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"content": "\u003cp>Three terminally ill patients lost a court battle in California Friday over whether they should have the right to request and take lethal medication to hasten their deaths.\u003c/p>\n\u003cp>San Diego Superior Court Judge Gregory Pollack said he would dismiss the case, adding that the issues were beyond his role as a judge to decide and should instead be put to the state Legislature or voters to establish new law.\u003c/p>\n\u003cp>Plaintiffs vowed to appeal the ruling.\u003c/p>\n\u003cp>“This is certainly frustrating, but it’s a temporary setback,” said Elizabeth Wallner of Sacramento, a plaintiff in the case who was diagnosed with Stage IV colon cancer. “I am optimistic that we’ll prevail in the end. It’s too big of an issue to leave uncovered.”\u003c/p>\n\u003cp>Wallner began a series of treatments for her cancer in 2011, including surgeries to remove her colon and parts of her liver, radiation, and numerous rounds of chemotherapy. In the midst of her treatment, she realized that she wanted to have control over her own death.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I was throwing up in the bathroom, and my son was taking care of me,” she said. He was 16 at the time. “I looked over at his face and I saw him just absolutely stricken, watching his mother experience this. I thought, ‘That’s enough. My son doesn’t need to see this.’ I should have the right to make that decision when it’s time.”\u003c/p>\n\u003cp>[contextly_sidebar id=”YsZmW8Ys48Vx1eqhUVIUjbNJTwYswTgZ”]The case seeks to challenge current California law (\u003ca href=\"http://www.leginfo.ca.gov/cgi-bin/displaycode?section=pen&group=00001-01000&file=369a-402c\" target=\"_blank\" rel=\"noopener\">Section 401\u003c/a> of the penal code), which makes it a crime to deliberately aid or advise another person to commit suicide. Plaintiffs say this prohibits people’s doctors from discussing or prescribing medications that could end their lives, and that prohibition violates their rights to privacy, liberty and free speech under the California Constitution.\u003c/p>\n\u003cp>Attorneys for the plaintiffs — the three patients and a physician — argued that the option to hasten death is an extension of previously recognized legal rights to make end-of-life decisions, including the right to refuse life-sustaining treatments, like a feeding tube or ventilator.\u003c/p>\n\u003cp>“When you’re suffering, and you know you’re going to die anyway, it should be up to you to decide when enough is enough,” said Kevin Diaz, an attorney with Compassion & Choices, an advocacy group representing the plaintiffs. “We’ll keep trying any way we can to make sure this is an option.”\u003c/p>\n\u003cp>But state Attorney General Kamala Harris, one of the defendants in the case, argued that there is no right to assisted suicide embedded in California law. Health statutes that protect patients’ rights to withdraw treatment do not include a right to provide proactive assistance to end someone’s life.\u003c/p>\n\u003cp>“No court has ever extended the right to privacy to encompass an affirmative medical intervention to kill oneself,” Julie Trinh, deputy attorney general, wrote in a legal brief.\u003c/p>\n\u003cp>She wrote that while the court has sympathized in the past with the plight of the terminally ill, it concluded that the question of allowing physician-assisted suicide is a legislative matter, rather than a judicial one.\u003c/p>\n\u003cp>The judge in this case agreed. He said he would issue a formal ruling on Monday.\u003c/p>\n\u003cp>A bill that aims to legalize physician-assisted suicide in California (SB128) has been tabled for the rest of the year, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/07/07/californias-physician-assisted-suicide-bill-shelved-for-the-year/\" target=\"_blank\" rel=\"noopener\">after stalling\u003c/a> in the Assembly Health Committee. Several attempts in other states to pass a similar bill this year have also failed.\u003c/p>\n\u003cp>The practice is legal in five states. The courts authorized the practice in Montana and New Mexico. Vermont passed a law in its legislature, while voters approved ballot measures in Washington and Oregon.\u003c/p>\n\u003cp>There is one other \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/02/11/cancer-patients-doctors-sue-state-to-allow-aid-in-dying/\" target=\"_blank\" rel=\"noopener\">lawsuit pending\u003c/a> in California.\u003c/p>\n\u003cp>The three patient plaintiffs in this case are worried that the legal process will be too slow to provide relief for them. Christy O’Donnell, a single mother from Santa Clarita (Los Angeles County) who is dying from brain cancer, broke down in tears after the hearing.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I don’t have much time left to live,” she said. “These options are urgent for me.”\u003c/p>\n\n",
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"excerpt": "Three terminally ill patients had filed the case challenging California law, which makes aiding someone's death a felony.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Three terminally ill patients lost a court battle in California Friday over whether they should have the right to request and take lethal medication to hasten their deaths.\u003c/p>\n\u003cp>San Diego Superior Court Judge Gregory Pollack said he would dismiss the case, adding that the issues were beyond his role as a judge to decide and should instead be put to the state Legislature or voters to establish new law.\u003c/p>\n\u003cp>Plaintiffs vowed to appeal the ruling.\u003c/p>\n\u003cp>“This is certainly frustrating, but it’s a temporary setback,” said Elizabeth Wallner of Sacramento, a plaintiff in the case who was diagnosed with Stage IV colon cancer. “I am optimistic that we’ll prevail in the end. It’s too big of an issue to leave uncovered.”\u003c/p>\n\u003cp>Wallner began a series of treatments for her cancer in 2011, including surgeries to remove her colon and parts of her liver, radiation, and numerous rounds of chemotherapy. In the midst of her treatment, she realized that she wanted to have control over her own death.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I was throwing up in the bathroom, and my son was taking care of me,” she said. He was 16 at the time. “I looked over at his face and I saw him just absolutely stricken, watching his mother experience this. I thought, ‘That’s enough. My son doesn’t need to see this.’ I should have the right to make that decision when it’s time.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>The case seeks to challenge current California law (\u003ca href=\"http://www.leginfo.ca.gov/cgi-bin/displaycode?section=pen&group=00001-01000&file=369a-402c\" target=\"_blank\" rel=\"noopener\">Section 401\u003c/a> of the penal code), which makes it a crime to deliberately aid or advise another person to commit suicide. Plaintiffs say this prohibits people’s doctors from discussing or prescribing medications that could end their lives, and that prohibition violates their rights to privacy, liberty and free speech under the California Constitution.\u003c/p>\n\u003cp>Attorneys for the plaintiffs — the three patients and a physician — argued that the option to hasten death is an extension of previously recognized legal rights to make end-of-life decisions, including the right to refuse life-sustaining treatments, like a feeding tube or ventilator.\u003c/p>\n\u003cp>“When you’re suffering, and you know you’re going to die anyway, it should be up to you to decide when enough is enough,” said Kevin Diaz, an attorney with Compassion & Choices, an advocacy group representing the plaintiffs. “We’ll keep trying any way we can to make sure this is an option.”\u003c/p>\n\u003cp>But state Attorney General Kamala Harris, one of the defendants in the case, argued that there is no right to assisted suicide embedded in California law. Health statutes that protect patients’ rights to withdraw treatment do not include a right to provide proactive assistance to end someone’s life.\u003c/p>\n\u003cp>“No court has ever extended the right to privacy to encompass an affirmative medical intervention to kill oneself,” Julie Trinh, deputy attorney general, wrote in a legal brief.\u003c/p>\n\u003cp>She wrote that while the court has sympathized in the past with the plight of the terminally ill, it concluded that the question of allowing physician-assisted suicide is a legislative matter, rather than a judicial one.\u003c/p>\n\u003cp>The judge in this case agreed. He said he would issue a formal ruling on Monday.\u003c/p>\n\u003cp>A bill that aims to legalize physician-assisted suicide in California (SB128) has been tabled for the rest of the year, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/07/07/californias-physician-assisted-suicide-bill-shelved-for-the-year/\" target=\"_blank\" rel=\"noopener\">after stalling\u003c/a> in the Assembly Health Committee. Several attempts in other states to pass a similar bill this year have also failed.\u003c/p>\n\u003cp>The practice is legal in five states. The courts authorized the practice in Montana and New Mexico. Vermont passed a law in its legislature, while voters approved ballot measures in Washington and Oregon.\u003c/p>\n\u003cp>There is one other \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/02/11/cancer-patients-doctors-sue-state-to-allow-aid-in-dying/\" target=\"_blank\" rel=\"noopener\">lawsuit pending\u003c/a> in California.\u003c/p>\n\u003cp>The three patient plaintiffs in this case are worried that the legal process will be too slow to provide relief for them. Christy O’Donnell, a single mother from Santa Clarita (Los Angeles County) who is dying from brain cancer, broke down in tears after the hearing.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I don’t have much time left to live,” she said. “These options are urgent for me.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "PriceCheck: How Much Does It Cost to Have a Baby in Northern California?",
"title": "PriceCheck: How Much Does It Cost to Have a Baby in Northern California?",
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"content": "\u003cp>Childbirth is the most common reason for hospitalization in the U.S. In California, about\u003ca href=\"http://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_01.pdf\" target=\"_blank\"> half a million babies \u003c/a>are born every year. Given how common it is -- and that most births are fairly uncomplicated, medically -- you'd think there would be some predictability in prices.\u003c/p>\n\u003cp>But there isn't. The price of delivery varies dramatically, both nationwide and across California. A\u003ca href=\"http://bmjopen.bmj.com/content/4/1/e004017.abstract?sid=a32193cf-85b1-4f07-b2d1-cba35214aa0a\" target=\"_blank\"> study last year\u003c/a> of more than 109,000 births at 198 hospitals statewide found a stunning 11-fold variation in prices charged for vaginal delivery -- from $3,296 to $37,227 -- and more than 8-fold for cesarean section -- from $8,312 to $70,908.\u003c/p>\n\u003caside class=\"pullquote alignright\">Share what you paid to deliver your baby. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/06/23/share-your-bill-make-health-costs-transparent-in-california/\" target=\"_blank\">Help us make health costs transparent. Visit PriceCheck!\u003c/a>\u003c/aside>\n\u003cp>\"This type of variation is not unique to obstetrics,\" said the study's lead author, Renee Hsia, a physician and professor of health policy at UC San Francisco. \"This is unfortunately the state of our health care in the United States.\"\u003c/p>\n\u003cp>That's why we're turning next to childbirth in our PriceCheck project. On \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/06/23/share-your-bill-make-health-costs-transparent-in-california/\" target=\"_blank\">PriceCheck\u003c/a>, we're crowdsourcing the price of common medical tests and procedures. We're asking people to share what they paid -- in this case -- for childbirth. More on how you can share further below, but first, some things you should know if you're pregnant now to make sure you can minimize your bills.\u003c/p>\n\u003cp>\u003cstrong>No Co-pay for Prenatal Care ...\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Under the Affordable Care Act, many preventive services -- including routine prenatal care -- \u003ca href=\"http://www.hhs.gov/healthcare/facts/factsheets/2010/07/preventive-services-list.html#CoveredPreventiveServicesforWomenIncludingPregnantWomen\" target=\"_blank\">must be covered at no cost to the patient\u003c/a>: no deductible, no co-insurance, no co-payment.\u003c/p>\n\u003cp>\"So the first thing they should be looking for and demanding is no cost-sharing for prenatal care,\" said Susan Berke Fogel, with the National Health Law Program. Common screenings like gestational diabetes and Rh incompatibility are just two of the \u003ca href=\"http://www.hhs.gov/healthcare/facts/factsheets/2010/07/preventive-services-list.html#CoveredPreventiveServicesforWomenIncludingPregnantWomen\" target=\"_blank\">tests included\u003c/a> at no cost to the patient.\u003c/p>\n\u003cp>The only exception is if you have a \"grandfathered\" plan. This is a plan that predated the Affordable Care Act and has not been changed much since. These grandfathered plans are not subject to many of the Affordable Care Act mandates and may not include the same benefits.\u003c/p>\n\u003cp>\u003cstrong>... But There Is for Labor and Delivery\u003c/strong>\u003c/p>\n\u003cp>While your costs will depend on your plan, you will almost certainly pay something for labor and delivery. Consumers should contact their plan to try to estimate their costs and check other requirements.\u003c/p>\n\u003cp>\"Understand specifics,\" says Lisa Zamosky, author of \"\u003ca href=\"http://lisazamosky.com/about/\" target=\"_blank\">Healthcare, Insurance and You: The Savvy Consumer's Guide\u003c/a>.\" She also worked for a large managed-care organization before becoming a writer. \"Are pre-authorizations required? Do you need to call the insurance company when you are admitted to the hospital?\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"dSK0x9dmZALaarFtZERECULWv88aushi\"]The good news is that you have time to sort this all out. Both Zamosky and Fogel stressed to make sure both your doctor and the hospital are in network. Some women prefer to deliver at a birth center, but you need to make sure the center is in network, too. If not, do the math to see how an out-of-network birth center pencils out compared with an in-network hospital. (My PriceCheck colleague Rebecca Plevin at KPCC \u003ca href=\"http://www.scpr.org/blogs/health/2015/07/22/18049/pricecheck-how-much-does-it-cost-to-have-a-baby-at/\" target=\"_blank\">looked closely at this issue\u003c/a>.)\u003c/p>\n\u003cp>Even if you are at an in-network facility, it doesn't mean all the providers are also in network. I know this from my own experience. When I delivered my daughter in 2001 at an in-network hospital, I got a $1,200 bill months later for the anesthesiologist. (It was ultimately paid by my insurer.)\u003c/p>\n\u003cp>These \"surprise bills\" are not uncommon. A\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/05/07/nearly-1-in-4-californians-hit-by-surprise-medical-bills/\" target=\"_blank\"> Consumers Union survey \u003c/a>earlier this year found almost one in four Californians who had gone to a hospital or ER got an out-of-network bill from a doctor they had thought was in network.\u003c/p>\n\u003cp>There are steps you can take before you get to the hospital to try to avoid this, Zamosky says, \"but you should know there is a risk.\"\u003c/p>\n\u003cp>She recommends having a pointed conversation with your obstetrician. \"I would be forceful about it and be clear,\" Zamosky says. Tell the doctor: \"'Don't bring anyone in the room who is not participating [in the network]' so that you're not surprised by bills.\"\u003c/p>\n\u003cp>But she also adds that \"you don't have total control.\"\u003c/p>\n\u003cp>It's easy to imagine that you might need an anesthesiologist, but the only one available is out of network. A bill making its way through the California legislature, \u003ca href=\"https://legiscan.com/CA/bill/AB533/2015\" target=\"_blank\">AB533\u003c/a>, would end surprise bills by prohibiting consumers from paying out-of-network rates to doctors (or other providers) as long as they receive care at an in-network facility. If approved, the law would take effect in January.\u003c/p>\n\u003cp>\u003cstrong>What if You're Uninsured?\u003c/strong>\u003c/p>\n\u003cp>If you're pregnant, uninsured and outside the annual sign-up period for health insurance, you are out of luck for signing up for private insurance, including on Covered California. But you \u003cem>may\u003c/em> be eligible for Medi-Cal, the state's version of Medicaid, which is open for sign up year-round.