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"content": "\u003cfigure id=\"attachment_23216\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000015203944_Medium-e1419366021288.jpg\">\u003cimg class=\"size-large wp-image-23216\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000015203944_Medium-640x425.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>The Food and Drug Administration is proposing a policy change that would end a 31-year ban on blood donations from men who have sex with men. The ban was put in place at the dawn of the AIDS epidemic when little was understood about the disease. Under the proposed change, gay men who have not had sexual contact in a year would be allowed to donate blood.\u003c/p>\n\u003cp>In\u003ca title=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm427843.htm\" href=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm427843.htm\" target=\"_blank\"> a statement\u003c/a>, the FDA said that \"it will take the necessary steps to recommend a change to the blood donor deferral period for men who have sex with men from indefinite deferral to one year since the last sexual contact.\" Officials say the change is motivated by research. Australia, Japan and the United Kingdom already have similar policies in place.\u003c/p>\n\u003cp>The FDA has been considering the move for some time. Earlier this month, Ryan James Yezak with the National Gay Blood Drive\u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/12/01/fda-considers-lifting-ban-on-gay-men-donating-blood/\" href=\"http://ww2.kqed.org/stateofhealth/2014/12/01/fda-considers-lifting-ban-on-gay-men-donating-blood/\" target=\"_blank\"> told KQED\u003c/a> that he thought that any ban was discriminatory, but said that the move toward one year, instead of a lifetime ban, was a step in the right direction. \u003c!--more-->\u003c/p>\n\u003cp>“People who need blood don’t care whether it’s straight blood or gay blood,” he said. “Blood is blood. They want safe blood, and that is something our community has to offer.”\u003c/p>\n\u003cp>The agency will recommend the switch in draft guidelines early next year after a period of public comment. FDA Deputy Director Dr. Peter Parks declined to give a timeframe for completing the process but said, \"We commit to working as quickly as possible on this issue.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>For decades, all blood donations have been screened for HIV. Under the initial tests in the '80s, the test could detect the presence of infection only after HIV had been in the bloodstream for two months. That window has shrunk to 11 days.\u003c/p>\n\u003cp>The change could increase the nation's blood supply by \u003ca title=\"http://www.nytimes.com/2014/12/24/health/fda-lifting-ban-on-gay-blood-donors.html?hp&action=click&pgtype=Homepage&module=first-column-region®ion=top-news&WT.nav=top-news&_r=0\" href=\"http://www.nytimes.com/2014/12/24/health/fda-lifting-ban-on-gay-blood-donors.html?hp&action=click&pgtype=Homepage&module=first-column-region®ion=top-news&WT.nav=top-news&_r=0\" target=\"_blank\">2 percent to 4 percent annually\u003c/a>, the New York Times reports.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"content": "\u003cfigure id=\"attachment_23175\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/RS11135_450828518-lpr-e1419288401900.jpg\">\u003cimg class=\"size-large wp-image-23175\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/RS11135_450828518-lpr-640x395.jpg\" alt=\"(Frederic J. Brown/AFP/Getty Images)\" width=\"640\" height=\"395\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Frederic J. Brown/AFP/Getty Images) \u003ccite>(Frederic J. Brown/AFP/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Last month, voters in Berkeley made the city the first in the country to\u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" href=\"http://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" target=\"_blank\"> pass a tax on sugar-sweetened beverages\u003c/a>. On Monday, the city moved forward on implementing one of the requirements of the measure, staffing its \"panel of experts.\"\u003c/p>\n\u003cp>Berkeley is soliciting applications for people to serve on this panel, which will advise the City Council on \"how and to what extent the City should establish and/or fund programs to reduce the consumption of sugar-sweetened beverages in Berkeley.\"\u003c/p>\n\u003cp>In other words, the panel will advise the council on how to spend the soda tax revenue.\u003c!--more--> \u003ca title=\"http://www.ci.berkeley.ca.us/uploadedFiles/Clerk/Elections/Sugar%20Sweeetened%20Beverage%20Tax%20%20-%20Full%20Text.pdf\" href=\"http://www.ci.berkeley.ca.us/uploadedFiles/Clerk/Elections/Sugar%20Sweeetened%20Beverage%20Tax%20%20-%20Full%20Text.pdf\" target=\"_blank\">Measure D\u003c/a>, the initiative which established the tax, requires that panel representatives be \"composed of experts in the areas of public health, child nutrition, nutrition education, and food access programs.\"\u003c/p>\n\u003cp>The entire City Council will review all applications. By the end of February, each City Council member will appoint one representative for the panel.\u003c/p>\n\u003cp>Voters in Berkeley approved the tax with 75 percent of the vote. It levies a penny-per-ounce tax on \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/10/29/heres-what-would-be-taxed-or-not-in-sf-berkeley-soda-tax-measures/#more-22233\" href=\"http://ww2.kqed.org/stateofhealth/2014/10/29/heres-what-would-be-taxed-or-not-in-sf-berkeley-soda-tax-measures/#more-22233\" target=\"_blank\">most sugar-sweetened beverages\u003c/a>. The measure requires that it take effect Jan. 1.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Sugar-sweetened beverages make up \u003ca title=\"http://www.cdc.gov/nccdphp/dnpa/nutrition/pdf/r2p_sweetend_beverages.pdf\" href=\"http://www.cdc.gov/nccdphp/dnpa/nutrition/pdf/r2p_sweetend_beverages.pdf\" target=\"_blank\">one-third of the added sugar\u003c/a> in the average American’s diet. Advocates say that increasing consumption of sugar is driving up rates of Type 2 diabetes and heart disease, two of the major causes of death in the U.S.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Mexico implemented a sugar-sweetened beverage tax on Jan. 1, and \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/12/02/in-mexico-people-drinking-less-soda-after-new-tax/\" href=\"http://ww2.kqed.org/stateofhealth/2014/12/02/in-mexico-people-drinking-less-soda-after-new-tax/\" target=\"_blank\">consumption dropped 10 percent\u003c/a> in the weeks afterward.\u003c/p>\n\n",
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"excerpt": "The measure levies a penny-per-ounce tax on most sugar-sweetened beverages.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23175\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/RS11135_450828518-lpr-e1419288401900.jpg\">\u003cimg class=\"size-large wp-image-23175\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/RS11135_450828518-lpr-640x395.jpg\" alt=\"(Frederic J. Brown/AFP/Getty Images)\" width=\"640\" height=\"395\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Frederic J. Brown/AFP/Getty Images) \u003ccite>(Frederic J. Brown/AFP/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Last month, voters in Berkeley made the city the first in the country to\u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" href=\"http://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" target=\"_blank\"> pass a tax on sugar-sweetened beverages\u003c/a>. On Monday, the city moved forward on implementing one of the requirements of the measure, staffing its \"panel of experts.\"\u003c/p>\n\u003cp>Berkeley is soliciting applications for people to serve on this panel, which will advise the City Council on \"how and to what extent the City should establish and/or fund programs to reduce the consumption of sugar-sweetened beverages in Berkeley.\"\u003c/p>\n\u003cp>In other words, the panel will advise the council on how to spend the soda tax revenue.\u003c!--more--> \u003ca title=\"http://www.ci.berkeley.ca.us/uploadedFiles/Clerk/Elections/Sugar%20Sweeetened%20Beverage%20Tax%20%20-%20Full%20Text.pdf\" href=\"http://www.ci.berkeley.ca.us/uploadedFiles/Clerk/Elections/Sugar%20Sweeetened%20Beverage%20Tax%20%20-%20Full%20Text.pdf\" target=\"_blank\">Measure D\u003c/a>, the initiative which established the tax, requires that panel representatives be \"composed of experts in the areas of public health, child nutrition, nutrition education, and food access programs.\"\u003c/p>\n\u003cp>The entire City Council will review all applications. By the end of February, each City Council member will appoint one representative for the panel.\u003c/p>\n\u003cp>Voters in Berkeley approved the tax with 75 percent of the vote. It levies a penny-per-ounce tax on \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/10/29/heres-what-would-be-taxed-or-not-in-sf-berkeley-soda-tax-measures/#more-22233\" href=\"http://ww2.kqed.org/stateofhealth/2014/10/29/heres-what-would-be-taxed-or-not-in-sf-berkeley-soda-tax-measures/#more-22233\" target=\"_blank\">most sugar-sweetened beverages\u003c/a>. The measure requires that it take effect Jan. 1.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Sugar-sweetened beverages make up \u003ca title=\"http://www.cdc.gov/nccdphp/dnpa/nutrition/pdf/r2p_sweetend_beverages.pdf\" href=\"http://www.cdc.gov/nccdphp/dnpa/nutrition/pdf/r2p_sweetend_beverages.pdf\" target=\"_blank\">one-third of the added sugar\u003c/a> in the average American’s diet. Advocates say that increasing consumption of sugar is driving up rates of Type 2 diabetes and heart disease, two of the major causes of death in the U.S.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Mexico implemented a sugar-sweetened beverage tax on Jan. 1, and \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/12/02/in-mexico-people-drinking-less-soda-after-new-tax/\" href=\"http://ww2.kqed.org/stateofhealth/2014/12/02/in-mexico-people-drinking-less-soda-after-new-tax/\" target=\"_blank\">consumption dropped 10 percent\u003c/a> in the weeks afterward.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Despite New Federal Rules, California Likely to Stay with Healthy School Lunches",
"title": "Despite New Federal Rules, California Likely to Stay with Healthy School Lunches",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_22980\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/Students-salad-and-fruit-bar-school-lunch-e1418748611443.jpg\">\u003cimg class=\"size-large wp-image-22980\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/Students-salad-and-fruit-bar-school-lunch-640x482.jpg\" alt=\"Elementary students at a northern California school at the fruit and salad bar. (Jane Meredith Adams/EdSource)\" width=\"640\" height=\"482\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Elementary students at a northern California school at the fruit and salad bar. (Jane Meredith Adams/EdSource)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Jane Meredith Adams,\u003c/strong> \u003ca title=\"http://edsource.org/2014/state-likely-to-support-existing-lunch-standards/71373#.VJBfvL4-DL8\" href=\"http://edsource.org/2014/state-likely-to-support-existing-lunch-standards/71373#.VJBfvL4-DL8\" target=\"_blank\">EdSource\u003c/a>\u003c/p>\n\u003cp>California’s enthusiasm for healthy school lunches appears unlikely to change under a Congressional budget bill headed to President Barack Obama for signature that would allow states to weaken new federal school nutrition requirements.\u003c/p>\n\u003cp>The changes to the regulations for the \u003ca title=\"http://www.fns.usda.gov/school-meals/healthy-hunger-free-kids-act\" href=\"http://www.fns.usda.gov/school-meals/healthy-hunger-free-kids-act\" target=\"_blank\">Healthy, Hunger-Free Kids Act of 2010 \u003c/a>– part of a $1.1 trillion budget agreement passed on Saturday – are the latest in a heated conflict over the new \u003ca title=\"http://www.fns.usda.gov/sites/default/files/NSLPFactSheet.pdf\" href=\"http://www.fns.usda.gov/sites/default/files/NSLPFactSheet.pdf\" target=\"_blank\">National School Lunch Program\u003c/a> menus, which call for increased servings of fruits, vegetables and whole grains, and reductions in fats and sodium.\u003c/p>\n\u003cp>The bill would exempt some schools from the requirement that they serve only breads and pastas that are “whole grain rich,” meaning they are at least 50 percent whole grain. To receive an exemption, schools must show evidence of “hardship, including financial hardship” in obtaining 50 percent whole grain foods that are “acceptable to students.” The bill also would keep sodium restrictions at current levels until “the latest scientific research establishes the reduction is beneficial for children.” The language referring to the exemptions begins on \u003ca title=\"http://docs.house.gov/billsthisweek/20141208/CPRT-113-HPRT-RU00-HR83sa.pdf\" href=\"http://docs.house.gov/billsthisweek/20141208/CPRT-113-HPRT-RU00-HR83sa.pdf\" target=\"_blank\">page 99 of the lengthy spending bill\u003c/a>.\u003c!--more-->\u003c/p>\n\u003cp>Because the proposed bill allows, but does not require, states to grant exemptions, the bill “leaves the power to the state agency to define what is a hardship,” said Tracey Patterson, nutrition policy advocate for California Food Policy Advocates, an Oakland-based nonprofit organization. The California Department of Education, which administers the National School Lunch Program, has been “very supportive” of improving school nutrition and is unlikely to easily grant exemptions, Patterson said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Anecdotally, many of our schools have found successful ways to implement whole grain rich pasta requirements,” said Kim Frinzell, nutrition education administrator in the California Department of Education.\u003c/p>\n\u003cp>California has a long history of support for school nutrition and often has imposed nutritional guidelines ahead of the federal government, including the state’s 2009 ban on school lunch foods that contain trans fats, which have been linked to heart disease, and state regulations limiting sugary beverages and salty snacks sold in vending machines at schools.