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"content": "\u003cp>Three Oakland City Council members are calling on local and federal agencies to investigate opponents of the city's proposed soda tax on the fall ballot. They say the beverage industry's advertising is deceptive.\u003c/p>\n\u003cp>At issue are opposition \u003ca href=\"https://www.youtube.com/watch?v=VR39xsY7lHA\" target=\"_blank\">TV ads \u003c/a>and a flier that label the effort a \"Grocery Tax [that] can be applied to any item in the store, not just sodas.\"\u003c/p>\n\u003cp>“This is not a tax on bread or vegetables or milk or cheese,\" said Council member Annie Campbell Washington, one of the proponents of the ordinance. \"It has been disgraceful to see that the American Beverage Association has put out these fliers with blatant lies.\"\u003c/p>\n\u003cp>Washington and fellow Council members Rebecca Kaplan and Desley Brooks plan to file complaints both with the city's Ethics Commission and the Federal Communications Commission.\u003c/p>\n\u003cp>In \u003ca href=\"https://drive.google.com/file/d/0B_hwSHbql0a0UEt6Zzg4eWNlZ1U/view?pref=2&pli=1\" target=\"_blank\">a statement\u003c/a> Joe Arellano, spokesman for the No Oakland Grocery Tax Campaign, defended the choice of words:\u003c/p>\n\u003cblockquote>\u003cp>The backers of the grocery tax need to read their own measure. It is not a tax on beverages. It is a tax on distributors of sugar-sweetened beverages, which means any retailer who sells soda can decide to spread that new tax over any item in their stores.\u003c/p>\u003c/blockquote>\n\u003cp>Arellano's group is backed with \"\u003ca href=\"http://nooaklandgrocerytax.com/content.aspx?page=About\" target=\"_blank\">major funding\u003c/a>\" by the American Beverage Association.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Oakland City Council \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/05/04/oakland-city-council-puts-soda-tax-on-november-ballot/\" target=\"_blank\">voted unanimously in May\u003c/a> to put a penny-per-ounce 'health impact fee' on the distributors of sugar-sweetened beverages on the November ballot.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Similar fees on sugar-sweetened beverages will also be on the ballot in San Francisco and Albany. All three cities' proposals are modeled after the measure passed in \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" target=\"_blank\">Berkeley in 2014\u003c/a>, the first community in the country to pass a soda tax.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Three Oakland City Council members are calling on local and federal agencies to investigate opponents of the city's proposed soda tax on the fall ballot. They say the beverage industry's advertising is deceptive.\u003c/p>\n\u003cp>At issue are opposition \u003ca href=\"https://www.youtube.com/watch?v=VR39xsY7lHA\" target=\"_blank\">TV ads \u003c/a>and a flier that label the effort a \"Grocery Tax [that] can be applied to any item in the store, not just sodas.\"\u003c/p>\n\u003cp>“This is not a tax on bread or vegetables or milk or cheese,\" said Council member Annie Campbell Washington, one of the proponents of the ordinance. \"It has been disgraceful to see that the American Beverage Association has put out these fliers with blatant lies.\"\u003c/p>\n\u003cp>Washington and fellow Council members Rebecca Kaplan and Desley Brooks plan to file complaints both with the city's Ethics Commission and the Federal Communications Commission.\u003c/p>\n\u003cp>In \u003ca href=\"https://drive.google.com/file/d/0B_hwSHbql0a0UEt6Zzg4eWNlZ1U/view?pref=2&pli=1\" target=\"_blank\">a statement\u003c/a> Joe Arellano, spokesman for the No Oakland Grocery Tax Campaign, defended the choice of words:\u003c/p>\n\u003cblockquote>\u003cp>The backers of the grocery tax need to read their own measure. It is not a tax on beverages. It is a tax on distributors of sugar-sweetened beverages, which means any retailer who sells soda can decide to spread that new tax over any item in their stores.\u003c/p>\u003c/blockquote>\n\u003cp>Arellano's group is backed with \"\u003ca href=\"http://nooaklandgrocerytax.com/content.aspx?page=About\" target=\"_blank\">major funding\u003c/a>\" by the American Beverage Association.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Oakland City Council \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/05/04/oakland-city-council-puts-soda-tax-on-november-ballot/\" target=\"_blank\">voted unanimously in May\u003c/a> to put a penny-per-ounce 'health impact fee' on the distributors of sugar-sweetened beverages on the November ballot.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Similar fees on sugar-sweetened beverages will also be on the ballot in San Francisco and Albany. All three cities' proposals are modeled after the measure passed in \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" target=\"_blank\">Berkeley in 2014\u003c/a>, the first community in the country to pass a soda tax.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "In Conversation with the Head of California's Physician Lobby",
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"content": "\u003cp>The \u003ca href=\"http://www.cmanet.org/\" target=\"_blank\">\u003cu>California Medical Association\u003c/u>\u003c/a>, which represents about 41,000 doctors, has been at the heart of health care deliberations in Sacramento for decades. This year, it has staked out strong and sometimes surprising positions on the legalization of marijuana, Medi-Cal provider rates and the role it believes nurse practitioners should play in patient care.\u003c/p>\n\u003caside class=\"pullquote alignright\">One in three Californians is now on Medi-Cal. That is the public option. It needs to be funded. Right now, they’re funding it through discounts to physicians.\u003ccite>Steven Larson, California Medical Association president \u003c/cite>\u003c/aside>\n\u003cp>\u003ca href=\"http://californiahealthline.org/\" target=\"_blank\">\u003cu>California Healthline\u003c/u>\u003c/a> discussed these positions with current CMA president, \u003ca href=\"http://www.cmanet.org/about/cma-governance/cma-executive-committee/steven-larson-md/\" target=\"_blank\">\u003cu>Steven Larson\u003c/u>\u003c/a>, a primary care and infectious disease physician who practices in Riverside. Larson is also CEO of Riverside Medical Clinic, a multispecialty medical group.\u003c/p>\n\u003cp>Among Larson’s points is that his organization — which has long battled the state over low Medi-Cal reimbursement rates for doctors — is now taking its fight to the people. Medi-Cal is the state’s Medicaid program for low-income residents. It provides coverage to more than 13 million people, and the rates California pays to participating physicians are among the lowest in the country.\u003c/p>\n\u003cp>Larson said the CMA is looking to the state’s initiative process for relief. Proposition 56, a proposed cigarette tax, and Proposition 55, an extension of the Proposition 30 income tax increases that voters approved in 2012, \u003ca href=\"http://www.sos.ca.gov/administration/news-releases-and-advisories/2016-news-releases-and-advisories/proposition-numbers-november-ballot-measures/\" target=\"_blank\">\u003cu>are both on the November ballot\u003c/u>\u003c/a>. If they pass, they’re expected to provide some money for Medi-Cal services.\u003c/p>\n\u003cp>“We have to do it on our own because the state government is not very sympathetic,” Larson said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Q: With roughly 80 percent of Medi-Cal enrollees now in managed care and that number rising, shouldn’t your argument that payments to doctors are too low be addressed to private insurance companies instead of the stat\u003c/strong>e?\u003c/p>\n\u003cp>The managed care reimbursement to Medi-Cal providers is much lower than commercial rates. Just being in managed care doesn’t mean the rates are competitive with commercial rates. Not only are they not competitive, they are not sustainable for most practices.\u003c/p>\n\u003cp>Right now these patients are disadvantaged. If you have cancer in Medi-Cal, you do no better than if you have no insurance at all. That was \u003ca href=\"http://www.latimes.com/local/california/la-me-cancer-disparities-20151119-story.html\" target=\"_blank\">\u003cu>in the Los Angeles Times recently\u003c/u>\u003c/a>. I think that’s true. They have no access.\u003c/p>\n\u003cp>\u003ca href=\"http://www.bayareaeconomy.org/files/pdf/MainstreamingMedi-Cal.pdf\" target=\"_blank\">\u003cu>California is 47th out of 50 states\u003c/u>\u003c/a> in Medicaid payments to physicians. That includes managed care.\u003c/p>\n\u003cp>What we’re doing now is hoping to create revenue through taxation that’s directed to Medi-Cal rates. The cigarette tax initiative and perhaps some of the Proposition 30 extension monies might go toward propping up Medi-Cal rates.\u003c/p>\n\u003cp>\u003cstrong>Q: You’re saying that the CMA is using the ballot process to try to increase payments to doctors because its efforts through the Legislature have failed?\u003c/strong>\u003c/p>\n\u003cp>Absolutely. We have decided we have to do it on our own because the state government is not very sympathetic. We’ve gone to them many times and it doesn’t seem to matter.\u003c/p>\n\u003cp>The idea is that the citizens of California with Medi-Cal have no access because of low reimbursement rates to doctors.\u003c/p>\n\u003cp>One in three Californians is now on Medi-Cal. That is the public option. It needs to be funded. Right now, they’re funding it through discounts to physicians. And now they have added undocumented children to full Medi-Cal coverage.\u003c/p>\n\u003cp>\u003cstrong>Q: If these ballot initiatives pass and there’s more funding for Medi-Cal, how should it be distributed?\u003c/strong>\u003c/p>\n\u003cp>We hope the money flows through the system, both in managed care and fee-for-service.\u003c/p>\n\u003cp>You have to understand the managed care plans pay primary care physicians a capitated, per member, per month rate. They pay specialists the Medi-Cal fee-for-service rates.\u003c/p>\n\u003cp>An office visit for Medi-Cal is about $16. That’s for a primary care visit and a follow-up visit for a specialist. That’s what I pay for a haircut. There’s something wrong about that.\u003c/p>\n\u003cp>\u003cstrong>Q: You mentioned that immigrant children without papers can now get full Medi-Cal. Should adult immigrants who are here without proper documentation also get it?\u003c/strong>\u003c/p>\n\u003cp>We don’t have an official CMA policy on that. We do have a policy that states that all people who reside in the state should have insurance coverage. I certainly think we should expand Medi-Cal to all individuals that can’t afford health insurance through other means. That’s my personal belief, not the CMA position.\u003c/p>\n\u003cp>\u003cstrong>Q: The CMA says it \u003ca href=\"http://www.cmanet.org/news/press-detail/?article=ca-medical-association-announces-support-for\" target=\"_blank\">\u003cu>does not “encourage the use of marijuana and discourages smoking\u003c/u>\u003c/a>.” Yet it supports an initiative on the November ballot to \u003ca href=\"https://ballotpedia.org/California_Marijuana_Legalization_Initiative,_Proposition_64_(2016)\" target=\"_blank\">\u003cu>legalize marijuana\u003c/u>\u003c/a>. Why?\u003c/strong>\u003c/p>\n\u003cp>It sounds like a high-wire act. In reality, we suspect that marijuana may have some beneficial medical effects and it’s difficult to research those in the current climate.\u003c/p>\n\u003cp>We also know that marijuana is harmful to developing brains. We want to avoid it getting into the hands of adolescents. Our understanding is that it’s easier for high school kids to get marijuana than tobacco or alcohol. It shouldn’t be… If we could regulate marijuana, then we would hope it would be less available to adolescents. The black market will dry up.\u003c/p>\n\u003cp>\u003cstrong>Q: Isn’t there a risk that making it legal will create an industry with marketing clout similar to tobacco or unhealthy foods, thus increasing consumption?\u003c/strong>\u003c/p>\n\u003cp>We’re very concerned about that. We oppose smoking marijuana or ingesting marijuana for nonmedicinal reasons. But we’re not so naïve to think it’s not going to happen.\u003c/p>\n\u003cp>Right now, medicinal marijuana is terribly abused and misused and puts physicians in the middle. I’m a practicing physician and some patients inappropriately want a diagnosis to obtain marijuana.\u003c/p>\n\u003cp>The harm reduction in adolescents outweighs the risk. Some adults who smoke it already will continue to smoke it. I don’t think a lot of adults will go out and start smoking.\u003c/p>\n\u003cp>\u003cstrong>Q: A proposed law to allow nurse practitioners more independence in treating patients \u003ca href=\"http://californiahealthline.org/news/california-nurse-practitioners-lose-battle-for-independent-practice-again/\" target=\"_blank\">\u003cu>failed in the Legislature again this year\u003c/u>\u003c/a>. You opposed it. Why not allow it, particularly in the Medi-Cal population, thus making care more available?\u003c/strong>\u003c/p>\n\u003cp>Many of our practices, including my own, have nurse practitioners. We do not feel they should practice independently. If we allow them to practice medicine, they should have the same standards that physicians have. They should be licensed by the Medical Board. They should have the same liability and educational requirements.\u003c/p>\n\u003cp>Yes, nurse practitioners could help us treat diabetes, hypertension, obesity and many common diseases. It’s the uncommon diseases they haven’t been trained to treat, or even identify. When a person is going to a practice for a diagnosis, they need to go to a diagnostician, which would be a physician, not a nurse practitioner.\u003c/p>\n\u003cp>There’s no reason why we can’t expand access just because they require supervision. They can help with telehealth. Let’s say they’re in a remote location and through telehealth they communicate with a physician who oversees the patient’s history and lab studies. We think the supervision safeguards the public.\u003c/p>\n\u003cp>\u003cstrong>Q: Some other states already have given nurse practitioners more authority. Have there been problems there?\u003c/strong>\u003c/p>\n\u003cp>In other states that have allowed it, there are very few nurse practitioners that are practicing independently. For the most part, they recognize their liabilities and deficiencies. They want to practice in the same desirable locations that physicians do. So they frequently don’t go to areas of shortages and treat Medicaid patients, which is the rationale they’re giving for their scope-of-practice expansion [in California].\u003c/p>\n\u003cp>\u003cstrong>Q: How would you respond to people who say doctors oppose expanding scope of practice for nurse practitioners because they don’t want to see prices for their services suppressed by an influx of new providers?\u003c/strong>\u003c/p>\n\u003cp>That’s simply not true. Show me a state where they have had an influx of unsupervised nurse practitioners where the prices have dropped.\u003c/p>\n\u003cp>Having additional providers does not decrease the cost of care. It increases the cost of care. Tests cost money. The less trained an individual is, the more ancillary tests they’ll order.\u003c/p>\n\u003cp>\u003cstrong>Q: On the cost of prescription drugs, why support Sen. Ed Hernandez’s \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB1010\" target=\"_blank\">\u003cu>drug transparency bill\u003c/u>\u003c/a> yet fight \u003ca href=\"https://ballotpedia.org/California_Proposition_61,_Drug_Price_Standards_Initiative_(2016)\" target=\"_blank\">\u003cu>the initiative that will be on the November ballot\u003c/u>\u003c/a> to regulate the price that state agencies pay for drugs?\u003c/strong>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>The reason we oppose the [ballot] initiative is we believe it is poorly written. We think it’s cumbersome to tie drug costs to [Department of Veterans Affairs] drug pricing. It will probably result in drug shortages for California and it will inhibit innovation.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The \u003ca href=\"http://www.cmanet.org/\" target=\"_blank\">\u003cu>California Medical Association\u003c/u>\u003c/a>, which represents about 41,000 doctors, has been at the heart of health care deliberations in Sacramento for decades. This year, it has staked out strong and sometimes surprising positions on the legalization of marijuana, Medi-Cal provider rates and the role it believes nurse practitioners should play in patient care.\u003c/p>\n\u003caside class=\"pullquote alignright\">One in three Californians is now on Medi-Cal. That is the public option. It needs to be funded. Right now, they’re funding it through discounts to physicians.\u003ccite>Steven Larson, California Medical Association president \u003c/cite>\u003c/aside>\n\u003cp>\u003ca href=\"http://californiahealthline.org/\" target=\"_blank\">\u003cu>California Healthline\u003c/u>\u003c/a> discussed these positions with current CMA president, \u003ca href=\"http://www.cmanet.org/about/cma-governance/cma-executive-committee/steven-larson-md/\" target=\"_blank\">\u003cu>Steven Larson\u003c/u>\u003c/a>, a primary care and infectious disease physician who practices in Riverside. Larson is also CEO of Riverside Medical Clinic, a multispecialty medical group.\u003c/p>\n\u003cp>Among Larson’s points is that his organization — which has long battled the state over low Medi-Cal reimbursement rates for doctors — is now taking its fight to the people. Medi-Cal is the state’s Medicaid program for low-income residents. It provides coverage to more than 13 million people, and the rates California pays to participating physicians are among the lowest in the country.\u003c/p>\n\u003cp>Larson said the CMA is looking to the state’s initiative process for relief. Proposition 56, a proposed cigarette tax, and Proposition 55, an extension of the Proposition 30 income tax increases that voters approved in 2012, \u003ca href=\"http://www.sos.ca.gov/administration/news-releases-and-advisories/2016-news-releases-and-advisories/proposition-numbers-november-ballot-measures/\" target=\"_blank\">\u003cu>are both on the November ballot\u003c/u>\u003c/a>. If they pass, they’re expected to provide some money for Medi-Cal services.\u003c/p>\n\u003cp>“We have to do it on our own because the state government is not very sympathetic,” Larson said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Q: With roughly 80 percent of Medi-Cal enrollees now in managed care and that number rising, shouldn’t your argument that payments to doctors are too low be addressed to private insurance companies instead of the stat\u003c/strong>e?\u003c/p>\n\u003cp>The managed care reimbursement to Medi-Cal providers is much lower than commercial rates. Just being in managed care doesn’t mean the rates are competitive with commercial rates. Not only are they not competitive, they are not sustainable for most practices.\u003c/p>\n\u003cp>Right now these patients are disadvantaged. If you have cancer in Medi-Cal, you do no better than if you have no insurance at all. That was \u003ca href=\"http://www.latimes.com/local/california/la-me-cancer-disparities-20151119-story.html\" target=\"_blank\">\u003cu>in the Los Angeles Times recently\u003c/u>\u003c/a>. I think that’s true. They have no access.\u003c/p>\n\u003cp>\u003ca href=\"http://www.bayareaeconomy.org/files/pdf/MainstreamingMedi-Cal.pdf\" target=\"_blank\">\u003cu>California is 47th out of 50 states\u003c/u>\u003c/a> in Medicaid payments to physicians. That includes managed care.\u003c/p>\n\u003cp>What we’re doing now is hoping to create revenue through taxation that’s directed to Medi-Cal rates. The cigarette tax initiative and perhaps some of the Proposition 30 extension monies might go toward propping up Medi-Cal rates.