\u003c/p>\n\u003cp>Pregnant women can qualify for Medi-Cal at \u003ca href=\"https://dpss.lacounty.gov/dpss/health/pregnant/medical.cfm?persona=pregnant\" target=\"_blank\">higher incomes\u003c/a> than if they were not pregnant. \"They shouldn't assume they're over income without filing an application,\" says Fogel. Medi-Cal providers may also be able to see a pregnant woman while she is waiting for her application to be processed under a program called \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/eligibility/Pages/PE_Info_women.aspx\" target=\"_blank\">Presumptive Eligibility\u003c/a>.\u003c/p>\n\u003cp>Once your baby is born, there's still more to think about, insurance-wise:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Contraception:\u003c/strong> Many women choose to have an IUD inserted after they have delivered their baby, but are still in the hospital. Under the Affordable Care Act, contraception -- including the IUD, which can be expensive -- is covered at no cost-sharing for the patient.\u003c/li>\n\u003cli>\u003cstrong>Catholic Hospitals:\u003c/strong> If you are considering an IUD, be sure to talk to your doctor about it in advance. Fogle noted a big \"consumer beware\" by pointing out that Catholic hospitals may not provide them. If you are considering a Catholic hospital, she says, be sure to ask your doctor if that hospital will provide the full range of reproductive services.\u003c/li>\n\u003cli>\u003cb>Breastfeeding:\u003c/b> Counseling for breastfeeding and coverage of a breast pump must also be \u003ca href=\"https://www.healthcare.gov/coverage/breast-feeding-benefits/\" target=\"_blank\">covered at no cost\u003c/a> under the Affordable Care Act. But, especially with the pump, plans may vary in coverage. You may need a specific pump or you may need to purchase from a specific provider to get the no-cost benefit.\u003c/li>\n\u003c/ul>\n\u003cp>Of course, your baby will need health insurance, too, and you have a limited time to enroll the newborn. If you have employer-based coverage, you have \u003ca href=\"http://familiesusa.org/sites/default/files/product_documents/special-enrollment-opportunity.pdf\" target=\"_blank\">30 days to add the baby\u003c/a>. If the mother of the baby has a spouse, the spouse also has the opportunity to enroll in coverage within 30 days, says Cheryl Parcham at FamiliesUSA.\u003c/p>\n\u003cp>If you have a plan through Covered California (or any marketplace plan), \u003ca href=\"https://marketplace.cms.gov/technical-assistance-resources/helping-new-parents-enroll.pdf\" target=\"_blank\">you have 60 days to sign up the baby\u003c/a>. The additional bonus is that the whole family can pick a new Covered California plan, if you want to.\u003c/p>\n\u003cp>\u003cstrong>PriceCheck: Share What You Paid\u003c/strong>\u003c/p>\n\u003cp>Now that you have all these tips, we'd appreciate your help! While prices charged vary dramatically, it's impossible to know the variety of what insurers and consumers actually pay. That's because the \"insured prices\" are sealed by contract.\u003c/p>\n\u003cp>You can help shine a light on true costs by getting your \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/18/explaining-the-health-insurance-explanation-of-benefits/\" target=\"_blank\">explanation of benefits\u003c/a> and heading over to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/06/23/share-your-bill-make-health-costs-transparent-in-california/\" target=\"_blank\">PriceCheck\u003c/a>. There you can anonymously share the price charged, what your insurer paid and what you paid, in co-pay or deductible.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>We're primarily interested in vaginal birth, but if you had a cesarean section, we'll happily take those prices, too.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Childbirth is the most common reason for hospitalization in the U.S. In California, about\u003ca href=\"http://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_01.pdf\" target=\"_blank\"> half a million babies \u003c/a>are born every year. Given how common it is -- and that most births are fairly uncomplicated, medically -- you'd think there would be some predictability in prices.\u003c/p>\n\u003cp>But there isn't. The price of delivery varies dramatically, both nationwide and across California. A\u003ca href=\"http://bmjopen.bmj.com/content/4/1/e004017.abstract?sid=a32193cf-85b1-4f07-b2d1-cba35214aa0a\" target=\"_blank\"> study last year\u003c/a> of more than 109,000 births at 198 hospitals statewide found a stunning 11-fold variation in prices charged for vaginal delivery -- from $3,296 to $37,227 -- and more than 8-fold for cesarean section -- from $8,312 to $70,908.\u003c/p>\n\u003caside class=\"pullquote alignright\">Share what you paid to deliver your baby. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/06/23/share-your-bill-make-health-costs-transparent-in-california/\" target=\"_blank\">Help us make health costs transparent. Visit PriceCheck!\u003c/a>\u003c/aside>\n\u003cp>\"This type of variation is not unique to obstetrics,\" said the study's lead author, Renee Hsia, a physician and professor of health policy at UC San Francisco. \"This is unfortunately the state of our health care in the United States.\"\u003c/p>\n\u003cp>That's why we're turning next to childbirth in our PriceCheck project. On \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/06/23/share-your-bill-make-health-costs-transparent-in-california/\" target=\"_blank\">PriceCheck\u003c/a>, we're crowdsourcing the price of common medical tests and procedures. We're asking people to share what they paid -- in this case -- for childbirth. More on how you can share further below, but first, some things you should know if you're pregnant now to make sure you can minimize your bills.\u003c/p>\n\u003cp>\u003cstrong>No Co-pay for Prenatal Care ...\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Under the Affordable Care Act, many preventive services -- including routine prenatal care -- \u003ca href=\"http://www.hhs.gov/healthcare/facts/factsheets/2010/07/preventive-services-list.html#CoveredPreventiveServicesforWomenIncludingPregnantWomen\" target=\"_blank\">must be covered at no cost to the patient\u003c/a>: no deductible, no co-insurance, no co-payment.\u003c/p>\n\u003cp>\"So the first thing they should be looking for and demanding is no cost-sharing for prenatal care,\" said Susan Berke Fogel, with the National Health Law Program. Common screenings like gestational diabetes and Rh incompatibility are just two of the \u003ca href=\"http://www.hhs.gov/healthcare/facts/factsheets/2010/07/preventive-services-list.html#CoveredPreventiveServicesforWomenIncludingPregnantWomen\" target=\"_blank\">tests included\u003c/a> at no cost to the patient.\u003c/p>\n\u003cp>The only exception is if you have a \"grandfathered\" plan. This is a plan that predated the Affordable Care Act and has not been changed much since. These grandfathered plans are not subject to many of the Affordable Care Act mandates and may not include the same benefits.\u003c/p>\n\u003cp>\u003cstrong>... But There Is for Labor and Delivery\u003c/strong>\u003c/p>\n\u003cp>While your costs will depend on your plan, you will almost certainly pay something for labor and delivery. Consumers should contact their plan to try to estimate their costs and check other requirements.\u003c/p>\n\u003cp>\"Understand specifics,\" says Lisa Zamosky, author of \"\u003ca href=\"http://lisazamosky.com/about/\" target=\"_blank\">Healthcare, Insurance and You: The Savvy Consumer's Guide\u003c/a>.\" She also worked for a large managed-care organization before becoming a writer. \"Are pre-authorizations required? Do you need to call the insurance company when you are admitted to the hospital?\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>The good news is that you have time to sort this all out. Both Zamosky and Fogel stressed to make sure both your doctor and the hospital are in network. Some women prefer to deliver at a birth center, but you need to make sure the center is in network, too. If not, do the math to see how an out-of-network birth center pencils out compared with an in-network hospital. (My PriceCheck colleague Rebecca Plevin at KPCC \u003ca href=\"http://www.scpr.org/blogs/health/2015/07/22/18049/pricecheck-how-much-does-it-cost-to-have-a-baby-at/\" target=\"_blank\">looked closely at this issue\u003c/a>.)\u003c/p>\n\u003cp>Even if you are at an in-network facility, it doesn't mean all the providers are also in network. I know this from my own experience. When I delivered my daughter in 2001 at an in-network hospital, I got a $1,200 bill months later for the anesthesiologist. (It was ultimately paid by my insurer.)\u003c/p>\n\u003cp>These \"surprise bills\" are not uncommon. A\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/05/07/nearly-1-in-4-californians-hit-by-surprise-medical-bills/\" target=\"_blank\"> Consumers Union survey \u003c/a>earlier this year found almost one in four Californians who had gone to a hospital or ER got an out-of-network bill from a doctor they had thought was in network.\u003c/p>\n\u003cp>There are steps you can take before you get to the hospital to try to avoid this, Zamosky says, \"but you should know there is a risk.\"\u003c/p>\n\u003cp>She recommends having a pointed conversation with your obstetrician. \"I would be forceful about it and be clear,\" Zamosky says. Tell the doctor: \"'Don't bring anyone in the room who is not participating [in the network]' so that you're not surprised by bills.\"\u003c/p>\n\u003cp>But she also adds that \"you don't have total control.\"\u003c/p>\n\u003cp>It's easy to imagine that you might need an anesthesiologist, but the only one available is out of network. A bill making its way through the California legislature, \u003ca href=\"https://legiscan.com/CA/bill/AB533/2015\" target=\"_blank\">AB533\u003c/a>, would end surprise bills by prohibiting consumers from paying out-of-network rates to doctors (or other providers) as long as they receive care at an in-network facility. If approved, the law would take effect in January.\u003c/p>\n\u003cp>\u003cstrong>What if You're Uninsured?\u003c/strong>\u003c/p>\n\u003cp>If you're pregnant, uninsured and outside the annual sign-up period for health insurance, you are out of luck for signing up for private insurance, including on Covered California. But you \u003cem>may\u003c/em> be eligible for Medi-Cal, the state's version of Medicaid, which is open for sign up year-round.\u003c/p>\n\u003cp>Pregnant women can qualify for Medi-Cal at \u003ca href=\"https://dpss.lacounty.gov/dpss/health/pregnant/medical.cfm?persona=pregnant\" target=\"_blank\">higher incomes\u003c/a> than if they were not pregnant. \"They shouldn't assume they're over income without filing an application,\" says Fogel. Medi-Cal providers may also be able to see a pregnant woman while she is waiting for her application to be processed under a program called \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/eligibility/Pages/PE_Info_women.aspx\" target=\"_blank\">Presumptive Eligibility\u003c/a>.\u003c/p>\n\u003cp>Once your baby is born, there's still more to think about, insurance-wise:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Contraception:\u003c/strong> Many women choose to have an IUD inserted after they have delivered their baby, but are still in the hospital. Under the Affordable Care Act, contraception -- including the IUD, which can be expensive -- is covered at no cost-sharing for the patient.\u003c/li>\n\u003cli>\u003cstrong>Catholic Hospitals:\u003c/strong> If you are considering an IUD, be sure to talk to your doctor about it in advance. Fogle noted a big \"consumer beware\" by pointing out that Catholic hospitals may not provide them. If you are considering a Catholic hospital, she says, be sure to ask your doctor if that hospital will provide the full range of reproductive services.\u003c/li>\n\u003cli>\u003cb>Breastfeeding:\u003c/b> Counseling for breastfeeding and coverage of a breast pump must also be \u003ca href=\"https://www.healthcare.gov/coverage/breast-feeding-benefits/\" target=\"_blank\">covered at no cost\u003c/a> under the Affordable Care Act. But, especially with the pump, plans may vary in coverage. You may need a specific pump or you may need to purchase from a specific provider to get the no-cost benefit.\u003c/li>\n\u003c/ul>\n\u003cp>Of course, your baby will need health insurance, too, and you have a limited time to enroll the newborn. If you have employer-based coverage, you have \u003ca href=\"http://familiesusa.org/sites/default/files/product_documents/special-enrollment-opportunity.pdf\" target=\"_blank\">30 days to add the baby\u003c/a>. If the mother of the baby has a spouse, the spouse also has the opportunity to enroll in coverage within 30 days, says Cheryl Parcham at FamiliesUSA.\u003c/p>\n\u003cp>If you have a plan through Covered California (or any marketplace plan), \u003ca href=\"https://marketplace.cms.gov/technical-assistance-resources/helping-new-parents-enroll.pdf\" target=\"_blank\">you have 60 days to sign up the baby\u003c/a>. The additional bonus is that the whole family can pick a new Covered California plan, if you want to.\u003c/p>\n\u003cp>\u003cstrong>PriceCheck: Share What You Paid\u003c/strong>\u003c/p>\n\u003cp>Now that you have all these tips, we'd appreciate your help! While prices charged vary dramatically, it's impossible to know the variety of what insurers and consumers actually pay. That's because the \"insured prices\" are sealed by contract.\u003c/p>\n\u003cp>You can help shine a light on true costs by getting your \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/18/explaining-the-health-insurance-explanation-of-benefits/\" target=\"_blank\">explanation of benefits\u003c/a> and heading over to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/06/23/share-your-bill-make-health-costs-transparent-in-california/\" target=\"_blank\">PriceCheck\u003c/a>. There you can anonymously share the price charged, what your insurer paid and what you paid, in co-pay or deductible.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>We're primarily interested in vaginal birth, but if you had a cesarean section, we'll happily take those prices, too.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>\u003cstrong>Editor’s note:\u003c/strong>This story has been updated to include a comment from the National Joint Council of Food Inspection Locals.\u003c/em>\u003c/p>\n\u003cp>For the first time, federal officials are disclosing measures they’ve taken to improve meat safety inspections after the massive recall at Petaluma’s Rancho Feeding Corp. last year.\u003c/p>\n\u003cp>The U.S. Department of Agriculture’s top food safety official says the agency is hiring 32 new full-time inspectors to keep tabs on meat-processing plants across the country after the recall.\u003c/p>\n\u003cp>Prompted by the Rancho case, USDA inspectors now keep tabs on meat processing in several parts of slaughterhouse facilities and oversee operations more often, said Alfred Almanza, the agency’s deputy undersecretary for the Office of Food Safety.\u003c/p>\n\u003cp>Almanza said in an interview that the USDA’s Food Safety and Inspection Service’s “more disciplined approach” is aimed at avoiding another recall similar to the one tied to the Petaluma slaughterhouse.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Rancho was \u003ca href=\"http://ww2.kqed.org/news/2014/02/09/petaluma-firm-recalls-possibly-tainted-beef\" target=\"_blank\" rel=\"noopener\">ordered to recall\u003c/a> 8.7 million pounds of meat processed at the facility — which amounted to a full year’s production — in February 2014. Six months later, a \u003ca href=\"http://ww2.kqed.org/news/2014/08/18/rancho-feed-corp-indictment/\" target=\"_blank\" rel=\"noopener\">federal grand jury indicted\u003c/a> two Rancho owners and two workers for processing animals condemned by USDA inspectors and processing others that were known to have eye cancer. All four defendants eventually \u003ca href=\"http://ww2.kqed.org/news/2015/02/18/one-final-guilty-plea-expected-in-petaluma-slaughterhouse-case\" target=\"_blank\" rel=\"noopener\">pleaded guilty\u003c/a>.\u003c/p>\n\u003cp>“We can’t stop criminals, so we hope that with the positions we put in place that we have enough steps to be able to observe any type of anomalies that occur within an establishment to be able to prevent that from occurring again,” Almanza said of the new inspection measures.\u003c/p>\n\u003cp>Inspections at cattle slaughterhouses are now less predictable, he said. USDA supervisors conduct surprise inspections. “We changed our inspection procedures from partial coverage to full presence of inspectors in the pen areas,” he said.\u003c/p>\n\u003cp>The new full-time inspectors are being stationed at what the agency describes as “high-risk” plants throughout the country. One of those 32 facilities is the former Rancho Feeding Corp. slaughterhouse, \u003ca href=\"http://ww2.kqed.org/news/2014/04/07/rancho-feeding-corp-reopens-under-new-management\" target=\"_blank\" rel=\"noopener\">now owned and operated by Marin Sun Farms\u003c/a>.