\u003c/p>\n\u003cp>State Superintendent of Public Instruction Tom Torlakson stated his support for the standards \u003ca title=\"http://cfpa.net/ChildNutrition/ChildNutrition_Federal/CDE-NSD-HHFKA%20Letter%20of%20Support-5.22.14.pdf\" href=\"http://cfpa.net/ChildNutrition/ChildNutrition_Federal/CDE-NSD-HHFKA%20Letter%20of%20Support-5.22.14.pdf\" target=\"_blank\">in a letter in May\u003c/a>. “It is imperative to keep improving the nutrition standards so that we can continue to make a difference [to] our children’s health,” Torlakson wrote.\u003c/p>\n\u003cp>Already, 95 percent of school lunch programs in the state are meeting the whole grain rich standards and have been certified as in compliance with the menu standards. The National School Lunch Program provides free or reduced-price meals to students from low-income families; the meals are also available to students from higher-income families at full cost.\u003c/p>\n\u003cp>“Anecdotally, many of our schools have found successful ways to implement whole grain rich pasta requirements,” said Kim Frinzell, nutrition education administrator in the Nutrition Services Division of the California Department of Education.\u003c/p>\n\u003cp>Following the introduction of the phased-in standards in 2012, the department has provided technical assistance to districts struggling to provide cost-effective menus, including face-to-face workshops, webinars and culinary training.\u003c/p>\n\u003cp>But the department wouldn’t speculate about whether it would grant exemptions to schools to opt out of using whole grain rich breads and pastas if the bill passed. “We will wait until the USDA gives us guidance” on implementing the exemptions, said Julie Boarer-Pitchford, nutrition education consultant of the Nutrition Services Division of the California Department of Education.\u003c/p>\n\u003cp>“My hope would be those [training] options would get thoroughly explored before the exemption option,” said Gail Woodward-Lopez, associate director of the Atkins Center for Weight and Health at UC Berkeley. “California is generally very supportive and we have a lot of innovative food service directors.”\u003c/p>\n\u003cp>This is not the first time that whole grain rich foods have been a source of conflict in the new lunch standards. In May, the U.S. Department of Agriculture said it had received complaints that whole grain rich pasta wasn’t holding together well during cooking, and \u003ca title=\"http://www.fns.usda.gov/sites/default/files/SP47-2014os.pdf\" href=\"http://www.fns.usda.gov/sites/default/files/SP47-2014os.pdf\" target=\"_blank\">issued a “flexibility” memorandum\u003c/a> allowing states to grant schools a two-year reprieve on serving whole grain rich pasta, while schools and manufacturers figure out acceptable pasta products.\u003c/p>\n\u003cp>California is still formulating its process under which schools could apply for a reprieve, said Frinzell at the California Department of Education. But the whole wheat rich pasta rule went into effect July 1 and “since July 1, schools this school year are already implementing this requirement,” she said.\u003c/p>\n\u003cp>The School Nutrition Association, a Maryland-based national organization of school nutrition professionals, has pressed for rollbacks on the standards, citing \u003ca title=\"http://www.gao.gov/assets/670/660427.pdf\" href=\"http://www.gao.gov/assets/670/660427.pdf\" target=\"_blank\">a federal Government Accountability Office report\u003c/a> that found national participation in the school lunch program had dropped by 1.2 million students from 2010 to 2013. The decrease was primarily caused by a decline of 1.6 million students eating school lunch who pay full price, the report said, noting that the number of students eating school meals at free or reduced cost increased. The nutrition association said that the drop in student participation had made it difficult for some districts to meet the costs of providing more fruits, vegetables and palatable menu options using whole grain rich breads and pastas.\u003c/p>\n\u003cp>“The escalating costs of meeting overly prescriptive regulations are putting school meal programs in financial jeopardy,” said Patricia Montague, chief executive officer of the association, in a statement.\u003c/p>\n\u003cp>But food policy advocates say that the drop in school lunch consumption is tied in part to a recent increase in the cost of the lunches for the students who pay full price. The U.S. Department of Agriculture in 2013 required schools to achieve “paid lunch equity” to ensure that districts weren’t using federal funds to subsidize the full-rate meals. As a result, full-pay lunch prices increased and, in some cases, doubled.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>In California, there have also been concerns about school districts’ financial management of federal and state school lunch funds. Recent state reports found that some districts have diverted lunch funds for other purposes or kept excessive cash reserves. The California Department of Education has\u003ca title=\"http://edsource.org/2014/school-lunch-programs-ordered-to-spend-more/69861#.VItjHyfWro0\" href=\"http://edsource.org/2014/school-lunch-programs-ordered-to-spend-more/69861#.VItjHyfWro0\" target=\"_blank\"> ordered 68 districts to spend millions of dollars\u003c/a> in federal and state school lunch funds that they have failed for years to use for student meals.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22980\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/Students-salad-and-fruit-bar-school-lunch-e1418748611443.jpg\">\u003cimg class=\"size-large wp-image-22980\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/Students-salad-and-fruit-bar-school-lunch-640x482.jpg\" alt=\"Elementary students at a northern California school at the fruit and salad bar. (Jane Meredith Adams/EdSource)\" width=\"640\" height=\"482\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Elementary students at a northern California school at the fruit and salad bar. (Jane Meredith Adams/EdSource)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Jane Meredith Adams,\u003c/strong> \u003ca title=\"http://edsource.org/2014/state-likely-to-support-existing-lunch-standards/71373#.VJBfvL4-DL8\" href=\"http://edsource.org/2014/state-likely-to-support-existing-lunch-standards/71373#.VJBfvL4-DL8\" target=\"_blank\">EdSource\u003c/a>\u003c/p>\n\u003cp>California’s enthusiasm for healthy school lunches appears unlikely to change under a Congressional budget bill headed to President Barack Obama for signature that would allow states to weaken new federal school nutrition requirements.\u003c/p>\n\u003cp>The changes to the regulations for the \u003ca title=\"http://www.fns.usda.gov/school-meals/healthy-hunger-free-kids-act\" href=\"http://www.fns.usda.gov/school-meals/healthy-hunger-free-kids-act\" target=\"_blank\">Healthy, Hunger-Free Kids Act of 2010 \u003c/a>– part of a $1.1 trillion budget agreement passed on Saturday – are the latest in a heated conflict over the new \u003ca title=\"http://www.fns.usda.gov/sites/default/files/NSLPFactSheet.pdf\" href=\"http://www.fns.usda.gov/sites/default/files/NSLPFactSheet.pdf\" target=\"_blank\">National School Lunch Program\u003c/a> menus, which call for increased servings of fruits, vegetables and whole grains, and reductions in fats and sodium.\u003c/p>\n\u003cp>The bill would exempt some schools from the requirement that they serve only breads and pastas that are “whole grain rich,” meaning they are at least 50 percent whole grain. To receive an exemption, schools must show evidence of “hardship, including financial hardship” in obtaining 50 percent whole grain foods that are “acceptable to students.” The bill also would keep sodium restrictions at current levels until “the latest scientific research establishes the reduction is beneficial for children.” The language referring to the exemptions begins on \u003ca title=\"http://docs.house.gov/billsthisweek/20141208/CPRT-113-HPRT-RU00-HR83sa.pdf\" href=\"http://docs.house.gov/billsthisweek/20141208/CPRT-113-HPRT-RU00-HR83sa.pdf\" target=\"_blank\">page 99 of the lengthy spending bill\u003c/a>.\u003c!--more-->\u003c/p>\n\u003cp>Because the proposed bill allows, but does not require, states to grant exemptions, the bill “leaves the power to the state agency to define what is a hardship,” said Tracey Patterson, nutrition policy advocate for California Food Policy Advocates, an Oakland-based nonprofit organization. The California Department of Education, which administers the National School Lunch Program, has been “very supportive” of improving school nutrition and is unlikely to easily grant exemptions, Patterson said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Anecdotally, many of our schools have found successful ways to implement whole grain rich pasta requirements,” said Kim Frinzell, nutrition education administrator in the California Department of Education.\u003c/p>\n\u003cp>California has a long history of support for school nutrition and often has imposed nutritional guidelines ahead of the federal government, including the state’s 2009 ban on school lunch foods that contain trans fats, which have been linked to heart disease, and state regulations limiting sugary beverages and salty snacks sold in vending machines at schools.\u003c/p>\n\u003cp>State Superintendent of Public Instruction Tom Torlakson stated his support for the standards \u003ca title=\"http://cfpa.net/ChildNutrition/ChildNutrition_Federal/CDE-NSD-HHFKA%20Letter%20of%20Support-5.22.14.pdf\" href=\"http://cfpa.net/ChildNutrition/ChildNutrition_Federal/CDE-NSD-HHFKA%20Letter%20of%20Support-5.22.14.pdf\" target=\"_blank\">in a letter in May\u003c/a>. “It is imperative to keep improving the nutrition standards so that we can continue to make a difference [to] our children’s health,” Torlakson wrote.\u003c/p>\n\u003cp>Already, 95 percent of school lunch programs in the state are meeting the whole grain rich standards and have been certified as in compliance with the menu standards. The National School Lunch Program provides free or reduced-price meals to students from low-income families; the meals are also available to students from higher-income families at full cost.\u003c/p>\n\u003cp>“Anecdotally, many of our schools have found successful ways to implement whole grain rich pasta requirements,” said Kim Frinzell, nutrition education administrator in the Nutrition Services Division of the California Department of Education.\u003c/p>\n\u003cp>Following the introduction of the phased-in standards in 2012, the department has provided technical assistance to districts struggling to provide cost-effective menus, including face-to-face workshops, webinars and culinary training.\u003c/p>\n\u003cp>But the department wouldn’t speculate about whether it would grant exemptions to schools to opt out of using whole grain rich breads and pastas if the bill passed. “We will wait until the USDA gives us guidance” on implementing the exemptions, said Julie Boarer-Pitchford, nutrition education consultant of the Nutrition Services Division of the California Department of Education.\u003c/p>\n\u003cp>“My hope would be those [training] options would get thoroughly explored before the exemption option,” said Gail Woodward-Lopez, associate director of the Atkins Center for Weight and Health at UC Berkeley. “California is generally very supportive and we have a lot of innovative food service directors.”\u003c/p>\n\u003cp>This is not the first time that whole grain rich foods have been a source of conflict in the new lunch standards. In May, the U.S. Department of Agriculture said it had received complaints that whole grain rich pasta wasn’t holding together well during cooking, and \u003ca title=\"http://www.fns.usda.gov/sites/default/files/SP47-2014os.pdf\" href=\"http://www.fns.usda.gov/sites/default/files/SP47-2014os.pdf\" target=\"_blank\">issued a “flexibility” memorandum\u003c/a> allowing states to grant schools a two-year reprieve on serving whole grain rich pasta, while schools and manufacturers figure out acceptable pasta products.\u003c/p>\n\u003cp>California is still formulating its process under which schools could apply for a reprieve, said Frinzell at the California Department of Education. But the whole wheat rich pasta rule went into effect July 1 and “since July 1, schools this school year are already implementing this requirement,” she said.\u003c/p>\n\u003cp>The School Nutrition Association, a Maryland-based national organization of school nutrition professionals, has pressed for rollbacks on the standards, citing \u003ca title=\"http://www.gao.gov/assets/670/660427.pdf\" href=\"http://www.gao.gov/assets/670/660427.pdf\" target=\"_blank\">a federal Government Accountability Office report\u003c/a> that found national participation in the school lunch program had dropped by 1.2 million students from 2010 to 2013. The decrease was primarily caused by a decline of 1.6 million students eating school lunch who pay full price, the report said, noting that the number of students eating school meals at free or reduced cost increased. The nutrition association said that the drop in student participation had made it difficult for some districts to meet the costs of providing more fruits, vegetables and palatable menu options using whole grain rich breads and pastas.\u003c/p>\n\u003cp>“The escalating costs of meeting overly prescriptive regulations are putting school meal programs in financial jeopardy,” said Patricia Montague, chief executive officer of the association, in a statement.\u003c/p>\n\u003cp>But food policy advocates say that the drop in school lunch consumption is tied in part to a recent increase in the cost of the lunches for the students who pay full price. The U.S. Department of Agriculture in 2013 required schools to achieve “paid lunch equity” to ensure that districts weren’t using federal funds to subsidize the full-rate meals. As a result, full-pay lunch prices increased and, in some cases, doubled.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In California, there have also been concerns about school districts’ financial management of federal and state school lunch funds. Recent state reports found that some districts have diverted lunch funds for other purposes or kept excessive cash reserves. The California Department of Education has\u003ca title=\"http://edsource.org/2014/school-lunch-programs-ordered-to-spend-more/69861#.VItjHyfWro0\" href=\"http://edsource.org/2014/school-lunch-programs-ordered-to-spend-more/69861#.VItjHyfWro0\" target=\"_blank\"> ordered 68 districts to spend millions of dollars\u003c/a> in federal and state school lunch funds that they have failed for years to use for student meals.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Schools Provide Vision Testing -- Eyeglasses A Bigger Challenge",
