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And I just felt like Christopher’s spirit will not rest in peace with a death certificate that says female.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/211462978\" 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>Scott-Chung went to then-Assemblymember Toni Atkins, from Lee’s hometown of San Diego. 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"content": "\u003cp>Bertha Swan is wrestling with a taped-up package she calls a \"bubble pack,\" containing dozens of packets of pills that are different shapes, sizes and colors. On the table is a plastic box with dividers to organize them.\u003c/p>\n\u003cp>\"You just put the medicine in there, morning, noon, evening and night,\" she says.\u003c/p>\n\u003cp>For two years now Swan has been organizing these pills for her 70-year-old mother, whom she gives insulin shots and helps with home dialysis.\u003c/p>\n\u003cp>\"She has a lot going on,\" Swan says. \"She has a lot of medical issues -- a lot of them.\"\u003c/p>\n\u003cp>Her mother, Aroytemise Swan, does indeed have a lot going on. She has diabetes as well as heart and kidney problems. She's asleep during my visit with her daughter -- she sleeps a lot. She also makes frequent visits to the hospital: seven admissions and four trips to the emergency room in just over a year.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A very small percentage of people use a significant amount of health care in this country. According to one estimate, 5 percent of the people account for 60 percent of health care costs. In California, health officials are busy drawing up a plan to identify these so-called super-utilizers of the Medi-Cal system.\u003c/p>\n\u003cp>The staff at San Francisco General Hospital has already started looking at these heavy utilizers and is now working extensively with Bertha Swan to help her mother.\u003c/p>\n\u003cp>\"If there's something I need, I can just call them,\" Bertha Swan tells me. \"They help me as far as getting connected to the doctor, doing the email, doing the prescriptions, things like that. So they help me a very lot. Yes they do. They're there for me.\"\u003c/p>\n\u003cp>And since starting dialysis in March, her mother has not been to the hospital. \"Knock on wood,\" Swan says.\u003c/p>\n\u003cp>At San Francisco General Hospital's Adult Medical Clinic, officials estimate just 3 percent of patients account for 35 percent of hospital admissions. And they often come with both multiple chronic conditions and multiple medications.\u003c/p>\n\u003cp>\"They may also be living in a two-bedroom apartment with eight other people,\" notes clinic medical director Dr. Elizabeth Davis. “They may be depressed, and they may also smoke. And that's a lot to deal with.\"\u003c/p>\n\u003cp>And that's why the staff here takes a team approach, using a nurse, a health coach and social workers.\u003c/p>\n\u003cp>It all starts by building trust with the patients, says Marty Lynch. He's the executive director of LifeLong, a community health organization based in Berkeley. Lynch says it's tough work because many in this population have mental health and substance-use disorder issues.\u003c/p>\n\u003cp>\"These case managers who do this kind of work are saints in my opinion,\" Lynch says. \"They have to have really good persistence and also really good personal skills and the ability to respect anyone with any kind of problem and think positively about them.\"\u003c/p>\n\u003cp>Many of the patients, he says, may be homeless. \"The second issue is can we get you housed and if we can get you housed, maybe then we can talk you into coming in and seeing our doctor.\"\u003c/p>\n\u003cp>LifeLong is working with Alta Bates Summit Hospital to provide coordinated care to frequent utilizers. The new state program will depend on just this kind of collaboration.\u003c/p>\n\u003cp>Hannah Katch is with California's Department of Health Care Services. She says the proposed Health Home program, along with other proposals, will provide more than just care coordination.\u003c/p>\n\u003cp>It will \"also help the patient get access to supportive housing,\" Katch says, \"or help the patient get access to a mental health provider, or to support groups, or to food assistance.”\u003c/p>\n\u003cp>The federal government would pay 90 percent of the cost to get this program off the ground. After two years, the Health Homes program will have to cover its costs, Katch says, by making a big dent in hospital admissions and emergency room visits.\u003c/p>\n\u003cp>But providing more services without spending more money is just one metric. \"But really the goal is to try and help these particular high utilizers improve their health,\" Katch said.\u003c/p>\n\u003cp>Since more than half of all services are used so inefficiently by so few people, Katch says this is really the prime opportunity in health care.\u003c/p>\n\u003cp>“That's pretty much the whole ballgame,\" she says.\u003c/p>\n\u003cp>Yet a lot of questions remain: Who exactly will be eligible for the Health Homes program? How well will hospitals, specialists and clinics share information? Marty Lynch from LifeLong is curious how much providers will be reimbursed for reaching this difficult population.\u003c/p>\n\u003cp>“If they want the very toughest people they have to pay a decent rate,” Lynch says.\u003c/p>\n\u003cp>If approved by federal officials this October, the state hopes to launch the Health Homes programs in seven counties beginning in January. The rollout would expand to other counties starting July 2016.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.californiahealthline.org/insight/2015/program-targets-superusers--of-health-care-to-lower-costs-increase-quality\" target=\"_blank\">\u003cstrong>Click here to listen to the original audio report.\u003c/strong>\u003c/a>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Bertha Swan is wrestling with a taped-up package she calls a \"bubble pack,\" containing dozens of packets of pills that are different shapes, sizes and colors. On the table is a plastic box with dividers to organize them.\u003c/p>\n\u003cp>\"You just put the medicine in there, morning, noon, evening and night,\" she says.\u003c/p>\n\u003cp>For two years now Swan has been organizing these pills for her 70-year-old mother, whom she gives insulin shots and helps with home dialysis.\u003c/p>\n\u003cp>\"She has a lot going on,\" Swan says. \"She has a lot of medical issues -- a lot of them.\"\u003c/p>\n\u003cp>Her mother, Aroytemise Swan, does indeed have a lot going on. She has diabetes as well as heart and kidney problems. She's asleep during my visit with her daughter -- she sleeps a lot. She also makes frequent visits to the hospital: seven admissions and four trips to the emergency room in just over a year.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A very small percentage of people use a significant amount of health care in this country. According to one estimate, 5 percent of the people account for 60 percent of health care costs. In California, health officials are busy drawing up a plan to identify these so-called super-utilizers of the Medi-Cal system.\u003c/p>\n\u003cp>The staff at San Francisco General Hospital has already started looking at these heavy utilizers and is now working extensively with Bertha Swan to help her mother.\u003c/p>\n\u003cp>\"If there's something I need, I can just call them,\" Bertha Swan tells me. \"They help me as far as getting connected to the doctor, doing the email, doing the prescriptions, things like that. So they help me a very lot. Yes they do. They're there for me.\"\u003c/p>\n\u003cp>And since starting dialysis in March, her mother has not been to the hospital. \"Knock on wood,\" Swan says.\u003c/p>\n\u003cp>At San Francisco General Hospital's Adult Medical Clinic, officials estimate just 3 percent of patients account for 35 percent of hospital admissions. And they often come with both multiple chronic conditions and multiple medications.\u003c/p>\n\u003cp>\"They may also be living in a two-bedroom apartment with eight other people,\" notes clinic medical director Dr. Elizabeth Davis. “They may be depressed, and they may also smoke. And that's a lot to deal with.\"\u003c/p>\n\u003cp>And that's why the staff here takes a team approach, using a nurse, a health coach and social workers.\u003c/p>\n\u003cp>It all starts by building trust with the patients, says Marty Lynch. He's the executive director of LifeLong, a community health organization based in Berkeley. Lynch says it's tough work because many in this population have mental health and substance-use disorder issues.\u003c/p>\n\u003cp>\"These case managers who do this kind of work are saints in my opinion,\" Lynch says. \"They have to have really good persistence and also really good personal skills and the ability to respect anyone with any kind of problem and think positively about them.\"\u003c/p>\n\u003cp>Many of the patients, he says, may be homeless. \"The second issue is can we get you housed and if we can get you housed, maybe then we can talk you into coming in and seeing our doctor.\"\u003c/p>\n\u003cp>LifeLong is working with Alta Bates Summit Hospital to provide coordinated care to frequent utilizers. The new state program will depend on just this kind of collaboration.\u003c/p>\n\u003cp>Hannah Katch is with California's Department of Health Care Services. She says the proposed Health Home program, along with other proposals, will provide more than just care coordination.\u003c/p>\n\u003cp>It will \"also help the patient get access to supportive housing,\" Katch says, \"or help the patient get access to a mental health provider, or to support groups, or to food assistance.”\u003c/p>\n\u003cp>The federal government would pay 90 percent of the cost to get this program off the ground. After two years, the Health Homes program will have to cover its costs, Katch says, by making a big dent in hospital admissions and emergency room visits.\u003c/p>\n\u003cp>But providing more services without spending more money is just one metric. \"But really the goal is to try and help these particular high utilizers improve their health,\" Katch said.\u003c/p>\n\u003cp>Since more than half of all services are used so inefficiently by so few people, Katch says this is really the prime opportunity in health care.\u003c/p>\n\u003cp>“That's pretty much the whole ballgame,\" she says.\u003c/p>\n\u003cp>Yet a lot of questions remain: Who exactly will be eligible for the Health Homes program? How well will hospitals, specialists and clinics share information? Marty Lynch from LifeLong is curious how much providers will be reimbursed for reaching this difficult population.\u003c/p>\n\u003cp>“If they want the very toughest people they have to pay a decent rate,” Lynch says.\u003c/p>\n\u003cp>If approved by federal officials this October, the state hopes to launch the Health Homes programs in seven counties beginning in January. The rollout would expand to other counties starting July 2016.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.californiahealthline.org/insight/2015/program-targets-superusers--of-health-care-to-lower-costs-increase-quality\" target=\"_blank\">\u003cstrong>Click here to listen to the original audio report.\u003c/strong>\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Medical School Hopefuls Grapple with Overhauled Entrance Exam",
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"content": "\u003cp>It’s T-minus four days until exam day, and Travis Driscoll is practically living at his desk.\u003c/p>\n\u003cp>\"Each day, I’m easily here for five hours,\" he says. \"I haven’t done much of anything else but studying for the last two months.\"\u003c/p>\n\u003cp>Driscoll is one of 13,000 medical school applicants across the U.S. taking the new MCAT this spring. He's got stacks of science books on his desk to help him prepare, and a rainbow of biochemistry charts pasted to the walls: glycolysis, citric acid cycle, electron transport chain; mitosis, meiosis; DNA replication.\u003c/p>\n\u003cp>He also has a thick prep book on psychology and sociology -– a complete novelty for this year’s MCAT takers.\u003c/p>\n\u003cp>The Medical College Admission Test has been thoroughly revamped and is now three hours longer -- it takes 7.5 hours to complete, including breaks -- and covers four new subjects, including a combined section on psychology and sociology that accounts for a quarter of the overall score.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Test takers will now have to define terms like \"\u003ca href=\"https://en.wikipedia.org/wiki/Institutional_racism\" target=\"_blank\">institutional racism\u003c/a>\" and \"\u003ca href=\"https://www.youtube.com/watch?v=gVCkJ7jLnz0\" target=\"_blank\">social constructionism\u003c/a>,\" and answer applied questions about how race and class affect health.\u003c/p>\n\u003cp>Driscoll focused on biomedical engineering in college. So for him, the new psychology/sociology section is the one he’s most nervous about.\u003c/p>\n\u003cp>“It’s at the end of the test, which makes it more difficult because you’re pretty tired by then,” he says. “And it’s the thing I had the least experience with.”\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/210755062\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>\u003cstrong>Bringing Test Up to Date\u003c/strong>\u003c/p>\n\u003cp>The Association of American Medical Colleges, which administers the MCAT, wants to make sure the doctors of tomorrow are better prepared to care for an increasingly diverse patient population in a rapidly changing health care system. Administrators say the exam changes are necessary to bring it up to date with how medicine is practiced, and with all the scientific discoveries that have been made since the test was last revised, more than 20 years ago.\u003c/p>\n\u003cp>Research on genetics, and the \"social determinants of health,\" in particular, have advanced significantly.\u003c/p>\n\u003cp>“Whether or not someone becomes ill has a lot to do with the society in which they live,” says Catherine Lucey, vice dean of education at UC San Francisco School of Medicine and a member of the committee that will assess the new MCAT.\u003c/p>\n\u003cp>For example, she says, we now know a lot more about what happens to children who are exposed to violence before they turn five.\u003c/p>\n\u003cp>“If they live in a violent neighborhood, if they hear gunshots all the time, if they themselves are the victims of interpersonal violence or child abuse,\" Lucey says, \"they are much more likely to develop diabetes, high blood pressure, obesity, and many other chronic conditions, because of their social environment.\"\u003c/p>\n\u003cp>How those conditions are treated has also evolved. Doctors know how to treat acute infection now. But managing chronic disease has become a much bigger part of medical care, and doctors need to develop different skills and a different kind of relationship with the patient. Doctors need to build trust, Lucey says, to understand how patients think and make decisions, in order to convince them to exercise more and change their diet.\u003c/p>\n\u003cp>“My ability as a physician to affect that patient’s health is not only dependent on medical knowledge, in terms of what drug should I give this individual, but on my ability to support this patient in the decisions they’re making on a daily basis,” she says.\u003c/p>\n\u003cp>\u003cstrong>Attracting New Type of Student\u003c/strong>\u003c/p>\n\u003cp>While the test prep industry adapted quickly to the new MCAT, actual enrollment in prep courses at the Princeton Review and Kaplan is only starting to pick up.\u003c/p>\n\u003cp>The real rush was last fall, when students flocked to take the old test, says Krissi Taylor Leslie, tutoring director at the Princeton Review in Northern California.