\u003c/p>\n\u003cp>\u003cstrong>Q: You’re saying that the CMA is using the ballot process to try to increase payments to doctors because its efforts through the Legislature have failed?\u003c/strong>\u003c/p>\n\u003cp>Absolutely. We have decided we have to do it on our own because the state government is not very sympathetic. We’ve gone to them many times and it doesn’t seem to matter.\u003c/p>\n\u003cp>The idea is that the citizens of California with Medi-Cal have no access because of low reimbursement rates to doctors.\u003c/p>\n\u003cp>One in three Californians is now on Medi-Cal. That is the public option. It needs to be funded. Right now, they’re funding it through discounts to physicians. And now they have added undocumented children to full Medi-Cal coverage.\u003c/p>\n\u003cp>\u003cstrong>Q: If these ballot initiatives pass and there’s more funding for Medi-Cal, how should it be distributed?\u003c/strong>\u003c/p>\n\u003cp>We hope the money flows through the system, both in managed care and fee-for-service.\u003c/p>\n\u003cp>You have to understand the managed care plans pay primary care physicians a capitated, per member, per month rate. They pay specialists the Medi-Cal fee-for-service rates.\u003c/p>\n\u003cp>An office visit for Medi-Cal is about $16. That’s for a primary care visit and a follow-up visit for a specialist. That’s what I pay for a haircut. There’s something wrong about that.\u003c/p>\n\u003cp>\u003cstrong>Q: You mentioned that immigrant children without papers can now get full Medi-Cal. Should adult immigrants who are here without proper documentation also get it?\u003c/strong>\u003c/p>\n\u003cp>We don’t have an official CMA policy on that. We do have a policy that states that all people who reside in the state should have insurance coverage. I certainly think we should expand Medi-Cal to all individuals that can’t afford health insurance through other means. That’s my personal belief, not the CMA position.\u003c/p>\n\u003cp>\u003cstrong>Q: The CMA says it \u003ca href=\"http://www.cmanet.org/news/press-detail/?article=ca-medical-association-announces-support-for\" target=\"_blank\">\u003cu>does not “encourage the use of marijuana and discourages smoking\u003c/u>\u003c/a>.” Yet it supports an initiative on the November ballot to \u003ca href=\"https://ballotpedia.org/California_Marijuana_Legalization_Initiative,_Proposition_64_(2016)\" target=\"_blank\">\u003cu>legalize marijuana\u003c/u>\u003c/a>. Why?\u003c/strong>\u003c/p>\n\u003cp>It sounds like a high-wire act. In reality, we suspect that marijuana may have some beneficial medical effects and it’s difficult to research those in the current climate.\u003c/p>\n\u003cp>We also know that marijuana is harmful to developing brains. We want to avoid it getting into the hands of adolescents. Our understanding is that it’s easier for high school kids to get marijuana than tobacco or alcohol. It shouldn’t be… If we could regulate marijuana, then we would hope it would be less available to adolescents. The black market will dry up.\u003c/p>\n\u003cp>\u003cstrong>Q: Isn’t there a risk that making it legal will create an industry with marketing clout similar to tobacco or unhealthy foods, thus increasing consumption?\u003c/strong>\u003c/p>\n\u003cp>We’re very concerned about that. We oppose smoking marijuana or ingesting marijuana for nonmedicinal reasons. But we’re not so naïve to think it’s not going to happen.\u003c/p>\n\u003cp>Right now, medicinal marijuana is terribly abused and misused and puts physicians in the middle. I’m a practicing physician and some patients inappropriately want a diagnosis to obtain marijuana.\u003c/p>\n\u003cp>The harm reduction in adolescents outweighs the risk. Some adults who smoke it already will continue to smoke it. I don’t think a lot of adults will go out and start smoking.\u003c/p>\n\u003cp>\u003cstrong>Q: A proposed law to allow nurse practitioners more independence in treating patients \u003ca href=\"http://californiahealthline.org/news/california-nurse-practitioners-lose-battle-for-independent-practice-again/\" target=\"_blank\">\u003cu>failed in the Legislature again this year\u003c/u>\u003c/a>. You opposed it. Why not allow it, particularly in the Medi-Cal population, thus making care more available?\u003c/strong>\u003c/p>\n\u003cp>Many of our practices, including my own, have nurse practitioners. We do not feel they should practice independently. If we allow them to practice medicine, they should have the same standards that physicians have. They should be licensed by the Medical Board. They should have the same liability and educational requirements.\u003c/p>\n\u003cp>Yes, nurse practitioners could help us treat diabetes, hypertension, obesity and many common diseases. It’s the uncommon diseases they haven’t been trained to treat, or even identify. When a person is going to a practice for a diagnosis, they need to go to a diagnostician, which would be a physician, not a nurse practitioner.\u003c/p>\n\u003cp>There’s no reason why we can’t expand access just because they require supervision. They can help with telehealth. Let’s say they’re in a remote location and through telehealth they communicate with a physician who oversees the patient’s history and lab studies. We think the supervision safeguards the public.\u003c/p>\n\u003cp>\u003cstrong>Q: Some other states already have given nurse practitioners more authority. Have there been problems there?\u003c/strong>\u003c/p>\n\u003cp>In other states that have allowed it, there are very few nurse practitioners that are practicing independently. For the most part, they recognize their liabilities and deficiencies. They want to practice in the same desirable locations that physicians do. So they frequently don’t go to areas of shortages and treat Medicaid patients, which is the rationale they’re giving for their scope-of-practice expansion [in California].\u003c/p>\n\u003cp>\u003cstrong>Q: How would you respond to people who say doctors oppose expanding scope of practice for nurse practitioners because they don’t want to see prices for their services suppressed by an influx of new providers?\u003c/strong>\u003c/p>\n\u003cp>That’s simply not true. Show me a state where they have had an influx of unsupervised nurse practitioners where the prices have dropped.\u003c/p>\n\u003cp>Having additional providers does not decrease the cost of care. It increases the cost of care. Tests cost money. The less trained an individual is, the more ancillary tests they’ll order.\u003c/p>\n\u003cp>\u003cstrong>Q: On the cost of prescription drugs, why support Sen. Ed Hernandez’s \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB1010\" target=\"_blank\">\u003cu>drug transparency bill\u003c/u>\u003c/a> yet fight \u003ca href=\"https://ballotpedia.org/California_Proposition_61,_Drug_Price_Standards_Initiative_(2016)\" target=\"_blank\">\u003cu>the initiative that will be on the November ballot\u003c/u>\u003c/a> to regulate the price that state agencies pay for drugs?\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The reason we oppose the [ballot] initiative is we believe it is poorly written. We think it’s cumbersome to tie drug costs to [Department of Veterans Affairs] drug pricing. It will probably result in drug shortages for California and it will inhibit innovation.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>As an AIDS activist 30 years ago, Michael Weinstein helped defeat an inflammatory ballot measure that could have quarantined Californians with the disease. Today, Weinstein has turned to the ballot to advance his own controversial vision for public health.\u003c/p>\n\u003caside class=\"pullquote alignright\">'He is an outlier, and in many corners he is a pariah.' \u003ccite>San Francisco Supervisor Scott Wiener \u003c/cite>\u003c/aside>\n\u003cp>President of the Los Angeles-based AIDS Healthcare Foundation, which has clinics around the world, Weinstein is the architect of two initiatives Californians will vote on in November: Proposition 60, which would require actors in adult films to use condoms, and Proposition 61, which would cap the price state health programs pay for prescription drugs.\u003c/p>\n\u003cp>The drug measure – which would limit the state to the discounted price paid by the U.S. Department of Veterans Affairs – taps into widespread frustration about \u003ca href=\"https://calmatters.org/articles/california-takes-measures-to-control-drug-spending-but-costs-soar/\" target=\"_blank\">expensive medication\u003c/a>, an issue that plagues the state budget and has surfaced in the presidential campaign. A condom requirement was popular with Los Angeles County voters, who approved a measure backed by Weinstein on their local ballot four years ago.\u003c/p>\n\u003cp>Yet both statewide propositions have sparked concern in segments of the communities they purport to help. Some patient advocates \u003ca href=\"https://calmatters.org/articles/would-a-california-ballot-measure-reduce-drug-spending-nobody-knows/\" target=\"_blank\">question\u003c/a> whether the drug-pricing measure could really contain costs for people whose health depends on expensive medicine, while many porn actors say the condom proposal would kill their business or drive it underground.\u003c/p>\n\u003cp>Similar fights have already occurred in the state Capitol, where bills have stalled that would have required \u003ca href=\"http://www.leginfo.ca.gov/pub/13-14/bill/asm/ab_1551-1600/ab_1576_cfa_20140428_124049_asm_comm.html\" target=\"_blank\">condom use on adult movie sets \u003c/a>and mandated more \u003ca href=\"http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_0451-0500/ab_463_cfa_20160108_154309_asm_comm.html\" target=\"_blank\">disclosure from drug companies \u003c/a>in an effort to curb rising prices. Weinstein said he’s taking the issues directly to voters because lawmakers have kowtowed to the porn and pharmaceutical industries.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I have a hard time remembering any issue where the public was so strongly in one direction and the political system was so strongly stuck in inaction,” Weinstein said of his effort to cap drug prices.\u003c/p>\n\u003cp>The condom issue is related, he said, because of “inaction by government.”\u003c/p>\n\u003cp>The initiatives mark the latest iteration of Weinstein’s long advocacy career, one that has made him a maverick to some, anathema to others.\u003c/p>\n\u003cp>Weinstein, 63, said he experienced his political awakening in 1986, when, as a budding gay-rights activist, he campaigned against an initiative that would have barred AIDS patients from schools and some types of jobs.\u003c/p>\n\u003cp>He went on to open an AIDS hospice that eventually grew into the AIDS Healthcare Foundation. Today the organization spans 36 countries, operating health clinics, thrift shops and pharmacies that sell some of the high-priced drugs Weinstein is campaigning against.\u003c/p>\n\u003cp>“The more prices go up, the more we earn,” he said. “That’s the irony of this situation…. People say, ‘What’s in it for you?’ Nothing, from a financial point of view.”\u003c/p>\n\u003cp>Although Weinstein runs a global AIDS organization, he has publicly clashed with AIDS activists over his criticism of \u003ca href=\"http://www.nytimes.com/2014/11/17/upshot/aids-group-wages-lonely-fight-against-pill-to-prevent-hiv.html?_r=1\" target=\"_blank\">an HIV-prevention drug\u003c/a>. He says broad use could result in infection from unprotected sex, although most of the medical community recommends it to people at risk for the disease.\u003c/p>\n\u003cp>On the adult film issue, performers who say they contracted sexually transmitted diseases on the job rally behind him. Those who believe existing protections are adequate see him as a meddlesome nanny.\u003c/p>\n\u003cp>He is embroiled in planning disputes in Los Angeles, where he lives, and in San Francisco, where his effort to open a pharmacy in the famous Castro district put Weinstein – a gay man – at odds with the heavily gay community.\u003c/p>\n\u003cp>“He is an outlier, and in many corners he is a pariah,” said San Francisco Supervisor Scott Wiener, who represents the Castro neighborhood and \u003ca href=\"http://blog.sfgate.com/cityinsider/2014/08/06/aids-healthcare-foundation-sues-sf-over-chain-store-rules/\" target=\"_blank\">was sued\u003c/a> by Weinstein’s foundation over the pharmacy dispute. The lawsuit challenges regulations the supervisor authored.\u003c/p>\n\u003cp>Weinstein’s nonprofit AIDS Healthcare Foundation has spent $11 million so far to support the two measures it put on the November ballot. Opponents in the pharmaceutical industry have poured more than $69 million into fighting Proposition 61. Pornography producers have contributed roughly $60,000 against Proposition 60.\u003c/p>\n\u003cp>Since Weinstein’s take-it-to-the-people approach proved successful in Los Angeles in 2012, permits for X-rated film production have \u003ca href=\"http://www.latimes.com/entertainment/envelope/cotown/la-et-ct-onlocation-la-porn-industry-20140806-story.html\" target=\"_blank\">dropped dramatically \u003c/a>– fueling opponents’ arguments about pushing the $9-billion industry out of California.\u003c/p>\n\u003cfigure id=\"attachment_212278\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg class=\"size-full wp-image-212278\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/07/adult_performers.jpg\" alt=\"Speakers line up to testify at a Capitol hearing about Proposition 60, which would require condom use in porn films. \" width=\"1200\" height=\"900\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers-768x576.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers-960x720.jpg 960w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Speakers line up to testify at a Capitol hearing about Proposition 60, which would require condom use in porn films. \u003ccite>(Laurel Rosenhall/CALmatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some in the adult film industry say they already minimize the spread of disease with frequent testing. Many of them filled a hearing room at the Capitol last month when lawmakers reviewed Proposition 60.\u003c/p>\n\u003cp>“We are not opposed to regulation itself, but instead [to] this new-age witch hunt perpetuated by the AIDS Healthcare Foundation,” said a performer who introduced herself as Mimosa.\u003c/p>\n\u003cp>On the other side was Cameron Adams, a former porn actor who said Proposition 60 could save others from her fate.\u003c/p>\n\u003cp>“Testing doesn’t stop infection,” Adams said through tears, addressing the panel of legislators. “I followed the adult film industry’s self-regulation, and I’m sitting here before you as an HIV-positive woman.”\u003c/p>\n\u003cp>State Sen. Isadore Hall (D-Compton) has carried bills in the Legislature that would have required condom use in porn movies. He described Weinstein as a “great guy” whose trailblazing work has protected lives and, naturally, made him controversial.\u003c/p>\n\u003cp>“That’s just the name of the game,” Hall said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>CALmatters is a non-profit journalism venture dedicated to exploring state policies and politics. For more stories by Laurel Rosenhall, go to calmatters.org/newsanalysis\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As an AIDS activist 30 years ago, Michael Weinstein helped defeat an inflammatory ballot measure that could have quarantined Californians with the disease. Today, Weinstein has turned to the ballot to advance his own controversial vision for public health.\u003c/p>\n\u003caside class=\"pullquote alignright\">'He is an outlier, and in many corners he is a pariah.' \u003ccite>San Francisco Supervisor Scott Wiener \u003c/cite>\u003c/aside>\n\u003cp>President of the Los Angeles-based AIDS Healthcare Foundation, which has clinics around the world, Weinstein is the architect of two initiatives Californians will vote on in November: Proposition 60, which would require actors in adult films to use condoms, and Proposition 61, which would cap the price state health programs pay for prescription drugs.\u003c/p>\n\u003cp>The drug measure – which would limit the state to the discounted price paid by the U.S. Department of Veterans Affairs – taps into widespread frustration about \u003ca href=\"https://calmatters.org/articles/california-takes-measures-to-control-drug-spending-but-costs-soar/\" target=\"_blank\">expensive medication\u003c/a>, an issue that plagues the state budget and has surfaced in the presidential campaign. A condom requirement was popular with Los Angeles County voters, who approved a measure backed by Weinstein on their local ballot four years ago.\u003c/p>\n\u003cp>Yet both statewide propositions have sparked concern in segments of the communities they purport to help. Some patient advocates \u003ca href=\"https://calmatters.org/articles/would-a-california-ballot-measure-reduce-drug-spending-nobody-knows/\" target=\"_blank\">question\u003c/a> whether the drug-pricing measure could really contain costs for people whose health depends on expensive medicine, while many porn actors say the condom proposal would kill their business or drive it underground.\u003c/p>\n\u003cp>Similar fights have already occurred in the state Capitol, where bills have stalled that would have required \u003ca href=\"http://www.leginfo.ca.gov/pub/13-14/bill/asm/ab_1551-1600/ab_1576_cfa_20140428_124049_asm_comm.html\" target=\"_blank\">condom use on adult movie sets \u003c/a>and mandated more \u003ca href=\"http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_0451-0500/ab_463_cfa_20160108_154309_asm_comm.html\" target=\"_blank\">disclosure from drug companies \u003c/a>in an effort to curb rising prices. Weinstein said he’s taking the issues directly to voters because lawmakers have kowtowed to the porn and pharmaceutical industries.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I have a hard time remembering any issue where the public was so strongly in one direction and the political system was so strongly stuck in inaction,” Weinstein said of his effort to cap drug prices.\u003c/p>\n\u003cp>The condom issue is related, he said, because of “inaction by government.”\u003c/p>\n\u003cp>The initiatives mark the latest iteration of Weinstein’s long advocacy career, one that has made him a maverick to some, anathema to others.\u003c/p>\n\u003cp>Weinstein, 63, said he experienced his political awakening in 1986, when, as a budding gay-rights activist, he campaigned against an initiative that would have barred AIDS patients from schools and some types of jobs.\u003c/p>\n\u003cp>He went on to open an AIDS hospice that eventually grew into the AIDS Healthcare Foundation. Today the organization spans 36 countries, operating health clinics, thrift shops and pharmacies that sell some of the high-priced drugs Weinstein is campaigning against.\u003c/p>\n\u003cp>“The more prices go up, the more we earn,” he said. “That’s the irony of this situation…. People say, ‘What’s in it for you?’ Nothing, from a financial point of view.”\u003c/p>\n\u003cp>Although Weinstein runs a global AIDS organization, he has publicly clashed with AIDS activists over his criticism of \u003ca href=\"http://www.nytimes.com/2014/11/17/upshot/aids-group-wages-lonely-fight-against-pill-to-prevent-hiv.html?_r=1\" target=\"_blank\">an HIV-prevention drug\u003c/a>. He says broad use could result in infection from unprotected sex, although most of the medical community recommends it to people at risk for the disease.\u003c/p>\n\u003cp>On the adult film issue, performers who say they contracted sexually transmitted diseases on the job rally behind him. Those who believe existing protections are adequate see him as a meddlesome nanny.\u003c/p>\n\u003cp>He is embroiled in planning disputes in Los Angeles, where he lives, and in San Francisco, where his effort to open a pharmacy in the famous Castro district put Weinstein – a gay man – at odds with the heavily gay community.