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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The bill also reiterated the need for evidence of being free of tuberculosis -- known as \"clearance\" -- among day care workers, which already is required by law.\u003c/p>\n\u003cp>\"[This bill] protects young vulnerable children by making sure that those who care for them in child care settings are vaccinated against serious contagious illnesses,\" Mendoza said at Wednesday's committee hearing.\u003c/p>\n\u003cp>\"One child's death is one too many, especially when it may be preventable,\" Mendoza said in an email. \"With the recent deadly outbreaks of measles and influenza, we must do everything in our power to protect California’s children who spend time in day care. This is not just a common sense solution, but makes scientific sense.\"\u003c/p>\n\u003cp>The state's Department of Finance representative at the hearing, Jacqueline Wong Hernandez, said the bill \"could decrease the health risk to children at no cost to the state.\"\u003c/p>\n\u003cp>If the bill is passed by the Legislature and signed by the governor, it would go into effect Sept. 1, 2016.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>David Gorn is a senior reporter with \u003c/em>\u003ca href=\"http://www.californiahealthline.org/\">\u003cem>California Healthline. \u003c/em>\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California Voters Back Tobacco Tax Hike, Poll Shows",
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"content": "\u003cp>Fully two-thirds of California voters support a significant increase in tobacco taxes -- $2 a pack -- according to a \u003ca href=\"http://www.field.com/fieldpollonline/subscribers/Rls2511.pdf\" target=\"_blank\">statewide Field Poll\u003c/a> released Wednesday.\u003c/p>\n\u003cp>California currently \u003ca href=\"https://www.tobaccofreekids.org/research/factsheets/pdf/0097.pdf\" target=\"_blank\">ranks 35th in the country \u003c/a>with 87 cents per pack in state taxes. (New York is first at $4.35.) There is an additional $1.01 in federal taxes.\u003c/p>\n\u003cp>Efforts to raise the tax had stalled legislatively earlier this year in Sacramento, but were revived Wednesday when a new bill was introduced at the special session on health care.\u003c/p>\n\u003cp>Advocates say they are committed to passage of the tax. \"The poll suggests there is strong support for (the tax) among the public,\" said Anthony Wright, executive director of Health Access, \"and we hope that it helps spur legislative action.\"\u003c/p>\n\u003cp>Wright says that if the legislature does not act, there will be a strong push for a ballot measure.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Mark DiCamillo, director of the Field Poll, noted that the 2 to 1 support for the tax was very strong, but cautioned that \"this poll was done before any campaign begins.\"\u003c/p>\n\u003cp>In 2006, he said, there was a similar tobacco tax on the ballot, a bit more than $2 per pack, and it, too, started out ahead two to one in a Field Poll, but \"after the campaign kicked in, with tobacco industry ads\" the measure was ultimately defeated 52 to 48, he said.\u003c/p>\n\u003cp>\"So you can't always say with certainty that initiatives that start out with a two to one lead pass,\" DiCamillo said, \"but certainly its chances are a lot better than if it were closer than what we're seeing in this poll.\"\u003c/p>\n\u003cp>Fifty percent of those responding the poll said they \"favor strongly\" increasing the tax while 17 percent said they \"favor somewhat.\" The question posed in the poll included that the money would be used for \"smoking cessation programs, research into smoking-related disease and tobacco law enforcement efforts.\"\u003c/p>\n\u003cp>In the poll, 68 percent of respondents said they favor raising the minimum wage by $1 an hour each year for five years, which would boost it from $10 per hour next year to $15 per hour by 2021.\u003c/p>\n\u003cp>Last July, the minimum wage was lifted from $8 to $9 an hour, and it is scheduled to rise again next year to $10 an hour.\u003c/p>\n\u003cp>The results were part of the ninth annual Field Poll on health policy. It is sponsored by the California Wellness Foundation. The poll found \u003ca href=\"http://www.field.com/fieldpollonline/subscribers/Rls2510.pdf\" target=\"_blank\">increasing support \u003c/a>for the Affordable Care Act (ACA). More than six in 10 voters (62 percent) now support the law, up from 56 percent last year.\u003c/p>\n\u003cp>More significantly, for the first time, more than half of voters in all major regions of the state, all races and ethnicities, and all age groups support the law. DiCamillo said in the years after the 2010 passage of the ACA, support hovered in the 52 to 54 percent range. It was \"supportive but fairly stable.\"\u003c/p>\n\u003cp>He drew a distinction between strong support for the law in California and the 44 percent favorable, 41 percent unfavorable views nationally.\u003c/p>\n\u003cp>Drew Altman is president and CEO of the non-partisan Kaiser Family Foundation, which focuses on national health issues. In an interview, he said that given how California has \"embraced the law and implemented it successfully,\" the poll results were not surprising to him.\u003c/p>\n\u003cp>\"California shows that the ACA can work if there's political will and support,\" he said, \"and it's such harder to make it work in states where there isn't, which is the picture that we're seeing across the country.\"\u003c/p>\n\u003cp>Voters also support expanding Medi-Cal, the state's insurance program for people who are low income, to undocumented immigrants, and this support is growing. Last year, the first year the question was posed in the poll, support was narrow -- 51 to 45 percent. This year, 58 percent of respondents were supportive.\u003c/p>\n\u003cp>\"In California, undocumented people are not an ideological football as they are to some degree in the national debate,\" Altman said. \"They're part of the fabric of life in our state, so people may tend to approach the program from a more pragmatic perspective and believe that it just makes sense to provide health care to people who need it.\"\u003c/p>\n\u003cp>Other questions about the health system showed strong support:\u003c/p>\n\u003cul>\n\u003cli>58 percent say they are satisfied with how the health care system is working since the passage of the ACA\u003c/li>\n\u003cli>86 percent are satisfied with their own individual health plan\u003c/li>\n\u003cli>68 percent believe California has been successful in implementing the ACA in the state. That's up from 60 percent last year.\u003c/li>\n\u003c/ul>\n\u003cp>But the one area presenting a challenge in the poll was cost. Nearly four in 10 respondents said what they pay for health care has increased in the last year. Even at the highest income level -- $100,00 per year or more -- more than one in four respondents said they or a family member had trouble with costs.\u003c/p>\n\u003cp>Still, as the chart shows, the rate of those reporting difficulty with costs are lower than they were last year across all income levels.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM.png\">\u003cimg class=\"aligncenter wp-image-68174 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM.png\" alt=\"Screen Shot 2015-08-26 at 10.48.54 AM\" width=\"1010\" height=\"725\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM.png 1010w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM-400x287.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM-800x574.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM-960x689.png 960w\" sizes=\"(max-width: 1010px) 100vw, 1010px\">\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The poll was conducted June 25-July 16, 2015, among 1,555 registered voters in California in eight languages and dialects. It has an error rate of plus/minus 2.6 percent.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Fully two-thirds of California voters support a significant increase in tobacco taxes -- $2 a pack -- according to a \u003ca href=\"http://www.field.com/fieldpollonline/subscribers/Rls2511.pdf\" target=\"_blank\">statewide Field Poll\u003c/a> released Wednesday.\u003c/p>\n\u003cp>California currently \u003ca href=\"https://www.tobaccofreekids.org/research/factsheets/pdf/0097.pdf\" target=\"_blank\">ranks 35th in the country \u003c/a>with 87 cents per pack in state taxes. (New York is first at $4.35.) There is an additional $1.01 in federal taxes.\u003c/p>\n\u003cp>Efforts to raise the tax had stalled legislatively earlier this year in Sacramento, but were revived Wednesday when a new bill was introduced at the special session on health care.\u003c/p>\n\u003cp>Advocates say they are committed to passage of the tax. \"The poll suggests there is strong support for (the tax) among the public,\" said Anthony Wright, executive director of Health Access, \"and we hope that it helps spur legislative action.\"\u003c/p>\n\u003cp>Wright says that if the legislature does not act, there will be a strong push for a ballot measure.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Mark DiCamillo, director of the Field Poll, noted that the 2 to 1 support for the tax was very strong, but cautioned that \"this poll was done before any campaign begins.\"\u003c/p>\n\u003cp>In 2006, he said, there was a similar tobacco tax on the ballot, a bit more than $2 per pack, and it, too, started out ahead two to one in a Field Poll, but \"after the campaign kicked in, with tobacco industry ads\" the measure was ultimately defeated 52 to 48, he said.\u003c/p>\n\u003cp>\"So you can't always say with certainty that initiatives that start out with a two to one lead pass,\" DiCamillo said, \"but certainly its chances are a lot better than if it were closer than what we're seeing in this poll.\"\u003c/p>\n\u003cp>Fifty percent of those responding the poll said they \"favor strongly\" increasing the tax while 17 percent said they \"favor somewhat.\" The question posed in the poll included that the money would be used for \"smoking cessation programs, research into smoking-related disease and tobacco law enforcement efforts.\"\u003c/p>\n\u003cp>In the poll, 68 percent of respondents said they favor raising the minimum wage by $1 an hour each year for five years, which would boost it from $10 per hour next year to $15 per hour by 2021.\u003c/p>\n\u003cp>Last July, the minimum wage was lifted from $8 to $9 an hour, and it is scheduled to rise again next year to $10 an hour.\u003c/p>\n\u003cp>The results were part of the ninth annual Field Poll on health policy. It is sponsored by the California Wellness Foundation. The poll found \u003ca href=\"http://www.field.com/fieldpollonline/subscribers/Rls2510.pdf\" target=\"_blank\">increasing support \u003c/a>for the Affordable Care Act (ACA). More than six in 10 voters (62 percent) now support the law, up from 56 percent last year.\u003c/p>\n\u003cp>More significantly, for the first time, more than half of voters in all major regions of the state, all races and ethnicities, and all age groups support the law. DiCamillo said in the years after the 2010 passage of the ACA, support hovered in the 52 to 54 percent range. It was \"supportive but fairly stable.\"\u003c/p>\n\u003cp>He drew a distinction between strong support for the law in California and the 44 percent favorable, 41 percent unfavorable views nationally.\u003c/p>\n\u003cp>Drew Altman is president and CEO of the non-partisan Kaiser Family Foundation, which focuses on national health issues. In an interview, he said that given how California has \"embraced the law and implemented it successfully,\" the poll results were not surprising to him.\u003c/p>\n\u003cp>\"California shows that the ACA can work if there's political will and support,\" he said, \"and it's such harder to make it work in states where there isn't, which is the picture that we're seeing across the country.\"\u003c/p>\n\u003cp>Voters also support expanding Medi-Cal, the state's insurance program for people who are low income, to undocumented immigrants, and this support is growing. Last year, the first year the question was posed in the poll, support was narrow -- 51 to 45 percent. This year, 58 percent of respondents were supportive.\u003c/p>\n\u003cp>\"In California, undocumented people are not an ideological football as they are to some degree in the national debate,\" Altman said. \"They're part of the fabric of life in our state, so people may tend to approach the program from a more pragmatic perspective and believe that it just makes sense to provide health care to people who need it.\"\u003c/p>\n\u003cp>Other questions about the health system showed strong support:\u003c/p>\n\u003cul>\n\u003cli>58 percent say they are satisfied with how the health care system is working since the passage of the ACA\u003c/li>\n\u003cli>86 percent are satisfied with their own individual health plan\u003c/li>\n\u003cli>68 percent believe California has been successful in implementing the ACA in the state. That's up from 60 percent last year.\u003c/li>\n\u003c/ul>\n\u003cp>But the one area presenting a challenge in the poll was cost. Nearly four in 10 respondents said what they pay for health care has increased in the last year. Even at the highest income level -- $100,00 per year or more -- more than one in four respondents said they or a family member had trouble with costs.\u003c/p>\n\u003cp>Still, as the chart shows, the rate of those reporting difficulty with costs are lower than they were last year across all income levels.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM.png\">\u003cimg class=\"aligncenter wp-image-68174 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM.png\" alt=\"Screen Shot 2015-08-26 at 10.48.54 AM\" width=\"1010\" height=\"725\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM.png 1010w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM-400x287.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM-800x574.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM-960x689.png 960w\" sizes=\"(max-width: 1010px) 100vw, 1010px\">\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The poll was conducted June 25-July 16, 2015, among 1,555 registered voters in California in eight languages and dialects. It has an error rate of plus/minus 2.6 percent.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Help Wanted: Last Pediatrician on Mendocino Coast Retires",
"title": "Help Wanted: Last Pediatrician on Mendocino Coast Retires",
"headTitle": "Vital Signs | State of Health | KQED News",
"content": "\u003cp>Dr. Bill Mahon was a young pediatrician in the early 1970s when he fell in love with the rugged coast and majestic redwoods of Mendocino County. Like other people who have moved to Mendocino from around the country, settling here for him was a personal choice that prioritized lifestyle over money.\u003c/p>\n\u003cp>The prospect of practicing medicine in a small community also called to him. In 1977 he left his well-paying job at Kaiser Sacramento to join a practice with two other pediatricians in Fort Bragg.\u003c/p>\n\u003cp>Still, the move was a risk.\u003c/p>\n\u003caside class=\"pullquote alignright\">“For me it’s rather sad. For all these years there have been resident pediatricians. Now for the first time in 40 years, there is none.”\u003ccite>Dr. Bill Mahon\u003c/cite>\u003c/aside>\n\u003cp>“There were no guarantees coming to the coast. This was a practice that started from scratch, and I just trusted the fact that it would increase and everything would be fine\u003cstrong>,”\u003c/strong> Mahon, now 68, says. “My first month of work here I made $200. That was it.\"\u003c/p>\n\u003cp>Over time, the private practice grew to include any patient regardless of ability to pay, says Mahon. Some patients were not insured. Many had Medi-Cal, the state's health insurance program for lower income residents, which – until Mahon’s office gained rural health clinic status in the 90s – provided reimbursements that were “pretty meager.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Early on we actually did trades at the practice,” says Mahon, with a chuckle. “We would trade a visit for a salmon or pottery or some other commodity, which, in the end, felt good from both sides.”\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/220845410\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>For more than 35 years, Mahon examined patients day in, day out at his small clinic, next to Mendocino Coast District Hospital, the only hospital for miles. He handled everything from regular check ups to broken bones to very sick kids who might need a spinal taps or IV treatment. He got to know families closely. Going anywhere in town almost certainly involved bumping into a former patient.\u003c/p>\n\u003cp>\"It really is the personal aspects of practice here,\" says Mahon. \"The connection with the parents, the connection with the kids and then how that connection spilled over into the larger community.\"\u003c/p>\n\u003cp>Sometimes, he was roused out of bed in the middle of the night to attend to a newborn after a complicated delivery or speak with a distressed parent with an urgent question. Then those kids grew up – and many had kids of their own and brought them to see Mahon.\u003c/p>\n\u003cp>“I frequently tell people that I had a dream practice,” he says. “I took care of at least two generations of children. I wouldn’t trade a minute of it.”