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"content": "\u003cp>\u003cstrong>Update: 2:30 p.m.\u003c/strong>\u003c/p>\n\u003cp>Soda tax proponents in San Francisco said at a City Hall press conference this morning that they had gathered twice the number of signatures needed to place a penny-per-ounce soda tax on the November ballot.\u003c/p>\n\u003cp>Just one problem -- the deadline to submit the signatures was yesterday at 5 p.m.\u003c/p>\n\u003cp>\"The code is clear, the petition shall be void,\" John Arntz, San Francisco's director of elections, told me.\u003c/p>\n\u003cp>But proponents are undeterred by what they are calling a \"technical error.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Yoyo Chan, spokesperson for San Francisco Supervisor Malia Cohen, said the supervisor plans to introduce a measure to the board later this month.\u003c/p>\n\u003cp>\"The plan is to do a four-signature initiative,\" Chan said. \"So it only requires four members of the Board of Supervisors.\" The board would be required to hold a public hearing, but a full vote is not needed.\u003c/p>\n\u003cp>In 2014, San Francisco's board also placed a measure on the ballot, but that was through what Chan called a \"legislative function,\" requiring multiple hearings and a majority vote.\u003c/p>\n\u003cp>\"In this case,\" Chan said, \"we submit it, and that's it.\" The deadline to submit is June 21.\u003c/p>\n\u003cp>Chan declined to say which other members of the board would introduce the bill with Cohen. But Supervisors Scott Wiener, John Avalos, Eric Mar and Mark Farrell all backed the signature effort.\u003c/p>\n\u003cp>Chan and Monica Chinchilla, spokesperson for the Campaign Against Diabetes, which spearheaded the signature drive, both declined to say how the deadline was missed.\u003c/p>\n\u003cp>Arntz said his department sent the campaign a letter last November with the city attorney's title and summary for the proposed measure. The letter clearly stated the timeframe for signature gathering and deadline as follows:\u003c/p>\n\u003cblockquote>\u003cp>You must file your petition within 180 days from the date of the City Attorney's Title and Summary, November 13, 2015. This means your petition must be turned in to our office by 5:00pm, May 11, 2016. You will need 9, 711 valid signatures to qualify for the ballot.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>SAN FRANCISCO (AP) — San Francisco's elections director said Thursday he will reject a petition to place a sugary drink tax on the November ballot, after it missed a key deadline by one day.\u003c/p>\n\u003cp>Backers of a tax on sugary sweetened beverages announced earlier in the morning that they had collected more than 18,000 signatures for the petition, well over the 9,485 required.\u003c/p>\n\u003cp>But elections director John Arntz, whose office verifies the signatures, said the campaign missed the deadline to submit those signatures.\u003c/p>\n\u003cp>Representatives for the campaign could not be reached immediately for comment.\u003c/p>\n\u003cp>Earlier in the day, they vowed to beat soda companies whose products they say contribute to obesity, diabetes and a host of other health ills.\u003c/p>\n\u003cp>Berkeley, California, became the first city in the country to approve a soda tax, in 2014. That year, a San Francisco campaign for a sugary drink tax failed at the ballot, as it did not get the two-thirds approval needed for a dedicated tax.\u003c/p>\n\u003cp>This year's petition is a general tax, which needs a simple majority.\u003c/p>\n\u003cp>Oakland officials have placed a sugary sweetened drink tax on the November ballot.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story will be updated.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update: 2:30 p.m.\u003c/strong>\u003c/p>\n\u003cp>Soda tax proponents in San Francisco said at a City Hall press conference this morning that they had gathered twice the number of signatures needed to place a penny-per-ounce soda tax on the November ballot.\u003c/p>\n\u003cp>Just one problem -- the deadline to submit the signatures was yesterday at 5 p.m.\u003c/p>\n\u003cp>\"The code is clear, the petition shall be void,\" John Arntz, San Francisco's director of elections, told me.\u003c/p>\n\u003cp>But proponents are undeterred by what they are calling a \"technical error.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Yoyo Chan, spokesperson for San Francisco Supervisor Malia Cohen, said the supervisor plans to introduce a measure to the board later this month.\u003c/p>\n\u003cp>\"The plan is to do a four-signature initiative,\" Chan said. \"So it only requires four members of the Board of Supervisors.\" The board would be required to hold a public hearing, but a full vote is not needed.\u003c/p>\n\u003cp>In 2014, San Francisco's board also placed a measure on the ballot, but that was through what Chan called a \"legislative function,\" requiring multiple hearings and a majority vote.\u003c/p>\n\u003cp>\"In this case,\" Chan said, \"we submit it, and that's it.\" The deadline to submit is June 21.\u003c/p>\n\u003cp>Chan declined to say which other members of the board would introduce the bill with Cohen. But Supervisors Scott Wiener, John Avalos, Eric Mar and Mark Farrell all backed the signature effort.\u003c/p>\n\u003cp>Chan and Monica Chinchilla, spokesperson for the Campaign Against Diabetes, which spearheaded the signature drive, both declined to say how the deadline was missed.\u003c/p>\n\u003cp>Arntz said his department sent the campaign a letter last November with the city attorney's title and summary for the proposed measure. The letter clearly stated the timeframe for signature gathering and deadline as follows:\u003c/p>\n\u003cblockquote>\u003cp>You must file your petition within 180 days from the date of the City Attorney's Title and Summary, November 13, 2015. This means your petition must be turned in to our office by 5:00pm, May 11, 2016. You will need 9, 711 valid signatures to qualify for the ballot.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>SAN FRANCISCO (AP) — San Francisco's elections director said Thursday he will reject a petition to place a sugary drink tax on the November ballot, after it missed a key deadline by one day.\u003c/p>\n\u003cp>Backers of a tax on sugary sweetened beverages announced earlier in the morning that they had collected more than 18,000 signatures for the petition, well over the 9,485 required.\u003c/p>\n\u003cp>But elections director John Arntz, whose office verifies the signatures, said the campaign missed the deadline to submit those signatures.\u003c/p>\n\u003cp>Representatives for the campaign could not be reached immediately for comment.\u003c/p>\n\u003cp>Earlier in the day, they vowed to beat soda companies whose products they say contribute to obesity, diabetes and a host of other health ills.\u003c/p>\n\u003cp>Berkeley, California, became the first city in the country to approve a soda tax, in 2014. That year, a San Francisco campaign for a sugary drink tax failed at the ballot, as it did not get the two-thirds approval needed for a dedicated tax.\u003c/p>\n\u003cp>This year's petition is a general tax, which needs a simple majority.\u003c/p>\n\u003cp>Oakland officials have placed a sugary sweetened drink tax on the November ballot.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story will be updated.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "'Highly Uncertain' If Prescription Drug Ballot Initiative Will Save California Money",
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"content": "\u003cp>It is “highly uncertain” how much money the state of California would save if a ballot measure to cap drug prices passes in November — and it might not save money at all. That’s the key finding in a preliminary report by the Legislative Analyst’s Office.\u003c/p>\n\u003caside class=\"pullquote alignright\">'I guarantee you won’t get the VA price, because the VA price will cease to exist. Drug companies are not going to take that kind of loss.'\u003ccite>Jeffrey McCombs, USC health economist\u003c/cite>\u003c/aside>\n\u003cp>The ballot initiative, known as the\u003ca href=\"https://oag.ca.gov/system/files/initiatives/pdfs/15-0009%20(Prescription%20Drug%20Costs).pdf\" target=\"_blank\"> Drug Price Relief Act\u003c/a>, would prohibit the state from paying more for a prescription drug than the lowest price paid by the U.S. Department of Veterans Affairs. The VA is thought by proponents of the measure to get the best bargains from drug companies.\u003c/p>\n\u003cp>But the financial impact on the state is unclear, the analyst’s office said, for two reasons.\u003c/p>\n\u003cp>One, the lowest prices paid by the VA are not known and there’s no guarantee they will be revealed to the public — or to state officials.\u003c/p>\n\u003cp>Two, it’s unclear how drug companies would react if the measure became law: The companies might, for example, raise prices on the VA, nullifying the intended effect.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The VA does publish drug prices, but has not confirmed those prices are the lowest it pays, the analyst’s report noted. Without that information, the Department of Health Care Services could not know whether the prices paid by state agencies equaled what the VA was paying. Under the measure, it would be the department’s job to calculate the net cost of drugs — including rebates and discounts — for state health programs.\u003c/p>\n\u003cp>The analyst’s office has tried to verify the lowest prices, but the VA wouldn’t provide the information, Ben Johnson, a fiscal and policy analyst at analyst’s office, told state lawmakers in an informational hearing on the ballot initiative Tuesday. Drug manufacturers often require confidentiality clauses in price negotiations.\u003c/p>\n\u003cp>The report echoes one of the main arguments made by opponents of the measure, who say it would be difficult or impossible to implement if the state doesn’t know the lowest prices paid by the VA.\u003c/p>\n\u003cp>In the most recent fiscal year, state health programs spent about $4.2 billion on prescription drugs. However, the figure excludes drug spending by Medi-Cal managed care plans, which account for 77 percent of total Medi-Cal enrollment.\u003c/p>\n\u003cp>[contextly_sidebar id=\"uYjl4qMwAU9X6AOqiY3sNQtOX192cv1y\"]The ballot initiative is intended to benefit nearly 5 million Californians, mostly Medi-Cal fee for service enrollees, public employees and retirees. It would not apply to the 10.3 million state residents enrolled in Medi-Cal managed care.\u003c/p>\n\u003cp>Even if the VA’s lowest prices could be identified and the measure enforced, according to the report, drug manufacturers would be free to respond in various ways.\u003c/p>\n\u003cp>They could refuse to offer VA-level prices to the state. They could offer the state the same reduced prices they charge the VA and then raise the prices on other drugs purchased by the state but not by the VA. Or, they could raise VA prices.\u003c/p>\n\u003cp>The last has been tried before, with success. Prof. Jeffrey McCombs, a health economist at the University of Southern California Schaeffer Center for Health Policy and Economics, said that in the early 1990s, Congress passed a law requiring pharmaceutical companies to give Medicaid the same discounts they gave the VA.\u003c/p>\n\u003cp>In response, drug companies raised prices, and the discounts evaporated. Congress then eliminated the link between VA and Medicaid pricing.\u003c/p>\n\u003cp>“I guarantee you won’t get the VA price because the VA price will cease to exist,” McCombs said. “Drug companies are not going to take that kind of loss.”\u003c/p>\n\u003cp>[contextly_sidebar id=\"1f5eym6MAgB6NPX4rRq4eOwJhhkhtPvN\"]The Drug Price Relief Act is sponsored by the Los Angeles-based AIDS Healthcare Foundation.\u003c/p>\n\u003cp>At Tuesday’s State House hearing, Assemblyman David Chiu, D-San Francisco, said the measure was important because the legislature has failed to address soaring drug prices and now voters will get a say.\u003c/p>\n\u003cp>“Regardless of what happens in November, it is my hope that we are able to move this conversation forward,” Chiu said after pressing opponents of the initiative for alternative solutions.\u003c/p>\n\u003cp>Garry South, lead strategist for supporters of the measure, said the AIDS Healthcare Foundation pushed it because the high cost of prescription medications often means patients who need them can’t get them.\u003c/p>\n\u003cp>“What good is it to have a life-saving drug if people can’t afford to take it?” South said.\u003c/p>\n\u003cp>The California Nurses Association also endorses the measure. Zenei Cortez, the union’s co-president, said it offers the best chance to stop the drug industry’s “excessive greed.”\u003c/p>\n\u003cp>But some veterans and patient advocacy groups say the initiative could do more harm than good.\u003c/p>\n\u003cp>“This measure is misleading and unworkable,” Hollaine Hopkins, executive director of the Lupus Foundation of Southern California, said in a prepared statement. “It will lead to increased red tape and bureaucracy, and could actually increase costs for the state’s taxpayers.”\u003c/p>\n\u003cp>Kathy Fairbanks, spokeswoman for Californians Against the Misleading Rx Measure, the lead group opposing the initiative, said it could actually increase drug prices and lead to higher insurance premiums. The group is mostly financed by pharmaceutical companies.\u003c/p>\n\u003cp>Fairbanks said the measure could invalidate existing rebate agreements between drug companies and the state, jacking up prescription costs by tens of millions of dollars.\u003c/p>\n\u003cp>In reply, South said that only the pharmaceutical companies have the power to hike drug prices. “These are not predictions; these are threats,” he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Opponents of the measure had raised \u003ca href=\"http://www.fppc.ca.gov/transparency/top-contributors/nov-16-gen-v2.html\" target=\"_blank\">more than $58 million as of May 4\u003c/a>, according to the California Fair Political Practices Commission. The AIDS Healthcare Foundation has raised a little more than $4 million in support of the initiative.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>It is “highly uncertain” how much money the state of California would save if a ballot measure to cap drug prices passes in November — and it might not save money at all. That’s the key finding in a preliminary report by the Legislative Analyst’s Office.\u003c/p>\n\u003caside class=\"pullquote alignright\">'I guarantee you won’t get the VA price, because the VA price will cease to exist. Drug companies are not going to take that kind of loss.'\u003ccite>Jeffrey McCombs, USC health economist\u003c/cite>\u003c/aside>\n\u003cp>The ballot initiative, known as the\u003ca href=\"https://oag.ca.gov/system/files/initiatives/pdfs/15-0009%20(Prescription%20Drug%20Costs).pdf\" target=\"_blank\"> Drug Price Relief Act\u003c/a>, would prohibit the state from paying more for a prescription drug than the lowest price paid by the U.S. Department of Veterans Affairs. The VA is thought by proponents of the measure to get the best bargains from drug companies.\u003c/p>\n\u003cp>But the financial impact on the state is unclear, the analyst’s office said, for two reasons.\u003c/p>\n\u003cp>One, the lowest prices paid by the VA are not known and there’s no guarantee they will be revealed to the public — or to state officials.\u003c/p>\n\u003cp>Two, it’s unclear how drug companies would react if the measure became law: The companies might, for example, raise prices on the VA, nullifying the intended effect.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The VA does publish drug prices, but has not confirmed those prices are the lowest it pays, the analyst’s report noted. Without that information, the Department of Health Care Services could not know whether the prices paid by state agencies equaled what the VA was paying. Under the measure, it would be the department’s job to calculate the net cost of drugs — including rebates and discounts — for state health programs.\u003c/p>\n\u003cp>The analyst’s office has tried to verify the lowest prices, but the VA wouldn’t provide the information, Ben Johnson, a fiscal and policy analyst at analyst’s office, told state lawmakers in an informational hearing on the ballot initiative Tuesday. Drug manufacturers often require confidentiality clauses in price negotiations.\u003c/p>\n\u003cp>The report echoes one of the main arguments made by opponents of the measure, who say it would be difficult or impossible to implement if the state doesn’t know the lowest prices paid by the VA.\u003c/p>\n\u003cp>In the most recent fiscal year, state health programs spent about $4.2 billion on prescription drugs. However, the figure excludes drug spending by Medi-Cal managed care plans, which account for 77 percent of total Medi-Cal enrollment.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>The ballot initiative is intended to benefit nearly 5 million Californians, mostly Medi-Cal fee for service enrollees, public employees and retirees. It would not apply to the 10.3 million state residents enrolled in Medi-Cal managed care.\u003c/p>\n\u003cp>Even if the VA’s lowest prices could be identified and the measure enforced, according to the report, drug manufacturers would be free to respond in various ways.