\u003c/p>\n\u003cp>There was a recognition among students “that was my chance at the ‘easier’ test and now I’m up against this beast,” Leslie says.\u003c/p>\n\u003cp>She says the new social sciences section is already attracting a different kind of student to consider med school.\u003c/p>\n\u003cp>“It entices certain students to come in and consider this test when they might not have otherwise,” she says. “For instance, an increase in the number of English majors, of psychology majors.”\u003c/p>\n\u003cp>And philosophy majors, like Ari Fischer. He started thinking about a career in medicine the summer after his junior year, when his grandfather was diagnosed with cancer.\u003c/p>\n\u003cp>“And that’s when I was first shown, hands on, what physicians do every day,” he says.\u003c/p>\n\u003cp>He started taking medical ethics classes -– one was called “Life and Death” -– where he read works about immortality, the meaning of death, and the meaning of life in the face of death.\u003c/p>\n\u003cp>Fischer says he can imagine drawing on this knowledge one day if he has a patient facing tough end-of-life decisions.\u003c/p>\n\u003cp>“There’s always a scientific view, then there’s the theological views, or philosophical views. Knowing what other disciplines believe is going on at the same time, I think that could really help me in a daily practice of medicine,” Fischer says. “What a cool way to take my degree in philosophy and turn it into a helpful, practical skill.”\u003c/p>\n\u003cp>Fischer took the MCAT on the first testing date for the new exam in April, and just got his full score back on Tuesday. He did best on the social sciences section and the verbal, analytic reasoning -– and landed in the 87th percentile overall.\u003c/p>\n\u003cp>“Perhaps Harvard will think I’m lacking in my MCAT score,” he says. \"For myself, I did well enough.\"\u003c/p>\n\u003cp>Altogether, he’s applying to 38 schools. He says he's willing to go anywhere that will take a humanities major like him.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“All I’ve ever wanted out of the MCAT really is a score that’s good enough to not get me kicked out of the pile when it comes to admissions decisions,” he says. “Any school that that gives me a shot, I’m going to be thrilled.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>It’s T-minus four days until exam day, and Travis Driscoll is practically living at his desk.\u003c/p>\n\u003cp>\"Each day, I’m easily here for five hours,\" he says. \"I haven’t done much of anything else but studying for the last two months.\"\u003c/p>\n\u003cp>Driscoll is one of 13,000 medical school applicants across the U.S. taking the new MCAT this spring. He's got stacks of science books on his desk to help him prepare, and a rainbow of biochemistry charts pasted to the walls: glycolysis, citric acid cycle, electron transport chain; mitosis, meiosis; DNA replication.\u003c/p>\n\u003cp>He also has a thick prep book on psychology and sociology -– a complete novelty for this year’s MCAT takers.\u003c/p>\n\u003cp>The Medical College Admission Test has been thoroughly revamped and is now three hours longer -- it takes 7.5 hours to complete, including breaks -- and covers four new subjects, including a combined section on psychology and sociology that accounts for a quarter of the overall score.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Test takers will now have to define terms like \"\u003ca href=\"https://en.wikipedia.org/wiki/Institutional_racism\" target=\"_blank\">institutional racism\u003c/a>\" and \"\u003ca href=\"https://www.youtube.com/watch?v=gVCkJ7jLnz0\" target=\"_blank\">social constructionism\u003c/a>,\" and answer applied questions about how race and class affect health.\u003c/p>\n\u003cp>Driscoll focused on biomedical engineering in college. So for him, the new psychology/sociology section is the one he’s most nervous about.\u003c/p>\n\u003cp>“It’s at the end of the test, which makes it more difficult because you’re pretty tired by then,” he says. “And it’s the thing I had the least experience with.”\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/210755062&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/210755062'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Bringing Test Up to Date\u003c/strong>\u003c/p>\n\u003cp>The Association of American Medical Colleges, which administers the MCAT, wants to make sure the doctors of tomorrow are better prepared to care for an increasingly diverse patient population in a rapidly changing health care system. Administrators say the exam changes are necessary to bring it up to date with how medicine is practiced, and with all the scientific discoveries that have been made since the test was last revised, more than 20 years ago.\u003c/p>\n\u003cp>Research on genetics, and the \"social determinants of health,\" in particular, have advanced significantly.\u003c/p>\n\u003cp>“Whether or not someone becomes ill has a lot to do with the society in which they live,” says Catherine Lucey, vice dean of education at UC San Francisco School of Medicine and a member of the committee that will assess the new MCAT.\u003c/p>\n\u003cp>For example, she says, we now know a lot more about what happens to children who are exposed to violence before they turn five.\u003c/p>\n\u003cp>“If they live in a violent neighborhood, if they hear gunshots all the time, if they themselves are the victims of interpersonal violence or child abuse,\" Lucey says, \"they are much more likely to develop diabetes, high blood pressure, obesity, and many other chronic conditions, because of their social environment.\"\u003c/p>\n\u003cp>How those conditions are treated has also evolved. Doctors know how to treat acute infection now. But managing chronic disease has become a much bigger part of medical care, and doctors need to develop different skills and a different kind of relationship with the patient. Doctors need to build trust, Lucey says, to understand how patients think and make decisions, in order to convince them to exercise more and change their diet.\u003c/p>\n\u003cp>“My ability as a physician to affect that patient’s health is not only dependent on medical knowledge, in terms of what drug should I give this individual, but on my ability to support this patient in the decisions they’re making on a daily basis,” she says.\u003c/p>\n\u003cp>\u003cstrong>Attracting New Type of Student\u003c/strong>\u003c/p>\n\u003cp>While the test prep industry adapted quickly to the new MCAT, actual enrollment in prep courses at the Princeton Review and Kaplan is only starting to pick up.\u003c/p>\n\u003cp>The real rush was last fall, when students flocked to take the old test, says Krissi Taylor Leslie, tutoring director at the Princeton Review in Northern California.\u003c/p>\n\u003cp>There was a recognition among students “that was my chance at the ‘easier’ test and now I’m up against this beast,” Leslie says.\u003c/p>\n\u003cp>She says the new social sciences section is already attracting a different kind of student to consider med school.\u003c/p>\n\u003cp>“It entices certain students to come in and consider this test when they might not have otherwise,” she says. “For instance, an increase in the number of English majors, of psychology majors.”\u003c/p>\n\u003cp>And philosophy majors, like Ari Fischer. He started thinking about a career in medicine the summer after his junior year, when his grandfather was diagnosed with cancer.\u003c/p>\n\u003cp>“And that’s when I was first shown, hands on, what physicians do every day,” he says.\u003c/p>\n\u003cp>He started taking medical ethics classes -– one was called “Life and Death” -– where he read works about immortality, the meaning of death, and the meaning of life in the face of death.\u003c/p>\n\u003cp>Fischer says he can imagine drawing on this knowledge one day if he has a patient facing tough end-of-life decisions.\u003c/p>\n\u003cp>“There’s always a scientific view, then there’s the theological views, or philosophical views. Knowing what other disciplines believe is going on at the same time, I think that could really help me in a daily practice of medicine,” Fischer says. “What a cool way to take my degree in philosophy and turn it into a helpful, practical skill.”\u003c/p>\n\u003cp>Fischer took the MCAT on the first testing date for the new exam in April, and just got his full score back on Tuesday. He did best on the social sciences section and the verbal, analytic reasoning -– and landed in the 87th percentile overall.\u003c/p>\n\u003cp>“Perhaps Harvard will think I’m lacking in my MCAT score,” he says. \"For myself, I did well enough.\"\u003c/p>\n\u003cp>Altogether, he’s applying to 38 schools. He says he's willing to go anywhere that will take a humanities major like him.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“All I’ve ever wanted out of the MCAT really is a score that’s good enough to not get me kicked out of the pile when it comes to admissions decisions,” he says. “Any school that that gives me a shot, I’m going to be thrilled.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>SACRAMENTO, Calif. (AP) — A budget deal between Gov. Jerry Brown and legislative leaders would make California the first in the nation to offer state-subsidized health care to children who are in the country illegally.\u003c/p>\n\u003cp>The\u003ca href=\"http://ww2.kqed.org/news/2015/06/16/california-budget-deal-struck-governor-jerry-brown-concedes-little/\" target=\"_blank\"> $167.6 billion agreement announced Tuesday\u003c/a> is expected to win easy approval from the Senate and Assembly before the fiscal year begins July 1, and its immigrant health care provisions were touted by its backers as a necessity in the face of federal inaction.\u003c/p>\n\u003cp>\"While Washington dithers because they can't get things done, we need immigration reform,\" said Senate President Pro Tem Kevin de Leon (D-Los Angeles). \"The reality is many of these children, and they are children, require some kind of health care and they receive it in the emergency room.\"\u003c/p>\n\u003cp>The cost to taxpayers would be $40 million in the new fiscal year and grow to $132 million a year once fully implemented to cover an estimated 170,00 children under age 19, numbers that had Republicans objecting and warning that it won't help immigrants get access to doctors because of the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/17/state-auditor-slams-medi-cal-program-over-inadequate-doctor-networks-and-more/\" target=\"_blank\">shortage of providers\u003c/a> who accept Medi-Cal, the state's health program for the poor.\u003c/p>\n\u003cp>Anti-immigration advocates said it was yet another move from Brown — like a bill providing \u003ca href=\"http://ww2.kqed.org/news/2014/12/31/californias-undocumented-immigrants-get-ready-for-the-dmv\" target=\"_blank\">driver's licenses\u003c/a> that took effect this year — that is \"extremely generous\" toward people who enter the country illegally.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Gov. Brown continues to sign laws that incentivize more illegal immigration,\" said Joe Guzzardi, spokesman for Californians for Population Stabilization. \"I can't really see what reason there would be not to come to California. I can get a job, I can get tuition, I can now get medical care for my children.\"\u003c/p>\n\u003cp>But the California Immigrant Policy Center called the move a \"ray of hope\" for many in the state.\u003c/p>\n\u003cp>\"California will take a key first step toward recognizing that health care truly is a human right,\" the group's Executive Director Reshma Shamasunder said in a statement.\u003c/p>\n\u003cp>The budget deal also sends billions of dollars more to public schools and universities, adds spaces for state-funded child care and preschool, and creates the state's first income tax credit for the working poor.\u003c/p>\n\u003cp>Brown also announced he is calling two special sessions to address how California pays for roads, highways and other infrastructure and Medi-Cal. There is a $5.7 billion annual backlog in road repairs, the administration said.\u003c/p>\n\u003cp>But Republicans warned that the special sessions could result in new taxes on gasoline, cigarettes and health care. \"Given the $14 billion of unanticipated tax revenues the state has just received, it is difficult to understand why their starting point is to impose billions of dollars in additional taxes on hard-working Californians,\" said Senate Minority Leader Bob Huff, R-Diamond Bar.\u003c/p>\n\u003cp>Legislative Democrats had sought to restore spending on a host of social welfare programs that were cut during the recession, and they pushed to expand support for the neediest in California as the state enjoys a surplus. Their proposed budget added $749 million in new spending.\u003c/p>\n\u003cp>Under the compromise announced Tuesday, Brown agreed to keep some of those programs such as boosting the number of state-subsidized child care slots, giving in-home support workers a raise, and expanding health coverage to children regardless of their legal status.\u003c/p>\n\u003cp>The governor said he was able to fund those programs without adding to state spending by finding savings in a variety of other programs, including fixing an accounting error in health spending.\u003c/p>\n\u003cp>Still, advocates who had pressured the Democratic governor to expand programs were disappointed. Brown rejected proposals to allow child care workers to unionize, kept a cap on welfare payments meant to discourage low-income women from having additional children, and rejected Medi-Cal payment increases to doctors and dentists.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"This budget doesn't do anything to stop punishing poor children,\" said Mike Herald, legislative advocate with the Western Center on Law and Poverty.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>SACRAMENTO, Calif. (AP) — A budget deal between Gov. Jerry Brown and legislative leaders would make California the first in the nation to offer state-subsidized health care to children who are in the country illegally.\u003c/p>\n\u003cp>The\u003ca href=\"http://ww2.kqed.org/news/2015/06/16/california-budget-deal-struck-governor-jerry-brown-concedes-little/\" target=\"_blank\"> $167.6 billion agreement announced Tuesday\u003c/a> is expected to win easy approval from the Senate and Assembly before the fiscal year begins July 1, and its immigrant health care provisions were touted by its backers as a necessity in the face of federal inaction.\u003c/p>\n\u003cp>\"While Washington dithers because they can't get things done, we need immigration reform,\" said Senate President Pro Tem Kevin de Leon (D-Los Angeles). \"The reality is many of these children, and they are children, require some kind of health care and they receive it in the emergency room.\"\u003c/p>\n\u003cp>The cost to taxpayers would be $40 million in the new fiscal year and grow to $132 million a year once fully implemented to cover an estimated 170,00 children under age 19, numbers that had Republicans objecting and warning that it won't help immigrants get access to doctors because of the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/17/state-auditor-slams-medi-cal-program-over-inadequate-doctor-networks-and-more/\" target=\"_blank\">shortage of providers\u003c/a> who accept Medi-Cal, the state's health program for the poor.\u003c/p>\n\u003cp>Anti-immigration advocates said it was yet another move from Brown — like a bill providing \u003ca href=\"http://ww2.kqed.org/news/2014/12/31/californias-undocumented-immigrants-get-ready-for-the-dmv\" target=\"_blank\">driver's licenses\u003c/a> that took effect this year — that is \"extremely generous\" toward people who enter the country illegally.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Gov. Brown continues to sign laws that incentivize more illegal immigration,\" said Joe Guzzardi, spokesman for Californians for Population Stabilization. \"I can't really see what reason there would be not to come to California. I can get a job, I can get tuition, I can now get medical care for my children.