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"content": "\u003cfigure id=\"attachment_22863\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/Girl-eye-exam-San-Jose-e1418052159543.jpg\">\u003cimg class=\"size-large wp-image-22863\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/Girl-eye-exam-San-Jose-640x521.jpg\" alt=\"(Jane Meredith Adams/EdSource)\" width=\"640\" height=\"521\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Jose student receives eye exam from nonprofit \"Vision to Learn.\" (Jane Meredith Adams/EdSource Today)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Jane Meredith Adams\u003c/strong>,\u003ca title=\"http://edsource.org/2014/schools-work-to-improve-vision-health/71044#.VIWyvb4-AfE\" href=\"http://edsource.org/2014/schools-work-to-improve-vision-health/71044#.VIWyvb4-AfE\" target=\"_blank\"> EdSource Today\u003c/a>\u003c/p>\n\u003cp>It was a good week for the 90 students at Merritt Trace Elementary School in San Jose who climbed into a mobile eye exam van and emerged with the promise of a free pair of eyeglasses. But for thousands of students across the state who need glasses but don’t have them, it was another blurry week of not seeing the blackboard or the letters in a book.\u003c/p>\n\u003cp>Effective Jan. 1, two new state laws will clarify and expand the protocol for mandatory vision screening of students. But they don’t address the crux of a major children’s health conundrum: ensuring that students who fail the vision test actually get eyeglasses.\u003c/p>\n\u003cp>As many as one\u003ca title=\"http://www.apha.org/policies-and-advocacy/public-health-policy-statements/policy-database/2014/07/08/15/29/reducing-barriers-and-increasing-access-to-childrens-vision-care-services\" href=\"http://www.apha.org/policies-and-advocacy/public-health-policy-statements/policy-database/2014/07/08/15/29/reducing-barriers-and-increasing-access-to-childrens-vision-care-services\" target=\"_blank\"> in four students\u003c/a> in kindergarten through 12th grade has a vision problem, but in some California schools, the majority of students in need of glasses don’t receive them, researchers said. One study of 11,000 low-income first-graders in Southern California found that \u003ca title=\"http://www.ncbi.nlm.nih.gov/pubmed/21964359\" href=\"http://www.ncbi.nlm.nih.gov/pubmed/21964359\" target=\"_blank\">95 percent of students who needed eyeglasses didn’t have them\u003c/a>, one year after their mandatory kindergarten vision screening.\u003c/p>\n\u003cp>“You would hope that the problems would have been caught,” said Dr. Anne Coleman, a co-author of the study and an ophthalmologist at UCLA’s Jules Stein Eye Institute.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But bridging the gap between a failed vision test and a student with glasses on –- ready to see the math problem on the board, the words in the book and the baseball coming over the plate –- has been a difficult task. Increasingly, schools and nonprofit organizations are working together to go beyond mandatory vision screening to help low-income students obtain the glasses they need to succeed.\u003c/p>\n\u003cp>“What we need is a systematic approach,” Coleman said.\u003c/p>\n\u003cp>Screening of student vision is mandatory in California schools and one of the new laws, \u003ca title=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140SB1172\" href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140SB1172\" target=\"_blank\">Senate Bill 1172\u003c/a>, adds the requirement that a student’s near vision be tested, in addition to far vision. The law also makes plain that vision screening is required in kindergarten, or when a student first enters a school district, and in second, fifth and eighth grades –- a change from the previous language that required vision testing upon entry and thereafter “at least every three years.”\u003c/p>\n\u003cp>The second new law, \u003ca title=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140AB1840\" href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140AB1840\" target=\"_blank\">Assembly Bill 1840\u003c/a>, allows the use of “photoscreening” –- a hand-held device that detects vision issues –- as well as the use of an eye chart in a student vision screening. The device costs about $7,000.\u003c/p>\n\u003cp>The consequences of impaired vision are far-reaching for students, including underachievement, disengagement and behavior problems, said Charles Basch, a professor at Teachers College of Columbia University. Because most learning occurs visually, and low-income students are at greater risk of “underdiagnosis and undertreatment” of vision problems, getting glasses on students needs to be part of school reform efforts to improve academic outcomes, says Basch, author of the research brief “\u003ca title=\"http://www.equitycampaign.org/i/a/document/12557_equitymattersvol6_web03082010.pdf\" href=\"http://www.equitycampaign.org/i/a/document/12557_equitymattersvol6_web03082010.pdf\" target=\"_blank\">Healthier Students are Better Learners: A Missing Link in School Reforms to Close the Achievement Gap\u003c/a>.”\u003c/p>\n\u003cp>“It’s a need that has a pretty simple solution to it,” said Nancy Prail, director of the New York-based ChildSight, which in 2013-14 performed thousands of vision screenings to middle school students in the Los Angeles area, and distributed more than 2,500 pairs of eyeglasses.\u003c/p>\n\u003cp>After a student fails to read the eye chart in a vision screening conducted by a school nurse, a letter is typically sent home informing the family of the results and stating that the child needs a more in-depth eye examination. In low-income families, following through on that referral is often difficult, Prail said.\u003c/p>\n\u003cp>“There’s a whole stew that gets stirred up,” Prail said, including a family’s difficulty in finding a provider that will accept Medi-Cal and the inability to take time off work to bring a child to an appointment.\u003c/p>\n\u003cp>Bringing clinicians to schools is a way to overcome those barriers, Prail said. Some school-based health centers provide the exams and several nonprofit groups are working with school districts to send optometrists and mobile eye exam vans to schools in California.\u003c/p>\n\u003cp>The San Jose Unified School District is partnering with Vision to Learn, a Los Angeles-based nonprofit that provides free eye exams and glasses to children in low-income communities. It has simplified the process of getting glasses on students, said Melinda Landau, manager of the Health and Family Support Programs at the district.\u003c/p>\n\u003cp>For four rainy days last week, the 15-foot Vision to Learn eye-exam van was parked outside a portable classroom at Trace Elementary while a parent volunteer shepherded groups of three or four students from classrooms into the world of eye examination machines -- and best of all, a display case of red, purple, blue and black eyeglass frames for kids to choose.\u003c/p>\n\u003cp>“I lost my glasses in first grade,” said Camielle Toscano, a second-grader at Trace Elementary, who sat in rain boots and a rain jacket waiting for an eye exam in the van.\u003c/p>\n\u003cp>At the back of the van, optometrist Dr. Chris Low slid lenses of various magnification strengths into a machine as Keiasia Johnson, a first-grader, looked through the lenses and read an eye chart.\u003c/p>\n\u003cp>Test lenses brought the letters into focus. “They look fine when I have my glasses on,” Johnson said. Stepping to the other end of the van, Johnson tried on a variety of eyeglass frames with the help of optician Lisa Nguyen before settling on pink. Nguyen will return to Trace Elementary to deliver and fit the eyeglasses on students in two to three weeks.\u003c/p>\n\u003cp>Because school partnerships with nonprofit organizations are dependent upon philanthropic fundraising and priorities, the search for sustainable vision care for students is ongoing. With more California children entitled to pediatric vision services through the Affordable Care Act and the expansion of Medi-Cal, one strategy is to bill insurance for the care that is provided at the school site.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Gov. Jerry Brown authorized grants that total about $1.5 million available Jan. 1 in Los Angeles County to pilot test the creation of a database system to connect student on-site vision care with insurance billing, said Gaye Williams, executive director of Vision to Learn, which plans to apply for a grant.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22863\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/Girl-eye-exam-San-Jose-e1418052159543.jpg\">\u003cimg class=\"size-large wp-image-22863\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/Girl-eye-exam-San-Jose-640x521.jpg\" alt=\"(Jane Meredith Adams/EdSource)\" width=\"640\" height=\"521\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Jose student receives eye exam from nonprofit \"Vision to Learn.\" (Jane Meredith Adams/EdSource Today)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Jane Meredith Adams\u003c/strong>,\u003ca title=\"http://edsource.org/2014/schools-work-to-improve-vision-health/71044#.VIWyvb4-AfE\" href=\"http://edsource.org/2014/schools-work-to-improve-vision-health/71044#.VIWyvb4-AfE\" target=\"_blank\"> EdSource Today\u003c/a>\u003c/p>\n\u003cp>It was a good week for the 90 students at Merritt Trace Elementary School in San Jose who climbed into a mobile eye exam van and emerged with the promise of a free pair of eyeglasses. But for thousands of students across the state who need glasses but don’t have them, it was another blurry week of not seeing the blackboard or the letters in a book.\u003c/p>\n\u003cp>Effective Jan. 1, two new state laws will clarify and expand the protocol for mandatory vision screening of students. But they don’t address the crux of a major children’s health conundrum: ensuring that students who fail the vision test actually get eyeglasses.\u003c/p>\n\u003cp>As many as one\u003ca title=\"http://www.apha.org/policies-and-advocacy/public-health-policy-statements/policy-database/2014/07/08/15/29/reducing-barriers-and-increasing-access-to-childrens-vision-care-services\" href=\"http://www.apha.org/policies-and-advocacy/public-health-policy-statements/policy-database/2014/07/08/15/29/reducing-barriers-and-increasing-access-to-childrens-vision-care-services\" target=\"_blank\"> in four students\u003c/a> in kindergarten through 12th grade has a vision problem, but in some California schools, the majority of students in need of glasses don’t receive them, researchers said. One study of 11,000 low-income first-graders in Southern California found that \u003ca title=\"http://www.ncbi.nlm.nih.gov/pubmed/21964359\" href=\"http://www.ncbi.nlm.nih.gov/pubmed/21964359\" target=\"_blank\">95 percent of students who needed eyeglasses didn’t have them\u003c/a>, one year after their mandatory kindergarten vision screening.\u003c/p>\n\u003cp>“You would hope that the problems would have been caught,” said Dr. Anne Coleman, a co-author of the study and an ophthalmologist at UCLA’s Jules Stein Eye Institute.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But bridging the gap between a failed vision test and a student with glasses on –- ready to see the math problem on the board, the words in the book and the baseball coming over the plate –- has been a difficult task. Increasingly, schools and nonprofit organizations are working together to go beyond mandatory vision screening to help low-income students obtain the glasses they need to succeed.\u003c/p>\n\u003cp>“What we need is a systematic approach,” Coleman said.\u003c/p>\n\u003cp>Screening of student vision is mandatory in California schools and one of the new laws, \u003ca title=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140SB1172\" href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140SB1172\" target=\"_blank\">Senate Bill 1172\u003c/a>, adds the requirement that a student’s near vision be tested, in addition to far vision. The law also makes plain that vision screening is required in kindergarten, or when a student first enters a school district, and in second, fifth and eighth grades –- a change from the previous language that required vision testing upon entry and thereafter “at least every three years.”\u003c/p>\n\u003cp>The second new law, \u003ca title=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140AB1840\" href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140AB1840\" target=\"_blank\">Assembly Bill 1840\u003c/a>, allows the use of “photoscreening” –- a hand-held device that detects vision issues –- as well as the use of an eye chart in a student vision screening. The device costs about $7,000.\u003c/p>\n\u003cp>The consequences of impaired vision are far-reaching for students, including underachievement, disengagement and behavior problems, said Charles Basch, a professor at Teachers College of Columbia University. Because most learning occurs visually, and low-income students are at greater risk of “underdiagnosis and undertreatment” of vision problems, getting glasses on students needs to be part of school reform efforts to improve academic outcomes, says Basch, author of the research brief “\u003ca title=\"http://www.equitycampaign.org/i/a/document/12557_equitymattersvol6_web03082010.pdf\" href=\"http://www.equitycampaign.org/i/a/document/12557_equitymattersvol6_web03082010.pdf\" target=\"_blank\">Healthier Students are Better Learners: A Missing Link in School Reforms to Close the Achievement Gap\u003c/a>.”\u003c/p>\n\u003cp>“It’s a need that has a pretty simple solution to it,” said Nancy Prail, director of the New York-based ChildSight, which in 2013-14 performed thousands of vision screenings to middle school students in the Los Angeles area, and distributed more than 2,500 pairs of eyeglasses.