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"content": "\u003cfigure id=\"attachment_22155\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Ebola_003crop-e1413929297755.jpg\">\u003cimg class=\"size-large wp-image-22155\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Ebola_003crop-640x354.jpg\" alt=\"Gov. Jerry Brown and other state officials meet with California nurses to discuss Ebola preparedness. (Brad Alexander/Office of the Governor)\" width=\"640\" height=\"354\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Gov. Jerry Brown and other state officials meet with California nurses to discuss Ebola preparedness. (Brad Alexander/Office of the Governor)\u003c/figcaption>\u003c/figure>\n\u003cp>Gov. Jerry Brown met with top public health officials and nursing union leaders Tuesday to discuss efforts to prepare for Ebola. The meetings came on the heels of\u003ca title=\"http://www.npr.org/2014/10/20/357628395/cdc-releasing-new-guidelines-for-health-workers-treating-ebola\" href=\"http://www.npr.org/2014/10/20/357628395/cdc-releasing-new-guidelines-for-health-workers-treating-ebola\" target=\"_blank\"> new guidance\u003c/a> issued by the Centers for Disease Control and Prevention Monday night.\u003c/p>\n\u003cp>There are no known cases of Ebola in California. But after two nurses in Texas became infected after treating an Ebola patient there, the CDC is now recommending that hospitals provide better protective equipment for health workers, and hands-on training for how to put it on and take it off.\u003c/p>\n\u003cp>But the California Nurses Association (CNA) says the guidelines don't go far enough.\u003c!--more-->\u003c/p>\n\u003cp>Oakland nurse Katy Roemer says the CNA wants the governor to issue a mandate that forces hospitals to follow through with the training, and the CNA wants hospitals to provide protective suits that go beyond CDC guidelines.\u003c/p>\n\u003cp>\"We want full Hazmat suits,\" Roemer said in reference to hazardous materials suits, \"so that when we are in a room risking our lives taking care of these patients, that we are protected.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The governor's office did not respond to this request, but issued \u003ca title=\"http://gov.ca.gov/news.php?id=18759\" href=\"http://gov.ca.gov/news.php?id=18759\" target=\"_blank\">a statement\u003c/a> saying state officials are taking steps to ensure hospitals are prepared for Ebola.\u003c/p>\n\u003cp>The Sacramento Bee \u003ca title=\"http://www.sacbee.com/news/politics-government/capitol-alert/article3206175.html\" href=\"http://www.sacbee.com/news/politics-government/capitol-alert/article3206175.html\" target=\"_blank\">released a video\u003c/a> of a press conference where RoseAnn DeMoro, executive director of the National Nurses United/CNA, stated that \"none of the hospitals in California are prepared for Ebola.\"\u003c/p>\n\u003cdiv>\u003ca class=\"embedly-card\" href=\"http://youtu.be/qwH5dAM7MVc\">Nurses call California hospitals unprepared for Ebola\u003c/a>\u003c/div>\n\u003cp>The California Hospital Association rebutted the nurses and \u003ca title=\"http://www.calhospital.org/sites/main/files/file-attachments/cha_acnl_ana_ebola_statement_102014.pdf\" href=\"http://www.calhospital.org/sites/main/files/file-attachments/cha_acnl_ana_ebola_statement_102014.pdf\" target=\"_blank\">issued a statement\u003c/a> of its own, saying that California hospitals are prepared for Ebola.\u003c/p>\n\u003cp>Meanwhile, across the country, federal authorities are now routing all passengers traveling to the U.S. from West African countries affected by the Ebola virus through one of five airports.\u003c/p>\n\u003cp>None of those airports are in California. But the state’s busiest -- Los Angeles International Airport -- is taking precautions anyway.\u003c/p>\n\u003cp>L.A. County’s public health chief, Dr. Jeffrey Gunzenhauser, says his office will be working closely with the handful of U.S. airports now screening all passengers who arrive from Liberia, Sierra Leone and Guinea.\u003c/p>\n\u003cp>He says if any of those passengers are then headed to LAX, the Los Angeles County Department of Public Health will know about it. “If the last point of the travel is actually our city,” says Gunzenhauser, “this will really provide us a great opportunity to monitor the individuals who just traveled from West Africa to Los Angeles County.”\u003c/p>\n\u003cp>In Santa Clara County, health officials provided their third update to the Board of Supervisors. The officials say they’ve implemented Ebola screening at the emergency department of Valley Medical Center in San Jose and other health care settings.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Peter Jon Shuler and Steven Cuevas contributed to this report. \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22155\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Ebola_003crop-e1413929297755.jpg\">\u003cimg class=\"size-large wp-image-22155\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Ebola_003crop-640x354.jpg\" alt=\"Gov. Jerry Brown and other state officials meet with California nurses to discuss Ebola preparedness. (Brad Alexander/Office of the Governor)\" width=\"640\" height=\"354\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Gov. Jerry Brown and other state officials meet with California nurses to discuss Ebola preparedness. (Brad Alexander/Office of the Governor)\u003c/figcaption>\u003c/figure>\n\u003cp>Gov. Jerry Brown met with top public health officials and nursing union leaders Tuesday to discuss efforts to prepare for Ebola. The meetings came on the heels of\u003ca title=\"http://www.npr.org/2014/10/20/357628395/cdc-releasing-new-guidelines-for-health-workers-treating-ebola\" href=\"http://www.npr.org/2014/10/20/357628395/cdc-releasing-new-guidelines-for-health-workers-treating-ebola\" target=\"_blank\"> new guidance\u003c/a> issued by the Centers for Disease Control and Prevention Monday night.\u003c/p>\n\u003cp>There are no known cases of Ebola in California. But after two nurses in Texas became infected after treating an Ebola patient there, the CDC is now recommending that hospitals provide better protective equipment for health workers, and hands-on training for how to put it on and take it off.\u003c/p>\n\u003cp>But the California Nurses Association (CNA) says the guidelines don't go far enough.\u003c!--more-->\u003c/p>\n\u003cp>Oakland nurse Katy Roemer says the CNA wants the governor to issue a mandate that forces hospitals to follow through with the training, and the CNA wants hospitals to provide protective suits that go beyond CDC guidelines.\u003c/p>\n\u003cp>\"We want full Hazmat suits,\" Roemer said in reference to hazardous materials suits, \"so that when we are in a room risking our lives taking care of these patients, that we are protected.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The governor's office did not respond to this request, but issued \u003ca title=\"http://gov.ca.gov/news.php?id=18759\" href=\"http://gov.ca.gov/news.php?id=18759\" target=\"_blank\">a statement\u003c/a> saying state officials are taking steps to ensure hospitals are prepared for Ebola.\u003c/p>\n\u003cp>The Sacramento Bee \u003ca title=\"http://www.sacbee.com/news/politics-government/capitol-alert/article3206175.html\" href=\"http://www.sacbee.com/news/politics-government/capitol-alert/article3206175.html\" target=\"_blank\">released a video\u003c/a> of a press conference where RoseAnn DeMoro, executive director of the National Nurses United/CNA, stated that \"none of the hospitals in California are prepared for Ebola.\"\u003c/p>\n\u003cdiv>\u003ca class=\"embedly-card\" href=\"http://youtu.be/qwH5dAM7MVc\">Nurses call California hospitals unprepared for Ebola\u003c/a>\u003c/div>\n\u003cp>The California Hospital Association rebutted the nurses and \u003ca title=\"http://www.calhospital.org/sites/main/files/file-attachments/cha_acnl_ana_ebola_statement_102014.pdf\" href=\"http://www.calhospital.org/sites/main/files/file-attachments/cha_acnl_ana_ebola_statement_102014.pdf\" target=\"_blank\">issued a statement\u003c/a> of its own, saying that California hospitals are prepared for Ebola.\u003c/p>\n\u003cp>Meanwhile, across the country, federal authorities are now routing all passengers traveling to the U.S. from West African countries affected by the Ebola virus through one of five airports.\u003c/p>\n\u003cp>None of those airports are in California. But the state’s busiest -- Los Angeles International Airport -- is taking precautions anyway.\u003c/p>\n\u003cp>L.A. County’s public health chief, Dr. Jeffrey Gunzenhauser, says his office will be working closely with the handful of U.S. airports now screening all passengers who arrive from Liberia, Sierra Leone and Guinea.\u003c/p>\n\u003cp>He says if any of those passengers are then headed to LAX, the Los Angeles County Department of Public Health will know about it. “If the last point of the travel is actually our city,” says Gunzenhauser, “this will really provide us a great opportunity to monitor the individuals who just traveled from West Africa to Los Angeles County.”\u003c/p>\n\u003cp>In Santa Clara County, health officials provided their third update to the Board of Supervisors. The officials say they’ve implemented Ebola screening at the emergency department of Valley Medical Center in San Jose and other health care settings.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Peter Jon Shuler and Steven Cuevas contributed to this report. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Portrait of Health, Well-Being in California's Latino Children",