\u003c/p>\n\u003cp>Now Mahon is mostly retired. He only works at the hospital on call a few days a month. Families in most of the Mendocino Coast region no longer have access to a pediatrician who lives there permanently. The doctors that Mahon joined in the 70s have long since retired, and other pediatricians have come and gone.\u003c/p>\n\u003cfigure id=\"attachment_68048\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/RS16489_vscocam-photo-1.jpeg\">\u003cimg class=\"wp-image-68048 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-400x320.jpeg\" alt=\"RS16489_vscocam-photo-1\" width=\"400\" height=\"320\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-400x320.jpeg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-800x640.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-1440x1152.jpeg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-1180x944.jpeg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-960x768.jpeg 960w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Mendocino Coast District Hospital in Fort Bragg has pediatricians on call for emergencies only. Dr. Mahon still works there a few days a month, but no longer sees patients on a day-to-day basis. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Until recently, a nurse practitioner and physician assistant at the clinic handled most cases. But, with no pediatrician in the office, if a patient showed up very sick or with a complicated case, the clinic’s staff sent them to the hospital's emergency department, which has on call access to a pediatrician.\u003c/p>\n\u003cp>“This community deserves better,” says Mahon. “For me it’s rather sad. For all these years there have been resident pediatricians and now for the first time in 40 years, there is none.”\u003c/p>\n\u003cp>Mendocino Coast Clinics, which absorbed Dr. Mahon’s practice a few years ago, contracted an outside agency to bring in a temporary pediatrician for three months. He started last week.\u003c/p>\n\u003cp>“This is a stop gap measure,” says Paula Cohen, executive director at Mendocino Coast Clinics. “We would love to find someone who wants to move to this community and make it their home.”\u003c/p>\n\u003cp>Their search to find someone permanent has a few leads. Cohen says she interviewed an out-of-state doctor last weekend, and her staff is reviewing resumes. However, it’s hard for tiny Fort Bragg –- population 7,300 -- to compete with metropolitan areas when recruiting physicians.\u003c/p>\n\u003cp>Cohen says physicians might prefer the amenities – cultural activities, department stores, even supermarkets -- of bigger cities. A physician who is married might need to look in areas that offer career opportunities for their spouses – who if they work in financial services or tech, say, might not want to move to Fort Bragg.\u003c/p>\n\u003cp>The practice of medicine has also changed since Mahon came to the coast. Today, new physicians might not want to practice by themselves and independently treat the wide range of diseases and behavioral disorders in babies and children that Mahon did.\u003c/p>\n\u003cp>Most new physicians are educated in metropolitan areas, with a large suite of specialists available, says Janet Coffman, associate professor at the Institute for Health Policy Studies at UC San Francisco.\u003c/p>\n\u003cp>“If you are in a rural area and the only pediatrician,\" says Coffman, \"people are expecting you to do a wider scope of practice. New physicians might not be prepared for that kind of medicine.\"\u003c/p>\n\u003cp>Another big challenge is that most new doctors are looking for higher salaries that help them repay their debt from medical school. Graduates of public medical schools owed a median debt of $170,000, while private medical school graduates owed a median debt of $200,000, according to 2014 \u003ca href=\"https://www.aamc.org/download/152968/data/debtfactcard.pdf\" target=\"_blank\">figures\u003c/a> from the Association of American Medical Colleges (AAMC). Rural areas serving a majority of Medi-Cal patients, such as Fort Bragg, might not offer competitive salaries.\u003c/p>\n\u003cp>Coffman said that the state could help rural communities recruit new physicians by expanding programs that help doctors repay their debt if they practice in a medically underserved area. One such program, the \u003ca href=\"http://www.oshpd.ca.gov/hpef/stlrp.html\" target=\"_blank\">Steven M. Thompson Physician Corps Loan Repayment\u003c/a> offers up to $105,000 in financial assistance. Medical schools could also expand programs that train physicians for the daily challenges of practicing in a rural setting.\u003c/p>\n\u003cp>The issue is pressing in Mendocino County and other nearby Northern California counties, where more than half of all doctors practicing are 56 or older and nearing retirement age, according to a 2009 report by the \u003ca href=\"http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/F/PDF%20FewerAndMoreSpecializedMDSupplyInCA.pdf\" target=\"_blank\">California HealthCare Foundation\u003c/a>. Statewide, the physician workforce is one of the oldest in the nation, with only New Mexico having a greater proportion of active physicians over 60, based on AAMC \u003ca href=\"https://www.aamc.org/download/362168/data/2013statephysicianworkforcedatabook.pdf\" target=\"_blank\">data\u003c/a>.\u003c/p>\n\u003cp>Meanwhile, families in Fort Bragg are dealing with the lack of a regular pediatrician they trust.\u003c/p>\n\u003cp>Cassandra and Milo Young now drive their three children 60 winding miles inland to a pediatric practice in Ukiah. The road is so twisty that the kids sometimes get sick on the way. The trips usually take an entire day and represent additional costs in gas and time off work.\u003c/p>\n\u003cp>“It’s definitely a downfall to the area,\" says Cassandra Young. She moved to the coast after working as a creative director at a large advertising firm in New York City.\u003c/p>\n\u003cp>\"We made certain concessions to give this lifestyle to our children. We gave up the big career and department stores. But giving up good quality pediatric care doesn’t feel like something we should have to give up,\" Young says.\u003c/p>\n\u003cp>She says she likes the pediatric practice in Ukiah well enough, but misses Dr. Mahon.\u003c/p>\n\u003cp>\u003cstrong>“\u003c/strong>He’s just wonderful, the kind of doctor we all wish our kids could have,” Young says. “It would be amazing to get another Dr. Mahon to move out here, and be our country doctor.”\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story is part of our series \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Vital Signs\u003c/a>. Send story ideas to fjhabvala@kqed.org.\u003c/em>\u003c/p>\n\n",
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"excerpt": "Dr. Bill Mahon cared for two generations of patients. Rural areas across California have trouble recruiting new doctors.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dr. Bill Mahon was a young pediatrician in the early 1970s when he fell in love with the rugged coast and majestic redwoods of Mendocino County. Like other people who have moved to Mendocino from around the country, settling here for him was a personal choice that prioritized lifestyle over money.\u003c/p>\n\u003cp>The prospect of practicing medicine in a small community also called to him. In 1977 he left his well-paying job at Kaiser Sacramento to join a practice with two other pediatricians in Fort Bragg.\u003c/p>\n\u003cp>Still, the move was a risk.\u003c/p>\n\u003caside class=\"pullquote alignright\">“For me it’s rather sad. For all these years there have been resident pediatricians. Now for the first time in 40 years, there is none.”\u003ccite>Dr. Bill Mahon\u003c/cite>\u003c/aside>\n\u003cp>“There were no guarantees coming to the coast. This was a practice that started from scratch, and I just trusted the fact that it would increase and everything would be fine\u003cstrong>,”\u003c/strong> Mahon, now 68, says. “My first month of work here I made $200. That was it.\"\u003c/p>\n\u003cp>Over time, the private practice grew to include any patient regardless of ability to pay, says Mahon. Some patients were not insured. Many had Medi-Cal, the state's health insurance program for lower income residents, which – until Mahon’s office gained rural health clinic status in the 90s – provided reimbursements that were “pretty meager.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Early on we actually did trades at the practice,” says Mahon, with a chuckle. “We would trade a visit for a salmon or pottery or some other commodity, which, in the end, felt good from both sides.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/220845410&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/220845410'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>For more than 35 years, Mahon examined patients day in, day out at his small clinic, next to Mendocino Coast District Hospital, the only hospital for miles. He handled everything from regular check ups to broken bones to very sick kids who might need a spinal taps or IV treatment. He got to know families closely. Going anywhere in town almost certainly involved bumping into a former patient.\u003c/p>\n\u003cp>\"It really is the personal aspects of practice here,\" says Mahon. \"The connection with the parents, the connection with the kids and then how that connection spilled over into the larger community.\"\u003c/p>\n\u003cp>Sometimes, he was roused out of bed in the middle of the night to attend to a newborn after a complicated delivery or speak with a distressed parent with an urgent question. Then those kids grew up – and many had kids of their own and brought them to see Mahon.\u003c/p>\n\u003cp>“I frequently tell people that I had a dream practice,” he says. “I took care of at least two generations of children. I wouldn’t trade a minute of it.”\u003c/p>\n\u003cp>Now Mahon is mostly retired. He only works at the hospital on call a few days a month. Families in most of the Mendocino Coast region no longer have access to a pediatrician who lives there permanently. The doctors that Mahon joined in the 70s have long since retired, and other pediatricians have come and gone.\u003c/p>\n\u003cfigure id=\"attachment_68048\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/RS16489_vscocam-photo-1.jpeg\">\u003cimg class=\"wp-image-68048 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-400x320.jpeg\" alt=\"RS16489_vscocam-photo-1\" width=\"400\" height=\"320\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-400x320.jpeg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-800x640.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-1440x1152.jpeg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-1180x944.jpeg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16489_vscocam-photo-1-960x768.jpeg 960w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Mendocino Coast District Hospital in Fort Bragg has pediatricians on call for emergencies only. Dr. Mahon still works there a few days a month, but no longer sees patients on a day-to-day basis. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Until recently, a nurse practitioner and physician assistant at the clinic handled most cases. But, with no pediatrician in the office, if a patient showed up very sick or with a complicated case, the clinic’s staff sent them to the hospital's emergency department, which has on call access to a pediatrician.\u003c/p>\n\u003cp>“This community deserves better,” says Mahon. “For me it’s rather sad. For all these years there have been resident pediatricians and now for the first time in 40 years, there is none.”\u003c/p>\n\u003cp>Mendocino Coast Clinics, which absorbed Dr. Mahon’s practice a few years ago, contracted an outside agency to bring in a temporary pediatrician for three months. He started last week.\u003c/p>\n\u003cp>“This is a stop gap measure,” says Paula Cohen, executive director at Mendocino Coast Clinics. “We would love to find someone who wants to move to this community and make it their home.”\u003c/p>\n\u003cp>Their search to find someone permanent has a few leads. Cohen says she interviewed an out-of-state doctor last weekend, and her staff is reviewing resumes. However, it’s hard for tiny Fort Bragg –- population 7,300 -- to compete with metropolitan areas when recruiting physicians.\u003c/p>\n\u003cp>Cohen says physicians might prefer the amenities – cultural activities, department stores, even supermarkets -- of bigger cities. A physician who is married might need to look in areas that offer career opportunities for their spouses – who if they work in financial services or tech, say, might not want to move to Fort Bragg.\u003c/p>\n\u003cp>The practice of medicine has also changed since Mahon came to the coast. Today, new physicians might not want to practice by themselves and independently treat the wide range of diseases and behavioral disorders in babies and children that Mahon did.\u003c/p>\n\u003cp>Most new physicians are educated in metropolitan areas, with a large suite of specialists available, says Janet Coffman, associate professor at the Institute for Health Policy Studies at UC San Francisco.\u003c/p>\n\u003cp>“If you are in a rural area and the only pediatrician,\" says Coffman, \"people are expecting you to do a wider scope of practice. New physicians might not be prepared for that kind of medicine.\"\u003c/p>\n\u003cp>Another big challenge is that most new doctors are looking for higher salaries that help them repay their debt from medical school. Graduates of public medical schools owed a median debt of $170,000, while private medical school graduates owed a median debt of $200,000, according to 2014 \u003ca href=\"https://www.aamc.org/download/152968/data/debtfactcard.pdf\" target=\"_blank\">figures\u003c/a> from the Association of American Medical Colleges (AAMC). Rural areas serving a majority of Medi-Cal patients, such as Fort Bragg, might not offer competitive salaries.\u003c/p>\n\u003cp>Coffman said that the state could help rural communities recruit new physicians by expanding programs that help doctors repay their debt if they practice in a medically underserved area. One such program, the \u003ca href=\"http://www.oshpd.ca.gov/hpef/stlrp.html\" target=\"_blank\">Steven M. Thompson Physician Corps Loan Repayment\u003c/a> offers up to $105,000 in financial assistance. Medical schools could also expand programs that train physicians for the daily challenges of practicing in a rural setting.\u003c/p>\n\u003cp>The issue is pressing in Mendocino County and other nearby Northern California counties, where more than half of all doctors practicing are 56 or older and nearing retirement age, according to a 2009 report by the \u003ca href=\"http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/F/PDF%20FewerAndMoreSpecializedMDSupplyInCA.pdf\" target=\"_blank\">California HealthCare Foundation\u003c/a>. Statewide, the physician workforce is one of the oldest in the nation, with only New Mexico having a greater proportion of active physicians over 60, based on AAMC \u003ca href=\"https://www.aamc.org/download/362168/data/2013statephysicianworkforcedatabook.pdf\" target=\"_blank\">data\u003c/a>.\u003c/p>\n\u003cp>Meanwhile, families in Fort Bragg are dealing with the lack of a regular pediatrician they trust.\u003c/p>\n\u003cp>Cassandra and Milo Young now drive their three children 60 winding miles inland to a pediatric practice in Ukiah. The road is so twisty that the kids sometimes get sick on the way. The trips usually take an entire day and represent additional costs in gas and time off work.\u003c/p>\n\u003cp>“It’s definitely a downfall to the area,\" says Cassandra Young. She moved to the coast after working as a creative director at a large advertising firm in New York City.\u003c/p>\n\u003cp>\"We made certain concessions to give this lifestyle to our children. We gave up the big career and department stores. But giving up good quality pediatric care doesn’t feel like something we should have to give up,\" Young says.\u003c/p>\n\u003cp>She says she likes the pediatric practice in Ukiah well enough, but misses Dr. Mahon.\u003c/p>\n\u003cp>\u003cstrong>“\u003c/strong>He’s just wonderful, the kind of doctor we all wish our kids could have,” Young says. “It would be amazing to get another Dr. Mahon to move out here, and be our country doctor.”\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This story is part of our series \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Vital Signs\u003c/a>. Send story ideas to fjhabvala@kqed.org.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "A Racial Gap in Attitudes Toward Hospice Care",