\u003c/p>\n\u003cp>After a student fails to read the eye chart in a vision screening conducted by a school nurse, a letter is typically sent home informing the family of the results and stating that the child needs a more in-depth eye examination. In low-income families, following through on that referral is often difficult, Prail said.\u003c/p>\n\u003cp>“There’s a whole stew that gets stirred up,” Prail said, including a family’s difficulty in finding a provider that will accept Medi-Cal and the inability to take time off work to bring a child to an appointment.\u003c/p>\n\u003cp>Bringing clinicians to schools is a way to overcome those barriers, Prail said. Some school-based health centers provide the exams and several nonprofit groups are working with school districts to send optometrists and mobile eye exam vans to schools in California.\u003c/p>\n\u003cp>The San Jose Unified School District is partnering with Vision to Learn, a Los Angeles-based nonprofit that provides free eye exams and glasses to children in low-income communities. It has simplified the process of getting glasses on students, said Melinda Landau, manager of the Health and Family Support Programs at the district.\u003c/p>\n\u003cp>For four rainy days last week, the 15-foot Vision to Learn eye-exam van was parked outside a portable classroom at Trace Elementary while a parent volunteer shepherded groups of three or four students from classrooms into the world of eye examination machines -- and best of all, a display case of red, purple, blue and black eyeglass frames for kids to choose.\u003c/p>\n\u003cp>“I lost my glasses in first grade,” said Camielle Toscano, a second-grader at Trace Elementary, who sat in rain boots and a rain jacket waiting for an eye exam in the van.\u003c/p>\n\u003cp>At the back of the van, optometrist Dr. Chris Low slid lenses of various magnification strengths into a machine as Keiasia Johnson, a first-grader, looked through the lenses and read an eye chart.\u003c/p>\n\u003cp>Test lenses brought the letters into focus. “They look fine when I have my glasses on,” Johnson said. Stepping to the other end of the van, Johnson tried on a variety of eyeglass frames with the help of optician Lisa Nguyen before settling on pink. Nguyen will return to Trace Elementary to deliver and fit the eyeglasses on students in two to three weeks.\u003c/p>\n\u003cp>Because school partnerships with nonprofit organizations are dependent upon philanthropic fundraising and priorities, the search for sustainable vision care for students is ongoing. With more California children entitled to pediatric vision services through the Affordable Care Act and the expansion of Medi-Cal, one strategy is to bill insurance for the care that is provided at the school site.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Gov. Jerry Brown authorized grants that total about $1.5 million available Jan. 1 in Los Angeles County to pilot test the creation of a database system to connect student on-site vision care with insurance billing, said Gaye Williams, executive director of Vision to Learn, which plans to apply for a grant.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "FDA Considers Lifting Ban on Gay Men Donating Blood",
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"content": "\u003cfigure id=\"attachment_22763\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000003109765_Large-e1417483484694.jpg\">\u003cimg class=\"size-large wp-image-22763\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000003109765_Large-640x425.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Mina Kim and Peter Shuler\u003c/strong>\u003c/p>\n\u003cp>The Food and Drug Administration (FDA) will consider Tuesday lifting a 31-year-old ban on blood donations from gay men.\u003c/p>\n\u003cp>Originally fueled by fear and little understanding of AIDS, federal regulators in 1983 banned donations from men who have sex with men. Now a federal health advisory committee recommends that the FDA ease that ban, saying that men who have not had sex with another man for a year may donate blood.\u003c/p>\n\u003cp>Hank Greely is a professor of law and medicine at Stanford and directs the Center for Law and the Biosciences. He reminded listeners of how little we knew about AIDS when the ban was first put in place. \"No one really knew what caused AIDS\" at that time, he said. \"They did know people were getting the disease from transfusions, and that gay men were one of the groups that had the highest incidence of the disease.\"\u003c!--more-->\u003c/p>\n\u003cp>But pretty quickly, the HIV virus was identified and tests were developed to see if donated blood contained antibodies to the virus -- indicating the donor was infected with HIV. Originally, Greely said, that process took a couple months, but over the intervening years that window has shrunk to 11 days.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Greely says that, in theory, the waiting period for a man who has had sex with another man to be eligible to donate blood could be shrunk to two weeks. \"A year seems a little strong,\" Greely said, \"but the idea of a waiting period is not crazy. It’s an idea to try to prevent undetected and undetectable HIV-contaminated blood from getting into the blood transfusion system.\"\u003c/p>\n\u003cp>Ryan James Yezak with the National Gay Blood Drive thinks any ban is discriminatory, but agrees that the change is a step in the right direction. \"People who need blood don’t care whether it’s straight blood or gay blood,\" he said. \"Blood is blood. They want safe blood, and that is something our community has to offer.\"\u003c/p>\n\u003cp>Some advocates are pushing for a behavior-based risk assessment. such as banning anyone who has recently had unsafe sex. Italy has such a ban in place. Greely said moving to this kind of assessment might be the next step.\u003c/p>\n\u003cp>\"But it’s important to remember, in blood donation, there are a lot of categories that are excluded or at least deferred,\" said Greely, who pointed out that people who have gotten a tattoo may not donate for a year. People who were in Great Britain during the time of the mad cow disease outbreak are banned for life.\u003c/p>\n\u003cp>\"There are a variety of these exclusions,\" he said. \"What makes this one particularly sensitive is that it’s an exclusion that taps into a preexisting group that has a history of being discriminated against.\"\u003c/p>\n\u003cp>Greely said he thinks the change would be \"clearly better\" than the status quo. And that the one-year deferral could be \"cut down from a safety perspective to something shorter.\"\u003c/p>\n\u003cp>But he also said that the concern about diseases being transmitted through blood is \"a real one and has had some tragic consequences.\"\u003c/p>\n\u003cp>\"About half of the hemophiliacs alive in the United States in 1982 contracted AIDS as a result of blood product transfusions that were contaminated with HIV,\" he said. \"Thousands of people got AIDS through transfusions, so the recommendations coming out about blood transfusions are based on an appropriate desire to maximize the safety of those transfusions.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Whether the U.S. should move to a behavior-based risk assessment is a good question, he said. \"But it is beyond question that the proposed move is a lot better than the status quo.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22763\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000003109765_Large-e1417483484694.jpg\">\u003cimg class=\"size-large wp-image-22763\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000003109765_Large-640x425.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Mina Kim and Peter Shuler\u003c/strong>\u003c/p>\n\u003cp>The Food and Drug Administration (FDA) will consider Tuesday lifting a 31-year-old ban on blood donations from gay men.\u003c/p>\n\u003cp>Originally fueled by fear and little understanding of AIDS, federal regulators in 1983 banned donations from men who have sex with men. Now a federal health advisory committee recommends that the FDA ease that ban, saying that men who have not had sex with another man for a year may donate blood.\u003c/p>\n\u003cp>Hank Greely is a professor of law and medicine at Stanford and directs the Center for Law and the Biosciences. He reminded listeners of how little we knew about AIDS when the ban was first put in place. \"No one really knew what caused AIDS\" at that time, he said. \"They did know people were getting the disease from transfusions, and that gay men were one of the groups that had the highest incidence of the disease.\"\u003c!--more-->\u003c/p>\n\u003cp>But pretty quickly, the HIV virus was identified and tests were developed to see if donated blood contained antibodies to the virus -- indicating the donor was infected with HIV. Originally, Greely said, that process took a couple months, but over the intervening years that window has shrunk to 11 days.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Greely says that, in theory, the waiting period for a man who has had sex with another man to be eligible to donate blood could be shrunk to two weeks. \"A year seems a little strong,\" Greely said, \"but the idea of a waiting period is not crazy. It’s an idea to try to prevent undetected and undetectable HIV-contaminated blood from getting into the blood transfusion system.\"\u003c/p>\n\u003cp>Ryan James Yezak with the National Gay Blood Drive thinks any ban is discriminatory, but agrees that the change is a step in the right direction. \"People who need blood don’t care whether it’s straight blood or gay blood,\" he said. \"Blood is blood. They want safe blood, and that is something our community has to offer.\"\u003c/p>\n\u003cp>Some advocates are pushing for a behavior-based risk assessment. such as banning anyone who has recently had unsafe sex. Italy has such a ban in place. Greely said moving to this kind of assessment might be the next step.\u003c/p>\n\u003cp>\"But it’s important to remember, in blood donation, there are a lot of categories that are excluded or at least deferred,\" said Greely, who pointed out that people who have gotten a tattoo may not donate for a year. People who were in Great Britain during the time of the mad cow disease outbreak are banned for life.\u003c/p>\n\u003cp>\"There are a variety of these exclusions,\" he said. \"What makes this one particularly sensitive is that it’s an exclusion that taps into a preexisting group that has a history of being discriminated against.\"\u003c/p>\n\u003cp>Greely said he thinks the change would be \"clearly better\" than the status quo. And that the one-year deferral could be \"cut down from a safety perspective to something shorter.\"\u003c/p>\n\u003cp>But he also said that the concern about diseases being transmitted through blood is \"a real one and has had some tragic consequences.\"\u003c/p>\n\u003cp>\"About half of the hemophiliacs alive in the United States in 1982 contracted AIDS as a result of blood product transfusions that were contaminated with HIV,\" he said. \"Thousands of people got AIDS through transfusions, so the recommendations coming out about blood transfusions are based on an appropriate desire to maximize the safety of those transfusions.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Whether the U.S. should move to a behavior-based risk assessment is a good question, he said. \"But it is beyond question that the proposed move is a lot better than the status quo.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Statewide Program Delights Schoolkids with California-Grown Produce",
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"content": "\u003cfigure id=\"attachment_22687\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/IMG_0041-e1416872543810.jpg\">\u003cimg class=\"wp-image-22687 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/IMG_0041-640x480.jpg\" alt=\"(David Gorn/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California-grown persimmons and pears on the lunch line in Elk Grove. (David Gorn/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By David Gorn\u003c/strong>\u003c/p>\n\u003cp>At Elk Grove Elementary School, just outside Sacramento, it's lunchtime and kids are doing what kids do when they're let loose from the classroom: running around, laughing and generally having fun.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Tying farm to school so children understand the connection.\u003c/aside>\n\u003cp>But this day at Elk Grove has a little extra charge to it. It's \"California Thursday,\" a program that brings locally-grown food into school lunch rooms. And more.\u003c/p>\n\u003cp>Out on the playground, there's a lottery wheel going. Someone is running around in a carrot suit. Volunteer Katie O'Malley, a student from UC Davis, mans the almond-butter booth: whole almonds go in the top and come out below in a thick paste -- sending 9-year-olds into fits of giggles.\u003c/p>\n\u003cp>And that's the point, O'Malley said, making food fun.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"There were a few kids that really liked it,\" O'Malley said, \"and I saw them go and get their friends and bring their friends back and say, 'You need to try this, this is so good.'\"\u003c/p>\n\u003cp>But of course, like everything in school, even fun has a message.\u003c/p>\n\u003cp>\"We are offering a festival for 'California Thursdays' to tie farm to school, into the lunchroom, so (students) learn the connection,\" said Michelle Drake, director of food and nutrition for Elk Grove Unified School District.\u003c/p>\n\u003cp>\"This district is the fifth-largest district in the state of California, and we feed about 35,000 kids a day,\" Drake said.\u003c/p>\n\u003cp>Today in the cafeteria, all those kids are getting whole wheat penne pasta with chorizo and kale. All the food is from local farms, Drake says.\u003c/p>\n\u003cp>\"I've got persimmons on the lunch line today,\" she said. \"How many kids have ever had a local persimmon?\"\u003c/p>\n\u003cp>In all, the \"California Thursdays\" program serves lunch for nearly 1 million schoolchildren in the state. That's about 1,700 schools in 15 districts.