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"content": "\u003cfigure id=\"attachment_22150\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/kkseema/2042946052/sizes/o/\">\u003cimg class=\"size-large wp-image-22150\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/2042946052_a22ba72884_o1-640x426.jpg\" alt=\"(Seema Krishnakumar/Flickr)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Seema Krishnakumar/Flickr) \u003ccite>(Seema Krishnakumar via Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Just over half of all children in California are Latino -- that's more than 4.7 million kids under age 18. In a \u003ca title=\"http://www.kidsdata.org/blog/?p=7110\" href=\"http://www.kidsdata.org/blog/?p=7110\" target=\"_blank\">major new analysis\u003c/a>, researchers found a diverse picture of their health and well-being, not just when compared against white children, but also within the Latino population itself.\u003c/p>\n\u003cp>More than 94 percent of California's Latino children were born in the U.S., and most of them were born in California.\u003c/p>\n\u003cp>Fewer Latino children overall achieve a minimum standard of basic health care or family and community environment when compared against white children, and children in households where Spanish is spoken at home have even lower rates.\u003c!--more-->\u003c/p>\n\u003cp>Still, most parents of these children report that their children are in \"good\" or \"excellent\" health.\u003c/p>\n\u003cp>The study was commissioned by the Lucile Packard Foundation for Children's Health in Palo Alto and was conducted by the \u003ca title=\"http://www.cahmi.org\" href=\"http://www.cahmi.org\" target=\"_blank\">Child and Adolescent Health Measurement Initiative\u003c/a> based at Johns Hopkins University.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Researchers found that about a fourth of Spanish-speaking households are considered \"linguistically isolated,\" meaning no one in the household who is 14 or older speaks English well.\u003c/p>\n\u003cp>Other findings:\u003c/p>\n\u003cul>\n\u003cli>370,000 Latino children in California do not have health insurance, even though they are eligible for government programs such as Medi-Cal, the state's health insurance program for people who are low income.\u003c/li>\n\u003cli>Nearly a third (30 percent) of Latino children living in a primarily Spanish-speaking home lives in a working poor household, where parents work full time, but earn less than 100 percent of the federal poverty level.\u003c/li>\n\u003cli>58 percent of children in primarily Spanish-speaking homes use a community clinic or hospital or a government clinic as their usual source of health care, significantly higher than white children do (15 percent) off Latino children in primarily English-speaking families (18 percent).\u003c/li>\n\u003cli>While nearly all Latino children were born in the U.S., nearly half (46 percent) of their mothers were born outside of the U.S.\u003c/li>\n\u003c/ul>\n\u003cp>The researchers said their California findings were consistent with a recent \u003ca title=\"http://www.childtrends.org/?publications=americas-hispanic-children-gaining-ground-looking-forward\" href=\"http://www.childtrends.org/?publications=americas-hispanic-children-gaining-ground-looking-forward\" target=\"_blank\">national study \u003c/a>of Latino children, which also found lower rates of health insurance as well as health disparities.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>To address disparities, the researchers recommended the following policies:\u003c/p>\n\u003cul>\n\u003cli>Improved access to and quality of health care\u003c/li>\n\u003cli>Improved early childhood education for every Latino child \"as a pathway to school readiness.\"\u003c/li>\n\u003c/ul>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22150\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/kkseema/2042946052/sizes/o/\">\u003cimg class=\"size-large wp-image-22150\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/2042946052_a22ba72884_o1-640x426.jpg\" alt=\"(Seema Krishnakumar/Flickr)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Seema Krishnakumar/Flickr) \u003ccite>(Seema Krishnakumar via Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Just over half of all children in California are Latino -- that's more than 4.7 million kids under age 18. In a \u003ca title=\"http://www.kidsdata.org/blog/?p=7110\" href=\"http://www.kidsdata.org/blog/?p=7110\" target=\"_blank\">major new analysis\u003c/a>, researchers found a diverse picture of their health and well-being, not just when compared against white children, but also within the Latino population itself.\u003c/p>\n\u003cp>More than 94 percent of California's Latino children were born in the U.S., and most of them were born in California.\u003c/p>\n\u003cp>Fewer Latino children overall achieve a minimum standard of basic health care or family and community environment when compared against white children, and children in households where Spanish is spoken at home have even lower rates.\u003c!--more-->\u003c/p>\n\u003cp>Still, most parents of these children report that their children are in \"good\" or \"excellent\" health.\u003c/p>\n\u003cp>The study was commissioned by the Lucile Packard Foundation for Children's Health in Palo Alto and was conducted by the \u003ca title=\"http://www.cahmi.org\" href=\"http://www.cahmi.org\" target=\"_blank\">Child and Adolescent Health Measurement Initiative\u003c/a> based at Johns Hopkins University.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Researchers found that about a fourth of Spanish-speaking households are considered \"linguistically isolated,\" meaning no one in the household who is 14 or older speaks English well.\u003c/p>\n\u003cp>Other findings:\u003c/p>\n\u003cul>\n\u003cli>370,000 Latino children in California do not have health insurance, even though they are eligible for government programs such as Medi-Cal, the state's health insurance program for people who are low income.\u003c/li>\n\u003cli>Nearly a third (30 percent) of Latino children living in a primarily Spanish-speaking home lives in a working poor household, where parents work full time, but earn less than 100 percent of the federal poverty level.\u003c/li>\n\u003cli>58 percent of children in primarily Spanish-speaking homes use a community clinic or hospital or a government clinic as their usual source of health care, significantly higher than white children do (15 percent) off Latino children in primarily English-speaking families (18 percent).\u003c/li>\n\u003cli>While nearly all Latino children were born in the U.S., nearly half (46 percent) of their mothers were born outside of the U.S.\u003c/li>\n\u003c/ul>\n\u003cp>The researchers said their California findings were consistent with a recent \u003ca title=\"http://www.childtrends.org/?publications=americas-hispanic-children-gaining-ground-looking-forward\" href=\"http://www.childtrends.org/?publications=americas-hispanic-children-gaining-ground-looking-forward\" target=\"_blank\">national study \u003c/a>of Latino children, which also found lower rates of health insurance as well as health disparities.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>To address disparities, the researchers recommended the following policies:\u003c/p>\n\u003cul>\n\u003cli>Improved access to and quality of health care\u003c/li>\n\u003cli>Improved early childhood education for every Latino child \"as a pathway to school readiness.\"\u003c/li>\n\u003c/ul>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "In Berkeley, Soda Tax Measure Is New Front in Social Activism",