\u003c/p>\n\u003cp>The hiring process for those new inspectors is not yet complete. The union representing food inspectors has filed an unfair labor practice charge against the USDA, blocking the agency’s effort to hire at least 30 new employees, agency spokesman Adam Tarr said via email.\u003c/p>\n\u003cp>“We are working to resolve union issues so that we can complete hiring,” Tarr said.\u003c/p>\n\u003cp>The head of the union that represents more than 6,000 inspectors says the new USDA procedures amount to dangerous working conditions for his members. \u003c/p>\n\u003cp>“To stick a person in the middle of a barn with cows in the middle of the winter in Wisconsin where it’s minus 30 degrees is not acceptable,” Stan Painter, the chairman of the National Joint Council of Food Inspector Locals, said in an interview. \u003c/p>\n\u003cp>Painter said there are no new talks set to resolve the conflict over the new cattle inspection protocol. \u003c/p>\n\u003cp>The USDA’s newly disclosed changes represent a step forward for meat safety nationwide and a significant acknowledgement that the USDA had trouble monitoring facilities that process older cows that could be susceptible to disease, according to a consumer watchdog organization that has aggressively monitored the aftermath of the Rancho case.\u003c/p>\n\u003cp>“This is a recognition that they needed to increase their inspection of those cows before they actually went to slaughter,” said Tony Corbo, a senior lobbyist at Food and Water Watch, a Washington, D.C., public interest group.\u003c/p>\n\u003cp>“The fact that they are taking this action makes it clear to me that they got the message from Rancho that this could happen in other places, and they are trying to prevent it from occurring again,” Corbo said in an interview.\u003c/p>\n\u003cp>When inspectors are on hand in holding pens where cows are dropped off before they get inside a slaughterhouse, the government can flag diseased animals earlier on.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It’s not a fail-safe system,” Corbo said. “If someone is detecting a hole in the inspection process and they have malicious intent, they can probably figure out a way to bypass the inspection system. But this is adding a new layer.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003cstrong>Editor’s note:\u003c/strong>This story has been updated to include a comment from the National Joint Council of Food Inspection Locals.\u003c/em>\u003c/p>\n\u003cp>For the first time, federal officials are disclosing measures they’ve taken to improve meat safety inspections after the massive recall at Petaluma’s Rancho Feeding Corp. last year.\u003c/p>\n\u003cp>The U.S. Department of Agriculture’s top food safety official says the agency is hiring 32 new full-time inspectors to keep tabs on meat-processing plants across the country after the recall.\u003c/p>\n\u003cp>Prompted by the Rancho case, USDA inspectors now keep tabs on meat processing in several parts of slaughterhouse facilities and oversee operations more often, said Alfred Almanza, the agency’s deputy undersecretary for the Office of Food Safety.\u003c/p>\n\u003cp>Almanza said in an interview that the USDA’s Food Safety and Inspection Service’s “more disciplined approach” is aimed at avoiding another recall similar to the one tied to the Petaluma slaughterhouse.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Rancho was \u003ca href=\"http://ww2.kqed.org/news/2014/02/09/petaluma-firm-recalls-possibly-tainted-beef\" target=\"_blank\" rel=\"noopener\">ordered to recall\u003c/a> 8.7 million pounds of meat processed at the facility — which amounted to a full year’s production — in February 2014. Six months later, a \u003ca href=\"http://ww2.kqed.org/news/2014/08/18/rancho-feed-corp-indictment/\" target=\"_blank\" rel=\"noopener\">federal grand jury indicted\u003c/a> two Rancho owners and two workers for processing animals condemned by USDA inspectors and processing others that were known to have eye cancer. All four defendants eventually \u003ca href=\"http://ww2.kqed.org/news/2015/02/18/one-final-guilty-plea-expected-in-petaluma-slaughterhouse-case\" target=\"_blank\" rel=\"noopener\">pleaded guilty\u003c/a>.\u003c/p>\n\u003cp>“We can’t stop criminals, so we hope that with the positions we put in place that we have enough steps to be able to observe any type of anomalies that occur within an establishment to be able to prevent that from occurring again,” Almanza said of the new inspection measures.\u003c/p>\n\u003cp>Inspections at cattle slaughterhouses are now less predictable, he said. USDA supervisors conduct surprise inspections. “We changed our inspection procedures from partial coverage to full presence of inspectors in the pen areas,” he said.\u003c/p>\n\u003cp>The new full-time inspectors are being stationed at what the agency describes as “high-risk” plants throughout the country. One of those 32 facilities is the former Rancho Feeding Corp. slaughterhouse, \u003ca href=\"http://ww2.kqed.org/news/2014/04/07/rancho-feeding-corp-reopens-under-new-management\" target=\"_blank\" rel=\"noopener\">now owned and operated by Marin Sun Farms\u003c/a>.\u003c/p>\n\u003cp>The hiring process for those new inspectors is not yet complete. The union representing food inspectors has filed an unfair labor practice charge against the USDA, blocking the agency’s effort to hire at least 30 new employees, agency spokesman Adam Tarr said via email.\u003c/p>\n\u003cp>“We are working to resolve union issues so that we can complete hiring,” Tarr said.\u003c/p>\n\u003cp>The head of the union that represents more than 6,000 inspectors says the new USDA procedures amount to dangerous working conditions for his members. \u003c/p>\n\u003cp>“To stick a person in the middle of a barn with cows in the middle of the winter in Wisconsin where it’s minus 30 degrees is not acceptable,” Stan Painter, the chairman of the National Joint Council of Food Inspector Locals, said in an interview. \u003c/p>\n\u003cp>Painter said there are no new talks set to resolve the conflict over the new cattle inspection protocol. \u003c/p>\n\u003cp>The USDA’s newly disclosed changes represent a step forward for meat safety nationwide and a significant acknowledgement that the USDA had trouble monitoring facilities that process older cows that could be susceptible to disease, according to a consumer watchdog organization that has aggressively monitored the aftermath of the Rancho case.\u003c/p>\n\u003cp>“This is a recognition that they needed to increase their inspection of those cows before they actually went to slaughter,” said Tony Corbo, a senior lobbyist at Food and Water Watch, a Washington, D.C., public interest group.\u003c/p>\n\u003cp>“The fact that they are taking this action makes it clear to me that they got the message from Rancho that this could happen in other places, and they are trying to prevent it from occurring again,” Corbo said in an interview.\u003c/p>\n\u003cp>When inspectors are on hand in holding pens where cows are dropped off before they get inside a slaughterhouse, the government can flag diseased animals earlier on.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It’s not a fail-safe system,” Corbo said. “If someone is detecting a hole in the inspection process and they have malicious intent, they can probably figure out a way to bypass the inspection system. But this is adding a new layer.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "fighting-food-waste-at-the-grocery-store",
"title": "Fighting Climate Change and Food Waste With 'Imperfect Produce'",
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"headTitle": "Fighting Climate Change and Food Waste With ‘Imperfect Produce’ | KQED",
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"content": "\u003cp>If you fit the public media stereotype, you probably pride yourself on caring about the environment, right? Maybe you’re letting your lawn go brown, or trying to drive less. Some experts say there’s another way you can be environmentally friendly: Stop wasting food.\u003c/p>\n\u003cp>From the farm to the fridge, it’s estimated that 40 percent of what could be eaten just isn’t, and that can impact climate change.\u003c/p>\n\u003cp>To find out more, I go to the Sacramento Delta, where pear season has just begun. I’m talking to Chuck Baker, a lifelong pear farmer who manages a ranch for \u003ca href=\"http://www.rivermaid.com/\">Rivermaid Trading Co\u003c/a>., and I’m trying to stay out of the way of workers literally running from tree to tree with ladders picking the biggest pears.\u003c/p>\n\u003cp>[soundcloud url=”https://api.soundcloud.com/tracks/215210476″ 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>“We have a lot of wind in the delta,” Baker says. “That’s why we have very good fruit, because of those cool delta breezes at night.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>However, he says that helpful wind can also cause what’s called limb rub. He points out a fat pear, with small marks on the skin.\u003c/p>\n\u003cfigure id=\"attachment_10605055\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-10605055\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2015/07/LimbRub-800x523.jpg\" alt='An example of \"limb rub\" on an otherwise perfect pear.' width=\"800\" height=\"523\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/LimbRub-800x523.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/LimbRub-400x261.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/LimbRub-1440x941.jpg 1440w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/LimbRub-1400x914.jpg 1400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/LimbRub-1180x771.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/LimbRub-960x627.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/LimbRub.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">An example of “limb rub” on an otherwise perfect pear. \u003ccite>(Cynthia E. Wood/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“This is just from the wind swinging the pear against another pear or limb, and it makes a mark,” he explains. “The industry in the past has set standards very high, where they don’t allow those marks. A lot of that fruit has good value, there’s nothing wrong with it. It’s just a little cosmetically challenged, like all of us.”\u003c/p>\n\u003cp>As workers dump loads of pears into bins on a tractor, produce broker Ron Clark laments these standards.\u003c/p>\n\u003cp>“It’s not just in our food, it’s in our lives,” he says. “We have a lot of images sent to us of thin models, perfect-looking Hollywood faces. But that’s not reality, is it?”\u003c/p>\n\u003caside class=\"pullquote alignleft\">‘There’s nothing wrong with it. It’s just a little cosmetically challenged, like all of us.’\u003ccite>Chuck Baker\u003c/cite>\u003c/aside>\n\u003cp>Clark is co-founder of a new startup called \u003ca href=\"http://www.imperfectproduce.com/home.php\">Imperfect Produce\u003c/a>, which is working to change consumers’ perceptions and find homes for “cosmetically challenged” produce. They’re starting with low-cost CSA boxes and a grocery store partnership (more about that at the end of this story). He takes me to a nearby packing shed, where the fruit gets washed and then sorted by lines of women quickly separating imperfect pears from marketable ones, which get hand-wrapped and packaged.\u003c/p>\n\u003cfigure id=\"attachment_10604908\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-10604908\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2015/07/SortingPears-800x533.jpg\" alt=\"Workers sort pears at the Rivermaid Trading Company packing shed in Lodi.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/SortingPears-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/SortingPears-400x266.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/SortingPears-1440x959.jpg 1440w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/SortingPears-1400x932.jpg 1400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/SortingPears-1180x785.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/SortingPears-960x639.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/SortingPears.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Workers sort pears at the Rivermaid Trading Company packing shed in Lodi. \u003ccite>(Cynthia E. Wood/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Twenty percent of fresh produce that’s grown for the fresh market never makes it to human consumption,” Clark says. That means it doesn’t make it onto grocery shelves, or in canned products, or even juices. “It either gets plowed back into the field, composted or ends up in landfill.”\u003c/p>\n\u003cp>So, what’s the big deal about food waste? Jonathan Bloom, author of “\u003ca href=\"http://www.wastedfood.com/\">American Wasteland\u003c/a>,” says, “We’re basically aiding climate change from the food we throw away.” First, there’s water, certainly among the hottest topics in California. “About one-quarter of fresh water usage is embedded in food that is ultimately thrown out,” he says.\u003c/p>\n\u003cp>Then there’s oil. “There’s a tremendous amount of oil that goes into producing our food,” Bloom says. The best estimates he’s seen are that 4 percent of all U.S. energy consumption is used to produce food we don’t use — energy for on-farm tractors, transportation and refrigeration.\u003c/p>\n\u003cp>All the wasted food goes to the landfill, and it decomposes without air, creating methane, says Bloom. While there are lots of questions about how to definitively and consistently collect data relating to food waste, Bloom says, “What we do know is that the two largest creators of waste are farms and households.”\u003c/p>\n\u003cfigure id=\"attachment_10605194\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-10605194\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2015/07/Meg-800x533.jpg\" alt=\"Meg Burritt, director of wellness and sustainability at Raley's.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Meg-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Meg-400x266.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Meg-1440x959.jpg 1440w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Meg-1400x932.jpg 1400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Meg-1180x785.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Meg-960x639.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Meg.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Meg Burritt, director of wellness and sustainability at Raley’s. \u003ccite>(Cynthia E. Wood/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Enter Meg Burritt. She’s the director of wellness and sustainability for the grocery store chain \u003ca href=\"http://www.raleys.com/www/\">Raley’s\u003c/a>, which has over 100 stores in Northern California and Nevada.\u003c/p>\n\u003cp>“There are a couple of problems that I think we as grocers haven’t addressed in our history as an institution. One of them is food waste,” she says.\u003c/p>\n\u003cp>Another is helping people on a budget access enough nutritious produce. She didn’t know exactly what part Raley’s could play, until last fall when she saw a \u003ca href=\"https://vimeo.com/98441820\">catchy video \u003c/a>produced by French grocer \u003cspan class=\"st\">Intermarché\u003c/span>, in which the store specifically marketed “ugly produce.” The video went viral, and \u003cspan class=\"st\">Intermarché\u003c/span> reported spectacular sales. A similar program started in a huge Canadian chain.\u003c/p>\n\u003cp>“I’m an optimist, so I thought: Well, they’re doing it in France, they’re doing it in Canada, we can definitely do it here in the States,” says Burritt.\u003c/p>\n\u003caside class=\"pullquote alignright\">Four percent of all U.S. energy consumption is used to produce food we don’t use\u003c/aside>\n\u003cp>Raley’s has partnered with \u003ca href=\"http://www.imperfectproduce.com/home.php\">Imperfect\u003c/a>, and just last weekend they launched a pilot program in 10 California stores. They targeted neighborhoods where customers may have tighter budgets, or where there aren’t a lot of options for buying produce.\u003c/p>\n\u003cp>I visit a Raley’s in the Gold Country town of Auburn. The display of what they’re calling \u003ca href=\"http://www.raleysseasons.com/newsroom/lightening-the-landfill-load-raleys-launches-real-good-produce-program/\">Real Good produce\u003c/a> is just steps from the door, and it’s piled high with pears and bell peppers. Regular customer Rich Purdom gravitates toward the bright red elongated peppers.\u003c/p>\n\u003cfigure id=\"attachment_10605196\" class=\"wp-caption alignleft\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-10605196\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2015/07/Peppers-800x533.jpg\" alt=\"Mike Selepec, produce team leader at Raley's, holds a $2 "perfect" red pepper next to "imperfect" peppers, which sell for $1.19 per pound.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Peppers-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Peppers-400x266.