\u003c/p>\n\u003cp>“He is an outlier, and in many corners he is a pariah,” said San Francisco Supervisor Scott Wiener, who represents the Castro neighborhood and \u003ca href=\"http://blog.sfgate.com/cityinsider/2014/08/06/aids-healthcare-foundation-sues-sf-over-chain-store-rules/\" target=\"_blank\">was sued\u003c/a> by Weinstein’s foundation over the pharmacy dispute. The lawsuit challenges regulations the supervisor authored.\u003c/p>\n\u003cp>Weinstein’s nonprofit AIDS Healthcare Foundation has spent $11 million so far to support the two measures it put on the November ballot. Opponents in the pharmaceutical industry have poured more than $69 million into fighting Proposition 61. Pornography producers have contributed roughly $60,000 against Proposition 60.\u003c/p>\n\u003cp>Since Weinstein’s take-it-to-the-people approach proved successful in Los Angeles in 2012, permits for X-rated film production have \u003ca href=\"http://www.latimes.com/entertainment/envelope/cotown/la-et-ct-onlocation-la-porn-industry-20140806-story.html\" target=\"_blank\">dropped dramatically \u003c/a>– fueling opponents’ arguments about pushing the $9-billion industry out of California.\u003c/p>\n\u003cfigure id=\"attachment_212278\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg class=\"size-full wp-image-212278\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/07/adult_performers.jpg\" alt=\"Speakers line up to testify at a Capitol hearing about Proposition 60, which would require condom use in porn films. \" width=\"1200\" height=\"900\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers-768x576.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers-960x720.jpg 960w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Speakers line up to testify at a Capitol hearing about Proposition 60, which would require condom use in porn films. \u003ccite>(Laurel Rosenhall/CALmatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some in the adult film industry say they already minimize the spread of disease with frequent testing. Many of them filled a hearing room at the Capitol last month when lawmakers reviewed Proposition 60.\u003c/p>\n\u003cp>“We are not opposed to regulation itself, but instead [to] this new-age witch hunt perpetuated by the AIDS Healthcare Foundation,” said a performer who introduced herself as Mimosa.\u003c/p>\n\u003cp>On the other side was Cameron Adams, a former porn actor who said Proposition 60 could save others from her fate.\u003c/p>\n\u003cp>“Testing doesn’t stop infection,” Adams said through tears, addressing the panel of legislators. “I followed the adult film industry’s self-regulation, and I’m sitting here before you as an HIV-positive woman.”\u003c/p>\n\u003cp>State Sen. Isadore Hall (D-Compton) has carried bills in the Legislature that would have required condom use in porn movies. He described Weinstein as a “great guy” whose trailblazing work has protected lives and, naturally, made him controversial.\u003c/p>\n\u003cp>“That’s just the name of the game,” Hall said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>CALmatters is a non-profit journalism venture dedicated to exploring state policies and politics. For more stories by Laurel Rosenhall, go to calmatters.org/newsanalysis\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Nationwide, Doctors Who Sexually Abuse Their Patients Continue to Practice",
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"content": "\u003cp>Just weeks after the California Senate refused to advance \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201520160SB1033\" target=\"_blank\">a bill \u003c/a>requiring doctors to notify their patients that they were on probation for -- among other things -- sexual abuse of patients, the Atlanta Journal-Constitution has published \u003ca href=\"http://doctors.ajc.com\" target=\"_blank\">a stunning investigation\u003c/a> exposing just how easy it is for these physicians to continue practicing.\u003c/p>\n\u003cp>The series is national in scope. Reporters examined \"documents that described disturbing acts of physician sexual abuse in every state. Rapes by OB/GYNs, seductions by psychiatrists, fondling by anesthesiologists and ophthalmologists, and molestations by pediatricians and radiologists.\"\u003c/p>\n\u003cp>Atlanta Journal-Constitution reporters identified 3,100 doctors who were disciplined after being accused of sexual misconduct, and more than 2,000 of them continued to practice. But those cases \u003ca href=\"http://doctors.ajc.com/sex_abuse_numbers/?ecmp=doctorssexabuse_microsite_nav\" target=\"_blank\">may be only a fraction of the actual numbers,\u003c/a> since many violations \"never came to the attention of state regulators.\"\u003c/p>\n\u003cp>The individual examples they cite are downright chilling, including this doctor from Granite Bay, east of Sacramento:\u003c/p>\n\u003cblockquote>\u003cp>In California, a patient was leaving an appointment with \u003ca class=\"document-link\" title=\"See related documents\" href=\"http://www.documentcloud.org/documents/2925627-combined-100-pdf.html\" target=\"_blank\">Dr. Mandeep Behniwal\u003c/a>, a psychiatrist, when the doctor put his hand down her blouse, grabbed her breast out of her bra and placed his mouth on it. He then exposed himself and ejaculated on her hand.\u003c/p>\u003c/blockquote>\n\u003cp>Behniwal told the Journal-Constitution the patient initiated the sexual contact. \"For half a minute, I lost my judgment,\" Behniwal said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>If you were a patient of Behniwal's and wanted to know more about him, you would need to \u003ca href=\"https://www.breeze.ca.gov/datamart/searchLicTypeByName.do?direct=true\" target=\"_blank\">look him up \u003c/a>on the Medical Board of California website, where you would see that his license is \"Renewed and Current\" but \"Secondary Status\" indicates \"Limits On Practice,\" \"Probation\" and \"Misdemeanor Conviction.\"\u003c/p>\n\u003cp>You need to scroll down within the site and click elsewhere to find that he is barred from seeing female patients during his probation. Nowhere could I find the documents explaining what he actually did, even though state law requires that documents related to a misdemeanor conviction be posted to the internet.\u003c/p>\n\u003cp>Meanwhile, if you didn't know that the Medical Board of California had this look-up tool, you would be in the dark.\u003c/p>\n\u003cp>That's the consumer blind spot that state Sen. Jerry Hill, D-San Mateo, sought to illuminate with \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201520160SB1033\" target=\"_blank\">Senate Bill 1033\u003c/a>. The bill would have required that doctors notify their patients if they were on probation for serious infractions -- not only sexual misconduct, but also gross negligence, substance abuse or a felony conviction related to patient care. It's just a tiny fraction of California doctors who are on probation for these offenses -- \u003ca href=\"http://safepatientproject.org/wordpress/wp-content/uploads/2015/10/MBC-list-of-docs-on-probation-as-of-9-29-15-as-of-10-8-15.pdf\" target=\"_blank\">about 500\u003c/a> out of 137,000 licensed physicians in 2015.\u003c/p>\n\u003cp>At least some of the senators who voted against the bill were swayed by a lobbying campaign suggesting that these were unproved allegations, which Hill promptly rebutted.\u003c/p>\n\u003cp>\"That is totally false, totally inaccurate,\" Hill told me. \"There's due process after extensive investigation that requires the attorney general of California, based on clear and convincing evidence, to charge these doctors with a violation of the Medical Practices Act and the California Criminal Code.\"\u003c/p>\n\u003cp>The California Medical Association has\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/29/in-california-doctors-on-probation-not-required-to-tell-you-should-they/\" target=\"_blank\"> opposed such notification efforts\u003c/a>, saying it would \"put a burden on the physician-patient relationship.\"\u003c/p>\n\u003cp>Hill says the notification is important, because 30 percent of these physicians on probation will re-offend. He said he will reintroduce the legislation. \"No question,\" he said, \"as soon as allowed. The public has a right to know this information because their life may depend on it.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Learn more about this issue by \u003ca href=\"http://doctors.ajc.com/doctors_sex_abuse/?ecmp=doctorssexabuse_microsite_nav\" target=\"_blank\">reading the Atlanta Journal-Constitution's investigation.\u003c/a>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Just weeks after the California Senate refused to advance \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201520160SB1033\" target=\"_blank\">a bill \u003c/a>requiring doctors to notify their patients that they were on probation for -- among other things -- sexual abuse of patients, the Atlanta Journal-Constitution has published \u003ca href=\"http://doctors.ajc.com\" target=\"_blank\">a stunning investigation\u003c/a> exposing just how easy it is for these physicians to continue practicing.\u003c/p>\n\u003cp>The series is national in scope. Reporters examined \"documents that described disturbing acts of physician sexual abuse in every state. Rapes by OB/GYNs, seductions by psychiatrists, fondling by anesthesiologists and ophthalmologists, and molestations by pediatricians and radiologists.\"\u003c/p>\n\u003cp>Atlanta Journal-Constitution reporters identified 3,100 doctors who were disciplined after being accused of sexual misconduct, and more than 2,000 of them continued to practice. But those cases \u003ca href=\"http://doctors.ajc.com/sex_abuse_numbers/?ecmp=doctorssexabuse_microsite_nav\" target=\"_blank\">may be only a fraction of the actual numbers,\u003c/a> since many violations \"never came to the attention of state regulators.\"\u003c/p>\n\u003cp>The individual examples they cite are downright chilling, including this doctor from Granite Bay, east of Sacramento:\u003c/p>\n\u003cblockquote>\u003cp>In California, a patient was leaving an appointment with \u003ca class=\"document-link\" title=\"See related documents\" href=\"http://www.documentcloud.org/documents/2925627-combined-100-pdf.html\" target=\"_blank\">Dr. Mandeep Behniwal\u003c/a>, a psychiatrist, when the doctor put his hand down her blouse, grabbed her breast out of her bra and placed his mouth on it. He then exposed himself and ejaculated on her hand.\u003c/p>\u003c/blockquote>\n\u003cp>Behniwal told the Journal-Constitution the patient initiated the sexual contact. \"For half a minute, I lost my judgment,\" Behniwal said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>If you were a patient of Behniwal's and wanted to know more about him, you would need to \u003ca href=\"https://www.breeze.ca.gov/datamart/searchLicTypeByName.do?direct=true\" target=\"_blank\">look him up \u003c/a>on the Medical Board of California website, where you would see that his license is \"Renewed and Current\" but \"Secondary Status\" indicates \"Limits On Practice,\" \"Probation\" and \"Misdemeanor Conviction.\"\u003c/p>\n\u003cp>You need to scroll down within the site and click elsewhere to find that he is barred from seeing female patients during his probation. Nowhere could I find the documents explaining what he actually did, even though state law requires that documents related to a misdemeanor conviction be posted to the internet.\u003c/p>\n\u003cp>Meanwhile, if you didn't know that the Medical Board of California had this look-up tool, you would be in the dark.\u003c/p>\n\u003cp>That's the consumer blind spot that state Sen. Jerry Hill, D-San Mateo, sought to illuminate with \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201520160SB1033\" target=\"_blank\">Senate Bill 1033\u003c/a>. The bill would have required that doctors notify their patients if they were on probation for serious infractions -- not only sexual misconduct, but also gross negligence, substance abuse or a felony conviction related to patient care. It's just a tiny fraction of California doctors who are on probation for these offenses -- \u003ca href=\"http://safepatientproject.org/wordpress/wp-content/uploads/2015/10/MBC-list-of-docs-on-probation-as-of-9-29-15-as-of-10-8-15.pdf\" target=\"_blank\">about 500\u003c/a> out of 137,000 licensed physicians in 2015.\u003c/p>\n\u003cp>At least some of the senators who voted against the bill were swayed by a lobbying campaign suggesting that these were unproved allegations, which Hill promptly rebutted.\u003c/p>\n\u003cp>\"That is totally false, totally inaccurate,\" Hill told me. \"There's due process after extensive investigation that requires the attorney general of California, based on clear and convincing evidence, to charge these doctors with a violation of the Medical Practices Act and the California Criminal Code.\"\u003c/p>\n\u003cp>The California Medical Association has\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/29/in-california-doctors-on-probation-not-required-to-tell-you-should-they/\" target=\"_blank\"> opposed such notification efforts\u003c/a>, saying it would \"put a burden on the physician-patient relationship.\"\u003c/p>\n\u003cp>Hill says the notification is important, because 30 percent of these physicians on probation will re-offend. He said he will reintroduce the legislation. \"No question,\" he said, \"as soon as allowed. The public has a right to know this information because their life may depend on it.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Learn more about this issue by \u003ca href=\"http://doctors.ajc.com/doctors_sex_abuse/?ecmp=doctorssexabuse_microsite_nav\" target=\"_blank\">reading the Atlanta Journal-Constitution's investigation.\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Oakland Seeks to Ban False Advertising by Anti-Abortion Clinics",
"title": "Oakland Seeks to Ban False Advertising by Anti-Abortion Clinics",
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"content": "\u003cp>\u003cstrong>Update -- July 5, 2016:\u003c/strong>\u003c/p>\n\u003cp>The ordinance to fine pregnancy centers that claim to offer abortion services, but don't, was passed unanimously by the Oakland City Council's Life Enrichment Committee on June 28. The full City Council will hear the measure tonight. If it passes, it must be heard again in two weeks.\u003c/p>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>Oakland officials are considering an ordinance that would allow the city to fine pregnancy centers that claim to offer abortion services, but do not.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We believe women who need care should not be lied to.' \u003ccite>Annie Campbell Washington, Oakland Vice Mayor\u003c/cite>\u003c/aside>\n\u003cp>Officials say some anti-abortion groups' internet advertising and mass transit billboards are misleading, and intended to lure pregnant women in for counseling against abortion.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We believe women who need care should not be lied to,” said Annie Campbell Washington, vice mayor of Oakland and a proponent of the ordinance.\u003c/p>\n\u003cp>Oakland officials are particularly concerned about search advertising. For example, typing \"abortion services\" into a Google or Yahoo search engine can bring up links to nearby crisis pregnancy centers that do not offer abortion.\u003c/p>\n\u003cp>These pregnancy centers buy the search ads for terms like \"abortion\" or \"pregnancy test\" so links for their clinics will appear on users' screens when they enter searches for those terms. Their websites often say they offer \"abortion information\" or \"counseling for women seeking abortion.\"\u003c/p>\n\u003cp>Oakland officials want to prohibit them from doing this. Fines would range from $50 to $500 per violation.\u003c/p>\n\u003cp>\"When a woman is misled into believing that a clinic offers services that it does not in fact offer, she loses time crucial to her decision-making process,\" Washington says.\u003c/p>\n\u003cp>Washington says delays in care can mean women may have to get a more invasive, more expensive procedure, or may lose her right to terminate the pregnancy at all, because too much time has passed and her pregnancy is too far along to lawfully terminate.\u003c/p>\n\u003cp>“We want to send a clear message that false advertising is not acceptable in the city of Oakland,” she said.\u003c/p>\n\u003cp>Up until a few months ago, if iPhone users asked Siri to locate a nearby abortion clinic, the voice assistant would return a list of adoption agencies.\u003c/p>\n\u003cp>Apple, which is responsible for Siri search results, said it was aware of the glitch right after Siri debuted in 2011, but it was not fixed until January, 2016. The company \u003ca href=\"https://techcrunch.com/2016/01/29/apple%E2%80%A6\" target=\"_blank\">told Tech Crunch\u003c/a> that it has been \"updating its search results over time.\"\u003c/p>\n\u003cp>Crisis pregnancy centers say the marketing and counseling they do is not false advertising. It's free speech. They say this kind of ordinance is an attack on their first amendment rights.\u003c/p>\n\u003cp>“Using search terms to make women aware of your ministry and the services you provide, with regards to pregnancy alternatives, is very legitimate and would be foolhardy not to be utilized,” said Brad Dacus, an attorney with the Pacific Justice Institute, a nonprofit law firm that defends religious freedom.\u003c/p>\n\u003cp>Staff at crisis pregnancy centers do not lie, he said, adding, it’s \"insulting to women\" to assume they don't have the ability to ask questions before making an appointment to make sure the services they want are available.\u003c/p>\n\u003cp>“It’s also very presumptive to believe that those who use search terms such as ‘abortion’ are presumably seeking just an abortion,\" he said. \"They may also be open, and possibly yearning, for other options.\"\u003c/p>\n\u003cp>Some crisis pregnancy centers challenged a similar false advertising law in San Francisco, which took effect in late 2011. Last year, a district judge \u003ca href=\"http://www.sfgate.com/bayarea/article/Limits-upheld-on-ads-by-antiabortion-pregnancy-6097159.php\" target=\"_blank\">upheld the law\u003c/a>, saying false and misleading commercial speech is not protected by the First Amendment.\u003c/p>\n\u003cp>The Oakland ordinance builds on a new statewide law that was signed by Gov. Jerry Brown last fall, the \u003ca href=\"http://ww2.kqed.org/news/2015/11/04/california-law-adds-new-twist-to-abortion-religious-freedom-debate\" target=\"_blank\">Reproductive FACT Act\u003c/a>. It requires crisis pregnancy centers to notify their clients if they are not medically licensed.\u003c/p>\n\u003cp>In addition, clinics that are medically licensed are required to post a notice in their waiting room -- or let patients know when they check in for an appointment -- that there is financial assistance available for family planning services and abortion. They must also provide the phone number for the local county health department.\u003c/p>\n\u003cp>The Pacific Justice Institute has filed one of several lawsuits challenging the state law. It is currently under review by the 9th Circuit Court of Appeals. Dacus says if the law is upheld, his group will appeal to the U.S. Supreme Court.\u003c/p>\n\u003cp>The state law did not cover issues of false advertising.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Oakland’s ordinance goes before the city's Life Enrichment Committee for a vote on Tuesday, then will be reviewed and voted on by the full City Council twice in July.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update -- July 5, 2016:\u003c/strong>\u003c/p>\n\u003cp>The ordinance to fine pregnancy centers that claim to offer abortion services, but don't, was passed unanimously by the Oakland City Council's Life Enrichment Committee on June 28. The full City Council will hear the measure tonight. If it passes, it must be heard again in two weeks.