\u003c/p>\n\u003cp>They could refuse to offer VA-level prices to the state. They could offer the state the same reduced prices they charge the VA and then raise the prices on other drugs purchased by the state but not by the VA. Or, they could raise VA prices.\u003c/p>\n\u003cp>The last has been tried before, with success. Prof. Jeffrey McCombs, a health economist at the University of Southern California Schaeffer Center for Health Policy and Economics, said that in the early 1990s, Congress passed a law requiring pharmaceutical companies to give Medicaid the same discounts they gave the VA.\u003c/p>\n\u003cp>In response, drug companies raised prices, and the discounts evaporated. Congress then eliminated the link between VA and Medicaid pricing.\u003c/p>\n\u003cp>“I guarantee you won’t get the VA price because the VA price will cease to exist,” McCombs said. “Drug companies are not going to take that kind of loss.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>The Drug Price Relief Act is sponsored by the Los Angeles-based AIDS Healthcare Foundation.\u003c/p>\n\u003cp>At Tuesday’s State House hearing, Assemblyman David Chiu, D-San Francisco, said the measure was important because the legislature has failed to address soaring drug prices and now voters will get a say.\u003c/p>\n\u003cp>“Regardless of what happens in November, it is my hope that we are able to move this conversation forward,” Chiu said after pressing opponents of the initiative for alternative solutions.\u003c/p>\n\u003cp>Garry South, lead strategist for supporters of the measure, said the AIDS Healthcare Foundation pushed it because the high cost of prescription medications often means patients who need them can’t get them.\u003c/p>\n\u003cp>“What good is it to have a life-saving drug if people can’t afford to take it?” South said.\u003c/p>\n\u003cp>The California Nurses Association also endorses the measure. Zenei Cortez, the union’s co-president, said it offers the best chance to stop the drug industry’s “excessive greed.”\u003c/p>\n\u003cp>But some veterans and patient advocacy groups say the initiative could do more harm than good.\u003c/p>\n\u003cp>“This measure is misleading and unworkable,” Hollaine Hopkins, executive director of the Lupus Foundation of Southern California, said in a prepared statement. “It will lead to increased red tape and bureaucracy, and could actually increase costs for the state’s taxpayers.”\u003c/p>\n\u003cp>Kathy Fairbanks, spokeswoman for Californians Against the Misleading Rx Measure, the lead group opposing the initiative, said it could actually increase drug prices and lead to higher insurance premiums. The group is mostly financed by pharmaceutical companies.\u003c/p>\n\u003cp>Fairbanks said the measure could invalidate existing rebate agreements between drug companies and the state, jacking up prescription costs by tens of millions of dollars.\u003c/p>\n\u003cp>In reply, South said that only the pharmaceutical companies have the power to hike drug prices. “These are not predictions; these are threats,” he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Opponents of the measure had raised \u003ca href=\"http://www.fppc.ca.gov/transparency/top-contributors/nov-16-gen-v2.html\" target=\"_blank\">more than $58 million as of May 4\u003c/a>, according to the California Fair Political Practices Commission. The AIDS Healthcare Foundation has raised a little more than $4 million in support of the initiative.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "How Tobacco Actions by California and FDA Reinforce Each Other",
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"content": "\u003cp>Last night, California's governor \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/05/04/gov-brown-signs-major-tobacco-bills-raises-legal-age-to-21/\" target=\"_blank\">signed into law \u003c/a>a package of sweeping tobacco regulations.\u003c/p>\n\u003cp>This morning, the federal Food and Drug Administration (FDA) handed down its own \u003ca href=\"http://www.npr.org/sections/health-shots/2016/05/05/476865753/fda-acts-to-regulate-e-cigarettes-and-cigars-for-the-first-time\" target=\"_blank\">landmark regulations\u003c/a> on e-cigarettes.\u003c/p>\n\u003cp>What's the difference?\u003c/p>\n\u003cp>First, no, they do not overlap. The FDA and the states have distinct regulatory authority.\u003c/p>\n\u003cp>\u003cstrong>FDA Regulations\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Starting with the FDA: E-cigarettes had been largely unregulated. The liquid nicotine product was \"of varying quality and unknown provenance,\" says the \u003ca href=\"http://www.nytimes.com/2016/05/06/science/fda-rules-electronic-cigarettes.html\" target=\"_blank\">New York Times\u003c/a>.\u003c/p>\n\u003cp>Now, producers of e-cigarettes will have to provide the FDA with a detailed list of the ingredients in their products, and information about the manufacturing process.\u003c/p>\n\u003cp>You can read the full \u003ca href=\"https://www.federalregister.gov/articles/2016/05/10/2016-10685/deeming-tobacco-products-to-be-subject-to-the-federal-food-drug-and-cosmetic-act-as-amended-by-the\" target=\"_blank\">499-page document\u003c/a> from the FDA here.\u003c/p>\n\u003cp>\u003cstrong>New California Laws\u003c/strong>\u003c/p>\n\u003cp>The five bills signed last night by Gov. Brown have to do with who can buy tobacco/e-cigarettes and where they can use them.\u003c/p>\n\u003cp>While the federal government sets the age to buy tobacco at 18, states may raise the age. (Lowering it would likely be pretty tough.) California has become the second state, after Hawaii, to raise it to 21.\u003c/p>\n\u003cp>The goal with this change is to get cigarettes out of the hands of young teens. Plenty of kids 15 to 17 years old have friends who are 18 and can illegally buy cigarettes for them. But not as many young teens have friends who are 21.\u003c/p>\n\u003cp>A second major bill will require that e-cigarettes be regulated as tobacco products, meaning that you will need to be 21 to buy e-cigarettes. In addition, e-cigarette use will not be permitted anywhere that traditional cigarette use is not allowed.\u003c/p>\n\u003cp>\"What our bill does specifically is bring e-cigarettes,\" says Sen. Mark Leno, D-San Francisco, who wrote the bill, \"under our smoke-free laws in California, which determine where someone can use a tobacco product.\"\u003c/p>\n\u003cp>Those smoke-free areas include restaurants, all indoor workplaces, plenty of public parks, government buildings and more.\u003c/p>\n\u003cp>Yet a third law approved yesterday expands the places subject to smoke-free laws. Going forward, there will be no lighting up -- either a traditional or an e-cigarette -- in hotel lobbies, banquet rooms and small businesses.\u003c/p>\n\u003cp>The FDA's new regulations will take effect in about 90 days, and e-cigarette manufacturers have two years from that date to submit their first application for their devices or products.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But in California, the five laws were initially approved in a special session on health care. Laws passed in a special session take effect 90 days after the session ends. That's June 9, just five weeks away.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Last night, California's governor \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/05/04/gov-brown-signs-major-tobacco-bills-raises-legal-age-to-21/\" target=\"_blank\">signed into law \u003c/a>a package of sweeping tobacco regulations.\u003c/p>\n\u003cp>This morning, the federal Food and Drug Administration (FDA) handed down its own \u003ca href=\"http://www.npr.org/sections/health-shots/2016/05/05/476865753/fda-acts-to-regulate-e-cigarettes-and-cigars-for-the-first-time\" target=\"_blank\">landmark regulations\u003c/a> on e-cigarettes.\u003c/p>\n\u003cp>What's the difference?\u003c/p>\n\u003cp>First, no, they do not overlap. The FDA and the states have distinct regulatory authority.\u003c/p>\n\u003cp>\u003cstrong>FDA Regulations\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Starting with the FDA: E-cigarettes had been largely unregulated. The liquid nicotine product was \"of varying quality and unknown provenance,\" says the \u003ca href=\"http://www.nytimes.com/2016/05/06/science/fda-rules-electronic-cigarettes.html\" target=\"_blank\">New York Times\u003c/a>.\u003c/p>\n\u003cp>Now, producers of e-cigarettes will have to provide the FDA with a detailed list of the ingredients in their products, and information about the manufacturing process.\u003c/p>\n\u003cp>You can read the full \u003ca href=\"https://www.federalregister.gov/articles/2016/05/10/2016-10685/deeming-tobacco-products-to-be-subject-to-the-federal-food-drug-and-cosmetic-act-as-amended-by-the\" target=\"_blank\">499-page document\u003c/a> from the FDA here.\u003c/p>\n\u003cp>\u003cstrong>New California Laws\u003c/strong>\u003c/p>\n\u003cp>The five bills signed last night by Gov. Brown have to do with who can buy tobacco/e-cigarettes and where they can use them.\u003c/p>\n\u003cp>While the federal government sets the age to buy tobacco at 18, states may raise the age. (Lowering it would likely be pretty tough.) California has become the second state, after Hawaii, to raise it to 21.\u003c/p>\n\u003cp>The goal with this change is to get cigarettes out of the hands of young teens. Plenty of kids 15 to 17 years old have friends who are 18 and can illegally buy cigarettes for them. But not as many young teens have friends who are 21.\u003c/p>\n\u003cp>A second major bill will require that e-cigarettes be regulated as tobacco products, meaning that you will need to be 21 to buy e-cigarettes. In addition, e-cigarette use will not be permitted anywhere that traditional cigarette use is not allowed.\u003c/p>\n\u003cp>\"What our bill does specifically is bring e-cigarettes,\" says Sen. Mark Leno, D-San Francisco, who wrote the bill, \"under our smoke-free laws in California, which determine where someone can use a tobacco product.\"\u003c/p>\n\u003cp>Those smoke-free areas include restaurants, all indoor workplaces, plenty of public parks, government buildings and more.\u003c/p>\n\u003cp>Yet a third law approved yesterday expands the places subject to smoke-free laws. Going forward, there will be no lighting up -- either a traditional or an e-cigarette -- in hotel lobbies, banquet rooms and small businesses.\u003c/p>\n\u003cp>The FDA's new regulations will take effect in about 90 days, and e-cigarette manufacturers have two years from that date to submit their first application for their devices or products.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But in California, the five laws were initially approved in a special session on health care. Laws passed in a special session take effect 90 days after the session ends. That's June 9, just five weeks away.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Gov. Brown Signs Major Tobacco Bills, Raises Legal Age to 21",
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"content": "\u003cp>Gov. Jerry Brown signed a sweeping package of tobacco bills into law on Wednesday, including one that will \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162SB7\" target=\"_blank\">raise the legal age \u003c/a>to buy products from 18 to 21 and another that dramatically\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162SB5\" target=\"_blank\"> tightens restrictions\u003c/a> on e-cigarettes.\u003c/p>\n\u003caside class=\"pullquote alignright\">'What this means for California is our youth are less likely to be addicted to this horrible drug of tobacco.'\u003ccite> Sen. Ed Hernandez, author of the new law\u003c/cite>\u003c/aside>\n\u003cp>But the governor \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162AB10\" target=\"_blank\">vetoed a bill\u003c/a> that would have permitted cities and counties to establish their own tobacco taxes.\u003c/p>\n\u003cp>“Although California has one of the lowest cigarette taxes in the nation,” the governor said in a veto message, “I am reluctant to approve this measure in view of all the taxes being proposed for the 2016 ballot.”\u003c/p>\n\u003cp>California becomes just the second state after Hawaii to raise the lawful age to buy tobacco products, a move that backers applaud as a certain way to curtail harm to adolescents, and reduce the number of adult smokers.\u003c/p>\n\u003cp>Sen. Ed Hernandez, D-West Covina, was the lead author of the bill to raise the tobacco age. In a phone interview, he said he was \"ecstatic.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"What this means for California is now we can know that our youth are less likely to be addicted to this horrible drug of tobacco,\" he said. \"There’s going to be less addiction to tobacco, [and] we’re going to reduce health care costs and save lives.\"\u003c/p>\n\u003cp>The law, which takes effect next month on June 9, applies to all 18 to 20-year-olds, except military personnel. The bill had stalled for months until a compromise was reached to permit service members under 21 to continue purchasing tobacco.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/262622063\" 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>A major \u003ca href=\"http://www.nationalacademies.org/hmd/Activities/PublicHealth/TobaccoMinimumAge.aspx\" target=\"_blank\">Institute of Medicine report\u003c/a> last year concluded that if all states raised the tobacco age to 21, there would be a 12 percent drop in the number of teen and young adult smokers.\u003c/p>\n\u003cp>\"The biggest drops in tobacco use (will) likely occur among teens ages 15 to 17 -- kids who can’t legally buy tobacco products in California now but who run in the same social circles as 18-year-olds who may illegally purchase tobacco products for younger friends,\" said Larry Cohen, executive director of the Oakland-based Prevention Institute and a longtime advocate for tobacco control policies.\u003c/p>\n\u003cp>Adolescents are at particular risk for nicotine addiction since their brains are still developing, says longtime tobacco critic, Stan Glantz, a professor at the University of California, San Francisco.\u003c/p>\n\u003cp>\"Exposing the developing brain to nicotine, which is in both e-cigarettes and conventional cigarettes, physically changes the brain,\" Glantz said. \"That's why the younger someone starts to smoke, the more addicted they tend to get … and the harder time they have stopping.\u003c/p>\n\u003cp>\u003cstrong>Vaping Banned in Many Public Places\u003c/strong>\u003c/p>\n\u003cp>But Glantz said the new regulations on e-cigarettes may be even more significant. \"There's no question that e-cigarettes aren't as dangerous as cigarettes are,\" he said, \"but they're still dangerous.\"\u003c/p>\n\u003cp>Under \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162SB5\" target=\"_blank\">the law\u003c/a>, written by Sen. Mark Leno, D-San Francisco, e-cigarettes will be banned in all the same places that traditional cigarettes are -- workplaces, schools, restaurants, hospitals and more. And like other tobacco products, users will need to be 21 to buy e-cigarettes.\u003c/p>\n\u003cp>“The e-cigarette is nothing more than a new delivery system for toxic and addictive nicotine,” Leno said in a statement. “Ensuring that e-cigarettes fall under California’s comprehensive smoke-free laws is critical to protecting public health, especially given the alarming rate at which young people are picking up these devices.\"\u003c/p>\n\u003cp>A \u003ca href=\"http://www.cdc.gov/media/releases/2015/p0416-e-cigarette-use.html\" target=\"_blank\">study\u003c/a> last year from the Centers for Disease Control found that e-cigarette use among middle and high school students had tripled in just one year, from 2013 to 2014.\u003c/p>\n\u003cp>Brown signed three other bills:\u003c/p>\n\u003cul>\n\u003cli>An \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162AB7\">expansion of smoke-free workspaces\u003c/a> to include hotel lobbies, bars, banquet rooms and employee break rooms\u003c/li>\n\u003cli>Expansion of eligibility for \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162AB9\">tobacco prevention funds to charter schools\u003c/a>\u003c/li>\n\u003cli>Increases \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billAnalysisClient.xhtml?bill_id=201520162AB11\">tobacco retailer license fees\u003c/a> from a one-time $100 fee to an annual $265 fee\u003c/li>\n\u003c/ul>\n\u003cp>Anti-tobacco groups are now focusing their efforts on an effort to gather signatures for a November ballot initiative that would raise cigarette taxes from the current $0.87 per pack to $2.\u003c/p>\n\u003cp>While California is seen as tough on tobacco, it ranks \u003ca href=\"https://www.tobaccofreekids.org/research/factsheets/pdf/0097.pdf\">36\u003csup>th\u003c/sup> in the country\u003c/a> on per-pack taxes. A \u003ca href=\"http://www.sfgate.com/politics/article/Prop-29-cigarette-tax-backers-concede-defeat-3656640.php\">2012 ballot initiative to raise taxes by $1 per pack\u003c/a> failed by less than half a percentage point after the tobacco industry spent $47 million to defeat it.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>A statewide Field Poll last year found that \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/08/26/california-voters-back-tobacco-tax-hike-poll-shows/\">two-thirds of California voters support\u003c/a> an increase in tobacco taxes.