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"content": "\u003cfigure id=\"attachment_22123\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Screen-Shot-2014-10-20-at-10.36.01-AM-e1413826601647.png\">\u003cimg class=\"size-large wp-image-22123\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Screen-Shot-2014-10-20-at-10.36.01-AM-640x417.png\" alt=\"Mario Savio stands on top of police car in front of Sproul Hall on Oct 1. 1964. (Courtesy of UC Berkeley, The Bancroft Library).\" width=\"640\" height=\"417\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Mario Savio stands on top of police car in front of UC Berkeley's Sproul Hall on Oct 1. 1964. The protest is considered the birth of the Free Speech Movement. (Courtesy of UC Berkeley, The Bancroft Library).\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Erika Kelly\u003c/strong>\u003c/p>\n\u003cp>Berkeley, the originator of movements ranging from Free Speech to Healthy Eating has a new cause: taking on the soft drink industry. On November 4th, the city's voters will decide whether to tax sodas and other sugar-sweetened beverages.\u003c/p>\n\u003caside class=\"pullquote alignleft\">'My entire family has been a part of activism around Berkeley.'\u003cbr> -- Dr. Vicki Alexander\u003c/aside>\n\u003cp>No such tax has ever passed anywhere in the nation.\u003c/p>\n\u003cp>The effort is bringing out progressives in Berkeley who have lobbied for social change for decades. Berkeley city leaders and health advocates have joined a coalition to support the measure, in hopes of igniting a nationwide fight against soda consumption. Meanwhile, the beverage industry is spending big to defeat the measure.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>A History of Activism\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The supporters of Measure D see it as the next chapter in Berkeley’s history of social activism. Dr. Vicki Alexander has been working on public health and other social issues in this community for half a century.\u003c/p>\n\u003cp>“My entire family has been a part of activism around Berkeley,\" says Alexander. \"The Free Speech Movement the Free Mandela Movement -- just one after another after another -- we were involved.\"\u003c/p>\n\u003cp>Alexander was there 50 years ago at UC Berkeley confrontation at Sproul Hall between students and the administration -- a confrontation credited with launching the Free Speech Movement. Berkeley also helped launch an effort toward healthy eating, led by Alice Waters and Berkeley's schoolyard gardens.\u003c/p>\n\u003cp>Two years ago, funding cuts threatened some of those gardens, and the seed was planted for the beverage tax, says Alexander.\u003c/p>\n\u003cp>“The parents of the kids who benefited from the gardens in the schools,\" Alexander says, \"and people in the community who benefited from the gardens started [asking], 'How can we have a source of funding that's ongoing?'”\u003c/p>\n\u003cp>\u003cstrong>Building A Coalition\u003c/strong>\u003c/p>\n\u003cp>They knew they were taking on a tough opponent -- the beverage industry. Beverage taxes have been tried in 30 cities and states. They've all failed.\u003c/p>\n\u003cp>The opposition often successfully argues that this kind of tax would hurt low-income minority communities. So early on Berkeley activists began building a \u003ca title=\"http://www.berkeleyvsbigsoda.com/supporters\" href=\"http://www.berkeleyvsbigsoda.com/supporters\" target=\"_blank\">coalition that included African-Americans and Latinos\u003c/a>.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/173030570\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Carol McGruder works with the Berkeley chapter of the NAACP. She says she's involved as part of her focus on health in the African-American community. She says she was \"very disappointed\" when New York City's local NAACP sided against the ban on large servings of soda that was proposed there.\u003c/p>\n\u003cp>“And in Richmond I know that big soda hired a lot of people from the community, from minority groups, to do telephone polling against it,“ McGruder says.\u003c/p>\n\u003cp>The Berkeley pro-tax campaign is also tapping into a broad network of\u003ca title=\"http://www.berkeleyvsbigsoda.com/supporters\" href=\"http://www.berkeleyvsbigsoda.com/supporters\" target=\"_blank\"> community groups\u003c/a>. Take the Ecology Center. It's been around for more than 40 years, and is known for pioneering Berkeley's curbside recycling program.\u003c/p>\n\u003cp>The Ecology Center marshaled resources including campaign foot soldiers like 22-year-old Kad Smith, who works on nutrition programs for the center. He’s spending weekends canvassing, and his evenings phone banking.\u003c/p>\n\u003cp>“Our message is that there is an overwhelming and urgent health crisis in our community,” says Smith. \"We see those disparities especially in south and west Berkeley, which is a low-income community, which is also populated by a lot of people of color. It’s an overwhelming health crisis with obesity, diabetes.”\u003c/p>\n\u003cp>The \"yes\" campaign is also drawing support from outside the community. Former New York City Mayor Michael Bloomberg, who tried and failed to put a cap on the size of sodas sold in that city, recently donated $85,000 to the Berkeley effort.\u003c/p>\n\u003cp>\u003cstrong>Big Money From a Big Opponent\u003c/strong>\u003c/p>\n\u003cp>Drive around Berkeley and you will see bright red “Yes on D” signs blooming in yard after yard, suggesting the measure's success is at hand. But the beverage industry is very good at fighting this fight, very good at sowing doubt about the benefits of this kind of tax. So far they've \u003ca title=\"http://ww2.kqed.org/news/2014/10/10/beverage-industry-spends-big-to-defeat-berkeley-measure-d\" href=\"http://ww2.kqed.org/news/2014/10/10/beverage-industry-spends-big-to-defeat-berkeley-measure-d\" target=\"_blank\">spent more than $1.6 million dollars\u003c/a> in Berkeley.\u003c/p>\n\u003cp>At the Ashby BART station, it’s easy to see where some of that money is going. There are signs everywhere that say, “Measure D is not what is seems.” A bunch of them have a big piece of glossy fruit that on the outside looks like an apple and on the inside looks like an orange. The tagline says, “On November 4th, vote no on Measure D.”\u003c/p>\n\u003cp>[contextly_sidebar id=\"UB8RkOYJaiQH1WslpAfI0RKMkE32mdwG\"]\u003c/p>\n\u003cp>Katie Merrill is a democratic political strategist based in Berkeley. She says the beverage industry's tactics work. It’s easier to kill this kind of measure than to pass it.\u003c/p>\n\u003cp>“You're hearing the measure is flawed, it won't do what it says it will; the money won't be spent in the way that the proponents say it will.” says Merrill.\u003c/p>\n\u003cp>The beverage industry argues there's no guarantee the tax income will support school gardens or other health programs. Instead it will end up in Berkeley's general fund, where it could be used to pay for anything.\u003c/p>\n\u003cp>Campaign spokesman Roger Salazar says the anti-tax support is coming from some unions and small businesses.\u003c/p>\n\u003cp>Joshua Kemper owns one of those small businesses, Smokey J’s BBQ on Shattuck Avenue. Campaign fliers for No on D cover the tables in his small restaurant. He says the tax could hurt his business.\u003c/p>\n\u003cp>“It would be passed onto the people that buy stuff here,\" Kemper says. \"That’s increasing the cost of the overall food. They’re spending more money when they come here, but I don’t see any of that.”\u003c/p>\n\u003cp>To get their message out, \u003ca title=\"http://noberkeleybeveragetax.com\" href=\"http://noberkeleybeveragetax.com\" target=\"_blank\">the no campaign\u003c/a> is also paying teams of young people, some from as far away as Hayward, who are going door to door, every day until the election. They're articulate and very persuasive. Salazar says they're relying on that kind of street outreach.\u003c/p>\n\u003cp>“They go out, share the information that we have,” says Salazar. “Encourage them to read the initiative for themselves.”\u003c/p>\n\u003cp>\u003cstrong>Is Big Soda The Next Big Tobacco?\u003c/strong>\u003c/p>\n\u003cp>“Berkeley vs. Big Soda” is the official tag line of the Yes on D campaign. The slogan is featured on their t-shirts, their yard signs, and is even the \u003ca title=\"http://www.berkeleyvsbigsoda.com\" href=\"http://www.berkeleyvsbigsoda.com\" target=\"_blank\">campaign's website URL\u003c/a>. Proponents argue that there are parallels between the soda industry and tobacco companies.