\u003c/p>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>Oakland officials are considering an ordinance that would allow the city to fine pregnancy centers that claim to offer abortion services, but do not.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We believe women who need care should not be lied to.' \u003ccite>Annie Campbell Washington, Oakland Vice Mayor\u003c/cite>\u003c/aside>\n\u003cp>Officials say some anti-abortion groups' internet advertising and mass transit billboards are misleading, and intended to lure pregnant women in for counseling against abortion.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We believe women who need care should not be lied to,” said Annie Campbell Washington, vice mayor of Oakland and a proponent of the ordinance.\u003c/p>\n\u003cp>Oakland officials are particularly concerned about search advertising. For example, typing \"abortion services\" into a Google or Yahoo search engine can bring up links to nearby crisis pregnancy centers that do not offer abortion.\u003c/p>\n\u003cp>These pregnancy centers buy the search ads for terms like \"abortion\" or \"pregnancy test\" so links for their clinics will appear on users' screens when they enter searches for those terms. Their websites often say they offer \"abortion information\" or \"counseling for women seeking abortion.\"\u003c/p>\n\u003cp>Oakland officials want to prohibit them from doing this. Fines would range from $50 to $500 per violation.\u003c/p>\n\u003cp>\"When a woman is misled into believing that a clinic offers services that it does not in fact offer, she loses time crucial to her decision-making process,\" Washington says.\u003c/p>\n\u003cp>Washington says delays in care can mean women may have to get a more invasive, more expensive procedure, or may lose her right to terminate the pregnancy at all, because too much time has passed and her pregnancy is too far along to lawfully terminate.\u003c/p>\n\u003cp>“We want to send a clear message that false advertising is not acceptable in the city of Oakland,” she said.\u003c/p>\n\u003cp>Up until a few months ago, if iPhone users asked Siri to locate a nearby abortion clinic, the voice assistant would return a list of adoption agencies.\u003c/p>\n\u003cp>Apple, which is responsible for Siri search results, said it was aware of the glitch right after Siri debuted in 2011, but it was not fixed until January, 2016. The company \u003ca href=\"https://techcrunch.com/2016/01/29/apple%E2%80%A6\" target=\"_blank\">told Tech Crunch\u003c/a> that it has been \"updating its search results over time.\"\u003c/p>\n\u003cp>Crisis pregnancy centers say the marketing and counseling they do is not false advertising. It's free speech. They say this kind of ordinance is an attack on their first amendment rights.\u003c/p>\n\u003cp>“Using search terms to make women aware of your ministry and the services you provide, with regards to pregnancy alternatives, is very legitimate and would be foolhardy not to be utilized,” said Brad Dacus, an attorney with the Pacific Justice Institute, a nonprofit law firm that defends religious freedom.\u003c/p>\n\u003cp>Staff at crisis pregnancy centers do not lie, he said, adding, it’s \"insulting to women\" to assume they don't have the ability to ask questions before making an appointment to make sure the services they want are available.\u003c/p>\n\u003cp>“It’s also very presumptive to believe that those who use search terms such as ‘abortion’ are presumably seeking just an abortion,\" he said. \"They may also be open, and possibly yearning, for other options.\"\u003c/p>\n\u003cp>Some crisis pregnancy centers challenged a similar false advertising law in San Francisco, which took effect in late 2011. Last year, a district judge \u003ca href=\"http://www.sfgate.com/bayarea/article/Limits-upheld-on-ads-by-antiabortion-pregnancy-6097159.php\" target=\"_blank\">upheld the law\u003c/a>, saying false and misleading commercial speech is not protected by the First Amendment.\u003c/p>\n\u003cp>The Oakland ordinance builds on a new statewide law that was signed by Gov. Jerry Brown last fall, the \u003ca href=\"http://ww2.kqed.org/news/2015/11/04/california-law-adds-new-twist-to-abortion-religious-freedom-debate\" target=\"_blank\">Reproductive FACT Act\u003c/a>. It requires crisis pregnancy centers to notify their clients if they are not medically licensed.\u003c/p>\n\u003cp>In addition, clinics that are medically licensed are required to post a notice in their waiting room -- or let patients know when they check in for an appointment -- that there is financial assistance available for family planning services and abortion. They must also provide the phone number for the local county health department.\u003c/p>\n\u003cp>The Pacific Justice Institute has filed one of several lawsuits challenging the state law. It is currently under review by the 9th Circuit Court of Appeals. Dacus says if the law is upheld, his group will appeal to the U.S. Supreme Court.\u003c/p>\n\u003cp>The state law did not cover issues of false advertising.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Oakland’s ordinance goes before the city's Life Enrichment Committee for a vote on Tuesday, then will be reviewed and voted on by the full City Council twice in July.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "5 Things To Consider About The Supreme Court's Decision On Texas Abortion Law",
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"content": "\u003cp>The Supreme Court this week delivered its strongest affirmation of a women's right to abortion in years. By a margin of 5-3, it struck down two key provisions of a Texas law restricting the procedure.\u003c/p>\n\u003cp>But where does the decision in \u003ca href=\"http://www.supremecourt.gov/opinions/15pdf/15-274_p8k0.pdf\" target=\"_blank\">Whole Woman's Health v. Hellerstedt\u003c/a> fit in the court's long history of actions abortion rights and restrictions? And what effect might the case have on similar laws in other states and this fall's elections? Here are five insights about the case that provide some context:\u003c/p>\n\u003cp>\u003cstrong>1. It's the first big win for supporters of abortion rights in a long time.\u003c/strong>\u003c/p>\n\u003cp>The last time abortion-rights supporters were on the winning side of a big case at the Supreme Court was 16 years ago, when a 5-4 ruling in \u003ca href=\"https://www.oyez.org/cases/1999/99-830\" target=\"_blank\">Stenberg v. Carhart\u003c/a> struck down a Nebraska law banning a specific procedure abortion opponents called \"partial birth abortion.\" That win was effectively reversed in 2007, however, when the court upheld a similar federal law banning the same procedure, also on a 5-4 ruling, in \u003ca href=\"https://www.oyez.org/cases/2006/05-380\" target=\"_blank\">Gonzales v. Carhart\u003c/a>. The substance hadn't changed much, but the replacement of Justice Sandra Day O'Connor with Justice Samuel Alito in 2006 gave abortion opponents an extra vote, which was enough to change the outcome.\u003c/p>\n\u003cp>After Monday's decision, many foes of abortion rights complained that there were few restrictions on abortion that would pass muster with the high court. But, in fact, in the years since the court first legalized abortion nationwide in \u003ca href=\"https://www.oyez.org/cases/1971/70-18\" target=\"_blank\">Roe v. Wade\u003c/a> in 1973, about half the major cases have been clear wins for abortion opponents, including upholding state laws requiring \u003ca href=\"https://www.law.cornell.edu/supremecourt/text/497/502\" target=\"_blank\">parental involvement for minors\u003c/a>, \u003ca href=\"https://www.oyez.org/cases/1991/91-744\" target=\"_blank\">waiting periods\u003c/a>, and \u003ca href=\"https://www.oyez.org/cases/1979/79-1268\" target=\"_blank\">bans on the use of public funds\u003c/a> to pay for abortions.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>2. It could put pro-abortion rights forces on the offensive.\u003c/strong>\u003c/p>\n\u003cp>Since Republicans took over Congress and most state legislatures after the 2010 elections, states have enacted \u003ca href=\"https://www.guttmacher.org/article/2016/01/last-five-years-account-more-one-quarter-all-abortion-restrictions-enacted-roe\" target=\"_blank\">nearly 300 separate abortion restrictions\u003c/a>; the most in any five-year period since \u003cem>Roe v. Wade\u003c/em> was decided. Many of those were the same types of \u003ca href=\"https://www.guttmacher.org/sites/default/files/pdfs/spibs/spib_TRAP.pdf\" target=\"_blank\">laws claiming protections for women's health\u003c/a> that were struck down by the Supreme Court this week. Those laws include requiring doctors who perform abortions to have admitting privileges at a nearby hospital and requiring abortion clinics to meet the standards of facilities performing more involved surgical procedures.\u003c/p>\n\u003cp>The justices have already responded to petitions from some states with similar laws. Just a day after handing down the Texas ruling, they rejected appeals from \u003ca href=\"http://www.reuters.com/article/us-usa-court-abortion-idUSKCN0ZE1MJ\" target=\"_blank\">Mississippi and Wisconsin\u003c/a>, where physician admitting privilege laws had been blocked by lower court judges. Those laws are now permanently blocked. Officials in \u003ca href=\"http://www.ago.state.al.us/News-863\" target=\"_blank\">Alabama\u003c/a> also dropped their defense of a similar law.\u003c/p>\n\u003cp>But the decision doesn't automatically invalidate similar laws in other states because the effect of such statutes is different in every community. For example, what may amount to an \"undue burden\" in Texas because of the sheer size of the state might not be as burdensome in states with clinics closer together.\u003c/p>\n\u003cp>In states where lower court judges have already blocked laws, those blocks are almost certain to remain in place. But in other states opponents of the restrictions would have to work to overturn each law individually.\u003c/p>\n\u003cp>They say that is what they plan to do. \"We will now will take this fight state by state to challenge and repeal laws all across the country,\" Planned Parenthood President Cecile Richards told reporters in a conference call immediately after the ruling.\u003c/p>\n\u003cp>Planned Parenthood announced on Thursday that it would pursue efforts to block or repeal similar laws in eight states: Arizona, Florida, Michigan, Missouri, Pennsylvania, Tennessee, Texas, and Virginia.\u003c/p>\n\u003cp>Abortion-rights supporters are also taking aim at some long-standing abortion restrictions in federal law. The \u003ca href=\"https://demconvention.com/news/democratic-platform-drafting-meeting-concludes/\" target=\"_blank\">draft Democratic platform\u003c/a> that will be finalized at the party's nominating convention in late July includes a plan calling for the repeal of the \u003ca href=\"http://www.npr.org/templates/story/story.php?storyId=121402281\" target=\"_blank\">Hyde Amendment\u003c/a>, which has banned most federal abortion funding since 1977. That provision was \u003ca href=\"https://www.hillaryclinton.com/briefing/statements/2016/06/25/statement-from-senior-policy-advisor-maya-harris-on-democratic-platform/\" target=\"_blank\">highlighted and praised\u003c/a> by presumptive nominee Hillary Clinton's campaign, noting that it represents the first time such an explicit vow has been included.\u003c/p>\n\u003cp>\u003cstrong>3. Opponents of abortion rights aren't likely to retreat.\u003c/strong>\u003c/p>\n\u003cp>While the latest Supreme Court ruling was definitely a setback for abortion foes, they are not giving up. For one thing, \u003ca href=\"http://www.prochoiceamerica.org/assets/download-files/2016-wd-report.pdf\" target=\"_blank\">opponents remain in control of a majority\u003c/a> of state legislatures and governorships, and that's unlikely to change following this year's national elections.\u003c/p>\n\u003cp>\"Americans United for Life will continue to fight — in legislatures and in the courts — to protect women from a dangerous and greedy abortion industry,\" said AUL Acting President and Senior Counsel Clarke Forsythe. Americans United for Life has been at the forefront of \u003ca href=\"http://www.npr.org/sections/health-shots/2016/03/04/469094346/legal-foes-in-texas-abortion-case-are-using-new-playbooks\" target=\"_blank\">developing model laws\u003c/a> restricting access to abortion.\u003c/p>\n\u003cp>The movement against abortion rights has a much larger menu to choose from than the two issues the high court addressed. For example, many states (including Texas) have passed or are considering \u003ca href=\"https://www.guttmacher.org/sites/default/files/pdfs/spibs/spib_PLTA.pdf\" target=\"_blank\">bans on abortion after roughly 20 weeks of pregnancy\u003c/a>. Many of those bans are being \u003ca href=\"http://www.latimes.com/nation/nationnow/la-na-nn-abortion-idaho-20150530-story.html\" target=\"_blank\">challenged in the courts\u003c/a> but none has yet reached the Supreme Court. Other restrictions include requiring pregnant women to have ultrasounds before an abortion, to make multiple visits to an abortion provider and banning the use of \u003ca href=\"http://www.theatlantic.com/business/archive/2014/10/the-safer-more-affordable-abortion-only-available-in-two-states/381321/\" target=\"_blank\">telemedicine\u003c/a> for medical (as opposed to surgical) abortions using the abortion pill \u003ca href=\"https://www.nlm.nih.gov/medlineplus/druginfo/meds/a600042.html\">mifepristone\u003c/a>.\u003c/p>\n\u003cp>Abortion opponents say they aren't giving up on pursuing health and safety standards like the ones struck down in Texas, either. \"This issue of safety standards is not over,\" said Marilyn Musgrave, vice president of government affairs at Susan B. Anthony List.\u003c/p>\n\u003cp>Even some similar laws could pass muster if they are crafted carefully enough, said Kristi Hamrick, a spokeswoman for Americans United for Life. \"We don't have a one-size-fits-all bill to send to the 50 states,\" she said. \"The law is specific and so the tools must be too.\"\u003c/p>\n\u003cp>\u003cstrong>4. The decision could shake up national politics.\u003c/strong>\u003c/p>\n\u003cp>Both sides in the long-polarized abortion debate are already pointing to the case in an effort to mobilize their supporters.\u003c/p>\n\u003cp>\"This certainly makes the November presidential election even more critical,\" said Musgrave of the Susan B. Anthony List. \"It is so obvious that we need to elect a pro-life president.\"\u003c/p>\n\u003cp>On the opposite side, Ilyse Hogue, president of NARAL Pro-Choice America, says the decision \"underscores what the election means for Supreme Court jurisprudence.\" With one vacancy already on the court and others likely in the next four years, she said, \"reproductive freedom is very much on the ballot this November.\"\u003c/p>\n\u003cp>Hillary Clinton's campaign hailed the decision. \"We need a president who will defend women's health and rights and appoint Supreme Court justices who recognize Roe v. Wade as settled law,\" said a statement from the candidate.\u003c/p>\n\u003cp>And while presumptive GOP nominee Donald Trump's campaign was silent on the issue in the immediate aftermath of the decision, Musgrave said abortion opponents are confident he is on their side. \"Say what you will about Donald Trump, his commitment to nominate pro-life justices — I've never seen another candidate do that,\" she said.\u003c/p>\n\u003cp>\u003cstrong>5. Younger generation will have a lot to say about the future of abortion rights.\u003c/strong>\u003c/p>\n\u003cp>Among the many things the two sides in the abortion debate disagree about is how the younger generation feels about abortion. Polls tend to differ dramatically depending on how the question is asked.\u003c/p>\n\u003cp>Musgrave says, \"Our polling shows more and more millennials are pro-life, particularly when you look at things like 20-week (abortion) bans.\"\u003c/p>\n\u003cp>But Dawn Laguens, executive vice president of Planned Parenthood, says they are seeing the exact opposite — that younger women are more supportive of abortion rights. \"They're so social justice oriented,\" she said.\u003c/p>\n\u003cp>And Laguens says that coming \u003ca href=\"http://www.wsj.com/articles/changing-u-s-demographics-favor-democrats-in-election-report-says-1456376460\" target=\"_blank\">demographic changes\u003c/a>, including a more diverse electorate that could tilt Democratic, are a main reason for the recent spike in anti-abortion legislating.\u003c/p>\n\u003cp>\"They feel it slipping away,\" she said. \"They can see the demographics, too, and they want to lock this stuff in.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Kaiser Health News is an editorially independent news service that is part of the nonpartisan Henry J. Kaiser Family Foundation. You can follow Julie Rovner\u003c/em>\u003cem> on Twitter:\u003c/em>\u003ca href=\"https://twitter.com/jrovner\">@jrovner\u003c/a>.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 Kaiser Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a>.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=5+Things+To+Consider+About+The+Supreme+Court%27s+Decision+On+Texas+Abortion+Law+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Supreme Court this week delivered its strongest affirmation of a women's right to abortion in years. By a margin of 5-3, it struck down two key provisions of a Texas law restricting the procedure.\u003c/p>\n\u003cp>But where does the decision in \u003ca href=\"http://www.supremecourt.gov/opinions/15pdf/15-274_p8k0.pdf\" target=\"_blank\">Whole Woman's Health v. Hellerstedt\u003c/a> fit in the court's long history of actions abortion rights and restrictions? And what effect might the case have on similar laws in other states and this fall's elections? Here are five insights about the case that provide some context:\u003c/p>\n\u003cp>\u003cstrong>1. It's the first big win for supporters of abortion rights in a long time.\u003c/strong>\u003c/p>\n\u003cp>The last time abortion-rights supporters were on the winning side of a big case at the Supreme Court was 16 years ago, when a 5-4 ruling in \u003ca href=\"https://www.oyez.org/cases/1999/99-830\" target=\"_blank\">Stenberg v. Carhart\u003c/a> struck down a Nebraska law banning a specific procedure abortion opponents called \"partial birth abortion.\" That win was effectively reversed in 2007, however, when the court upheld a similar federal law banning the same procedure, also on a 5-4 ruling, in \u003ca href=\"https://www.oyez.org/cases/2006/05-380\" target=\"_blank\">Gonzales v. Carhart\u003c/a>. The substance hadn't changed much, but the replacement of Justice Sandra Day O'Connor with Justice Samuel Alito in 2006 gave abortion opponents an extra vote, which was enough to change the outcome.\u003c/p>\n\u003cp>After Monday's decision, many foes of abortion rights complained that there were few restrictions on abortion that would pass muster with the high court. But, in fact, in the years since the court first legalized abortion nationwide in \u003ca href=\"https://www.oyez.org/cases/1971/70-18\" target=\"_blank\">Roe v. Wade\u003c/a> in 1973, about half the major cases have been clear wins for abortion opponents, including upholding state laws requiring \u003ca href=\"https://www.law.cornell.edu/supremecourt/text/497/502\" target=\"_blank\">parental involvement for minors\u003c/a>, \u003ca href=\"https://www.oyez.org/cases/1991/91-744\" target=\"_blank\">waiting periods\u003c/a>, and \u003ca href=\"https://www.oyez.org/cases/1979/79-1268\" target=\"_blank\">bans on the use of public funds\u003c/a> to pay for abortions.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>2. It could put pro-abortion rights forces on the offensive.