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Jerry Brown signed a sweeping package of tobacco bills into law on Wednesday, including one that will \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162SB7\" target=\"_blank\">raise the legal age \u003c/a>to buy products from 18 to 21 and another that dramatically\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162SB5\" target=\"_blank\"> tightens restrictions\u003c/a> on e-cigarettes.\u003c/p>\n\u003caside class=\"pullquote alignright\">'What this means for California is our youth are less likely to be addicted to this horrible drug of tobacco.'\u003ccite> Sen. Ed Hernandez, author of the new law\u003c/cite>\u003c/aside>\n\u003cp>But the governor \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162AB10\" target=\"_blank\">vetoed a bill\u003c/a> that would have permitted cities and counties to establish their own tobacco taxes.\u003c/p>\n\u003cp>“Although California has one of the lowest cigarette taxes in the nation,” the governor said in a veto message, “I am reluctant to approve this measure in view of all the taxes being proposed for the 2016 ballot.”\u003c/p>\n\u003cp>California becomes just the second state after Hawaii to raise the lawful age to buy tobacco products, a move that backers applaud as a certain way to curtail harm to adolescents, and reduce the number of adult smokers.\u003c/p>\n\u003cp>Sen. Ed Hernandez, D-West Covina, was the lead author of the bill to raise the tobacco age. In a phone interview, he said he was \"ecstatic.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"What this means for California is now we can know that our youth are less likely to be addicted to this horrible drug of tobacco,\" he said. \"There’s going to be less addiction to tobacco, [and] we’re going to reduce health care costs and save lives.\"\u003c/p>\n\u003cp>The law, which takes effect next month on June 9, applies to all 18 to 20-year-olds, except military personnel. The bill had stalled for months until a compromise was reached to permit service members under 21 to continue purchasing tobacco.\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/262622063&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/262622063'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>A major \u003ca href=\"http://www.nationalacademies.org/hmd/Activities/PublicHealth/TobaccoMinimumAge.aspx\" target=\"_blank\">Institute of Medicine report\u003c/a> last year concluded that if all states raised the tobacco age to 21, there would be a 12 percent drop in the number of teen and young adult smokers.\u003c/p>\n\u003cp>\"The biggest drops in tobacco use (will) likely occur among teens ages 15 to 17 -- kids who can’t legally buy tobacco products in California now but who run in the same social circles as 18-year-olds who may illegally purchase tobacco products for younger friends,\" said Larry Cohen, executive director of the Oakland-based Prevention Institute and a longtime advocate for tobacco control policies.\u003c/p>\n\u003cp>Adolescents are at particular risk for nicotine addiction since their brains are still developing, says longtime tobacco critic, Stan Glantz, a professor at the University of California, San Francisco.\u003c/p>\n\u003cp>\"Exposing the developing brain to nicotine, which is in both e-cigarettes and conventional cigarettes, physically changes the brain,\" Glantz said. \"That's why the younger someone starts to smoke, the more addicted they tend to get … and the harder time they have stopping.\u003c/p>\n\u003cp>\u003cstrong>Vaping Banned in Many Public Places\u003c/strong>\u003c/p>\n\u003cp>But Glantz said the new regulations on e-cigarettes may be even more significant. \"There's no question that e-cigarettes aren't as dangerous as cigarettes are,\" he said, \"but they're still dangerous.\"\u003c/p>\n\u003cp>Under \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162SB5\" target=\"_blank\">the law\u003c/a>, written by Sen. Mark Leno, D-San Francisco, e-cigarettes will be banned in all the same places that traditional cigarettes are -- workplaces, schools, restaurants, hospitals and more. And like other tobacco products, users will need to be 21 to buy e-cigarettes.\u003c/p>\n\u003cp>“The e-cigarette is nothing more than a new delivery system for toxic and addictive nicotine,” Leno said in a statement. “Ensuring that e-cigarettes fall under California’s comprehensive smoke-free laws is critical to protecting public health, especially given the alarming rate at which young people are picking up these devices.\"\u003c/p>\n\u003cp>A \u003ca href=\"http://www.cdc.gov/media/releases/2015/p0416-e-cigarette-use.html\" target=\"_blank\">study\u003c/a> last year from the Centers for Disease Control found that e-cigarette use among middle and high school students had tripled in just one year, from 2013 to 2014.\u003c/p>\n\u003cp>Brown signed three other bills:\u003c/p>\n\u003cul>\n\u003cli>An \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162AB7\">expansion of smoke-free workspaces\u003c/a> to include hotel lobbies, bars, banquet rooms and employee break rooms\u003c/li>\n\u003cli>Expansion of eligibility for \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162AB9\">tobacco prevention funds to charter schools\u003c/a>\u003c/li>\n\u003cli>Increases \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billAnalysisClient.xhtml?bill_id=201520162AB11\">tobacco retailer license fees\u003c/a> from a one-time $100 fee to an annual $265 fee\u003c/li>\n\u003c/ul>\n\u003cp>Anti-tobacco groups are now focusing their efforts on an effort to gather signatures for a November ballot initiative that would raise cigarette taxes from the current $0.87 per pack to $2.\u003c/p>\n\u003cp>While California is seen as tough on tobacco, it ranks \u003ca href=\"https://www.tobaccofreekids.org/research/factsheets/pdf/0097.pdf\">36\u003csup>th\u003c/sup> in the country\u003c/a> on per-pack taxes. A \u003ca href=\"http://www.sfgate.com/politics/article/Prop-29-cigarette-tax-backers-concede-defeat-3656640.php\">2012 ballot initiative to raise taxes by $1 per pack\u003c/a> failed by less than half a percentage point after the tobacco industry spent $47 million to defeat it.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>A statewide Field Poll last year found that \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/08/26/california-voters-back-tobacco-tax-hike-poll-shows/\">two-thirds of California voters support\u003c/a> an increase in tobacco taxes.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Oakland City Council Puts Soda Tax on November Ballot",
"title": "Oakland City Council Puts Soda Tax on November Ballot",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>Oakland's City Council voted unanimously to place a soda tax on the November ballot. If approved, Oakland would become the second city in the nation, after Berkeley, where a fee is charged on sugar-sweetened beverages.\u003c/p>\n\u003cp>Councilwoman Annie Campbell Washington sponsored the measure and expects big pushback from the beverage industry.\u003c/p>\n\u003cp>\"We're expecting a huge fight,\" she said. \"We saw in Berkeley that the beverage industry is willing to pour millions and millions into the fight against these kinds of taxes, and we expect the same thing here.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"nsFXAIYfQdOxeTI74gzSZYjAAPNSEY1m\"]The Oakland measure is very similar to the one passed in Berkeley in 2014. It would levy a penny-per-ounce fee on most sugar-sweetened beverages (sodas, energy drinks, fruit-flavored beverages and more). The fee would be paid by distributors but is expected to be passed through to consumers.\u003c/p>\n\u003cp>Washington said the fee is projected to raise $6 million to $10 million for Oakland. An advisory panel would recommend health programs to fund with the generated revenue, but monies from the fee would not be earmarked for specific programs.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The measure requires a simple majority, 50 percent plus one vote, for passage.\u003c/p>\n\u003cp>The soda industry opposes such fees, arguing that the focus on sugar-sweetened beverages oversimplifies complex health problems such as obesity and diabetes. It also says such fees hit poor people hardest.\u003c/p>\n\u003cp>Yet a \u003ca href=\"http://www.yes4healthyoaklandchildren.com/endorsements\" target=\"_blank\">long list of public health and community groups\u003c/a> have already indicated their support for a soda tax. In a statement, Mary Pittman, president of the Oakland-based Public Health Institute, said sugar-sweetened beverages are among the biggest contributors to diabetes and other illnesses and disproportionately impact poor communities.\u003c/p>\n\u003cp>[contextly_sidebar id=\"DKnUC4l3u7O6dl7DwgCocEnnO9FQ8As3\"]\"It is time that big beverage companies dip into their millions of dollars of profits and help pay for the damage their products cause,\" Pittman said.\u003c/p>\n\u003cp>Soda tax supporters in San Francisco are gathering signatures to put a measure on the November ballot. A 2014 soda tax effort there failed, but that was an earmarked tax and needed a supermajority -- more than two-thirds vote -- to pass. It got only 55 percent. The new effort would follow the Berkeley/Oakland model. Proceeds would become general revenue, but an advisory board would recommend health programs to fund.\u003c/p>\n\u003cp>The deadline for signatures is July, but San Francisco Supervisor Malia Cohen, a supporter of the tax, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/04/04/san-francisco-oakland-working-to-put-soda-tax-before-voters/\" target=\"_blank\">earlier said\u003c/a> she expected the 10,000 signatures to be in by late May.\u003c/p>\n\u003cp>Later this month, the Albany City Council will consider putting a soda tax on its November ballot.\u003c/p>\n\u003cp>\"I believe when you look around the country, you'll see this is a movement,\" said Oakland City Council member Washington, referring to other Bay Area efforts and a proposal in Philadelphia. Advocates in Boulder, Colorado. \u003ca href=\"http://www.healthyfoodamerica.org/breaking_boulder_will_pursue_a_sugary_drinks_tax\" target=\"_blank\">are also working\u003c/a> to place a soda tax on the ballot.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I think Oakland is a leader on this, with Berkeley,\" she said. \"Oakland is going to be an incredibly important city. If this passes, it really gives a boost to the entire movement.\"\u003c/p>\n\n",
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"excerpt": "The measure is nearly identical to the sugar-sweetened beverage fee passed in Berkeley in 2014. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Oakland's City Council voted unanimously to place a soda tax on the November ballot. If approved, Oakland would become the second city in the nation, after Berkeley, where a fee is charged on sugar-sweetened beverages.\u003c/p>\n\u003cp>Councilwoman Annie Campbell Washington sponsored the measure and expects big pushback from the beverage industry.\u003c/p>\n\u003cp>\"We're expecting a huge fight,\" she said. \"We saw in Berkeley that the beverage industry is willing to pour millions and millions into the fight against these kinds of taxes, and we expect the same thing here.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>The Oakland measure is very similar to the one passed in Berkeley in 2014. It would levy a penny-per-ounce fee on most sugar-sweetened beverages (sodas, energy drinks, fruit-flavored beverages and more). The fee would be paid by distributors but is expected to be passed through to consumers.\u003c/p>\n\u003cp>Washington said the fee is projected to raise $6 million to $10 million for Oakland. An advisory panel would recommend health programs to fund with the generated revenue, but monies from the fee would not be earmarked for specific programs.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The measure requires a simple majority, 50 percent plus one vote, for passage.\u003c/p>\n\u003cp>The soda industry opposes such fees, arguing that the focus on sugar-sweetened beverages oversimplifies complex health problems such as obesity and diabetes. It also says such fees hit poor people hardest.\u003c/p>\n\u003cp>Yet a \u003ca href=\"http://www.yes4healthyoaklandchildren.com/endorsements\" target=\"_blank\">long list of public health and community groups\u003c/a> have already indicated their support for a soda tax. In a statement, Mary Pittman, president of the Oakland-based Public Health Institute, said sugar-sweetened beverages are among the biggest contributors to diabetes and other illnesses and disproportionately impact poor communities.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\"It is time that big beverage companies dip into their millions of dollars of profits and help pay for the damage their products cause,\" Pittman said.\u003c/p>\n\u003cp>Soda tax supporters in San Francisco are gathering signatures to put a measure on the November ballot. A 2014 soda tax effort there failed, but that was an earmarked tax and needed a supermajority -- more than two-thirds vote -- to pass. It got only 55 percent. The new effort would follow the Berkeley/Oakland model. Proceeds would become general revenue, but an advisory board would recommend health programs to fund.\u003c/p>\n\u003cp>The deadline for signatures is July, but San Francisco Supervisor Malia Cohen, a supporter of the tax, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/04/04/san-francisco-oakland-working-to-put-soda-tax-before-voters/\" target=\"_blank\">earlier said\u003c/a> she expected the 10,000 signatures to be in by late May.\u003c/p>\n\u003cp>Later this month, the Albany City Council will consider putting a soda tax on its November ballot.\u003c/p>\n\u003cp>\"I believe when you look around the country, you'll see this is a movement,\" said Oakland City Council member Washington, referring to other Bay Area efforts and a proposal in Philadelphia. Advocates in Boulder, Colorado. \u003ca href=\"http://www.healthyfoodamerica.org/breaking_boulder_will_pursue_a_sugary_drinks_tax\" target=\"_blank\">are also working\u003c/a> to place a soda tax on the ballot.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I think Oakland is a leader on this, with Berkeley,\" she said. \"Oakland is going to be an incredibly important city. If this passes, it really gives a boost to the entire movement.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Finally, Long Overdue Progress in Hospital Seismic Safety",
"title": "Finally, Long Overdue Progress in Hospital Seismic Safety",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>After years of delay, retrofitting and rebuilding, more than 90 percent of California’s acute care hospital buildings are no longer at risk of collapse during an earthquake, according to the most recent data from the state’s Office of Statewide Health Planning and Development (OSHPD).\u003c/p>\n\u003cp>But the remaining hospitals \u003ca href=\"http://www.oshpd.ca.gov/fdd/seismic_compliance/SB1953/SeisPerfRatings-v3-2.html\" target=\"_blank\">still need to meet\u003c/a> the state’s tough seismic safety requirements, or close buildings that are not up to standard by 2030. Buildings at six rural “critical access” hospitals remain on the state’s list of structures most likely to collapse in an earthquake, and their administrators face challenges keeping them open.\u003c/p>\n\u003cp>“I am very pleased with the progress that has been made,” said Robert David, director of OSHPD, which oversees hospital earthquake safety. “Based on information and schedules provided by the hospitals … the remaining acute care buildings appear to be on track to meet the state deadline to withstand a major earthquake or be removed from service.”\u003c/p>\n\u003cp>An estimated 251 buildings are still rated “SPC-1,” the highest risk category — down from more than 1,000 in 2001, according to OSPHD spokesman David Byrnes.\u003c/p>\n\u003cp>Another 629 buildings are rated “SPC-2,” the second highest risk. Not all of those buildings house patients; some may hold administrative offices, for example. But state law requires all buildings in the top two risk categories to close by 2030 unless they have been repaired or replaced. In addition, all SPC-1 buildings must be retrofitted to meet at least SPC-2 requirements by 2020 unless a hospital has received a specific deadline extension from OSPHD.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It has taken years for hospitals to get this far.\u003c/p>\n\u003cp>After the magnitude 6.7 Northridge earthquake crippled local hospitals in 1994, state lawmakers toughened up 1973 legislation that required hospitals in danger of collapse or significant damage in an earthquake to make repairs or rebuild -- or face closure.\u003c/p>\n\u003cp>At the time, the new deadline was set for 2008. But the state’s hospital industry group, citing high construction costs, successfully pushed back many of the retrofitting requirements from 2013 to as late as 2030. Critics argued that the extensions could compromise public safety in a disaster.\u003c/p>\n\u003cp>There’s a 93 percent chance that a 7.0 magnitude earthquake could strike the Bay Area in the next 30 years, according to the most recent \u003ca href=\"http://pubs.usgs.gov/fs/2015/3009/pdf/fs2015-3009.pdf\" target=\"_blank\">estimate\u003c/a> by the U.S. Geological Survey.