\"\u003c/p>\n\u003cp>But the California Immigrant Policy Center called the move a \"ray of hope\" for many in the state.\u003c/p>\n\u003cp>\"California will take a key first step toward recognizing that health care truly is a human right,\" the group's Executive Director Reshma Shamasunder said in a statement.\u003c/p>\n\u003cp>The budget deal also sends billions of dollars more to public schools and universities, adds spaces for state-funded child care and preschool, and creates the state's first income tax credit for the working poor.\u003c/p>\n\u003cp>Brown also announced he is calling two special sessions to address how California pays for roads, highways and other infrastructure and Medi-Cal. There is a $5.7 billion annual backlog in road repairs, the administration said.\u003c/p>\n\u003cp>But Republicans warned that the special sessions could result in new taxes on gasoline, cigarettes and health care. \"Given the $14 billion of unanticipated tax revenues the state has just received, it is difficult to understand why their starting point is to impose billions of dollars in additional taxes on hard-working Californians,\" said Senate Minority Leader Bob Huff, R-Diamond Bar.\u003c/p>\n\u003cp>Legislative Democrats had sought to restore spending on a host of social welfare programs that were cut during the recession, and they pushed to expand support for the neediest in California as the state enjoys a surplus. Their proposed budget added $749 million in new spending.\u003c/p>\n\u003cp>Under the compromise announced Tuesday, Brown agreed to keep some of those programs such as boosting the number of state-subsidized child care slots, giving in-home support workers a raise, and expanding health coverage to children regardless of their legal status.\u003c/p>\n\u003cp>The governor said he was able to fund those programs without adding to state spending by finding savings in a variety of other programs, including fixing an accounting error in health spending.\u003c/p>\n\u003cp>Still, advocates who had pressured the Democratic governor to expand programs were disappointed. Brown rejected proposals to allow child care workers to unionize, kept a cap on welfare payments meant to discourage low-income women from having additional children, and rejected Medi-Cal payment increases to doctors and dentists.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"This budget doesn't do anything to stop punishing poor children,\" said Mike Herald, legislative advocate with the Western Center on Law and Poverty.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "State Auditor Slams Medi-Cal Program Over Inadequate Doctor Networks and More",
"title": "State Auditor Slams Medi-Cal Program Over Inadequate Doctor Networks and More",
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"content": "\u003cp>California health officials failed to ensure that more than 9 million residents enrolled in Medi-Cal managed care plans had access to doctors when they needed them, the state auditor said in a stinging \u003ca href=\"https://www.auditor.ca.gov/reports/summary/2014-134\" target=\"_blank\">report\u003c/a> Tuesday. Health officials might have learned about those problems from calls to an ombudsman’s office – but thousands went unanswered every month.\u003c/p>\n\u003cp>Among the report’s findings:\u003c/p>\n\u003cul>\n\u003cul>\n\u003cli>Incorrect or missing data on provider networks meant that state health officials had no idea if the plans had sufficient doctors and specialists, or if patients got the care they needed.\u003c/li>\n\u003cli>An average of 12,500 calls to the program’s ombudsman went unanswered each month for nearly a year, frustrating patients’ efforts to resolve problems.\u003c/li>\n\u003cli>Provider directories for three health plans – Health Net in Los Angeles County, Anthem Blue Cross in Fresno County and Partnership HealthPlan of California in Solano County – contained inaccurate or outdated information, ranging from incorrect telephone numbers for providers to listings for providers who no longer participated.\u003c/li>\n\u003c/ul>\n\u003c/ul>\n\u003cp>Overall, state officials failed to verify insurers’ information about their networks of doctors and hospitals.\u003c/p>\n\u003cp>The audit’s findings come as little surprise to health advocates, who have called attention to these problems as California shifted millions of Medi-Cal recipients from traditional fee-for-service care which enabled enrollees to see most Medi-Cal providers, into managed care programs with prescribed networks of doctors and hospitals.\u003c/p>\n\u003cp>About 76 percent of the \u003ca href=\"https://chhs.data.ca.gov/Healthcare/Medi-Cal-Certified-Eligibles-in-Fee-for-Service-FF/t2tc-57iy#column-menu\" target=\"_blank\">12.2 million adults and children\u003c/a> receiving Medi-Cal, California’s Medicaid program, were enrolled in managed care programs as of March 2015.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Eligibility for Medi-Cal, the state-federal health program for the poor, expanded under the Affordable Care Act. Since last year, more than 3.5 million enrollees signed up for the first time. Nearly one in three Californians now receive coverage through the program.\u003c/p>\n\u003cp>“The audit confirms longstanding concerns about issues of oversight of Medicaid managed care plans and of access to Medi-Cal services,” said Anthony Wright, executive director of the statewide advocacy group Health Access. “I think people on Medicaid are very appreciative of the care they get and it’s far preferable to be being uninsured. What’s troubling is the finding that we don’t even know if people have access. We’re two steps away from solving the problems that exist if we don’t know what they are.”\u003c/p>\n\u003cp>The agency “agrees with many of the state auditor’s recommendations” and already has begun to work on improving oversight, Department of Health Care Services Director Jennifer Kent said in a statement.\u003c/p>\n\u003cp>The agency is upgrading the ombudsman’s phone system to handle more calls and is taking other steps to ensure that residents can get medical care when and where they need it, she noted.\u003c/p>\n\u003cp>The state’s Department of Health Care Services contracts with 22 health plans to provide managed health care services to Medi-Cal recipients, who must choose from managed care plans available in their counties.\u003c/p>\n\u003cp>The audit singled out the performance of the Medi-Cal Managed Care Ombudsman’s office, noting that too few staffers, an inadequate telephone system and a glitch-prone computer system kept it from addressing complaints.\u003c/p>\n\u003cp>The telephone system rejected thousands of calls each month, ranging from about 7,000 to more than 45,000, between February 2014 and January 2015.\u003c/p>\n\u003cp>Even when calls got through, staffers were able to answer only a third to a half of them, the audit noted. A database to maintain information on the calls crashed frequently, resulting in further loss of data.\u003c/p>\n\u003cp>Efforts to improve oversight of Medi-Cal managed care plans are underway. The Department of Health Care Services is creating a “dashboard” of plan performance indicators to better identify problems in real time.\u003c/p>\n\u003cp>Pending \u003ca href=\"http://komensandiego.org/wp-content/uploads/2015/03/SB-137-Fact-Sheet.pdf\" target=\"_blank\">legislation\u003c/a> would require health plans to more frequently update their provider lists for all consumers, not just those on Medi-Cal.\u003c/p>\n\u003cp>A new state \u003ca href=\"http://www.leginfo.ca.gov/pub/13-14/bill/sen/sb_0951-1000/sb_964_bill_20140925_chaptered.pdf\" target=\"_blank\">law\u003c/a> also will require health insurers, including those serving Medi-Cal managed care patients, to provide data to regulators on how much time it takes for patients to get appointments with their physicians.\u003c/p>\n\u003cp>The audit noted that the Department of Health Care Services also needs to improve how it reviews primary care provider directories, which can affect children’s ability to get medical care.\u003c/p>\n\u003cp>“With nearly half of all children in California enrolled in Medi-Cal managed care, the state is responsible for ensuring that children are actually able to access needed health services,” said Alison Buist, director of health policy for the Children’s Defense Fund. “The audit confirms what advocates have long suspected: The state is not effectively monitoring whether health plans have enough providers to serve the Medi-Cal population, and the mechanisms to identify challenges beneficiaries face in accessing care are not working as well as they should.”\u003c/p>\n\u003cp>In a statement, California State Sen. Edward Hernandez, chairman of the Senate’s health committee, cited lack of funding as a key factor.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“While disappointing, the results of this audit are not surprising,” Hernandez said. “The systematic underfunding of Medi-Cal is making it very difficult for plans to set up adequate networks, and DHCS is not doing enough to make sure the commitments we’ve made to beneficiaries are being honored.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California health officials failed to ensure that more than 9 million residents enrolled in Medi-Cal managed care plans had access to doctors when they needed them, the state auditor said in a stinging \u003ca href=\"https://www.auditor.ca.gov/reports/summary/2014-134\" target=\"_blank\">report\u003c/a> Tuesday. Health officials might have learned about those problems from calls to an ombudsman’s office – but thousands went unanswered every month.\u003c/p>\n\u003cp>Among the report’s findings:\u003c/p>\n\u003cul>\n\u003cul>\n\u003cli>Incorrect or missing data on provider networks meant that state health officials had no idea if the plans had sufficient doctors and specialists, or if patients got the care they needed.\u003c/li>\n\u003cli>An average of 12,500 calls to the program’s ombudsman went unanswered each month for nearly a year, frustrating patients’ efforts to resolve problems.\u003c/li>\n\u003cli>Provider directories for three health plans – Health Net in Los Angeles County, Anthem Blue Cross in Fresno County and Partnership HealthPlan of California in Solano County – contained inaccurate or outdated information, ranging from incorrect telephone numbers for providers to listings for providers who no longer participated.\u003c/li>\n\u003c/ul>\n\u003c/ul>\n\u003cp>Overall, state officials failed to verify insurers’ information about their networks of doctors and hospitals.\u003c/p>\n\u003cp>The audit’s findings come as little surprise to health advocates, who have called attention to these problems as California shifted millions of Medi-Cal recipients from traditional fee-for-service care which enabled enrollees to see most Medi-Cal providers, into managed care programs with prescribed networks of doctors and hospitals.\u003c/p>\n\u003cp>About 76 percent of the \u003ca href=\"https://chhs.data.ca.gov/Healthcare/Medi-Cal-Certified-Eligibles-in-Fee-for-Service-FF/t2tc-57iy#column-menu\" target=\"_blank\">12.2 million adults and children\u003c/a> receiving Medi-Cal, California’s Medicaid program, were enrolled in managed care programs as of March 2015.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Eligibility for Medi-Cal, the state-federal health program for the poor, expanded under the Affordable Care Act. Since last year, more than 3.5 million enrollees signed up for the first time. Nearly one in three Californians now receive coverage through the program.\u003c/p>\n\u003cp>“The audit confirms longstanding concerns about issues of oversight of Medicaid managed care plans and of access to Medi-Cal services,” said Anthony Wright, executive director of the statewide advocacy group Health Access. “I think people on Medicaid are very appreciative of the care they get and it’s far preferable to be being uninsured. What’s troubling is the finding that we don’t even know if people have access. We’re two steps away from solving the problems that exist if we don’t know what they are.”\u003c/p>\n\u003cp>The agency “agrees with many of the state auditor’s recommendations” and already has begun to work on improving oversight, Department of Health Care Services Director Jennifer Kent said in a statement.\u003c/p>\n\u003cp>The agency is upgrading the ombudsman’s phone system to handle more calls and is taking other steps to ensure that residents can get medical care when and where they need it, she noted.\u003c/p>\n\u003cp>The state’s Department of Health Care Services contracts with 22 health plans to provide managed health care services to Medi-Cal recipients, who must choose from managed care plans available in their counties.\u003c/p>\n\u003cp>The audit singled out the performance of the Medi-Cal Managed Care Ombudsman’s office, noting that too few staffers, an inadequate telephone system and a glitch-prone computer system kept it from addressing complaints.\u003c/p>\n\u003cp>The telephone system rejected thousands of calls each month, ranging from about 7,000 to more than 45,000, between February 2014 and January 2015.\u003c/p>\n\u003cp>Even when calls got through, staffers were able to answer only a third to a half of them, the audit noted. A database to maintain information on the calls crashed frequently, resulting in further loss of data.\u003c/p>\n\u003cp>Efforts to improve oversight of Medi-Cal managed care plans are underway. The Department of Health Care Services is creating a “dashboard” of plan performance indicators to better identify problems in real time.\u003c/p>\n\u003cp>Pending \u003ca href=\"http://komensandiego.org/wp-content/uploads/2015/03/SB-137-Fact-Sheet.pdf\" target=\"_blank\">legislation\u003c/a> would require health plans to more frequently update their provider lists for all consumers, not just those on Medi-Cal.\u003c/p>\n\u003cp>A new state \u003ca href=\"http://www.leginfo.ca.gov/pub/13-14/bill/sen/sb_0951-1000/sb_964_bill_20140925_chaptered.pdf\" target=\"_blank\">law\u003c/a> also will require health insurers, including those serving Medi-Cal managed care patients, to provide data to regulators on how much time it takes for patients to get appointments with their physicians.\u003c/p>\n\u003cp>The audit noted that the Department of Health Care Services also needs to improve how it reviews primary care provider directories, which can affect children’s ability to get medical care.\u003c/p>\n\u003cp>“With nearly half of all children in California enrolled in Medi-Cal managed care, the state is responsible for ensuring that children are actually able to access needed health services,” said Alison Buist, director of health policy for the Children’s Defense Fund. “The audit confirms what advocates have long suspected: The state is not effectively monitoring whether health plans have enough providers to serve the Medi-Cal population, and the mechanisms to identify challenges beneficiaries face in accessing care are not working as well as they should.”\u003c/p>\n\u003cp>In a statement, California State Sen. Edward Hernandez, chairman of the Senate’s health committee, cited lack of funding as a key factor.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“While disappointing, the results of this audit are not surprising,” Hernandez said. “The systematic underfunding of Medi-Cal is making it very difficult for plans to set up adequate networks, and DHCS is not doing enough to make sure the commitments we’ve made to beneficiaries are being honored.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Should High School Rodeo Riders Get P.E. Credit?",