\u003c/strong>\u003c/p>\n\u003cp>Since Republicans took over Congress and most state legislatures after the 2010 elections, states have enacted \u003ca href=\"https://www.guttmacher.org/article/2016/01/last-five-years-account-more-one-quarter-all-abortion-restrictions-enacted-roe\" target=\"_blank\">nearly 300 separate abortion restrictions\u003c/a>; the most in any five-year period since \u003cem>Roe v. Wade\u003c/em> was decided. Many of those were the same types of \u003ca href=\"https://www.guttmacher.org/sites/default/files/pdfs/spibs/spib_TRAP.pdf\" target=\"_blank\">laws claiming protections for women's health\u003c/a> that were struck down by the Supreme Court this week. Those laws include requiring doctors who perform abortions to have admitting privileges at a nearby hospital and requiring abortion clinics to meet the standards of facilities performing more involved surgical procedures.\u003c/p>\n\u003cp>The justices have already responded to petitions from some states with similar laws. Just a day after handing down the Texas ruling, they rejected appeals from \u003ca href=\"http://www.reuters.com/article/us-usa-court-abortion-idUSKCN0ZE1MJ\" target=\"_blank\">Mississippi and Wisconsin\u003c/a>, where physician admitting privilege laws had been blocked by lower court judges. Those laws are now permanently blocked. Officials in \u003ca href=\"http://www.ago.state.al.us/News-863\" target=\"_blank\">Alabama\u003c/a> also dropped their defense of a similar law.\u003c/p>\n\u003cp>But the decision doesn't automatically invalidate similar laws in other states because the effect of such statutes is different in every community. For example, what may amount to an \"undue burden\" in Texas because of the sheer size of the state might not be as burdensome in states with clinics closer together.\u003c/p>\n\u003cp>In states where lower court judges have already blocked laws, those blocks are almost certain to remain in place. But in other states opponents of the restrictions would have to work to overturn each law individually.\u003c/p>\n\u003cp>They say that is what they plan to do. \"We will now will take this fight state by state to challenge and repeal laws all across the country,\" Planned Parenthood President Cecile Richards told reporters in a conference call immediately after the ruling.\u003c/p>\n\u003cp>Planned Parenthood announced on Thursday that it would pursue efforts to block or repeal similar laws in eight states: Arizona, Florida, Michigan, Missouri, Pennsylvania, Tennessee, Texas, and Virginia.\u003c/p>\n\u003cp>Abortion-rights supporters are also taking aim at some long-standing abortion restrictions in federal law. The \u003ca href=\"https://demconvention.com/news/democratic-platform-drafting-meeting-concludes/\" target=\"_blank\">draft Democratic platform\u003c/a> that will be finalized at the party's nominating convention in late July includes a plan calling for the repeal of the \u003ca href=\"http://www.npr.org/templates/story/story.php?storyId=121402281\" target=\"_blank\">Hyde Amendment\u003c/a>, which has banned most federal abortion funding since 1977. That provision was \u003ca href=\"https://www.hillaryclinton.com/briefing/statements/2016/06/25/statement-from-senior-policy-advisor-maya-harris-on-democratic-platform/\" target=\"_blank\">highlighted and praised\u003c/a> by presumptive nominee Hillary Clinton's campaign, noting that it represents the first time such an explicit vow has been included.\u003c/p>\n\u003cp>\u003cstrong>3. Opponents of abortion rights aren't likely to retreat.\u003c/strong>\u003c/p>\n\u003cp>While the latest Supreme Court ruling was definitely a setback for abortion foes, they are not giving up. For one thing, \u003ca href=\"http://www.prochoiceamerica.org/assets/download-files/2016-wd-report.pdf\" target=\"_blank\">opponents remain in control of a majority\u003c/a> of state legislatures and governorships, and that's unlikely to change following this year's national elections.\u003c/p>\n\u003cp>\"Americans United for Life will continue to fight — in legislatures and in the courts — to protect women from a dangerous and greedy abortion industry,\" said AUL Acting President and Senior Counsel Clarke Forsythe. Americans United for Life has been at the forefront of \u003ca href=\"http://www.npr.org/sections/health-shots/2016/03/04/469094346/legal-foes-in-texas-abortion-case-are-using-new-playbooks\" target=\"_blank\">developing model laws\u003c/a> restricting access to abortion.\u003c/p>\n\u003cp>The movement against abortion rights has a much larger menu to choose from than the two issues the high court addressed. For example, many states (including Texas) have passed or are considering \u003ca href=\"https://www.guttmacher.org/sites/default/files/pdfs/spibs/spib_PLTA.pdf\" target=\"_blank\">bans on abortion after roughly 20 weeks of pregnancy\u003c/a>. Many of those bans are being \u003ca href=\"http://www.latimes.com/nation/nationnow/la-na-nn-abortion-idaho-20150530-story.html\" target=\"_blank\">challenged in the courts\u003c/a> but none has yet reached the Supreme Court. Other restrictions include requiring pregnant women to have ultrasounds before an abortion, to make multiple visits to an abortion provider and banning the use of \u003ca href=\"http://www.theatlantic.com/business/archive/2014/10/the-safer-more-affordable-abortion-only-available-in-two-states/381321/\" target=\"_blank\">telemedicine\u003c/a> for medical (as opposed to surgical) abortions using the abortion pill \u003ca href=\"https://www.nlm.nih.gov/medlineplus/druginfo/meds/a600042.html\">mifepristone\u003c/a>.\u003c/p>\n\u003cp>Abortion opponents say they aren't giving up on pursuing health and safety standards like the ones struck down in Texas, either. \"This issue of safety standards is not over,\" said Marilyn Musgrave, vice president of government affairs at Susan B. Anthony List.\u003c/p>\n\u003cp>Even some similar laws could pass muster if they are crafted carefully enough, said Kristi Hamrick, a spokeswoman for Americans United for Life. \"We don't have a one-size-fits-all bill to send to the 50 states,\" she said. \"The law is specific and so the tools must be too.\"\u003c/p>\n\u003cp>\u003cstrong>4. The decision could shake up national politics.\u003c/strong>\u003c/p>\n\u003cp>Both sides in the long-polarized abortion debate are already pointing to the case in an effort to mobilize their supporters.\u003c/p>\n\u003cp>\"This certainly makes the November presidential election even more critical,\" said Musgrave of the Susan B. Anthony List. \"It is so obvious that we need to elect a pro-life president.\"\u003c/p>\n\u003cp>On the opposite side, Ilyse Hogue, president of NARAL Pro-Choice America, says the decision \"underscores what the election means for Supreme Court jurisprudence.\" With one vacancy already on the court and others likely in the next four years, she said, \"reproductive freedom is very much on the ballot this November.\"\u003c/p>\n\u003cp>Hillary Clinton's campaign hailed the decision. \"We need a president who will defend women's health and rights and appoint Supreme Court justices who recognize Roe v. Wade as settled law,\" said a statement from the candidate.\u003c/p>\n\u003cp>And while presumptive GOP nominee Donald Trump's campaign was silent on the issue in the immediate aftermath of the decision, Musgrave said abortion opponents are confident he is on their side. \"Say what you will about Donald Trump, his commitment to nominate pro-life justices — I've never seen another candidate do that,\" she said.\u003c/p>\n\u003cp>\u003cstrong>5. Younger generation will have a lot to say about the future of abortion rights.\u003c/strong>\u003c/p>\n\u003cp>Among the many things the two sides in the abortion debate disagree about is how the younger generation feels about abortion. Polls tend to differ dramatically depending on how the question is asked.\u003c/p>\n\u003cp>Musgrave says, \"Our polling shows more and more millennials are pro-life, particularly when you look at things like 20-week (abortion) bans.\"\u003c/p>\n\u003cp>But Dawn Laguens, executive vice president of Planned Parenthood, says they are seeing the exact opposite — that younger women are more supportive of abortion rights. \"They're so social justice oriented,\" she said.\u003c/p>\n\u003cp>And Laguens says that coming \u003ca href=\"http://www.wsj.com/articles/changing-u-s-demographics-favor-democrats-in-election-report-says-1456376460\" target=\"_blank\">demographic changes\u003c/a>, including a more diverse electorate that could tilt Democratic, are a main reason for the recent spike in anti-abortion legislating.\u003c/p>\n\u003cp>\"They feel it slipping away,\" she said. \"They can see the demographics, too, and they want to lock this stuff in.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Kaiser Health News is an editorially independent news service that is part of the nonpartisan Henry J. Kaiser Family Foundation. You can follow Julie Rovner\u003c/em>\u003cem> on Twitter:\u003c/em>\u003ca href=\"https://twitter.com/jrovner\">@jrovner\u003c/a>.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 Kaiser Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a>.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=5+Things+To+Consider+About+The+Supreme+Court%27s+Decision+On+Texas+Abortion+Law+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>It was a circuitous route, but a ballot measure was submitted to the San Francisco Department of Elections Tuesday afternoon, and voters in November will decide whether to levy a penny-per-ounce tax on sugar-sweetened beverages.\u003c/p>\n\u003cp>The soda tax was supposed to be placed on the ballot last month, following a signature gathering campaign. Proponents were thrilled that they had collected twice the number of signatures needed.\u003c/p>\n\u003cp>Just one problem: \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/05/12/san-francisco-soda-tax-in-jeopardy-signatures-submitted-day-late/\" target=\"_blank\">they turned those signatures in a day late.\u003c/a>\u003c/p>\n\u003cp>So they pivoted. San Francisco law permits four supervisors to directly place an initiative on the ballot, and that's what happened here. Supervisors Malia Cohen, Eric Mar, Scott Wiener and Mark Farrell all signed the initiative.\u003c/p>\n\u003cp>The 14-page proposal links sugary beverages to the problems of obesity and diabetes, and says the measure \"is intended to discourage the distribution and consumption of sugar-sweetened beverages in San Francisco by taxing their distribution.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"We're very excited about taking on 'big soda' and look forward to talking with voters about this very important public health issue,\" said Yoyo Chan, legislative aide to Supervisor Malia Cohen.\u003c/p>\n\u003cp>The \u003ca href=\"http://yourcartyourchoice.com/aba/advocacy/ca/postdetail.aspx?Id=114\" target=\"_blank\">beverage industry opposes\u003c/a> such taxes, calling them regressive and unfairly singling out beverages as responsible for the problems of obesity and diabetes.\u003c/p>\n\u003cp>A soda tax in San Franciso \u003ca href=\"https://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" target=\"_blank\">failed two years ago\u003c/a>, but that measure differed from this one. In 2014, the proposal was two-cents-per-ounce with the money dedicated to specific health programs. Because the proceeds were earmarked, the measure required a two-thirds supermajority for passage. The measure fell short, with 54.5 percent of the vote.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/05/04/oakland-city-council-puts-soda-tax-on-november-ballot/\" target=\"_blank\">Oakland\u003c/a> and \u003ca href=\"http://www.eastbaytimes.com/richmond/ci_29904998/albany-voters-decide-sidewalk-repair-and-soda-tax\" target=\"_blank\">Albany\u003c/a> voters will also consider a soda tax this fall. Two years ago, Berkeley became the\u003ca href=\"https://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" target=\"_blank\"> first city in the country \u003c/a>with such a tax. All the measures are a penny per ounce, with proceeds intended for health programs. The funds generated will be general fund revenue.\u003c/p>\n\u003cp>The San Francisco measure calls for the creation of a 16-person advisory panel to advise the Board of Supervisors and the mayor to create and/or fund programs to reduce the consumption of sugar-sweetened beverages in San Francisco.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Last week, the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/06/16/philadelphia-first-major-u-s-city-to-pass-soda-tax/\" target=\"_blank\">Philadelphia City Council\u003c/a> passed a 1.5 cents per ounce soda tax. Most of the proceeds will be used to pay for pre-kindergarten in the city.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>It was a circuitous route, but a ballot measure was submitted to the San Francisco Department of Elections Tuesday afternoon, and voters in November will decide whether to levy a penny-per-ounce tax on sugar-sweetened beverages.\u003c/p>\n\u003cp>The soda tax was supposed to be placed on the ballot last month, following a signature gathering campaign. Proponents were thrilled that they had collected twice the number of signatures needed.\u003c/p>\n\u003cp>Just one problem: \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/05/12/san-francisco-soda-tax-in-jeopardy-signatures-submitted-day-late/\" target=\"_blank\">they turned those signatures in a day late.\u003c/a>\u003c/p>\n\u003cp>So they pivoted. San Francisco law permits four supervisors to directly place an initiative on the ballot, and that's what happened here. Supervisors Malia Cohen, Eric Mar, Scott Wiener and Mark Farrell all signed the initiative.\u003c/p>\n\u003cp>The 14-page proposal links sugary beverages to the problems of obesity and diabetes, and says the measure \"is intended to discourage the distribution and consumption of sugar-sweetened beverages in San Francisco by taxing their distribution.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We're very excited about taking on 'big soda' and look forward to talking with voters about this very important public health issue,\" said Yoyo Chan, legislative aide to Supervisor Malia Cohen.\u003c/p>\n\u003cp>The \u003ca href=\"http://yourcartyourchoice.com/aba/advocacy/ca/postdetail.aspx?Id=114\" target=\"_blank\">beverage industry opposes\u003c/a> such taxes, calling them regressive and unfairly singling out beverages as responsible for the problems of obesity and diabetes.\u003c/p>\n\u003cp>A soda tax in San Franciso \u003ca href=\"https://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" target=\"_blank\">failed two years ago\u003c/a>, but that measure differed from this one. In 2014, the proposal was two-cents-per-ounce with the money dedicated to specific health programs. Because the proceeds were earmarked, the measure required a two-thirds supermajority for passage. The measure fell short, with 54.5 percent of the vote.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/05/04/oakland-city-council-puts-soda-tax-on-november-ballot/\" target=\"_blank\">Oakland\u003c/a> and \u003ca href=\"http://www.eastbaytimes.com/richmond/ci_29904998/albany-voters-decide-sidewalk-repair-and-soda-tax\" target=\"_blank\">Albany\u003c/a> voters will also consider a soda tax this fall. Two years ago, Berkeley became the\u003ca href=\"https://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" target=\"_blank\"> first city in the country \u003c/a>with such a tax. All the measures are a penny per ounce, with proceeds intended for health programs. The funds generated will be general fund revenue.\u003c/p>\n\u003cp>The San Francisco measure calls for the creation of a 16-person advisory panel to advise the Board of Supervisors and the mayor to create and/or fund programs to reduce the consumption of sugar-sweetened beverages in San Francisco.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Last week, the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/06/16/philadelphia-first-major-u-s-city-to-pass-soda-tax/\" target=\"_blank\">Philadelphia City Council\u003c/a> passed a 1.5 cents per ounce soda tax. Most of the proceeds will be used to pay for pre-kindergarten in the city.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California Health Budget: Small Gains, Advocates Look to Nov. Ballot for Big-Ticket Items",
"title": "California Health Budget: Small Gains, Advocates Look to Nov. Ballot for Big-Ticket Items",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>The $122.5 billion state budget \u003ca href=\"http://ww2.kqed.org/news/2016/06/15/legislature-approves-122-billion-general-fund-budget\" target=\"_blank\">approved last week\u003c/a> by California lawmakers will fund a variety of health-related efforts, including training of primary care physicians, dental care for schoolchildren and medical interpreters for Medi-Cal, the government-funded insurance program for people with low incomes.\u003c/p>\n\u003cp>But big-ticket health items such as higher payments to Medi-Cal providers and potential Medi-Cal coverage for undocumented adults didn’t make it into the budget agreement for next fiscal year that’s now awaiting the governor’s signature.\u003c/p>\n\u003cp>“Investments are minor but could be important for individual consumers,” said Anthony Wright, executive director of the consumer advocacy coalition Health Access.\u003c/p>\n\u003cp>Wright said the most notable health funding item in the budget was \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/06/16/california-budget-includes-limit-on-medi-cal-estate-recovery/\" target=\"_blank\">the rollback of a policy \u003c/a>to recover assets of deceased Californians who received basic health care services through Medi-Cal — a reversal consumer advocates had been pursuing for years.\u003c/p>\n\u003cp>“It was inequitable, and it was counterproductive,” said Wright, adding that the policy discouraged low-income people from signing up for Medi-Cal for fear their loved ones might lose family homes. Under the terms of the new budget, California may only recover assets to reimburse itself for Medi-Cal spending on long-term nursing home care. This reimbursement for nursing home care is required by federal law.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The budget includes:\u003c/p>\n\u003cp>• About $100 million over three years for primary care physician residencies in medically underserved areas.\u003c/p>\n\u003cp>• $5 million for efforts by the Department of Public Health to prevent sexually transmitted disease prevention efforts.\u003c/p>\n\u003cp>• $4.4 million to restore Medi-Cal acupuncture benefits that were cut during the recession.\u003c/p>\n\u003cp>• $3.2 million to restore school-based dental programs for low-income children that were cut during the recession.\u003c/p>\n\u003cp>• $3 million to pay interpreters for non-English-speaking Medi-Cal recipients.\u003c/p>\n\u003cp>Having failed to get some of their most desired policies through the Legislature, advocates are now turning to voter initiatives, a common political procedure in California.\u003c/p>\n\u003cp>\u003cstrong>Ballot Initiative to Raise Tobacco Tax\u003c/strong>\u003c/p>\n\u003cp>The California Medical Association, the state’s primary physician lobbying group, sponsored a ballot proposal that would \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/05/16/move-to-triple-californias-tobacco-tax-appears-headed-to-ballot/?utm_source=dlvr.it&utm_medium=twitter&utm_campaign=kqednews\" target=\"_blank\">increase cigarette taxes by $2 per pack\u003c/a>. The CMA collaborated on the measure with other groups, including health worker unions.\u003c/p>\n\u003cp>Signatures for the initiative are still being verified. If the proposal qualifies for the ballot and is passed by voters, it could initially raise up to $1.6 billion in fiscal year 2017-2018, mostly for payments to health care providers, according to California’s secretary of state.