\u003c/p>\n\u003cp>While many hospitals around the state have spent millions on retrofitting or replacing unsafe buildings, some have chosen to shut down non-compliant facilities before the final 2030 deadline. Sutter-owned Alta Bates Hospital \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/04/28/sutter-plans-closure-of-berkeleys-alta-bates-hospital-er/\" target=\"_blank\">recently determined\u003c/a> that it plans to close acute care and emergency services in Berkeley before 2030 because of the earthquake safety requirements. Some critics say Sutter is using those requirements \u003ca href=\"http://www.eastbaytimes.com/breaking-news/ci_29811598/sutter-plans-future-closing-berkeley-emergency-services\" target=\"_blank\">as an excuse\u003c/a> to consolidate some of its services.\u003c/p>\n\u003cp>A number of hospitals still face difficulty getting the money they need to replace aging buildings, and they’re hoping to get the needed capital through bond measures, tax hikes and other means.\u003c/p>\n\u003cp>In Fort Bragg, the Mendocino County District Hospital is trying to figure how best to keep its main hospital open. It’s \u003ca href=\"http://www.oshpd.ca.gov/fdd/seismic_compliance/SB1953/SPCNPCList.pdf\" target=\"_blank\">got the second highest risk rating\u003c/a> and would \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/11/06/the-mendocino-coast-fears-losing-its-only-hospital/\" target=\"_blank\">need to close\u003c/a> by 2030 unless improved or replaced. But the 25-bed critical access hospital declared bankruptcy in 2012, and amid staff turmoil, its financing options are limited.\u003c/p>\n\u003cp>The hospital’s board is considering a parcel tax, and its CEO has floated the idea of \u003ca href=\"http://www.advocate-news.com/general-news/20160407/private-non-profit-option-considered\" target=\"_blank\">converting the public hospital to private nonprofit status\u003c/a> to draw more funds.\u003c/p>\n\u003cp>Wade Sturgeon, the hospital district’s chief financial officer, said that reports of the hospital’s potential demise have been exaggerated. “We’ve been able to improve a lot of things. We are having conversations about what do we do going forward,” Sturgeon said. He added that \u003ca href=\"http://www.oshpd.ca.gov/FDD/seismic_compliance/SB1953/SPC-4D_Regulations.html\" target=\"_blank\">new state building regulations\u003c/a> taking effect in 2017 may allow his hospital to stay open past 2030 with some retrofits.\u003c/p>\n\u003cp>While hospitals are finally making progress since the tighter earthquake safety regulations took effect more than 20 years ago, the delays haven’t been good for patients or hospital staff, said Stephanie Roberson, legislative advocate for the California Nurses Association. The association is a persistent critic of what it has seen as hospital foot-dragging.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We need to make sure these hospitals are held accountable,” Roberson said. “We saw what happened in Northridge – the loss of life and property to the tune of billions of dollars. Hospitals are supposed to be that beacon of light in the community, and if we have a seismic catastrophe they are centers for the public to take refuge.”\u003c/p>\n\n",
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"excerpt": "Many California hospitals now meet stringent seismic standards, but nearly 10 percent of hospitals remain at high risk.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>After years of delay, retrofitting and rebuilding, more than 90 percent of California’s acute care hospital buildings are no longer at risk of collapse during an earthquake, according to the most recent data from the state’s Office of Statewide Health Planning and Development (OSHPD).\u003c/p>\n\u003cp>But the remaining hospitals \u003ca href=\"http://www.oshpd.ca.gov/fdd/seismic_compliance/SB1953/SeisPerfRatings-v3-2.html\" target=\"_blank\">still need to meet\u003c/a> the state’s tough seismic safety requirements, or close buildings that are not up to standard by 2030. Buildings at six rural “critical access” hospitals remain on the state’s list of structures most likely to collapse in an earthquake, and their administrators face challenges keeping them open.\u003c/p>\n\u003cp>“I am very pleased with the progress that has been made,” said Robert David, director of OSHPD, which oversees hospital earthquake safety. “Based on information and schedules provided by the hospitals … the remaining acute care buildings appear to be on track to meet the state deadline to withstand a major earthquake or be removed from service.”\u003c/p>\n\u003cp>An estimated 251 buildings are still rated “SPC-1,” the highest risk category — down from more than 1,000 in 2001, according to OSPHD spokesman David Byrnes.\u003c/p>\n\u003cp>Another 629 buildings are rated “SPC-2,” the second highest risk. Not all of those buildings house patients; some may hold administrative offices, for example. But state law requires all buildings in the top two risk categories to close by 2030 unless they have been repaired or replaced. In addition, all SPC-1 buildings must be retrofitted to meet at least SPC-2 requirements by 2020 unless a hospital has received a specific deadline extension from OSPHD.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It has taken years for hospitals to get this far.\u003c/p>\n\u003cp>After the magnitude 6.7 Northridge earthquake crippled local hospitals in 1994, state lawmakers toughened up 1973 legislation that required hospitals in danger of collapse or significant damage in an earthquake to make repairs or rebuild -- or face closure.\u003c/p>\n\u003cp>At the time, the new deadline was set for 2008. But the state’s hospital industry group, citing high construction costs, successfully pushed back many of the retrofitting requirements from 2013 to as late as 2030. Critics argued that the extensions could compromise public safety in a disaster.\u003c/p>\n\u003cp>There’s a 93 percent chance that a 7.0 magnitude earthquake could strike the Bay Area in the next 30 years, according to the most recent \u003ca href=\"http://pubs.usgs.gov/fs/2015/3009/pdf/fs2015-3009.pdf\" target=\"_blank\">estimate\u003c/a> by the U.S. Geological Survey.\u003c/p>\n\u003cp>While many hospitals around the state have spent millions on retrofitting or replacing unsafe buildings, some have chosen to shut down non-compliant facilities before the final 2030 deadline. Sutter-owned Alta Bates Hospital \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/04/28/sutter-plans-closure-of-berkeleys-alta-bates-hospital-er/\" target=\"_blank\">recently determined\u003c/a> that it plans to close acute care and emergency services in Berkeley before 2030 because of the earthquake safety requirements. Some critics say Sutter is using those requirements \u003ca href=\"http://www.eastbaytimes.com/breaking-news/ci_29811598/sutter-plans-future-closing-berkeley-emergency-services\" target=\"_blank\">as an excuse\u003c/a> to consolidate some of its services.\u003c/p>\n\u003cp>A number of hospitals still face difficulty getting the money they need to replace aging buildings, and they’re hoping to get the needed capital through bond measures, tax hikes and other means.\u003c/p>\n\u003cp>In Fort Bragg, the Mendocino County District Hospital is trying to figure how best to keep its main hospital open. It’s \u003ca href=\"http://www.oshpd.ca.gov/fdd/seismic_compliance/SB1953/SPCNPCList.pdf\" target=\"_blank\">got the second highest risk rating\u003c/a> and would \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/11/06/the-mendocino-coast-fears-losing-its-only-hospital/\" target=\"_blank\">need to close\u003c/a> by 2030 unless improved or replaced. But the 25-bed critical access hospital declared bankruptcy in 2012, and amid staff turmoil, its financing options are limited.\u003c/p>\n\u003cp>The hospital’s board is considering a parcel tax, and its CEO has floated the idea of \u003ca href=\"http://www.advocate-news.com/general-news/20160407/private-non-profit-option-considered\" target=\"_blank\">converting the public hospital to private nonprofit status\u003c/a> to draw more funds.\u003c/p>\n\u003cp>Wade Sturgeon, the hospital district’s chief financial officer, said that reports of the hospital’s potential demise have been exaggerated. “We’ve been able to improve a lot of things. We are having conversations about what do we do going forward,” Sturgeon said. He added that \u003ca href=\"http://www.oshpd.ca.gov/FDD/seismic_compliance/SB1953/SPC-4D_Regulations.html\" target=\"_blank\">new state building regulations\u003c/a> taking effect in 2017 may allow his hospital to stay open past 2030 with some retrofits.\u003c/p>\n\u003cp>While hospitals are finally making progress since the tighter earthquake safety regulations took effect more than 20 years ago, the delays haven’t been good for patients or hospital staff, said Stephanie Roberson, legislative advocate for the California Nurses Association. The association is a persistent critic of what it has seen as hospital foot-dragging.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We need to make sure these hospitals are held accountable,” Roberson said. “We saw what happened in Northridge – the loss of life and property to the tune of billions of dollars. Hospitals are supposed to be that beacon of light in the community, and if we have a seismic catastrophe they are centers for the public to take refuge.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Tiny Central Valley Community Tests California's Clean-Water Law",
"title": "Tiny Central Valley Community Tests California's Clean-Water Law",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>Here’s a statistic that, no matter how many times we report about it, still sounds shocking: \u003ca href=\"http://www.waterboards.ca.gov/drinking_water/certlic/drinkingwater/documents/dwdocuments/2014/2014_acr_final.pdf\" target=\"_blank\">More than a million Californians \u003c/a>lack access to safe, clean drinking water.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"When the doctor told me that I had high arsenic contamination in my body, I thought, 'If this is happening to me, then this must be happening to everyone.'\"\u003ccite>Reinelda Palma, resident Matheny Tract\u003c/cite>\u003c/aside>\n\u003cp>The crisis is particularly acute in the rural Central Valley, where some communities -- like tiny Matheny Tract outside Tulare -- have struggled with unsafe drinking water.\u003c/p>\n\u003cp>In Matheny Tract, the community's two wells are contaminated with arsenic. Reinelda Palma knows about it firsthand. She drank the tap water until a few years ago, when a doctor told her that she had been exposed to arsenic.\u003c/p>\n\u003cp>\"It was very traumatic when the doctor told me that I had high arsenic contamination in my body,\" she says in Spanish. \"And I thought, if this is happening to me, then this must be happening to everyone, including the children.\"\u003c/p>\n\u003cp>That’s when she became an advocate.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Matheny Tract is not a city or a town. It’s unincorporated, which means it has no elected government, and it’s hard to get services like sidewalks or streetlights. About 1,200 people live here, and almost a third of them live below the federal poverty line. Like Palma, most are Latino.\u003c/p>\n\u003cfigure id=\"attachment_177434\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-177434 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/04/IMG_0977_0-e1461788970527.jpg\" alt=\"This hydrant, installed over a year ago, is still not hooked up to running water.\" width=\"1920\" height=\"1440\">\u003cfigcaption class=\"wp-caption-text\">This hydrant, installed over a year ago, is still not hooked up to running water. \u003ccite>(Kerry Klein/KVPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Palma and her neighbor Javier Medina, took me on a tour of the neighborhood. We saw a lot of bright yellow fire hydrants that looked brand-new, but Palma and Medina said they didn't work.\u003c/p>\n\u003cp>That’s because they are waiting to be hooked up to water.\u003c/p>\n\u003cp>Ashley Werner of the nonprofit advocacy group the \u003ca href=\"http://www.leadershipcounsel.org/#!about/cjn9\">Leadership Counsel for Justice and Accountability\u003c/a> says people in unincorporated communities like Matheny Tract have been fighting for clean water for years.\u003c/p>\n\u003cp>\"Effectively in local government, often there’s no elected representatives claiming to have any responsibility to ensure that people have access to clean water,\" she says.\u003c/p>\n\u003cp>In Matheny’s case, getting water from the nearby city of Tulare seemed like an obvious solution. The city is so close, Palma can point to it from her backyard.\u003c/p>\n\u003cp>In 2009, Matheny and Tulare signed a contract to connect their water systems. Roads were dug up and hydrants put in place. But in 2014, the city sued to re-evaluate the contract. Construction stopped.\u003c/p>\n\u003cfigure id=\"attachment_177435\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-177435 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/04/IMG_1009_0-e1461789066582.jpg\" alt=\"Scars of dark pavement in Matheny Tract's roads remind residents of the water mains that are still not hooked up to water.\" width=\"1920\" height=\"1440\">\u003cfigcaption class=\"wp-caption-text\">Scars of dark pavement in Matheny Tract's roads remind residents of the water mains that are still not hooked up to water. \u003ccite>(Kerry Klein/KVPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"We did not have capacity to serve 300 homes at a turn of the switch, \" says Martin Koczanowicz, Tulare's city attorney. \"We spent over half a million dollars in short-term fixes to our infrastructure, and we had jurisdictional issues which were a barrier.\"\u003c/p>\n\u003cp>But Ashley Werner says the community’s residents -- mostly immigrants, farmworkers, and minorities -- felt discriminated against. With the help of Werner’s group, Matheny countersued.\u003c/p>\n\u003cp>\"It was a lack of responsibility on the part of elected officials to the residents of Matheny Tract,\" says Werner. \"In a sense, by everybody involved, that they had no duty and no commitment to this community.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"3syvmgeeaRwdP3TVOQNBOwaofFQPiC0D\"]Matheny and Tulare remained in a legal stalemate until March of this year, when the state intervened under a new law. \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB88\">Senate Bill 88\u003c/a> allows the state to order a city to share its water with communities that need it. Matheny Tract is the law’s first success. By June, Tulare will be forced to share its drinking water.\u003c/p>\n\u003cp>Getting clean water is a huge relief for Javier Medina. He’s a dairy worker, and his family of six has been using bottled water. He’s glad that the state stepped in. But he wishes it hadn’t been necessary.\u003c/p>\n\u003cp>\"We live in the best country in the world and everyone should be looking out for everyone’s well-being,\" says Medina. \"Everyone should try to find a way to help their neighbor.\"\u003c/p>\n\u003cp>Matheny Tract should have safe drinking water soon, but hundreds of California communities still don’t. Maybe some of them are your neighbors.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/261171293\" 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\n",
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"excerpt": "The two community wells in Matheny Tract were contaminated with arsenic. Advocates turned to new state law to force nearby Tulare to share its clean drinking water. ",