\u003c/p>\n\u003cp>The Yes on D campaign even hosted a forum called “Is Soda The New Tobacco,” featuring Stan Glantz, a UCSF professor of medicine who has long fought for public health policies, including tobacco taxes to reduce smoking.\u003c/p>\n\u003cp>Political strategist Katie Merrill says those who think they can take on the soda industry should consider it a long haul.\u003c/p>\n\u003cp>“The soda industry is not the tobacco industry, it's not the oil industry,” says Merrill. “People haven't spent 30 years in high visibility battles against the soda industry”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Still, it's just that kind of battle that Berkeley activists say they're known for.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The supporters of Measure D see it as the next chapter in Berkeley’s history of social activism. Dr. Vicki Alexander has been working on public health and other social issues in this community for half a century.\u003c/p>\n\u003cp>“My entire family has been a part of activism around Berkeley,\" says Alexander. \"The Free Speech Movement the Free Mandela Movement -- just one after another after another -- we were involved.\"\u003c/p>\n\u003cp>Alexander was there 50 years ago at UC Berkeley confrontation at Sproul Hall between students and the administration -- a confrontation credited with launching the Free Speech Movement. Berkeley also helped launch an effort toward healthy eating, led by Alice Waters and Berkeley's schoolyard gardens.\u003c/p>\n\u003cp>Two years ago, funding cuts threatened some of those gardens, and the seed was planted for the beverage tax, says Alexander.\u003c/p>\n\u003cp>“The parents of the kids who benefited from the gardens in the schools,\" Alexander says, \"and people in the community who benefited from the gardens started [asking], 'How can we have a source of funding that's ongoing?'”\u003c/p>\n\u003cp>\u003cstrong>Building A Coalition\u003c/strong>\u003c/p>\n\u003cp>They knew they were taking on a tough opponent -- the beverage industry. Beverage taxes have been tried in 30 cities and states. They've all failed.\u003c/p>\n\u003cp>The opposition often successfully argues that this kind of tax would hurt low-income minority communities. So early on Berkeley activists began building a \u003ca title=\"http://www.berkeleyvsbigsoda.com/supporters\" href=\"http://www.berkeleyvsbigsoda.com/supporters\" target=\"_blank\">coalition that included African-Americans and Latinos\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/173030570&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/173030570'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Carol McGruder works with the Berkeley chapter of the NAACP. She says she's involved as part of her focus on health in the African-American community. She says she was \"very disappointed\" when New York City's local NAACP sided against the ban on large servings of soda that was proposed there.\u003c/p>\n\u003cp>“And in Richmond I know that big soda hired a lot of people from the community, from minority groups, to do telephone polling against it,“ McGruder says.\u003c/p>\n\u003cp>The Berkeley pro-tax campaign is also tapping into a broad network of\u003ca title=\"http://www.berkeleyvsbigsoda.com/supporters\" href=\"http://www.berkeleyvsbigsoda.com/supporters\" target=\"_blank\"> community groups\u003c/a>. Take the Ecology Center. It's been around for more than 40 years, and is known for pioneering Berkeley's curbside recycling program.\u003c/p>\n\u003cp>The Ecology Center marshaled resources including campaign foot soldiers like 22-year-old Kad Smith, who works on nutrition programs for the center. He’s spending weekends canvassing, and his evenings phone banking.\u003c/p>\n\u003cp>“Our message is that there is an overwhelming and urgent health crisis in our community,” says Smith. \"We see those disparities especially in south and west Berkeley, which is a low-income community, which is also populated by a lot of people of color. It’s an overwhelming health crisis with obesity, diabetes.”\u003c/p>\n\u003cp>The \"yes\" campaign is also drawing support from outside the community. Former New York City Mayor Michael Bloomberg, who tried and failed to put a cap on the size of sodas sold in that city, recently donated $85,000 to the Berkeley effort.\u003c/p>\n\u003cp>\u003cstrong>Big Money From a Big Opponent\u003c/strong>\u003c/p>\n\u003cp>Drive around Berkeley and you will see bright red “Yes on D” signs blooming in yard after yard, suggesting the measure's success is at hand. But the beverage industry is very good at fighting this fight, very good at sowing doubt about the benefits of this kind of tax. So far they've \u003ca title=\"http://ww2.kqed.org/news/2014/10/10/beverage-industry-spends-big-to-defeat-berkeley-measure-d\" href=\"http://ww2.kqed.org/news/2014/10/10/beverage-industry-spends-big-to-defeat-berkeley-measure-d\" target=\"_blank\">spent more than $1.6 million dollars\u003c/a> in Berkeley.\u003c/p>\n\u003cp>At the Ashby BART station, it’s easy to see where some of that money is going. There are signs everywhere that say, “Measure D is not what is seems.” A bunch of them have a big piece of glossy fruit that on the outside looks like an apple and on the inside looks like an orange. The tagline says, “On November 4th, vote no on Measure D.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Katie Merrill is a democratic political strategist based in Berkeley. She says the beverage industry's tactics work. It’s easier to kill this kind of measure than to pass it.\u003c/p>\n\u003cp>“You're hearing the measure is flawed, it won't do what it says it will; the money won't be spent in the way that the proponents say it will.” says Merrill.\u003c/p>\n\u003cp>The beverage industry argues there's no guarantee the tax income will support school gardens or other health programs. Instead it will end up in Berkeley's general fund, where it could be used to pay for anything.\u003c/p>\n\u003cp>Campaign spokesman Roger Salazar says the anti-tax support is coming from some unions and small businesses.\u003c/p>\n\u003cp>Joshua Kemper owns one of those small businesses, Smokey J’s BBQ on Shattuck Avenue. Campaign fliers for No on D cover the tables in his small restaurant. He says the tax could hurt his business.\u003c/p>\n\u003cp>“It would be passed onto the people that buy stuff here,\" Kemper says. \"That’s increasing the cost of the overall food. They’re spending more money when they come here, but I don’t see any of that.”\u003c/p>\n\u003cp>To get their message out, \u003ca title=\"http://noberkeleybeveragetax.com\" href=\"http://noberkeleybeveragetax.com\" target=\"_blank\">the no campaign\u003c/a> is also paying teams of young people, some from as far away as Hayward, who are going door to door, every day until the election. They're articulate and very persuasive. Salazar says they're relying on that kind of street outreach.\u003c/p>\n\u003cp>“They go out, share the information that we have,” says Salazar. “Encourage them to read the initiative for themselves.”\u003c/p>\n\u003cp>\u003cstrong>Is Big Soda The Next Big Tobacco?\u003c/strong>\u003c/p>\n\u003cp>“Berkeley vs. Big Soda” is the official tag line of the Yes on D campaign. The slogan is featured on their t-shirts, their yard signs, and is even the \u003ca title=\"http://www.berkeleyvsbigsoda.com\" href=\"http://www.berkeleyvsbigsoda.com\" target=\"_blank\">campaign's website URL\u003c/a>. Proponents argue that there are parallels between the soda industry and tobacco companies.\u003c/p>\n\u003cp>The Yes on D campaign even hosted a forum called “Is Soda The New Tobacco,” featuring Stan Glantz, a UCSF professor of medicine who has long fought for public health policies, including tobacco taxes to reduce smoking.\u003c/p>\n\u003cp>Political strategist Katie Merrill says those who think they can take on the soda industry should consider it a long haul.\u003c/p>\n\u003cp>“The soda industry is not the tobacco industry, it's not the oil industry,” says Merrill. “People haven't spent 30 years in high visibility battles against the soda industry”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Still, it's just that kind of battle that Berkeley activists say they're known for.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Election 2014: San Francisco, Berkeley Consider Soda Taxes",