"title": "A Racial Gap in Attitudes Toward Hospice Care",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>Twice already Narseary and Vernal Harris have watched a son die. The first time — Paul at age 26 — was agonizing and frenzied, his body tethered to a machine meant to keep him alive as his incurable sickle cell disease progressed. When the same illness ravaged Solomon, at age 33, the Harrises reluctantly turned to hospice in the hope that his last days might somehow be less harrowing than his brother’s.\u003c/p>\n\u003caside class=\"pullquote alignright\">At the root of the issue is a toxic distrust of a health care system that once displayed 'No Negroes' signs at hospitals.\u003c/aside>\n\u003cp>Their expectations were low. “They take your money,” Vernal Harris said, describing what she had heard of hospice. “Your loved ones don’t see you anymore. You just go there and die.\"\u003c/p>\n\u003cp>Hospice use has been growing fast in the United States as more people choose to avoid futile, often painful medical treatments in favor of palliative care and dying at home surrounded by loved ones. But the Harrises, who are African-American, belong to a demographic group that has long resisted the concept and whose suspicions remain deep-seated.\u003c/p>\n\u003cp>It is an attitude borne out by recent federal statistics showing that nearly half of white Medicare beneficiaries enrolled in hospice before death, compared with only a third of black patients. The racial divide is even more pronounced when it comes to advance care directives — legal documents meant to help families make life-or-death decisions that reflect a patient’s choices. Some 40 percent of whites 70 and over have such plans, compared with only 16 percent of blacks.\u003c/p>\n\u003cp>Instead, black Americans — far more so than whites — choose aggressive life-sustaining interventions, including resuscitation and mechanical ventilation, even when there is little chance of survival.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The racial gaps could widen when Medicare is expected to begin paying physicians in January 2016 for end-of-life counseling, and at a time when blacks and other minorities are projected to make up 42 percent of people 65 and over in 2050, up from 20 percent in 2000.\u003c/p>\n\u003cp>At the root of the resistance, say researchers and black physicians, is a toxic distrust of a health care system that once displayed “No Negroes” signs at hospitals, performed involuntary sterilizations on black women and, in an infamous Tuskegee study, purposely left hundreds of black men untreated for syphilis.\u003c/p>\n\u003cp>“You have people who’ve had a difficult time getting access to care throughout their lifetimes” because of poverty, lack of health insurance or difficulty finding a medical provider, said Dr. Maisha Robinson, a neurologist and palliative medicine physician at the Mayo Clinic in Jacksonville, Fla. “And then you have a physician who’s saying, ‘I think that we need to transition your mother, father, grandmother to comfort care or palliative care.’ People are skeptical of that.”\u003c/p>\n\u003cp>Federal policies surrounding hospice also arouse suspicion in black communities since Medicare currently requires patients to give up life-sustaining therapies in order to receive hospice benefits.\u003c/p>\n\u003cp>That trade-off strikes some black families, who believe they have long had to fight for quality medical care, as unfair, said Dr. Kimberly Johnson, a Duke University associate professor of medicine who has studied African-American attitudes about hospice.\u003c/p>\n\u003cp>Johnson said her black patients were more likely to believe there are actual religious prohibitions against limiting life-sustaining therapy, and that suffering can be redemptive, or “a test from God.” And those beliefs, she added, were “contrary to the hospice philosophy of care.”\u003c/p>\n\u003cp>But now some doctors and clergy members are trying to use church settings to reshape the black community’s views, incorporating the topic in sermons, Bible study groups, and grief and bereavement ministries.\u003c/p>\n\u003cp>Robinson, who is black and a daughter of Tennessee pastors, has been helping pastors develop faith-based hospice guidelines. She tells them, “God can work miracles, yes he can, but even in hospice.”\u003c/p>\n\u003cfigure id=\"attachment_67415\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/church-5-e1440523046652.jpg\">\u003cimg class=\"size-thumbnail wp-image-67415\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/church-5-400x267.jpg\" alt=\"Bishop Gwendolyn Stone at the God Answers Prayer Ministries of Los Angeles.\" width=\"400\" height=\"267\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Bishop Gwendolyn Stone at the God Answers Prayer Ministries of Los Angeles. \u003ccite>(Heidi de Marco/Kaiser Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>That message recently rang out from the pulpit at God Answers Prayer Ministries, an African-American church in South Los Angeles, as Bishop Gwendolyn Coates-Stone tried a sermon theme on advance care.\u003c/p>\n\u003cp>“It’s such a great cost to hold on to some of those sicknesses and diseases that eventually are going to take us out,” she exclaimed into a microphone, bobbing and weaving in a swirl of royal purple robes. “Just like Jesus talked about his death and prepared his disciples for his death, we ought to be preparing our disciples for our death!”\u003c/p>\n\u003cp>In a moment of benediction, Coates-Stone made a direct plea: “Help us Lord to have the courage to have conversations with our families,” she said, “that will also not leave them wandering and wondering, ‘What should I do in case of the death of a loved one?’ ”\u003c/p>\n\u003cp>A gathering of older blacks convened recently by Robinson in Leimert Park, a middle-class Los Angeles neighborhood, underscored the challenges such efforts still face.\u003c/p>\n\u003cp>“Hospice has not been a good place for African-Americans, unless you’re in a white facility and usually you’re one of few black people there,” said one woman, who along with others attending the gathering asked not to be identified in order to speak frankly.\u003c/p>\n\u003cp>That sentiment was greeted by nods from others in the group. “It gets into money,” another woman said. “The treatment is a little bit better, but then there is still the discrimination.”\u003c/p>\n\u003cp>[contextly_sidebar id=\"09BBcuw7D7WYql3Pf1G1Ezco877NRuqw\"]Advance directives, in particular, are often seen as sinister, a way for insurance companies to maximize profits. “If you say you want at all costs to live, and they say, ‘Well, your insurance company doesn’t allow that,’ then they’re going to pull the plug anyway,” said the host of the gathering, Loretta Jones, 73, founder of \u003ca href=\"http://www.haafii.org/\" target=\"_blank\">Healthy African-American Families\u003c/a> in Los Angeles.\u003c/p>\n\u003cp>To help allay those concerns, physicians need to be more explicit during end-of-life discussions, Robinson said. “We have to be much clearer about why we’re trying to have those conversations, or we’ll continue to see a pattern of people who really want life-sustaining interventions even when there’s limited potential benefit.”\u003c/p>\n\u003cp>Camille Wicher, vice president of clinical operations at Roswell Park Cancer Institute in Buffalo, who has studied African-Americans’ end-of-life choices, said hospitals needed to enlist black families who have had good hospice experiences to share their stories with friends and church members.\u003c/p>\n\u003cp>“That’s how we learn,” she added. “We learn from each other.”\u003c/p>\n\u003cp>The Harrises are trying to use their experience to carry out that work.\u003c/p>\n\u003cp>The agony of their son Paul’s death in a hospital room informed their treatment decisions when their next son, Solomon, became gravely ill. When his doctor conceded that blood transfusions were of little help, Solomon assented to hospice care in his parents’ home. If he was going to be robbed of his future, Solomon would not, his parents decided, be robbed of a good death.\u003c/p>\n\u003cp>As his health failed, nurses from the hospice in Buffalo managed his pain and bathed him tenderly. A social worker helped the family grieve and counseled his young children.\u003c/p>\n\u003cp>All the while, parishioners from his parents’ church visited Solomon, amazed to find that hospice was not the grim banishment they had always envisioned.\u003c/p>\n\u003cp>“One of the members said, ‘I thought you were going to put Solomon in hospice,’ ” Vernal Harris recalled. “I said, ‘We did.’ ‘Well, when is he going?’ I said, ‘They come here.’ ‘They come to your house?’ ‘Yeah, they’re taking care of him right here.’ ”\u003c/p>\n\u003cp>There was even time for reflection, as Solomon wrote in a poem called “After Life.”\u003c/p>\n\u003cp>“Fear death?” he wrote. “No, I await death.”\u003c/p>\n\u003cp>Solomon died a short while later, but the Harrises say his death has had a lasting impact.\u003c/p>\n\u003cp>“The people in our immediate circle now view hospice positively,” Vernal Harris said. “I think our experience was powerful enough that it changed people’s attitudes.”\u003c/p>\n\u003cp>Narseary Harris, the pastor of Prince of Peace Temple Church of God in Christ, often evangelizes about hospice during his Sunday morning sermons, while his spouse has enlisted the wives of black pastors in western New York, known as the “First Ladies,” to counter negative views about palliative care. At a recent meeting, the women discussed older church members who might benefit from hospice, and Vernal Harris wanted to hear how parishioners in the women’s churches responded to some recent outreach.\u003c/p>\n\u003cp>“It really opened up people’s eyes to the negative stigma of it, feeling like, ‘I’m just putting my loved one away, and not caring for them,’ ” said Joyce Badger of Bethesda World Harvest International Church in Buffalo. “The power of knowledge that we’ve gained is really going to help our community.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Sarah Varney is a reporter with \u003c/em>\u003ca href=\"http://khn.org\" target=\"_blank\">\u003cem>Kaiser Health News\u003c/em>\u003c/a>\u003cem>, a nonprofit news organization covering health care policy and politics. It is an editorially independent program of the \u003c/em>\u003ca href=\"http://www.kff.org/\" target=\"_blank\">\u003cstrong>\u003cem>Kaiser Family Foundation\u003c/em>\u003c/strong>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\n",
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"excerpt": "Many African-Americans are skeptical about end-of-life care options. Some doctors and clergy leaders are trying to reach out at church.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Twice already Narseary and Vernal Harris have watched a son die. The first time — Paul at age 26 — was agonizing and frenzied, his body tethered to a machine meant to keep him alive as his incurable sickle cell disease progressed. When the same illness ravaged Solomon, at age 33, the Harrises reluctantly turned to hospice in the hope that his last days might somehow be less harrowing than his brother’s.\u003c/p>\n\u003caside class=\"pullquote alignright\">At the root of the issue is a toxic distrust of a health care system that once displayed 'No Negroes' signs at hospitals.\u003c/aside>\n\u003cp>Their expectations were low. “They take your money,” Vernal Harris said, describing what she had heard of hospice. “Your loved ones don’t see you anymore. You just go there and die.\"\u003c/p>\n\u003cp>Hospice use has been growing fast in the United States as more people choose to avoid futile, often painful medical treatments in favor of palliative care and dying at home surrounded by loved ones. But the Harrises, who are African-American, belong to a demographic group that has long resisted the concept and whose suspicions remain deep-seated.\u003c/p>\n\u003cp>It is an attitude borne out by recent federal statistics showing that nearly half of white Medicare beneficiaries enrolled in hospice before death, compared with only a third of black patients. The racial divide is even more pronounced when it comes to advance care directives — legal documents meant to help families make life-or-death decisions that reflect a patient’s choices. Some 40 percent of whites 70 and over have such plans, compared with only 16 percent of blacks.\u003c/p>\n\u003cp>Instead, black Americans — far more so than whites — choose aggressive life-sustaining interventions, including resuscitation and mechanical ventilation, even when there is little chance of survival.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The racial gaps could widen when Medicare is expected to begin paying physicians in January 2016 for end-of-life counseling, and at a time when blacks and other minorities are projected to make up 42 percent of people 65 and over in 2050, up from 20 percent in 2000.\u003c/p>\n\u003cp>At the root of the resistance, say researchers and black physicians, is a toxic distrust of a health care system that once displayed “No Negroes” signs at hospitals, performed involuntary sterilizations on black women and, in an infamous Tuskegee study, purposely left hundreds of black men untreated for syphilis.\u003c/p>\n\u003cp>“You have people who’ve had a difficult time getting access to care throughout their lifetimes” because of poverty, lack of health insurance or difficulty finding a medical provider, said Dr. Maisha Robinson, a neurologist and palliative medicine physician at the Mayo Clinic in Jacksonville, Fla. “And then you have a physician who’s saying, ‘I think that we need to transition your mother, father, grandmother to comfort care or palliative care.’ People are skeptical of that.”\u003c/p>\n\u003cp>Federal policies surrounding hospice also arouse suspicion in black communities since Medicare currently requires patients to give up life-sustaining therapies in order to receive hospice benefits.\u003c/p>\n\u003cp>That trade-off strikes some black families, who believe they have long had to fight for quality medical care, as unfair, said Dr. Kimberly Johnson, a Duke University associate professor of medicine who has studied African-American attitudes about hospice.\u003c/p>\n\u003cp>Johnson said her black patients were more likely to believe there are actual religious prohibitions against limiting life-sustaining therapy, and that suffering can be redemptive, or “a test from God.” And those beliefs, she added, were “contrary to the hospice philosophy of care.”\u003c/p>\n\u003cp>But now some doctors and clergy members are trying to use church settings to reshape the black community’s views, incorporating the topic in sermons, Bible study groups, and grief and bereavement ministries.\u003c/p>\n\u003cp>Robinson, who is black and a daughter of Tennessee pastors, has been helping pastors develop faith-based hospice guidelines. She tells them, “God can work miracles, yes he can, but even in hospice.”\u003c/p>\n\u003cfigure id=\"attachment_67415\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/church-5-e1440523046652.jpg\">\u003cimg class=\"size-thumbnail wp-image-67415\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/church-5-400x267.jpg\" alt=\"Bishop Gwendolyn Stone at the God Answers Prayer Ministries of Los Angeles.\" width=\"400\" height=\"267\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Bishop Gwendolyn Stone at the God Answers Prayer Ministries of Los Angeles. \u003ccite>(Heidi de Marco/Kaiser Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>That message recently rang out from the pulpit at God Answers Prayer Ministries, an African-American church in South Los Angeles, as Bishop Gwendolyn Coates-Stone tried a sermon theme on advance care.\u003c/p>\n\u003cp>“It’s such a great cost to hold on to some of those sicknesses and diseases that eventually are going to take us out,” she exclaimed into a microphone, bobbing and weaving in a swirl of royal purple robes. “Just like Jesus talked about his death and prepared his disciples for his death, we ought to be preparing our disciples for our death!”\u003c/p>\n\u003cp>In a moment of benediction, Coates-Stone made a direct plea: “Help us Lord to have the courage to have conversations with our families,” she said, “that will also not leave them wandering and wondering, ‘What should I do in case of the death of a loved one?’ ”\u003c/p>\n\u003cp>A gathering of older blacks convened recently by Robinson in Leimert Park, a middle-class Los Angeles neighborhood, underscored the challenges such efforts still face.\u003c/p>\n\u003cp>“Hospice has not been a good place for African-Americans, unless you’re in a white facility and usually you’re one of few black people there,” said one woman, who along with others attending the gathering asked not to be identified in order to speak frankly.\u003c/p>\n\u003cp>That sentiment was greeted by nods from others in the group. “It gets into money,” another woman said. “The treatment is a little bit better, but then there is still the discrimination.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Advance directives, in particular, are often seen as sinister, a way for insurance companies to maximize profits. “If you say you want at all costs to live, and they say, ‘Well, your insurance company doesn’t allow that,’ then they’re going to pull the plug anyway,” said the host of the gathering, Loretta Jones, 73, founder of \u003ca href=\"http://www.haafii.org/\" target=\"_blank\">Healthy African-American Families\u003c/a> in Los Angeles.\u003c/p>\n\u003cp>To help allay those concerns, physicians need to be more explicit during end-of-life discussions, Robinson said. “We have to be much clearer about why we’re trying to have those conversations, or we’ll continue to see a pattern of people who really want life-sustaining interventions even when there’s limited potential benefit.”\u003c/p>\n\u003cp>Camille Wicher, vice president of clinical operations at Roswell Park Cancer Institute in Buffalo, who has studied African-Americans’ end-of-life choices, said hospitals needed to enlist black families who have had good hospice experiences to share their stories with friends and church members.