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"nprByline": "Kerry Klein\u003cbr />\u003ca href=\"hhttp://kvpr.org/post/new-state-law-bring-arsenic-free-drinking-water-tulare-county-community\">KVPR\u003c/a>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Here’s a statistic that, no matter how many times we report about it, still sounds shocking: \u003ca href=\"http://www.waterboards.ca.gov/drinking_water/certlic/drinkingwater/documents/dwdocuments/2014/2014_acr_final.pdf\" target=\"_blank\">More than a million Californians \u003c/a>lack access to safe, clean drinking water.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"When the doctor told me that I had high arsenic contamination in my body, I thought, 'If this is happening to me, then this must be happening to everyone.'\"\u003ccite>Reinelda Palma, resident Matheny Tract\u003c/cite>\u003c/aside>\n\u003cp>The crisis is particularly acute in the rural Central Valley, where some communities -- like tiny Matheny Tract outside Tulare -- have struggled with unsafe drinking water.\u003c/p>\n\u003cp>In Matheny Tract, the community's two wells are contaminated with arsenic. Reinelda Palma knows about it firsthand. She drank the tap water until a few years ago, when a doctor told her that she had been exposed to arsenic.\u003c/p>\n\u003cp>\"It was very traumatic when the doctor told me that I had high arsenic contamination in my body,\" she says in Spanish. \"And I thought, if this is happening to me, then this must be happening to everyone, including the children.\"\u003c/p>\n\u003cp>That’s when she became an advocate.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Matheny Tract is not a city or a town. It’s unincorporated, which means it has no elected government, and it’s hard to get services like sidewalks or streetlights. About 1,200 people live here, and almost a third of them live below the federal poverty line. Like Palma, most are Latino.\u003c/p>\n\u003cfigure id=\"attachment_177434\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-177434 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/04/IMG_0977_0-e1461788970527.jpg\" alt=\"This hydrant, installed over a year ago, is still not hooked up to running water.\" width=\"1920\" height=\"1440\">\u003cfigcaption class=\"wp-caption-text\">This hydrant, installed over a year ago, is still not hooked up to running water. \u003ccite>(Kerry Klein/KVPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Palma and her neighbor Javier Medina, took me on a tour of the neighborhood. We saw a lot of bright yellow fire hydrants that looked brand-new, but Palma and Medina said they didn't work.\u003c/p>\n\u003cp>That’s because they are waiting to be hooked up to water.\u003c/p>\n\u003cp>Ashley Werner of the nonprofit advocacy group the \u003ca href=\"http://www.leadershipcounsel.org/#!about/cjn9\">Leadership Counsel for Justice and Accountability\u003c/a> says people in unincorporated communities like Matheny Tract have been fighting for clean water for years.\u003c/p>\n\u003cp>\"Effectively in local government, often there’s no elected representatives claiming to have any responsibility to ensure that people have access to clean water,\" she says.\u003c/p>\n\u003cp>In Matheny’s case, getting water from the nearby city of Tulare seemed like an obvious solution. The city is so close, Palma can point to it from her backyard.\u003c/p>\n\u003cp>In 2009, Matheny and Tulare signed a contract to connect their water systems. Roads were dug up and hydrants put in place. But in 2014, the city sued to re-evaluate the contract. Construction stopped.\u003c/p>\n\u003cfigure id=\"attachment_177435\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-177435 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/04/IMG_1009_0-e1461789066582.jpg\" alt=\"Scars of dark pavement in Matheny Tract's roads remind residents of the water mains that are still not hooked up to water.\" width=\"1920\" height=\"1440\">\u003cfigcaption class=\"wp-caption-text\">Scars of dark pavement in Matheny Tract's roads remind residents of the water mains that are still not hooked up to water. \u003ccite>(Kerry Klein/KVPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"We did not have capacity to serve 300 homes at a turn of the switch, \" says Martin Koczanowicz, Tulare's city attorney. \"We spent over half a million dollars in short-term fixes to our infrastructure, and we had jurisdictional issues which were a barrier.\"\u003c/p>\n\u003cp>But Ashley Werner says the community’s residents -- mostly immigrants, farmworkers, and minorities -- felt discriminated against. With the help of Werner’s group, Matheny countersued.\u003c/p>\n\u003cp>\"It was a lack of responsibility on the part of elected officials to the residents of Matheny Tract,\" says Werner. \"In a sense, by everybody involved, that they had no duty and no commitment to this community.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Matheny and Tulare remained in a legal stalemate until March of this year, when the state intervened under a new law. \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB88\">Senate Bill 88\u003c/a> allows the state to order a city to share its water with communities that need it. Matheny Tract is the law’s first success. By June, Tulare will be forced to share its drinking water.\u003c/p>\n\u003cp>Getting clean water is a huge relief for Javier Medina. He’s a dairy worker, and his family of six has been using bottled water. He’s glad that the state stepped in. But he wishes it hadn’t been necessary.\u003c/p>\n\u003cp>\"We live in the best country in the world and everyone should be looking out for everyone’s well-being,\" says Medina. \"Everyone should try to find a way to help their neighbor.\"\u003c/p>\n\u003cp>Matheny Tract should have safe drinking water soon, but hundreds of California communities still don’t. Maybe some of them are your neighbors.\u003c/p>\n\u003cp>\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/261171293&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/261171293'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Medi-Cal se expande para los niños inmigrantes. Así es como funciona",
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"content": "\u003cp>\u003cem>Read this story in English: \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/04/09/medi-cal-expands-to-undocumented-children-heres-how-it-works/\" target=\"_blank\">Medi-Cal Expands to Undocumented Children. Here's How It Works\u003c/a>\u003c/em>\u003c/p>\n\u003cp>En poco tiempo, California comenzará a proveer cobertura completa de Medi-Cal para los niños de familias de bajos ingresos, independientemente de su status migratorio.\u003c/p>\n\u003cp>Dependiendo de a quien le pregunte, un número de entre 170.000 y 250.000 niños que viven en California, y están en el país indocumentados, calificarán.\u003c/p>\n\u003cp>Si piensa que su hijo calificará, o conoce a un padre cuyo hijo pueda ser elegible, oficiales de salud y defensores del cuidado de salud tienen un simple mensaje para usted: tome medidas ya. “Regístrese ahora”, dice Rachel Vizcarra, asistente de programa de la UFW Foundation en Bakersfield, que está ayudando a familias a pre registrarse. “Si lo hace, sus niños serán registrados automáticamente en el programa”.\u003c/p>\n\u003cp>Oficiales del estado esperan que la cobertura comience el 16 de mayo. Pero como el cambio de política requiere de ajustes de programación complejos en los sistemas informáticos de los condados y del estado, puede ocurrir que la implementación se atrase, dice Tony Cava, del Departamento de Servicios de Salud estatal.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>No importa cuándo ocurra, los niños elegibles tendrán cobertura retroactiva al primer día de ese mes, dice. Por ejemplo, si el cambio entra en vigencia el 16 de mayo, la cobertura estará vigente desde el 1 de mayo.\u003c/p>\n\u003cp>Carolina Moran, de Canoga Park, espera con ansiedad para llevar a Lizeth, su hija de 14 años, al médico una vez que ella se convierta en elegible para los beneficios completos de Medi-Cal.\u003c/p>\n\u003cp>Lizeth tuvo que ir a una sala de emergencias en enero, a causa de un fuerte golpe en la cabeza en una cancha de fútbol, pero no pudo ver al doctor para una cita de seguimiento porque “no podemos pagarla. Deberíamos haber pagado de nuestro bolsillo”, dice Moran.\u003c/p>\n\u003cp>Lo primero que hará Moran será llevar a Lizeth para un examen físico “y estar segura que sus vacunas están al día”, dice. “También necesita el relleno para cinco caries”.\u003c/p>\n\u003cp>La elegibilidad para el Medi-Cal se basa en el ingreso familiar, y niños menores de 19 años califican a un nivel de ingresos más alto que los adultos. Son elegibles para Medi-Cal si el ingreso de la familia es menos del 266 por ciento del Nivel Federal de Pobreza, o alrededor de $53.600 para una familia de tres y $75.650 para una familia de cinco.\u003c/p>\n\u003cp>Actualmente, los niños y adultos que están en el país indocumentados califican para una cobertura de Medi-Cal limitada, llamada de alcance restringido, que cubre emergencias y servicios relacionados con el embarazo.\u003c/p>\n\u003cp>Aunque esto pueda parecer contrario a la intuición, defensores del cuidado de salud y el estado quieren que usted registre a sus niños para el Medi-Cal restringido ahora, en preparación para la disponibilidad de los beneficios completos del Medi-Cal.\u003c/p>\n\u003cp>La idea es que, cuando ocurra el cambio, los niños que califican serán automáticamente transferidos a la cobertura completa del Medi-Cal “en pocos días” y sin una aplicación adicional, dice Cava.\u003c/p>\n\u003cp>El estado estima que hay alrededor de 115.000 niños inmigrantes sin papeles que ya tienen Medi-Cal restringido.\u003c/p>\n\u003cp>Si su niño no tiene seguro, regístrelo en el Medi-Cal restringido ahora. Incluso si su hijo tiene cobertura a través de otro programa existente —como el Programa de Salud Infantil de Kaiser Permanente o cobertura de salud del condado— todavía debería registrarlo para el Medi-Cal restringido ahora, dice Mark Diel, CEO de California Coverage & Health Initiatives (CCHI), una red de inscripción y difusión en todo el estado.\u003c/p>\n\u003cp>Esto se debe a que esos niños eventualmente se convertirán en no elegibles para esos programas después de que sean elegibles para el Medi-Cal completo. (No saque a su niño de otro programa hasta que no confirme si es elegible para el Medi-Cal de alcance completo, y que haya sido aprobado, dice Cava).\u003c/p>\n\u003cp>Pero advierte: la aplicación del Medi-Cal es larga y complicada. Para completarla, necesitará proveer un certificado de nacimiento, prueba de una dirección local, prueba de identidad e información sobre ingresos, dice Vizcarra. Se pueden usar pasaportes y partidas de nacimiento de otros países.\u003c/p>\n\u003cp>“Hágalo con un reclutador local en vez de tratar de hacerlo por su cuenta,” dice Diel. “Es mucho más probable que aprueben su aplicación”.\u003c/p>\n\u003cp>La ayuda de clínicas locales de salud y grupos comunitarios es gratis. En internet, visite www.cchi4families.org/find-help para recursos locales.\u003c/p>\n\u003cp>Defensores y oficiales del estado también quieren que usted sepa que inscribir a sus hijos no debería dar lugar a consecuencias negativas de inmigración para usted —o para otros miembros de su familia— que pueden no tener un estatus legal.\u003c/p>\n\u003cp>“Nada de la información que se recoge es compartida con autoridades de inmigración”, dice María Romero-Mora, de CCHI.\u003c/p>\n\u003cp>Una vez que sus niños están en el Medi-Cal de alcance restringido, y eventualmente dentro del Medi-Cal completo, necesitará actuar. Revise las cartas que lleguen por correo antes y después de la transición, explicando sus opciones.\u003c/p>\n\u003cp>\u003cstrong>ELIJA UN PLAN\u003c/strong>: una vez que ocurra la transición al Medi-Cal completo, tendrá 60 días para elegir un plan de cuidado de salud gerenciado para niños que ya están inscriptos en el Medi-Cal restringido. Si no elige un plan, el estado le asignará uno, dice Cava.\u003c/p>\n\u003cp>Los padres de niños que no están en el Medi-Cal restringido al momento del cambio, y que los inscribieron después, tendrán 30 días para elegir un plan, agrega.\u003c/p>\n\u003cp>Si vive en uno de los 22 condados en donde el cuidado de Medi-Cal es operado por un único County Organized Health System, los niños serán registrados automáticamente en ese plan, dice Cava.\u003c/p>\n\u003cp>En todos los casos, hasta que se elige un plan —o se asigna uno— los niños recibirán cobertura a través del programa de pago por servicio (fee-for-service) del Medi-Cal.\u003c/p>\n\u003cp>\u003cstrong>PAGUE LAS PRIMAS\u003c/strong>: Medi-Cal es gratuito (libre de prima, es decir de una cuota mensual) para los niños hasta 160 por ciento del Nivel Federal de Pobreza, pero deberá pagar una prima si el ingreso familiar se encuentra entre 160 por ciento y 266 por ciento. La prima es de $13 por mes por cada niño, con un máximo de $39 por familia.\u003c/p>\n\u003cp>Los niños en los planes del Medi-Cal no tienen co pagos por cuidado médico.\u003c/p>\n\u003cp>\u003cstrong>RENUEVE\u003c/strong>: usted tendrá que participar en el proceso de renovación anual de Medi-Cal para asegurar que sus hijos sigan siendo elegibles y se mantengan inscriptos.\u003c/p>\n\u003cp>Finalmente, si usted no inscribe a su hijo en el Medi-Cal restringido antes del cambio, puede aplicar para beneficios completos después —en cualquier momento del año— en la oficina de servicios humanos de su condado, a través de una organización comunitaria o en el sitio de internet de Covered California, \u003ca href=\"http://www.CoveredCa.com\">www.CoveredCa.com\u003c/a>\u003c/p>\n\u003cp>En Canoga Park, Moran dice que tener a Lizeth en el Medi-Cal le dará a la familia una gran seguridad financiera. Lizeth está de acuerdo.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"Me preocupa si tengo que ir a un chequeo, porque le va a costar dinero a mis padres, y a veces no tienen el dinero para pagarlo\", dice la estudiante de noveno grado.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Read this story in English: \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/04/09/medi-cal-expands-to-undocumented-children-heres-how-it-works/\" target=\"_blank\">Medi-Cal Expands to Undocumented Children. Here's How It Works\u003c/a>\u003c/em>\u003c/p>\n\u003cp>En poco tiempo, California comenzará a proveer cobertura completa de Medi-Cal para los niños de familias de bajos ingresos, independientemente de su status migratorio.\u003c/p>\n\u003cp>Dependiendo de a quien le pregunte, un número de entre 170.000 y 250.000 niños que viven en California, y están en el país indocumentados, calificarán.\u003c/p>\n\u003cp>Si piensa que su hijo calificará, o conoce a un padre cuyo hijo pueda ser elegible, oficiales de salud y defensores del cuidado de salud tienen un simple mensaje para usted: tome medidas ya. “Regístrese ahora”, dice Rachel Vizcarra, asistente de programa de la UFW Foundation en Bakersfield, que está ayudando a familias a pre registrarse. “Si lo hace, sus niños serán registrados automáticamente en el programa”.\u003c/p>\n\u003cp>Oficiales del estado esperan que la cobertura comience el 16 de mayo. Pero como el cambio de política requiere de ajustes de programación complejos en los sistemas informáticos de los condados y del estado, puede ocurrir que la implementación se atrase, dice Tony Cava, del Departamento de Servicios de Salud estatal.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>No importa cuándo ocurra, los niños elegibles tendrán cobertura retroactiva al primer día de ese mes, dice. Por ejemplo, si el cambio entra en vigencia el 16 de mayo, la cobertura estará vigente desde el 1 de mayo.\u003c/p>\n\u003cp>Carolina Moran, de Canoga Park, espera con ansiedad para llevar a Lizeth, su hija de 14 años, al médico una vez que ella se convierta en elegible para los beneficios completos de Medi-Cal.\u003c/p>\n\u003cp>Lizeth tuvo que ir a una sala de emergencias en enero, a causa de un fuerte golpe en la cabeza en una cancha de fútbol, pero no pudo ver al doctor para una cita de seguimiento porque “no podemos pagarla. Deberíamos haber pagado de nuestro bolsillo”, dice Moran.\u003c/p>\n\u003cp>Lo primero que hará Moran será llevar a Lizeth para un examen físico “y estar segura que sus vacunas están al día”, dice. “También necesita el relleno para cinco caries”.\u003c/p>\n\u003cp>La elegibilidad para el Medi-Cal se basa en el ingreso familiar, y niños menores de 19 años califican a un nivel de ingresos más alto que los adultos. Son elegibles para Medi-Cal si el ingreso de la familia es menos del 266 por ciento del Nivel Federal de Pobreza, o alrededor de $53.600 para una familia de tres y $75.650 para una familia de cinco.\u003c/p>\n\u003cp>Actualmente, los niños y adultos que están en el país indocumentados califican para una cobertura de Medi-Cal limitada, llamada de alcance restringido, que cubre emergencias y servicios relacionados con el embarazo.\u003c/p>\n\u003cp>Aunque esto pueda parecer contrario a la intuición, defensores del cuidado de salud y el estado quieren que usted registre a sus niños para el Medi-Cal restringido ahora, en preparación para la disponibilidad de los beneficios completos del Medi-Cal.\u003c/p>\n\u003cp>La idea es que, cuando ocurra el cambio, los niños que califican serán automáticamente transferidos a la cobertura completa del Medi-Cal “en pocos días” y sin una aplicación adicional, dice Cava.\u003c/p>\n\u003cp>El estado estima que hay alrededor de 115.000 niños inmigrantes sin papeles que ya tienen Medi-Cal restringido.\u003c/p>\n\u003cp>Si su niño no tiene seguro, regístrelo en el Medi-Cal restringido ahora. Incluso si su hijo tiene cobertura a través de otro programa existente —como el Programa de Salud Infantil de Kaiser Permanente o cobertura de salud del condado— todavía debería registrarlo para el Medi-Cal restringido ahora, dice Mark Diel, CEO de California Coverage & Health Initiatives (CCHI), una red de inscripción y difusión en todo el estado.\u003c/p>\n\u003cp>Esto se debe a que esos niños eventualmente se convertirán en no elegibles para esos programas después de que sean elegibles para el Medi-Cal completo. (No saque a su niño de otro programa hasta que no confirme si es elegible para el Medi-Cal de alcance completo, y que haya sido aprobado, dice Cava).\u003c/p>\n\u003cp>Pero advierte: la aplicación del Medi-Cal es larga y complicada. Para completarla, necesitará proveer un certificado de nacimiento, prueba de una dirección local, prueba de identidad e información sobre ingresos, dice Vizcarra. Se pueden usar pasaportes y partidas de nacimiento de otros países.\u003c/p>\n\u003cp>“Hágalo con un reclutador local en vez de tratar de hacerlo por su cuenta,” dice Diel. “Es mucho más probable que aprueben su aplicación”.\u003c/p>\n\u003cp>La ayuda de clínicas locales de salud y grupos comunitarios es gratis. En internet, visite www.cchi4families.org/find-help para recursos locales.\u003c/p>\n\u003cp>Defensores y oficiales del estado también quieren que usted sepa que inscribir a sus hijos no debería dar lugar a consecuencias negativas de inmigración para usted —o para otros miembros de su familia— que pueden no tener un estatus legal.\u003c/p>\n\u003cp>“Nada de la información que se recoge es compartida con autoridades de inmigración”, dice María Romero-Mora, de CCHI.\u003c/p>\n\u003cp>Una vez que sus niños están en el Medi-Cal de alcance restringido, y eventualmente dentro del Medi-Cal completo, necesitará actuar. Revise las cartas que lleguen por correo antes y después de la transición, explicando sus opciones.