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"content": "\u003cp>High school freshman Jenna Culotta, 14, has a cowboy hat, a horse named Scarlett and a talent for rodeo barrel racing. That means she rides Scarlett like a race car driver around a three-barrel loop.\u003c/p>\n\u003cp>What Jenna would like, \u003cem>please\u003c/em> (the \u003ca class=\"\" href=\"http://www.nhsra.com/local/uploads/content/files/2014%20NHSRA%20Rulebook.pdf\" target=\"_blank\">rule book\u003c/a> says rodeo riders must strive to be well-mannered) is physical education credit for the hours of practice that have made her a barrel race contender.\u003c/p>\n\u003cp>California ranks third in the nation in the number of high school rodeo riders, trailing Texas and Idaho, although the number is small -– just 595 California high school students are registered with the National High School Rodeo Association.\u003c/p>\n\u003cp>“It’s a dying sport,” said Christie Baute. She's the mother of two rodeo contestants in the Los Angeles County town of Agua Dulce, near Santa Clarita. “And those of us who are involved are passionate about it.”\u003c/p>\n\u003cp>But the idea of P.E. credit for the sport is anathema to physical education teachers. Barrel racing, goat tying and bull riding aren’t interscholastic sports, they say,\u003cdel>\u003c/del> and rodeo competitors aren’t coached by school coaches or supervised by school supervisors.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“How in the world can you consider having something that is totally out of a school district’s ability to oversee get credit?” said Keith Johannes, with the \u003ca class=\"\" href=\"http://www.cahperd.org/\" target=\"_blank\">California Association for Health, Physical Education, Recreation and Dance\u003c/a>, a membership organization for P.E. teachers.\u003c/p>\n\u003cp>“That physical education matters so little that they would not even care to see what’s going on,” Johannes said. “It is the ultimate put-down for physical education.”\u003c/p>\n\u003cp>\u003cb>Bill Under Consideration in Sacramento\u003c/b>\u003c/p>\n\u003cp>Now the riders’ quest for physical education credit, and the privileges such credit would bring, has captured the attention of state Sen. Jean Fuller (R-Bakersfield).\u003c/p>\n\u003cp>Fuller, who said she grew up in the small Kern County town of Shafter where her No. 1 hobby was a horse, is the author of \u003ca class=\"\" href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB138\" target=\"_blank\">Senate Bill 138\u003c/a>, which would clarify to local school boards that they are free to award high school physical education credit to rodeo competitors, if they would like to do so.\u003c/p>\n\u003cp>Rodeo competitors say the bill would give them the cherished perquisites enjoyed by other high school athletes who receive physical education credit for their sports: the right to opt out of the state graduation requirement of two years of P.E. instruction; time in their school schedules (because they’re not enrolled in P.E.) to take other requirements or study halls; and, most important, an “allowed absence” when they leave school early to travel to faraway rodeos.\u003c/p>\n\u003cp>The bill passed the Senate and is scheduled for a July 1 hearing in the Assembly Education Committee.\u003c/p>\n\u003cp>At a committee hearing this spring, Fuller said a group of high school rodeo competitors approached her in Bishop last year and asked her to bring the bill forward. Their intelligence, fitness and ambition to reach the top of the high school rodeo world impressed her, she said. In the gallery of the hearing room sat about a dozen high school rodeo competitors, in cowboy hats and Western yoke-style shirts.\u003c/p>\n\u003cp>“I ask you today to look in their eyes to see if we, as adults, should limit them in any way,” Fuller said.\u003c/p>\n\u003cp>At the hearing, Cindy Lederer, a 35-year veteran teacher of physical education and a representative of the California Association for Health, Physical Education, Recreation and Dance, voiced the group’s “extreme opposition” to the bill.\u003c/p>\n\u003cp>“California was the first state to mandate physical education minutes at all levels,” Lederer said. “However, those minutes are disappearing, due to the House and Senate who are constantly creating exemptions and passing bills like this one.”\u003c/p>\n\u003cp>Technically, school boards already have \u003ca class=\"\" href=\"http://www.cde.ca.gov/pd/ca/pe/physeducfaqs.asp#PE\" target=\"_blank\">the right to grant physical education credit\u003c/a> to rodeo competitors or, for that matter, to any activity the boards deem worthy.\u003c/p>\n\u003cp>In the Stanislaus County city of Oakdale -- its official slogan is “Cowboy Capital of the World\" -- Oakdale High School has recognized rodeo as a sport for 20 years, said Leandra Spence, adviser to the Oakdale High School rodeo club, at the hearing.\u003c/p>\n\u003cp>But Fuller said school boards would feel more comfortable if rodeo were listed in the regulations along with two other specifically identified activities that can earn physical education credit: Junior Reserve Officer Training Corps and marching band.\u003c/p>\n\u003cp>Stephanie Nabors raised three high school rodeo competitors in Mariposa, and one of them is now a member of the Fresno State University rodeo team. “I would like them to be treated like any other athlete,” she said. When her daughters missed school on Fridays for a rodeo, they had to take time during the rodeo to complete a written assignment about physical education to pick up the credit.\u003c/p>\n\u003cp>“These kids are working their butts off,” Nabors said. “It’s 110 degrees. They shouldn’t have to sit down and write a two-page essay because they’re not in a one-hour P.E. class.”\u003c/p>\n\u003cp>“I think it would help,” Culotta, the 14-year-old rodeo rider, said of receiving P.E. credit for her rodeo practices and competitions. She said she would use the time for homework, which would be useful in the fall when she is a freshman at Saugus High School in Santa Clarita.\u003c/p>\n\u003cp>Yet even if the bill becomes law, the decision to grant physical education credit will remain up to the local school board. Jeff Hallman, athletic director of Saugus High School, said he’d never heard of P.E. credit for rodeo riders.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Our district has guidelines about who is able to get out of physical education,” Hallman said. “Unless you’re a world-class athlete going to the Olympics kind of person, you’re probably not going to get out of P.E.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>High school freshman Jenna Culotta, 14, has a cowboy hat, a horse named Scarlett and a talent for rodeo barrel racing. That means she rides Scarlett like a race car driver around a three-barrel loop.\u003c/p>\n\u003cp>What Jenna would like, \u003cem>please\u003c/em> (the \u003ca class=\"\" href=\"http://www.nhsra.com/local/uploads/content/files/2014%20NHSRA%20Rulebook.pdf\" target=\"_blank\">rule book\u003c/a> says rodeo riders must strive to be well-mannered) is physical education credit for the hours of practice that have made her a barrel race contender.\u003c/p>\n\u003cp>California ranks third in the nation in the number of high school rodeo riders, trailing Texas and Idaho, although the number is small -– just 595 California high school students are registered with the National High School Rodeo Association.\u003c/p>\n\u003cp>“It’s a dying sport,” said Christie Baute. She's the mother of two rodeo contestants in the Los Angeles County town of Agua Dulce, near Santa Clarita. “And those of us who are involved are passionate about it.”\u003c/p>\n\u003cp>But the idea of P.E. credit for the sport is anathema to physical education teachers. Barrel racing, goat tying and bull riding aren’t interscholastic sports, they say,\u003cdel>\u003c/del> and rodeo competitors aren’t coached by school coaches or supervised by school supervisors.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“How in the world can you consider having something that is totally out of a school district’s ability to oversee get credit?” said Keith Johannes, with the \u003ca class=\"\" href=\"http://www.cahperd.org/\" target=\"_blank\">California Association for Health, Physical Education, Recreation and Dance\u003c/a>, a membership organization for P.E. teachers.\u003c/p>\n\u003cp>“That physical education matters so little that they would not even care to see what’s going on,” Johannes said. “It is the ultimate put-down for physical education.”\u003c/p>\n\u003cp>\u003cb>Bill Under Consideration in Sacramento\u003c/b>\u003c/p>\n\u003cp>Now the riders’ quest for physical education credit, and the privileges such credit would bring, has captured the attention of state Sen. Jean Fuller (R-Bakersfield).\u003c/p>\n\u003cp>Fuller, who said she grew up in the small Kern County town of Shafter where her No. 1 hobby was a horse, is the author of \u003ca class=\"\" href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB138\" target=\"_blank\">Senate Bill 138\u003c/a>, which would clarify to local school boards that they are free to award high school physical education credit to rodeo competitors, if they would like to do so.\u003c/p>\n\u003cp>Rodeo competitors say the bill would give them the cherished perquisites enjoyed by other high school athletes who receive physical education credit for their sports: the right to opt out of the state graduation requirement of two years of P.E. instruction; time in their school schedules (because they’re not enrolled in P.E.) to take other requirements or study halls; and, most important, an “allowed absence” when they leave school early to travel to faraway rodeos.\u003c/p>\n\u003cp>The bill passed the Senate and is scheduled for a July 1 hearing in the Assembly Education Committee.\u003c/p>\n\u003cp>At a committee hearing this spring, Fuller said a group of high school rodeo competitors approached her in Bishop last year and asked her to bring the bill forward. Their intelligence, fitness and ambition to reach the top of the high school rodeo world impressed her, she said. In the gallery of the hearing room sat about a dozen high school rodeo competitors, in cowboy hats and Western yoke-style shirts.\u003c/p>\n\u003cp>“I ask you today to look in their eyes to see if we, as adults, should limit them in any way,” Fuller said.\u003c/p>\n\u003cp>At the hearing, Cindy Lederer, a 35-year veteran teacher of physical education and a representative of the California Association for Health, Physical Education, Recreation and Dance, voiced the group’s “extreme opposition” to the bill.\u003c/p>\n\u003cp>“California was the first state to mandate physical education minutes at all levels,” Lederer said. “However, those minutes are disappearing, due to the House and Senate who are constantly creating exemptions and passing bills like this one.”\u003c/p>\n\u003cp>Technically, school boards already have \u003ca class=\"\" href=\"http://www.cde.ca.gov/pd/ca/pe/physeducfaqs.asp#PE\" target=\"_blank\">the right to grant physical education credit\u003c/a> to rodeo competitors or, for that matter, to any activity the boards deem worthy.\u003c/p>\n\u003cp>In the Stanislaus County city of Oakdale -- its official slogan is “Cowboy Capital of the World\" -- Oakdale High School has recognized rodeo as a sport for 20 years, said Leandra Spence, adviser to the Oakdale High School rodeo club, at the hearing.\u003c/p>\n\u003cp>But Fuller said school boards would feel more comfortable if rodeo were listed in the regulations along with two other specifically identified activities that can earn physical education credit: Junior Reserve Officer Training Corps and marching band.\u003c/p>\n\u003cp>Stephanie Nabors raised three high school rodeo competitors in Mariposa, and one of them is now a member of the Fresno State University rodeo team. “I would like them to be treated like any other athlete,” she said. When her daughters missed school on Fridays for a rodeo, they had to take time during the rodeo to complete a written assignment about physical education to pick up the credit.\u003c/p>\n\u003cp>“These kids are working their butts off,” Nabors said. “It’s 110 degrees. They shouldn’t have to sit down and write a two-page essay because they’re not in a one-hour P.E. class.”\u003c/p>\n\u003cp>“I think it would help,” Culotta, the 14-year-old rodeo rider, said of receiving P.E. credit for her rodeo practices and competitions. She said she would use the time for homework, which would be useful in the fall when she is a freshman at Saugus High School in Santa Clarita.\u003c/p>\n\u003cp>Yet even if the bill becomes law, the decision to grant physical education credit will remain up to the local school board. Jeff Hallman, athletic director of Saugus High School, said he’d never heard of P.E. credit for rodeo riders.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Our district has guidelines about who is able to get out of physical education,” Hallman said. “Unless you’re a world-class athlete going to the Olympics kind of person, you’re probably not going to get out of P.E.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Turning 26? Happy 'Health Care Birthday'-- Time to Buy Health Insurance!",
"title": "Turning 26? Happy 'Health Care Birthday'-- Time to Buy Health Insurance!",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>Under the Affordable Care Act, young people can now stay on their parents' health insurance until they turn 26. At that point, they must either get insurance through their employer or purchase it through the insurance marketplace.\u003c/p>\n\u003cp>In April, KPCC's photojournalist \u003ca href=\"https://twitter.com/mayasugarman?lang=en\">Maya Sugarman \u003c/a>reached this milestone, which she dubbed her \"health care birthday.\"\u003c/p>\n\u003cp>\"I was thinking a lot about how every birthday has its own rite of passage,\" Sugarman explains. \"When you turn 18, you buy a lottery ticket; when you turn 21, you go to a bar. And I figured, I'm turning 26 this April, I'm getting new health care.\"\u003c/p>\n\u003cp>\"I kind of joked with a lot of my friends, 'You guys, now I'm mature, because I'm on my own health care plan! I'm not on my parents' plan anymore,\" she said. \"I felt like it's a sign of maturity.\"\u003c/p>\n\u003cp>However there's a wide gulf between buying a new health insurance plan -- and actually knowing how to use it.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Consider this: Just 29 percent of young adults say they feel very or somewhat confident in their understanding of health insurance terminology, according to a survey conducted by the Urban Institute and published on the \u003ca href=\"http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=105\" target=\"_blank\">Health Affairs\u003c/a> blog in December 2013.\u003c/p>\n\u003cp>Here are some tips for navigating the crazy world of health insurance, if you -- or someone you know -- are buying insurance for the first time. (And \u003ca href=\"http://www.scribd.com/doc/268192681/KPCC-s-Health-Care-Birthday-Card\" target=\"_blank\">here's\u003c/a> a birthday card, created by Sugarman, that you can share with your friends when they turn 26!)\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe class=\"scribd_iframe_embed\" src=\"https://www.scribd.com/embeds/268192681/content?start_page=1&view_mode=scroll&show_recommendations=true\" data-auto-height=\"false\" data-aspect-ratio=\"undefined\" scrolling=\"no\" id=\"doc_73153\" width=\"100%\" height=\"600\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cstrong>Consider What Type of Plan Fits Your Lifestyle, Budget\u003c/strong>\u003c/p>\n\u003cp>Whether you're buying insurance through Covered California or you're getting it through your employer, you're likely to encounter:\u003c/p>\n\u003cul>\n\u003cli>Plans with a higher monthly premium and a lower annual deductible\u003c/li>\n\u003cli>Plans with a lower monthly premium and a higher annual deductible\u003c/li>\n\u003c/ul>\n\u003cp>So which one is right for you? Gerald Kominski, director of the UCLA Center for Health Policy Research, says young people should look closely at their plan options and consider a few factors:\u003c/p>\n\u003cul>\n\u003cli>What happens when I actually go to see the doctor?