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Peppers-1440x959.jpg 1440w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Peppers-1400x932.jpg 1400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Peppers-1180x785.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Peppers-960x639.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Peppers.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Mike Selepec, produce team leader at Raley’s, holds a $2 “perfect” red pepper next to two “imperfect” peppers, which sell for $1.19 per pound. \u003ccite>(Cynthia E. Wood/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I go by color when I buy vegetables,” he says.\u003c/p>\n\u003cp>I point out that the prices are lower — about 75 cents each, compared with $2 for a regular pepper — because of how they look.\u003c/p>\n\u003cp>“Funny-looking? That doesn’t bother me,” he says. “They’re going to get chopped up in fajitas. It all ends up in the same spot, right?”\u003c/p>\n\u003cp>Kate Johnson makes a beeline for the pears, which she’s loading into a paper bag. She’s been shopping here 35 years, and read about the Real Good produce program in the newspaper.\u003c/p>\n\u003cp>“They mentioned they’re going to use fruit you may not usually buy because it’s a little smaller or a little blemished,” she says, “but we know it’s perfectly all right.”\u003c/p>\n\u003cp>When I say that not everyone knows that, she laughs. “Well, they should be a little more informed!”\u003c/p>\n\u003cp>The pilot program will last about 90 days, starting with pears, plums and red and green peppers and then moving to other produce. If the Auburn store is any indication, it’s going well so far. It has sold more imperfect produce than expected in the first week.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This piece is part of the series \u003ca href=\"http://www.californiafoodways.com\" target=\"_blank\" rel=\"noopener\">California Foodways\u003c/a>. Stories in the series about food and climate change are funded by a grant from Invoking the Pause.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>If you fit the public media stereotype, you probably pride yourself on caring about the environment, right? Maybe you’re letting your lawn go brown, or trying to drive less. Some experts say there’s another way you can be environmentally friendly: Stop wasting food.\u003c/p>\n\u003cp>From the farm to the fridge, it’s estimated that 40 percent of what could be eaten just isn’t, and that can impact climate change.\u003c/p>\n\u003cp>To find out more, I go to the Sacramento Delta, where pear season has just begun. I’m talking to Chuck Baker, a lifelong pear farmer who manages a ranch for \u003ca href=\"http://www.rivermaid.com/\">Rivermaid Trading Co\u003c/a>., and I’m trying to stay out of the way of workers literally running from tree to tree with ladders picking the biggest pears.\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/215210476″&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/215210476″'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“We have a lot of wind in the delta,” Baker says. “That’s why we have very good fruit, because of those cool delta breezes at night.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>However, he says that helpful wind can also cause what’s called limb rub. He points out a fat pear, with small marks on the skin.\u003c/p>\n\u003cfigure id=\"attachment_10605055\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-10605055\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2015/07/LimbRub-800x523.jpg\" alt='An example of \"limb rub\" on an otherwise perfect pear.' width=\"800\" height=\"523\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/LimbRub-800x523.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/LimbRub-400x261.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/LimbRub-1440x941.jpg 1440w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/LimbRub-1400x914.jpg 1400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/LimbRub-1180x771.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/LimbRub-960x627.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/LimbRub.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">An example of “limb rub” on an otherwise perfect pear. \u003ccite>(Cynthia E. Wood/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“This is just from the wind swinging the pear against another pear or limb, and it makes a mark,” he explains. “The industry in the past has set standards very high, where they don’t allow those marks. A lot of that fruit has good value, there’s nothing wrong with it. It’s just a little cosmetically challenged, like all of us.”\u003c/p>\n\u003cp>As workers dump loads of pears into bins on a tractor, produce broker Ron Clark laments these standards.\u003c/p>\n\u003cp>“It’s not just in our food, it’s in our lives,” he says. “We have a lot of images sent to us of thin models, perfect-looking Hollywood faces. But that’s not reality, is it?”\u003c/p>\n\u003caside class=\"pullquote alignleft\">‘There’s nothing wrong with it. It’s just a little cosmetically challenged, like all of us.’\u003ccite>Chuck Baker\u003c/cite>\u003c/aside>\n\u003cp>Clark is co-founder of a new startup called \u003ca href=\"http://www.imperfectproduce.com/home.php\">Imperfect Produce\u003c/a>, which is working to change consumers’ perceptions and find homes for “cosmetically challenged” produce. They’re starting with low-cost CSA boxes and a grocery store partnership (more about that at the end of this story). He takes me to a nearby packing shed, where the fruit gets washed and then sorted by lines of women quickly separating imperfect pears from marketable ones, which get hand-wrapped and packaged.\u003c/p>\n\u003cfigure id=\"attachment_10604908\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-10604908\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2015/07/SortingPears-800x533.jpg\" alt=\"Workers sort pears at the Rivermaid Trading Company packing shed in Lodi.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/SortingPears-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/SortingPears-400x266.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/SortingPears-1440x959.jpg 1440w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/SortingPears-1400x932.jpg 1400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/SortingPears-1180x785.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/SortingPears-960x639.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/SortingPears.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Workers sort pears at the Rivermaid Trading Company packing shed in Lodi. \u003ccite>(Cynthia E. Wood/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Twenty percent of fresh produce that’s grown for the fresh market never makes it to human consumption,” Clark says. That means it doesn’t make it onto grocery shelves, or in canned products, or even juices. “It either gets plowed back into the field, composted or ends up in landfill.”\u003c/p>\n\u003cp>So, what’s the big deal about food waste? Jonathan Bloom, author of “\u003ca href=\"http://www.wastedfood.com/\">American Wasteland\u003c/a>,” says, “We’re basically aiding climate change from the food we throw away.” First, there’s water, certainly among the hottest topics in California. “About one-quarter of fresh water usage is embedded in food that is ultimately thrown out,” he says.\u003c/p>\n\u003cp>Then there’s oil. “There’s a tremendous amount of oil that goes into producing our food,” Bloom says. The best estimates he’s seen are that 4 percent of all U.S. energy consumption is used to produce food we don’t use — energy for on-farm tractors, transportation and refrigeration.\u003c/p>\n\u003cp>All the wasted food goes to the landfill, and it decomposes without air, creating methane, says Bloom. While there are lots of questions about how to definitively and consistently collect data relating to food waste, Bloom says, “What we do know is that the two largest creators of waste are farms and households.”\u003c/p>\n\u003cfigure id=\"attachment_10605194\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-10605194\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2015/07/Meg-800x533.jpg\" alt=\"Meg Burritt, director of wellness and sustainability at Raley's.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Meg-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Meg-400x266.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Meg-1440x959.jpg 1440w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Meg-1400x932.jpg 1400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Meg-1180x785.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Meg-960x639.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Meg.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Meg Burritt, director of wellness and sustainability at Raley’s. \u003ccite>(Cynthia E. Wood/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Enter Meg Burritt. She’s the director of wellness and sustainability for the grocery store chain \u003ca href=\"http://www.raleys.com/www/\">Raley’s\u003c/a>, which has over 100 stores in Northern California and Nevada.\u003c/p>\n\u003cp>“There are a couple of problems that I think we as grocers haven’t addressed in our history as an institution. One of them is food waste,” she says.\u003c/p>\n\u003cp>Another is helping people on a budget access enough nutritious produce. She didn’t know exactly what part Raley’s could play, until last fall when she saw a \u003ca href=\"https://vimeo.com/98441820\">catchy video \u003c/a>produced by French grocer \u003cspan class=\"st\">Intermarché\u003c/span>, in which the store specifically marketed “ugly produce.” The video went viral, and \u003cspan class=\"st\">Intermarché\u003c/span> reported spectacular sales. A similar program started in a huge Canadian chain.\u003c/p>\n\u003cp>“I’m an optimist, so I thought: Well, they’re doing it in France, they’re doing it in Canada, we can definitely do it here in the States,” says Burritt.\u003c/p>\n\u003caside class=\"pullquote alignright\">Four percent of all U.S. energy consumption is used to produce food we don’t use\u003c/aside>\n\u003cp>Raley’s has partnered with \u003ca href=\"http://www.imperfectproduce.com/home.php\">Imperfect\u003c/a>, and just last weekend they launched a pilot program in 10 California stores. They targeted neighborhoods where customers may have tighter budgets, or where there aren’t a lot of options for buying produce.\u003c/p>\n\u003cp>I visit a Raley’s in the Gold Country town of Auburn. The display of what they’re calling \u003ca href=\"http://www.raleysseasons.com/newsroom/lightening-the-landfill-load-raleys-launches-real-good-produce-program/\">Real Good produce\u003c/a> is just steps from the door, and it’s piled high with pears and bell peppers. Regular customer Rich Purdom gravitates toward the bright red elongated peppers.\u003c/p>\n\u003cfigure id=\"attachment_10605196\" class=\"wp-caption alignleft\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-10605196\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2015/07/Peppers-800x533.jpg\" alt=\"Mike Selepec, produce team leader at Raley's, holds a $2 "perfect" red pepper next to "imperfect" peppers, which sell for $1.19 per pound.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Peppers-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Peppers-400x266.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Peppers-1440x959.jpg 1440w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Peppers-1400x932.jpg 1400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Peppers-1180x785.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Peppers-960x639.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2015/07/Peppers.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Mike Selepec, produce team leader at Raley’s, holds a $2 “perfect” red pepper next to two “imperfect” peppers, which sell for $1.19 per pound. \u003ccite>(Cynthia E. Wood/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I go by color when I buy vegetables,” he says.\u003c/p>\n\u003cp>I point out that the prices are lower — about 75 cents each, compared with $2 for a regular pepper — because of how they look.\u003c/p>\n\u003cp>“Funny-looking? That doesn’t bother me,” he says. “They’re going to get chopped up in fajitas. It all ends up in the same spot, right?”\u003c/p>\n\u003cp>Kate Johnson makes a beeline for the pears, which she’s loading into a paper bag. She’s been shopping here 35 years, and read about the Real Good produce program in the newspaper.\u003c/p>\n\u003cp>“They mentioned they’re going to use fruit you may not usually buy because it’s a little smaller or a little blemished,” she says, “but we know it’s perfectly all right.”\u003c/p>\n\u003cp>When I say that not everyone knows that, she laughs. “Well, they should be a little more informed!”\u003c/p>\n\u003cp>The pilot program will last about 90 days, starting with pears, plums and red and green peppers and then moving to other produce. If the Auburn store is any indication, it’s going well so far. It has sold more imperfect produce than expected in the first week.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This piece is part of the series \u003ca href=\"http://www.californiafoodways.com\" target=\"_blank\" rel=\"noopener\">California Foodways\u003c/a>. Stories in the series about food and climate change are funded by a grant from Invoking the Pause.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Next time you’re on the operating table and you have one last look around as the anesthesiologist approaches, don’t be too sure that that person in scrubs looking at a smartphone is pulling up vital health data. He or she might be texting a friend, or ordering a new carpet.\u003c/p>\n\u003cp>Cellphone use is not generally restricted in the operating room, but some experts say the time for rules has come. In interviews, many described co-workers’ texting friends and relatives from the surgical suite. Some spoke of colleagues who hide a phone in a drawer and check it when they think no one is watching.\u003c/p>\n\u003cp>“Sometimes it’s just stuff like shopping online or checking Facebook,” said Dwight Burney, an orthopedic surgeon from Albuquerque. “The problem is that it does lead to distraction.” This can result in medical errors or lax safety procedures, such as forgetting to check a patient’s identity, he said.\u003c/p>\n\u003cp>In one 2011 incident, a Texas anesthesiologist was \u003ca href=\"http://www.dallasobserver.com/news/dallas-anesthesiologist-being-sued-over-deadly-surgery-admits-to-texting-reading-ipad-during-procedures-7134970\" target=\"_blank\">accused of sending text messages and e-mails \u003c/a>while monitoring a patient. Her oxygen levels dropped, which the anesthesiologist allegedly didn’t notice for close to 20 minutes, and she died in surgery. The woman’s family sued the anesthesiologist. The case was settled before going to trial.\u003c/p>\n\u003cp>Such incidents are why physicians and medical groups \u003ca href=\"http://www.asahq.org/resources/publications/newsletter-articles/2015/april-2015/technology-an-uninvited-guest-in-the-or\" target=\"_blank\">have been warning\u003c/a> about phones in the operating room (O.R.) and calling for clear rules on whether and how they can be used. Many raised red flags about the potential for noise or distraction, while some also pointed to the possible challenge of infection control.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It’s an issue they say has gotten little attention until recently. No federal regulations or industry-wide quality measures address phone use in health-care settings in general or in the O.R. specifically. And no group tracks whether hospitals have adopted rules for cellphone use.\u003c/p>\n\u003cp>But as people become increasingly glued to their phones, the lack of guidance could have big consequences.\u003c/p>\n\u003cp>Diagnosing the problem is easy, said Prof. Peter Papadakos at the University of Rochester Medical Center, who has written extensively on the subject. “Once we get into or start using our cellphones, we separate ourselves from the reality of where we are,” he said. “It’s self-evident: If you’re staring at a phone, you’re not staring at the monitors.”\u003c/p>\n\u003cp>This reality attracted national attention last year, when a doctor at Manhattan’s Yorkville Endoscopy clinic \u003ca href=\"http://www.nytimes.com/2015/01/13/nyregion/clinic-that-treated-joan-rivers-losing-medicare-and-medicaid.html\" target=\"_blank\">snapped cellphone pictures during an operation on comedian Joan Rivers\u003c/a>, according to a federal investigation. The surgery, a throat procedure, went awry — an outcome the investigation didn’t directly link to the doctor’s phone use — and ended up cutting off Rivers’s oxygen supply. She went into cardiac arrest and died Sept. 4.\u003c/p>\n\u003cp>“It’s very important that the surgical teams be concentrating on the patient during the surgical event,” said Ramona Conner, editor-in-chief of the practice guidelines for the Association of Perioperative Nurses.