\u003c/p>\n\u003cp>\u003cstrong>ELIJA UN PLAN\u003c/strong>: una vez que ocurra la transición al Medi-Cal completo, tendrá 60 días para elegir un plan de cuidado de salud gerenciado para niños que ya están inscriptos en el Medi-Cal restringido. Si no elige un plan, el estado le asignará uno, dice Cava.\u003c/p>\n\u003cp>Los padres de niños que no están en el Medi-Cal restringido al momento del cambio, y que los inscribieron después, tendrán 30 días para elegir un plan, agrega.\u003c/p>\n\u003cp>Si vive en uno de los 22 condados en donde el cuidado de Medi-Cal es operado por un único County Organized Health System, los niños serán registrados automáticamente en ese plan, dice Cava.\u003c/p>\n\u003cp>En todos los casos, hasta que se elige un plan —o se asigna uno— los niños recibirán cobertura a través del programa de pago por servicio (fee-for-service) del Medi-Cal.\u003c/p>\n\u003cp>\u003cstrong>PAGUE LAS PRIMAS\u003c/strong>: Medi-Cal es gratuito (libre de prima, es decir de una cuota mensual) para los niños hasta 160 por ciento del Nivel Federal de Pobreza, pero deberá pagar una prima si el ingreso familiar se encuentra entre 160 por ciento y 266 por ciento. La prima es de $13 por mes por cada niño, con un máximo de $39 por familia.\u003c/p>\n\u003cp>Los niños en los planes del Medi-Cal no tienen co pagos por cuidado médico.\u003c/p>\n\u003cp>\u003cstrong>RENUEVE\u003c/strong>: usted tendrá que participar en el proceso de renovación anual de Medi-Cal para asegurar que sus hijos sigan siendo elegibles y se mantengan inscriptos.\u003c/p>\n\u003cp>Finalmente, si usted no inscribe a su hijo en el Medi-Cal restringido antes del cambio, puede aplicar para beneficios completos después —en cualquier momento del año— en la oficina de servicios humanos de su condado, a través de una organización comunitaria o en el sitio de internet de Covered California, \u003ca href=\"http://www.CoveredCa.com\">www.CoveredCa.com\u003c/a>\u003c/p>\n\u003cp>En Canoga Park, Moran dice que tener a Lizeth en el Medi-Cal le dará a la familia una gran seguridad financiera. Lizeth está de acuerdo.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Me preocupa si tengo que ir a un chequeo, porque le va a costar dinero a mis padres, y a veces no tienen el dinero para pagarlo\", dice la estudiante de noveno grado.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Jordin Purcell-Riess has worked as a registered nurse at the emergency department at St. Francis Hospital in Hartford, Conn., for three years. She describes her workplace as phones going off, voices everywhere, every room full.\u003c/p>\n\u003cp>\"You look around and the hallways are full of patients on stretchers, you walk out to the waiting room and you can see on our board that there's 15 people signing in,\" she says. \"The second you can get your ICU patient upstairs, there's another one waiting for you.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">'You could have a patient get really really sick, you could have a patient die, and there's no break.'\u003ccite> Theresa Brown, R.N.\u003c/cite>\u003c/aside>\n\u003cp>She typically doesn't get a chance to eat or drink or go to the bathroom during her 12-hour shift, Purcell-Riess says. And she's not alone. A 2007 \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/17185650\" target=\"_blank\">study\u003c/a> in the \u003cem>American Journal of Respiratory and Critical Care Medicine\u003c/em> found that 24 percent of ICU nurses and 14 percent of general nurses tested positive for symptoms of post-traumatic stress disorder.\u003c/p>\n\u003cp>Nursing has long been considered one of the most stressful professions, according to a \u003ca href=\"http://www.cdc.gov/niosh/nioshtic-2/20042107.html\" target=\"_blank\">review\u003c/a> of research by the National Institute for Occupational Safety and Health in 2012. Nurses and researchers say it comes down to organizational problems in hospitals worldwide. That includes cuts in staffing; some California nurses struck last month for a week over low staffing and wages.\u003c/p>\n\u003cp>But some researchers say that just hiring more people won't fix things. Other proposed solutions include restructuring hospitals so that administrators pay more attention to what nurses have to say about patient care and work flow, and training programs to help nurses relieve their stress and deal with ethical dilemmas.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Theresa Brown is a \u003ca href=\"http://www.theresabrownrn.com/\">clinical nurse\u003c/a> in Pittsburgh who has written two books about what it's like to be a nurse. She says nurses are often stretched to the limit.\u003c/p>\n\u003cp>\"A friend said when she started working as a nurse, when she would drive, she would vomit on the way in to work just because of the incredible level of stress,\" Brown says.\u003c/p>\n\u003cp>\"One of the senior nurses said there is no place we can go to just be alone and be in a quiet room for five or 10 minutes, except for the bathroom ... you could have a patient get really really sick, you could have a patient die, and there's no break.\"\u003c/p>\n\u003cp>She adds that whenever hospitals start adding new forms of documentation or electronic health records, that work is often given to the nurses so their workload just gets larger. \"It shouldn't be this way, but the patient demands are the ones that can get put off.\"\u003c/p>\n\u003cp>It's not just a problem in the U.S., either.\u003c/p>\n\u003cp>A recent \u003ca href=\"http://www.mdpi.com/1660-4601/12/9/11072?trendmd-shared=0\" target=\"_blank\">study\u003c/a> in Hong Kong found nurses to be at much higher risk for stress, depression and anxiety compared to the general population. \u003cem>The Guardian\u003c/em> \u003ca href=\"http://www.theguardian.com/society/2015/jan/17/nurses-nhs-stress-leave-staff-breaking-point\" target=\"_blank\">reported\u003c/a> last January that the number of nurses in the U.K. taking time off due to stress has soared – 1 in 29 are off because of stress.\u003c/p>\n\u003cp>The problem is that most hospitals aren't organized to support nurses, or even doctors, says \u003ca href=\"http://www.nursing.upenn.edu/faculty/profile.asp?pid=107\" target=\"_blank\">Linda Aiken\u003c/a>. She is a professor of nursing and sociology at the University of Pennsylvania. \"They're highly bureaucratic, they're very top-down organizations, they don't really seek out clinicians' solutions for solving problems in patient care,\" Aiken says. \"Therefore the problems exist over decades, and they're basically not solvable by any individual nurse.\"\u003c/p>\n\u003cp>If the work environment at a particular hospital is bad, just adding more nurses won't address the problem, Aiken says. As an example of what hospitals can do, she points to \"\u003ca href=\"https://www.ucdmc.ucdavis.edu/nurse/magnet/designation.html\" target=\"_blank\">magnet hospitals\u003c/a>,\" a form of voluntary accreditation from a subsidiary of the American Nurses Association that looks at nursing culture, training and work practices, including issues such as not having a nurse \u003ca href=\"http://www.npr.org/2015/03/24/394823592/despite-high-rates-of-nursing-injuries-government-regulators-take-little-action\" target=\"_blank\">lift patients alone\u003c/a>, a significant cause of disability for nurses. There are about 400 certified magnet hospitals in the U.S.\u003c/p>\n\u003cp>\u003cimg class=\"alignright size-thumbnail wp-image-173094\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/04/nurses-workload_enl-94023b3a4b2316e38fd2b715b98a31dd25676fc2-400x276.jpg\" alt=\"Oivind Hovland/Getty Images/Ikon Images\" width=\"400\" height=\"276\">Aiken says to get magnet status, hospitals need to give the nurses and doctors who are treating the patients a greater say in what resources are used for those patients, make decisions based on evidence, be well-staffed, and invest in educating their doctors and nurses. \"That's not the conventional way that hospitals are managed now,\" she says.\u003c/p>\n\u003cp>Magnet hospitals with at least one nurse per bed are less likely to send patients to the ICU or have patients die, according to a \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/26791112\" target=\"_blank\">study\u003c/a> that Aiken co-authored published in January in \u003cem>JAMA Surgery\u003c/em>. The improved results didn't cost the hospitals more; some actually saved money. St. Francis Hospital, where Jordin Purcell-Riess works, follows the magnet principles though it is not accredited.\u003c/p>\n\u003cp>Linda Aiken says she's worried that hospitals think of nurses as a cost to be cut and not as a revenue stream. \u003ca href=\"http://nursing.jhu.edu/faculty_research/faculty/faculty-directory/acutechroniccare/cynda-rushton\" target=\"_blank\">Cynda Rushton\u003c/a>, a professor of nursing and bioethics at the Johns Hopkins Berman Institute of Bioethics and School of Nursing, agrees. \"There is a mindset among some administrators that nurses are easily replaceable commodities — a nurse is a nurse is a nurse,\" she says.\u003c/p>\n\u003cp>Almost 20 percent of newly registered nurses leave a hospital within the first year for the same job elsewhere, or a different job in a different organization, according to a 2014 \u003ca href=\"http://www.rwjf.org/en/library/articles-and-news/2014/09/nearly-one-in-five-new-nurses-leave-first-job-within-a-year--acc.html\" target=\"_blank\">study\u003c/a>. Rushton says to her, that means health care organizations aren't investing enough in their nursing staff.\u003c/p>\n\u003cp>Nurse burnout also is linked to moral distress, Rushton says, from situations where nurses know what they should do for their patients but can't act on it. For example, nurses might have to give a patient at the end of life a treatment that causes suffering without any medical benefit. She just started a program called the Mindful Ethical Practice and Resilience Academy to try to help new nurses deal with moral distress.\u003c/p>\n\u003cp>It's a series of in-person workshops, some of which involve nurses using simulations to practice how to make their ethical concerns heard at work. One scenario includes a patient with a complex medical condition and a nurse has been caring for him and talking to him for days following the recommended treatment.\u003c/p>\n\u003cp>If the nurse sees that the medicine isn't working, she could say that she's assessed the patient's pain, it's a 10 out of 10, Rushton says. She could say she's concerned about the treatment because \"in my role as a nurse, one of my primary goals is to relieve my patient's suffering and I'm not able to do that, so I'd like to talk about how we can figure out a way to more fully address this patient's pain and their suffering.\"\u003c/p>\n\u003cp>The goal is to help nurses better communicate with other staff members, Rushton says, as well as take care of themselves through mindfulness, reflection and other practices.\u003c/p>\n\u003cp>Nurses around the world are struggling with how to fulfill their ethical obligations, Rushton says. \"In one sense, it could be considered a public health crisis, because if we don't have sufficient nurses to meet the needs of people in need of health care,\" the entire health care system could crumble. \"I think that it's time that nurses are recognized as a scarce resource that needs to be invested in, supported and respected.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Alan Yu is a freelance reporter in Hong Kong who contributes regularly to the \u003c/em>South China Morning Post\u003cem>. You can follow him on Twitter \u003ca href=\"https://twitter.com/Alan_Yu039\">@Alan_Yu039\u003c/a>. \u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Nurses+Say+Stress+Interferes+With+Caring+For+Their+Patients&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Jordin Purcell-Riess has worked as a registered nurse at the emergency department at St. Francis Hospital in Hartford, Conn., for three years. She describes her workplace as phones going off, voices everywhere, every room full.\u003c/p>\n\u003cp>\"You look around and the hallways are full of patients on stretchers, you walk out to the waiting room and you can see on our board that there's 15 people signing in,\" she says. \"The second you can get your ICU patient upstairs, there's another one waiting for you.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">'You could have a patient get really really sick, you could have a patient die, and there's no break.'\u003ccite> Theresa Brown, R.N.\u003c/cite>\u003c/aside>\n\u003cp>She typically doesn't get a chance to eat or drink or go to the bathroom during her 12-hour shift, Purcell-Riess says. And she's not alone. A 2007 \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/17185650\" target=\"_blank\">study\u003c/a> in the \u003cem>American Journal of Respiratory and Critical Care Medicine\u003c/em> found that 24 percent of ICU nurses and 14 percent of general nurses tested positive for symptoms of post-traumatic stress disorder.\u003c/p>\n\u003cp>Nursing has long been considered one of the most stressful professions, according to a \u003ca href=\"http://www.cdc.gov/niosh/nioshtic-2/20042107.html\" target=\"_blank\">review\u003c/a> of research by the National Institute for Occupational Safety and Health in 2012. Nurses and researchers say it comes down to organizational problems in hospitals worldwide. That includes cuts in staffing; some California nurses struck last month for a week over low staffing and wages.\u003c/p>\n\u003cp>But some researchers say that just hiring more people won't fix things. Other proposed solutions include restructuring hospitals so that administrators pay more attention to what nurses have to say about patient care and work flow, and training programs to help nurses relieve their stress and deal with ethical dilemmas.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Theresa Brown is a \u003ca href=\"http://www.theresabrownrn.com/\">clinical nurse\u003c/a> in Pittsburgh who has written two books about what it's like to be a nurse. She says nurses are often stretched to the limit.\u003c/p>\n\u003cp>\"A friend said when she started working as a nurse, when she would drive, she would vomit on the way in to work just because of the incredible level of stress,\" Brown says.\u003c/p>\n\u003cp>\"One of the senior nurses said there is no place we can go to just be alone and be in a quiet room for five or 10 minutes, except for the bathroom ... you could have a patient get really really sick, you could have a patient die, and there's no break.\"\u003c/p>\n\u003cp>She adds that whenever hospitals start adding new forms of documentation or electronic health records, that work is often given to the nurses so their workload just gets larger. \"It shouldn't be this way, but the patient demands are the ones that can get put off.\"\u003c/p>\n\u003cp>It's not just a problem in the U.S., either.\u003c/p>\n\u003cp>A recent \u003ca href=\"http://www.mdpi.com/1660-4601/12/9/11072?trendmd-shared=0\" target=\"_blank\">study\u003c/a> in Hong Kong found nurses to be at much higher risk for stress, depression and anxiety compared to the general population. \u003cem>The Guardian\u003c/em> \u003ca href=\"http://www.theguardian.com/society/2015/jan/17/nurses-nhs-stress-leave-staff-breaking-point\" target=\"_blank\">reported\u003c/a> last January that the number of nurses in the U.K. taking time off due to stress has soared – 1 in 29 are off because of stress.\u003c/p>\n\u003cp>The problem is that most hospitals aren't organized to support nurses, or even doctors, says \u003ca href=\"http://www.nursing.upenn.edu/faculty/profile.asp?pid=107\" target=\"_blank\">Linda Aiken\u003c/a>. She is a professor of nursing and sociology at the University of Pennsylvania. \"They're highly bureaucratic, they're very top-down organizations, they don't really seek out clinicians' solutions for solving problems in patient care,\" Aiken says. \"Therefore the problems exist over decades, and they're basically not solvable by any individual nurse.\"\u003c/p>\n\u003cp>If the work environment at a particular hospital is bad, just adding more nurses won't address the problem, Aiken says. As an example of what hospitals can do, she points to \"\u003ca href=\"https://www.ucdmc.ucdavis.edu/nurse/magnet/designation.html\" target=\"_blank\">magnet hospitals\u003c/a>,\" a form of voluntary accreditation from a subsidiary of the American Nurses Association that looks at nursing culture, training and work practices, including issues such as not having a nurse \u003ca href=\"http://www.npr.org/2015/03/24/394823592/despite-high-rates-of-nursing-injuries-government-regulators-take-little-action\" target=\"_blank\">lift patients alone\u003c/a>, a significant cause of disability for nurses. There are about 400 certified magnet hospitals in the U.S.\u003c/p>\n\u003cp>\u003cimg class=\"alignright size-thumbnail wp-image-173094\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/04/nurses-workload_enl-94023b3a4b2316e38fd2b715b98a31dd25676fc2-400x276.jpg\" alt=\"Oivind Hovland/Getty Images/Ikon Images\" width=\"400\" height=\"276\">Aiken says to get magnet status, hospitals need to give the nurses and doctors who are treating the patients a greater say in what resources are used for those patients, make decisions based on evidence, be well-staffed, and invest in educating their doctors and nurses. \"That's not the conventional way that hospitals are managed now,\" she says.