\u003c/li>\n\u003cli>What happens if I need to go to the emergency room?\u003c/li>\n\u003cli>How much am I going to have to pay before my insurance starts covering a portion of my medical bill?\u003c/li>\n\u003c/ul>\n\u003cp>My KPCC colleague Take Two producer Jacob Margolis selected a higher-premium, lower-deductible plan when he turned 26 earlier this year.\u003c/p>\n\u003cp>\"I chose that one because I assumed that I'd be in the hospital more often,\" says Margolis, an avid cyclist. \"About once a year I seem to have some catastrophic bike incident.\"\u003c/p>\n\u003cp>Sugarman chose the same plan. She explains, \"I decided that I wanted to pay more every month,\" she explains, \"knowing that I could have the peace of mind that if something drastic were to happen to me, I wouldn't have to worry about the financial part of it.\"\u003c/p>\n\u003cp>When it comes to deciding between higher-premium and higher-deductible plans, a lot of young people have made similar calculations. (If these words are already making your head spin, check out KPCC's \u003ca href=\"http://www.scpr.org/news/2013/12/04/40736/faq-what-the-heck-do-all-of-those-health-insurance/\" target=\"_blank\">glossary\u003c/a> of health insurance terms.)\u003c/p>\n\u003cp>\"The young people we spoke with felt they'd rather pay a bit more each month to prevent having to pay large sums out-of-pocket, in the event that something serious did happen,\" says Christina Postlolowski, health policy manager for the advocacy group Young Invincibles.\u003c/p>\n\u003cp>She notes that in both California and nationally, young people by and large have signed up for so-called Silver Plans, and \"this was striking to see that our generation didn't just care about getting any plan, but wanted that comprehensive coverage that was going to protect their health as well as their pocketbook.\"\u003c/p>\n\u003cp>\u003cstrong>Get A Primary Care Doctor in Your Plan’s Network\u003c/strong>\u003c/p>\n\u003cp>Once you've selected an insurance plan, you need to find a primary care physician. If your longtime doctor is not in your plan's network, then you'll need to find a new one.\u003c/p>\n\u003cp>And that can be a challenge, as Sugarman learned. She called various doctors' offices and learned they weren't taking new patients or wouldn't accept her insurance.\u003c/p>\n\u003cp>\"I just found that I was running into so much red tape, that I just didn't want to do it anymore,\" she says. \"It was too complicated.\"\u003c/p>\n\u003cp>But even when you find an in-network doctor who's taking new patients, there's still more work to do. Claire Brindis, the executive director of the National Adolescent and Young Adult Health Information Center at UCSF, says young people should approach their doctor search from the perspective of a discerning consumer.\u003c/p>\n\u003cp>\"For young adults, it's really important to feel comfortable with the way that they're treated, either on the phone, or whether they can set up an appointment at their convenience through an email process,\" she says, \"So young adults need to be health consumers, to be sure that they feel positive about who they've signed up to be their provider.\"\u003c/p>\n\u003cp>Need incentive to find a primary care doctor? Once you have one, you can get an annual check-up that’s fully covered by insurance, as well as other preventive care that’s also covered, like vaccines, HIV and STI tests and depression screenings.\u003c/p>\n\u003cp>\u003cstrong>Get to Know Your Health Plan\u003c/strong>\u003c/p>\n\u003cp>Margolis wishes he'd found a primary care doctor before he left for a recent vacation in Mexico. He got sick while he was there and had to learn to navigate his new insurance plan while he was under the weather.\u003c/p>\n\u003cp>His advice? \"Get everything together early, because then you'll go on a trip to Mexico City, get some sort of weird thing that's going to need all of these blood tests, and you're going to be rushing around trying to find a doctor to take care of you,\" he says.\u003c/p>\n\u003cp>And remember: If you don't understand how your plan works, don't be afraid to ask questions!\u003c/p>\n\u003cp>Of course, you can always turn to the internet for help. Young Invincibles offers \u003ca href=\"http://younginvincibles.org/readysetenroll/\" target=\"_blank\">these answers\u003c/a> to your frequently asked questions. It's also developed a \u003ca href=\"http://app.healthyyoungamerica.org\" target=\"_blank\">mobile app\u003c/a> - called Healthy Young America - that helps you get insurance, find a doctor and calculate your discount.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>If you recently bought your own insurance for the first time, what was your experience like? What do you wish you had known in advance? Do you have questions about your plan? Let me know in the comments section below or e-mail me at Impatient@scpr.org.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Under the Affordable Care Act, young people can now stay on their parents' health insurance until they turn 26. At that point, they must either get insurance through their employer or purchase it through the insurance marketplace.\u003c/p>\n\u003cp>In April, KPCC's photojournalist \u003ca href=\"https://twitter.com/mayasugarman?lang=en\">Maya Sugarman \u003c/a>reached this milestone, which she dubbed her \"health care birthday.\"\u003c/p>\n\u003cp>\"I was thinking a lot about how every birthday has its own rite of passage,\" Sugarman explains. \"When you turn 18, you buy a lottery ticket; when you turn 21, you go to a bar. And I figured, I'm turning 26 this April, I'm getting new health care.\"\u003c/p>\n\u003cp>\"I kind of joked with a lot of my friends, 'You guys, now I'm mature, because I'm on my own health care plan! I'm not on my parents' plan anymore,\" she said. \"I felt like it's a sign of maturity.\"\u003c/p>\n\u003cp>However there's a wide gulf between buying a new health insurance plan -- and actually knowing how to use it.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Consider this: Just 29 percent of young adults say they feel very or somewhat confident in their understanding of health insurance terminology, according to a survey conducted by the Urban Institute and published on the \u003ca href=\"http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=105\" target=\"_blank\">Health Affairs\u003c/a> blog in December 2013.\u003c/p>\n\u003cp>Here are some tips for navigating the crazy world of health insurance, if you -- or someone you know -- are buying insurance for the first time. (And \u003ca href=\"http://www.scribd.com/doc/268192681/KPCC-s-Health-Care-Birthday-Card\" target=\"_blank\">here's\u003c/a> a birthday card, created by Sugarman, that you can share with your friends when they turn 26!)\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe class=\"scribd_iframe_embed\" src=\"https://www.scribd.com/embeds/268192681/content?start_page=1&view_mode=scroll&show_recommendations=true\" data-auto-height=\"false\" data-aspect-ratio=\"undefined\" scrolling=\"no\" id=\"doc_73153\" width=\"100%\" height=\"600\" frameborder=\"0\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cstrong>Consider What Type of Plan Fits Your Lifestyle, Budget\u003c/strong>\u003c/p>\n\u003cp>Whether you're buying insurance through Covered California or you're getting it through your employer, you're likely to encounter:\u003c/p>\n\u003cul>\n\u003cli>Plans with a higher monthly premium and a lower annual deductible\u003c/li>\n\u003cli>Plans with a lower monthly premium and a higher annual deductible\u003c/li>\n\u003c/ul>\n\u003cp>So which one is right for you? Gerald Kominski, director of the UCLA Center for Health Policy Research, says young people should look closely at their plan options and consider a few factors:\u003c/p>\n\u003cul>\n\u003cli>What happens when I actually go to see the doctor?\u003c/li>\n\u003cli>What happens if I need to go to the emergency room?\u003c/li>\n\u003cli>How much am I going to have to pay before my insurance starts covering a portion of my medical bill?\u003c/li>\n\u003c/ul>\n\u003cp>My KPCC colleague Take Two producer Jacob Margolis selected a higher-premium, lower-deductible plan when he turned 26 earlier this year.\u003c/p>\n\u003cp>\"I chose that one because I assumed that I'd be in the hospital more often,\" says Margolis, an avid cyclist. \"About once a year I seem to have some catastrophic bike incident.\"\u003c/p>\n\u003cp>Sugarman chose the same plan. She explains, \"I decided that I wanted to pay more every month,\" she explains, \"knowing that I could have the peace of mind that if something drastic were to happen to me, I wouldn't have to worry about the financial part of it.\"\u003c/p>\n\u003cp>When it comes to deciding between higher-premium and higher-deductible plans, a lot of young people have made similar calculations. (If these words are already making your head spin, check out KPCC's \u003ca href=\"http://www.scpr.org/news/2013/12/04/40736/faq-what-the-heck-do-all-of-those-health-insurance/\" target=\"_blank\">glossary\u003c/a> of health insurance terms.)\u003c/p>\n\u003cp>\"The young people we spoke with felt they'd rather pay a bit more each month to prevent having to pay large sums out-of-pocket, in the event that something serious did happen,\" says Christina Postlolowski, health policy manager for the advocacy group Young Invincibles.\u003c/p>\n\u003cp>She notes that in both California and nationally, young people by and large have signed up for so-called Silver Plans, and \"this was striking to see that our generation didn't just care about getting any plan, but wanted that comprehensive coverage that was going to protect their health as well as their pocketbook.\"\u003c/p>\n\u003cp>\u003cstrong>Get A Primary Care Doctor in Your Plan’s Network\u003c/strong>\u003c/p>\n\u003cp>Once you've selected an insurance plan, you need to find a primary care physician. If your longtime doctor is not in your plan's network, then you'll need to find a new one.\u003c/p>\n\u003cp>And that can be a challenge, as Sugarman learned. She called various doctors' offices and learned they weren't taking new patients or wouldn't accept her insurance.\u003c/p>\n\u003cp>\"I just found that I was running into so much red tape, that I just didn't want to do it anymore,\" she says. \"It was too complicated.\"\u003c/p>\n\u003cp>But even when you find an in-network doctor who's taking new patients, there's still more work to do. Claire Brindis, the executive director of the National Adolescent and Young Adult Health Information Center at UCSF, says young people should approach their doctor search from the perspective of a discerning consumer.\u003c/p>\n\u003cp>\"For young adults, it's really important to feel comfortable with the way that they're treated, either on the phone, or whether they can set up an appointment at their convenience through an email process,\" she says, \"So young adults need to be health consumers, to be sure that they feel positive about who they've signed up to be their provider.\"\u003c/p>\n\u003cp>Need incentive to find a primary care doctor? Once you have one, you can get an annual check-up that’s fully covered by insurance, as well as other preventive care that’s also covered, like vaccines, HIV and STI tests and depression screenings.\u003c/p>\n\u003cp>\u003cstrong>Get to Know Your Health Plan\u003c/strong>\u003c/p>\n\u003cp>Margolis wishes he'd found a primary care doctor before he left for a recent vacation in Mexico. He got sick while he was there and had to learn to navigate his new insurance plan while he was under the weather.\u003c/p>\n\u003cp>His advice? \"Get everything together early, because then you'll go on a trip to Mexico City, get some sort of weird thing that's going to need all of these blood tests, and you're going to be rushing around trying to find a doctor to take care of you,\" he says.\u003c/p>\n\u003cp>And remember: If you don't understand how your plan works, don't be afraid to ask questions!\u003c/p>\n\u003cp>Of course, you can always turn to the internet for help. Young Invincibles offers \u003ca href=\"http://younginvincibles.org/readysetenroll/\" target=\"_blank\">these answers\u003c/a> to your frequently asked questions. It's also developed a \u003ca href=\"http://app.healthyyoungamerica.org\" target=\"_blank\">mobile app\u003c/a> - called Healthy Young America - that helps you get insurance, find a doctor and calculate your discount.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>If you recently bought your own insurance for the first time, what was your experience like? What do you wish you had known in advance? Do you have questions about your plan? Let me know in the comments section below or e-mail me at Impatient@scpr.org.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>A contentious bill that would require all California children to be vaccinated in order to attend school -- public or private -- was passed by the Assembly Health Committee Tuesday night.\u003c/p>\n\u003cp>The vote was 12-6 and included often-emotional testimony. Hundreds of people lined up to state their opposition to the bill, and the hearing stretched to five hours.\u003c/p>\n\u003cp>\u003ca href=\"http://www.leginfo.ca.gov/pub/15-16/bill/sen/sb_0251-0300/sb_277_bill_20150219_introduced.html\" target=\"_blank\">SB277\u003c/a> would end the \"personal belief exemption,\" which allows parents to send their children to school missing some or all vaccines.\u003c/p>\n\u003cp>The bill was introduced with minor amendments to clarify some language in the bill. Just before voting, one of the bill's authors, Sen. Richard Pan (D-Sacramento) agreed to add another amendment further clarifying that doctors may consider family history in granting a medical exemption.\u003c/p>\n\u003cp>Testimony included a statement from Dr. Catherine Forest, a family physician who is medical director of the Stanford primary care clinic in Los Altos.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>She is currently treating a 4-year-old boy who has been entered into hospice care. The boy contracted measles as a baby when he was too young to be vaccinated. At first, he seemed to recover fully, but then a year ago, he started to decline and was diagnosed with a rare complication of measles, subacute sclerosing panencephalitis or \u003ca href=\"http://www.cdc.gov/measles/about/complications.html\" target=\"_blank\">SSPE\u003c/a>, which is thought to be caused by persistent measles virus infection in the brain.\u003c/p>\n\u003cp>Forest said the boy's death \"will be due to a failure of our herd immunity.\" In a later interview, she added, \"This child will die just because we don't all get immunized. Period.\"\u003c/p>\n\u003cp>Barbara Loe Fisher of the Virginia-based National Vaccine Information Center, is an outspoken skeptic of vaccine safety. \"No doctor in California, or public health official at the CDC in Atlanta, can accurately predict whether or not a child will suffer brain inflammation, injury or death after vaccination,\" she said at the hearing.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The bill heads next to the Assembly floor. If it becomes law, California would join Mississippi and West Virginia as states with the most strict vaccine laws in the country.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A contentious bill that would require all California children to be vaccinated in order to attend school -- public or private -- was passed by the Assembly Health Committee Tuesday night.\u003c/p>\n\u003cp>The vote was 12-6 and included often-emotional testimony. Hundreds of people lined up to state their opposition to the bill, and the hearing stretched to five hours.\u003c/p>\n\u003cp>\u003ca href=\"http://www.leginfo.ca.gov/pub/15-16/bill/sen/sb_0251-0300/sb_277_bill_20150219_introduced.html\" target=\"_blank\">SB277\u003c/a> would end the \"personal belief exemption,\" which allows parents to send their children to school missing some or all vaccines.\u003c/p>\n\u003cp>The bill was introduced with minor amendments to clarify some language in the bill. Just before voting, one of the bill's authors, Sen. Richard Pan (D-Sacramento) agreed to add another amendment further clarifying that doctors may consider family history in granting a medical exemption.\u003c/p>\n\u003cp>Testimony included a statement from Dr. Catherine Forest, a family physician who is medical director of the Stanford primary care clinic in Los Altos.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>She is currently treating a 4-year-old boy who has been entered into hospice care. The boy contracted measles as a baby when he was too young to be vaccinated. At first, he seemed to recover fully, but then a year ago, he started to decline and was diagnosed with a rare complication of measles, subacute sclerosing panencephalitis or \u003ca href=\"http://www.cdc.gov/measles/about/complications.html\" target=\"_blank\">SSPE\u003c/a>, which is thought to be caused by persistent measles virus infection in the brain.\u003c/p>\n\u003cp>Forest said the boy's death \"will be due to a failure of our herd immunity.\" In a later interview, she added, \"This child will die just because we don't all get immunized. Period.\"\u003c/p>\n\u003cp>Barbara Loe Fisher of the Virginia-based National Vaccine Information Center, is an outspoken skeptic of vaccine safety. \"No doctor in California, or public health official at the CDC in Atlanta, can accurately predict whether or not a child will suffer brain inflammation, injury or death after vaccination,\" she said at the hearing.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The bill heads next to the Assembly floor. If it becomes law, California would join Mississippi and West Virginia as states with the most strict vaccine laws in the country.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California Senate Approves Assisted Suicide Bill",