\u003c/p>\n\u003cp>“That’s how we learn,” she added. “We learn from each other.”\u003c/p>\n\u003cp>The Harrises are trying to use their experience to carry out that work.\u003c/p>\n\u003cp>The agony of their son Paul’s death in a hospital room informed their treatment decisions when their next son, Solomon, became gravely ill. When his doctor conceded that blood transfusions were of little help, Solomon assented to hospice care in his parents’ home. If he was going to be robbed of his future, Solomon would not, his parents decided, be robbed of a good death.\u003c/p>\n\u003cp>As his health failed, nurses from the hospice in Buffalo managed his pain and bathed him tenderly. A social worker helped the family grieve and counseled his young children.\u003c/p>\n\u003cp>All the while, parishioners from his parents’ church visited Solomon, amazed to find that hospice was not the grim banishment they had always envisioned.\u003c/p>\n\u003cp>“One of the members said, ‘I thought you were going to put Solomon in hospice,’ ” Vernal Harris recalled. “I said, ‘We did.’ ‘Well, when is he going?’ I said, ‘They come here.’ ‘They come to your house?’ ‘Yeah, they’re taking care of him right here.’ ”\u003c/p>\n\u003cp>There was even time for reflection, as Solomon wrote in a poem called “After Life.”\u003c/p>\n\u003cp>“Fear death?” he wrote. “No, I await death.”\u003c/p>\n\u003cp>Solomon died a short while later, but the Harrises say his death has had a lasting impact.\u003c/p>\n\u003cp>“The people in our immediate circle now view hospice positively,” Vernal Harris said. “I think our experience was powerful enough that it changed people’s attitudes.”\u003c/p>\n\u003cp>Narseary Harris, the pastor of Prince of Peace Temple Church of God in Christ, often evangelizes about hospice during his Sunday morning sermons, while his spouse has enlisted the wives of black pastors in western New York, known as the “First Ladies,” to counter negative views about palliative care. At a recent meeting, the women discussed older church members who might benefit from hospice, and Vernal Harris wanted to hear how parishioners in the women’s churches responded to some recent outreach.\u003c/p>\n\u003cp>“It really opened up people’s eyes to the negative stigma of it, feeling like, ‘I’m just putting my loved one away, and not caring for them,’ ” said Joyce Badger of Bethesda World Harvest International Church in Buffalo. “The power of knowledge that we’ve gained is really going to help our community.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Drought Health Hazard: Not Enough Water to Keep Down Central Valley Dust",
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"content": "\u003cp>It’s almond season in the Central Valley, when loud mechanical harvesters with long arms grip and shake the trees, knocking down the nuts.\u003c/p>\n\u003cp>But the process also sends up huge dust clouds. Farm machines and trucks make multiple trips on dirt roads between fields, and that creates dust, too.\u003c/p>\n\u003cp>The drought has been contributing to a dust bowl in Central Valley farm country. The dust, in turn, exacerbates the region's high rates of asthma. To keep dust down, farmers usually use a watering truck, spraying the roads to knock down the dust and comply with air pollution rules.\u003c/p>\n\u003cp>But now, in the fourth year of a crippling drought, the approach is changing.\u003c/p>\n\u003cp>It’s the job of the San Joaquin Valley Air Pollution Control District to oversee dust rules, and the district’s Ryan Hyashi says farmers have been very responsive. Now the district is trying to balance competing tensions.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"It’s potable water that they’re usually putting on these roads,\" Hyashi says. \"People don’t have water to drink, and we’re putting it on roadways. It sends a poor message\u003cstrong>.\"\u003c/strong>\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/220309181\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Instead, the air district is encouraging farmers to limit access to dirt roads, or cover them with things like gravel. If those options won’t work, farmers can now \u003ca href=\"http://www.valleyair.org/busind/comply/AssistanceDocuments/Dust_Control_Agricultural_Advisory.pdf\" target=\"_blank\">sign up for a program\u003c/a> to avoid enforcement penalties as long as they meet certain requirements, such as not being within 1,000 feet of a school or hospital.\u003c/p>\n\u003cp>\"[Farmers] want to do their part and be good stewards,” says Hayashi. But if there's no water for dust control, they may “just have no alternative.\"\u003c/p>\n\u003cp>But air quality advocates say the air district is essentially giving farmers a free pass to pollute.\u003c/p>\n\u003cp>\"When we see any relaxation in the rules, we get very nervous,\" says Kevin Hamilton, with the Central California Asthma Collaborative.\u003c/p>\n\u003cp>As we're talking, Hamilton watches a cloud of dust billow up on a farm road west of Fresno.\u003c/p>\n\u003cfigure id=\"attachment_65299\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/IMG_6792-e1440192126284.jpg\">\u003cimg class=\"size-thumbnail wp-image-65299\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/IMG_6792-400x300.jpg\" alt=\"Respiratory therapist Kevin Hamilton stands near an unplanted field on a dusty farm road west of Fresno.\" width=\"400\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Respiratory therapist Kevin Hamilton stands near an unplanted field on a dusty farm road west of Fresno. \u003ccite>(Sasha Khokha)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"So here goes another truck with more dust coming up,\" he says. \"This is dangerous stuff. This is actually a health hazard.\"\u003c/p>\n\u003cp>Hamilton treats patients for asthma and says this kind of dust can travel for miles, ending up in people’s lungs. He criticized air regulators not only for the new dust guidelines, but also that they’re allowing \u003ca href=\"http://www.arb.ca.gov/msprog/ordiesel/faq/waterwelldrillingfaq.pdf\" target=\"_blank\">well-drilling rigs\u003c/a> from out of state that may have dirtier engines than California trucks.\u003c/p>\n\u003cp>\"I understand that we’re in an emergency,\" he says, \"but we’ve all fought so long to begin making progress here -- and I feel we are making progress. At this moment, it feels like we’re going to go backward again.\"\u003c/p>\n\u003cp>Just a few miles away, farmer Paul Betancourt says he doesn’t want his family breathing dusty air either. But he also doesn’t want the dust on his almond trees because it can cause mites. Watering down the roads on his farm, he says, means he uses fewer pesticides.\u003c/p>\n\u003cp>\"We want to use less chemicals on the farm,\" Betancourt says. \"You want us to use less chemicals on the farm. But in a year like this, when we’re really short of water, it’s balancing out how to keep the dust down.\"\u003c/p>\n\u003cp>Betancourt’s almond farm near the Fresno County town of Kerman has very fine, silty soil. For now, Betancourt says as long as he has water in his well, he’ll still periodically spray down the roads. Gravel is too expensive, and road oil just doesn’t work, he says.\u003c/p>\n\u003cp>“We need to use the water carefully and keep the dust down,” Betancourt said. “At this point, it’s still the most cost-effective way.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>He doesn’t plan to apply for the air district’s emergency drought relief programs. Farmers who do can avoid using water to control dust through Nov. 1. After that, the valley’s particulate matter season starts, and the air district says it will require farmers to use water to spray down roads again.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>It’s almond season in the Central Valley, when loud mechanical harvesters with long arms grip and shake the trees, knocking down the nuts.\u003c/p>\n\u003cp>But the process also sends up huge dust clouds. Farm machines and trucks make multiple trips on dirt roads between fields, and that creates dust, too.\u003c/p>\n\u003cp>The drought has been contributing to a dust bowl in Central Valley farm country. The dust, in turn, exacerbates the region's high rates of asthma. To keep dust down, farmers usually use a watering truck, spraying the roads to knock down the dust and comply with air pollution rules.\u003c/p>\n\u003cp>But now, in the fourth year of a crippling drought, the approach is changing.\u003c/p>\n\u003cp>It’s the job of the San Joaquin Valley Air Pollution Control District to oversee dust rules, and the district’s Ryan Hyashi says farmers have been very responsive. Now the district is trying to balance competing tensions.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"It’s potable water that they’re usually putting on these roads,\" Hyashi says. \"People don’t have water to drink, and we’re putting it on roadways. It sends a poor message\u003cstrong>.\"\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/220309181&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/220309181'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Instead, the air district is encouraging farmers to limit access to dirt roads, or cover them with things like gravel. If those options won’t work, farmers can now \u003ca href=\"http://www.valleyair.org/busind/comply/AssistanceDocuments/Dust_Control_Agricultural_Advisory.pdf\" target=\"_blank\">sign up for a program\u003c/a> to avoid enforcement penalties as long as they meet certain requirements, such as not being within 1,000 feet of a school or hospital.\u003c/p>\n\u003cp>\"[Farmers] want to do their part and be good stewards,” says Hayashi. But if there's no water for dust control, they may “just have no alternative.\"\u003c/p>\n\u003cp>But air quality advocates say the air district is essentially giving farmers a free pass to pollute.\u003c/p>\n\u003cp>\"When we see any relaxation in the rules, we get very nervous,\" says Kevin Hamilton, with the Central California Asthma Collaborative.\u003c/p>\n\u003cp>As we're talking, Hamilton watches a cloud of dust billow up on a farm road west of Fresno.\u003c/p>\n\u003cfigure id=\"attachment_65299\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/IMG_6792-e1440192126284.jpg\">\u003cimg class=\"size-thumbnail wp-image-65299\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/IMG_6792-400x300.jpg\" alt=\"Respiratory therapist Kevin Hamilton stands near an unplanted field on a dusty farm road west of Fresno.\" width=\"400\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Respiratory therapist Kevin Hamilton stands near an unplanted field on a dusty farm road west of Fresno. \u003ccite>(Sasha Khokha)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"So here goes another truck with more dust coming up,\" he says. \"This is dangerous stuff. This is actually a health hazard.\"\u003c/p>\n\u003cp>Hamilton treats patients for asthma and says this kind of dust can travel for miles, ending up in people’s lungs. He criticized air regulators not only for the new dust guidelines, but also that they’re allowing \u003ca href=\"http://www.arb.ca.gov/msprog/ordiesel/faq/waterwelldrillingfaq.pdf\" target=\"_blank\">well-drilling rigs\u003c/a> from out of state that may have dirtier engines than California trucks.\u003c/p>\n\u003cp>\"I understand that we’re in an emergency,\" he says, \"but we’ve all fought so long to begin making progress here -- and I feel we are making progress. At this moment, it feels like we’re going to go backward again.\"\u003c/p>\n\u003cp>Just a few miles away, farmer Paul Betancourt says he doesn’t want his family breathing dusty air either. But he also doesn’t want the dust on his almond trees because it can cause mites. Watering down the roads on his farm, he says, means he uses fewer pesticides.\u003c/p>\n\u003cp>\"We want to use less chemicals on the farm,\" Betancourt says. \"You want us to use less chemicals on the farm. But in a year like this, when we’re really short of water, it’s balancing out how to keep the dust down.\"\u003c/p>\n\u003cp>Betancourt’s almond farm near the Fresno County town of Kerman has very fine, silty soil. For now, Betancourt says as long as he has water in his well, he’ll still periodically spray down the roads. Gravel is too expensive, and road oil just doesn’t work, he says.\u003c/p>\n\u003cp>“We need to use the water carefully and keep the dust down,” Betancourt said. “At this point, it’s still the most cost-effective way.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>He doesn’t plan to apply for the air district’s emergency drought relief programs. Farmers who do can avoid using water to control dust through Nov. 1. After that, the valley’s particulate matter season starts, and the air district says it will require farmers to use water to spray down roads again.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The Affordable Care Act, aka Obamacare, has had a significant impact on\u003cbr>\ndecreasing the number of adults without health insurance, according to new \u003ca href=\"http://healthpolicy.ucla.edu/publications/Documents/PDF/2015/Medi-Cal-factsheet-aug2015.pdf\" target=\"_blank\">data\u003c/a> from the California Health Interview Survey, released Tuesday by the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>The two-year survey queried 23,160 Californians in 2013 and 24,845 in 2014.\u003c/p>\n\u003cp>The center said that as a result of Obamacare's 2014 expansion of Medi-Cal to those households just above the federal poverty level, the rate of uninsured Californians ages 19-64 fell from 20.6 percent to 17.4 percent.\u003c/p>\n\u003cp>Among all nonelderly Californians, \"the uninsured rate declined to a new low of 13.6%,\" the center said.\u003c/p>\n\u003cp>On the negative side, two troubling statistics:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>About 27 percent of Californians were considered obese in 2014, compared to 19 percent in 2001. That's a whopping 42 percent increase.\u003c/p>\n\u003cp>And nearly 9 percent of respondents reported having been diagnosed with diabetes. The trendline on that is not encouraging, either, surging from 6.6 percent in 20013 to 8.9 percent in 2014.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/diabetes1-e1440009963382.jpg\">\u003cimg class=\"aligncenter size-full wp-image-64147\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/diabetes1-e1440009963382.jpg\" alt=\"diabetes\" width=\"640\" height=\"396\">\u003c/a>\u003c/p>\n\u003cp>More findings highlighted by the center in its press release:\u003c/p>\n\u003cblockquote>\n\u003cul>\n\u003cli>Children and sedentary time. On a typical weekday, nearly half (46.5 percent) of children ages 2 to 11 spend 2 or more hours a day watching TV, playing computer games or talking with friends, and that increases on the weekend to more than 7 in 10 children (71.7 percent).\u003c/li>\n\u003cli>Teens and smoking. Roughly 1 in 10 teens reported “vaping,” smoking e-cigarettes.\u003c/li>\n\u003cli>High school students and community. Nearly 90 percent of adolescents feel they can make a difference in their community, a positive attitude that spanned disparate incomes and races/ethnicities.\u003c/li>\n\u003cli>Women and family planning. Birth control pills still reign as the most popular method of family planning among women. Of nearly 2 million women ages 18 to 44 who received birth control from a doctor, 56.6 percent were on the pill. Nearly 34 percent used IUDs, implants and other hormonal methods.\u003c/li>\n\u003cli>Adults and smoking. Nearly 12 percent of adults 18 and older are current smokers, but 7 in 10 of those smokers have thought about quitting in the next 6 months.\u003c/li>\n\u003c/ul>\n\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>If you want to find more stats related to the survey, you can register at the \u003ca href=\"http://ask.chis.ucla.edu/ask/SitePages/AskChisLogin.aspx?ReturnUrl=%2fAskCHIS%2ftools%2f_layouts%2fAuthenticate.aspx%3fSource%3d%252FAskCHIS%252Ftools%252F%255Flayouts%252FAskChisTool%252Fhome%252Easpx&Source=%2FAskCHIS%2Ftools%2F_layouts%2FAskChisTool%2Fhome%2Easpx\" target=\"_blank\">AskCHIS website\u003c/a>.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Affordable Care Act, aka Obamacare, has had a significant impact on\u003cbr>\ndecreasing the number of adults without health insurance, according to new \u003ca href=\"http://healthpolicy.ucla.edu/publications/Documents/PDF/2015/Medi-Cal-factsheet-aug2015.pdf\" target=\"_blank\">data\u003c/a> from the California Health Interview Survey, released Tuesday by the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>The two-year survey queried 23,160 Californians in 2013 and 24,845 in 2014.\u003c/p>\n\u003cp>The center said that as a result of Obamacare's 2014 expansion of Medi-Cal to those households just above the federal poverty level, the rate of uninsured Californians ages 19-64 fell from 20.6 percent to 17.4 percent.\u003c/p>\n\u003cp>Among all nonelderly Californians, \"the uninsured rate declined to a new low of 13.6%,\" the center said.\u003c/p>\n\u003cp>On the negative side, two troubling statistics:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>About 27 percent of Californians were considered obese in 2014, compared to 19 percent in 2001. That's a whopping 42 percent increase.