\u003c/p>\n\u003cp>In 2012, the ECRI Institute, a nonprofit that focuses on health-care quality,\u003ca href=\"http://www.healthcareitnews.com/press-release/ecri-releases-top-10-health-technology-hazards-2013\" target=\"_blank\"> listed cellphone distraction \u003c/a>among the top 10 risks that technology could pose to patient safety.\u003c/p>\n\u003cp>Because people can check their phones for both personal information and work-related material, it’s easy for the devices to distract providers, said U.C. San Francisco professor Prof. Bob Wachter, who is also an expert in patient safety.\u003c/p>\n\u003cp>“It’s not that different from texting and driving,” he said. “There are supposed to be no distractions.”\u003c/p>\n\u003cp>Bringing one’s phone into the O.R. is common, Conner said.\u003c/p>\n\u003cp>Some hospitals have attempted to address the issue. The University of Rochester Medical Center requires staff to keep phones silenced when working with patients and forbids using phones for personal matters while at any “clinical work stations,” not just operating rooms.\u003c/p>\n\u003cp>Specific enforceable directives for the O.R. aren’t commonplace, but “more and more hospitals are playing catch-up” in developing policies, said cardiologist Chandan Devireddy, an associate professor of medicine at Emory University.\u003c/p>\n\u003cp>He oversees a catheterization laboratory — where patients undergo cardiac procedures – and enforces a rule that staffers cannot check e-mail or browse the Internet during cases. At least once a year, his department discusses social media and appropriate cellphone use.\u003c/p>\n\u003cp>But some doctors, nurses and other O.R. personnel point out that smartphones can provide assistance during care, letting staffers view patient information and lab results on the fly or communicate with colleagues in other parts of the hospital during a surgery.\u003c/p>\n\u003cp>But it’s hard to know if medical personnel are instead scanning Amazon or Facebook, “unless you’re videotaping or monitoring all persons at any time of the day,” Devireddy said.\u003c/p>\n\u003cp>For example, Burney, the orthopedic surgeon in Albuquerque, said his workplace, an ambulatory surgical center, forbids cellphone use in the operating room, but “it is a policy that is routinely violated.” He said that he hasn’t seen any injuries caused by cellphone use at his facility and that lab leaders discipline repeat offenders.\u003c/p>\n\u003cp>It’s the mix of pros and cons that complicates efforts to develop clear-cut guidelines.\u003c/p>\n\u003cp>“We don’t want to throw out the baby with the bathwater,” Conner said. “We want to be able to take advantage of this wonderful technology.”\u003c/p>\n\u003cp>“Our ability to address patient-care issues is much faster,” agreed Devireddy. “The idea of eliminating mobile phones is, I think, a very restrictive one.” Instead, he and Conner said, hospitals need to find a way to hold onto the benefits while keeping staffers from getting distracted.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Hospital policymakers frequently ask about the best way to regulate phone use, said Paul Anderson, ECRI’s editorial director of patient safety risk and quality, who often lectures on patient safety. The most effective course, he added, is to create a culture that discourages inappropriate distractions.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Next time you’re on the operating table and you have one last look around as the anesthesiologist approaches, don’t be too sure that that person in scrubs looking at a smartphone is pulling up vital health data. He or she might be texting a friend, or ordering a new carpet.\u003c/p>\n\u003cp>Cellphone use is not generally restricted in the operating room, but some experts say the time for rules has come. In interviews, many described co-workers’ texting friends and relatives from the surgical suite. Some spoke of colleagues who hide a phone in a drawer and check it when they think no one is watching.\u003c/p>\n\u003cp>“Sometimes it’s just stuff like shopping online or checking Facebook,” said Dwight Burney, an orthopedic surgeon from Albuquerque. “The problem is that it does lead to distraction.” This can result in medical errors or lax safety procedures, such as forgetting to check a patient’s identity, he said.\u003c/p>\n\u003cp>In one 2011 incident, a Texas anesthesiologist was \u003ca href=\"http://www.dallasobserver.com/news/dallas-anesthesiologist-being-sued-over-deadly-surgery-admits-to-texting-reading-ipad-during-procedures-7134970\" target=\"_blank\">accused of sending text messages and e-mails \u003c/a>while monitoring a patient. Her oxygen levels dropped, which the anesthesiologist allegedly didn’t notice for close to 20 minutes, and she died in surgery. The woman’s family sued the anesthesiologist. The case was settled before going to trial.\u003c/p>\n\u003cp>Such incidents are why physicians and medical groups \u003ca href=\"http://www.asahq.org/resources/publications/newsletter-articles/2015/april-2015/technology-an-uninvited-guest-in-the-or\" target=\"_blank\">have been warning\u003c/a> about phones in the operating room (O.R.) and calling for clear rules on whether and how they can be used. Many raised red flags about the potential for noise or distraction, while some also pointed to the possible challenge of infection control.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It’s an issue they say has gotten little attention until recently. No federal regulations or industry-wide quality measures address phone use in health-care settings in general or in the O.R. specifically. And no group tracks whether hospitals have adopted rules for cellphone use.\u003c/p>\n\u003cp>But as people become increasingly glued to their phones, the lack of guidance could have big consequences.\u003c/p>\n\u003cp>Diagnosing the problem is easy, said Prof. Peter Papadakos at the University of Rochester Medical Center, who has written extensively on the subject. “Once we get into or start using our cellphones, we separate ourselves from the reality of where we are,” he said. “It’s self-evident: If you’re staring at a phone, you’re not staring at the monitors.”\u003c/p>\n\u003cp>This reality attracted national attention last year, when a doctor at Manhattan’s Yorkville Endoscopy clinic \u003ca href=\"http://www.nytimes.com/2015/01/13/nyregion/clinic-that-treated-joan-rivers-losing-medicare-and-medicaid.html\" target=\"_blank\">snapped cellphone pictures during an operation on comedian Joan Rivers\u003c/a>, according to a federal investigation. The surgery, a throat procedure, went awry — an outcome the investigation didn’t directly link to the doctor’s phone use — and ended up cutting off Rivers’s oxygen supply. She went into cardiac arrest and died Sept. 4.\u003c/p>\n\u003cp>“It’s very important that the surgical teams be concentrating on the patient during the surgical event,” said Ramona Conner, editor-in-chief of the practice guidelines for the Association of Perioperative Nurses.\u003c/p>\n\u003cp>In 2012, the ECRI Institute, a nonprofit that focuses on health-care quality,\u003ca href=\"http://www.healthcareitnews.com/press-release/ecri-releases-top-10-health-technology-hazards-2013\" target=\"_blank\"> listed cellphone distraction \u003c/a>among the top 10 risks that technology could pose to patient safety.\u003c/p>\n\u003cp>Because people can check their phones for both personal information and work-related material, it’s easy for the devices to distract providers, said U.C. San Francisco professor Prof. Bob Wachter, who is also an expert in patient safety.\u003c/p>\n\u003cp>“It’s not that different from texting and driving,” he said. “There are supposed to be no distractions.”\u003c/p>\n\u003cp>Bringing one’s phone into the O.R. is common, Conner said.\u003c/p>\n\u003cp>Some hospitals have attempted to address the issue. The University of Rochester Medical Center requires staff to keep phones silenced when working with patients and forbids using phones for personal matters while at any “clinical work stations,” not just operating rooms.\u003c/p>\n\u003cp>Specific enforceable directives for the O.R. aren’t commonplace, but “more and more hospitals are playing catch-up” in developing policies, said cardiologist Chandan Devireddy, an associate professor of medicine at Emory University.\u003c/p>\n\u003cp>He oversees a catheterization laboratory — where patients undergo cardiac procedures – and enforces a rule that staffers cannot check e-mail or browse the Internet during cases. At least once a year, his department discusses social media and appropriate cellphone use.\u003c/p>\n\u003cp>But some doctors, nurses and other O.R. personnel point out that smartphones can provide assistance during care, letting staffers view patient information and lab results on the fly or communicate with colleagues in other parts of the hospital during a surgery.\u003c/p>\n\u003cp>But it’s hard to know if medical personnel are instead scanning Amazon or Facebook, “unless you’re videotaping or monitoring all persons at any time of the day,” Devireddy said.\u003c/p>\n\u003cp>For example, Burney, the orthopedic surgeon in Albuquerque, said his workplace, an ambulatory surgical center, forbids cellphone use in the operating room, but “it is a policy that is routinely violated.” He said that he hasn’t seen any injuries caused by cellphone use at his facility and that lab leaders discipline repeat offenders.\u003c/p>\n\u003cp>It’s the mix of pros and cons that complicates efforts to develop clear-cut guidelines.\u003c/p>\n\u003cp>“We don’t want to throw out the baby with the bathwater,” Conner said. “We want to be able to take advantage of this wonderful technology.”\u003c/p>\n\u003cp>“Our ability to address patient-care issues is much faster,” agreed Devireddy. “The idea of eliminating mobile phones is, I think, a very restrictive one.” Instead, he and Conner said, hospitals need to find a way to hold onto the benefits while keeping staffers from getting distracted.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Hospital policymakers frequently ask about the best way to regulate phone use, said Paul Anderson, ECRI’s editorial director of patient safety risk and quality, who often lectures on patient safety. The most effective course, he added, is to create a culture that discourages inappropriate distractions.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California Begins to Regain Control of Prison Health Care",
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"content": "\u003cp>SACRAMENTO -- California on Monday began regaining responsibility for its prison health care system after nearly a decade of federal control and billions of dollars in improvements.\u003c/p>\n\u003cp>A court-appointed receiver returned medical care at Folsom State Prison to the California Department of Corrections and Rehabilitation, the first of many steps toward ending a long-running lawsuit.\u003c/p>\n\u003cp>\"Basically, what I saw at Folsom was a reasonably well-functioning health care system in a prison context,\" receiver J. Clark Kelso said in a telephone interview.\u003c/p>\n\u003cp>The decision comes a decade after a federal judge found that conditions in the state's prisons were so poor that an average of an inmate each week was dying of medical malpractice or neglect. A receiver was appointed to run the system in 2006.\u003c/p>\n\u003cp>Since then, the state has spent $2 billion for new prison medical facilities, doubled its annual prison health care budget to nearly $1.7 billion and reduced its prison population by more than 40,000 inmates.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Kelso said he reviewed a 5-inch-thick binder of medical data and an April report by the state's inspector general that found Folsom provides adequate care to its nearly 2,400 inmates.\u003c/p>\n\u003cp>Folsom, about 20 miles east of Sacramento, was the first prison to be inspected.\u003c/p>\n\u003cp>U.S. District Court Judge Thelton Henderson of San Francisco said in March that he would consider ending his oversight after all 34 adult prisons pass inspection.\u003c/p>\n\u003cp>\"We're pleased and ready to start taking back control of medical care,\" corrections secretary Jeffrey Beard said in a statement. \"We know that other CDCR prisons are ready to step up in the months ahead and we will continue collaborating with the Receiver's Office to ensure inmates at all of our facilities receive appropriate health care.\"\u003c/p>\n\u003cp>Don Specter, director of the Berkeley-based Prison Law Office representing inmates in the lawsuit, said it's good that care has improved at Folsom, but attorneys will continue monitoring.\u003c/p>\n\u003cp>\"One of the things I'm most concerned about is whether the state has reformed its processes, so that all the improvements that the receiver has made over the last 10 or so years are sustained,\" Specter said.\u003c/p>\n\u003cp>Kelso reported in March that conditions statewide have substantially improved, although some prisons are doing better than others and more work remains to be done statewide.\u003c/p>\n\u003cp>Under the judge's rules, Kelso could retake control of a transferred prison if conditions decline, but the goal is for the receiver to eventually monitor rather than run the health care system.\u003c/p>\n\u003cp>After the state maintains control of all its prisons for a year, Henderson will consider ending the receivership under the presumption that prison health care meets constitutional standards. Inspections at 10 other prisons are scheduled through early September, and the process is expected to take more than a year.\u003c/p>\n\u003cp>The Correctional Training Facility in Soledad and the California Rehabilitation Center at Norco also have received passing grades. There are no immediate plans, however, to restore state control at either facility.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Kelso said he will delay a decision on the dilapidated Norco prison until the state decides whether it should be abandoned, a decision that Gov. Jerry Brown has said won't come until next year.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>SACRAMENTO -- California on Monday began regaining responsibility for its prison health care system after nearly a decade of federal control and billions of dollars in improvements.\u003c/p>\n\u003cp>A court-appointed receiver returned medical care at Folsom State Prison to the California Department of Corrections and Rehabilitation, the first of many steps toward ending a long-running lawsuit.\u003c/p>\n\u003cp>\"Basically, what I saw at Folsom was a reasonably well-functioning health care system in a prison context,\" receiver J. Clark Kelso said in a telephone interview.\u003c/p>\n\u003cp>The decision comes a decade after a federal judge found that conditions in the state's prisons were so poor that an average of an inmate each week was dying of medical malpractice or neglect. A receiver was appointed to run the system in 2006.\u003c/p>\n\u003cp>Since then, the state has spent $2 billion for new prison medical facilities, doubled its annual prison health care budget to nearly $1.7 billion and reduced its prison population by more than 40,000 inmates.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Kelso said he reviewed a 5-inch-thick binder of medical data and an April report by the state's inspector general that found Folsom provides adequate care to its nearly 2,400 inmates.\u003c/p>\n\u003cp>Folsom, about 20 miles east of Sacramento, was the first prison to be inspected.\u003c/p>\n\u003cp>U.S. District Court Judge Thelton Henderson of San Francisco said in March that he would consider ending his oversight after all 34 adult prisons pass inspection.\u003c/p>\n\u003cp>\"We're pleased and ready to start taking back control of medical care,\" corrections secretary Jeffrey Beard said in a statement. \"We know that other CDCR prisons are ready to step up in the months ahead and we will continue collaborating with the Receiver's Office to ensure inmates at all of our facilities receive appropriate health care.\"\u003c/p>\n\u003cp>Don Specter, director of the Berkeley-based Prison Law Office representing inmates in the lawsuit, said it's good that care has improved at Folsom, but attorneys will continue monitoring.\u003c/p>\n\u003cp>\"One of the things I'm most concerned about is whether the state has reformed its processes, so that all the improvements that the receiver has made over the last 10 or so years are sustained,\" Specter said.\u003c/p>\n\u003cp>Kelso reported in March that conditions statewide have substantially improved, although some prisons are doing better than others and more work remains to be done statewide.\u003c/p>\n\u003cp>Under the judge's rules, Kelso could retake control of a transferred prison if conditions decline, but the goal is for the receiver to eventually monitor rather than run the health care system.\u003c/p>\n\u003cp>After the state maintains control of all its prisons for a year, Henderson will consider ending the receivership under the presumption that prison health care meets constitutional standards. Inspections at 10 other prisons are scheduled through early September, and the process is expected to take more than a year.\u003c/p>\n\u003cp>The Correctional Training Facility in Soledad and the California Rehabilitation Center at Norco also have received passing grades. There are no immediate plans, however, to restore state control at either facility.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Kelso said he will delay a decision on the dilapidated Norco prison until the state decides whether it should be abandoned, a decision that Gov. Jerry Brown has said won't come until next year.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Women Are Saving Money Thanks to Increased Birth Control Coverage",