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"content": "\u003cp>The California Senate passed legislation Thursday that would allow doctors \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/01/22/california-bill-would-allow-terminally-ill-to-end-their-own-lives/\" target=\"_blank\">to prescribe lethal medication\u003c/a> to terminally ill patients who request it. The bill, SB 128, now faces a series of tests in the state Assembly.\u003c/p>\n\u003cp>“Californians with terminal diseases should have the autonomy to approach death on their own terms,” said Sen. Bill Monning (D-Carmel), one of the bill’s authors, calling the vote a “historic step forward.”\u003c/p>\n\u003cp>The 23-14 vote in favor of the bill comes just weeks after the state’s powerful physicians' group removed its opposition.\u003c/p>\n\u003cp>The California Medical Association \u003ca href=\"http://www.cmanet.org/news/press-detail/?article=california-medical-association-removes\" target=\"_blank\">switched its position to neutral\u003c/a>, after the authors added greater protections for doctors and hospitals. The bill now has language to defend health care providers against being fired, suspended, or prosecuted if they comply with patients’ wishes to hasten their deaths.\u003c/p>\n\u003cp>Sen. Lois Wolk (D-Davis) says doctors who refuse to honor such wishes because of their personal ethics or beliefs would also be protected.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cem>“\u003c/em>We are not interested in changing the philosophy or doctrine that governs any doctor or individual or religious hospital,” she said. “This is truly voluntary.”\u003c/p>\n\u003cp>The bill requires two doctors to confirm a prognosis that the patient who asks for the lethal drugs has six months or less to live, and has the mental capacity to make medical decisions. Patients would have to be able to take the drugs themselves without assistance.\u003c/p>\n\u003cp>A coalition of disability rights advocates, religious groups, and other doctors groups vowed to continue its opposition of the bill through the Assembly.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/05/11/terminally-ill-orange-county-mother-opposes-assisted-suicide/\" target=\"_blank\">Opponents say\u003c/a> legalizing assisted suicide presents opportunities for disabled or elderly people to be coerced into taking lethal medication by heirs, or indirectly by insurance companies who deny expensive, life-sustaining treatments.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“This bill is simply about protecting doctors and HMOs from liability and tells people with disabilities who face a terminal diagnosis, that may well prove inaccurate, that there is no dignity in our lives,” said Marilyn Golden, senior policy analyst at the Disability Rights Education & Defense Fund. “Assisted suicide is dangerous.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The California Senate passed legislation Thursday that would allow doctors \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/01/22/california-bill-would-allow-terminally-ill-to-end-their-own-lives/\" target=\"_blank\">to prescribe lethal medication\u003c/a> to terminally ill patients who request it. The bill, SB 128, now faces a series of tests in the state Assembly.\u003c/p>\n\u003cp>“Californians with terminal diseases should have the autonomy to approach death on their own terms,” said Sen. Bill Monning (D-Carmel), one of the bill’s authors, calling the vote a “historic step forward.”\u003c/p>\n\u003cp>The 23-14 vote in favor of the bill comes just weeks after the state’s powerful physicians' group removed its opposition.\u003c/p>\n\u003cp>The California Medical Association \u003ca href=\"http://www.cmanet.org/news/press-detail/?article=california-medical-association-removes\" target=\"_blank\">switched its position to neutral\u003c/a>, after the authors added greater protections for doctors and hospitals. The bill now has language to defend health care providers against being fired, suspended, or prosecuted if they comply with patients’ wishes to hasten their deaths.\u003c/p>\n\u003cp>Sen. Lois Wolk (D-Davis) says doctors who refuse to honor such wishes because of their personal ethics or beliefs would also be protected.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>“\u003c/em>We are not interested in changing the philosophy or doctrine that governs any doctor or individual or religious hospital,” she said. “This is truly voluntary.”\u003c/p>\n\u003cp>The bill requires two doctors to confirm a prognosis that the patient who asks for the lethal drugs has six months or less to live, and has the mental capacity to make medical decisions. Patients would have to be able to take the drugs themselves without assistance.\u003c/p>\n\u003cp>A coalition of disability rights advocates, religious groups, and other doctors groups vowed to continue its opposition of the bill through the Assembly.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/05/11/terminally-ill-orange-county-mother-opposes-assisted-suicide/\" target=\"_blank\">Opponents say\u003c/a> legalizing assisted suicide presents opportunities for disabled or elderly people to be coerced into taking lethal medication by heirs, or indirectly by insurance companies who deny expensive, life-sustaining treatments.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“This bill is simply about protecting doctors and HMOs from liability and tells people with disabilities who face a terminal diagnosis, that may well prove inaccurate, that there is no dignity in our lives,” said Marilyn Golden, senior policy analyst at the Disability Rights Education & Defense Fund. “Assisted suicide is dangerous.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Think of how often you stop by Walgreens or CVS. You run in and grab some Band Aids or restock your ibuprofen supply. Maybe get a flu shot on your way to work.\u003c/p>\n\u003cp>Soon, it will be that easy for women to get birth control, too. Under a new law, women will be able to walk in to a pharmacy, get a prescription for contraceptive pills, the ring, or the patch, and get it filled, all at the same time.\u003c/p>\n\u003cp>“For a woman who can’t get in to see their doctor, the pharmacist will be able to furnish that for them now,” says Lisa Kroon, a professor at UC San Francisco’s school of pharmacy who oversees students who work at the Walgreens store on campus.\u003c/p>\n\u003cp>That pharmacy will be one of the first to take advantage of a new law in California allowing pharmacists to prescribe hormonal contraception. \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201320140SB493\" target=\"_blank\">SB 493 \u003c/a>was passed in 2013, and state health officials are now in the process of finalizing the regulations for the law to take effect - the board of pharmacy is meeting Thursday to review some of these regulations. The law is expected to be fully implemented later this year.\u003c/p>\n\u003cp>But the law goes beyond birth control pills. It also authorizes pharmacists to prescribe medications for smoking cessation and travel abroad. Pharmacists can administer routine vaccinations to children ages three and older. They can even order lab tests and adjust drug regimens for patients with diabetes, hypertension, or other conditions. Kroon says the idea is to make it easier on patients.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Maybe a working parent can now come after work because the pharmacy is open later,\" she says.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/208770582\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>The law was passed amid growing concern about doctor shortages. As more baby boomers hit age 65, and millions of people get health coverage under the Affordable Care Act, there aren’t enough primary care doctors to go around. Advocates says California is the first state to recognize that pharmacists can help fill the gap.\u003c/p>\n\u003cp>\"The pharmacist is really an untapped resource,\" Kroon says. \"We are graduating students that are ready for this, but the laws just haven’t kept up with what the pharmacist training already is.\"\u003c/p>\n\u003cp>But there's a big drawback for pharmacists. Now they can perform all these services once reserved for the doctor’s office. But, they won’t get paid for the extra time it takes to provide them.\u003c/p>\n\u003cp>The law does not compel insurance companies or Medi-Cal, the state's version of Medicaid, to reimburse these services, says Jon Roth, CEO of the California Pharmacists Association.\u003c/p>\n\u003cp>In the long run, Roth says the law could ultimately save money, because reimbursement rates for pharmacists will inevitably be lower than what doctors charge.\u003c/p>\n\u003cp>“We are working to try and identify where it makes sense to pay pharmacists as opposed to other more expensive providers in the health care delivery system,” he says.\u003c/p>\n\u003cp>Pharmacists' growing power has some physicians bracing for a turf war. The California Medical Association opposed an early version of the law, citing patient safety concerns. It later withdrew its opposition after lawmakers added a special licensing procedure and continuing education requirement for pharmacists.\u003c/p>\n\u003cp>Still, some doctors are concerned that if women don’t come to the clinic for their birth control, they won’t get screened for cervical cancer or tested for sexually transmitted diseases.\u003c/p>\n\u003cp>“Family planning for women is often an access point to assessing other health issues,” says Amy Moy, vice president of public affairs for the California Family Health Council, an advocacy group that does support the law. “Women accessing birth control through the pharmacist would be faster and more convenient. But they will also not have the comprehensive care available in another health care setting.”\u003c/p>\n\u003cp>Studies of women living on the border of Texas and Mexico found that women who get their birth control over-the-counter in Mexican pharmacies are\u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22520645\"> less likely to go to the doctor for other preventive care\u003c/a>, compared to women who get contraception at clinics. But women at the clinics were also \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/21343757\">more likely to stop using their birth control\u003c/a>, in part because of having to schedule a doctor’s visit to get it.\u003c/p>\n\u003cp>Moy’s group and other women’s advocates say the benefits of improving access to birth control and reducing unintended pregnancies are critical to women's health and outweigh the potential risks.\u003c/p>\n\u003cp>Pharmacy professor Kroon says the plan is for pharmacists to communicate regularly with patients’ doctors. \"We are not a lone ranger out there doing something,\" she says.\u003c/p>\n\u003cp>If things go well with the pharmacists law, it could bode well for efforts to expand the scope of practice for other health care practioners. Sen. Ed Hernandez, who\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billHistoryClient.xhtml\" target=\"_blank\"> led the effort\u003c/a> on the pharmacist law, has also proposed bills to increase authority for \u003ca href=\"http://www.leginfo.ca.gov/pub/15-16/bill/sen/sb_0301-0350/sb_323_bill_20150422_amended_sen_v97.pdf\" target=\"_blank\">nurse practitioners\u003c/a> and \u003ca href=\"http://www.leginfo.ca.gov/pub/15-16/bill/sen/sb_0601-0650/sb_622_bill_20150504_amended_sen_v97.pdf\" target=\"_blank\">optometrists\u003c/a>. Both are working their way through the legislature.\u003c/p>\n\u003cp>Other states are watching California to see how the pharmacist law plays out. Lawmakers in Oregon and in Congress are considering similar laws.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“They are all watching what happens in California,\" Kroon says.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Think of how often you stop by Walgreens or CVS. You run in and grab some Band Aids or restock your ibuprofen supply. Maybe get a flu shot on your way to work.\u003c/p>\n\u003cp>Soon, it will be that easy for women to get birth control, too. Under a new law, women will be able to walk in to a pharmacy, get a prescription for contraceptive pills, the ring, or the patch, and get it filled, all at the same time.\u003c/p>\n\u003cp>“For a woman who can’t get in to see their doctor, the pharmacist will be able to furnish that for them now,” says Lisa Kroon, a professor at UC San Francisco’s school of pharmacy who oversees students who work at the Walgreens store on campus.\u003c/p>\n\u003cp>That pharmacy will be one of the first to take advantage of a new law in California allowing pharmacists to prescribe hormonal contraception. \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201320140SB493\" target=\"_blank\">SB 493 \u003c/a>was passed in 2013, and state health officials are now in the process of finalizing the regulations for the law to take effect - the board of pharmacy is meeting Thursday to review some of these regulations. The law is expected to be fully implemented later this year.\u003c/p>\n\u003cp>But the law goes beyond birth control pills. It also authorizes pharmacists to prescribe medications for smoking cessation and travel abroad. Pharmacists can administer routine vaccinations to children ages three and older. They can even order lab tests and adjust drug regimens for patients with diabetes, hypertension, or other conditions. Kroon says the idea is to make it easier on patients.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Maybe a working parent can now come after work because the pharmacy is open later,\" she says.