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"content": "\u003cfigure id=\"attachment_10794\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/02/poolie_Flickr-e1393459178479.jpg\">\u003cimg class=\"size-large wp-image-10794\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/02/poolie_Flickr-620x413.jpg\" alt=\"(poolie/Flickr)\" width=\"620\" height=\"413\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(poolie/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>When it comes to the 2014 election, the Bay Area is ground zero on a fight being watched across the country. Both Berkeley and San Francisco voters are considering soda taxes.\u003c/p>\n\u003cp>They're not the first cities to try to slap a tax on sugary beverages. In California alone Richmond and El Monte tried similar measures in 2012 -- and failed. New York City tried to ban large servings -- and failed.\u003c/p>\n\u003cp>If either one of the current measures passes it will be first in the country. The two proposals are similar, yet key differences might make one or the other more likely to be passed.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>San Francisco's Proposition E\u003c/strong>\u003c/p>\n\u003cp>Let's start with San Francisco.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Last summer, the Board of Supervisors put \u003ca title=\"http://sfgov2.org/ftp/uploadedfiles/elections/candidates/Nov2014/Nov2014_SugarSweetenedBeverages.pdf\" href=\"http://sfgov2.org/ftp/uploadedfiles/elections/candidates/Nov2014/Nov2014_SugarSweetenedBeverages.pdf\" target=\"_blank\">Prop. E\u003c/a> on the ballot -- a 2 cents an ounce tax on sugar-sweetened beverages. And just as it has in multiple places across the country that have tried taxes, warning labels or bans on extra-large drinks, the American Beverage Association swooped in and opened its wallet.\u003c/p>\n\u003cp>San Francisco is currently \u003ca title=\"https://www.youtube.com/channel/UCYNWmXSqx3UKU2JImXqpX_Q\" href=\"https://www.youtube.com/channel/UCYNWmXSqx3UKU2JImXqpX_Q\" target=\"_blank\">flooded with TV and radio ads\u003c/a> paid for by the beverage association. It has poured in $7 million and counting, on track to be the most corporate money ever in any San Francisco campaign.\u003c/p>\n\u003cp>So why are cities so intent on taxing sugary drinks? They say it's a health issue. Dr. Robert Lustig specializes in pediatric endocrinology at UC San Francisco where he treats a lot of children with diabetes. To Lustig, sugar is the enemy of good health. \"Sugar goes to your liver and makes your liver fat which causes all the chronic metabolic diseases we know about,\" he says, including \"type 2 diabetes, heart disease, hypertension, lipid problems.\"\u003c/p>\n\u003cp>Sugar-sweetened beverages are concentrated doses of sugar. For example, a can of Coke has nine teaspoons' worth. That extra sugar is helping drive up the rate of type 2 diabetes, among other illnesses, Lustig says.\u003c/p>\n\u003cp>The idea of a sugary-beverage tax is to make those drinks -- not just sodas, but other beverages such as energy and sports drinks -- more expensive. Then consumption will go down, says Prop. E co-author San Francisco Supervisor Scott Wiener. That's what happened in Mexico after its soda tax took effect on January 1.\u003c/p>\n\u003cp>\u003cstrong>Soda Tax Affect on Consumption\u003c/strong>\u003c/p>\n\u003cp>\"Mexico with a smaller soda tax experienced a quick 10 percent drop in consumption,\" Wiener said. Since San Francisco's tax is bigger than Mexico's, the consumption could decline as much as 31 percent, \u003ca href=\"http://sfcontroller.org/Modules/ShowDocument.aspx?documentid=5492\" target=\"_blank\">according to an analysis \u003c/a>from the city and county's office of economic analysis. Wiener said that effect would be \"huge.\"\u003c/p>\n\u003cp>A huge drop in consumption could lead to a huge drop in revenue for beverage companies. The American Beverage Association's spokesman in the Bay Area is Roger Salazar. \"We think taxing people for the food and beverage choices they make is just bad policy in and of itself,\" Salazar said.\u003c/p>\n\u003cp>He argues that a tax leads to job loss. The beverage association also \u003ca title=\"http://www.affordablesf.com/wp-content/uploads/2014/10/SanFran-Report-Sugar-Bev-rev2.pdf\" href=\"http://www.affordablesf.com/wp-content/uploads/2014/10/SanFran-Report-Sugar-Bev-rev2.pdf\" target=\"_blank\">paid for an economic analysis,\u003c/a> which forecast the tax would cost 1,000 jobs in San Francisco. Salazar says people running corner grocery stores, for example, work on tight margins and any extra expense can cost jobs.\u003c/p>\n\u003cp>Then there's the revenue side. San Francisco's tax is estimated to bring in $35-54 million a year. Supervisor Wiener says that money is specifically earmarked for nutrition and physical activity programs, mainly in schools and parks. \"It will actually create jobs in those areas,\" he said. Wiener says the \u003ca title=\"http://sfcontroller.org/Modules/ShowDocument.aspx?documentid=5492\" href=\"http://sfcontroller.org/Modules/ShowDocument.aspx?documentid=5492\" target=\"_blank\">city's own economic analysis\u003c/a> found only limited job loss.\u003c/p>\n\u003cp>But because Prop. E's funds are earmarked funds, a two-thirds \u003ca href=\"http://ballotpedia.org/Supermajority_requirement\" target=\"_blank\">supermajority\u003c/a> of San Francisco voters needs to approve it. That's different from the soda tax measure across the bay in Berkeley.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/172297504\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height='166' iframe=\"true\" /]\u003c/p>\n\u003cp>\u003cstrong>Measure D in Berkeley\u003c/strong>\u003c/p>\n\u003cp>\u003ca title=\"http://www.cityofberkeley.info/Clerk/Elections/Election__2014_Ballot_Measure_Page.aspx\" href=\"http://www.cityofberkeley.info/Clerk/Elections/Election__2014_Ballot_Measure_Page.aspx\" target=\"_blank\">Berkeley's Measure D\u003c/a> would mandate a penny-an-ounce tax. Unlike San Francisco, the proceeds, estimated at a million dollars per year, are not earmarked. That means Measure D needs only a simple majority to pass -- 50 percent plus one vote.\u003c/p>\n\u003cp>That approach failed in the California cities of \u003ca title=\"http://www.kqed.org/news/story/2012/11/07/110752/richmond_soda_tax_unpalatable_to_voters?category=politics\" href=\"http://www.kqed.org/news/story/2012/11/07/110752/richmond_soda_tax_unpalatable_to_voters?category=politics\" target=\"_blank\">Richmond \u003c/a>and \u003ca title=\"http://www.sgvtribune.com/government-and-politics/20121107/voters-overwhelmingly-reject-el-montes-soda-tax-measure\" href=\"http://www.sgvtribune.com/government-and-politics/20121107/voters-overwhelmingly-reject-el-montes-soda-tax-measure\" target=\"_blank\">El Monte\u003c/a> in 2012. Many people didn't trust the money would be spent on health programs. Berkeley's Measure D does create a panel of health experts to advise the City Council on health programs worth funding. But this promise doesn't satisfy self-described liberal Jill Hershman. The longtime Berkeley resident says she is voting against Measure D. \"Even though the city council has promised that they intend on spending the money on school and health programs,\" Hershman said, \"in the end, they don't really have to, and there's no guarantee that this measure will fund anything that helps kids.\"\u003c/p>\n\u003cp>Still, every major candidate running for office in Berkeley -- and \u003ca title=\"http://www.berkeleyvsbigsoda.com/supporters\" href=\"http://www.berkeleyvsbigsoda.com/supporters\" target=\"_blank\">a long list of health and community groups\u003c/a> -- support the measure.\u003c/p>\n\u003cp>In an effort to get its message out, the beverage association is \u003ca title=\"http://ww2.kqed.org/news/2014/10/10/beverage-industry-spends-big-to-defeat-berkeley-measure-d\" href=\"http://ww2.kqed.org/news/2014/10/10/beverage-industry-spends-big-to-defeat-berkeley-measure-d\" target=\"_blank\">spending big in Berkeley\u003c/a>, too, close to $1.5 million so far. Spokesman Salazar makes a similar argument that critics made in Richmond two years ago: that this tax hits low-income people the hardest. \"There are ways in which we can promote healthy lifestyle choices,\" he says, \"but taxing people, especially in a way that impacts the lowest income of our residents is not the way to go about it.\"\u003c/p>\n\u003cp>Supervisor Wiener counters that it is diabetes and other health problems that are regressive. \"We know the soda industry targets low income people, targets communities of color with its marketing,\" he said, \"and the diabetes explosion that is fueled by these drinks is worse in communities of color than it is in the broader community.