\u003c/p>\n\u003cp>Magnet hospitals with at least one nurse per bed are less likely to send patients to the ICU or have patients die, according to a \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/26791112\" target=\"_blank\">study\u003c/a> that Aiken co-authored published in January in \u003cem>JAMA Surgery\u003c/em>. The improved results didn't cost the hospitals more; some actually saved money. St. Francis Hospital, where Jordin Purcell-Riess works, follows the magnet principles though it is not accredited.\u003c/p>\n\u003cp>Linda Aiken says she's worried that hospitals think of nurses as a cost to be cut and not as a revenue stream. \u003ca href=\"http://nursing.jhu.edu/faculty_research/faculty/faculty-directory/acutechroniccare/cynda-rushton\" target=\"_blank\">Cynda Rushton\u003c/a>, a professor of nursing and bioethics at the Johns Hopkins Berman Institute of Bioethics and School of Nursing, agrees. \"There is a mindset among some administrators that nurses are easily replaceable commodities — a nurse is a nurse is a nurse,\" she says.\u003c/p>\n\u003cp>Almost 20 percent of newly registered nurses leave a hospital within the first year for the same job elsewhere, or a different job in a different organization, according to a 2014 \u003ca href=\"http://www.rwjf.org/en/library/articles-and-news/2014/09/nearly-one-in-five-new-nurses-leave-first-job-within-a-year--acc.html\" target=\"_blank\">study\u003c/a>. Rushton says to her, that means health care organizations aren't investing enough in their nursing staff.\u003c/p>\n\u003cp>Nurse burnout also is linked to moral distress, Rushton says, from situations where nurses know what they should do for their patients but can't act on it. For example, nurses might have to give a patient at the end of life a treatment that causes suffering without any medical benefit. She just started a program called the Mindful Ethical Practice and Resilience Academy to try to help new nurses deal with moral distress.\u003c/p>\n\u003cp>It's a series of in-person workshops, some of which involve nurses using simulations to practice how to make their ethical concerns heard at work. One scenario includes a patient with a complex medical condition and a nurse has been caring for him and talking to him for days following the recommended treatment.\u003c/p>\n\u003cp>If the nurse sees that the medicine isn't working, she could say that she's assessed the patient's pain, it's a 10 out of 10, Rushton says. She could say she's concerned about the treatment because \"in my role as a nurse, one of my primary goals is to relieve my patient's suffering and I'm not able to do that, so I'd like to talk about how we can figure out a way to more fully address this patient's pain and their suffering.\"\u003c/p>\n\u003cp>The goal is to help nurses better communicate with other staff members, Rushton says, as well as take care of themselves through mindfulness, reflection and other practices.\u003c/p>\n\u003cp>Nurses around the world are struggling with how to fulfill their ethical obligations, Rushton says. \"In one sense, it could be considered a public health crisis, because if we don't have sufficient nurses to meet the needs of people in need of health care,\" the entire health care system could crumble. \"I think that it's time that nurses are recognized as a scarce resource that needs to be invested in, supported and respected.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Alan Yu is a freelance reporter in Hong Kong who contributes regularly to the \u003c/em>South China Morning Post\u003cem>. You can follow him on Twitter \u003ca href=\"https://twitter.com/Alan_Yu039\">@Alan_Yu039\u003c/a>. \u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Nurses+Say+Stress+Interferes+With+Caring+For+Their+Patients&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>It's been almost 20 years since the Food and Drug Administration (FDA) required that folic acid, a B vitamin that can prevent a serious birth defect when taken by pregnant women, be added to certain enriched grains like breads and pasta. In the decade after, the rate of these neural tube defects plummeted and is estimated to have prevented 10,000 cases in a decade.\u003c/p>\n\u003cp>But corn masa was not included in the FDA's recommendation back in the '90s, and since then the Hispanic population of the U.S. has grown dramatically. Now a quarter of all babies are born to Hispanic mothers, and they have a \u003ca href=\"http://www.cdc.gov/mmWR/pdf/wk/mm6401.pdf\" target=\"_blank\">much higher risk \u003c/a>of neural tube defects than their white counterparts.\u003c/p>\n\u003cp>On Thursday, \u003ca href=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm496104.htm\" target=\"_blank\">the FDA announced \u003c/a>that folic acid may be added to corn masa flour, a staple for many Hispanic families, with a goal of reducing the risk of neural tube defects.\u003c/p>\n\u003cp>Advocacy groups, including the March of Dimes, have been lobbying the FDA for years to make the recommendation. They applauded the move.\u003c/p>\n\u003cp>\u003ca href=\"http://www.prnewswire.com/news-releases/advocates-hail-fda-decision-to-improve-infant-health-prevent-birth-defects-300251337.html#continue-jump\" target=\"_blank\">In a statement\u003c/a>, March of Dimes president Dr. Jennifer Howse called the announcement a \"major victory for maternal and child health, especially in our Hispanic communities.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In a developing fetus, the neural tube starts as a flat ribbon and develops into a tube by the end of the first month of pregnancy. The tube goes on to develop into the brain and spinal cord. \u003ca href=\"http://www.marchofdimes.org/complications/neural-tube-defects.aspx#\" target=\"_blank\">Serious defects \u003c/a>can happen if the tube does not close completely. That can lead to conditions such as spina bifida.\u003c/p>\n\u003cp>But if a woman consumes appropriate amounts of folic acid -- 400 micrograms a day -- before becoming pregnant, it can prevent many cases of neural tube defects, \u003ca href=\"http://www.cdc.gov/features/folicacidbenefits/\" target=\"_blank\">according to the Centers for Disease Control and Prevention\u003c/a>. Most multivitamins contain the recommended amount of folic acid, and many fortified cereals -- now soon to include masa flour -- also can provide the amount of folic acid women need each day.\u003c/p>\n\u003cp>The only question is if the FDA delayed in making the recommendation, reports the\u003ca href=\"http://www.seattletimes.com/seattle-news/health/fda-to-allow-folic-acid-in-corn-masa-to-stop-birth-defects/\" target=\"_blank\"> Seattle Times\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Adding folic acid to corn masa could prevent an average of 40 neural-tube defects in Hispanic women each year, and as many as 120 annually across the nation, \u003ca class=\"content-link external\" href=\"http://onlinelibrary.wiley.com/doi/10.1111/nyas.12325/abstract\" target=\"_blank\">according to research\u003c/a> by the Centers for Disease Control and Prevention (CDC).\u003c/p>\n\u003cp>Critics, including a former director of the CDC’s birth-defects division, said about 800 defects could have been prevented if the action had been taken earlier.\u003c/p>\n\u003cp>“That’s great news,” said Dr. Godfrey Oakley, director of the Center for Spina Bifida Research, Prevention and Policy at Emory University. “It’s only about 20 years too late.”\u003c/p>\n\u003cp>Susan Mayne [director of the FDA Center for Food Safety and Applied Nutrition], said the agency was required to follow the rules governing additives in the food supply.\u003c/p>\n\u003cp>“The big hitch, obviously, is that we need data,” she said. “Once we had the data, the process went very quickly.”\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>The Times also reported that Gruma, the world's largest maker of corn masa flour already adds folic acid to masa flour in other countries, and will begin adding the vitamin to its U.S. products as soon as manufacturing plants can be reconfigured.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>It's been almost 20 years since the Food and Drug Administration (FDA) required that folic acid, a B vitamin that can prevent a serious birth defect when taken by pregnant women, be added to certain enriched grains like breads and pasta. In the decade after, the rate of these neural tube defects plummeted and is estimated to have prevented 10,000 cases in a decade.\u003c/p>\n\u003cp>But corn masa was not included in the FDA's recommendation back in the '90s, and since then the Hispanic population of the U.S. has grown dramatically. Now a quarter of all babies are born to Hispanic mothers, and they have a \u003ca href=\"http://www.cdc.gov/mmWR/pdf/wk/mm6401.pdf\" target=\"_blank\">much higher risk \u003c/a>of neural tube defects than their white counterparts.\u003c/p>\n\u003cp>On Thursday, \u003ca href=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm496104.htm\" target=\"_blank\">the FDA announced \u003c/a>that folic acid may be added to corn masa flour, a staple for many Hispanic families, with a goal of reducing the risk of neural tube defects.\u003c/p>\n\u003cp>Advocacy groups, including the March of Dimes, have been lobbying the FDA for years to make the recommendation. They applauded the move.\u003c/p>\n\u003cp>\u003ca href=\"http://www.prnewswire.com/news-releases/advocates-hail-fda-decision-to-improve-infant-health-prevent-birth-defects-300251337.html#continue-jump\" target=\"_blank\">In a statement\u003c/a>, March of Dimes president Dr. Jennifer Howse called the announcement a \"major victory for maternal and child health, especially in our Hispanic communities.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In a developing fetus, the neural tube starts as a flat ribbon and develops into a tube by the end of the first month of pregnancy. The tube goes on to develop into the brain and spinal cord. \u003ca href=\"http://www.marchofdimes.org/complications/neural-tube-defects.aspx#\" target=\"_blank\">Serious defects \u003c/a>can happen if the tube does not close completely. That can lead to conditions such as spina bifida.\u003c/p>\n\u003cp>But if a woman consumes appropriate amounts of folic acid -- 400 micrograms a day -- before becoming pregnant, it can prevent many cases of neural tube defects, \u003ca href=\"http://www.cdc.gov/features/folicacidbenefits/\" target=\"_blank\">according to the Centers for Disease Control and Prevention\u003c/a>. Most multivitamins contain the recommended amount of folic acid, and many fortified cereals -- now soon to include masa flour -- also can provide the amount of folic acid women need each day.\u003c/p>\n\u003cp>The only question is if the FDA delayed in making the recommendation, reports the\u003ca href=\"http://www.seattletimes.com/seattle-news/health/fda-to-allow-folic-acid-in-corn-masa-to-stop-birth-defects/\" target=\"_blank\"> Seattle Times\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Adding folic acid to corn masa could prevent an average of 40 neural-tube defects in Hispanic women each year, and as many as 120 annually across the nation, \u003ca class=\"content-link external\" href=\"http://onlinelibrary.wiley.com/doi/10.1111/nyas.12325/abstract\" target=\"_blank\">according to research\u003c/a> by the Centers for Disease Control and Prevention (CDC).\u003c/p>\n\u003cp>Critics, including a former director of the CDC’s birth-defects division, said about 800 defects could have been prevented if the action had been taken earlier.\u003c/p>\n\u003cp>“That’s great news,” said Dr. Godfrey Oakley, director of the Center for Spina Bifida Research, Prevention and Policy at Emory University. “It’s only about 20 years too late.”\u003c/p>\n\u003cp>Susan Mayne [director of the FDA Center for Food Safety and Applied Nutrition], said the agency was required to follow the rules governing additives in the food supply.\u003c/p>\n\u003cp>“The big hitch, obviously, is that we need data,” she said. “Once we had the data, the process went very quickly.”\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>The Times also reported that Gruma, the world's largest maker of corn masa flour already adds folic acid to masa flour in other countries, and will begin adding the vitamin to its U.S. products as soon as manufacturing plants can be reconfigured.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "An East Bay Child’s Death and the Power of the Dental Lobby",
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"content": "\u003cp>After their 6-year-old son died following a dental procedure, a Bay Area couple went to the California Legislature, hoping a new law could prevent other families from experiencing similar tragedy.\u003c/p>\n\u003cp>What they’ve found, so far, is that dentists hold surprising sway in Sacramento. More, it seems, than grieving parents making a plea for change.\u003c/p>\n\u003caside class=\"pullquote alignright\">'The (dental) association is an influential group. I knew this would be a hard bill.' \u003ccite> Assemblyman Tony Thurmond, D-Richmond\u003c/cite>\u003c/aside>\n\u003cp>The California Dental Association spent about $664,000 lobbying in California last year – more than the pharmaceutical industry trade group or the association for Hollywood movie studios.\u003c/p>\n\u003cp>Dentists and related professional organizations are also big political donors, pouring at least $12 million over the last five years into California races. They spend millions on super-PAC style \u003ca href=\"https://calmatters.org/articles/money-talks-candidates-listen/\" target=\"_blank\">independent campaigns\u003c/a> and have given donations to every lawmaker on the committee that recently watered down the Bay Area couple’s bill.\u003c/p>\n\u003cp>“The (dental) association is an influential group,” said Assemblyman Tony Thurmond, D-Richmond, who is carrying the legislation. “I knew this would be a hard bill.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In March 2015, Tim and Eliza Sears brought their son to an oral surgeon in Albany to remove a tooth that was growing in the wrong spot in his mouth. Caleb Sears, a kindergartener, was under general anesthesia because the procedure involved cutting into the bone on the roof of his mouth, his father said. The family now believes the anesthesia ended Caleb’s life.\u003c/p>\n\u003cp>“We had a whole conversation about the risks of general anesthesia versus the trauma of doing it without anesthesia,” Tim Sears said. “But we had no clue that the method … would be different than it would be in any other medical setting. And that’s what we’re trying to push for, for parents to be given that information.”\u003c/p>\n\u003cp>Since Caleb’s death, the family has learned that oral surgeons are the only medical professionals allowed to both administer anesthesia and perform surgery. Those duties are separated in hospitals.\u003c/p>\n\u003cp>The executive officer of the state’s Dental Board, which is responsible for disciplinary actions, \u003ca href=\"https://app.box.com/s/pr2ceu8e5mrn988n66uk22ol5064v1t3/1/7419303397/60859030597/1\" target=\"_blank\">accused\u003c/a> Dr. Michael Doucet in February of “gross negligence” in Caleb’s treatment. Doucet \u003ca href=\"https://app.box.com/s/pr2ceu8e5mrn988n66uk22ol5064v1t3/1/7419303397/60859034461/1\" target=\"_blank\">denied\u003c/a> it and is allowed to continue practicing while the case to revoke his license is pending.\u003c/p>\n\u003caside class=\"pullquote alignright\">'There is no evidence that dental anesthesia under this model of care carries a greater risk than dental care with a second anesthesiologist present.' \u003ccite> Alicia Malaby, California Dental Association\u003c/cite>\u003c/aside>\n\u003cp>As they dealt with their loss, the Sears family tried to learn how many other children had died during dental anesthesia, but found a lack of reliable data. They asked Thurmond, their assemblyman, for a bill to require two providers during oral surgery – one to perform and monitor anesthesia, and another to operate. Thurmond said dentists and oral surgeons pushed back, arguing it would make it harder for poor people to get care.\u003c/p>\n\u003cp>So with the family’s support, Thurmond crafted \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB2235\" target=\"_blank\">Assembly Bill 2235\u003c/a> to require notifying parents before their children’s oral surgeries that there is a greater risk of death when a dentist both administers anesthesia and operates.\u003c/p>\n\u003cp>Lobbyists for dentists and oral surgeons opposed that, too.\u003c/p>\n\u003cp>“There is no evidence that dental anesthesia under this model of care carries a greater risk than dental care with a second anesthesiologist present,” Alicia Malaby, spokeswoman for the California Dental Association, wrote in an email.\u003c/p>\n\u003cp>Dental groups convinced a key lawmaker to block the bill: Assemblyman Rudy Salas (D-Bakersfield), who chairs the committee that oversees professional licensing.\u003c/p>\n\u003cp>Salas won re-election in 2014 with significant help from independent expenditure campaigns funded, in part, by the California Dental Association. The association has also made donations to each of the 16 members of his Assembly Business and Professions Committee.