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"content": "\u003cp>Women are saving a lot of money as a result of a health law requirement that insurance cover most forms of prescription contraceptives with no additional out-of-pocket costs, according to a study released Tuesday. But the amount of those savings and the speed with which those savings occurred surprised researchers.\u003c/p>\n\u003cp>The study, in the July issue of the policy journal Health Affairs, found that the average birth control pill user saved $255 in the year after the requirement took effect. The average user of an intrauterine device (IUD) saved $248. Those savings represented a significant percentage of average out-of-pocket costs.\u003c/p>\n\u003cp>“These are healthy women and this on average is their No. 1 need from the health care system,” said Nora Becker, an MD-PhD candidate at the University of Pennsylvania and lead author of the study. “On average, these women were spending about 30 to 44 percent of their total out of pocket (health) spending just on birth control.”\u003c/p>\n\u003cp>The study looked at out-of-pocket spending from nearly 800,000 women between the ages of 13 and 45 from January 2008 through June 2013. For most plans, the requirement began Aug. 1, 2012, or Jan. 1, 2013. So-called “grandfathered” health plans, those that have not substantially changed their benefits since the health law was passed in 2010, are exempt from the mandate, as are a small subset of religious-based plans.\u003c/p>\n\u003cp>Becker said that while making birth control substantially cheaper may not increase the number of women who use it, the new requirements could well shift the type of birth control they use to longer-acting, more effective methods like the IUD. “If prior to the ACA a woman was facing $10 to $30 a month for the pill but hundreds of dollars upfront for an IUD and now both are free, we might see a different choice,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Researchers also found that while out-of-pocket spending dropped dramatically for most types of prescription contraceptive methods — “the majority of women were paying nothing by June 2013” –spending barely budged for the vaginal ring or hormonal patch.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>That could be because under the original rules, many insurers declined to make the ring or patch free, since, like pills, they are essentially hormone delivery methods. Earlier this year, the Obama administration issued a clarification saying that while insurers do not have to offer every brand of every method, they do have to cover at least one product in each category, including rings and patches.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Women are saving a lot of money as a result of a health law requirement that insurance cover most forms of prescription contraceptives with no additional out-of-pocket costs, according to a study released Tuesday. But the amount of those savings and the speed with which those savings occurred surprised researchers.\u003c/p>\n\u003cp>The study, in the July issue of the policy journal Health Affairs, found that the average birth control pill user saved $255 in the year after the requirement took effect. The average user of an intrauterine device (IUD) saved $248. Those savings represented a significant percentage of average out-of-pocket costs.\u003c/p>\n\u003cp>“These are healthy women and this on average is their No. 1 need from the health care system,” said Nora Becker, an MD-PhD candidate at the University of Pennsylvania and lead author of the study. “On average, these women were spending about 30 to 44 percent of their total out of pocket (health) spending just on birth control.”\u003c/p>\n\u003cp>The study looked at out-of-pocket spending from nearly 800,000 women between the ages of 13 and 45 from January 2008 through June 2013. For most plans, the requirement began Aug. 1, 2012, or Jan. 1, 2013. So-called “grandfathered” health plans, those that have not substantially changed their benefits since the health law was passed in 2010, are exempt from the mandate, as are a small subset of religious-based plans.\u003c/p>\n\u003cp>Becker said that while making birth control substantially cheaper may not increase the number of women who use it, the new requirements could well shift the type of birth control they use to longer-acting, more effective methods like the IUD. “If prior to the ACA a woman was facing $10 to $30 a month for the pill but hundreds of dollars upfront for an IUD and now both are free, we might see a different choice,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>SACRAMENTO, Calif. (AP) — Two California bills aimed at curbing youth smoking by regulating e-cigarettes and boosting the smoking age to 21 have stalled in committee, with one lawmaker even rejecting his own measure after it was revised.\u003c/p>\n\u003cp>Sen. Mark Leno, D-San Francisco, renounced his bill Wednesday when the Committee on Governmental Organization scrapped its key provision that would have regulated electronic cigarettes as tobacco products. Leno angrily told the committee the diluted version of \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB140\" target=\"_blank\">SB 140\u003c/a> will do nothing to protect the young people who are becoming hooked on e-cigarettes.\u003c/p>\n\u003cp>\"I cannot support it any longer. I disassociate myself from it,\" said Leno, claiming the committee was fooling itself by claiming that devices which deliver doses of nicotine through a flavored vapor solution should not be defined as tobacco.\u003c/p>\n\u003cp>Adult smoking rates are at an all-time low, but e-cigarettes are experiencing an explosion in popularity, particularly among young people. For the first time in 2014, more teens reported using e-cigarettes than traditional cigarettes, according to the California Department of Public Health.\u003c/p>\n\u003cp>Scores of small business owners and e-cigarette users cheered the outcome, quickly pointing out that they were the ones who stood up and opposed the bill and not large tobacco companies.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"It's a victory for small businesses across this state that do not want to be associated with the tobacco industry,\" said Gregory Conley, who testified against the bill as president of the American Vaping Association.\u003c/p>\n\u003cp>But for many lawmakers, Big Tobacco was the elephant in the room. Though notably absent from the hearing, tobacco companies Altria and R.J. Reynolds have donated to over half of the members serving on the committee.\u003c/p>\n\u003cp>Altria spokesman David Sutton did not answer questions about company contributions to individual lawmakers on the committee.\u003c/p>\n\u003cp>Though currently considered behind the game, major tobacco companies are expected to overtake 75 percent of the e-cigarette market in the next 10 years.\u003c/p>\n\u003cp>Members of the committee who supported the bill as amended said the state should hold off as the U.S. Food and Drug Administration considers a national policy.\u003c/p>\n\u003cp>\"I'm not sure I'm there yet on the definition,\" said Sen. Henry Perea, D-Fresno, who voted for the amendments after noting pending federal developments.\u003c/p>\n\u003cp>The FDA is currently weighing regulations that would subject e-cigarettes and related products to a mandatory federal review and require that packages carry health warnings.\u003c/p>\n\u003cp>Leno's original bill would have banned the use of e-cigarettes in California restaurants, hospitals and public transportation. Vendors would need to apply to the state for a license and would be subject to new state taxes.\u003c/p>\n\u003cp>The bill to increase the legal smoking age also stalled when the author yanked it from the agenda shortly before it was scheduled to go before the Committee on Governmental Organization. Democratic Sen. Ed Hernandez of La Puente said he lacked the votes needed to move the bill forward.\u003c/p>\n\u003cp>\"Big Tobacco is following their usual playbook and trying to kill this bill quietly in committee,\" he said in a statement. He vowed to continue working on the bill this year.\u003c/p>\n\u003cp>\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB151\" target=\"_blank\">SB 151\u003c/a> would make California just the second state after Hawaii to raise the minimum smoking age from 18 to 21.\u003c/p>\n\u003cp>Hawaii Gov. David Ige, a Democrat, signed legislation last month bumping his state's smoking age, joining New York City with the highest age restriction in the country.\u003c/p>\n\u003cp>A bill by state Sen. Jerry Hill, D-San Mateo, stopped short of labeling e-cigarettes as tobacco products and still failed to pass the Senate last month. A 2013 bill that aimed to restrict their use in public places was watered down and eventually died.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>California banned the sale of e-cigarettes to minors in 2010.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>SACRAMENTO, Calif. (AP) — Two California bills aimed at curbing youth smoking by regulating e-cigarettes and boosting the smoking age to 21 have stalled in committee, with one lawmaker even rejecting his own measure after it was revised.\u003c/p>\n\u003cp>Sen. Mark Leno, D-San Francisco, renounced his bill Wednesday when the Committee on Governmental Organization scrapped its key provision that would have regulated electronic cigarettes as tobacco products. Leno angrily told the committee the diluted version of \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB140\" target=\"_blank\">SB 140\u003c/a> will do nothing to protect the young people who are becoming hooked on e-cigarettes.\u003c/p>\n\u003cp>\"I cannot support it any longer. I disassociate myself from it,\" said Leno, claiming the committee was fooling itself by claiming that devices which deliver doses of nicotine through a flavored vapor solution should not be defined as tobacco.\u003c/p>\n\u003cp>Adult smoking rates are at an all-time low, but e-cigarettes are experiencing an explosion in popularity, particularly among young people. For the first time in 2014, more teens reported using e-cigarettes than traditional cigarettes, according to the California Department of Public Health.\u003c/p>\n\u003cp>Scores of small business owners and e-cigarette users cheered the outcome, quickly pointing out that they were the ones who stood up and opposed the bill and not large tobacco companies.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"It's a victory for small businesses across this state that do not want to be associated with the tobacco industry,\" said Gregory Conley, who testified against the bill as president of the American Vaping Association.\u003c/p>\n\u003cp>But for many lawmakers, Big Tobacco was the elephant in the room. Though notably absent from the hearing, tobacco companies Altria and R.J. Reynolds have donated to over half of the members serving on the committee.\u003c/p>\n\u003cp>Altria spokesman David Sutton did not answer questions about company contributions to individual lawmakers on the committee.\u003c/p>\n\u003cp>Though currently considered behind the game, major tobacco companies are expected to overtake 75 percent of the e-cigarette market in the next 10 years.\u003c/p>\n\u003cp>Members of the committee who supported the bill as amended said the state should hold off as the U.S. Food and Drug Administration considers a national policy.\u003c/p>\n\u003cp>\"I'm not sure I'm there yet on the definition,\" said Sen. Henry Perea, D-Fresno, who voted for the amendments after noting pending federal developments.\u003c/p>\n\u003cp>The FDA is currently weighing regulations that would subject e-cigarettes and related products to a mandatory federal review and require that packages carry health warnings.\u003c/p>\n\u003cp>Leno's original bill would have banned the use of e-cigarettes in California restaurants, hospitals and public transportation. Vendors would need to apply to the state for a license and would be subject to new state taxes.\u003c/p>\n\u003cp>The bill to increase the legal smoking age also stalled when the author yanked it from the agenda shortly before it was scheduled to go before the Committee on Governmental Organization. Democratic Sen. Ed Hernandez of La Puente said he lacked the votes needed to move the bill forward.\u003c/p>\n\u003cp>\"Big Tobacco is following their usual playbook and trying to kill this bill quietly in committee,\" he said in a statement. He vowed to continue working on the bill this year.\u003c/p>\n\u003cp>\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB151\" target=\"_blank\">SB 151\u003c/a> would make California just the second state after Hawaii to raise the minimum smoking age from 18 to 21.\u003c/p>\n\u003cp>Hawaii Gov. David Ige, a Democrat, signed legislation last month bumping his state's smoking age, joining New York City with the highest age restriction in the country.\u003c/p>\n\u003cp>A bill by state Sen. Jerry Hill, D-San Mateo, stopped short of labeling e-cigarettes as tobacco products and still failed to pass the Senate last month. A 2013 bill that aimed to restrict their use in public places was watered down and eventually died.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>California banned the sale of e-cigarettes to minors in 2010.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Recognizing they lacked votes in a key Assembly committee, authors of legislation that would have allowed terminally ill Californians to legally end their lives pulled the bill Tuesday morning.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB128\" target=\"_blank\">Senate Bill 128\u003c/a>, the End of Life Option Act, had already cleared the state Senate, but faced opposition in the Assembly Health Committee, including from \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/07/02/physician-assisted-suicide-backers-try-to-woo-latinos/\" target=\"_blank\">a group of Southern California Democrats\u003c/a> from heavily Latino districts after the archbishop of Los Angeles increased its advocacy efforts in opposition to the bill.\u003c/p>\n\u003cp>\"We continue to work with Assembly Members to ensure they are comfortable with the bill,\" said Sens. Lois Wolk, (D-Davis), and Bill Monning, (D-Monterey), and Assemblywoman Susan Eggman, (D-Stockton) in a joint statement. \"For dying Californians, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/04/07/death-with-dignity-advocates-launch-new-campaign-for-physician-assisted-suicide-in-california/\" target=\"_blank\">like Jennifer Glass\u003c/a>, who was scheduled to testify today, this issue is urgent. We remain committed to passing the End of Life Option Act for all Californians who want and need the option of medical aid in dying.”\u003c/p>\n\u003cp>Under the bill, mentally competent adults who are terminally ill with less than six months to live could request lethal medication from a physician.\u003c/p>\n\u003cp>In an interview, Monning stressed that the bill is \"not dead\" and that it has two years -- not one -- for passage.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"We're going to review our options,\" he said. \"We invested a lot of energy in the Senate side, and we walk away from the decision today knowing that we're going to have to spend more time cultivating our colleagues in the Assembly.\"\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/213838838\" 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>\u003ca href=\"http://www.compassionandchoices.org/userfiles/PUBLIC-MEMO-EOL-OPTIONS-ACT-JUNE-2015.pdf\" target=\"_blank\">A poll \u003c/a>last month found that 69 percent of Californians -- and 70 percent of Latinos -- supported the bill. The poll was conducted by the advocacy group Compassion and Choices. \"The bill is still alive and well,\" Patricia Gonzalez-Portillo, a spokeswoman for the organization, said in an interview. She also said her organization would continue working with Assembly members to advocate for the bill.\u003c/p>\n\u003cp>The bill had received a boost after the California Medical Association changed its stance from opposed to neutral.\u003c/p>\n\u003cp>The bill is modeled after a 1994 Oregon law which permits aid-in-dying. Four other states -- Washington, Montana, Vermont and New Mexico -- have authorized it as well.