\u003c/p>\n\u003cp>Raising doctor rates for Medi-Cal, the state’s Medicaid program that now covers more than a third of Californians, has been a priority for supporters since state lawmakers cut rates by 10 percent in 2011. Undoing those cuts would cost at least $250 million a year, supporters estimate.\u003c/p>\n\u003cp>The CMA last year led a coalition called “We Care for California” to raise payments for doctors and other providers. CMA says Medi-Cal payments are among the lowest of any state Medicaid program in the nation — as low as $16 for an office visit. But the coalition hasn’t been meeting regularly, according to the California Hospital Association.\u003c/p>\n\u003cp>“While increasing Medi-Cal reimbursements rates remains a top priority for CMA, the administration has thus far not been supportive of broad-based provider rate increases, preferring targeted investments to improve access to care,” CMA officials said in a written statement.\u003c/p>\n\u003cp>“Because of this, CMA decided to focus on other means of improving access through this budget, such as directing funds to train more primary care physicians. Each additional primary care physician can see approximately 600 patients per year during training alone, thereby making a dramatic improvement in areas of the state that lack access to these providers.”\u003c/p>\n\u003cp>\u003cstrong>Ballot Initiative to Extend Tax on Higher-Income People\u003c/strong>\u003c/p>\n\u003cp>Another\u003ca href=\"http://www.scpr.org/news/2016/05/12/60570/prop-30-income-tax-increase-extension-likely-heade/\" target=\"_blank\"> ballot initiative would extend Proposition 30\u003c/a>, a tax on higher-income Californians that funds education and could funnel up to $2 billion in some years to the agency that manages Medi-Cal, according to the secretary of state.\u003c/p>\n\u003cp>Health consumer advocates say passage of the tobacco tax and Prop. 30 measures could provide the money needed to increase Medi-Cal reimbursement rates and restore other recession-era cuts.\u003c/p>\n\u003cp>Immigrant rights groups say the measures could also provide some of the funding needed to extend Medi-Cal coverage to undocumented adults, should the Legislature pass that proposal. A bill to compel the state to expand Medi-Cal to unauthorized adults was introduced this year but is not expected to be taken up again until 2017.\u003c/p>\n\u003cp>Health care advocates who are neutral on the issue of raising Medi-Cal provider rates say there are practical reasons why proponents are using the initiative process instead of the budget process.\u003c/p>\n\u003cp>“The governor ... made it very clear that ongoing spending was something that he had concerns with,” said Linda Nguy, policy advocate at the Western Center on Law and Poverty.\u003c/p>\n\u003cp>Nguy says advocates may be holding off on a renewed push for higher Medi-Cal provider rates until after the state convenes a working group this fall to evaluate how easily Medi-Cal patients can obtain the care they need in a timely way.\u003c/p>\n\u003cp>If the work group can link low Medi-Cal payments to patient access problems, the evidence could provide a stronger case for increasing provider rates, said Senate Health Committee Chairman Ed Hernandez, D-San Gabriel Valley.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Access is really tied into rates. So if we can address that, [we can] have a more serious conversation next year,” Hernandez said.\u003c/p>\n\n",
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"headline": "California Health Budget: Small Gains, Advocates Look to Nov. Ballot for Big-Ticket Items",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The $122.5 billion state budget \u003ca href=\"http://ww2.kqed.org/news/2016/06/15/legislature-approves-122-billion-general-fund-budget\" target=\"_blank\">approved last week\u003c/a> by California lawmakers will fund a variety of health-related efforts, including training of primary care physicians, dental care for schoolchildren and medical interpreters for Medi-Cal, the government-funded insurance program for people with low incomes.\u003c/p>\n\u003cp>But big-ticket health items such as higher payments to Medi-Cal providers and potential Medi-Cal coverage for undocumented adults didn’t make it into the budget agreement for next fiscal year that’s now awaiting the governor’s signature.\u003c/p>\n\u003cp>“Investments are minor but could be important for individual consumers,” said Anthony Wright, executive director of the consumer advocacy coalition Health Access.\u003c/p>\n\u003cp>Wright said the most notable health funding item in the budget was \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/06/16/california-budget-includes-limit-on-medi-cal-estate-recovery/\" target=\"_blank\">the rollback of a policy \u003c/a>to recover assets of deceased Californians who received basic health care services through Medi-Cal — a reversal consumer advocates had been pursuing for years.\u003c/p>\n\u003cp>“It was inequitable, and it was counterproductive,” said Wright, adding that the policy discouraged low-income people from signing up for Medi-Cal for fear their loved ones might lose family homes. Under the terms of the new budget, California may only recover assets to reimburse itself for Medi-Cal spending on long-term nursing home care. This reimbursement for nursing home care is required by federal law.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The budget includes:\u003c/p>\n\u003cp>• About $100 million over three years for primary care physician residencies in medically underserved areas.\u003c/p>\n\u003cp>• $5 million for efforts by the Department of Public Health to prevent sexually transmitted disease prevention efforts.\u003c/p>\n\u003cp>• $4.4 million to restore Medi-Cal acupuncture benefits that were cut during the recession.\u003c/p>\n\u003cp>• $3.2 million to restore school-based dental programs for low-income children that were cut during the recession.\u003c/p>\n\u003cp>• $3 million to pay interpreters for non-English-speaking Medi-Cal recipients.\u003c/p>\n\u003cp>Having failed to get some of their most desired policies through the Legislature, advocates are now turning to voter initiatives, a common political procedure in California.\u003c/p>\n\u003cp>\u003cstrong>Ballot Initiative to Raise Tobacco Tax\u003c/strong>\u003c/p>\n\u003cp>The California Medical Association, the state’s primary physician lobbying group, sponsored a ballot proposal that would \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/05/16/move-to-triple-californias-tobacco-tax-appears-headed-to-ballot/?utm_source=dlvr.it&utm_medium=twitter&utm_campaign=kqednews\" target=\"_blank\">increase cigarette taxes by $2 per pack\u003c/a>. The CMA collaborated on the measure with other groups, including health worker unions.\u003c/p>\n\u003cp>Signatures for the initiative are still being verified. If the proposal qualifies for the ballot and is passed by voters, it could initially raise up to $1.6 billion in fiscal year 2017-2018, mostly for payments to health care providers, according to California’s secretary of state.\u003c/p>\n\u003cp>Raising doctor rates for Medi-Cal, the state’s Medicaid program that now covers more than a third of Californians, has been a priority for supporters since state lawmakers cut rates by 10 percent in 2011. Undoing those cuts would cost at least $250 million a year, supporters estimate.\u003c/p>\n\u003cp>The CMA last year led a coalition called “We Care for California” to raise payments for doctors and other providers. CMA says Medi-Cal payments are among the lowest of any state Medicaid program in the nation — as low as $16 for an office visit. But the coalition hasn’t been meeting regularly, according to the California Hospital Association.\u003c/p>\n\u003cp>“While increasing Medi-Cal reimbursements rates remains a top priority for CMA, the administration has thus far not been supportive of broad-based provider rate increases, preferring targeted investments to improve access to care,” CMA officials said in a written statement.\u003c/p>\n\u003cp>“Because of this, CMA decided to focus on other means of improving access through this budget, such as directing funds to train more primary care physicians. Each additional primary care physician can see approximately 600 patients per year during training alone, thereby making a dramatic improvement in areas of the state that lack access to these providers.”\u003c/p>\n\u003cp>\u003cstrong>Ballot Initiative to Extend Tax on Higher-Income People\u003c/strong>\u003c/p>\n\u003cp>Another\u003ca href=\"http://www.scpr.org/news/2016/05/12/60570/prop-30-income-tax-increase-extension-likely-heade/\" target=\"_blank\"> ballot initiative would extend Proposition 30\u003c/a>, a tax on higher-income Californians that funds education and could funnel up to $2 billion in some years to the agency that manages Medi-Cal, according to the secretary of state.\u003c/p>\n\u003cp>Health consumer advocates say passage of the tobacco tax and Prop. 30 measures could provide the money needed to increase Medi-Cal reimbursement rates and restore other recession-era cuts.\u003c/p>\n\u003cp>Immigrant rights groups say the measures could also provide some of the funding needed to extend Medi-Cal coverage to undocumented adults, should the Legislature pass that proposal. A bill to compel the state to expand Medi-Cal to unauthorized adults was introduced this year but is not expected to be taken up again until 2017.\u003c/p>\n\u003cp>Health care advocates who are neutral on the issue of raising Medi-Cal provider rates say there are practical reasons why proponents are using the initiative process instead of the budget process.\u003c/p>\n\u003cp>“The governor ... made it very clear that ongoing spending was something that he had concerns with,” said Linda Nguy, policy advocate at the Western Center on Law and Poverty.\u003c/p>\n\u003cp>Nguy says advocates may be holding off on a renewed push for higher Medi-Cal provider rates until after the state convenes a working group this fall to evaluate how easily Medi-Cal patients can obtain the care they need in a timely way.\u003c/p>\n\u003cp>If the work group can link low Medi-Cal payments to patient access problems, the evidence could provide a stronger case for increasing provider rates, said Senate Health Committee Chairman Ed Hernandez, D-San Gabriel Valley.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Access is really tied into rates. So if we can address that, [we can] have a more serious conversation next year,” Hernandez said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cstrong>Update, March 26, 2025: \u003c/strong>Timon Curtis has grown and developed a new perspective in the nine years since he relied on homeless services for youth as an 18-year-old in Sacramento.\u003c/p>\n\u003cp>He recently contacted KQED asking to remove this article featuring him. Instead, Curtis agreed to an interview for an update on what’s changed for him since 2016.\u003c/p>\n\u003cp>“To all the people out there, no matter what you want to do in life, no matter how you do it, continue to keep pushing,” he said in a phone interview on March 24. “Continue to chase that dream, don’t ever stop chasing it, and always be humble no matter what.”\u003c/p>\n\u003cp>Curtis is now pursuing a career in music under the rap name Tpuma, and he founded Sayless Records, an LLC, two years ago. He credits a move out of Sacramento to Los Angeles as one of the first steps he took to change his life. It wasn’t easy.\u003c/p>\n\u003cp>“I wanted to give up so many times,” Curtis said. “My real supporters say, don’t give up. Your music is very passionate. Don’t ever give up no matter what.”\u003c/p>\n\u003cp>He talked about his mother’s death in 2004 and the difficulties of being homeless at a young age.\u003c/p>\n\u003cp>“Not a lot of people get to see this type of life,” he said. “At the end of the day, I can’t say it’s a gift, but I’m alive. I’m alive at the age of 27, and I’m blessed to see another day.”\u003c/p>\n\u003cp>Curtis said he is studying music at Los Angeles City College, and he’s looking to transfer to a business of music program.\u003c/p>\n\u003cp>\u003cem>– Alex Emslie, KQED\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Update, June 30, 12:17 p.m: \u003c/strong>The state legislature gave final approval today to allocate an additional $10 million specifically for homeless youth emergency services over the next five years. Assembly Republicans negotiated the budget increase for shelters, food and counseling for homeless youth — the first one in over 15 years — as part of the No Place Like Home bond, which provides $2 billion for supportive housing for homeless individuals with mental illness. Governor Brown is expected to sign the measure.\u003c/p>\n\u003cp>\u003cstrong>Original Story:\u003c/strong>\u003c/p>\n\u003cp>The Wind Youth Services drop-in center for homeless youth in Sacramento is busiest during lunch time. The air conditioned house in the city’s Oak Park neighborhood has a couple of showers, free meals and a small staff of case managers and counselors. During the day, teens and young adults let themselves in to get cleaned up, rest on the living room couches, and see about potential housing.\u003c/p>\n\u003cp>Timon Curtis has been a frequent visitor since he ran away from home. He’d had enough of his family, he says.\u003c/p>\n\u003cp>[soundcloud url=”https://api.soundcloud.com/tracks/269600852″ 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>“I’ve been abused, neglected, treated like mess,” says Timon, 18. “Been called names such as stupid, dumb retarded. Telling me I’d never make it, and that nobody will take me for who I am.”\u003c/p>\n\u003cp>Timon slept in a random laundry room for months, and dropped out of high school. Then someone told him about the center. From there, he began staying at an overnight shelter he trusts, the only one dedicated for homeless youth in the county.\u003c/p>\n\u003cfigure id=\"attachment_199600\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-199600\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/RS19872_IMG_0035-qut.jpg\" alt=\"Timon Curtis, 18, at a drop in center for homeless youth in Sacramento. He is staying overnight at a local shelter for youth under age 24, the only one of its kind in the county.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19872_IMG_0035-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-400x267.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-768x512.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-1440x960.jpg 1440w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-1180x787.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-960x640.jpg 960w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Timon Curtis, 18, at a drop in center for homeless youth in Sacramento. He is staying overnight at a local shelter for youth under age 24, the only one of its kind in the county. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Timon can stay in the shelter for three months. But case managers back at the drop-in center are helping find him permanent housing.\u003c/p>\n\u003cp>“If this wasn’t here, I’d probably be going to people on the streets asking for money, panhandling, trying to get some food,” he says.\u003c/p>\n\u003cp>Instead, Timon is trying to get a job and go back to high school. He dreams of becoming a radio show host one day, and works diligently writing hip-hop lyrics and recording music.\u003c/p>\n\u003cp>In a way, Timon was lucky to land a bed at all. The county-funded shelter has just a total of 6 beds for 18- to 24-year-olds.\u003c/p>\n\u003cp>\u003cstrong>‘Intense Need’ for Homeless Youth Shelters\u003c/strong>\u003c/p>\n\u003cp>While this year’s state budget deal includes \u003ca href=\"http://www.accoc.org/california-legislature-approves-2016-2017-state-budget/\" target=\"_blank\" rel=\"noopener\">money set aside for housing\u003c/a> and bolsters social safety net programs, advocates question how much of those dollars will actually benefit young people living on the streets. Teens and young adults face barriers to accessing services for the wider homeless population, they say.\u003c/p>\n\u003cp>Most California counties — 38 out of 58 — lack services for homeless youth, according to a 2011 \u003ca href=\"http://cahomelessyouth.library.ca.gov/docs/pdf/SUMMARY-Inventory.pdf\" target=\"_blank\" rel=\"noopener\">survey \u003c/a>by the California Homeless Youth Project. The programs and shelters in the remaining 20 counties are strapped, says Shahera Hyatt, director of the California Homeless Youth Project.\u003c/p>\n\u003cp>At Timon’s shelter in Sacramento, demand outstrips supply, and there’s a months-long waiting list, says Anne Salvatori, from Wind Youth Services, which runs the shelter.\u003c/p>\n\u003cp>“On a bad day, … I would say (we get) between five and 10 calls for youth seeking shelter. Some with babies and kids, some without,” says Salvatori, 38. “[We] have to tell them, ‘Oh gosh, there’s a wait list.’ ”\u003c/p>\n\u003cfigure id=\"attachment_199601\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-199601\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/RS19873_IMG_0039-qut.jpg\" alt=\"Daniel Quirk, 24, visits the drop-in center run by Wind Youth Services in Sacramento. Quirk says he was beaten up several times while living on the streets.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19873_IMG_0039-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-400x267.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-768x512.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-1440x960.jpg 1440w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-1180x787.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-960x640.jpg 960w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Daniel Quirk, 24, visits the drop-in center run by Wind Youth Services in Sacramento. Quirk says he was beaten up several times while living on the streets. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California has the largest share of unaccompanied homeless youth in the country — more than 10,000 people under age 25 not accompanied by a parent, 28 percent of the national total, according \u003ca href=\"https://www.hudexchange.info/resources/documents/2015-AHAR-Part-1.pdf\" target=\"_blank\" rel=\"noopener\">to a federal study. \u003c/a>\u003c/p>\n\u003cp>Homeless teens are often fleeing abuse at home. But living on the streets is not safer, says Salvatori. “From rape to being jumped. A lot of times people get their stuff stolen in the middle of the night,” she says. “We had a youth that was sleeping on the streets, and somebody dropped a cinder block on his head while he was sleeping in the middle of the night.”\u003c/p>\n\u003cp>[soundcloud url=”https://api.soundcloud.com/tracks/269600852″ 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>\u003cstrong>Advocates Worry Not Enough Funds Devoted To Homeless Youth \u003c/strong>\u003c/p>\n\u003cp>Top state legislators say they are helping these efforts by making key investments to fight homelessness in the new budget agreement, which Gov. Jerry Brown has yet to sign. Those include $45 million for sheltering the general population on the streets, and $22 million to prevent homelessness in poor families.\u003c/p>\n\u003cp>But advocates say that youth are being shortchanged since they benefit the most from programs that target their specific age group, instead of the general homeless population.\u003c/p>\n\u003cp>“Our concern is how much of that will specifically go towards serving homeless youth,” says Paul Curtis, with the non-profit California Coalition for Youth. “It all depends how it’s going to be implemented.”\u003c/p>\n\u003cp>Homeless youth on their own often fail to qualify for child welfare, and they won’t go to programs for the older chronically homeless because they don’t feel safe, he says.