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Come election day, whatever voters decide will resound nationally. A \"yes\" vote would signal that voters think of sugar-sweetened beverages in a similar way as other health-harming products like cigarettes and alcohol. But if the liberal, health-conscious voters of Berkeley and San Francisco vote \"no,\" it's likely to make people across the country wonder, \"If it can't pass there, can it pass anywhere?\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_10794\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/02/poolie_Flickr-e1393459178479.jpg\">\u003cimg class=\"size-large wp-image-10794\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/02/poolie_Flickr-620x413.jpg\" alt=\"(poolie/Flickr)\" width=\"620\" height=\"413\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(poolie/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>When it comes to the 2014 election, the Bay Area is ground zero on a fight being watched across the country. Both Berkeley and San Francisco voters are considering soda taxes.\u003c/p>\n\u003cp>They're not the first cities to try to slap a tax on sugary beverages. In California alone Richmond and El Monte tried similar measures in 2012 -- and failed. New York City tried to ban large servings -- and failed.\u003c/p>\n\u003cp>If either one of the current measures passes it will be first in the country. The two proposals are similar, yet key differences might make one or the other more likely to be passed.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>San Francisco's Proposition E\u003c/strong>\u003c/p>\n\u003cp>Let's start with San Francisco.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Last summer, the Board of Supervisors put \u003ca title=\"http://sfgov2.org/ftp/uploadedfiles/elections/candidates/Nov2014/Nov2014_SugarSweetenedBeverages.pdf\" href=\"http://sfgov2.org/ftp/uploadedfiles/elections/candidates/Nov2014/Nov2014_SugarSweetenedBeverages.pdf\" target=\"_blank\">Prop. E\u003c/a> on the ballot -- a 2 cents an ounce tax on sugar-sweetened beverages. And just as it has in multiple places across the country that have tried taxes, warning labels or bans on extra-large drinks, the American Beverage Association swooped in and opened its wallet.\u003c/p>\n\u003cp>San Francisco is currently \u003ca title=\"https://www.youtube.com/channel/UCYNWmXSqx3UKU2JImXqpX_Q\" href=\"https://www.youtube.com/channel/UCYNWmXSqx3UKU2JImXqpX_Q\" target=\"_blank\">flooded with TV and radio ads\u003c/a> paid for by the beverage association. It has poured in $7 million and counting, on track to be the most corporate money ever in any San Francisco campaign.\u003c/p>\n\u003cp>So why are cities so intent on taxing sugary drinks? They say it's a health issue. Dr. Robert Lustig specializes in pediatric endocrinology at UC San Francisco where he treats a lot of children with diabetes. To Lustig, sugar is the enemy of good health. \"Sugar goes to your liver and makes your liver fat which causes all the chronic metabolic diseases we know about,\" he says, including \"type 2 diabetes, heart disease, hypertension, lipid problems.\"\u003c/p>\n\u003cp>Sugar-sweetened beverages are concentrated doses of sugar. For example, a can of Coke has nine teaspoons' worth. That extra sugar is helping drive up the rate of type 2 diabetes, among other illnesses, Lustig says.\u003c/p>\n\u003cp>The idea of a sugary-beverage tax is to make those drinks -- not just sodas, but other beverages such as energy and sports drinks -- more expensive. Then consumption will go down, says Prop. E co-author San Francisco Supervisor Scott Wiener. That's what happened in Mexico after its soda tax took effect on January 1.\u003c/p>\n\u003cp>\u003cstrong>Soda Tax Affect on Consumption\u003c/strong>\u003c/p>\n\u003cp>\"Mexico with a smaller soda tax experienced a quick 10 percent drop in consumption,\" Wiener said. Since San Francisco's tax is bigger than Mexico's, the consumption could decline as much as 31 percent, \u003ca href=\"http://sfcontroller.org/Modules/ShowDocument.aspx?documentid=5492\" target=\"_blank\">according to an analysis \u003c/a>from the city and county's office of economic analysis. Wiener said that effect would be \"huge.\"\u003c/p>\n\u003cp>A huge drop in consumption could lead to a huge drop in revenue for beverage companies. The American Beverage Association's spokesman in the Bay Area is Roger Salazar. \"We think taxing people for the food and beverage choices they make is just bad policy in and of itself,\" Salazar said.\u003c/p>\n\u003cp>He argues that a tax leads to job loss. The beverage association also \u003ca title=\"http://www.affordablesf.com/wp-content/uploads/2014/10/SanFran-Report-Sugar-Bev-rev2.pdf\" href=\"http://www.affordablesf.com/wp-content/uploads/2014/10/SanFran-Report-Sugar-Bev-rev2.pdf\" target=\"_blank\">paid for an economic analysis,\u003c/a> which forecast the tax would cost 1,000 jobs in San Francisco. Salazar says people running corner grocery stores, for example, work on tight margins and any extra expense can cost jobs.\u003c/p>\n\u003cp>Then there's the revenue side. San Francisco's tax is estimated to bring in $35-54 million a year. Supervisor Wiener says that money is specifically earmarked for nutrition and physical activity programs, mainly in schools and parks. \"It will actually create jobs in those areas,\" he said. Wiener says the \u003ca title=\"http://sfcontroller.org/Modules/ShowDocument.aspx?documentid=5492\" href=\"http://sfcontroller.org/Modules/ShowDocument.aspx?documentid=5492\" target=\"_blank\">city's own economic analysis\u003c/a> found only limited job loss.\u003c/p>\n\u003cp>But because Prop. E's funds are earmarked funds, a two-thirds \u003ca href=\"http://ballotpedia.org/Supermajority_requirement\" target=\"_blank\">supermajority\u003c/a> of San Francisco voters needs to approve it. That's different from the soda tax measure across the bay in Berkeley.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/172297504&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/172297504'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Measure D in Berkeley\u003c/strong>\u003c/p>\n\u003cp>\u003ca title=\"http://www.cityofberkeley.info/Clerk/Elections/Election__2014_Ballot_Measure_Page.aspx\" href=\"http://www.cityofberkeley.info/Clerk/Elections/Election__2014_Ballot_Measure_Page.aspx\" target=\"_blank\">Berkeley's Measure D\u003c/a> would mandate a penny-an-ounce tax. Unlike San Francisco, the proceeds, estimated at a million dollars per year, are not earmarked. That means Measure D needs only a simple majority to pass -- 50 percent plus one vote.\u003c/p>\n\u003cp>That approach failed in the California cities of \u003ca title=\"http://www.kqed.org/news/story/2012/11/07/110752/richmond_soda_tax_unpalatable_to_voters?category=politics\" href=\"http://www.kqed.org/news/story/2012/11/07/110752/richmond_soda_tax_unpalatable_to_voters?category=politics\" target=\"_blank\">Richmond \u003c/a>and \u003ca title=\"http://www.sgvtribune.com/government-and-politics/20121107/voters-overwhelmingly-reject-el-montes-soda-tax-measure\" href=\"http://www.sgvtribune.com/government-and-politics/20121107/voters-overwhelmingly-reject-el-montes-soda-tax-measure\" target=\"_blank\">El Monte\u003c/a> in 2012. Many people didn't trust the money would be spent on health programs. Berkeley's Measure D does create a panel of health experts to advise the City Council on health programs worth funding. But this promise doesn't satisfy self-described liberal Jill Hershman. The longtime Berkeley resident says she is voting against Measure D. \"Even though the city council has promised that they intend on spending the money on school and health programs,\" Hershman said, \"in the end, they don't really have to, and there's no guarantee that this measure will fund anything that helps kids.\"\u003c/p>\n\u003cp>Still, every major candidate running for office in Berkeley -- and \u003ca title=\"http://www.berkeleyvsbigsoda.com/supporters\" href=\"http://www.berkeleyvsbigsoda.com/supporters\" target=\"_blank\">a long list of health and community groups\u003c/a> -- support the measure.\u003c/p>\n\u003cp>In an effort to get its message out, the beverage association is \u003ca title=\"http://ww2.kqed.org/news/2014/10/10/beverage-industry-spends-big-to-defeat-berkeley-measure-d\" href=\"http://ww2.kqed.org/news/2014/10/10/beverage-industry-spends-big-to-defeat-berkeley-measure-d\" target=\"_blank\">spending big in Berkeley\u003c/a>, too, close to $1.5 million so far. Spokesman Salazar makes a similar argument that critics made in Richmond two years ago: that this tax hits low-income people the hardest. \"There are ways in which we can promote healthy lifestyle choices,\" he says, \"but taxing people, especially in a way that impacts the lowest income of our residents is not the way to go about it.\"\u003c/p>\n\u003cp>Supervisor Wiener counters that it is diabetes and other health problems that are regressive. \"We know the soda industry targets low income people, targets communities of color with its marketing,\" he said, \"and the diabetes explosion that is fueled by these drinks is worse in communities of color than it is in the broader community.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Come election day, whatever voters decide will resound nationally. A \"yes\" vote would signal that voters think of sugar-sweetened beverages in a similar way as other health-harming products like cigarettes and alcohol. But if the liberal, health-conscious voters of Berkeley and San Francisco vote \"no,\" it's likely to make people across the country wonder, \"If it can't pass there, can it pass anywhere?\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Spike in ER, Hospitalization Use Short-Lived After Medicaid Expansion",