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The issue was brought home to Californians after 29-year-old resident Brittany Maynard moved to Oregon so she could get a lethal prescription under that state's death with dignity law. She was terminally ill with brain cancer and died last November. A\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/03/25/posthumous-brittany-maynard-video-supports-calif-death-with-dignity-bill/\" target=\"_blank\"> video \u003c/a>she recorded 19 days before she took life-ending drugs was shown at a Senate hearing in March.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Recognizing they lacked votes in a key Assembly committee, authors of legislation that would have allowed terminally ill Californians to legally end their lives pulled the bill Tuesday morning.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB128\" target=\"_blank\">Senate Bill 128\u003c/a>, the End of Life Option Act, had already cleared the state Senate, but faced opposition in the Assembly Health Committee, including from \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/07/02/physician-assisted-suicide-backers-try-to-woo-latinos/\" target=\"_blank\">a group of Southern California Democrats\u003c/a> from heavily Latino districts after the archbishop of Los Angeles increased its advocacy efforts in opposition to the bill.\u003c/p>\n\u003cp>\"We continue to work with Assembly Members to ensure they are comfortable with the bill,\" said Sens. Lois Wolk, (D-Davis), and Bill Monning, (D-Monterey), and Assemblywoman Susan Eggman, (D-Stockton) in a joint statement. \"For dying Californians, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/04/07/death-with-dignity-advocates-launch-new-campaign-for-physician-assisted-suicide-in-california/\" target=\"_blank\">like Jennifer Glass\u003c/a>, who was scheduled to testify today, this issue is urgent. We remain committed to passing the End of Life Option Act for all Californians who want and need the option of medical aid in dying.”\u003c/p>\n\u003cp>Under the bill, mentally competent adults who are terminally ill with less than six months to live could request lethal medication from a physician.\u003c/p>\n\u003cp>In an interview, Monning stressed that the bill is \"not dead\" and that it has two years -- not one -- for passage.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We're going to review our options,\" he said. \"We invested a lot of energy in the Senate side, and we walk away from the decision today knowing that we're going to have to spend more time cultivating our colleagues in the Assembly.\"\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/213838838&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/213838838'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.compassionandchoices.org/userfiles/PUBLIC-MEMO-EOL-OPTIONS-ACT-JUNE-2015.pdf\" target=\"_blank\">A poll \u003c/a>last month found that 69 percent of Californians -- and 70 percent of Latinos -- supported the bill. The poll was conducted by the advocacy group Compassion and Choices. \"The bill is still alive and well,\" Patricia Gonzalez-Portillo, a spokeswoman for the organization, said in an interview. She also said her organization would continue working with Assembly members to advocate for the bill.\u003c/p>\n\u003cp>The bill had received a boost after the California Medical Association changed its stance from opposed to neutral.\u003c/p>\n\u003cp>The bill is modeled after a 1994 Oregon law which permits aid-in-dying. Four other states -- Washington, Montana, Vermont and New Mexico -- have authorized it as well.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The issue was brought home to Californians after 29-year-old resident Brittany Maynard moved to Oregon so she could get a lethal prescription under that state's death with dignity law. She was terminally ill with brain cancer and died last November. A\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/03/25/posthumous-brittany-maynard-video-supports-calif-death-with-dignity-bill/\" target=\"_blank\"> video \u003c/a>she recorded 19 days before she took life-ending drugs was shown at a Senate hearing in March.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>State lawmakers last week convened the first hearing of a governor-ordered legislative special session on health care funding.\u003c/p>\n\u003cp>Senate leaders met Friday for the initial \"extraordinary session\" on how to come up with new funding for Medi-Cal and the developmentally disabled services program. The committee also expects to examine possible sources of funding for Medi-Cal provider rate increases.\u003c/p>\n\u003cp>The central issue is the looming loss of the managed care organization tax, which cannot continue in its current state, according to federal guidance.\u003c/p>\n\u003cp>Loss of the MCO tax would mean a shortfall of $1.1 billion for the state's Medi-Cal program. In addition, the state is bound to continue this year's restoration of a 7 percent rise in In-Home Supportive Services hours.\u003c/p>\n\u003cp>\"Together you're looking at a $1.3 billion pressure on the state's finances,\" said Michael Wilkening, the undersecretary of the California Health and Human Services agency. \"The federal government will not approve the MCO tax as it is, and that has been a stable source of funding. We need something to replace them.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The governor has proposed a different kind of MCO tax, one that would cost non-Medi-Cal insurers about $658 million a year, according to Mari Cantwell, chief deputy director at the Department of Health Care Services, which oversees Medi-Cal.\u003c/p>\n\u003cp>\"We couldn't find an option that had a lower overall impact to the plans,\" Cantwell said. \"The $658 million [tax] generates $1.35 billion to the state. But there was no other structure we could find.\"\u003c/p>\n\u003cp>The state had been taxing Medi-Cal insurers and matching the MCO tax with federal funds. Federal guidance now wants states to issue that kind of tax in a more broad-based and uniform way.\u003c/p>\n\u003cp>Committee chair state Sen. Ed Hernandez (D-West Covina) said the special session will be a chance to take on long-simmering issues, including the Medi-Cal provider rate.\u003c/p>\n\u003cp>\"We have been under-funded in Medi-Cal and [the Department of Developmental Services] for way too long,\" Hernandez said. \"These are issues I've been talking about [in the Legislature] for almost eight years.\"\u003c/p>\n\u003cp>A men's barber makes more on a quick haircut than a primary care physician makes for diagnosing and treating a Medi-Cal patient in the doctor's office, Hernandez said.\u003c/p>\n\u003cp>\"The amount a primary care physician makes in our state for a regular office visit in the Medi-Cal program is $16,\" he said. Then he said it slower. \"Let me say that again: 16 dollars.\"\u003c/p>\n\u003cp>New York state, for instance, has a rate twice as high as that, Hernandez said.\u003c/p>\n\u003cp>\"Given the dramatic expansion of enrollment, it makes no sense to continue Medi-Cal provider rate reductions enacted during California's economic downturn,\" Hernandez said.\u003c/p>\n\u003cp>When you start talking about provider rate increases in a program the size of Medi-Cal, the spending numbers can rise quickly, said Jennifer Kent, director of DHCS. And right now, she said, the biggest challenge is losing the MCO tax.\u003c/p>\n\u003cp>Of the roughly $95 billion for Medi-Cal, only $18 billion comes from the general fund, she said. Take out $1.1 billion and Medi-Cal would be in trouble, she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"When you look at meaningful impacts, that's a really significant hit,\" Kent said.\u003c/p>\n\n",
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"excerpt": "A tax that helps fund Medi-Cal will expire next June, and the governor wants the legislature to figure out how to cover the $1 billion that will be lost.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>State lawmakers last week convened the first hearing of a governor-ordered legislative special session on health care funding.\u003c/p>\n\u003cp>Senate leaders met Friday for the initial \"extraordinary session\" on how to come up with new funding for Medi-Cal and the developmentally disabled services program. The committee also expects to examine possible sources of funding for Medi-Cal provider rate increases.\u003c/p>\n\u003cp>The central issue is the looming loss of the managed care organization tax, which cannot continue in its current state, according to federal guidance.\u003c/p>\n\u003cp>Loss of the MCO tax would mean a shortfall of $1.1 billion for the state's Medi-Cal program. In addition, the state is bound to continue this year's restoration of a 7 percent rise in In-Home Supportive Services hours.\u003c/p>\n\u003cp>\"Together you're looking at a $1.3 billion pressure on the state's finances,\" said Michael Wilkening, the undersecretary of the California Health and Human Services agency. \"The federal government will not approve the MCO tax as it is, and that has been a stable source of funding. We need something to replace them.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The governor has proposed a different kind of MCO tax, one that would cost non-Medi-Cal insurers about $658 million a year, according to Mari Cantwell, chief deputy director at the Department of Health Care Services, which oversees Medi-Cal.\u003c/p>\n\u003cp>\"We couldn't find an option that had a lower overall impact to the plans,\" Cantwell said. \"The $658 million [tax] generates $1.35 billion to the state. But there was no other structure we could find.\"\u003c/p>\n\u003cp>The state had been taxing Medi-Cal insurers and matching the MCO tax with federal funds. Federal guidance now wants states to issue that kind of tax in a more broad-based and uniform way.\u003c/p>\n\u003cp>Committee chair state Sen. Ed Hernandez (D-West Covina) said the special session will be a chance to take on long-simmering issues, including the Medi-Cal provider rate.\u003c/p>\n\u003cp>\"We have been under-funded in Medi-Cal and [the Department of Developmental Services] for way too long,\" Hernandez said. \"These are issues I've been talking about [in the Legislature] for almost eight years.\"\u003c/p>\n\u003cp>A men's barber makes more on a quick haircut than a primary care physician makes for diagnosing and treating a Medi-Cal patient in the doctor's office, Hernandez said.\u003c/p>\n\u003cp>\"The amount a primary care physician makes in our state for a regular office visit in the Medi-Cal program is $16,\" he said. Then he said it slower. \"Let me say that again: 16 dollars.\"\u003c/p>\n\u003cp>New York state, for instance, has a rate twice as high as that, Hernandez said.\u003c/p>\n\u003cp>\"Given the dramatic expansion of enrollment, it makes no sense to continue Medi-Cal provider rate reductions enacted during California's economic downturn,\" Hernandez said.\u003c/p>\n\u003cp>When you start talking about provider rate increases in a program the size of Medi-Cal, the spending numbers can rise quickly, said Jennifer Kent, director of DHCS. And right now, she said, the biggest challenge is losing the MCO tax.\u003c/p>\n\u003cp>Of the roughly $95 billion for Medi-Cal, only $18 billion comes from the general fund, she said. Take out $1.1 billion and Medi-Cal would be in trouble, she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"When you look at meaningful impacts, that's a really significant hit,\" Kent said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Not Over Yet: Tim Donnelly Files for Referendum to Overturn California's New Vaccine Law",
"title": "Not Over Yet: Tim Donnelly Files for Referendum to Overturn California's New Vaccine Law",
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"content": "\u003cp>Well, that didn't take long.\u003c/p>\n\u003cp>Former California Assemblyman and \u003ca href=\"http://ww2.kqed.org/news/tim-donnelly-gop-for-governor\" target=\"_blank\">ex-gubernatorial candidate\u003c/a> Tim Donnelly Wednesday \u003ca href=\"https://oag.ca.gov/system/files/initiatives/pdfs/15-0035%20%28Referendum%20of%20SB%20277%29.pdf\" target=\"_blank\">filed paperwork\u003c/a> with the Office of the Attorney General for a referendum that would overturn California's brand-new law ending personal belief exemptions for vaccines. Donnelly filed the request just one day after Gov. Jerry Brown signed \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB277\" target=\"_blank\">SB277\u003c/a> into law.\u003c/p>\n\u003cp>Donnelly, a tea party conservative who hosts an Inland Empire talk radio show on KIXW-AM, \u003ca href=\"https://www.facebook.com/tim.donnelly.372/posts/463441200498927?pnref=story\" target=\"_blank\"> posted his displeasure with the new law on Facebook\u003c/a> Tuesday.\u003c/p>\n\u003cp>\"Gov. Jerry Brown signed away a parent's right to choose what's best for their child,\" he wrote. \"This is a victory for leftists bent on absolute control. No more choice, no informed consent, only compliance or else!\"\u003c/p>\n\u003cp>Backers of the law's repeal now have 90 days from its enactment Tuesday to gather 365,880 signatures, the number needed to \u003ca href=\"http://www.sos.ca.gov/elections/ballot-measures/referendum/\" target=\"_blank\">qualify the referendum \u003c/a>for the Nov. 1, 2016, ballot. Provided enough signatures are verified, the law would then be put on hold until after the election.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>That would mean parents could at least temporarily slide by the July 1, 2016, implementation of the law, when any child entering preschool, kindergarten or seventh grade, or any student changing schools, is required to have the proper vaccinations if they have not already obtained a personal belief exemption by Jan. 1.\u003c/p>\n\u003cp>\"Even if they don’t have a chance of passing this, just getting it on the ballot box has a chance to throw a wrench in things,\" says KQED politics and government reporter Marisa Lagos.\u003c/p>\n\u003cp>Lagos said the success of the signature drive will depend -- what else? -- on money.\u003c/p>\n\u003cp>\"The question is whether they will have funding to send signature-gatherers out to do this work, enough boots on the ground to collect signatures,” she said.\u003c/p>\n\u003cp>Christina Hildebrand, founder of A Voice for Choice, a nonprofit group that worked against the vaccine bill, told KQED's April Dembosky that collecting the required signatures was doable.\u003c/p>\n\u003cp>\"We need 5 percent of what was cast in the governor’s election, which was a \u003ca href=\"http://ww2.kqed.org/news/2014/11/12-might-california-low-voter-turnout-spark-2016-initiative-frenzy/\" target=\"_blank\">very low turnout\u003c/a> vote, so I do believe we can get that,\" she said.\u003c/p>\n\u003cp>And then there's the \u003ca href=\"http://www.sacbee.com/news/politics-government/capitol-alert/article26061985.html\" target=\"_blank\">Jim Carrey factor\u003c/a> to consider.\u003c/p>\n\u003cp>State Sen. Richard Pan, a co-author of the law, responded to the referendum filing in a statement. “Californians overwhelmingly support requiring vaccinations for school,\" Pan said. \"Our bill was a reasonable, science-based approach to protecting children, and the most vulnerable among us, from dangerous diseases. Vaccines are one of the most powerful tools we have to prevent deadly communicable diseases.\"\u003c/p>\n\u003cp>Pan said he would fight \"any referendum that hurts Californians.\"\u003c/p>\n\u003cp>A May \u003ca href=\"http://www.ppic.org/main/publication.asp?i=1153\" target=\"_blank\"> poll by the Public Policy Institute of California\u003c/a> found that 67 percent of Californians and 65 percent of public school parents think children should not be allowed to attend public school without getting vaccinated. Large majorities also said that childhood vaccines are generally safe.\u003c/p>\n\u003cp>If a referendum fails, opponents of the law could turn to the courts.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The California state constitution guarantees a free and public education for every child,\" said Hildebrand. Lawyers have been lining up to help with a lawsuit, she said. \"They keep coming out of the woodwork.\"\u003c/p>\n\n",