\u003c/p>\n\u003cp>Karen Brown is creative director of the Center for Ecoliteracy, a nonprofit based in Berkeley working with schools on sustainability. While the districts pay for the food, she says, Ecoliteracy keeps cost down by doing all the legwork including contacting farmers and setting up the kitchens.\u003c/p>\n\u003cp>Brown said their first test school district was in Oakland -- and what they found there was typical of many school cafeterias across the state.\u003c/p>\n\u003cp>\"They weren't even doing freshly prepared food then,\" Brown said. \"They were mostly just doing heat and serve.\"\u003c/p>\n\u003cp>So workers from Ecoliteracy had to set up the kitchens, pretty much from scratch.\u003c/p>\n\u003cp>\"For me, one of the things I find the most remarkable,\" Brown said, \"is that they didn't have measuring cups. They serve 7 million meals a year in Oakland Unified, and they didn't have any measuring cups.\"\u003c/p>\n\u003cp>Changing the habits of our cafeterias and the diets of our children is crucial, Brown said.\u003c/p>\n\u003cp>\"One-third of the kids in America are overweight or obese,\" she said. \"A lot of children get 35 percent of their calories every day at school. Some kids get more than half. So it's very important that those meals be as healthy as possible.\"\u003c/p>\n\u003cp>Back at the Elk Grove cafeteria, food director Michelle Drake is bracing for the next wave of kids, making sure there's enough tomatoes, strawberries, pomegranates and carrots on the fruit and vegetable cart.\u003c/p>\n\u003cp>\"We thought it was cool we put color rainbow cauliflower -- so we have purple, green and yellow cauliflower,\" Drake said. \"Kids love it just because it's colorful.\"\u003c/p>\n\u003cp>A fifth-grader named Audrey checked out the bright orange persimmons. She grabbed one from the pile and took a nibble, then a bite and seemed to decide it was okay.\u003c/p>\n\u003cp>\"I liked it. It was really good,\" Audrey said. \"It was sweet. It was kind of like a light peach, like a really light peach flavor. But it's really good.\"\u003c/p>\n\u003cp>Which, of course, brings joy to the ears of project organizers.\u003c/p>\n\u003cp>It's how health can start: One child, liking one persimmon. It's a microcosm of a shift in the taste buds and eating habits of a generation that doesn't know how to cook -- and snacks on Kit-Kats and corn chips.\u003c/p>\n\u003cp>One thing, though, said Audrey:\u003c/p>\n\u003cp>\"It tastes better without the skin. It'd be easier if they had it without the skin when they give it to you,\" she said.\u003c/p>\n\u003cp>Ah, see? You get them to try other foods, bring those food ideas home to their families, that's great. But now you have a discerning eater on your hands.\u003c/p>\n\u003cp>Maybe that's the point.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>David Gorn is senior reporter for California Healthline.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22687\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/IMG_0041-e1416872543810.jpg\">\u003cimg class=\"wp-image-22687 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/IMG_0041-640x480.jpg\" alt=\"(David Gorn/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California-grown persimmons and pears on the lunch line in Elk Grove. (David Gorn/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By David Gorn\u003c/strong>\u003c/p>\n\u003cp>At Elk Grove Elementary School, just outside Sacramento, it's lunchtime and kids are doing what kids do when they're let loose from the classroom: running around, laughing and generally having fun.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Tying farm to school so children understand the connection.\u003c/aside>\n\u003cp>But this day at Elk Grove has a little extra charge to it. It's \"California Thursday,\" a program that brings locally-grown food into school lunch rooms. And more.\u003c/p>\n\u003cp>Out on the playground, there's a lottery wheel going. Someone is running around in a carrot suit. Volunteer Katie O'Malley, a student from UC Davis, mans the almond-butter booth: whole almonds go in the top and come out below in a thick paste -- sending 9-year-olds into fits of giggles.\u003c/p>\n\u003cp>And that's the point, O'Malley said, making food fun.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"There were a few kids that really liked it,\" O'Malley said, \"and I saw them go and get their friends and bring their friends back and say, 'You need to try this, this is so good.'\"\u003c/p>\n\u003cp>But of course, like everything in school, even fun has a message.\u003c/p>\n\u003cp>\"We are offering a festival for 'California Thursdays' to tie farm to school, into the lunchroom, so (students) learn the connection,\" said Michelle Drake, director of food and nutrition for Elk Grove Unified School District.\u003c/p>\n\u003cp>\"This district is the fifth-largest district in the state of California, and we feed about 35,000 kids a day,\" Drake said.\u003c/p>\n\u003cp>Today in the cafeteria, all those kids are getting whole wheat penne pasta with chorizo and kale. All the food is from local farms, Drake says.\u003c/p>\n\u003cp>\"I've got persimmons on the lunch line today,\" she said. \"How many kids have ever had a local persimmon?\"\u003c/p>\n\u003cp>In all, the \"California Thursdays\" program serves lunch for nearly 1 million schoolchildren in the state. That's about 1,700 schools in 15 districts.\u003c/p>\n\u003cp>Karen Brown is creative director of the Center for Ecoliteracy, a nonprofit based in Berkeley working with schools on sustainability. While the districts pay for the food, she says, Ecoliteracy keeps cost down by doing all the legwork including contacting farmers and setting up the kitchens.\u003c/p>\n\u003cp>Brown said their first test school district was in Oakland -- and what they found there was typical of many school cafeterias across the state.\u003c/p>\n\u003cp>\"They weren't even doing freshly prepared food then,\" Brown said. \"They were mostly just doing heat and serve.\"\u003c/p>\n\u003cp>So workers from Ecoliteracy had to set up the kitchens, pretty much from scratch.\u003c/p>\n\u003cp>\"For me, one of the things I find the most remarkable,\" Brown said, \"is that they didn't have measuring cups. They serve 7 million meals a year in Oakland Unified, and they didn't have any measuring cups.\"\u003c/p>\n\u003cp>Changing the habits of our cafeterias and the diets of our children is crucial, Brown said.\u003c/p>\n\u003cp>\"One-third of the kids in America are overweight or obese,\" she said. \"A lot of children get 35 percent of their calories every day at school. Some kids get more than half. So it's very important that those meals be as healthy as possible.\"\u003c/p>\n\u003cp>Back at the Elk Grove cafeteria, food director Michelle Drake is bracing for the next wave of kids, making sure there's enough tomatoes, strawberries, pomegranates and carrots on the fruit and vegetable cart.\u003c/p>\n\u003cp>\"We thought it was cool we put color rainbow cauliflower -- so we have purple, green and yellow cauliflower,\" Drake said. \"Kids love it just because it's colorful.\"\u003c/p>\n\u003cp>A fifth-grader named Audrey checked out the bright orange persimmons. She grabbed one from the pile and took a nibble, then a bite and seemed to decide it was okay.\u003c/p>\n\u003cp>\"I liked it. It was really good,\" Audrey said. \"It was sweet. It was kind of like a light peach, like a really light peach flavor. But it's really good.\"\u003c/p>\n\u003cp>Which, of course, brings joy to the ears of project organizers.\u003c/p>\n\u003cp>It's how health can start: One child, liking one persimmon. It's a microcosm of a shift in the taste buds and eating habits of a generation that doesn't know how to cook -- and snacks on Kit-Kats and corn chips.\u003c/p>\n\u003cp>One thing, though, said Audrey:\u003c/p>\n\u003cp>\"It tastes better without the skin. It'd be easier if they had it without the skin when they give it to you,\" she said.\u003c/p>\n\u003cp>Ah, see? You get them to try other foods, bring those food ideas home to their families, that's great. But now you have a discerning eater on your hands.\u003c/p>\n\u003cp>Maybe that's the point.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>David Gorn is senior reporter for California Healthline.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_22701\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/iStock_000002248844_Medium-e1416877660799.jpg\">\u003cimg class=\"size-large wp-image-22701\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/iStock_000002248844_Medium-640x480.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Irene Noguchi\u003c/strong>\u003c/p>\n\u003cp>It seems almost unbelievable, but medical errors may be the third leading cause of death in America, after heart disease and cancer. That's according to \u003ca title=\"http://journals.lww.com/journalpatientsafety/Fulltext/2013/09000/A_New,_Evidence_based_Estimate_of_Patient_Harms.2.aspx\" href=\"http://journals.lww.com/journalpatientsafety/Fulltext/2013/09000/A_New,_Evidence_based_Estimate_of_Patient_Harms.2.aspx\" target=\"_blank\">an analysis\u003c/a> from Journal of Patient Safety. Could the key to change be in better communication? A \u003ca title=\"http://www.nejm.org/doi/full/10.1056/NEJMsa1405556\" href=\"http://www.nejm.org/doi/full/10.1056/NEJMsa1405556\" target=\"_blank\">new study from UC San Francisco\u003c/a> and eight other institutions, says yes. Researchers found that improving communication between health providers can reduce patient injuries from medical errors by 30 percent.\u003c/p>\n\u003cp>The team found that a highly risky period was when patients are transferred or “handed off” between medical providers. Critical information gets passed between doctors, nurses and pharmacists.\u003c/p>\n\u003cp>When there’s a shift change or a patient moves to another hospital, “there’s an opportunity for communication failure,” says Daniel West, professor of pediatrics and vice-chair at UCSF Benioff Children's Hospital.\u003c!--more-->\u003c/p>\n\u003cp>“When there’s a breakdown in communication, it sets the stage for potential errors,” West said recently on \u003ca title=\"http://www.kqed.org/a/forum/R201411130900\" href=\"http://www.kqed.org/a/forum/R201411130900\" target=\"_blank\">KQED’s Forum\u003c/a>. Those errors can lead to upwards of 1,000 deaths per day and cost trillions of dollars in health care costs each year.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Dr. West says there is no national standard for health care [health care is two words/AP style_] providers to follow when it comes to improving that handoff of information.\u003c/p>\n\u003cp>“Usually people learn on the job, what we call a ‘hidden curriculum,’” West says, where information is passed by word-of-mouth among colleagues. He wants to standardize that education with a set curriculum. Dr. West estimates that more than $1.5 billion in savings annually if every U.S. hospital adopted that curriculum.\u003c/p>\n\u003cp>Still, it’s hard to determine the exact number of deaths due to medical errors. In 1999, the Institute of Medicine stunned the public when it \u003ca title=\"http://www.iom.edu/Reports/1999/To-Err-is-Human-Building-A-Safer-Health-System.aspx\" href=\"http://www.iom.edu/Reports/1999/To-Err-is-Human-Building-A-Safer-Health-System.aspx\" target=\"_blank\">reported that 98,000 people per year\u003c/a> died from hospital mistakes. Last year, in its study, the Journal of Patient Safety found that rate was much higher -- between 210,000 and 440,000 patients suffer some preventable harm that leads to death, researchers found. The numbers vary widely, partly due to reticence in the medical community to report a colleague’s mistakes.\u003c/p>\n\u003cp>Dr. Tejal Gandhi, president of the National Patient Safety Foundation and a professor at Harvard, admits that’s largely due to what she called the “closed door” culture of hospitals. “[We should be] creating a culture where people feel comfortable talking about errors and not feeling they’re going to be fired,” she says. \"We need better systems than simply relying on reporting.”\u003c/p>\n\u003cp>California has laws pertaining to mistakes. Health care professionals are required to report errors to the Department of Public Health, and there are $100-per-day fines for non-reporting. “Laws and regulations can really incentivize people to do things differently,” says Betsy Imholz, an expert on health policy for Consumers Union.. But she admits enforcing those laws is “complicated. There isn’t one silver bullet for it.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Doctors don’t want to do badly, they go into the work to heal people,” Imholz says. But public exposure and transparency “can improve things as well.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22701\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/iStock_000002248844_Medium-e1416877660799.jpg\">\u003cimg class=\"size-large wp-image-22701\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/iStock_000002248844_Medium-640x480.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Irene Noguchi\u003c/strong>\u003c/p>\n\u003cp>It seems almost unbelievable, but medical errors may be the third leading cause of death in America, after heart disease and cancer. That's according to \u003ca title=\"http://journals.lww.com/journalpatientsafety/Fulltext/2013/09000/A_New,_Evidence_based_Estimate_of_Patient_Harms.2.aspx\" href=\"http://journals.lww.com/journalpatientsafety/Fulltext/2013/09000/A_New,_Evidence_based_Estimate_of_Patient_Harms.2.aspx\" target=\"_blank\">an analysis\u003c/a> from Journal of Patient Safety. Could the key to change be in better communication? A \u003ca title=\"http://www.nejm.org/doi/full/10.1056/NEJMsa1405556\" href=\"http://www.nejm.org/doi/full/10.1056/NEJMsa1405556\" target=\"_blank\">new study from UC San Francisco\u003c/a> and eight other institutions, says yes. Researchers found that improving communication between health providers can reduce patient injuries from medical errors by 30 percent.\u003c/p>\n\u003cp>The team found that a highly risky period was when patients are transferred or “handed off” between medical providers. Critical information gets passed between doctors, nurses and pharmacists.\u003c/p>\n\u003cp>When there’s a shift change or a patient moves to another hospital, “there’s an opportunity for communication failure,” says Daniel West, professor of pediatrics and vice-chair at UCSF Benioff Children's Hospital.