\u003c/p>\n\u003cp>“They look at the adult homeless population, and they don’t identify with them. And we often don’t want them to go into those adult programs. \u003cspan style=\"font-weight: 400;\">It can be older chronic homeless adults and there’s potential for exploitation and abuse\u003c/span>,” says Curtis.\u003c/p>\n\u003cp>Curtis’ coalition advocated for lawmakers to set aside more funds for the \u003ca href=\"http://www.caloes.ca.gov/GrantsManagementSite/Documents/HX%2013%20done.pdf\" target=\"_blank\" rel=\"noopener\">Homeless Youth and Exploitation Program\u003c/a>, the only dedicated state funding for shelters, food, counseling and other short term services aimed at youth exiting street life who might also be victims of sexual exploitation. The program has received about $1 million annually in state funding for over 15 years.\u003c/p>\n\u003cp>An Assembly budget proposal to add over $12 million to the funding fell through last week during negotiations with the governor’s office and senate, says Assemblymember Phil Ting, D-San Francisco.\u003c/p>\n\u003cp>“We fought for it, but we just weren’t able to get it across the finish line,” says Ting. “We did a lot for homelessness. I personally would like to do even more, but we have financial constraints.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update, March 26, 2025: \u003c/strong>Timon Curtis has grown and developed a new perspective in the nine years since he relied on homeless services for youth as an 18-year-old in Sacramento.\u003c/p>\n\u003cp>He recently contacted KQED asking to remove this article featuring him. Instead, Curtis agreed to an interview for an update on what’s changed for him since 2016.\u003c/p>\n\u003cp>“To all the people out there, no matter what you want to do in life, no matter how you do it, continue to keep pushing,” he said in a phone interview on March 24. “Continue to chase that dream, don’t ever stop chasing it, and always be humble no matter what.”\u003c/p>\n\u003cp>Curtis is now pursuing a career in music under the rap name Tpuma, and he founded Sayless Records, an LLC, two years ago. He credits a move out of Sacramento to Los Angeles as one of the first steps he took to change his life. It wasn’t easy.\u003c/p>\n\u003cp>“I wanted to give up so many times,” Curtis said. “My real supporters say, don’t give up. Your music is very passionate. Don’t ever give up no matter what.”\u003c/p>\n\u003cp>He talked about his mother’s death in 2004 and the difficulties of being homeless at a young age.\u003c/p>\n\u003cp>“Not a lot of people get to see this type of life,” he said. “At the end of the day, I can’t say it’s a gift, but I’m alive. I’m alive at the age of 27, and I’m blessed to see another day.”\u003c/p>\n\u003cp>Curtis said he is studying music at Los Angeles City College, and he’s looking to transfer to a business of music program.\u003c/p>\n\u003cp>\u003cem>– Alex Emslie, KQED\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Update, June 30, 12:17 p.m: \u003c/strong>The state legislature gave final approval today to allocate an additional $10 million specifically for homeless youth emergency services over the next five years. Assembly Republicans negotiated the budget increase for shelters, food and counseling for homeless youth — the first one in over 15 years — as part of the No Place Like Home bond, which provides $2 billion for supportive housing for homeless individuals with mental illness. Governor Brown is expected to sign the measure.\u003c/p>\n\u003cp>\u003cstrong>Original Story:\u003c/strong>\u003c/p>\n\u003cp>The Wind Youth Services drop-in center for homeless youth in Sacramento is busiest during lunch time. The air conditioned house in the city’s Oak Park neighborhood has a couple of showers, free meals and a small staff of case managers and counselors. During the day, teens and young adults let themselves in to get cleaned up, rest on the living room couches, and see about potential housing.\u003c/p>\n\u003cp>Timon Curtis has been a frequent visitor since he ran away from home. He’d had enough of his family, he says.\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/269600852″&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/269600852″'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“I’ve been abused, neglected, treated like mess,” says Timon, 18. “Been called names such as stupid, dumb retarded. Telling me I’d never make it, and that nobody will take me for who I am.”\u003c/p>\n\u003cp>Timon slept in a random laundry room for months, and dropped out of high school. Then someone told him about the center. From there, he began staying at an overnight shelter he trusts, the only one dedicated for homeless youth in the county.\u003c/p>\n\u003cfigure id=\"attachment_199600\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-199600\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/RS19872_IMG_0035-qut.jpg\" alt=\"Timon Curtis, 18, at a drop in center for homeless youth in Sacramento. He is staying overnight at a local shelter for youth under age 24, the only one of its kind in the county.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19872_IMG_0035-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-400x267.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-768x512.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-1440x960.jpg 1440w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-1180x787.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-960x640.jpg 960w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Timon Curtis, 18, at a drop in center for homeless youth in Sacramento. He is staying overnight at a local shelter for youth under age 24, the only one of its kind in the county. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Timon can stay in the shelter for three months. But case managers back at the drop-in center are helping find him permanent housing.\u003c/p>\n\u003cp>“If this wasn’t here, I’d probably be going to people on the streets asking for money, panhandling, trying to get some food,” he says.\u003c/p>\n\u003cp>Instead, Timon is trying to get a job and go back to high school. He dreams of becoming a radio show host one day, and works diligently writing hip-hop lyrics and recording music.\u003c/p>\n\u003cp>In a way, Timon was lucky to land a bed at all. The county-funded shelter has just a total of 6 beds for 18- to 24-year-olds.\u003c/p>\n\u003cp>\u003cstrong>‘Intense Need’ for Homeless Youth Shelters\u003c/strong>\u003c/p>\n\u003cp>While this year’s state budget deal includes \u003ca href=\"http://www.accoc.org/california-legislature-approves-2016-2017-state-budget/\" target=\"_blank\" rel=\"noopener\">money set aside for housing\u003c/a> and bolsters social safety net programs, advocates question how much of those dollars will actually benefit young people living on the streets. Teens and young adults face barriers to accessing services for the wider homeless population, they say.\u003c/p>\n\u003cp>Most California counties — 38 out of 58 — lack services for homeless youth, according to a 2011 \u003ca href=\"http://cahomelessyouth.library.ca.gov/docs/pdf/SUMMARY-Inventory.pdf\" target=\"_blank\" rel=\"noopener\">survey \u003c/a>by the California Homeless Youth Project. The programs and shelters in the remaining 20 counties are strapped, says Shahera Hyatt, director of the California Homeless Youth Project.\u003c/p>\n\u003cp>At Timon’s shelter in Sacramento, demand outstrips supply, and there’s a months-long waiting list, says Anne Salvatori, from Wind Youth Services, which runs the shelter.\u003c/p>\n\u003cp>“On a bad day, … I would say (we get) between five and 10 calls for youth seeking shelter. Some with babies and kids, some without,” says Salvatori, 38. “[We] have to tell them, ‘Oh gosh, there’s a wait list.’ ”\u003c/p>\n\u003cfigure id=\"attachment_199601\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-199601\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/RS19873_IMG_0039-qut.jpg\" alt=\"Daniel Quirk, 24, visits the drop-in center run by Wind Youth Services in Sacramento. Quirk says he was beaten up several times while living on the streets.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19873_IMG_0039-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-400x267.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-768x512.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-1440x960.jpg 1440w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-1180x787.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-960x640.jpg 960w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Daniel Quirk, 24, visits the drop-in center run by Wind Youth Services in Sacramento. Quirk says he was beaten up several times while living on the streets. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California has the largest share of unaccompanied homeless youth in the country — more than 10,000 people under age 25 not accompanied by a parent, 28 percent of the national total, according \u003ca href=\"https://www.hudexchange.info/resources/documents/2015-AHAR-Part-1.pdf\" target=\"_blank\" rel=\"noopener\">to a federal study. \u003c/a>\u003c/p>\n\u003cp>Homeless teens are often fleeing abuse at home. But living on the streets is not safer, says Salvatori. “From rape to being jumped. A lot of times people get their stuff stolen in the middle of the night,” she says. “We had a youth that was sleeping on the streets, and somebody dropped a cinder block on his head while he was sleeping in the middle of the night.”\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/269600852″&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/269600852″'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Advocates Worry Not Enough Funds Devoted To Homeless Youth \u003c/strong>\u003c/p>\n\u003cp>Top state legislators say they are helping these efforts by making key investments to fight homelessness in the new budget agreement, which Gov. Jerry Brown has yet to sign. Those include $45 million for sheltering the general population on the streets, and $22 million to prevent homelessness in poor families.\u003c/p>\n\u003cp>But advocates say that youth are being shortchanged since they benefit the most from programs that target their specific age group, instead of the general homeless population.\u003c/p>\n\u003cp>“Our concern is how much of that will specifically go towards serving homeless youth,” says Paul Curtis, with the non-profit California Coalition for Youth. “It all depends how it’s going to be implemented.”\u003c/p>\n\u003cp>Homeless youth on their own often fail to qualify for child welfare, and they won’t go to programs for the older chronically homeless because they don’t feel safe, he says.\u003c/p>\n\u003cp>“They look at the adult homeless population, and they don’t identify with them. And we often don’t want them to go into those adult programs. \u003cspan style=\"font-weight: 400;\">It can be older chronic homeless adults and there’s potential for exploitation and abuse\u003c/span>,” says Curtis.\u003c/p>\n\u003cp>Curtis’ coalition advocated for lawmakers to set aside more funds for the \u003ca href=\"http://www.caloes.ca.gov/GrantsManagementSite/Documents/HX%2013%20done.pdf\" target=\"_blank\" rel=\"noopener\">Homeless Youth and Exploitation Program\u003c/a>, the only dedicated state funding for shelters, food, counseling and other short term services aimed at youth exiting street life who might also be victims of sexual exploitation. The program has received about $1 million annually in state funding for over 15 years.\u003c/p>\n\u003cp>An Assembly budget proposal to add over $12 million to the funding fell through last week during negotiations with the governor’s office and senate, says Assemblymember Phil Ting, D-San Francisco.\u003c/p>\n\u003cp>“We fought for it, but we just weren’t able to get it across the finish line,” says Ting. “We did a lot for homelessness. I personally would like to do even more, but we have financial constraints.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Philadelphia became the first major U.S. city with a soda tax on Thursday despite a multimillion-dollar campaign by the beverage industry to block it.\u003c/p>\n\u003cp>Only Berkeley, Calif. has a similar law, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" target=\"_blank\">approved by voters\u003c/a> 3 to 1 in 2014 -- a penny-an-ounce tax on sugar sweetened drinks. Proceeds are used to fund health programs.\u003c/p>\n\u003cp>Philadelphia took a slightly different approach. Its new tax — approved by the City Council 13-4 Thursday morning — is 1.5 cents per ounce on both sugar sweetened and artificially sweetened drinks. The bulk of the money raised, estimated to be $90 million, will be used to fund universal pre-kindergarten.\u003c/p>\n\u003cp>\"Thanks to the tireless advocacy of educators, parents, rec center volunteers and so many others,” Democratic Mayor Jim Kenney said after the vote, “Philadelphia made a historic investment in our neighborhoods and in our education system today.”\u003c/p>\n\u003cp>The soda industry spent millions of dollars in advertising against the proposal, arguing the tax would be costly to consumers. The plan also attracted national attention and dollars, with former New York Mayor Michael Bloomberg and Texas billionaires John and Laura Arnold, advocates for less consumption of sugary drinks, funding ads in support.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The American Beverage Association called the soda tax \"discriminatory and highly unpopular.”\u003c/p>\n\u003cp>\"The tax passed today is a regressive tax that unfairly singles out beverages, including low- and no-calorie choices,\" it said a statement.\u003c/p>\n\u003cp>In 2014, the beverage association spent big in the San Francisco and Berkeley efforts to pass a soda tax. While San Francisco’s effort got a majority of the vote, it did not reach the two-thirds supermajority threshold it needed and failed.\u003c/p>\n\u003cp>The passage of such a tax in Philadelphia, a major city struggling with poverty, is “really significant,” said Juliet Sims with the Oakland-based advocacy group Prevention Institute. Berkeley and Philadelphia are two “very different places. I feel that we’ve demonstrated that (a soda tax) is doable.”\u003c/p>\n\u003cp>This November, voters in Berkeley’s neighbors \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/05/04/oakland-city-council-puts-soda-tax-on-november-ballot/\" target=\"_blank\">Oakland\u003c/a> and Albany will consider a soda tax very much like the one on the books in Berkeley — a penny-per-ounce, paid on sugar sweetened drinks (and not artificially flavored ones). In each city, an advisory board will recommend to the city council health programs to fund.\u003c/p>\n\u003cp>Later this month, the San Francisco Board of Supervisors is expected to place a soda tax on the November ballot, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/05/12/san-francisco-soda-tax-in-jeopardy-signatures-submitted-day-late/\" target=\"_blank\">after missing a deadline\u003c/a> to deliver signatures for a voter-led ballot initiative.\u003c/p>\n\u003cp>While the passage of a soda tax in Philadelphia is a “huge boon” for local efforts, there is “already momentum and credibility in the Bay Area” for a soda tax, Sims said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This post includes reporting from the Associated Press.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Philadelphia became the first major U.S. city with a soda tax on Thursday despite a multimillion-dollar campaign by the beverage industry to block it.\u003c/p>\n\u003cp>Only Berkeley, Calif. has a similar law, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" target=\"_blank\">approved by voters\u003c/a> 3 to 1 in 2014 -- a penny-an-ounce tax on sugar sweetened drinks. Proceeds are used to fund health programs.\u003c/p>\n\u003cp>Philadelphia took a slightly different approach. Its new tax — approved by the City Council 13-4 Thursday morning — is 1.5 cents per ounce on both sugar sweetened and artificially sweetened drinks. The bulk of the money raised, estimated to be $90 million, will be used to fund universal pre-kindergarten.\u003c/p>\n\u003cp>\"Thanks to the tireless advocacy of educators, parents, rec center volunteers and so many others,” Democratic Mayor Jim Kenney said after the vote, “Philadelphia made a historic investment in our neighborhoods and in our education system today.”\u003c/p>\n\u003cp>The soda industry spent millions of dollars in advertising against the proposal, arguing the tax would be costly to consumers. The plan also attracted national attention and dollars, with former New York Mayor Michael Bloomberg and Texas billionaires John and Laura Arnold, advocates for less consumption of sugary drinks, funding ads in support.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The American Beverage Association called the soda tax \"discriminatory and highly unpopular.”\u003c/p>\n\u003cp>\"The tax passed today is a regressive tax that unfairly singles out beverages, including low- and no-calorie choices,\" it said a statement.\u003c/p>\n\u003cp>In 2014, the beverage association spent big in the San Francisco and Berkeley efforts to pass a soda tax. While San Francisco’s effort got a majority of the vote, it did not reach the two-thirds supermajority threshold it needed and failed.\u003c/p>\n\u003cp>The passage of such a tax in Philadelphia, a major city struggling with poverty, is “really significant,” said Juliet Sims with the Oakland-based advocacy group Prevention Institute. Berkeley and Philadelphia are two “very different places. I feel that we’ve demonstrated that (a soda tax) is doable.”\u003c/p>\n\u003cp>This November, voters in Berkeley’s neighbors \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/05/04/oakland-city-council-puts-soda-tax-on-november-ballot/\" target=\"_blank\">Oakland\u003c/a> and Albany will consider a soda tax very much like the one on the books in Berkeley — a penny-per-ounce, paid on sugar sweetened drinks (and not artificially flavored ones). In each city, an advisory board will recommend to the city council health programs to fund.\u003c/p>\n\u003cp>Later this month, the San Francisco Board of Supervisors is expected to place a soda tax on the November ballot, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/05/12/san-francisco-soda-tax-in-jeopardy-signatures-submitted-day-late/\" target=\"_blank\">after missing a deadline\u003c/a> to deliver signatures for a voter-led ballot initiative.\u003c/p>\n\u003cp>While the passage of a soda tax in Philadelphia is a “huge boon” for local efforts, there is “already momentum and credibility in the Bay Area” for a soda tax, Sims said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This post includes reporting from the Associated Press.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California Budget Includes Limit on Medi-Cal Estate Recovery",