\u003c/p>\n\u003cp>When the committee heard Thurmond’s bill earlier this month, Salas insisted on amendments the dental lobby wanted. They removed the requirement to notify parents about the risks of a single provider doing anesthesia and surgery, replacing it with a more general warning in pre-surgery paperwork about the risks of anesthesia.\u003c/p>\n\u003cp>Thurmond said he didn’t like the change but would accept it because he thought the dentists’ opposition would doom the tougher version of the bill.\u003c/p>\n\u003cp>“We’ve negotiated around the clock up until late last night and sadly… the oral surgeons and (the dental association) have rejected (a) compromise,” Thurmond said at the hearing.\u003c/p>\n\u003cp>Above the lawmakers on the dais hung a portrait of former Assembly speaker Jesse Unruh, famous for saying that “money is the mother’s milk of politics.” In the audience, Eliza Sears -- wearing wristbands embroidered with the word “Caleb” -- cuddled her one-month old baby. Caleb’s grandparents held up photos of Caleb’s smiling face.\u003c/p>\n\u003cp>The weakened bill passed unanimously out of committee. Salas said later that the dentists’ campaign spending had no influence on the way he handled the bill. The committee did, he said, “what we think is fair and balanced.”\u003c/p>\n\u003cp>“We’re not changing an entire system if it doesn’t need to be changed or if this was a bad actor or an outlier,” Salas said.\u003c/p>\n\u003cp>The Sears family has sued Doucet for malpractice. The Dental Board’s case says that after Doucet administered anesthesia, Caleb stopped breathing and went into cardiac arrest. Doucet’s “response and actions during this emergency incident were inadequate and constituted incompetence, gross negligence and repeated acts of negligence,” the Feb. 24, 2016, accusation says.\u003c/p>\n\u003cp>Doucet denied the accusation on March 8, 2016, arguing that it was made too late and that the investigation violated his due process rights. His lawyer, Arthur Curley, declined to comment for this story.\u003c/p>\n\u003cp>The Sears family sees the approval of their bill as a first step in a long fight. It will require the Dental Board to study anesthesia incidents and publicly report the findings. They hope to make the bill stronger as it advances, and want to call it “\u003ca href=\"http://www.calebslaw.org/\" target=\"_blank\">Caleb’s law\u003c/a>.”\u003c/p>\n\u003cp>“We cry a lot,” Sears said.\u003c/p>\n\u003cp>“But this is our life now and we have to figure out what to do with it… Trying to make sure this won’t happen to other families is one thing we can do.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>CALmatters is a nonprofit journalism venture dedicated to explaining state policies and politics.For more news analysis by Laurel Rosenhall, visit \u003ca href=\"https://calmatters.org/newsanalysis/.\" target=\"_blank\">CALmatters\u003c/a>. \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>After their 6-year-old son died following a dental procedure, a Bay Area couple went to the California Legislature, hoping a new law could prevent other families from experiencing similar tragedy.\u003c/p>\n\u003cp>What they’ve found, so far, is that dentists hold surprising sway in Sacramento. More, it seems, than grieving parents making a plea for change.\u003c/p>\n\u003caside class=\"pullquote alignright\">'The (dental) association is an influential group. I knew this would be a hard bill.' \u003ccite> Assemblyman Tony Thurmond, D-Richmond\u003c/cite>\u003c/aside>\n\u003cp>The California Dental Association spent about $664,000 lobbying in California last year – more than the pharmaceutical industry trade group or the association for Hollywood movie studios.\u003c/p>\n\u003cp>Dentists and related professional organizations are also big political donors, pouring at least $12 million over the last five years into California races. They spend millions on super-PAC style \u003ca href=\"https://calmatters.org/articles/money-talks-candidates-listen/\" target=\"_blank\">independent campaigns\u003c/a> and have given donations to every lawmaker on the committee that recently watered down the Bay Area couple’s bill.\u003c/p>\n\u003cp>“The (dental) association is an influential group,” said Assemblyman Tony Thurmond, D-Richmond, who is carrying the legislation. “I knew this would be a hard bill.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In March 2015, Tim and Eliza Sears brought their son to an oral surgeon in Albany to remove a tooth that was growing in the wrong spot in his mouth. Caleb Sears, a kindergartener, was under general anesthesia because the procedure involved cutting into the bone on the roof of his mouth, his father said. The family now believes the anesthesia ended Caleb’s life.\u003c/p>\n\u003cp>“We had a whole conversation about the risks of general anesthesia versus the trauma of doing it without anesthesia,” Tim Sears said. “But we had no clue that the method … would be different than it would be in any other medical setting. And that’s what we’re trying to push for, for parents to be given that information.”\u003c/p>\n\u003cp>Since Caleb’s death, the family has learned that oral surgeons are the only medical professionals allowed to both administer anesthesia and perform surgery. Those duties are separated in hospitals.\u003c/p>\n\u003cp>The executive officer of the state’s Dental Board, which is responsible for disciplinary actions, \u003ca href=\"https://app.box.com/s/pr2ceu8e5mrn988n66uk22ol5064v1t3/1/7419303397/60859030597/1\" target=\"_blank\">accused\u003c/a> Dr. Michael Doucet in February of “gross negligence” in Caleb’s treatment. Doucet \u003ca href=\"https://app.box.com/s/pr2ceu8e5mrn988n66uk22ol5064v1t3/1/7419303397/60859034461/1\" target=\"_blank\">denied\u003c/a> it and is allowed to continue practicing while the case to revoke his license is pending.\u003c/p>\n\u003caside class=\"pullquote alignright\">'There is no evidence that dental anesthesia under this model of care carries a greater risk than dental care with a second anesthesiologist present.' \u003ccite> Alicia Malaby, California Dental Association\u003c/cite>\u003c/aside>\n\u003cp>As they dealt with their loss, the Sears family tried to learn how many other children had died during dental anesthesia, but found a lack of reliable data. They asked Thurmond, their assemblyman, for a bill to require two providers during oral surgery – one to perform and monitor anesthesia, and another to operate. Thurmond said dentists and oral surgeons pushed back, arguing it would make it harder for poor people to get care.\u003c/p>\n\u003cp>So with the family’s support, Thurmond crafted \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB2235\" target=\"_blank\">Assembly Bill 2235\u003c/a> to require notifying parents before their children’s oral surgeries that there is a greater risk of death when a dentist both administers anesthesia and operates.\u003c/p>\n\u003cp>Lobbyists for dentists and oral surgeons opposed that, too.\u003c/p>\n\u003cp>“There is no evidence that dental anesthesia under this model of care carries a greater risk than dental care with a second anesthesiologist present,” Alicia Malaby, spokeswoman for the California Dental Association, wrote in an email.\u003c/p>\n\u003cp>Dental groups convinced a key lawmaker to block the bill: Assemblyman Rudy Salas (D-Bakersfield), who chairs the committee that oversees professional licensing.\u003c/p>\n\u003cp>Salas won re-election in 2014 with significant help from independent expenditure campaigns funded, in part, by the California Dental Association. The association has also made donations to each of the 16 members of his Assembly Business and Professions Committee.\u003c/p>\n\u003cp>When the committee heard Thurmond’s bill earlier this month, Salas insisted on amendments the dental lobby wanted. They removed the requirement to notify parents about the risks of a single provider doing anesthesia and surgery, replacing it with a more general warning in pre-surgery paperwork about the risks of anesthesia.\u003c/p>\n\u003cp>Thurmond said he didn’t like the change but would accept it because he thought the dentists’ opposition would doom the tougher version of the bill.\u003c/p>\n\u003cp>“We’ve negotiated around the clock up until late last night and sadly… the oral surgeons and (the dental association) have rejected (a) compromise,” Thurmond said at the hearing.\u003c/p>\n\u003cp>Above the lawmakers on the dais hung a portrait of former Assembly speaker Jesse Unruh, famous for saying that “money is the mother’s milk of politics.” In the audience, Eliza Sears -- wearing wristbands embroidered with the word “Caleb” -- cuddled her one-month old baby. Caleb’s grandparents held up photos of Caleb’s smiling face.\u003c/p>\n\u003cp>The weakened bill passed unanimously out of committee. Salas said later that the dentists’ campaign spending had no influence on the way he handled the bill. The committee did, he said, “what we think is fair and balanced.”\u003c/p>\n\u003cp>“We’re not changing an entire system if it doesn’t need to be changed or if this was a bad actor or an outlier,” Salas said.\u003c/p>\n\u003cp>The Sears family has sued Doucet for malpractice. The Dental Board’s case says that after Doucet administered anesthesia, Caleb stopped breathing and went into cardiac arrest. Doucet’s “response and actions during this emergency incident were inadequate and constituted incompetence, gross negligence and repeated acts of negligence,” the Feb. 24, 2016, accusation says.\u003c/p>\n\u003cp>Doucet denied the accusation on March 8, 2016, arguing that it was made too late and that the investigation violated his due process rights. His lawyer, Arthur Curley, declined to comment for this story.\u003c/p>\n\u003cp>The Sears family sees the approval of their bill as a first step in a long fight. It will require the Dental Board to study anesthesia incidents and publicly report the findings. They hope to make the bill stronger as it advances, and want to call it “\u003ca href=\"http://www.calebslaw.org/\" target=\"_blank\">Caleb’s law\u003c/a>.”\u003c/p>\n\u003cp>“We cry a lot,” Sears said.\u003c/p>\n\u003cp>“But this is our life now and we have to figure out what to do with it… Trying to make sure this won’t happen to other families is one thing we can do.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>CALmatters is a nonprofit journalism venture dedicated to explaining state policies and politics.For more news analysis by Laurel Rosenhall, visit \u003ca href=\"https://calmatters.org/newsanalysis/.\" target=\"_blank\">CALmatters\u003c/a>. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Democratic lawmakers' \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/03/09/soda-tax-is-again-before-california-legislators/\" target=\"_blank\">eighth attempt\u003c/a> in six years to change Californians' sugar habits has stalled in the state Legislature.\u003c/p>\n\u003cp>Assemblyman Richard Bloom of Santa Monica put the brakes on his latest proposal for a soda tax before lawmakers on a health panel had a chance to vote it down Tuesday.\u003c/p>\n\u003cp>\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB2782\" target=\"_blank\">AB2782\u003c/a> would have imposed a 2-cent-per-ounce fee on sugary drinks. The money would have benefited clinics that address obesity, diabetes and oral health.\u003c/p>\n\u003cp>Spokesman Sean MacNeil says Bloom did not have enough support from members of the Assembly Health Committee to ensure the bill's passage.\u003c/p>\n\u003cp>MacNeil says there are no plans to amend or revive the measure.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The \u003ca href=\"http://www.sacbee.com/news/politics-government/capitol-alert/article71436032.html\" target=\"_blank\">Sacramento Bee reports \u003c/a>that supporters of the tax have faced heavy opposition from the beverage industry:\u003c/p>\n\u003cblockquote>\u003cp>The California Nevada Beverage Association, PepsiCo and Coca-Cola have spent at least $413,000 on lobbying since the start of 2015, according to records filed with the California secretary of state. The industry spent nearly $500,000 on campaign contributions during the last election cycle.\u003c/p>\n\u003cp>The California Chamber of Commerce also attacked AB 2782 on the grounds that it “threatens jobs in the beverage, retail and restaurant industries,” joining the California Restaurant Association in criticizing the bill.\u003c/p>\u003c/blockquote>\n\u003cp>Meanwhile, California cities are pressing ahead. In 2014, Berkeley became the\u003ca href=\"http://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> to pass a soda tax. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/04/04/san-francisco-oakland-working-to-put-soda-tax-before-voters/\" target=\"_blank\">San Francisco and Oakland\u003c/a> are moving toward putting a soda tax on their November ballots.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.nbcphiladelphia.com/news/politics/Mayor-Jim-Kenney-Philadelphia-Soda-Tax-371956832.html\" target=\"_blank\">Philadelphia's mayor\u003c/a> has proposed a three-cents-per-ounce tax on sugary beverages.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Democratic lawmakers' \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/03/09/soda-tax-is-again-before-california-legislators/\" target=\"_blank\">eighth attempt\u003c/a> in six years to change Californians' sugar habits has stalled in the state Legislature.\u003c/p>\n\u003cp>Assemblyman Richard Bloom of Santa Monica put the brakes on his latest proposal for a soda tax before lawmakers on a health panel had a chance to vote it down Tuesday.\u003c/p>\n\u003cp>\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB2782\" target=\"_blank\">AB2782\u003c/a> would have imposed a 2-cent-per-ounce fee on sugary drinks. The money would have benefited clinics that address obesity, diabetes and oral health.\u003c/p>\n\u003cp>Spokesman Sean MacNeil says Bloom did not have enough support from members of the Assembly Health Committee to ensure the bill's passage.\u003c/p>\n\u003cp>MacNeil says there are no plans to amend or revive the measure.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The \u003ca href=\"http://www.sacbee.com/news/politics-government/capitol-alert/article71436032.html\" target=\"_blank\">Sacramento Bee reports \u003c/a>that supporters of the tax have faced heavy opposition from the beverage industry:\u003c/p>\n\u003cblockquote>\u003cp>The California Nevada Beverage Association, PepsiCo and Coca-Cola have spent at least $413,000 on lobbying since the start of 2015, according to records filed with the California secretary of state. The industry spent nearly $500,000 on campaign contributions during the last election cycle.\u003c/p>\n\u003cp>The California Chamber of Commerce also attacked AB 2782 on the grounds that it “threatens jobs in the beverage, retail and restaurant industries,” joining the California Restaurant Association in criticizing the bill.\u003c/p>\u003c/blockquote>\n\u003cp>Meanwhile, California cities are pressing ahead. In 2014, Berkeley became the\u003ca href=\"http://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> to pass a soda tax. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/04/04/san-francisco-oakland-working-to-put-soda-tax-before-voters/\" target=\"_blank\">San Francisco and Oakland\u003c/a> are moving toward putting a soda tax on their November ballots.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.nbcphiladelphia.com/news/politics/Mayor-Jim-Kenney-Philadelphia-Soda-Tax-371956832.html\" target=\"_blank\">Philadelphia's mayor\u003c/a> has proposed a three-cents-per-ounce tax on sugary beverages.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"order": 1
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"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
"site": "radio",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
"title": "Freakonomics Radio",
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"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"meta": {
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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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"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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"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"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/",
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},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
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},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"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",
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"apple": "https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
"site": "news",
"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
"meta": {
"site": "news",
"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
"meta": {
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/id73801135",
"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"
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},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
"officialWebsiteLink": "https://www.npr.org/sections/money/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/M4f5",
"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
"tuneIn": "https://tunein.com/podcasts/Business--Economics-Podcasts/Planet-Money-p164680/",
"rss": "https://feeds.npr.org/510289/podcast.xml"
}
},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
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