\u003c/p>\n\u003cp>And nearly 9 percent of respondents reported having been diagnosed with diabetes. The trendline on that is not encouraging, either, surging from 6.6 percent in 20013 to 8.9 percent in 2014.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/diabetes1-e1440009963382.jpg\">\u003cimg class=\"aligncenter size-full wp-image-64147\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/diabetes1-e1440009963382.jpg\" alt=\"diabetes\" width=\"640\" height=\"396\">\u003c/a>\u003c/p>\n\u003cp>More findings highlighted by the center in its press release:\u003c/p>\n\u003cblockquote>\n\u003cul>\n\u003cli>Children and sedentary time. On a typical weekday, nearly half (46.5 percent) of children ages 2 to 11 spend 2 or more hours a day watching TV, playing computer games or talking with friends, and that increases on the weekend to more than 7 in 10 children (71.7 percent).\u003c/li>\n\u003cli>Teens and smoking. Roughly 1 in 10 teens reported “vaping,” smoking e-cigarettes.\u003c/li>\n\u003cli>High school students and community. Nearly 90 percent of adolescents feel they can make a difference in their community, a positive attitude that spanned disparate incomes and races/ethnicities.\u003c/li>\n\u003cli>Women and family planning. Birth control pills still reign as the most popular method of family planning among women. Of nearly 2 million women ages 18 to 44 who received birth control from a doctor, 56.6 percent were on the pill. Nearly 34 percent used IUDs, implants and other hormonal methods.\u003c/li>\n\u003cli>Adults and smoking. Nearly 12 percent of adults 18 and older are current smokers, but 7 in 10 of those smokers have thought about quitting in the next 6 months.\u003c/li>\n\u003c/ul>\n\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>If you want to find more stats related to the survey, you can register at the \u003ca href=\"http://ask.chis.ucla.edu/ask/SitePages/AskChisLogin.aspx?ReturnUrl=%2fAskCHIS%2ftools%2f_layouts%2fAuthenticate.aspx%3fSource%3d%252FAskCHIS%252Ftools%252F%255Flayouts%252FAskChisTool%252Fhome%252Easpx&Source=%2FAskCHIS%2Ftools%2F_layouts%2FAskChisTool%2Fhome%2Easpx\" target=\"_blank\">AskCHIS website\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The Walgreens Co. pharmacy chain has agreed to pay $500,000 to settle a consumer protection lawsuit that alleged that its pharmacies didn't properly consult with consumers of prescription drugs, Alameda County District Attorney Nancy O'Malley said today.\u003c/p>\n\u003cp>[contextly_sidebar id=\"Sqgs4DxAqj2qtY872dnoA1Nm9UeQDZsB\"]The civil complaint, which was filed in San Diego County Superior Court by the California State Board of Pharmacy and the district attorneys of Alameda, Riverside and San Diego counties, alleged that pharmacists at Walgreens pharmacies in California frequently failed to fully comply with the board's rules requiring personal pharmacist consultations when prescription drug customers receive new prescriptions or new dosages of existing prescriptions.\u003c/p>\n\u003cp>O'Malley said that in 2011, the state board contacted the three district attorney's offices about health risks that may arise when pharmacists fail properly to provide needed personal consultation to prescription drug customers.\u003c/p>\n\u003cp>She said the three offices, working with the state board, conducted an undercover investigation of the consultation practices of a number of the major pharmacy chains in California.\u003c/p>\n\u003cp>Under the terms of the judgment in San Diego County Superior Court, which was entered without admission of liability, Walgreens is required to comply with California's standards for patient consultations and must fully implement an internal compliance program. O'Malley said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Walgreens entities also agreed to pay agency investigative costs of $79,200 and civil penalties totaling $423,000, according to O'Malley.\u003c/p>\n\u003cp>She said Walgreens and its counsel worked cooperatively with prosecutors to promptly resolve the matter and to implement the new compliance procedures.\u003c/p>\n\u003cp>\"Pharmacist consultations are imperative to make certain that prescriptions have been filled according to a doctor's order as well as to advise the patient of proper and safe usage of the medication,\" O'Malley said in a statement.\u003c/p>\n\u003cp>\"My office remains dedicated to ensuring that the public has access to knowledge and education regarding the use of all prescription drugs,\" she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Walgreens said in a statement: \"Our settlement agreement is consistent with our company's long-standing commitment to make pharmacists available to patients for advice and consultation on their medications and any other health concerns they may have.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Walgreens Co. pharmacy chain has agreed to pay $500,000 to settle a consumer protection lawsuit that alleged that its pharmacies didn't properly consult with consumers of prescription drugs, Alameda County District Attorney Nancy O'Malley said today.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>The civil complaint, which was filed in San Diego County Superior Court by the California State Board of Pharmacy and the district attorneys of Alameda, Riverside and San Diego counties, alleged that pharmacists at Walgreens pharmacies in California frequently failed to fully comply with the board's rules requiring personal pharmacist consultations when prescription drug customers receive new prescriptions or new dosages of existing prescriptions.\u003c/p>\n\u003cp>O'Malley said that in 2011, the state board contacted the three district attorney's offices about health risks that may arise when pharmacists fail properly to provide needed personal consultation to prescription drug customers.\u003c/p>\n\u003cp>She said the three offices, working with the state board, conducted an undercover investigation of the consultation practices of a number of the major pharmacy chains in California.\u003c/p>\n\u003cp>Under the terms of the judgment in San Diego County Superior Court, which was entered without admission of liability, Walgreens is required to comply with California's standards for patient consultations and must fully implement an internal compliance program. O'Malley said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Walgreens entities also agreed to pay agency investigative costs of $79,200 and civil penalties totaling $423,000, according to O'Malley.\u003c/p>\n\u003cp>She said Walgreens and its counsel worked cooperatively with prosecutors to promptly resolve the matter and to implement the new compliance procedures.\u003c/p>\n\u003cp>\"Pharmacist consultations are imperative to make certain that prescriptions have been filled according to a doctor's order as well as to advise the patient of proper and safe usage of the medication,\" O'Malley said in a statement.\u003c/p>\n\u003cp>\"My office remains dedicated to ensuring that the public has access to knowledge and education regarding the use of all prescription drugs,\" she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Walgreens said in a statement: \"Our settlement agreement is consistent with our company's long-standing commitment to make pharmacists available to patients for advice and consultation on their medications and any other health concerns they may have.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Mendocino County Mom Turns Trauma, Violence Into Career Teaching Life Lessons",
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"content": "\u003cp>Mendocino County has one of the \u003ca href=\"http://cssr.berkeley.edu/ucb_childwelfare/InCareRates.aspx\">highest rates\u003c/a> of children living in foster care, double the rate for California, according to the UC Berkeley California Child Welfare Indicators Project. Jade Aldrich sees this statistic come to life during her work as a parenting skills teacher in the coastal city of Fort Bragg, population 7,250. Her latest class was full of parents recently addicted to alcoholism or methamphetamines. These were parents trying to get their children back from Child Protective Services.\u003c/p>\n\u003cp>Aldrich said the parents' experience of having their children taken away is devastating. But through her classes, parents are \"able to bond with other people grieving the long row of loopholes to getting their children back once they’ve been removed from the household.”\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/219784280\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>The eight-to-10 week sessions, free of charge, tackle how to calmly manage temper tantrums, bedtime battles and other daily challenges of family life.\u003c/p>\n\u003cp>Parenting can be hard, even in the best of circumstances. Add poverty, unemployment and lack of transportation in an isolated area that is one of the country's largest producers of marijuana, and things can get overwhelming.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Mendocino and neighboring Humboldt County, part of the so-called \u003ca href=\"https://www.google.com/search?q=emerald+triangle\" target=\"_blank\">Emerald Triangle\u003c/a>, is the area in the state with the highest prevalence of adults reporting adverse childhood experiences, such as witnessing domestic violence. That's according to a \u003ca href=\"http://bit.ly/CYWHiddenCrisisReport\">report\u003c/a> published last year by the Center for Youth and Wellness in San Francisco.\u003c/p>\n\u003cp>“It’s generational abuse and neglect that impacts a person’s well-being, and now these are the people having kids,” said Jena Conner, deputy director for family and children services in Mendocino County.\u003c/p>\n\u003cp>Conner said that unemployment, lack of affordable housing and a dearth of transportation all contribute to the high rate of child neglect in the county. A typical case of her agency acting to remove a child from a household, she said, involves parents who have substance abuse or mental health issues.\u003c/p>\n\u003cp>“Typically we find that this leads to an unsafe home environment for children and domestic violence,” she said.\u003c/p>\n\u003cp>Jade Aldrich, the parenting skills teacher, experienced some of those issues first-hand. About 15 years ago, she walked through the brightly decorated doors of the Safe Passage Family Resource Center, where she now works, as an exhausted parent in desperate need of help.\u003c/p>\n\u003cp>Her partner at the time was a veteran with PTSD and no access to mental health services. He engaged in domestic violence, she says, a traumatic experience for her and her children. She turned to alcohol in response.\u003c/p>\n\u003cp>\"That was definitely one of the most difficult times of my life,\" Aldrich said.\u003c/p>\n\u003cp>The family survived on $500 a month on welfare, plus food stamps, while living in a moldy subsidized housing complex that has since been shut down. But it was the birth of her second child that really shook her.\u003c/p>\n\u003cp>“My partner was not only suffering a mental illness, he was incarcerated,\" Aldrich said. \"So I had to give childbirth on my own. And that was sad. It was definitely emotional for me. It was at that moment that I decided I wanted to offer support to people who felt just like me. I knew that people deserved somebody to stand by their side, somebody to believe in them.”\u003c/p>\n\u003cp>She studied at College of the Redwoods and California State University, Chico, while working full time and caring for her two young children. It took her years to get her first associate degree in technical preparation, and to become certified as a doula and parenting teacher.\u003c/p>\n\u003cp>“I was able to turn around and leave waitressing for a career, and that has led me to continue to seek out higher education and the things that are important to me, like parenting,” she said proudly, adding that her oldest daughter is a senior who will be applying to college.\u003c/p>\n\u003cp>Aldrich credits the Safe Passage Family Resource Center, which was established in 1996, as her lifesaver. The center describes itself as a \"one- stop shop\" that connects families -- sometimes with a long and daunting list of housing, food and other needs -- to programs and services.\u003c/p>\n\u003cp>Recently, a small group of Spanish-speaking parents stood at the entrance with children in tow. They scanned a bulletin board with ads for services and free clothes. In a brightly lit room with tapestries and books lining the walls, Aldrich met with Elcie Cooper, a former foster kid who is expecting her first child.\u003c/p>\n\u003cfigure id=\"attachment_63566\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/16380_transform.jpg\">\u003cimg class=\"size-medium wp-image-63566\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/16380_transform-800x528.jpg\" alt=\"Elcie Cooper, a former foster kid, takes Aldrich's classes to get ready for the birth of her first child. She is due in two weeks.\" width=\"800\" height=\"528\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/16380_transform-800x528.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/16380_transform-400x264.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/16380_transform-1440x950.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/16380_transform-1180x778.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/16380_transform-960x633.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Elcie Cooper, a former foster kid, takes Aldrich's classes to get ready for the birth of her first child. She is due in two weeks. \u003ccite>(Farida Jhabvala Romero / KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Cooper had brought 3-D ultrasound pictures of her baby to show Aldrich, who pointed excitedly at the baby’s nose.\u003c/p>\n\u003cp>“It’s like peeking at a wrapped present!” Aldrich said. During their meeting, Aldrich asked Cooper if she was getting enough food from the local food bank (she was not) and whether Cooper was on the list to wait for subsidized housing (she was).\u003c/p>\n\u003cp>Cooper grew up in a foster home in Mendocino, and she describes her experience in the foster care system as “horrible.” Her four siblings were separated when their mother lost them to CPS while involved in a string of abusive relationships. Cooper has spent over 10 years trying to reunite her family. Now that she’s becoming a new mom, Cooper said, Aldrich’s example and support are helping her to avoid making her mother’s mistakes.\u003c/p>\n\u003cp>“Without this support, where would I be?” asked Cooper, who is due to have her baby in two weeks. “Me being the old foster kid, I’m always looking for someone that actually cares to see me do better.”\u003c/p>\n\u003cp>For Aldrich, it's a great satisfaction to connect with other parents.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“Seeing people stay sober while they are pregnant, give birth to a beautiful new baby and then come back and receive the support classes here, that’s coming full circle for me. It’s a wonderful thing to give someone hope and skills to back that up.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Mendocino County has one of the \u003ca href=\"http://cssr.berkeley.edu/ucb_childwelfare/InCareRates.aspx\">highest rates\u003c/a> of children living in foster care, double the rate for California, according to the UC Berkeley California Child Welfare Indicators Project. Jade Aldrich sees this statistic come to life during her work as a parenting skills teacher in the coastal city of Fort Bragg, population 7,250. Her latest class was full of parents recently addicted to alcoholism or methamphetamines. These were parents trying to get their children back from Child Protective Services.\u003c/p>\n\u003cp>Aldrich said the parents' experience of having their children taken away is devastating. But through her classes, parents are \"able to bond with other people grieving the long row of loopholes to getting their children back once they’ve been removed from the household.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/219784280&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/219784280'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The eight-to-10 week sessions, free of charge, tackle how to calmly manage temper tantrums, bedtime battles and other daily challenges of family life.\u003c/p>\n\u003cp>Parenting can be hard, even in the best of circumstances. Add poverty, unemployment and lack of transportation in an isolated area that is one of the country's largest producers of marijuana, and things can get overwhelming.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Mendocino and neighboring Humboldt County, part of the so-called \u003ca href=\"https://www.google.com/search?q=emerald+triangle\" target=\"_blank\">Emerald Triangle\u003c/a>, is the area in the state with the highest prevalence of adults reporting adverse childhood experiences, such as witnessing domestic violence. That's according to a \u003ca href=\"http://bit.ly/CYWHiddenCrisisReport\">report\u003c/a> published last year by the Center for Youth and Wellness in San Francisco.\u003c/p>\n\u003cp>“It’s generational abuse and neglect that impacts a person’s well-being, and now these are the people having kids,” said Jena Conner, deputy director for family and children services in Mendocino County.