\u003c!--more-->\u003c/p>\n\u003cp>“When there’s a breakdown in communication, it sets the stage for potential errors,” West said recently on \u003ca title=\"http://www.kqed.org/a/forum/R201411130900\" href=\"http://www.kqed.org/a/forum/R201411130900\" target=\"_blank\">KQED’s Forum\u003c/a>. Those errors can lead to upwards of 1,000 deaths per day and cost trillions of dollars in health care costs each year.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Dr. West says there is no national standard for health care [health care is two words/AP style_] providers to follow when it comes to improving that handoff of information.\u003c/p>\n\u003cp>“Usually people learn on the job, what we call a ‘hidden curriculum,’” West says, where information is passed by word-of-mouth among colleagues. He wants to standardize that education with a set curriculum. Dr. West estimates that more than $1.5 billion in savings annually if every U.S. hospital adopted that curriculum.\u003c/p>\n\u003cp>Still, it’s hard to determine the exact number of deaths due to medical errors. In 1999, the Institute of Medicine stunned the public when it \u003ca title=\"http://www.iom.edu/Reports/1999/To-Err-is-Human-Building-A-Safer-Health-System.aspx\" href=\"http://www.iom.edu/Reports/1999/To-Err-is-Human-Building-A-Safer-Health-System.aspx\" target=\"_blank\">reported that 98,000 people per year\u003c/a> died from hospital mistakes. Last year, in its study, the Journal of Patient Safety found that rate was much higher -- between 210,000 and 440,000 patients suffer some preventable harm that leads to death, researchers found. The numbers vary widely, partly due to reticence in the medical community to report a colleague’s mistakes.\u003c/p>\n\u003cp>Dr. Tejal Gandhi, president of the National Patient Safety Foundation and a professor at Harvard, admits that’s largely due to what she called the “closed door” culture of hospitals. “[We should be] creating a culture where people feel comfortable talking about errors and not feeling they’re going to be fired,” she says. \"We need better systems than simply relying on reporting.”\u003c/p>\n\u003cp>California has laws pertaining to mistakes. Health care professionals are required to report errors to the Department of Public Health, and there are $100-per-day fines for non-reporting. “Laws and regulations can really incentivize people to do things differently,” says Betsy Imholz, an expert on health policy for Consumers Union.. But she admits enforcing those laws is “complicated. There isn’t one silver bullet for it.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Doctors don’t want to do badly, they go into the work to heal people,” Imholz says. But public exposure and transparency “can improve things as well.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_22711\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/kevharb/3641982466/in/photolist-6xQ7v9-6LZfbL-9s4sos-28T2DM-99ViPn-dgmguP-9hR3h5-Nfmzh-8jdH2d-889SFr-88cDJL-NfmyU-Nfmyj-Nfmyo-6ixKhz-2UciR8-4bE85E-5ckU7S-58NFYU-6Kp8JA-Fzdrf-9xZjq2-kN2xrR-6ET9dj-dNcpt-6iBiAA-5oycY5-9oGNDL-6ENY4e-mGu2Yh-fzviWT-4xUBVm-dvoC4q-8r2NmF-fpMyLQ-4NJj85-6v3Vmq-a2QAyx-bD4Xj7-6VZXzw-21Evoi-4RTWeU-bD4Vah-3jkDPy-pCK7sy-bmPfZg-5mqi2H-5mqhRD-2jzJR4-eysUag\">\u003cimg class=\"size-large wp-image-22711\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/3641982466_0c8b7270c6_o-copyCROP-640x383.jpg\" alt=\"A menu board in New York City, the first city to require calories on chain restaurant menus. (Kevin Harber/Flickr)\" width=\"640\" height=\"383\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A menu board in New York City, the first city to require calories on chain restaurant menus. (Kevin Harber/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Washington (AP) -- Counting your calories will become easier under new government rules requiring chain restaurants, supermarkets, convenience stores — and even movie theaters, amusement parks and vending machines — to post the calorie content of food \"clearly and conspicuously\" on their menus.\u003c/p>\n\u003cp>The Food and Drug Administration plans to announce the long-delayed rules on Tuesday. The regulations will apply to businesses with 20 or more locations and they will be given until November 2015 to comply.\u003c/p>\n\u003cp>The idea is that people may pass on that bacon double cheeseburger at a chain restaurant, hot dog at a gas station or large popcorn at the movie theater if they know that it has hundreds of calories. Beverages are included, and alcohol will be labeled if drinks are listed on the menu.\u003c!--more-->\u003c/p>\n\u003cp>\"Americans eat and drink about one-third of their calories away from home and people today expect clear information about the products they consume,\" said FDA Commissioner Margaret Hamburg. She said the effort is just one way that Americans can combat obesity.\u003c/p>\n\u003cp>The menus and menu boards will tell diners that a 2,000-calorie diet is used as the basis for daily nutrition, noting that individual calorie needs may vary. Additional nutritional information beyond calories, including sodium, fats, sugar and other items, must be available upon request.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The rules deal a blow to the grocery and convenience store industries, which have lobbied hard to be completely exempted since the menu labels became law in 2010 as a part of health overhaul. Even before the new rules were announced, Republicans in Congress had expressed concern that they would be too burdensome for businesses.\u003c/p>\n\u003cp>The law came together when the restaurant industry agreed to the labeling in an effort to dodge a growing patchwork of city and state rules. But supermarkets, convenience stores and many other retailers that sell prepared food said they wanted no part of it. The restaurant industry pushed to include those outlets as they have increasingly offered restaurant-like service.\u003c/p>\n\u003cp>The FDA issued proposed rules in 2011 that included supermarkets and convenience stores but excluded movie theaters. The final rules being released Tuesday include all of them.\u003c/p>\n\u003cp>The restaurant industry, along with nutrition and consumer advocates, has said that any business that sells prepared foods should be included. If a rotisserie chicken is labeled with a calorie count at a takeout restaurant, it should be labeled at a grocery store, they argued.\u003c/p>\n\u003cp>Representatives for the supermarket industry have said it could cost them up to a billion dollars to put the rules in place — costs that would be passed on to consumers. They said the rules could cover thousands of items in each store, unlike restaurants, which typically have fewer items.\u003c/p>\n\u003cp>To assuage some of their concerns in the final rules, FDA excluded prepared foods that are typically intended for more than one person to eat and require more preparation, like deli meats, cheeses or bulk deli salads.\u003c/p>\n\u003cp>But a sandwich for sale at the same counter would have to have a calorie label nearby, and the majority of prepared foods in the grocery store will have to be labeled — from the salad bar to the hot food bar to cookies and birthday cakes in the bakery.\u003c/p>\n\u003cp>The pizza industry, led by delivery giant Domino's, has also vigorously fought the rules, saying there are millions of ingredient combinations possible. The FDA attempted to mollify some of their concerns by allowing pizza restaurants to label pizza calories by the slice, as they had requested, but would still force the labeling on menu boards in take-out restaurants.\u003c/p>\n\u003cp>The delivery pizza industry had asked to post information online instead, saying that only a small percentage of customers walk into their stores and about half order online.\u003c/p>\n\u003cp>As in the proposed rules, the final version still exempts airplanes, trains, food trucks and other food served on forms of transportation.\u003c/p>\n\u003cp>The idea of menu labeling is to make sure that customers process the calorie information as they are figuring out what to eat. Many restaurants currently post nutritional information in a hallway, on a hamburger wrapper or on their website. The new law will make calories immediately available for most items.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>New York City was the first in the country to put a calorie posting law in place, and other cities and states have followed since then. Several restaurant chains have already put calories on menus and menu boards nationwide.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22711\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/kevharb/3641982466/in/photolist-6xQ7v9-6LZfbL-9s4sos-28T2DM-99ViPn-dgmguP-9hR3h5-Nfmzh-8jdH2d-889SFr-88cDJL-NfmyU-Nfmyj-Nfmyo-6ixKhz-2UciR8-4bE85E-5ckU7S-58NFYU-6Kp8JA-Fzdrf-9xZjq2-kN2xrR-6ET9dj-dNcpt-6iBiAA-5oycY5-9oGNDL-6ENY4e-mGu2Yh-fzviWT-4xUBVm-dvoC4q-8r2NmF-fpMyLQ-4NJj85-6v3Vmq-a2QAyx-bD4Xj7-6VZXzw-21Evoi-4RTWeU-bD4Vah-3jkDPy-pCK7sy-bmPfZg-5mqi2H-5mqhRD-2jzJR4-eysUag\">\u003cimg class=\"size-large wp-image-22711\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/3641982466_0c8b7270c6_o-copyCROP-640x383.jpg\" alt=\"A menu board in New York City, the first city to require calories on chain restaurant menus. (Kevin Harber/Flickr)\" width=\"640\" height=\"383\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A menu board in New York City, the first city to require calories on chain restaurant menus. (Kevin Harber/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Washington (AP) -- Counting your calories will become easier under new government rules requiring chain restaurants, supermarkets, convenience stores — and even movie theaters, amusement parks and vending machines — to post the calorie content of food \"clearly and conspicuously\" on their menus.\u003c/p>\n\u003cp>The Food and Drug Administration plans to announce the long-delayed rules on Tuesday. The regulations will apply to businesses with 20 or more locations and they will be given until November 2015 to comply.\u003c/p>\n\u003cp>The idea is that people may pass on that bacon double cheeseburger at a chain restaurant, hot dog at a gas station or large popcorn at the movie theater if they know that it has hundreds of calories. Beverages are included, and alcohol will be labeled if drinks are listed on the menu.\u003c!--more-->\u003c/p>\n\u003cp>\"Americans eat and drink about one-third of their calories away from home and people today expect clear information about the products they consume,\" said FDA Commissioner Margaret Hamburg. She said the effort is just one way that Americans can combat obesity.\u003c/p>\n\u003cp>The menus and menu boards will tell diners that a 2,000-calorie diet is used as the basis for daily nutrition, noting that individual calorie needs may vary. Additional nutritional information beyond calories, including sodium, fats, sugar and other items, must be available upon request.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The rules deal a blow to the grocery and convenience store industries, which have lobbied hard to be completely exempted since the menu labels became law in 2010 as a part of health overhaul. Even before the new rules were announced, Republicans in Congress had expressed concern that they would be too burdensome for businesses.\u003c/p>\n\u003cp>The law came together when the restaurant industry agreed to the labeling in an effort to dodge a growing patchwork of city and state rules. But supermarkets, convenience stores and many other retailers that sell prepared food said they wanted no part of it. The restaurant industry pushed to include those outlets as they have increasingly offered restaurant-like service.\u003c/p>\n\u003cp>The FDA issued proposed rules in 2011 that included supermarkets and convenience stores but excluded movie theaters. The final rules being released Tuesday include all of them.\u003c/p>\n\u003cp>The restaurant industry, along with nutrition and consumer advocates, has said that any business that sells prepared foods should be included. If a rotisserie chicken is labeled with a calorie count at a takeout restaurant, it should be labeled at a grocery store, they argued.\u003c/p>\n\u003cp>Representatives for the supermarket industry have said it could cost them up to a billion dollars to put the rules in place — costs that would be passed on to consumers. They said the rules could cover thousands of items in each store, unlike restaurants, which typically have fewer items.\u003c/p>\n\u003cp>To assuage some of their concerns in the final rules, FDA excluded prepared foods that are typically intended for more than one person to eat and require more preparation, like deli meats, cheeses or bulk deli salads.\u003c/p>\n\u003cp>But a sandwich for sale at the same counter would have to have a calorie label nearby, and the majority of prepared foods in the grocery store will have to be labeled — from the salad bar to the hot food bar to cookies and birthday cakes in the bakery.\u003c/p>\n\u003cp>The pizza industry, led by delivery giant Domino's, has also vigorously fought the rules, saying there are millions of ingredient combinations possible. The FDA attempted to mollify some of their concerns by allowing pizza restaurants to label pizza calories by the slice, as they had requested, but would still force the labeling on menu boards in take-out restaurants.\u003c/p>\n\u003cp>The delivery pizza industry had asked to post information online instead, saying that only a small percentage of customers walk into their stores and about half order online.\u003c/p>\n\u003cp>As in the proposed rules, the final version still exempts airplanes, trains, food trucks and other food served on forms of transportation.\u003c/p>\n\u003cp>The idea of menu labeling is to make sure that customers process the calorie information as they are figuring out what to eat. Many restaurants currently post nutritional information in a hallway, on a hamburger wrapper or on their website. The new law will make calories immediately available for most items.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>New York City was the first in the country to put a calorie posting law in place, and other cities and states have followed since then. Several restaurant chains have already put calories on menus and menu boards nationwide.