"title": "Spike in ER, Hospitalization Use Short-Lived After Medicaid Expansion",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_22069\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/iStock_000006096996_Large-e1413358030830.jpg\">\u003cimg class=\"size-large wp-image-22069\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/iStock_000006096996_Large-640x428.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"428\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>While the Medicaid expansion \u003ca title=\"http://www.kaiserhealthnews.org/daily-reports/2014/january/03/oregon-study-medicaid-expansion-higher-emergency-visits.aspx\" href=\"http://www.kaiserhealthnews.org/daily-reports/2014/january/03/oregon-study-medicaid-expansion-higher-emergency-visits.aspx\" target=\"_blank\">may lead to a dramatic rise\u003c/a> in emergency room use and hospitalizations for many of the previously uninsured, that increase is largely temporary and should not lead to a dramatic impact on state budgets, according to \u003ca title=\"http://healthpolicy.ucla.edu/publications/search/pages/detail.aspx?PubID=1338\" href=\"http://healthpolicy.ucla.edu/publications/search/pages/detail.aspx?PubID=1338\" target=\"_blank\">a new analysis\u003c/a> from the UCLA Center for Health Policy Research released Wednesday.\u003c/p>\n\u003cp>Researchers reviewed two years of claims data from nearly 200,000 Californians who had enrolled in public programs in advance of the expansion of Medi-Cal, the state's version of Medicaid, in January. These programs were designed to ease the expansion of Medicaid by providing insurance to low-income adults who were not eligible for Medi-Cal at that point but would be when the health law's expansion went into effect earlier this year.\u003c/p>\n\u003cp>Researchers then divided the group into four categories, based on the researchers' assessment of each group's pent-up demand for health care.\u003c/p>\n\u003cp>In July, 2011, after being enrolled in California's \u003ca title=\"http://www.dhcs.ca.gov/provgovpart/Pages/lihp.aspx\" href=\"http://www.dhcs.ca.gov/provgovpart/Pages/lihp.aspx\" target=\"_blank\">Low Income Health Program\u003c/a>, the so-called \"bridge to reform,\" the group with the highest pent-up demand had a rate of costly emergency room visits triple -- or more -- that of the other groups. But from 2011 to 2013, that high rate dropped by more than two-thirds and has remained \"relatively constant,\" according to the analysis.\u003c!--more-->\u003c/p>\n\u003cp>\"We were hoping that this would be the case,\" said lead author Jerry Kominski, director of the UCLA Center for Health Policy Research, \"because we think that that's what access to care does for low-income individuals … that there's an additional increase in demand for services and that that demand, or utilization, drops off pretty rapidly.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Rates of hospitalization for the \"highest pent-up demand\" group also started high and dropped by almost 80 percent over the two-year period. Curiously, if ER and hospitalization rates were dropping, it's reasonable that outpatient visits might rise. But that wasn't the case; the rate of outpatient visits was largely unchanged during the two-year period.\u003c/p>\n\u003cp>Kominski said that one of the fears of the Medicaid expansion was the potential high cost of low-income patients. He argued that this analysis should ease those fears. \"What our findings say to the country is (that) concerns about Medicaid expansion being financially unsustainable into the future are unfounded.\" Under the Affordable Care Act, the federal government provides 100 percent of the cost of the newly eligible under the Medicaid expansion, but in 2017 that contribution will phase down until it reaches 90 percent in 2020.\u003c/p>\n\u003cp>Twenty-seven states have implemented the Medicaid expansion; 21 have not, and in two states, Indiana and Utah, the question of expansion is an \"open discussion,\" \u003ca title=\"http://kff.org/health-reform/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/\" href=\"http://kff.org/health-reform/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/\" target=\"_blank\">according to a tally\u003c/a> from the Kaiser Family Foundation.\u003c/p>\n\u003cp>Matt Salo, executive director of the National Association of Medicaid Directors, said the study was \"certainly consistent with what we hope to do\" by expanding health insurance access. He said insurance is \"just the first step, the next step is health care homes so that the individual can actually get better care.\"\u003c/p>\n\u003cp>One factor in helping drive down the higher rates of utilization, Kominski said, is coordinated care initiatives in place for Medi-Cal beneficiaries. For example, virtually all Medi-Cal beneficiaries are now enrolled into a Medi-Cal managed care plan. \"To the extent that other states don't have adequate coordinated care mechanisms in place for their Medicaid populations, then the kinds of drop off that we observed in California may not occur there,\" Kominski said.\u003c/p>\n\u003cp>The UCLA analysis makes explicit reference to -- and rebuts -- a similar study, the \u003ca title=\"http://www.nber.org/oregon/#recent-results\" href=\"http://www.nber.org/oregon/#recent-results\" target=\"_blank\">Oregon Health Insurance Experiment\u003c/a>. In Oregon in 2008, 10,000 residents literally won Medicaid coverage in a lottery, creating a true randomized controlled trial opportunity for researchers who compared those who won coverage with those who didn't, rarely possible to do in social policy research. Researchers later reported \u003ca title=\"http://www.nber.org/oregon/\" href=\"http://www.nber.org/oregon/\" target=\"_blank\">a 40 percent increase in ER visits\u003c/a> in the 18-months after that expansion.\u003c/p>\n\u003cp>Kate Baicker, a health economist at the Harvard School of Public Health, was one of the researchers in the Oregon experiment. She said they did not find \"any evidence of utilization tailing off over that 18-month window\" and stands by her results.\u003c/p>\n\u003cp>Still, Baicker said that an increase in use of health care services, such as emergency room visits or hospitalizations, \"does not mean that Medicaid should not be expanded. Part of the goal is to increase access to health care.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The UCLA study was funded by the California Department of Health Care Services and Blue Shield of California Foundation.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22069\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/iStock_000006096996_Large-e1413358030830.jpg\">\u003cimg class=\"size-large wp-image-22069\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/iStock_000006096996_Large-640x428.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"428\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>While the Medicaid expansion \u003ca title=\"http://www.kaiserhealthnews.org/daily-reports/2014/january/03/oregon-study-medicaid-expansion-higher-emergency-visits.aspx\" href=\"http://www.kaiserhealthnews.org/daily-reports/2014/january/03/oregon-study-medicaid-expansion-higher-emergency-visits.aspx\" target=\"_blank\">may lead to a dramatic rise\u003c/a> in emergency room use and hospitalizations for many of the previously uninsured, that increase is largely temporary and should not lead to a dramatic impact on state budgets, according to \u003ca title=\"http://healthpolicy.ucla.edu/publications/search/pages/detail.aspx?PubID=1338\" href=\"http://healthpolicy.ucla.edu/publications/search/pages/detail.aspx?PubID=1338\" target=\"_blank\">a new analysis\u003c/a> from the UCLA Center for Health Policy Research released Wednesday.