\u003c/p>\n\u003cp>Conner said that unemployment, lack of affordable housing and a dearth of transportation all contribute to the high rate of child neglect in the county. A typical case of her agency acting to remove a child from a household, she said, involves parents who have substance abuse or mental health issues.\u003c/p>\n\u003cp>“Typically we find that this leads to an unsafe home environment for children and domestic violence,” she said.\u003c/p>\n\u003cp>Jade Aldrich, the parenting skills teacher, experienced some of those issues first-hand. About 15 years ago, she walked through the brightly decorated doors of the Safe Passage Family Resource Center, where she now works, as an exhausted parent in desperate need of help.\u003c/p>\n\u003cp>Her partner at the time was a veteran with PTSD and no access to mental health services. He engaged in domestic violence, she says, a traumatic experience for her and her children. She turned to alcohol in response.\u003c/p>\n\u003cp>\"That was definitely one of the most difficult times of my life,\" Aldrich said.\u003c/p>\n\u003cp>The family survived on $500 a month on welfare, plus food stamps, while living in a moldy subsidized housing complex that has since been shut down. But it was the birth of her second child that really shook her.\u003c/p>\n\u003cp>“My partner was not only suffering a mental illness, he was incarcerated,\" Aldrich said. \"So I had to give childbirth on my own. And that was sad. It was definitely emotional for me. It was at that moment that I decided I wanted to offer support to people who felt just like me. I knew that people deserved somebody to stand by their side, somebody to believe in them.”\u003c/p>\n\u003cp>She studied at College of the Redwoods and California State University, Chico, while working full time and caring for her two young children. It took her years to get her first associate degree in technical preparation, and to become certified as a doula and parenting teacher.\u003c/p>\n\u003cp>“I was able to turn around and leave waitressing for a career, and that has led me to continue to seek out higher education and the things that are important to me, like parenting,” she said proudly, adding that her oldest daughter is a senior who will be applying to college.\u003c/p>\n\u003cp>Aldrich credits the Safe Passage Family Resource Center, which was established in 1996, as her lifesaver. The center describes itself as a \"one- stop shop\" that connects families -- sometimes with a long and daunting list of housing, food and other needs -- to programs and services.\u003c/p>\n\u003cp>Recently, a small group of Spanish-speaking parents stood at the entrance with children in tow. They scanned a bulletin board with ads for services and free clothes. In a brightly lit room with tapestries and books lining the walls, Aldrich met with Elcie Cooper, a former foster kid who is expecting her first child.\u003c/p>\n\u003cfigure id=\"attachment_63566\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/16380_transform.jpg\">\u003cimg class=\"size-medium wp-image-63566\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/16380_transform-800x528.jpg\" alt=\"Elcie Cooper, a former foster kid, takes Aldrich's classes to get ready for the birth of her first child. She is due in two weeks.\" width=\"800\" height=\"528\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/16380_transform-800x528.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/16380_transform-400x264.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/16380_transform-1440x950.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/16380_transform-1180x778.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/16380_transform-960x633.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Elcie Cooper, a former foster kid, takes Aldrich's classes to get ready for the birth of her first child. She is due in two weeks. \u003ccite>(Farida Jhabvala Romero / KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Cooper had brought 3-D ultrasound pictures of her baby to show Aldrich, who pointed excitedly at the baby’s nose.\u003c/p>\n\u003cp>“It’s like peeking at a wrapped present!” Aldrich said. During their meeting, Aldrich asked Cooper if she was getting enough food from the local food bank (she was not) and whether Cooper was on the list to wait for subsidized housing (she was).\u003c/p>\n\u003cp>Cooper grew up in a foster home in Mendocino, and she describes her experience in the foster care system as “horrible.” Her four siblings were separated when their mother lost them to CPS while involved in a string of abusive relationships. Cooper has spent over 10 years trying to reunite her family. Now that she’s becoming a new mom, Cooper said, Aldrich’s example and support are helping her to avoid making her mother’s mistakes.\u003c/p>\n\u003cp>“Without this support, where would I be?” asked Cooper, who is due to have her baby in two weeks. “Me being the old foster kid, I’m always looking for someone that actually cares to see me do better.”\u003c/p>\n\u003cp>For Aldrich, it's a great satisfaction to connect with other parents.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Seeing people stay sober while they are pregnant, give birth to a beautiful new baby and then come back and receive the support classes here, that’s coming full circle for me. It’s a wonderful thing to give someone hope and skills to back that up.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>A dead bird found in Pleasant Hill has tested positive for West Nile virus, Contra Costa Mosquito and Vector Control District officials announced Thursday.\u003c/p>\n\u003cp>A resident spotted the dead bird near the corner of Chilpancingo Parkway and Camelback Road, district officials said.\u003c/p>\n\u003cp>Birds carry the virus and pass it on to mosquitoes when the mosquito bites them. Mosquitoes can then pass on the virus to humans through a mosquito bite, according to district officials.\u003c/p>\n\u003cp>“We are thankful that a resident reported the bird, which gives us the opportunity to understand where virus activity may be taking place in the county,” district spokeswoman Deborah Bass said in a statement.\u003c/p>\n\u003cp>“Our goal is always to treat mosquitoes in their larvae form, in the water, before they have a chance to become flying adults, get the disease from birds, and then infect people. Reports such as these help us toward that goal,” Bass said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>So far this year, two groups of mosquitoes, three birds and six chickens have tested positive for the virus in the district.\u003c/p>\n\u003cp>Since 2004, 54 people in Contra Costa County have been diagnosed with West Nile virus. In 2006, two people died from the disease, according to the district.\u003c/p>\n\u003cp>One way to prevent mosquitoes from breeding is to dump or drain any standing water. Additionally, neglected pools, filled with algae and bacteria, can produce more than 1 million mosquitoes and affect people up to five miles away, according to district officials.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>To report a neglected pool or a mosquito problem, residents can call the district at (925) 771-6195. To report dead birds, residents can call the state hotline at (877) 968-2473.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A dead bird found in Pleasant Hill has tested positive for West Nile virus, Contra Costa Mosquito and Vector Control District officials announced Thursday.\u003c/p>\n\u003cp>A resident spotted the dead bird near the corner of Chilpancingo Parkway and Camelback Road, district officials said.\u003c/p>\n\u003cp>Birds carry the virus and pass it on to mosquitoes when the mosquito bites them. Mosquitoes can then pass on the virus to humans through a mosquito bite, according to district officials.\u003c/p>\n\u003cp>“We are thankful that a resident reported the bird, which gives us the opportunity to understand where virus activity may be taking place in the county,” district spokeswoman Deborah Bass said in a statement.\u003c/p>\n\u003cp>“Our goal is always to treat mosquitoes in their larvae form, in the water, before they have a chance to become flying adults, get the disease from birds, and then infect people. Reports such as these help us toward that goal,” Bass said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>So far this year, two groups of mosquitoes, three birds and six chickens have tested positive for the virus in the district.\u003c/p>\n\u003cp>Since 2004, 54 people in Contra Costa County have been diagnosed with West Nile virus. In 2006, two people died from the disease, according to the district.\u003c/p>\n\u003cp>One way to prevent mosquitoes from breeding is to dump or drain any standing water. Additionally, neglected pools, filled with algae and bacteria, can produce more than 1 million mosquitoes and affect people up to five miles away, according to district officials.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>To report a neglected pool or a mosquito problem, residents can call the district at (925) 771-6195. To report dead birds, residents can call the state hotline at (877) 968-2473.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Not Everybody Likes Kissing",
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"content": "\u003cp>The music swells. On screen, the two main characters' eyes meet. They lean in, and — slowly! — their lips gently press in a romantic kiss. All the teenage girls in the audience exhale audibly.\u003c/p>\n\u003caside class=\"pullquote alignright\">In 54 percent of cultures studied, no record of romantic-sexual kissing.\u003c/aside>\n\u003cp>Such on-screen behavior seems romantic if you were raised in a culture that practices romantic kissing. But that type of culture may not be the majority. In a study \u003ca href=\"http://onlinelibrary.wiley.com/doi/10.1111/aman.12286/abstract\">published\u003c/a> this month in \u003cem>American Anthropologist\u003c/em>, researchers propose that \u003ca href=\"http://www.npr.org/sections/pictureshow/2013/02/14/171994170/the-kiss-taxonomically-classified\">romantic kissing\u003c/a> isn't something everybody does; in fact, not even half the cultures surveyed lock lips in romance.\u003c/p>\n\u003cp>Scientists have at least a couple of ideas about \u003ca href=\"http://www.npr.org/sections/health-shots/2013/10/11/231458850/what-humans-can-learn-from-a-simple-kiss\">why we kiss\u003c/a> people we are attracted to. We might be doing it to evaluate a potential mate, evolutionary biologists say, or to maintain a bond, or to arouse the other person. Kissing behaviors have been observed in chimpanzees and bonobos, though how romantic the animals were feeling at the time is unknown.\u003c/p>\n\u003cp>For a long time it was assumed that, whatever the reason, kissing was something people everywhere did. But, according to study author \u003ca href=\"http://www.unlv.edu/people/william-jankowiak\">William Jankowiak\u003c/a>, an anthropologist at the University of Nevada, Las Vegas, few people have looked across cultures at romantic kissing.\u003c/p>\n\u003cp>Jankowiak and his colleagues looked at data compiled from decades of ethnographic studies of all sorts in more than 168 cultures. He and his team searched for mentions or observations of a romantic-sexual kiss, which they defined as \"lip-to-lip contact that may or may not be prolonged.\" The researchers found that in 54 percent of the cultures studied, there was no record of romantic-sexual kissing.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"It does seem to be a human universal that adults kiss babies or small children,\" Jankowiak says. But kissing a partner on the lips? Some cultures find that repulsive.\u003c/p>\n\u003cp>The team's analysis also showed that simpler, foraging societies were least likely to practice romantic kissing. But why wouldn't couples everywhere kiss?\u003c/p>\n\u003cp>\"Some of these people never go to the dentist,\" Jankowiak says. \"They never brush their teeth.\" Maybe, he suggests, in some cultures people who don't swap spit survive better because they're less likely to get sick.\u003c/p>\n\u003cp>Tooth-brushing is variable within every culture, of course, and no panacea.On\u003c/p>\n\u003cp>Jankowiak cites a famous quote from an anthropologist studying the Thonga in Africa. The first time the Thonga people saw Europeans kissing, they were disgusted. \"They eat each other's saliva and dirt!\" the locals \u003ca href=\"http://psycnet.apa.org/psycinfo/1951-07882-000\">reportedly\u003c/a> said.\u003c/p>\n\u003cp>Still, \u003ca href=\"http://www.psy.ox.ac.uk/team/robin-dunbar\">Robin Dunbar\u003c/a>, a professor of evolutionary psychology at the University of Oxford, says he suspects many more cultures engage in passionate kissing than Jankowiak's analysis suggests.\u003c/p>\n\u003cp>\"To be a fair test of the hypothesis,\" he tells Shots via email, \"we have to assume that the ethnographers who compiled the [data] always recorded kissing when it happened.\" But there are a couple of reasons why they may not have done so. To record romantic kissing, Dunbar says, the researchers would have had to either see people kissing, or hear them talk about it. He questions whether a private act such as kissing would be performed in public view.\u003c/p>\n\u003cp>In addition, Dunbar says, \"most socio-cultural anthropologists simply haven't been interested in kissing, period.\" So they wouldn't have recorded its presence or noted its absence.\u003c/p>\n\u003cp>Jankowiak says he sees Dunbar's point, but doesn't agree. Since sexuality in humans is something that's done in secret, it's indeed tough to know conclusively that kissing wasn't happening behind closed doors. But, he says, this study wasn't based solely on historical data. His team gathered additional information through interviews with living ethnographers.\u003c/p>\n\u003cp>\"If we did not have the live interviews,\" he says, \"I think the finding would be much more vulnerable.\"\u003c/p>\n\u003cp>Some of the researchers interviewed for his analysis, Jankowiak says, have explicitly asked the people they studied about sex. One ethnographer told Jankowiak that, \"people told him the position they were in when they had sex and that they would nibble each other's eyebrows.\" But when asked about kissing, they said the equivalent of, \"Gross!\"\u003c/p>\n\u003cp>Maybe an appreciation for a kiss as passionate communication is more widespread than his analysis suggests, Jankowiak says. But it's pretty clear that not everyone finds kissing romantic.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=I%27m+An+Obstetrician+And+I+Failed+At+Breast-Feeding&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The music swells. On screen, the two main characters' eyes meet. They lean in, and — slowly! — their lips gently press in a romantic kiss. All the teenage girls in the audience exhale audibly.\u003c/p>\n\u003caside class=\"pullquote alignright\">In 54 percent of cultures studied, no record of romantic-sexual kissing.\u003c/aside>\n\u003cp>Such on-screen behavior seems romantic if you were raised in a culture that practices romantic kissing. But that type of culture may not be the majority. In a study \u003ca href=\"http://onlinelibrary.wiley.com/doi/10.1111/aman.12286/abstract\">published\u003c/a> this month in \u003cem>American Anthropologist\u003c/em>, researchers propose that \u003ca href=\"http://www.npr.org/sections/pictureshow/2013/02/14/171994170/the-kiss-taxonomically-classified\">romantic kissing\u003c/a> isn't something everybody does; in fact, not even half the cultures surveyed lock lips in romance.\u003c/p>\n\u003cp>Scientists have at least a couple of ideas about \u003ca href=\"http://www.npr.org/sections/health-shots/2013/10/11/231458850/what-humans-can-learn-from-a-simple-kiss\">why we kiss\u003c/a> people we are attracted to. We might be doing it to evaluate a potential mate, evolutionary biologists say, or to maintain a bond, or to arouse the other person. Kissing behaviors have been observed in chimpanzees and bonobos, though how romantic the animals were feeling at the time is unknown.\u003c/p>\n\u003cp>For a long time it was assumed that, whatever the reason, kissing was something people everywhere did. But, according to study author \u003ca href=\"http://www.unlv.edu/people/william-jankowiak\">William Jankowiak\u003c/a>, an anthropologist at the University of Nevada, Las Vegas, few people have looked across cultures at romantic kissing.\u003c/p>\n\u003cp>Jankowiak and his colleagues looked at data compiled from decades of ethnographic studies of all sorts in more than 168 cultures. He and his team searched for mentions or observations of a romantic-sexual kiss, which they defined as \"lip-to-lip contact that may or may not be prolonged.\" The researchers found that in 54 percent of the cultures studied, there was no record of romantic-sexual kissing.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"It does seem to be a human universal that adults kiss babies or small children,\" Jankowiak says. But kissing a partner on the lips? Some cultures find that repulsive.\u003c/p>\n\u003cp>The team's analysis also showed that simpler, foraging societies were least likely to practice romantic kissing. But why wouldn't couples everywhere kiss?\u003c/p>\n\u003cp>\"Some of these people never go to the dentist,\" Jankowiak says. \"They never brush their teeth.\" Maybe, he suggests, in some cultures people who don't swap spit survive better because they're less likely to get sick.