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/208770582&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/208770582'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The law was passed amid growing concern about doctor shortages. As more baby boomers hit age 65, and millions of people get health coverage under the Affordable Care Act, there aren’t enough primary care doctors to go around. Advocates says California is the first state to recognize that pharmacists can help fill the gap.\u003c/p>\n\u003cp>\"The pharmacist is really an untapped resource,\" Kroon says. \"We are graduating students that are ready for this, but the laws just haven’t kept up with what the pharmacist training already is.\"\u003c/p>\n\u003cp>But there's a big drawback for pharmacists. Now they can perform all these services once reserved for the doctor’s office. But, they won’t get paid for the extra time it takes to provide them.\u003c/p>\n\u003cp>The law does not compel insurance companies or Medi-Cal, the state's version of Medicaid, to reimburse these services, says Jon Roth, CEO of the California Pharmacists Association.\u003c/p>\n\u003cp>In the long run, Roth says the law could ultimately save money, because reimbursement rates for pharmacists will inevitably be lower than what doctors charge.\u003c/p>\n\u003cp>“We are working to try and identify where it makes sense to pay pharmacists as opposed to other more expensive providers in the health care delivery system,” he says.\u003c/p>\n\u003cp>Pharmacists' growing power has some physicians bracing for a turf war. The California Medical Association opposed an early version of the law, citing patient safety concerns. It later withdrew its opposition after lawmakers added a special licensing procedure and continuing education requirement for pharmacists.\u003c/p>\n\u003cp>Still, some doctors are concerned that if women don’t come to the clinic for their birth control, they won’t get screened for cervical cancer or tested for sexually transmitted diseases.\u003c/p>\n\u003cp>“Family planning for women is often an access point to assessing other health issues,” says Amy Moy, vice president of public affairs for the California Family Health Council, an advocacy group that does support the law. “Women accessing birth control through the pharmacist would be faster and more convenient. But they will also not have the comprehensive care available in another health care setting.”\u003c/p>\n\u003cp>Studies of women living on the border of Texas and Mexico found that women who get their birth control over-the-counter in Mexican pharmacies are\u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22520645\"> less likely to go to the doctor for other preventive care\u003c/a>, compared to women who get contraception at clinics. But women at the clinics were also \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/21343757\">more likely to stop using their birth control\u003c/a>, in part because of having to schedule a doctor’s visit to get it.\u003c/p>\n\u003cp>Moy’s group and other women’s advocates say the benefits of improving access to birth control and reducing unintended pregnancies are critical to women's health and outweigh the potential risks.\u003c/p>\n\u003cp>Pharmacy professor Kroon says the plan is for pharmacists to communicate regularly with patients’ doctors. \"We are not a lone ranger out there doing something,\" she says.\u003c/p>\n\u003cp>If things go well with the pharmacists law, it could bode well for efforts to expand the scope of practice for other health care practioners. Sen. Ed Hernandez, who\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billHistoryClient.xhtml\" target=\"_blank\"> led the effort\u003c/a> on the pharmacist law, has also proposed bills to increase authority for \u003ca href=\"http://www.leginfo.ca.gov/pub/15-16/bill/sen/sb_0301-0350/sb_323_bill_20150422_amended_sen_v97.pdf\" target=\"_blank\">nurse practitioners\u003c/a> and \u003ca href=\"http://www.leginfo.ca.gov/pub/15-16/bill/sen/sb_0601-0650/sb_622_bill_20150504_amended_sen_v97.pdf\" target=\"_blank\">optometrists\u003c/a>. Both are working their way through the legislature.\u003c/p>\n\u003cp>Other states are watching California to see how the pharmacist law plays out. Lawmakers in Oregon and in Congress are considering similar laws.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“They are all watching what happens in California,\" Kroon says.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Two-Thirds of Californians Support Barring Unvaccinated Children from Public School",
"title": "Two-Thirds of Californians Support Barring Unvaccinated Children from Public School",
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"content": "\u003cp>Just over two-thirds of California adults -- and nearly as many parents of public school students -- say unvaccinated children should not be allowed to attend public schools, according to a \u003ca href=\"http://www.ppic.org/main/publication.asp?i=1153\" target=\"_blank\">new statewide survey\u003c/a> from the Public Policy Institute of California.\u003c/p>\n\u003cp>The survey comes as \u003ca href=\"http://www.leginfo.ca.gov/pub/15-16/bill/sen/sb_0251-0300/sb_277_bill_20150219_introduced.html\" target=\"_blank\">a bill \u003c/a>to end California's personal belief exemption for vaccines has been \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/05/14/california-senate-approves-bill-that-would-end-vaccine-opt-out/\" target=\"_blank\">passed by the Senate \u003c/a>and will be taken up by the Assembly this summer. Each hearing of the bill so far has brought hundreds of opponents to the Capitol.\u003c/p>\n\u003cp>Under the bill, SB277, children would be required to be vaccinated in order to attend school. Only those who could not be vaccinated for medical reasons would be exempt.\u003c/p>\n\u003cp>The PPIC survey asked about three dozen questions on a range of issues. Just two were about vaccines, and neither asked specifically if people supported overturning the vaccine exemption. Here is the first question:\u003c/p>\n\u003cdiv class=\"page\" title=\"Page 27\">\n\u003cdiv class=\"layoutArea\">\n\u003cdiv class=\"column\">\n\u003cblockquote>\u003cp>Should children who have not been vaccinated from diseases like measles, mumps, and rubella be allowed to attend public schools, or not?\u003c/p>\u003c/blockquote>\n\u003cp>Sixty-seven percent of adults and 65 percent of public school parents said that unvaccinated students should not be allowed in public school. But under SB277, unvaccinated students would not be allowed in either public or private schools. Mark Baldassare, PPIC president and CEO, acknowledged that the question was \"not precisely the issue on the legislative agenda.\"\u003c/p>\n\u003cp>What's interesting about the question is that the PPIC singled out measles, mumps and rubella -- and support for required vaccination was still very strong. The measles vaccine has caused significant concern after a 1998 study claimed a link between the vaccine and autism. That \u003ca href=\"http://www.cnn.com/2011/HEALTH/01/05/autism.vaccines/\" target=\"_blank\">study has since been discredited.\u003c/a>\u003c/p>\n\u003cp>The second question was about vaccine safety:\u003c/p>\n\u003cdiv class=\"page\" title=\"Page 28\">\n\u003cdiv class=\"layoutArea\">\n\u003cdiv class=\"column\">\n\u003cblockquote>\u003cp>In general, how safe are vaccines given to children for diseases like measles, mumps, and rubella—very safe, somewhat safe, not very safe, or not safe at all?\u003c/p>\u003c/blockquote>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003cp>Eighty-seven percent of adults and 88 percent of public school parents said vaccines were either \"very safe\" or \"somewhat safe.\" More than half of respondents were in the \"very safe\" category. Seven percent of adults said vaccines were \"not very safe\" and three percent said they were \"not safe at all.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Baldassare said that the results were consistent across all the state's regions, as well as political and demographic groups, although Latinos were much less likely than whites to say that vaccines are very safe (49 percent vs. 65 percent).\u003c/p>\n\u003cp>\"Generally speaking, we found that it was the college graduates and those with some college who were more likely to say that vaccines are very safe,\" Baldassare said, \"compared to those with high school degrees or less.\"\u003c/p>\n\u003cp>State Sen. Richard Pan (D-Sacramento) is one of the authors of SB277. He was enthusiastic about the findings, noting that \"(t)he poll shows overwhelming majorities of California parents support SB277, understand that vaccines are safe and believe the personal belief exemption is putting our kids and communities at risk of preventable diseases.\"\u003c/p>\n\u003cp>The telephone survey of 1,706 California adults was conducted during the week of May 17-27. It was funded by the James Irvine Foundation.\u003c/p>\n\u003cp>The poll also included some questions about the legalization of marijuana. PPIC says a \"record high\" percentage of Californians -- 54 percent -- support legalizing marijuana; 44 percent oppose it.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The results of the PPIC poll are in line with a \u003ca href=\"http://www.cbsnews.com/news/cbs-news-poll-on-vaccines-and-the-measles-outbreak/\" target=\"_blank\">national poll \u003c/a>conducted by CBS News in February, which found that 66 percent of Americans think parents should be required to vaccinate their children, and 64 percent say unvaccinated children should not be permitted to attend public school.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Just over two-thirds of California adults -- and nearly as many parents of public school students -- say unvaccinated children should not be allowed to attend public schools, according to a \u003ca href=\"http://www.ppic.org/main/publication.asp?i=1153\" target=\"_blank\">new statewide survey\u003c/a> from the Public Policy Institute of California.\u003c/p>\n\u003cp>The survey comes as \u003ca href=\"http://www.leginfo.ca.gov/pub/15-16/bill/sen/sb_0251-0300/sb_277_bill_20150219_introduced.html\" target=\"_blank\">a bill \u003c/a>to end California's personal belief exemption for vaccines has been \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/05/14/california-senate-approves-bill-that-would-end-vaccine-opt-out/\" target=\"_blank\">passed by the Senate \u003c/a>and will be taken up by the Assembly this summer. Each hearing of the bill so far has brought hundreds of opponents to the Capitol.\u003c/p>\n\u003cp>Under the bill, SB277, children would be required to be vaccinated in order to attend school. Only those who could not be vaccinated for medical reasons would be exempt.\u003c/p>\n\u003cp>The PPIC survey asked about three dozen questions on a range of issues. Just two were about vaccines, and neither asked specifically if people supported overturning the vaccine exemption. Here is the first question:\u003c/p>\n\u003cdiv class=\"page\" title=\"Page 27\">\n\u003cdiv class=\"layoutArea\">\n\u003cdiv class=\"column\">\n\u003cblockquote>\u003cp>Should children who have not been vaccinated from diseases like measles, mumps, and rubella be allowed to attend public schools, or not?\u003c/p>\u003c/blockquote>\n\u003cp>Sixty-seven percent of adults and 65 percent of public school parents said that unvaccinated students should not be allowed in public school. But under SB277, unvaccinated students would not be allowed in either public or private schools. Mark Baldassare, PPIC president and CEO, acknowledged that the question was \"not precisely the issue on the legislative agenda.\"\u003c/p>\n\u003cp>What's interesting about the question is that the PPIC singled out measles, mumps and rubella -- and support for required vaccination was still very strong. The measles vaccine has caused significant concern after a 1998 study claimed a link between the vaccine and autism. That \u003ca href=\"http://www.cnn.com/2011/HEALTH/01/05/autism.vaccines/\" target=\"_blank\">study has since been discredited.\u003c/a>\u003c/p>\n\u003cp>The second question was about vaccine safety:\u003c/p>\n\u003cdiv class=\"page\" title=\"Page 28\">\n\u003cdiv class=\"layoutArea\">\n\u003cdiv class=\"column\">\n\u003cblockquote>\u003cp>In general, how safe are vaccines given to children for diseases like measles, mumps, and rubella—very safe, somewhat safe, not very safe, or not safe at all?\u003c/p>\u003c/blockquote>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003cp>Eighty-seven percent of adults and 88 percent of public school parents said vaccines were either \"very safe\" or \"somewhat safe.\" More than half of respondents were in the \"very safe\" category. Seven percent of adults said vaccines were \"not very safe\" and three percent said they were \"not safe at all.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Baldassare said that the results were consistent across all the state's regions, as well as political and demographic groups, although Latinos were much less likely than whites to say that vaccines are very safe (49 percent vs. 65 percent).\u003c/p>\n\u003cp>\"Generally speaking, we found that it was the college graduates and those with some college who were more likely to say that vaccines are very safe,\" Baldassare said, \"compared to those with high school degrees or less.\"\u003c/p>\n\u003cp>State Sen. Richard Pan (D-Sacramento) is one of the authors of SB277. He was enthusiastic about the findings, noting that \"(t)he poll shows overwhelming majorities of California parents support SB277, understand that vaccines are safe and believe the personal belief exemption is putting our kids and communities at risk of preventable diseases.\"\u003c/p>\n\u003cp>The telephone survey of 1,706 California adults was conducted during the week of May 17-27. It was funded by the James Irvine Foundation.\u003c/p>\n\u003cp>The poll also included some questions about the legalization of marijuana. PPIC says a \"record high\" percentage of Californians -- 54 percent -- support legalizing marijuana; 44 percent oppose it.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The results of the PPIC poll are in line with a \u003ca href=\"http://www.cbsnews.com/news/cbs-news-poll-on-vaccines-and-the-measles-outbreak/\" target=\"_blank\">national poll \u003c/a>conducted by CBS News in February, which found that 66 percent of Americans think parents should be required to vaccinate their children, and 64 percent say unvaccinated children should not be permitted to attend public school.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>It was a beautiful Saturday in the fall of 2005. The leaves in Cincinnati were changing colors, and Lisa Smith had just finished watching her son's soccer game.\u003c/p>\n\u003cp>She ran some errands, including something she'd been meaning to do for a week — get a flu shot. She stopped by her local pharmacy.\u003c/p>\n\u003cp>She didn't think about the shot again until a few days later, when she woke up feeling a bit strange. She had an odd tickle in her throat and her leg muscles were sore.\u003c/p>\n\u003cp>\"Almost like I'd been exercising,\" she says.\u003c/p>\n\u003cp>Over the next couple of weeks, the soreness got worse. Then, one evening, with her husband and two sons out of town for the weekend, Smith realized she couldn't stand up. She was stuck on her living room couch.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Her neighbor happened to stop by, and Smith asked her to call an ambulance.\u003c/p>\n\u003cp>The paramedics arrived. As they loaded her onto a stretcher, Smith began screaming.\u003c/p>\n\u003cp>\"The doctors later told me the nerves were all inflamed,\" she says. The pain \"was like having third-degree burns on my legs.\"\u003c/p>\n\u003cp>In the ambulance, the paramedics asked Smith if she had recently received a flu shot. At the hospital, the nurses asked the same question.