"title": "California Budget Includes Limit on Medi-Cal Estate Recovery",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>California's \u003ca href=\"http://ww2.kqed.org/news/2016/06/15/legislature-approves-122-billion-general-fund-budget\" target=\"_blank\">$122 billion general fund budget\u003c/a> includes money to dramatically limit a practice advocates had long lobbied against -- the seizure of assets, after death, of people who had received health insurance coverage through the state's Medi-Cal program.\u003c/p>\n\u003cp>The federal government requires that states recover money for nursing home care. But it also gives states the option to recover costs of general medical care -- hospitalizations and doctors visits -- for people 55 and over. California had chosen to participate in this additional \"estate recovery program,\" meaning that low income people risked having their homes and other generally modest savings seized after their death.\u003c/p>\n\u003cp>Such seizure is not required in other health programs, such as Social Security, Medicare or Covered California.\u003c/p>\n\u003cp>The new budget includes $30 million to limit Medi-Cal estate recovery only to that required by federal law.\u003c/p>\n\u003cp>Pat McGinniss, executive director of California Advocates for Nursing Home Reform, called it a \"great day\" that she has been fighting for since 1993 when then-governor Republican Pete Wilson included the \"draconian bill\" in the state's budget. Most states did not pursue this optional recovery program.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Instead of destabilizing low income communities, it allows people to not worry about losing everything if they go on Medi-Cal,\" McGinniss said.\u003c/p>\n\u003cp>For three years, Sen. Ed Hernandez, D-West Covina,\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/03/24/on-medi-cal-now-lose-your-house-later/\" target=\"_blank\"> had backed the effort\u003c/a> to limit the scope of California's estate recovery. Under the new budget, Medi-Cal estate recovery is limited to that required by federal law.\u003c/p>\n\u003cp>“Estate recovery forces people over age 55 who need Medi-Cal to choose between their own health care and passing on modest possessions to their heirs,” Hernandez said in a statement. “It is a huge victory that this year’s budget limits estate recovery so that people with modest family homes can pass it on to their children.”\u003c/p>\n\u003cp>The law goes into effect Jan. 1. People 55 and over who are on Medi-Cal for general health services and die this year may still face estate recovery.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Estate recovery is still required for people who receive nursing home care paid for by Medi-Cal.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California's \u003ca href=\"http://ww2.kqed.org/news/2016/06/15/legislature-approves-122-billion-general-fund-budget\" target=\"_blank\">$122 billion general fund budget\u003c/a> includes money to dramatically limit a practice advocates had long lobbied against -- the seizure of assets, after death, of people who had received health insurance coverage through the state's Medi-Cal program.\u003c/p>\n\u003cp>The federal government requires that states recover money for nursing home care. But it also gives states the option to recover costs of general medical care -- hospitalizations and doctors visits -- for people 55 and over. California had chosen to participate in this additional \"estate recovery program,\" meaning that low income people risked having their homes and other generally modest savings seized after their death.\u003c/p>\n\u003cp>Such seizure is not required in other health programs, such as Social Security, Medicare or Covered California.\u003c/p>\n\u003cp>The new budget includes $30 million to limit Medi-Cal estate recovery only to that required by federal law.\u003c/p>\n\u003cp>Pat McGinniss, executive director of California Advocates for Nursing Home Reform, called it a \"great day\" that she has been fighting for since 1993 when then-governor Republican Pete Wilson included the \"draconian bill\" in the state's budget. Most states did not pursue this optional recovery program.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Instead of destabilizing low income communities, it allows people to not worry about losing everything if they go on Medi-Cal,\" McGinniss said.\u003c/p>\n\u003cp>For three years, Sen. Ed Hernandez, D-West Covina,\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/03/24/on-medi-cal-now-lose-your-house-later/\" target=\"_blank\"> had backed the effort\u003c/a> to limit the scope of California's estate recovery. Under the new budget, Medi-Cal estate recovery is limited to that required by federal law.\u003c/p>\n\u003cp>“Estate recovery forces people over age 55 who need Medi-Cal to choose between their own health care and passing on modest possessions to their heirs,” Hernandez said in a statement. “It is a huge victory that this year’s budget limits estate recovery so that people with modest family homes can pass it on to their children.”\u003c/p>\n\u003cp>The law goes into effect Jan. 1. People 55 and over who are on Medi-Cal for general health services and die this year may still face estate recovery.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Estate recovery is still required for people who receive nursing home care paid for by Medi-Cal.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Eurika Strotto has always led an active life.\u003c/p>\n\u003cp>Growing up in South Africa, Eurika played field hockey for her high school and college teams. She also became a judo champion.\u003c/p>\n\u003cp>So her wife, Nita, wasn’t surprised that when it came time to remodel their University Heights home, Eurika did most of the work herself — starting with the kitchen.\u003c/p>\n\u003cp>“She decided she wanted to knock out the load-bearing wall, but we had to leave the post,\" Nita Strotto said. \"So she figured out, well, why don’t we just put the post in the middle of the bar counter, and it ended up looking really good.”\u003c/p>\n\u003cp>Then Eurika tackled a bathroom.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“And she actually, herself, tore out all the old bathroom, and then rebuilt the walls up to the sheetrock,\" Nita said.\u003c/p>\n\u003cp>It was during this project in 2013 that Eurika suddenly had problems with one of her feet.\u003c/p>\n\u003cp>\"We really thought that it was just a sprain, or some sort of weakness thing,\" Nita said. \"We finished the bathroom, and got married. And then a week later she was diagnosed with \u003ca href=\"http://www.ninds.nih.gov/disorders/amyotrophiclateralsclerosis/detail_ALS.htm\" target=\"_blank\">ALS (amyotrophic lateral sclerosis)\u003c/a>.”\u003c/p>\n\u003cfigure id=\"attachment_196485\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"size-thumbnail wp-image-196485\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.38.24-AM-400x201.png\" alt=\"Juanita and Eurika Strotto hold hands. \" width=\"400\" height=\"201\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.38.24-AM-400x201.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.38.24-AM-800x402.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.38.24-AM-768x386.png 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.38.24-AM-1180x593.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.38.24-AM-960x482.png 960w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.38.24-AM.png 1270w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003cfigcaption class=\"wp-caption-text\">Juanita and Eurika Strotto hold hands. \u003ccite>(Katie Schoolov/KPBS)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>When we first \u003ca href=\"http://www.kpbs.org/news/2015/dec/09/aid-dying-law-comes-california-2016/\" target=\"_blank\">profiled\u003c/a> Eurika last fall, she was living in a wheelchair. But she had no trouble breathing.\u003c/p>\n\u003cp>These days, because her diaphragm muscles are so weak, Eurika needs a machine to help her breathe most of the time. The way she figures, it won’t be long before she’ll lose the ability to swallow.\u003c/p>\n\u003cp>At an appointment with Eurika's physician, Dr. Sunita Shailam, the Strottos listen intently as Shailam fills a requirement of the new law by reading them a statement that Eurika will have to sign before she can get a prescription for a lethal dose of drugs. Sitting in Shailam's office, the couple hold hands as the family medicine doctor describes the different medications Strotto will be advised to take on that final day: an anti-nausea drug, an anti-anxiety pill, and then a handful of barbiturates crushed up and dissolved in a glass of water.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/268520673\" 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>Eurika was planning to take advantage of California’s End of Life Option Act as soon as it went into effect. But some close friends are getting married June 11.\u003c/p>\n\u003cp>“If it wasn’t ... if it wasn’t for their wedding,\" Eurika says, through tears, \"I probably would have exercised my right sooner. But I don’t want to spoil their wedding.”\u003c/p>\n\u003cp>Right after that, Eurika says she will fill the prescription and take her own life.\u003c/p>\n\u003cp>Nita said they never really talked about death before Eurika was diagnosed with ALS. Since then, the topic has been unavoidable.\u003c/p>\n\u003cp>“And it’s weird, how it hasn’t diminished the beauty of life at all,\" Nita said. \"In fact, if anything, it’s highlighted how awesome our lives have been, independently and together.”\u003c/p>\n\u003cfigure id=\"attachment_196487\" class=\"wp-caption aligncenter\" style=\"max-width: 1258px\">\u003cimg class=\"size-full wp-image-196487\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.42.15-AM.png\" alt=\"Eurika's wife, Nita Strotto. \" width=\"1258\" height=\"624\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.42.15-AM.png 1258w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.42.15-AM-400x198.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.42.15-AM-800x397.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.42.15-AM-768x381.png 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.42.15-AM-1180x585.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.42.15-AM-960x476.png 960w\" sizes=\"(max-width: 1258px) 100vw, 1258px\">\u003cfigcaption class=\"wp-caption-text\">Eurika's wife, Nita Strotto. \u003ccite>(Katie Schoolov/KPBS)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Nita said even though her father is dying in an assisted living center, she just doesn’t have the emotional bandwidth to deal with that right now.\u003c/p>\n\u003cp>“I’m full-time taking on the passing of my life partner, my wife, the love of my life, my best friend,\" Nita said. \"And it’s really becoming close to the end now, and I’m still not really thinking about her dying. I’m thinking about her being alive right now and in the living room. And that that’s where I want to be.”\u003c/p>\n\u003cp>So that’s where they’re spending a lot of their remaining time together — in the living room in the house that Eurika remodeled herself.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Yeah, I’ve done a lot in my life, and we’ve done a lot since we’ve been together,\" Eurika said. \"And I don’t regret any of it. It’s been cut a little short,\" she says, crying. \"But it’s been fantastic.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Eurika Strotto has always led an active life.\u003c/p>\n\u003cp>Growing up in South Africa, Eurika played field hockey for her high school and college teams. She also became a judo champion.\u003c/p>\n\u003cp>So her wife, Nita, wasn’t surprised that when it came time to remodel their University Heights home, Eurika did most of the work herself — starting with the kitchen.\u003c/p>\n\u003cp>“She decided she wanted to knock out the load-bearing wall, but we had to leave the post,\" Nita Strotto said. \"So she figured out, well, why don’t we just put the post in the middle of the bar counter, and it ended up looking really good.”\u003c/p>\n\u003cp>Then Eurika tackled a bathroom.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“And she actually, herself, tore out all the old bathroom, and then rebuilt the walls up to the sheetrock,\" Nita said.\u003c/p>\n\u003cp>It was during this project in 2013 that Eurika suddenly had problems with one of her feet.\u003c/p>\n\u003cp>\"We really thought that it was just a sprain, or some sort of weakness thing,\" Nita said. \"We finished the bathroom, and got married. And then a week later she was diagnosed with \u003ca href=\"http://www.ninds.nih.gov/disorders/amyotrophiclateralsclerosis/detail_ALS.htm\" target=\"_blank\">ALS (amyotrophic lateral sclerosis)\u003c/a>.”\u003c/p>\n\u003cfigure id=\"attachment_196485\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"size-thumbnail wp-image-196485\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.38.24-AM-400x201.png\" alt=\"Juanita and Eurika Strotto hold hands. \" width=\"400\" height=\"201\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.38.24-AM-400x201.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.38.24-AM-800x402.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.38.24-AM-768x386.png 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.38.24-AM-1180x593.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.38.24-AM-960x482.png 960w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.38.24-AM.png 1270w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003cfigcaption class=\"wp-caption-text\">Juanita and Eurika Strotto hold hands. \u003ccite>(Katie Schoolov/KPBS)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>When we first \u003ca href=\"http://www.kpbs.org/news/2015/dec/09/aid-dying-law-comes-california-2016/\" target=\"_blank\">profiled\u003c/a> Eurika last fall, she was living in a wheelchair. But she had no trouble breathing.\u003c/p>\n\u003cp>These days, because her diaphragm muscles are so weak, Eurika needs a machine to help her breathe most of the time. The way she figures, it won’t be long before she’ll lose the ability to swallow.\u003c/p>\n\u003cp>At an appointment with Eurika's physician, Dr. Sunita Shailam, the Strottos listen intently as Shailam fills a requirement of the new law by reading them a statement that Eurika will have to sign before she can get a prescription for a lethal dose of drugs. Sitting in Shailam's office, the couple hold hands as the family medicine doctor describes the different medications Strotto will be advised to take on that final day: an anti-nausea drug, an anti-anxiety pill, and then a handful of barbiturates crushed up and dissolved in a glass of water.\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/268520673&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/268520673'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Eurika was planning to take advantage of California’s End of Life Option Act as soon as it went into effect. But some close friends are getting married June 11.\u003c/p>\n\u003cp>“If it wasn’t ... if it wasn’t for their wedding,\" Eurika says, through tears, \"I probably would have exercised my right sooner. But I don’t want to spoil their wedding.”\u003c/p>\n\u003cp>Right after that, Eurika says she will fill the prescription and take her own life.\u003c/p>\n\u003cp>Nita said they never really talked about death before Eurika was diagnosed with ALS. Since then, the topic has been unavoidable.\u003c/p>\n\u003cp>“And it’s weird, how it hasn’t diminished the beauty of life at all,\" Nita said. \"In fact, if anything, it’s highlighted how awesome our lives have been, independently and together.”\u003c/p>\n\u003cfigure id=\"attachment_196487\" class=\"wp-caption aligncenter\" style=\"max-width: 1258px\">\u003cimg class=\"size-full wp-image-196487\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.42.15-AM.png\" alt=\"Eurika's wife, Nita Strotto. \" width=\"1258\" height=\"624\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.42.15-AM.png 1258w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.42.15-AM-400x198.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.42.15-AM-800x397.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.42.15-AM-768x381.png 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.42.15-AM-1180x585.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/Screen-Shot-2016-06-10-at-11.42.15-AM-960x476.png 960w\" sizes=\"(max-width: 1258px) 100vw, 1258px\">\u003cfigcaption class=\"wp-caption-text\">Eurika's wife, Nita Strotto. \u003ccite>(Katie Schoolov/KPBS)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Nita said even though her father is dying in an assisted living center, she just doesn’t have the emotional bandwidth to deal with that right now.\u003c/p>\n\u003cp>“I’m full-time taking on the passing of my life partner, my wife, the love of my life, my best friend,\" Nita said. \"And it’s really becoming close to the end now, and I’m still not really thinking about her dying. 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"id": "baycurious",
"title": "Bay Curious",
"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/news/series/baycurious",
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"source": "kqed",
"order": 3
},
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"npr": "https://www.npr.org/podcasts/500557090/bay-curious",
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}
},
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"info": "The day's top stories from BBC News compiled twice daily in the week, once at weekends.",
"airtime": "MON-FRI 9pm-10pm, TUE-FRI 1am-2am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "BBC World Service"
},
"link": "/radio/program/bbc-world-service",
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"tuneIn": "https://tunein.com/radio/BBC-World-Service-p455581/",
"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",
"meta": {
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"source": "kqed",
"order": 8
},
"link": "/californiareport",
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"amazon": "https://music.amazon.com/podcasts/26099305-72af-4542-9dde-ac1807fe36d5/kqed-s-the-california-report",
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}
},
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"id": "californiareportmagazine",
"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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"officialWebsiteLink": "/californiareportmagazine",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
"officialWebsiteLink": "https://www.cityarts.net/",
"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
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"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"source": "kqed",
"order": 1
},
"link": "/podcasts/closealltabs",
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"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
"site": "radio",
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},
"link": "/radio/program/code-switch-life-kit",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2",
"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"meta": {
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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",
"title": "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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},
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"id": "fresh-air",
"title": "Fresh Air",
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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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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"rss": "https://feeds.npr.org/510051/podcast.xml"
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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.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"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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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
"link": "/podcasts/hyphenacion",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"order": 18
},
"link": "/podcasts/jerrybrown",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
"site": "news",
"source": "npr"
},
"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"
}
},
"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": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"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",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
"spotify": "https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"
}
},
"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/",
"meta": {
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},
"link": "/radio/program/morning-edition"
},
"onourwatch": {
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