\u003c/p>\n\u003cp>Tooth-brushing is variable within every culture, of course, and no panacea.On\u003c/p>\n\u003cp>Jankowiak cites a famous quote from an anthropologist studying the Thonga in Africa. The first time the Thonga people saw Europeans kissing, they were disgusted. \"They eat each other's saliva and dirt!\" the locals \u003ca href=\"http://psycnet.apa.org/psycinfo/1951-07882-000\">reportedly\u003c/a> said.\u003c/p>\n\u003cp>Still, \u003ca href=\"http://www.psy.ox.ac.uk/team/robin-dunbar\">Robin Dunbar\u003c/a>, a professor of evolutionary psychology at the University of Oxford, says he suspects many more cultures engage in passionate kissing than Jankowiak's analysis suggests.\u003c/p>\n\u003cp>\"To be a fair test of the hypothesis,\" he tells Shots via email, \"we have to assume that the ethnographers who compiled the [data] always recorded kissing when it happened.\" But there are a couple of reasons why they may not have done so. To record romantic kissing, Dunbar says, the researchers would have had to either see people kissing, or hear them talk about it. He questions whether a private act such as kissing would be performed in public view.\u003c/p>\n\u003cp>In addition, Dunbar says, \"most socio-cultural anthropologists simply haven't been interested in kissing, period.\" So they wouldn't have recorded its presence or noted its absence.\u003c/p>\n\u003cp>Jankowiak says he sees Dunbar's point, but doesn't agree. Since sexuality in humans is something that's done in secret, it's indeed tough to know conclusively that kissing wasn't happening behind closed doors. But, he says, this study wasn't based solely on historical data. His team gathered additional information through interviews with living ethnographers.\u003c/p>\n\u003cp>\"If we did not have the live interviews,\" he says, \"I think the finding would be much more vulnerable.\"\u003c/p>\n\u003cp>Some of the researchers interviewed for his analysis, Jankowiak says, have explicitly asked the people they studied about sex. One ethnographer told Jankowiak that, \"people told him the position they were in when they had sex and that they would nibble each other's eyebrows.\" But when asked about kissing, they said the equivalent of, \"Gross!\"\u003c/p>\n\u003cp>Maybe an appreciation for a kiss as passionate communication is more widespread than his analysis suggests, Jankowiak says. But it's pretty clear that not everyone finds kissing romantic.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=I%27m+An+Obstetrician+And+I+Failed+At+Breast-Feeding&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Hundreds of criminal defendants declared incompetent to stand trial are sitting in county jails around the state awaiting transfer to state facilities for mental health treatment. By law, these defendants must receive treatment within 35 days. But an ACLU lawsuit filed against the state says many vulnerable inmates languish in jail, sometimes for as long as a year.\u003c/p>\n\u003cp>“Jail is simply too dangerous a place for these most vulnerable defendants,\" says Micaela Davis, one of the ACLU’s lead attorneys in this \u003ca href=\"https://www.aclunc.org/sites/default/files/20150729-complaint.pdf\" target=\"_blank\">lawsuit\u003c/a>.\u003c/p>\n\u003cp>“Oftentimes these incompetent defendants don't have the ability to follow rules, they get confused,” Davis says. “This can result in them being subject to disciplinary sanctions, or result in them being confined to solitary confinement, which only exacerbates their mental health condition.”\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/218932430\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>And, Davis says inmates with developmental disabilities can become targets. That's what happened to the son of one plaintiff, Nancy Leiva. Mentally disabled, he was held in Los Angeles County jail for eight months, waiting for a court-ordered transfer to a state facility.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“During that time he was raped multiple times by another inmate,” Davis says. “Of course he suffered severe mental health consequences from that and still suffers today.”\u003c/p>\n\u003cp>Another inmate, Rodney Bock, committed suicide at Sutter County Jail before he could be transferred to \u003ca href=\"http://www.dsh.ca.gov/napa/\" target=\"_blank\">Napa State Hospital\u003c/a>. Sutter County paid his family $800,000 to settle a separate lawsuit. But his children joined the new suit in hopes of preventing other families from experiencing what they have.\u003c/p>\n\u003cp>The burden of these delays falls to local sheriffs, who run county jails. Cory Salzillo, legislative director of the \u003ca href=\"https://www.calsheriffs.org/\" target=\"_blank\">California State Sheriffs' Association\u003c/a>, says his group is working closely with the state to speed up the process so prisoners aren't stuck in jail.\u003c/p>\n\u003cfigure id=\"attachment_74314\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/08/CfakepathLAJailCellblock2085.jpg\">\u003cimg class=\"size-full wp-image-74314\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/08/CfakepathLAJailCellblock2085.jpg\" alt=\"Getty Images\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Getty Images\u003c/figcaption>\u003c/figure>\n\u003cp>“You know they take up bed space when they could be moving through the system,” Salzillo says. “It slows down proceedings, so it exacerbates court backups. While they're waiting for a bed they decompensate oftentimes, so their mental condition gets worse.”\u003c/p>\n\u003cp>The two state agencies sued by the ACLU declined KQED’s interview requests. But in written statements, the \u003ca href=\"http://www.dsh.ca.gov/\" target=\"_blank\">Department of State Hospitals\u003c/a> and the \u003ca href=\"http://www.dds.ca.gov/\" target=\"_blank\">Department of Developmental Services\u003c/a> wrote that hundreds of beds are being added for patients needing restoration of mental competency so they can stand trial. They also note the state budget included funding for mental health programs in county jails and in the community.\u003c/p>\n\u003cp>Dan Mistak of a \u003ca href=\"http://cochs.org/\" target=\"_blank\">nonprofit in Oakland\u003c/a> that works with jails to develop community-based health service says the lack of treatment beds dates back decades, to when California began deinstitutionalizing mentally ill people.\u003c/p>\n\u003cp>“There hasn't been a social safety net for these folks and what's happened is the jail has actually stepped in in order to make up for essentially what's been a lack of these services everywhere else,” Mistak noted.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The ACLU hopes this lawsuit will lead to quicker assessments and treatment so justice can be served in a more timely way.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Hundreds of criminal defendants declared incompetent to stand trial are sitting in county jails around the state awaiting transfer to state facilities for mental health treatment. By law, these defendants must receive treatment within 35 days. But an ACLU lawsuit filed against the state says many vulnerable inmates languish in jail, sometimes for as long as a year.\u003c/p>\n\u003cp>“Jail is simply too dangerous a place for these most vulnerable defendants,\" says Micaela Davis, one of the ACLU’s lead attorneys in this \u003ca href=\"https://www.aclunc.org/sites/default/files/20150729-complaint.pdf\" target=\"_blank\">lawsuit\u003c/a>.\u003c/p>\n\u003cp>“Oftentimes these incompetent defendants don't have the ability to follow rules, they get confused,” Davis says. “This can result in them being subject to disciplinary sanctions, or result in them being confined to solitary confinement, which only exacerbates their mental health condition.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/218932430&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/218932430'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>And, Davis says inmates with developmental disabilities can become targets. That's what happened to the son of one plaintiff, Nancy Leiva. Mentally disabled, he was held in Los Angeles County jail for eight months, waiting for a court-ordered transfer to a state facility.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“During that time he was raped multiple times by another inmate,” Davis says. “Of course he suffered severe mental health consequences from that and still suffers today.”\u003c/p>\n\u003cp>Another inmate, Rodney Bock, committed suicide at Sutter County Jail before he could be transferred to \u003ca href=\"http://www.dsh.ca.gov/napa/\" target=\"_blank\">Napa State Hospital\u003c/a>. Sutter County paid his family $800,000 to settle a separate lawsuit. But his children joined the new suit in hopes of preventing other families from experiencing what they have.\u003c/p>\n\u003cp>The burden of these delays falls to local sheriffs, who run county jails. Cory Salzillo, legislative director of the \u003ca href=\"https://www.calsheriffs.org/\" target=\"_blank\">California State Sheriffs' Association\u003c/a>, says his group is working closely with the state to speed up the process so prisoners aren't stuck in jail.\u003c/p>\n\u003cfigure id=\"attachment_74314\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/08/CfakepathLAJailCellblock2085.jpg\">\u003cimg class=\"size-full wp-image-74314\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/08/CfakepathLAJailCellblock2085.jpg\" alt=\"Getty Images\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Getty Images\u003c/figcaption>\u003c/figure>\n\u003cp>“You know they take up bed space when they could be moving through the system,” Salzillo says. “It slows down proceedings, so it exacerbates court backups. While they're waiting for a bed they decompensate oftentimes, so their mental condition gets worse.”\u003c/p>\n\u003cp>The two state agencies sued by the ACLU declined KQED’s interview requests. But in written statements, the \u003ca href=\"http://www.dsh.ca.gov/\" target=\"_blank\">Department of State Hospitals\u003c/a> and the \u003ca href=\"http://www.dds.ca.gov/\" target=\"_blank\">Department of Developmental Services\u003c/a> wrote that hundreds of beds are being added for patients needing restoration of mental competency so they can stand trial. They also note the state budget included funding for mental health programs in county jails and in the community.\u003c/p>\n\u003cp>Dan Mistak of a \u003ca href=\"http://cochs.org/\" target=\"_blank\">nonprofit in Oakland\u003c/a> that works with jails to develop community-based health service says the lack of treatment beds dates back decades, to when California began deinstitutionalizing mentally ill people.\u003c/p>\n\u003cp>“There hasn't been a social safety net for these folks and what's happened is the jail has actually stepped in in order to make up for essentially what's been a lack of these services everywhere else,” Mistak noted.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The ACLU hopes this lawsuit will lead to quicker assessments and treatment so justice can be served in a more timely way.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>After the state of California \u003ca href=\"http://www.dmhc.ca.gov/desktopmodules/dmhc/medsurveys/surveys/055bh031813.pdf\" target=\"_blank\">fined her employer $4 million\u003c/a> in 2013 for violating the legal rights of mental health patients, Oakland psychologist Melinda Ginne expected her job -- and her patients’ lives -- to get better.\u003c/p>\n\u003cp>Instead, she said, things got worse.\u003c/p>\n\u003cp>Within months, Ginne, a whistleblower in the 2013 case, was back to writing her supervisors at Kaiser Permanente about what she considered unconscionable delays in care. Some patients might not live long enough to make the next available appointment, she said.\u003c/p>\n\u003cp>“I can’t tell a family whose elderly mother is declining that I can’t provide treatment until 2014,” she wrote to her managers at the Kaiser Medical Center in Oakland in September 2013.\u003c/p>\n\u003cp>[contextly_sidebar id=\"1ebnqoqYgtH13y2uhbXV4An8UIzspTvr\"]In February, two years after assessing the second largest fine in its history, \u003ca href=\"http://www.dmhc.ca.gov/desktopmodules/dmhc/medsurveys/surveys/055bhfu022415.pdf\" target=\"_blank\">the California Department of Managed Health Care stepped in again\u003c/a>, finding that Kaiser had improved somewhat but \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/02/25/calif-calls-kaiser-mental-health-services-inadequate-as-treatment-delays-persist/\" target=\"_blank\">still was short-changing patients\u003c/a> on mental health care. The state is considering another fine against the health maintenance organization.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>California has taken perhaps the \u003ca href=\"http://khn.org/news/advocates-say-mental-health-parity-law-is-not-fulfilling-its-promise/\">most proactive stance in the nation\u003c/a> in enforcing laws to ensure people with mental illnesses have fair and timely access to care. But even in this state\u003cstrong>, \u003c/strong>it’s proving difficult to ensure mental patients truly have equal access to treatment.\u003c/p>\n\u003cp>Parity laws, including a sweeping measure passed by the federal government in 2008 and an older California law, require insurers to provide mental health and substance abuse benefits on par with the coverage they offer for other medical care. And a \u003ca href=\"https://www.dmhc.ca.gov/HealthCareinCalifornia/YourHealthCareRights/TimelyAccesstoCare.aspx#.VckfjvlVhBd\" target=\"_blank\">separate state law requires\u003c/a> insurers to provide patients with access to mental treatment within a specific timeframe – 48 hours for an urgent visit and 10 business days for a non-urgent one.\u003c/p>\n\u003cp>After the 2013 fine, Kaiser patients continued to face not just ongoing delays – they also faced arbitrary limits on treatment in direct violation of the state’s parity statute, officials found. The law was intended to prevent such things as annual caps on patient visits that would not typically be faced, for instance, by patient with another chronic illness such as diabetes or heart disease. Yet, according to the 2015 report, some Kaiser staffers told mental health patients that they were not entitled to long-term individual therapy -- ever.\u003c/p>\n\u003cp>“No one ever sees a therapist once a week in the Kaiser Health Plan,” according to a 2014 email a Kaiser psychologist sent to a patient, which was cited in the state’s most recent report. “Not a covered benefit for the past 20-something years and will not be a benefit in the future.”\u003c/p>\n\u003cp>Dr. Mason Turner, Kaiser Permanente’s Associate Director of Regional Mental Health for Northern California, said that the organization has fixed the problems identified by the state.\u003c/p>\n\u003cp>“Between the time the DMHC made their [initial] findings and now, we've made substantial improvements, hired many more staff, and really put into place a lot of mechanisms to address the initial concerns that were brought up,” Turner said in April.\u003c/p>\n\u003cp>The access problems, he said, were caused by an increase in demand, which rose in part because of the influx of new enrollees under the Affordable Care Act. In response, he said, Kaiser increased the ranks of therapists by 25 percent and arranged to contract with outside therapists when necessary.\u003c/p>\n\u003cp>The actions against Kaiser highlight both how far California has come in ensuring equal treatment for mental health patients and how far it has yet to go.\u003c/p>\n\u003cp>On one hand, after many years of “abysmal” enforcement, “now we have regulators who seem to be enthusiastic,” said Randall Hagar, director of government relations for the California Psychiatric Association.\u003c/p>\n\u003cp>Hagar gives credit to managed health care department director Shelley Rouillard, who spent 20 years in consumer advocacy before joining the department in 2011 and becoming director in 2013. On the other hand, critics say, Rouillard and her staff are making slow progress at best.\u003c/p>\n\u003cp>“This is one of the ‘pace car’ states, and it's still slow going,” said Carol McDaid, who runs the Parity Implementation Coalition, an advocacy group made up of addiction and mental health consumer and provider organizations.\u003c/p>\n\u003cp>\u003cstrong>Holding Insurers Accountable \u003c/strong>\u003c/p>\n\u003cp>Soon after they fined Kaiser in 2013, California officials realized the problems with unequal coverage of mental health were much broader.\u003c/p>\n\u003cp>For years, California, like most states and the federal government, relied on consumers to bring complaints alleging that their rights had been violated under parity laws. State regulators grew concerned that the approach was too passive -- few consumers were complaining, perhaps because of the stigma attached to mental illness.\u003c/p>\n\u003cp>So as a first step, the department of managed health care last year began requiring insurers under its watch to show -- at least on paper -- that they were complying with federal parity law.\u003c/p>\n\u003cp>The results were not encouraging: Of 26 managed care insurers, from Aetna to Western Health Advantage, zero were able to prove that they were fully in compliance. Most filed incomplete or flawed documents, state officials said.\u003c/p>\n\u003cp>“It is rather shocking,” Rouillard said.