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"headline": "Not Over Yet: Tim Donnelly Files for Referendum to Overturn California's New Vaccine Law",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Well, that didn't take long.\u003c/p>\n\u003cp>Former California Assemblyman and \u003ca href=\"http://ww2.kqed.org/news/tim-donnelly-gop-for-governor\" target=\"_blank\">ex-gubernatorial candidate\u003c/a> Tim Donnelly Wednesday \u003ca href=\"https://oag.ca.gov/system/files/initiatives/pdfs/15-0035%20%28Referendum%20of%20SB%20277%29.pdf\" target=\"_blank\">filed paperwork\u003c/a> with the Office of the Attorney General for a referendum that would overturn California's brand-new law ending personal belief exemptions for vaccines. Donnelly filed the request just one day after Gov. Jerry Brown signed \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB277\" target=\"_blank\">SB277\u003c/a> into law.\u003c/p>\n\u003cp>Donnelly, a tea party conservative who hosts an Inland Empire talk radio show on KIXW-AM, \u003ca href=\"https://www.facebook.com/tim.donnelly.372/posts/463441200498927?pnref=story\" target=\"_blank\"> posted his displeasure with the new law on Facebook\u003c/a> Tuesday.\u003c/p>\n\u003cp>\"Gov. Jerry Brown signed away a parent's right to choose what's best for their child,\" he wrote. \"This is a victory for leftists bent on absolute control. No more choice, no informed consent, only compliance or else!\"\u003c/p>\n\u003cp>Backers of the law's repeal now have 90 days from its enactment Tuesday to gather 365,880 signatures, the number needed to \u003ca href=\"http://www.sos.ca.gov/elections/ballot-measures/referendum/\" target=\"_blank\">qualify the referendum \u003c/a>for the Nov. 1, 2016, ballot. Provided enough signatures are verified, the law would then be put on hold until after the election.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That would mean parents could at least temporarily slide by the July 1, 2016, implementation of the law, when any child entering preschool, kindergarten or seventh grade, or any student changing schools, is required to have the proper vaccinations if they have not already obtained a personal belief exemption by Jan. 1.\u003c/p>\n\u003cp>\"Even if they don’t have a chance of passing this, just getting it on the ballot box has a chance to throw a wrench in things,\" says KQED politics and government reporter Marisa Lagos.\u003c/p>\n\u003cp>Lagos said the success of the signature drive will depend -- what else? -- on money.\u003c/p>\n\u003cp>\"The question is whether they will have funding to send signature-gatherers out to do this work, enough boots on the ground to collect signatures,” she said.\u003c/p>\n\u003cp>Christina Hildebrand, founder of A Voice for Choice, a nonprofit group that worked against the vaccine bill, told KQED's April Dembosky that collecting the required signatures was doable.\u003c/p>\n\u003cp>\"We need 5 percent of what was cast in the governor’s election, which was a \u003ca href=\"http://ww2.kqed.org/news/2014/11/12-might-california-low-voter-turnout-spark-2016-initiative-frenzy/\" target=\"_blank\">very low turnout\u003c/a> vote, so I do believe we can get that,\" she said.\u003c/p>\n\u003cp>And then there's the \u003ca href=\"http://www.sacbee.com/news/politics-government/capitol-alert/article26061985.html\" target=\"_blank\">Jim Carrey factor\u003c/a> to consider.\u003c/p>\n\u003cp>State Sen. Richard Pan, a co-author of the law, responded to the referendum filing in a statement. “Californians overwhelmingly support requiring vaccinations for school,\" Pan said. \"Our bill was a reasonable, science-based approach to protecting children, and the most vulnerable among us, from dangerous diseases. Vaccines are one of the most powerful tools we have to prevent deadly communicable diseases.\"\u003c/p>\n\u003cp>Pan said he would fight \"any referendum that hurts Californians.\"\u003c/p>\n\u003cp>A May \u003ca href=\"http://www.ppic.org/main/publication.asp?i=1153\" target=\"_blank\"> poll by the Public Policy Institute of California\u003c/a> found that 67 percent of Californians and 65 percent of public school parents think children should not be allowed to attend public school without getting vaccinated. Large majorities also said that childhood vaccines are generally safe.\u003c/p>\n\u003cp>If a referendum fails, opponents of the law could turn to the courts.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The California state constitution guarantees a free and public education for every child,\" said Hildebrand. Lawyers have been lining up to help with a lawsuit, she said. \"They keep coming out of the woodwork.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Physician-Assisted Suicide Backers Try to Woo Balking Latino Lawmakers",
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"content": "\u003cp>Supporters of a bill that would legalize physician-assisted suicide have called in the heavyweights: Actor Edward James Olmos and union organizer Dolores Huerta have now joined the campaign for \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB128\" target=\"_blank\">SB 128\u003c/a>. The bill has \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/24/californias-physician-assisted-suicide-bill-hits-snag/\" target=\"_blank\">hit a roadblock in the Assembly\u003c/a>, and authors are hoping these celebrity reinforcements will help them win the votes they need from Latino lawmakers.\u003c/p>\n\u003cp>There are 19 members of the Assembly Health Committee, and authors need 10 yes votes to move their bill. But there is a small, unusual group of holdouts. All Democrats. All from Southern California. And almost all of them Latino.\u003c/p>\n\u003cp>“I'm a bit confounded at the resistance of some members of the Assembly Health Committee,” said Sen. Bill Monning (D-Carmel), who co-authored the bill with Sen. Lois Wolk (D-Davis).\u003c/p>\n\u003cp>SB 128 would allow doctors to prescribe lethal medication to terminally ill patients who request it. Two doctors must first give a prognosis of six months or less to live, and confirm that the patient has the mental capacity to make medical decisions.\u003c/p>\n\u003cp>Monning says he’s willing to negotiate. But lawmakers have been vague about their reasons for resisting the bill, and no one has asked for any specific changes.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We've been frustrated in not really receiving focused concerns,” he says.\u003c/p>\n\u003cp>The archbishop of Los Angeles would like to take some credit for the resistance. His staff ramped up advocacy efforts recently, urging Southern California lawmakers on the health committee to reject the bill, mainly on socio-economic grounds rather than religious concerns.\u003c/p>\n\u003cp>“How is that going to impact the poor here, how is that going to impact people of color?” said Andrew Rivas, director of the office of government for the Archdiocese of Los Angeles.\u003c/p>\n\u003cp>He says the church fears low-income people will be pressured into taking life-ending drugs instead of pursuing more expensive treatments that prolong life.\u003c/p>\n\u003cp>“We think that those decisions are going to be made on a financial basis, more than anything else,” he says.\u003c/p>\n\u003cp>Several of the holdouts on the health committee echoed these concerns, though none agreed to a formal interview. But Assemblymember Jimmy Gomez (D-Los Angeles) said in a statement that he was a primary caregiver to his father, an immigrant who spoke limited English, when he was dying of pancreatic cancer. Gomez said he wants to understand the impact the bill may have on low-income, minority communities.\u003c/p>\n\u003cp>“I understand the difficult choices families face when dealing with end-of-life decisions,” he said. “In addition to drawing from my personal experiences, I will continue reviewing the bill and its policy studies to come to a decision on SB 128.”\u003c/p>\n\u003cp>So now bill supporters are working to reframe physician-assisted suicide as a civil rights issue, soliciting help from Olmos and Huerta to push the legislation with Latinos.\u003c/p>\n\u003cp>“This bill will affirm a fundamental right for terminally ill and mentally competent patients to choose how their final days are lived,” Huerta said in a statement last week. “This is a basic civil rights issue offering a compassionate and dignified end-of-life choice that should be left between a patient and doctor.”\u003c/p>\n\u003cp>The Latino Caucus has not taken a position on the bill. But the group's chairman and Assembly co-author of SB 128, Luis Alejo, says families need more options. His own father has terminal cancer.\u003c/p>\n\u003cp>“Now that he's ill and he's in pain, I want to make sure his wishes are respected when that time comes,” he said. “This is about respecting the choices of the people we love the most.”\u003c/p>\n\u003cp>Seventy percent of Latinos support the bill, according to a \u003ca href=\"http://www.compassionandchoices.org/userfiles/PUBLIC-MEMO-EOL-OPTIONS-ACT-JUNE-2015.pdf\">telephone survey\u003c/a> conducted for Compassion & Choices, an advocacy group that has vowed to sponsor a ballot measure in 2016 if the legislation fails.\u003c/p>\n\u003cp>But Monning says that route is not ideal.\u003c/p>\n\u003cp>“My fear with that option is, it would give voters a voice, but it would be thumbs up or thumbs down,\" he says. \"In the Legislature, we are able to craft legislation that addresses specific concerns. If there are defects or we need to fine-tune, we can bring it back.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>SB 128 passed the full Senate in June and is scheduled to be heard in the Assembly Health Committee on July 7. If it passes, it goes next to the Assembly Judiciary Committee, then Appropriations, then the Assembly floor. Gov. Jerry Brown has not indicated whether he would sign or veto the bill.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Supporters of a bill that would legalize physician-assisted suicide have called in the heavyweights: Actor Edward James Olmos and union organizer Dolores Huerta have now joined the campaign for \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB128\" target=\"_blank\">SB 128\u003c/a>. The bill has \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/24/californias-physician-assisted-suicide-bill-hits-snag/\" target=\"_blank\">hit a roadblock in the Assembly\u003c/a>, and authors are hoping these celebrity reinforcements will help them win the votes they need from Latino lawmakers.\u003c/p>\n\u003cp>There are 19 members of the Assembly Health Committee, and authors need 10 yes votes to move their bill. But there is a small, unusual group of holdouts. All Democrats. All from Southern California. And almost all of them Latino.\u003c/p>\n\u003cp>“I'm a bit confounded at the resistance of some members of the Assembly Health Committee,” said Sen. Bill Monning (D-Carmel), who co-authored the bill with Sen. Lois Wolk (D-Davis).\u003c/p>\n\u003cp>SB 128 would allow doctors to prescribe lethal medication to terminally ill patients who request it. Two doctors must first give a prognosis of six months or less to live, and confirm that the patient has the mental capacity to make medical decisions.\u003c/p>\n\u003cp>Monning says he’s willing to negotiate. But lawmakers have been vague about their reasons for resisting the bill, and no one has asked for any specific changes.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We've been frustrated in not really receiving focused concerns,” he says.\u003c/p>\n\u003cp>The archbishop of Los Angeles would like to take some credit for the resistance. His staff ramped up advocacy efforts recently, urging Southern California lawmakers on the health committee to reject the bill, mainly on socio-economic grounds rather than religious concerns.\u003c/p>\n\u003cp>“How is that going to impact the poor here, how is that going to impact people of color?” said Andrew Rivas, director of the office of government for the Archdiocese of Los Angeles.\u003c/p>\n\u003cp>He says the church fears low-income people will be pressured into taking life-ending drugs instead of pursuing more expensive treatments that prolong life.\u003c/p>\n\u003cp>“We think that those decisions are going to be made on a financial basis, more than anything else,” he says.\u003c/p>\n\u003cp>Several of the holdouts on the health committee echoed these concerns, though none agreed to a formal interview. But Assemblymember Jimmy Gomez (D-Los Angeles) said in a statement that he was a primary caregiver to his father, an immigrant who spoke limited English, when he was dying of pancreatic cancer. Gomez said he wants to understand the impact the bill may have on low-income, minority communities.\u003c/p>\n\u003cp>“I understand the difficult choices families face when dealing with end-of-life decisions,” he said. “In addition to drawing from my personal experiences, I will continue reviewing the bill and its policy studies to come to a decision on SB 128.”\u003c/p>\n\u003cp>So now bill supporters are working to reframe physician-assisted suicide as a civil rights issue, soliciting help from Olmos and Huerta to push the legislation with Latinos.\u003c/p>\n\u003cp>“This bill will affirm a fundamental right for terminally ill and mentally competent patients to choose how their final days are lived,” Huerta said in a statement last week. “This is a basic civil rights issue offering a compassionate and dignified end-of-life choice that should be left between a patient and doctor.”\u003c/p>\n\u003cp>The Latino Caucus has not taken a position on the bill. But the group's chairman and Assembly co-author of SB 128, Luis Alejo, says families need more options. His own father has terminal cancer.\u003c/p>\n\u003cp>“Now that he's ill and he's in pain, I want to make sure his wishes are respected when that time comes,” he said. “This is about respecting the choices of the people we love the most.”\u003c/p>\n\u003cp>Seventy percent of Latinos support the bill, according to a \u003ca href=\"http://www.compassionandchoices.org/userfiles/PUBLIC-MEMO-EOL-OPTIONS-ACT-JUNE-2015.pdf\">telephone survey\u003c/a> conducted for Compassion & Choices, an advocacy group that has vowed to sponsor a ballot measure in 2016 if the legislation fails.\u003c/p>\n\u003cp>But Monning says that route is not ideal.\u003c/p>\n\u003cp>“My fear with that option is, it would give voters a voice, but it would be thumbs up or thumbs down,\" he says. \"In the Legislature, we are able to craft legislation that addresses specific concerns. If there are defects or we need to fine-tune, we can bring it back.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>SB 128 passed the full Senate in June and is scheduled to be heard in the Assembly Health Committee on July 7. If it passes, it goes next to the Assembly Judiciary Committee, then Appropriations, then the Assembly floor. Gov. Jerry Brown has not indicated whether he would sign or veto the bill.\u003c/p>\n\n\u003c/div>\u003c/p>",
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},
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"id": "city-arts",
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"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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}
},
"closealltabs": {
"id": "closealltabs",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"order": 1
},
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"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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"source": "Commonwealth Club of California"
},
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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"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",
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"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"meta": {
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"source": "WNYC"
},
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
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"id": "fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"hidden-brain": {
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
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"source": "NPR"
},
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"how-i-built-this": {
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"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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"link": "/radio/program/how-i-built-this",
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"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"order": 15
},
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
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"order": 18
},
"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"
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},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"meta": {
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
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"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/onourwatch",
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"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
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"source": "wnyc"
},
"link": "/radio/program/on-the-media",
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"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
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},
"link": "/radio/program/pbs-newshour",
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"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
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"officialWebsiteLink": "/perspectives/",
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
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