\u003c/p>\n\u003cp>\"I was like, why does everybody keep asking me if I've had a flu shot?\" she says. The nurses told her paralysis was a rare, but known side effect.\u003c/p>\n\u003cp>Smith was diagnosed with \u003ca href=\"http://www.ninds.nih.gov/disorders/gbs/detail_gbs.htm#281493139\" target=\"_blank\">Guillain-Barre syndrome, \u003c/a>a condition in which the immune system attacks the nerves. According to Dr. Tom Shimabukuro, a vaccine specialist at the Centers for Disease Control and Prevention, roughly 3,000 to 6,000 people in the U.S. develop the syndrome each year.\u003c/p>\n\u003cp>Shimabukuro says most cases of Guillain-Barre are \u003cem>not\u003c/em> linked to the flu vaccine, but it's possible that some are. He says the data fluctuate from year to year and are inconclusive, but the epidemiology and timing of cases suggests that, at most, one or two people might develop Guillain-Barre per million doses of flu vaccine administered. With roughly \u003ca href=\"http://www.cdc.gov/flu/protect/keyfacts.htm\" target=\"_blank\">130 million\u003c/a> flu shots given in the U.S. each year, that translates to, maybe, 130 to 260 cases across the country, annually.\u003c/p>\n\u003cp>Lest that put you off getting immunized, it is worth noting, Shimabukuro says, that getting sick with the flu appears to increase one's risk of developing Guillain-Barre syndrome \u003cem>more\u003c/em> than getting the flu shot does.\u003c/p>\n\u003cp>A few days after Lisa Smith received her Guillain-Barre diagnosis, her friend Jackie visited her in the hospital.\u003c/p>\n\u003cp>\"[She] said, 'Lisa, they know this happens,' \" Smith recalls. \" 'There's a form you fill out and there's a court that you file claims in.' \"\u003c/p>\n\u003cp>Smith did some research, found a lawyer, and took her case to the Office of Special Masters of the U.S. Court of Federal Claims — commonly called the \u003ca href=\"http://www.uscfc.uscourts.gov/vaccine-program-readmore\" target=\"_blank\">vaccine court\u003c/a>.\u003c/p>\n\u003cp>The court administers a no-fault compensation program that serves as an alternative to the traditional U.S. tort system. The program was established in 1986, after a series of high-profile lawsuits against drug companies. A number of children had serious adverse reactions — including seizures and brain damage — that appeared to be linked to the diphtheria, pertussis, tetanus vaccine or DPT vaccine (this version was later replaced by the DTaP vaccine). The parents filed lawsuits against the makers of the DTP vaccine and, in at least two cases, won awards worth millions of dollars.\u003c/p>\n\u003cp>Several drug companies then threatened to cease vaccine production, claiming the risk of litigation was too high. Anna Kirkland, an associate professor of women's studies and political science at the University of Michigan, says that threat frightened health officials.\u003c/p>\n\u003cp>\"There was a real fear that some of our childhood vaccines would no longer be available,\" says Kirkland, who has written several \u003ca href=\"http://sss.sagepub.com/content/42/2/237\" target=\"_blank\">articles\u003c/a> on the vaccine court, and has a book in the works on the topic.\u003c/p>\n\u003cp>In response, Congress passed the \u003ca href=\"http://www.hrsa.gov/vaccinecompensation/authorizinglegislation.pdf\" target=\"_blank\">National Childhood Vaccine Injury Act\u003c/a>, a bill that established the no-fault compensation program for vaccine injuries.\u003c/p>\n\u003cp>\"Basically what it did was shield the vaccine makers from liability,\" Kirkland says, thereby encouraging them to continue producing vaccines and developing new ones.\u003c/p>\n\u003cp>The program also created a special fund to compensate vaccine recipients who'd been hurt, through a 75-cent surcharge on every dose of vaccine.\u003c/p>\n\u003cp>To expedite the compensation process, the court created a list of side effects that, according to the best available science, are sometimes caused by vaccines. This list — called the \u003ca href=\"http://www.hrsa.gov/vaccinecompensation/vaccinetable.html\" target=\"_blank\">vaccine injury table\u003c/a> — is updated regularly, following reviews of scientific literature by the Institute of Medicine.\u003c/p>\n\u003cp>To win a claim, a petitioner must provide proof of having received a certain vaccine and, within a specified time frame, subsequently developed a condition included in the vaccine injury table. Petitioners don't have to prove that the immunization caused their condition — the court operates under a presumption of causation if the injury develops within a certain period of time.\u003c/p>\n\u003cp>In cases where someone has a condition not listed in the table, there is a higher burden of proof. In addition to evidence of vaccination and a medical diagnosis, petitioners must also have a statement from a medical expert — usually a physician — with a plausible explanation of how the vaccine could have caused the injury.\u003c/p>\n\u003cp>The court is in the process of officially adding Guillain-Barre syndrome to the vaccine injury table. So, for Lisa Smith, the court process was pretty straightforward.\u003c/p>\n\u003cp>A few months after she submitted her case, Smith got a phone call from her lawyer. She was told that the court had determined that her case had merit. Smith accepted an award; the decision requires that she not discuss the terms.\u003c/p>\n\u003cp>In 2014, the court received 542 claims and compensated 365 people for a total of $202 million. Settlements ranged from tens of thousands to hundreds of thousands of dollars. Many were for the flu shot and Guillain-Barre syndrome.\u003c/p>\n\u003cp>Today, 10 years after she first developed Guillain-Barre, Lisa Smith is still dealing with complications from the condition. The settlement helped, she says, but for her it wasn't about the money.\u003c/p>\n\u003cp>\"For me it was an acknowledgment that this happens — they know it happens,\" she says. \"And I want an honest discussion.\"\u003c/p>\n\u003cp>Many people who might qualify for compensation in the vaccine court don't know it exists. Anna Kirkland says there has been a lot of discussion over the years about advertising the court's services. But doing that creates a problem, she says.\u003c/p>\n\u003cp>\"Critics, once they see a compensation — you see this on blogs and websites all the time — [say] this means vaccines are dangerous and you shouldn't vaccinate,\" she says.\u003c/p>\n\u003cp>Health officials have worried about the downside of such publicity for years, Kirkland says. If the court becomes too high-profile and people keep hearing about payouts to the rare patients who may have been harmed by an immunization, the public might think vaccines are more dangerous than significant research and evidence suggests they are. And, as a result, vaccination rates might fall.\u003c/p>\n\u003cp>A few years ago, Kirkland says, there was an attempt to promote the court more.\u003c/p>\n\u003cp>\"They had [a] public relations firm prepare this advertising campaign,\" she says, \"and then Congress just didn't fund it.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>So the court keeps humming away, quietly, in the background, hearing cases from people who are able to find it.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Vaccine+Court+Aims+To+Protect+Patients+And+Vaccines&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>It was a beautiful Saturday in the fall of 2005. The leaves in Cincinnati were changing colors, and Lisa Smith had just finished watching her son's soccer game.\u003c/p>\n\u003cp>She ran some errands, including something she'd been meaning to do for a week — get a flu shot. She stopped by her local pharmacy.\u003c/p>\n\u003cp>She didn't think about the shot again until a few days later, when she woke up feeling a bit strange. She had an odd tickle in her throat and her leg muscles were sore.\u003c/p>\n\u003cp>\"Almost like I'd been exercising,\" she says.\u003c/p>\n\u003cp>Over the next couple of weeks, the soreness got worse. Then, one evening, with her husband and two sons out of town for the weekend, Smith realized she couldn't stand up. She was stuck on her living room couch.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Her neighbor happened to stop by, and Smith asked her to call an ambulance.\u003c/p>\n\u003cp>The paramedics arrived. As they loaded her onto a stretcher, Smith began screaming.\u003c/p>\n\u003cp>\"The doctors later told me the nerves were all inflamed,\" she says. The pain \"was like having third-degree burns on my legs.\"\u003c/p>\n\u003cp>In the ambulance, the paramedics asked Smith if she had recently received a flu shot. At the hospital, the nurses asked the same question.\u003c/p>\n\u003cp>\"I was like, why does everybody keep asking me if I've had a flu shot?\" she says. The nurses told her paralysis was a rare, but known side effect.\u003c/p>\n\u003cp>Smith was diagnosed with \u003ca href=\"http://www.ninds.nih.gov/disorders/gbs/detail_gbs.htm#281493139\" target=\"_blank\">Guillain-Barre syndrome, \u003c/a>a condition in which the immune system attacks the nerves. According to Dr. Tom Shimabukuro, a vaccine specialist at the Centers for Disease Control and Prevention, roughly 3,000 to 6,000 people in the U.S. develop the syndrome each year.\u003c/p>\n\u003cp>Shimabukuro says most cases of Guillain-Barre are \u003cem>not\u003c/em> linked to the flu vaccine, but it's possible that some are. He says the data fluctuate from year to year and are inconclusive, but the epidemiology and timing of cases suggests that, at most, one or two people might develop Guillain-Barre per million doses of flu vaccine administered. With roughly \u003ca href=\"http://www.cdc.gov/flu/protect/keyfacts.htm\" target=\"_blank\">130 million\u003c/a> flu shots given in the U.S. each year, that translates to, maybe, 130 to 260 cases across the country, annually.\u003c/p>\n\u003cp>Lest that put you off getting immunized, it is worth noting, Shimabukuro says, that getting sick with the flu appears to increase one's risk of developing Guillain-Barre syndrome \u003cem>more\u003c/em> than getting the flu shot does.\u003c/p>\n\u003cp>A few days after Lisa Smith received her Guillain-Barre diagnosis, her friend Jackie visited her in the hospital.\u003c/p>\n\u003cp>\"[She] said, 'Lisa, they know this happens,' \" Smith recalls. \" 'There's a form you fill out and there's a court that you file claims in.' \"\u003c/p>\n\u003cp>Smith did some research, found a lawyer, and took her case to the Office of Special Masters of the U.S. Court of Federal Claims — commonly called the \u003ca href=\"http://www.uscfc.uscourts.gov/vaccine-program-readmore\" target=\"_blank\">vaccine court\u003c/a>.\u003c/p>\n\u003cp>The court administers a no-fault compensation program that serves as an alternative to the traditional U.S. tort system. The program was established in 1986, after a series of high-profile lawsuits against drug companies. A number of children had serious adverse reactions — including seizures and brain damage — that appeared to be linked to the diphtheria, pertussis, tetanus vaccine or DPT vaccine (this version was later replaced by the DTaP vaccine). The parents filed lawsuits against the makers of the DTP vaccine and, in at least two cases, won awards worth millions of dollars.\u003c/p>\n\u003cp>Several drug companies then threatened to cease vaccine production, claiming the risk of litigation was too high. Anna Kirkland, an associate professor of women's studies and political science at the University of Michigan, says that threat frightened health officials.\u003c/p>\n\u003cp>\"There was a real fear that some of our childhood vaccines would no longer be available,\" says Kirkland, who has written several \u003ca href=\"http://sss.sagepub.com/content/42/2/237\" target=\"_blank\">articles\u003c/a> on the vaccine court, and has a book in the works on the topic.\u003c/p>\n\u003cp>In response, Congress passed the \u003ca href=\"http://www.hrsa.gov/vaccinecompensation/authorizinglegislation.pdf\" target=\"_blank\">National Childhood Vaccine Injury Act\u003c/a>, a bill that established the no-fault compensation program for vaccine injuries.\u003c/p>\n\u003cp>\"Basically what it did was shield the vaccine makers from liability,\" Kirkland says, thereby encouraging them to continue producing vaccines and developing new ones.\u003c/p>\n\u003cp>The program also created a special fund to compensate vaccine recipients who'd been hurt, through a 75-cent surcharge on every dose of vaccine.\u003c/p>\n\u003cp>To expedite the compensation process, the court created a list of side effects that, according to the best available science, are sometimes caused by vaccines. This list — called the \u003ca href=\"http://www.hrsa.gov/vaccinecompensation/vaccinetable.html\" target=\"_blank\">vaccine injury table\u003c/a> — is updated regularly, following reviews of scientific literature by the Institute of Medicine.\u003c/p>\n\u003cp>To win a claim, a petitioner must provide proof of having received a certain vaccine and, within a specified time frame, subsequently developed a condition included in the vaccine injury table. Petitioners don't have to prove that the immunization caused their condition — the court operates under a presumption of causation if the injury develops within a certain period of time.\u003c/p>\n\u003cp>In cases where someone has a condition not listed in the table, there is a higher burden of proof. In addition to evidence of vaccination and a medical diagnosis, petitioners must also have a statement from a medical expert — usually a physician — with a plausible explanation of how the vaccine could have caused the injury.\u003c/p>\n\u003cp>The court is in the process of officially adding Guillain-Barre syndrome to the vaccine injury table. So, for Lisa Smith, the court process was pretty straightforward.\u003c/p>\n\u003cp>A few months after she submitted her case, Smith got a phone call from her lawyer. She was told that the court had determined that her case had merit. Smith accepted an award; the decision requires that she not discuss the terms.\u003c/p>\n\u003cp>In 2014, the court received 542 claims and compensated 365 people for a total of $202 million. Settlements ranged from tens of thousands to hundreds of thousands of dollars. Many were for the flu shot and Guillain-Barre syndrome.\u003c/p>\n\u003cp>Today, 10 years after she first developed Guillain-Barre, Lisa Smith is still dealing with complications from the condition. The settlement helped, she says, but for her it wasn't about the money.\u003c/p>\n\u003cp>\"For me it was an acknowledgment that this happens — they know it happens,\" she says. \"And I want an honest discussion.\"\u003c/p>\n\u003cp>Many people who might qualify for compensation in the vaccine court don't know it exists. Anna Kirkland says there has been a lot of discussion over the years about advertising the court's services. But doing that creates a problem, she says.\u003c/p>\n\u003cp>\"Critics, once they see a compensation — you see this on blogs and websites all the time — [say] this means vaccines are dangerous and you shouldn't vaccinate,\" she says.\u003c/p>\n\u003cp>Health officials have worried about the downside of such publicity for years, Kirkland says. If the court becomes too high-profile and people keep hearing about payouts to the rare patients who may have been harmed by an immunization, the public might think vaccines are more dangerous than significant research and evidence suggests they are. And, as a result, vaccination rates might fall.\u003c/p>\n\u003cp>A few years ago, Kirkland says, there was an attempt to promote the court more.\u003c/p>\n\u003cp>\"They had [a] public relations firm prepare this advertising campaign,\" she says, \"and then Congress just didn't fund it.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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