailed Brendt, the chief contracting officer, on July 30, 2015, after sending the order to destroy the records. She wrote, “I’ve pushed the button … if someone is in need of a box between 3/15/95 & 11/23/05 … I’m running and hiding. … ‘Fingers crossed’ that I haven’t authorized something the FTC will hunt me down for.”\u003c/p>\n\u003cp>The Federal Trade Commission (FTC) enforces antitrust laws in health care to prevent hospitals, drugmakers and other industry players from engaging in anti-competitive behavior that could harm consumers.\u003c/p>\n\u003cp>Santagata testified that she was being “sarcastic” in her email, and Sutter told the judge that the FTC reference was just a “joke.”\u003c/p>\n\u003cp>Karnow saw no humor in it. “There are infinite topics for jokes, and the choice of this one is strong evidence” in the plaintiffs’ favor, he wrote in his order Monday.\u003c/p>\n\u003cp>As part of his sanctions against Sutter, the judge ordered the health system to examine \u003ca href=\"https://californiahealthline.files.wordpress.com/2017/11/plaintiffs-motion-for-sutter-sanctions.pdf\">email\u003c/a> backup tapes covering 2002 through 2005 to search for documents on some of the same topics as the destroyed records. Also, Karnow said he will consider a plaintiffs’ motion for issuing jury instructions that are adverse to Sutter in light of the document destruction. The trial is scheduled for June 2019.\u003c/p>\n\u003cp>“The record shows that Sutter’s conduct was more than just an inadvertent error,” Karnow wrote.\u003c/p>\n\u003cp>Sutter spokeswoman Karen Garner said the incident was a “mistake made as part of a routine destruction of old paper records” and the Sacramento-based health system disclosed the error as soon as it was discovered.\u003c/p>\n\u003cp>“We regret that as part of a routine archiving process we failed to preserve some boxes of decades-old hard-copy documents,” Garner said.\u003c/p>\n\u003cp>The United Food and Commercial Workers and its Employers Benefit Trust initially filed the case against Sutter in 2014. The joint employer-union health plan represents more than 60,000 employees, dependents and retirees. The court certified the case as a class action in August, allowing hundreds of other employers and self-funded health plans to potentially benefit from the litigation.\u003c/p>\n\u003cp>In addition to its 24 hospitals, Sutter’s nonprofit health system has 35 surgery centers and more than 5,000 physicians in its network. It reported $11.9 billion in revenue last year and income of $554 million.\u003c/p>\n\u003cp>Grossman, the plaintiffs’ counsel, said he welcomed the judge’s ruling. But he said much of the evidence is irreplaceable, particularly handwritten notes from negotiating sessions and meetings involving key Sutter executives.\u003c/p>\n\u003cp>He said those records covered a critical period in the early 2000s when there was a “sea change in Sutter’s contracting strategy” and it implemented provisions that insulated the health system from price competition.\u003c/p>\n\u003cp>“This was groundbreaking in the industry,” Grossman said. “Until we address the anti-competitive behavior of entities like Sutter, we will not solve the problem of high costs in health care.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The plaintiffs are seeking to recover hundreds of millions of dollars from Sutter from what it claims are illegally inflated prices. The lawsuit alleges that an overnight hospital stay at Sutter hospitals in San Francisco or Sacramento costs at least 38 percent more than a comparable stay in the more competitive Los Angeles market.\u003c/p>\n\n",
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"excerpt": "\"Fingers crossed,\" a staffer wrote after destroying the documents. Sutter, which owns 24 hospitals, says the destruction was a mistake.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Sutter Health intentionally destroyed 192 boxes of documents that employers and labor unions were seeking in a lawsuit that accuses the giant Northern California health system of abusing its market power and charging inflated prices, according to a state judge.\u003c/p>\n\u003cp>In a \u003ca href=\"https://californiahealthline.files.wordpress.com/2017/11/sutter-nov-13-order.pdf\">ruling this week\u003c/a>, San Francisco County Superior Court Judge Curtis E.A. Karnow said Sutter destroyed documents “knowing that the evidence was relevant to antitrust issues. … There is no good explanation for the specific and unusual destruction here.”\u003c/p>\n\u003cp>Karnow cited an internal email by a Sutter employee who said she was “running and hiding” after ordering the records destroyed in 2015. “The most generous interpretation to Sutter is that it was grossly reckless,” the judge wrote in his 12-page ruling.\u003c/p>\n\u003cp>Sutter, which has 24 hospitals and nearly $12 billion in annual revenue, said the destruction was a regrettable mistake.\u003c/p>\n\u003cp>Employers and policymakers across the country are closely watching this legal fight amid growing concern about the financial implications of industry consolidation. Large health systems are gaining market clout and the ability to raise prices by acquiring more hospitals, outpatient surgery centers and physician offices.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It’s stunning what Sutter did to cover up incriminating documents in this case,” said Richard Grossman, the lead plaintiffs’ lawyer representing a class of more than 1,500 employer-funded health plans.\u003c/p>\n\u003cp>In April 2014, a grocery workers’ health plan sued Sutter and alleged it was violating antitrust and unfair competition laws. The plaintiffs began requesting documents related to contracting practices, such as “gag clauses” that prevent patients from seeing negotiated rates and choosing a cheaper provider and “all-or-nothing” terms that require every facility in a health system to be included in insurance networks \u003c/p>\n\u003cp>Sutter disputes the broader allegations in the lawsuit over its market conduct and said its charges are in line with its competitors’.\u003c/p>\n\u003cp>The judge said that in 2015 \u003ca href=\"https://www.youtube.com/watch?v=hLtEtJgW7no\">Melissa Brendt\u003c/a>, Sutter’s chief contracting officer in the managed-care department, and an assistant general counsel, Daniela Almeida, authorized Brendt’s executive assistant to destroy 10 years’ worth of managed-care documents going back to 1995. The company earlier had scheduled the documents to be destroyed in 2035 — 20 years later.\u003c/p>\n\u003cp>The executive assistant, Sina Santagata, testified in a deposition she wasn’t aware of any other time in her 17 years at Sutter when the managed-care department destroyed records held in storage.\u003c/p>\n\u003cp>In his \u003ca href=\"https://californiahealthline.files.wordpress.com/2017/11/sutter-nov-13-order.pdf\">Nov. 13 ruling\u003c/a> against Sutter, the judge singled out an email by Santagata as “particularly noteworthy.”