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_22655\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/RS13171_459316502-qut.jpg\">\u003cimg class=\"size-large wp-image-22655\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/RS13171_459316502-qut-640x427.jpg\" alt=\"President Barack Obama announces executive actions on U.S. immigration policy Thursday. ( Jim Bourg-Pool/Getty Images)\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">President Barack Obama announces executive actions on U.S. immigration policy Thursday. ( Jim Bourg-Pool/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>California undocumented immigrants who are eligible for deferred deportation under President Obama's \u003ca title=\"http://www.whitehouse.gov/issues/immigration/immigration-action\" href=\"http://www.whitehouse.gov/issues/immigration/immigration-action\" target=\"_blank\">executive action\u003c/a> are expected to be eligible for Medi-Cal, as long as they meet income guidelines, advocates said Thursday.\u003c/p>\n\u003cp>Medi-Cal is the state's health insurance program for people who are low income.\u003c/p>\n\u003cp>Under federal law, these immigrants are not eligible for other benefits of the Affordable Care Act, including subsidies on the Covered California exchange.\u003c!--more-->\u003c/p>\n\u003cp>Gabrielle Lessard is a health policy attorney with the Los Angeles office of the National Immigration Law Center. \"They’ll be in the same situation as DACA,\" she said, in reference to Deferred Action for Childhood Arrivals, Obama's 2012 policy for young undocumented immigrants who had come to the United States as children.\u003c/p>\n\u003cp>While most states do not extend Medicaid benefits to DACA immigrants, California does.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"'Deferred action' means those individuals who are approved are considered lawfully present,\" said Ronald Coleman, government affairs manager for the California Immigrant Policy Center. \"California has historically covered broad populations of immigrants who reside in the state.\"\u003c/p>\n\u003cp>Both Lessard and Coleman insisted no legislative action was necessary, that existing state law extends Medi-Cal benefits to immigrants who qualify under Obama's action.\u003c/p>\n\u003cp>Coleman said the immigrants benefitting from Obama's action will be \"work eligible and, as lawfully present immigrants, they will be eligible for the state Medi-Cal program ... if they are income eligible.\"\u003c/p>\n\u003cp>But Tony Cava, spokesman for the state's Department of Health Care Services said that since the agency has not received any details about the president's action, \"we are unable to assess any impact it might have on Medi-Cal services.\"\u003c/p>\n\u003cp>Cava added that federal Medicaid law requires all states to provide emergency services to undocumented people and that any information that undocumented individuals provide to determine whether they qualify for Medi-Cal may not be used \"for any type of civil immigration enforcement action under U.S. Immigration and Customs Enforcement law.\"\u003c/p>\n\u003cp>Even though that information is not supposed to be used, the fear lingers. There are\u003ca title=\"http://www.latimes.com/business/la-fi-obamacare-latinos-20141110-story.html#page=1\" href=\"http://www.latimes.com/business/la-fi-obamacare-latinos-20141110-story.html#page=1\" target=\"_blank\"> reports\u003c/a> of lawfully-present immigrants hesitant to sign up for health insurance, if they must answer questions about undocumented family members. They worry about exposing undocumented relatives to enforcement scrutiny.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Coleman estimates that of the 5 million people affected nationally by Obama's action, about 1 million of them live in California. But not all of them will be eligible for Medi-Cal, he said. Roughly 40 percent of undocumented immigrants receive employer-based insurance; others will make too much money to qualify for Medi-Cal.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"'Deferred action' means those individuals who are approved are considered lawfully present,\" said Ronald Coleman, government affairs manager for the California Immigrant Policy Center. \"California has historically covered broad populations of immigrants who reside in the state.\"\u003c/p>\n\u003cp>Both Lessard and Coleman insisted no legislative action was necessary, that existing state law extends Medi-Cal benefits to immigrants who qualify under Obama's action.\u003c/p>\n\u003cp>Coleman said the immigrants benefitting from Obama's action will be \"work eligible and, as lawfully present immigrants, they will be eligible for the state Medi-Cal program ... if they are income eligible.\"\u003c/p>\n\u003cp>But Tony Cava, spokesman for the state's Department of Health Care Services said that since the agency has not received any details about the president's action, \"we are unable to assess any impact it might have on Medi-Cal services.\"\u003c/p>\n\u003cp>Cava added that federal Medicaid law requires all states to provide emergency services to undocumented people and that any information that undocumented individuals provide to determine whether they qualify for Medi-Cal may not be used \"for any type of civil immigration enforcement action under U.S. Immigration and Customs Enforcement law.\"\u003c/p>\n\u003cp>Even though that information is not supposed to be used, the fear lingers. There are\u003ca title=\"http://www.latimes.com/business/la-fi-obamacare-latinos-20141110-story.html#page=1\" href=\"http://www.latimes.com/business/la-fi-obamacare-latinos-20141110-story.html#page=1\" target=\"_blank\"> reports\u003c/a> of lawfully-present immigrants hesitant to sign up for health insurance, if they must answer questions about undocumented family members. They worry about exposing undocumented relatives to enforcement scrutiny.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Coleman estimates that of the 5 million people affected nationally by Obama's action, about 1 million of them live in California. But not all of them will be eligible for Medi-Cal, he said. Roughly 40 percent of undocumented immigrants receive employer-based insurance; others will make too much money to qualify for Medi-Cal.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Kaiser Mental Health Clinicians Authorize Strike",
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"content": "\u003cfigure id=\"attachment_20235\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/photo-3-e1414092083605.jpg\">\u003cimg class=\"size-large wp-image-20235\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/photo-3-640x480.jpg\" alt=\"Kaiser Permanente's newly opened medical center in Oakland. (Lisa Aliferis/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kaiser Permanente's newly opened medical center in Oakland. (Lisa Aliferis/KQED) \u003ccite>(Lisa Aliferis/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A union of 2,500 mental health clinicians at Kaiser have voted to authorize a strike, just one week after Kaiser's nurses\u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/11/17/nurses-to-resume-negotiations-with-kaiser-after-strike/\" href=\"http://ww2.kqed.org/stateofhealth/2014/11/17/nurses-to-resume-negotiations-with-kaiser-after-strike/\" target=\"_blank\"> went on strike for two days\u003c/a>.\u003c/p>\n\u003cp>In September, Kaiser agreed to pay a \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/09/09/kaiser-agrees-to-pay-4-million-fine-over-mental-health-care-drops-lawsuit/\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/09/kaiser-agrees-to-pay-4-million-fine-over-mental-health-care-drops-lawsuit/\" target=\"_blank\">$4-million fine levied by state regulators\u003c/a>. The Department of Managed Health Care found patients were subject to \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/07/17/therapists-patients-criticize-kaiser-over-long-delays-for-therapy/\" href=\"http://ww2.kqed.org/stateofhealth/2014/07/17/therapists-patients-criticize-kaiser-over-long-delays-for-therapy/\" target=\"_blank\">excessively long wait times \u003c/a>to get a therapy appointment, or were shuttled into groups when they wanted individual therapy.\u003c/p>\n\u003cp>Psychiatric social worker Clement Papazian says various fixes, like after-hours appointments, still aren't meeting demand.\u003c!--more-->\u003c/p>\n\u003cp>\"Kaiser has attempted to make some changes, but they're woefully inadequate in really addressing the full nature of the problem,\" he says. \"Our mental health workers are really fed up.\"\u003c/p>\n\u003cp>These complaints are part of a long, drawn-out contract negotiation between Kaiser and its psychologists and therapists. Bargaining has been dragging on for four years with no settlement. And the small, scrappy National Union of Healthcare Workers is eager to make a name for itself.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Union president Sal Rosselli says the threat of a statewide strike will strengthen the union's position when they return to the table next month.\u003c/p>\n\u003cp>\"We've had it,\" Rosselli said. \"We're drawing a line in the sand. And we'll be presenting Kaiser with a final offer to resolve this crisis.\"\u003c/p>\n\u003cp>In a statement, Kaiser was critical of the union's strike vote:\u003c/p>\n\u003cblockquote>\u003cp>“After a long hiatus, NUHW has now approached Kaiser Permanente to resume bargaining in Northern California. But for the union to threaten a strike before we even meet, and to resort to clichéd bargaining tactics, makes us concerned about the union’s intentions. We hope the union will join us in seeking solutions to the challenges we face. But whichever way the union chooses to go, we are going to continue to work hard on our own to make progress.”\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>Kaiser says the union has resisted several of its proposals, like sending some patients to non-Kaiser therapists for treatment. It says increasing access to mental health care is a challenge faced by the entire health care industry, and Kaiser is working hard to make improvements.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20235\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/photo-3-e1414092083605.jpg\">\u003cimg class=\"size-large wp-image-20235\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/photo-3-640x480.jpg\" alt=\"Kaiser Permanente's newly opened medical center in Oakland. (Lisa Aliferis/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kaiser Permanente's newly opened medical center in Oakland. (Lisa Aliferis/KQED) \u003ccite>(Lisa Aliferis/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A union of 2,500 mental health clinicians at Kaiser have voted to authorize a strike, just one week after Kaiser's nurses\u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/11/17/nurses-to-resume-negotiations-with-kaiser-after-strike/\" href=\"http://ww2.kqed.org/stateofhealth/2014/11/17/nurses-to-resume-negotiations-with-kaiser-after-strike/\" target=\"_blank\"> went on strike for two days\u003c/a>.\u003c/p>\n\u003cp>In September, Kaiser agreed to pay a \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/09/09/kaiser-agrees-to-pay-4-million-fine-over-mental-health-care-drops-lawsuit/\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/09/kaiser-agrees-to-pay-4-million-fine-over-mental-health-care-drops-lawsuit/\" target=\"_blank\">$4-million fine levied by state regulators\u003c/a>. The Department of Managed Health Care found patients were subject to \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/07/17/therapists-patients-criticize-kaiser-over-long-delays-for-therapy/\" href=\"http://ww2.kqed.org/stateofhealth/2014/07/17/therapists-patients-criticize-kaiser-over-long-delays-for-therapy/\" target=\"_blank\">excessively long wait times \u003c/a>to get a therapy appointment, or were shuttled into groups when they wanted individual therapy.\u003c/p>\n\u003cp>Psychiatric social worker Clement Papazian says various fixes, like after-hours appointments, still aren't meeting demand.\u003c!--more-->\u003c/p>\n\u003cp>\"Kaiser has attempted to make some changes, but they're woefully inadequate in really addressing the full nature of the problem,\" he says. \"Our mental health workers are really fed up.\"\u003c/p>\n\u003cp>These complaints are part of a long, drawn-out contract negotiation between Kaiser and its psychologists and therapists. Bargaining has been dragging on for four years with no settlement. And the small, scrappy National Union of Healthcare Workers is eager to make a name for itself.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Union president Sal Rosselli says the threat of a statewide strike will strengthen the union's position when they return to the table next month.\u003c/p>\n\u003cp>\"We've had it,\" Rosselli said. \"We're drawing a line in the sand. And we'll be presenting Kaiser with a final offer to resolve this crisis.\"\u003c/p>\n\u003cp>In a statement, Kaiser was critical of the union's strike vote:\u003c/p>\n\u003cblockquote>\u003cp>“After a long hiatus, NUHW has now approached Kaiser Permanente to resume bargaining in Northern California. But for the union to threaten a strike before we even meet, and to resort to clichéd bargaining tactics, makes us concerned about the union’s intentions. We hope the union will join us in seeking solutions to the challenges we face. But whichever way the union chooses to go, we are going to continue to work hard on our own to make progress.”\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>Kaiser says the union has resisted several of its proposals, like sending some patients to non-Kaiser therapists for treatment. It says increasing access to mental health care is a challenge faced by the entire health care industry, and Kaiser is working hard to make improvements.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_22632\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/iStock_000036330748_FullCROP-e1416439785831.jpg\">\u003cimg class=\"size-large wp-image-22632\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/iStock_000036330748_FullCROP-640x440.