\u003c/p>\n\u003cp>Part of the problem, Rouillard said, is that the federal government did not release the final regulations dictating how its parity law should be enforced until November 2013 – five years after the law was passed.\u003c/p>\n\u003cp>In addition to the flawed and incomplete paperwork, her department found insurers trying to control costs in ways that could be discriminatory -- for example, by limiting the number of days a patient could receive inpatient care for a mental health condition.\u003c/p>\n\u003cp>“Mental health services are still sort of a second class benefit as far as the health plans are concerned,” Rouillard said.\u003c/p>\n\u003cp>At this point, Rouillard says the managed care plans she regulates are in varying stages of compliance with the federal parity law. Just one plan, Health Net, has so far been able to prove on paper that its benefits fully comply. Rouillard says she expects the other plans to follow suit by the end of the year, and in 2016, the department plans a more intensive review.\u003c/p>\n\u003cp>Charles Bacchi, president and CEO of the California Association of Health Plans, disputed that insurers see mental health a second-tier benefit. “We're committed to providing this coverage for our enrollees. It's very important, and it's something that we're working hard to do,” he said.\u003c/p>\n\u003cp>But the law poses a huge challenge for health plans, he said, in part because the science underpinning diagnosis and treatment of mental illness is constantly evolving. In addition, health plans are trying to adapt not just to parity law but to the implementation of the Affordable Care Act, which has transformed the national insurance landscape.\u003c/p>\n\u003cp>Even so, he said, “I think by the end of this year, all the plans will have filed the right documents and will have approval from the department, and this will be something that's in the rearview mirror.”\u003c/p>\n\u003cp>\u003cstrong>‘A Societal Problem’\u003c/strong>\u003c/p>\n\u003cp>[contextly_sidebar id=\"ibzkpzZhksO1dURcjHzt07C3hHpl7QzN\"]Finding that her situation did not improve even after the first investigation of Kaiser in 2015, psychologist Ginne made a request of her managers -- copied to Rouillard -- that December. She asked that six of her sickest patients be transferred to other providers who could see them more frequently.\u003c/p>\n\u003cp>One of them, an elderly man with dementia and depression, was hallucinating “fully-formed humans,” Ginne said in an interview. One day, he wandered down the block at 5 am in his pajamas, panicked, and flagged down a truck driver who called the police.\u003c/p>\n\u003cp>“He was a danger to himself,” Ginne said.\u003c/p>\n\u003cp>According to Ginne, the backup in appointments meant she could see him for individual therapy only once every few months. The man had been assigned to regular group therapy for depression, which Ginne felt was inappropriate for his condition.\u003c/p>\n\u003cp>When her supervisors did not transfer the man to another individual therapy provider, Ginne reported the case to Adult Protective Services, because she said she believed him to be imminent danger.\u003c/p>\n\u003cp>“That's such a bad solution,” she said, shaking her head. Ultimately, he and his wife decided to quit therapy entirely.\u003c/p>\n\u003cp>Rouillard said that many managed care plans have a long way to go to ensure fair and equal access to mental health care for Californians. But she also said there’s only so much her department can do.\u003c/p>\n\u003cp>Access to care at companies like Kaiser is also an issue of capacity – and that’s not within the department’s purview, she said.\u003c/p>\n\u003cp>“There just aren't enough therapists to see everyone who needs help,” she said. “It isn't just a plan problem; it's a societal problem. And that is really the crux of the matter. We're trying to address a problem that is beyond our ability to fix, and that is a challenge.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003c/em>\u003ca href=\"http://khn.org\">\u003cem>Kaiser Health News\u003c/em>\u003c/a>\u003cem>, a nonprofit news organization covering health care policy and politics. It is an editorially independent program of the \u003c/em>\u003cstrong>\u003cem>\u003ca href=\"http://www.kff.org/\">Kaiser Family Foundation\u003c/a> \u003c/em>\u003c/strong>\u003cem>and\u003c/em>\u003cem> not affiliated with Kaiser Permanente. \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>After the state of California \u003ca href=\"http://www.dmhc.ca.gov/desktopmodules/dmhc/medsurveys/surveys/055bh031813.pdf\" target=\"_blank\">fined her employer $4 million\u003c/a> in 2013 for violating the legal rights of mental health patients, Oakland psychologist Melinda Ginne expected her job -- and her patients’ lives -- to get better.\u003c/p>\n\u003cp>Instead, she said, things got worse.\u003c/p>\n\u003cp>Within months, Ginne, a whistleblower in the 2013 case, was back to writing her supervisors at Kaiser Permanente about what she considered unconscionable delays in care. Some patients might not live long enough to make the next available appointment, she said.\u003c/p>\n\u003cp>“I can’t tell a family whose elderly mother is declining that I can’t provide treatment until 2014,” she wrote to her managers at the Kaiser Medical Center in Oakland in September 2013.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>In February, two years after assessing the second largest fine in its history, \u003ca href=\"http://www.dmhc.ca.gov/desktopmodules/dmhc/medsurveys/surveys/055bhfu022415.pdf\" target=\"_blank\">the California Department of Managed Health Care stepped in again\u003c/a>, finding that Kaiser had improved somewhat but \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/02/25/calif-calls-kaiser-mental-health-services-inadequate-as-treatment-delays-persist/\" target=\"_blank\">still was short-changing patients\u003c/a> on mental health care. The state is considering another fine against the health maintenance organization.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California has taken perhaps the \u003ca href=\"http://khn.org/news/advocates-say-mental-health-parity-law-is-not-fulfilling-its-promise/\">most proactive stance in the nation\u003c/a> in enforcing laws to ensure people with mental illnesses have fair and timely access to care. But even in this state\u003cstrong>, \u003c/strong>it’s proving difficult to ensure mental patients truly have equal access to treatment.\u003c/p>\n\u003cp>Parity laws, including a sweeping measure passed by the federal government in 2008 and an older California law, require insurers to provide mental health and substance abuse benefits on par with the coverage they offer for other medical care. And a \u003ca href=\"https://www.dmhc.ca.gov/HealthCareinCalifornia/YourHealthCareRights/TimelyAccesstoCare.aspx#.VckfjvlVhBd\" target=\"_blank\">separate state law requires\u003c/a> insurers to provide patients with access to mental treatment within a specific timeframe – 48 hours for an urgent visit and 10 business days for a non-urgent one.\u003c/p>\n\u003cp>After the 2013 fine, Kaiser patients continued to face not just ongoing delays – they also faced arbitrary limits on treatment in direct violation of the state’s parity statute, officials found. The law was intended to prevent such things as annual caps on patient visits that would not typically be faced, for instance, by patient with another chronic illness such as diabetes or heart disease. Yet, according to the 2015 report, some Kaiser staffers told mental health patients that they were not entitled to long-term individual therapy -- ever.\u003c/p>\n\u003cp>“No one ever sees a therapist once a week in the Kaiser Health Plan,” according to a 2014 email a Kaiser psychologist sent to a patient, which was cited in the state’s most recent report. “Not a covered benefit for the past 20-something years and will not be a benefit in the future.”\u003c/p>\n\u003cp>Dr. Mason Turner, Kaiser Permanente’s Associate Director of Regional Mental Health for Northern California, said that the organization has fixed the problems identified by the state.\u003c/p>\n\u003cp>“Between the time the DMHC made their [initial] findings and now, we've made substantial improvements, hired many more staff, and really put into place a lot of mechanisms to address the initial concerns that were brought up,” Turner said in April.\u003c/p>\n\u003cp>The access problems, he said, were caused by an increase in demand, which rose in part because of the influx of new enrollees under the Affordable Care Act. In response, he said, Kaiser increased the ranks of therapists by 25 percent and arranged to contract with outside therapists when necessary.\u003c/p>\n\u003cp>The actions against Kaiser highlight both how far California has come in ensuring equal treatment for mental health patients and how far it has yet to go.\u003c/p>\n\u003cp>On one hand, after many years of “abysmal” enforcement, “now we have regulators who seem to be enthusiastic,” said Randall Hagar, director of government relations for the California Psychiatric Association.\u003c/p>\n\u003cp>Hagar gives credit to managed health care department director Shelley Rouillard, who spent 20 years in consumer advocacy before joining the department in 2011 and becoming director in 2013. On the other hand, critics say, Rouillard and her staff are making slow progress at best.\u003c/p>\n\u003cp>“This is one of the ‘pace car’ states, and it's still slow going,” said Carol McDaid, who runs the Parity Implementation Coalition, an advocacy group made up of addiction and mental health consumer and provider organizations.\u003c/p>\n\u003cp>\u003cstrong>Holding Insurers Accountable \u003c/strong>\u003c/p>\n\u003cp>Soon after they fined Kaiser in 2013, California officials realized the problems with unequal coverage of mental health were much broader.\u003c/p>\n\u003cp>For years, California, like most states and the federal government, relied on consumers to bring complaints alleging that their rights had been violated under parity laws. State regulators grew concerned that the approach was too passive -- few consumers were complaining, perhaps because of the stigma attached to mental illness.\u003c/p>\n\u003cp>So as a first step, the department of managed health care last year began requiring insurers under its watch to show -- at least on paper -- that they were complying with federal parity law.\u003c/p>\n\u003cp>The results were not encouraging: Of 26 managed care insurers, from Aetna to Western Health Advantage, zero were able to prove that they were fully in compliance. Most filed incomplete or flawed documents, state officials said.\u003c/p>\n\u003cp>“It is rather shocking,” Rouillard said.\u003c/p>\n\u003cp>Part of the problem, Rouillard said, is that the federal government did not release the final regulations dictating how its parity law should be enforced until November 2013 – five years after the law was passed.\u003c/p>\n\u003cp>In addition to the flawed and incomplete paperwork, her department found insurers trying to control costs in ways that could be discriminatory -- for example, by limiting the number of days a patient could receive inpatient care for a mental health condition.\u003c/p>\n\u003cp>“Mental health services are still sort of a second class benefit as far as the health plans are concerned,” Rouillard said.\u003c/p>\n\u003cp>At this point, Rouillard says the managed care plans she regulates are in varying stages of compliance with the federal parity law. Just one plan, Health Net, has so far been able to prove on paper that its benefits fully comply. Rouillard says she expects the other plans to follow suit by the end of the year, and in 2016, the department plans a more intensive review.\u003c/p>\n\u003cp>Charles Bacchi, president and CEO of the California Association of Health Plans, disputed that insurers see mental health a second-tier benefit. “We're committed to providing this coverage for our enrollees. It's very important, and it's something that we're working hard to do,” he said.\u003c/p>\n\u003cp>But the law poses a huge challenge for health plans, he said, in part because the science underpinning diagnosis and treatment of mental illness is constantly evolving. In addition, health plans are trying to adapt not just to parity law but to the implementation of the Affordable Care Act, which has transformed the national insurance landscape.\u003c/p>\n\u003cp>Even so, he said, “I think by the end of this year, all the plans will have filed the right documents and will have approval from the department, and this will be something that's in the rearview mirror.”\u003c/p>\n\u003cp>\u003cstrong>‘A Societal Problem’\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Finding that her situation did not improve even after the first investigation of Kaiser in 2015, psychologist Ginne made a request of her managers -- copied to Rouillard -- that December. She asked that six of her sickest patients be transferred to other providers who could see them more frequently.\u003c/p>\n\u003cp>One of them, an elderly man with dementia and depression, was hallucinating “fully-formed humans,” Ginne said in an interview. One day, he wandered down the block at 5 am in his pajamas, panicked, and flagged down a truck driver who called the police.\u003c/p>\n\u003cp>“He was a danger to himself,” Ginne said.\u003c/p>\n\u003cp>According to Ginne, the backup in appointments meant she could see him for individual therapy only once every few months. The man had been assigned to regular group therapy for depression, which Ginne felt was inappropriate for his condition.\u003c/p>\n\u003cp>When her supervisors did not transfer the man to another individual therapy provider, Ginne reported the case to Adult Protective Services, because she said she believed him to be imminent danger.\u003c/p>\n\u003cp>“That's such a bad solution,” she said, shaking her head. Ultimately, he and his wife decided to quit therapy entirely.\u003c/p>\n\u003cp>Rouillard said that many managed care plans have a long way to go to ensure fair and equal access to mental health care for Californians. But she also said there’s only so much her department can do.\u003c/p>\n\u003cp>Access to care at companies like Kaiser is also an issue of capacity – and that’s not within the department’s purview, she said.\u003c/p>\n\u003cp>“There just aren't enough therapists to see everyone who needs help,” she said. “It isn't just a plan problem; it's a societal problem. And that is really the crux of the matter. We're trying to address a problem that is beyond our ability to fix, and that is a challenge.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003c/em>\u003ca href=\"http://khn.org\">\u003cem>Kaiser Health News\u003c/em>\u003c/a>\u003cem>, a nonprofit news organization covering health care policy and politics. It is an editorially independent program of the \u003c/em>\u003cstrong>\u003cem>\u003ca href=\"http://www.kff.org/\">Kaiser Family Foundation\u003c/a> \u003c/em>\u003c/strong>\u003cem>and\u003c/em>\u003cem> not affiliated with Kaiser Permanente. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg",
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},
"link": "/radio/program/bbc-world-service",
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"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/californiareport",
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"source": "kqed",
"order": 8
},
"link": "/californiareport",
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}
},
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"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
"city-arts": {
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"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
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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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"meta": {
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
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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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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"freakonomics-radio": {
"id": "freakonomics-radio",
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"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
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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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},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"here-and-now": {
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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": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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},
"link": "/radio/program/how-i-built-this",
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"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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"order": 15
},
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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",
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"order": 18
},
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
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},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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