\u003c/p>\n\u003cp>The executive assistant emailed Brendt, the chief contracting officer, on July 30, 2015, after sending the order to destroy the records. She wrote, “I’ve pushed the button … if someone is in need of a box between 3/15/95 & 11/23/05 … I’m running and hiding. … ‘Fingers crossed’ that I haven’t authorized something the FTC will hunt me down for.”\u003c/p>\n\u003cp>The Federal Trade Commission (FTC) enforces antitrust laws in health care to prevent hospitals, drugmakers and other industry players from engaging in anti-competitive behavior that could harm consumers.\u003c/p>\n\u003cp>Santagata testified that she was being “sarcastic” in her email, and Sutter told the judge that the FTC reference was just a “joke.”\u003c/p>\n\u003cp>Karnow saw no humor in it. “There are infinite topics for jokes, and the choice of this one is strong evidence” in the plaintiffs’ favor, he wrote in his order Monday.\u003c/p>\n\u003cp>As part of his sanctions against Sutter, the judge ordered the health system to examine \u003ca href=\"https://californiahealthline.files.wordpress.com/2017/11/plaintiffs-motion-for-sutter-sanctions.pdf\">email\u003c/a> backup tapes covering 2002 through 2005 to search for documents on some of the same topics as the destroyed records. Also, Karnow said he will consider a plaintiffs’ motion for issuing jury instructions that are adverse to Sutter in light of the document destruction. The trial is scheduled for June 2019.\u003c/p>\n\u003cp>“The record shows that Sutter’s conduct was more than just an inadvertent error,” Karnow wrote.\u003c/p>\n\u003cp>Sutter spokeswoman Karen Garner said the incident was a “mistake made as part of a routine destruction of old paper records” and the Sacramento-based health system disclosed the error as soon as it was discovered.\u003c/p>\n\u003cp>“We regret that as part of a routine archiving process we failed to preserve some boxes of decades-old hard-copy documents,” Garner said.\u003c/p>\n\u003cp>The United Food and Commercial Workers and its Employers Benefit Trust initially filed the case against Sutter in 2014. The joint employer-union health plan represents more than 60,000 employees, dependents and retirees. The court certified the case as a class action in August, allowing hundreds of other employers and self-funded health plans to potentially benefit from the litigation.\u003c/p>\n\u003cp>In addition to its 24 hospitals, Sutter’s nonprofit health system has 35 surgery centers and more than 5,000 physicians in its network. It reported $11.9 billion in revenue last year and income of $554 million.\u003c/p>\n\u003cp>Grossman, the plaintiffs’ counsel, said he welcomed the judge’s ruling. But he said much of the evidence is irreplaceable, particularly handwritten notes from negotiating sessions and meetings involving key Sutter executives.\u003c/p>\n\u003cp>He said those records covered a critical period in the early 2000s when there was a “sea change in Sutter’s contracting strategy” and it implemented provisions that insulated the health system from price competition.\u003c/p>\n\u003cp>“This was groundbreaking in the industry,” Grossman said. “Until we address the anti-competitive behavior of entities like Sutter, we will not solve the problem of high costs in health care.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The plaintiffs are seeking to recover hundreds of millions of dollars from Sutter from what it claims are illegally inflated prices. The lawsuit alleges that an overnight hospital stay at Sutter hospitals in San Francisco or Sacramento costs at least 38 percent more than a comparable stay in the more competitive Los Angeles market.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"order": 10
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
"link": "https://www.cityarts.net",
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"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
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"order": 1
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"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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"id": "commonwealth-club",
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"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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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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"tagline": "The conversation starts here",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"meta": {
"site": "radio",
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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"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"
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"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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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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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"
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},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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},
"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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"link": "/radio/program/masters-of-scale",
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"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
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},
"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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"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",
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"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",
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"officialWebsiteLink": "/podcasts/onourwatch",
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"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
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"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",
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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"
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},
"pbs-newshour": {
"id": "pbs-newshour",
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"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",
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},
"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"
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},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
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"officialWebsiteLink": "/perspectives/",
"meta": {
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"order": 14
},
"link": "/perspectives",
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