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"440\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Charlie Spiegel said he was \"thrilled\" when he learned that the Department of Managed Health Care was \u003ca title=\"http://www.mercurynews.com/health/ci_26965329/two-covered-california-health-insurance-plans-misled-consumers\" href=\"http://www.mercurynews.com/health/ci_26965329/two-covered-california-health-insurance-plans-misled-consumers\" target=\"_blank\">taking action \u003c/a>against two major insurers that sell policies on the Covered California marketplace. The companies, DMHC says, had violated state law by listing doctors on their online directories who were not part of their network.\u003c/p>\n\u003cp>Spiegel, of San Francisco, is not a Covered California policy-holder, but he's having significant problems of his own with the individual policy he bought from Anthem Blue Cross earlier this year.\u003c/p>\n\u003cp>Here's the background: Spiegel, 56, says he enjoys good health, but had been postponing various preventive tests due to cost. Before the Affordable Care Act went into effect, he had a high deductible plan.\u003c!--more-->\u003c/p>\n\u003cp>\"I decided this would be the year to get a really good plan and get all the care done,\" he told me.\u003c/p>\n\u003cp>He decided to go with a plan that would have a higher monthly premium so that more of his health care would be covered at the time of service. Spiegel, 56, wanted to go with an Anthem plan. He called his doctor -- part of the Sutter Health system -- and his doctor confirmed he would take the insurance. Spiegel then confirmed with Anthem that the doctor was part of its network.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>He bought the policy and visited the doctor for a physical and a follow-up appointment. Then he got a $600 bill in the mail.\u003c/p>\n\u003cp>Sutter was no longer in the Anthem network. Neither party had \"bothered to tell me,\" Spiegel said.\u003c/p>\n\u003cp>That was over the summer. Spiegel had two problems. First, he didn't think he should be on the hook for the primary care visits, since he had sought what he thought was in-network care. He has filed appeals with Anthem and two more \u003ca title=\"http://www.dmhc.ca.gov/fileacomplaint.aspx#.VG0io0vJ4Ts\" href=\"http://www.dmhc.ca.gov/fileacomplaint.aspx#.VG0io0vJ4Ts\" target=\"_blank\">complaints with DMHC\u003c/a>. But he also needed an in-network primary care doctor. He had developed back spasms and was in pain.\u003c/p>\n\u003cp>He would spend weeks trying to find a doctor accepting new patients.\u003c/p>\n\u003cp>UC San Francisco was in his Anthem network and has plenty of doctors. Spiegel checked Anthem's directory, but he was \"looking at lists of 500 doctors.\" He called doctors randomly, only to find they were not accepting new patients.\u003c/p>\n\u003cp>Finally, he says, a UCSF receptionist pointed him to its \u003ca title=\"http://www.ucsfhealth.org/clinics/primary_care/\" href=\"http://www.ucsfhealth.org/clinics/primary_care/\" target=\"_blank\">medical center website\u003c/a> for people looking for a doctor. Even for doctors on that list, appointments were two or three months out. At long last, someone told him of a doctor so new to UCSF that the doctor was not yet on the website. And because he was so new, he was accepting new patients. Spiegel was in.\u003c/p>\n\u003cp>\"Now that I'm in a system and have a primary care doctor, I'm getting actual care from UC,\" Spiegel says, \"and I'm having the usual fights with insurance companies about prior authorization, but at least now I have medical care.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Spiegel is a self-employed attorney. Since he sets his own schedule, he says, he has been able to spend time on the phone looking for a doctor or filing complaints with DMHC. What about the people \"who don't have these kinds of advantages,\" he says. \"For six months I couldn't make the system work to give me health care. I have an obligation to demonstrate the problem, because I'm one of the people who can do it.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>He bought the policy and visited the doctor for a physical and a follow-up appointment. Then he got a $600 bill in the mail.\u003c/p>\n\u003cp>Sutter was no longer in the Anthem network. Neither party had \"bothered to tell me,\" Spiegel said.\u003c/p>\n\u003cp>That was over the summer. Spiegel had two problems. First, he didn't think he should be on the hook for the primary care visits, since he had sought what he thought was in-network care. He has filed appeals with Anthem and two more \u003ca title=\"http://www.dmhc.ca.gov/fileacomplaint.aspx#.VG0io0vJ4Ts\" href=\"http://www.dmhc.ca.gov/fileacomplaint.aspx#.VG0io0vJ4Ts\" target=\"_blank\">complaints with DMHC\u003c/a>. But he also needed an in-network primary care doctor. He had developed back spasms and was in pain.\u003c/p>\n\u003cp>He would spend weeks trying to find a doctor accepting new patients.\u003c/p>\n\u003cp>UC San Francisco was in his Anthem network and has plenty of doctors. Spiegel checked Anthem's directory, but he was \"looking at lists of 500 doctors.\" He called doctors randomly, only to find they were not accepting new patients.\u003c/p>\n\u003cp>Finally, he says, a UCSF receptionist pointed him to its \u003ca title=\"http://www.ucsfhealth.org/clinics/primary_care/\" href=\"http://www.ucsfhealth.org/clinics/primary_care/\" target=\"_blank\">medical center website\u003c/a> for people looking for a doctor. Even for doctors on that list, appointments were two or three months out. At long last, someone told him of a doctor so new to UCSF that the doctor was not yet on the website. And because he was so new, he was accepting new patients. Spiegel was in.\u003c/p>\n\u003cp>\"Now that I'm in a system and have a primary care doctor, I'm getting actual care from UC,\" Spiegel says, \"and I'm having the usual fights with insurance companies about prior authorization, but at least now I have medical care.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Spiegel is a self-employed attorney. Since he sets his own schedule, he says, he has been able to spend time on the phone looking for a doctor or filing complaints with DMHC. What about the people \"who don't have these kinds of advantages,\" he says. \"For six months I couldn't make the system work to give me health care. I have an obligation to demonstrate the problem, because I'm one of the people who can do it.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_22548\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/458806130-e1416265695728.jpg\">\u003cimg class=\"size-large wp-image-22548\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/458806130-640x432.jpg\" alt=\"Nurses carry signs as they strike outside of Kaiser Permanente hospital in San Francisco last week. (Justin Sullivan/Getty Images)\" width=\"640\" height=\"432\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nurses carry signs as they strike outside of Kaiser Permanente hospital in San Francisco last week. (Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Nurses are gearing up to return to the bargaining table with Kaiser, after walking off the job for a two-day strike.\u003c/p>\n\u003cp>Though the nurses emphasized the stalemate over more than 35 operational proposals in their \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/11/09/kaiser-nurses-plan-2-day-strike-premature-move-or-strategic-step/\">call for the strike\u003c/a> – over things like staffing levels and Ebola protections – several nurses on the picket lines expressed concerns about economic issues. Many of them wore pins that said \"No TakeAways.\"\u003c/p>\n\u003cp>Nurse Ama Jackson says they are afraid Kaiser will try to cut their pensions and health care benefits.\u003c/p>\n\u003cp>“They want to do takeaways, because they want to increase their profits,” she said, as hundreds of nurses marched up and down the sidewalk outside Kaiser's hospital in Oakland last Tuesday. “But nurses are saying, 'That’s not fair. That’s not fair to how hard we work.'”\u003c!--more-->\u003c/p>\n\u003cp>It's been three months of bargaining, but neither side has made any formal economic proposals in the negotiations yet. Nurses say they have made clear that they simply want to renew the same contract they passed in the last round of bargaining in 2011.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We have a very strong contract that we’re trying to protect,” says Linda Pasek, an oncology infusion nurse at Kaiser Oakland. “We’re not asking for anything more than what we had for the last three years. We’re just asking to keep what we have.”\u003c/p>\n\u003cp>Right now, Kaiser nurses are guaranteed cost-of-living increases to their salaries, plus 100 percent employer-paid health benefits and a pension.\u003c/p>\n\u003cp>“We want to keep our pensions, our health care,” Pasek says. “We don’t want to pay for our health care. We want that to be a human right.”\u003c/p>\n\u003cp>Kaiser has been silent on these issues. Nurses say Kaiser was supposed to put its economic proposals on the table in late October, but didn’t. Kaiser says it doesn’t want to make any economic proposals until all of the operational issues have been resolved.\u003c/p>\n\u003cp>“I can reassure you that nurses at Kaiser are paid extremely well -- very, very fair wages and benefits,” said Odette Bolano, senior vice president for Kaiser's East Bay facilities.\u003c/p>\n\u003cp>She points to a current trend in the health care industry, where hospitals are considering shifting from hospital-backed pension plans to more common retirement funds that employees have to contribute to, like a 401(k) or a 403(b).\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Everybody’s evaluating that,” she said. “Every industry is evaluating their pension plans to make sure that they’re affordable in the future.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We have a very strong contract that we’re trying to protect,” says Linda Pasek, an oncology infusion nurse at Kaiser Oakland. “We’re not asking for anything more than what we had for the last three years. We’re just asking to keep what we have.”\u003c/p>\n\u003cp>Right now, Kaiser nurses are guaranteed cost-of-living increases to their salaries, plus 100 percent employer-paid health benefits and a pension.\u003c/p>\n\u003cp>“We want to keep our pensions, our health care,” Pasek says. “We don’t want to pay for our health care. We want that to be a human right.”\u003c/p>\n\u003cp>Kaiser has been silent on these issues. Nurses say Kaiser was supposed to put its economic proposals on the table in late October, but didn’t. Kaiser says it doesn’t want to make any economic proposals until all of the operational issues have been resolved.\u003c/p>\n\u003cp>“I can reassure you that nurses at Kaiser are paid extremely well -- very, very fair wages and benefits,” said Odette Bolano, senior vice president for Kaiser's East Bay facilities.\u003c/p>\n\u003cp>She points to a current trend in the health care industry, where hospitals are considering shifting from hospital-backed pension plans to more common retirement funds that employees have to contribute to, like a 401(k) or a 403(b).\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Everybody’s evaluating that,” she said. “Every industry is evaluating their pension plans to make sure that they’re affordable in the future.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"link": "/radio/program/bbc-world-service",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2",
"tuneIn": "https://tunein.com/radio/BBC-World-Service-p455581/",
"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/californiareport",
"meta": {
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"source": "kqed",
"order": 8
},
"link": "/californiareport",
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"amazon": "https://music.amazon.com/podcasts/26099305-72af-4542-9dde-ac1807fe36d5/kqed-s-the-california-report",
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}
},
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"id": "californiareportmagazine",
"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Magazine-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/californiareportmagazine",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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}
},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
"officialWebsiteLink": "https://www.cityarts.net/",
"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
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"officialWebsiteLink": "/podcasts/closealltabs",
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"order": 1
},
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
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},
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2",
"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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}
},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"meta": {
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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},
"freakonomics-radio": {
"id": "freakonomics-radio",
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"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
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},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"here-and-now": {
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
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"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
"link": "/podcasts/hyphenacion",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"info": "One of public radio's most dynamic voices, Sam Sanders helped launch The NPR Politics Podcast and hosted NPR's hit show It's Been A Minute. Now, the award-winning host returns with something brand new, The Sam Sanders Show. Every week, Sam Sanders and friends dig into the culture that shapes our lives: what's driving the biggest trends, how artists really think, and even the memes you can't stop scrolling past. Sam is beloved for his way of unpacking the world and bringing you up close to fresh currents and engaging conversations. The Sam Sanders Show is smart, funny and always a good time.",
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