\u003c/p>\n\u003cp>Researchers reviewed two years of claims data from nearly 200,000 Californians who had enrolled in public programs in advance of the expansion of Medi-Cal, the state's version of Medicaid, in January. These programs were designed to ease the expansion of Medicaid by providing insurance to low-income adults who were not eligible for Medi-Cal at that point but would be when the health law's expansion went into effect earlier this year.\u003c/p>\n\u003cp>Researchers then divided the group into four categories, based on the researchers' assessment of each group's pent-up demand for health care.\u003c/p>\n\u003cp>In July, 2011, after being enrolled in California's \u003ca title=\"http://www.dhcs.ca.gov/provgovpart/Pages/lihp.aspx\" href=\"http://www.dhcs.ca.gov/provgovpart/Pages/lihp.aspx\" target=\"_blank\">Low Income Health Program\u003c/a>, the so-called \"bridge to reform,\" the group with the highest pent-up demand had a rate of costly emergency room visits triple -- or more -- that of the other groups. But from 2011 to 2013, that high rate dropped by more than two-thirds and has remained \"relatively constant,\" according to the analysis.\u003c!--more-->\u003c/p>\n\u003cp>\"We were hoping that this would be the case,\" said lead author Jerry Kominski, director of the UCLA Center for Health Policy Research, \"because we think that that's what access to care does for low-income individuals … that there's an additional increase in demand for services and that that demand, or utilization, drops off pretty rapidly.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Rates of hospitalization for the \"highest pent-up demand\" group also started high and dropped by almost 80 percent over the two-year period. Curiously, if ER and hospitalization rates were dropping, it's reasonable that outpatient visits might rise. But that wasn't the case; the rate of outpatient visits was largely unchanged during the two-year period.\u003c/p>\n\u003cp>Kominski said that one of the fears of the Medicaid expansion was the potential high cost of low-income patients. He argued that this analysis should ease those fears. \"What our findings say to the country is (that) concerns about Medicaid expansion being financially unsustainable into the future are unfounded.\" Under the Affordable Care Act, the federal government provides 100 percent of the cost of the newly eligible under the Medicaid expansion, but in 2017 that contribution will phase down until it reaches 90 percent in 2020.\u003c/p>\n\u003cp>Twenty-seven states have implemented the Medicaid expansion; 21 have not, and in two states, Indiana and Utah, the question of expansion is an \"open discussion,\" \u003ca title=\"http://kff.org/health-reform/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/\" href=\"http://kff.org/health-reform/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/\" target=\"_blank\">according to a tally\u003c/a> from the Kaiser Family Foundation.\u003c/p>\n\u003cp>Matt Salo, executive director of the National Association of Medicaid Directors, said the study was \"certainly consistent with what we hope to do\" by expanding health insurance access. He said insurance is \"just the first step, the next step is health care homes so that the individual can actually get better care.\"\u003c/p>\n\u003cp>One factor in helping drive down the higher rates of utilization, Kominski said, is coordinated care initiatives in place for Medi-Cal beneficiaries. For example, virtually all Medi-Cal beneficiaries are now enrolled into a Medi-Cal managed care plan. \"To the extent that other states don't have adequate coordinated care mechanisms in place for their Medicaid populations, then the kinds of drop off that we observed in California may not occur there,\" Kominski said.\u003c/p>\n\u003cp>The UCLA analysis makes explicit reference to -- and rebuts -- a similar study, the \u003ca title=\"http://www.nber.org/oregon/#recent-results\" href=\"http://www.nber.org/oregon/#recent-results\" target=\"_blank\">Oregon Health Insurance Experiment\u003c/a>. In Oregon in 2008, 10,000 residents literally won Medicaid coverage in a lottery, creating a true randomized controlled trial opportunity for researchers who compared those who won coverage with those who didn't, rarely possible to do in social policy research. Researchers later reported \u003ca title=\"http://www.nber.org/oregon/\" href=\"http://www.nber.org/oregon/\" target=\"_blank\">a 40 percent increase in ER visits\u003c/a> in the 18-months after that expansion.\u003c/p>\n\u003cp>Kate Baicker, a health economist at the Harvard School of Public Health, was one of the researchers in the Oregon experiment. She said they did not find \"any evidence of utilization tailing off over that 18-month window\" and stands by her results.\u003c/p>\n\u003cp>Still, Baicker said that an increase in use of health care services, such as emergency room visits or hospitalizations, \"does not mean that Medicaid should not be expanded. Part of the goal is to increase access to health care.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The UCLA study was funded by the California Department of Health Care Services and Blue Shield of California Foundation.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Ebola Now an Issue in Nurses' Contract Bargaining",
"title": "Ebola Now an Issue in Nurses' Contract Bargaining",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_22048\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/453210018-e1413347219345.jpg\">\u003cimg class=\"wp-image-22048 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/453210018-640x498.jpg\" alt=\"(Centers for Disease Control via Getty Images)\" width=\"640\" height=\"498\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Centers for Disease Control via Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Nurses’ calls for better hospital preparation around Ebola have landed on the bargaining table. California’s powerful nurses’ union has been bargaining with Kaiser Permanente for months over a new contract, and is now adding to its list of demands better training, protection, and insurance coverage for nurses who may treat patients infected with Ebola.\u003c/p>\n\u003cp>Diane McClure, a nurse at Kaiser’s South Sacramento facility, says nurses still had no meaningful training more than a month after a patient was \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/08/21/sacramento-patient-does-not-have-ebola-officials-say/\" href=\"http://ww2.kqed.org/stateofhealth/2014/08/21/sacramento-patient-does-not-have-ebola-officials-say/\" target=\"_blank\">admitted to the hospital for a potential Ebola infection\u003c/a>, though he later tested negative for the virus.\u003c/p>\n\u003cp>“Kaiser felt all they had to do was pull up some CDC flyers and put them on the lunchroom tables or up in the bathrooms,” she says.\u003c!--more-->\u003c/p>\n\u003cp>Nurses want hands-on, interactive training with demonstrations and the opportunity to ask questions, says McClure, who is a member of the California Nurses Association and part of the bargaining team negotiating with Kaiser Permanente Northern California. They also want better protective gear, and better coverage if a nurse gets sick while caring for patients.\u003c/p>\n\u003cp>“We are asking in our contract negotiations for an extra insurance policy,” she says. “We’d like to have an extra supplemental coverage, specifically for Ebola, if we were to contract Ebola while we’re at work.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Nurses’ medical costs are covered by workers’ compensation if they become ill while on the job, but the nurses want an additional life insurance-type policy added to their contract that would provide cash to their families if they were to become ill or die from Ebola, or another infectious disease.\u003c/p>\n\u003cp>Nurses say Kaiser has not yet responded to this particular contractual request in bargaining, and Kaiser declined to comment on this piece of the negotiation. But the hospital system says it did begin rolling out enhanced training this week, including a video that demonstrates the proper way to put on and take off protective suits, and “table top” and “simulation” exercises where nurses walk through scenarios of screening and caring for patients who may have Ebola.\u003c/p>\n\u003cp>“Patients arriving at any of our facilities or who dial our call centers are being screened for symptoms, a travel history, or contact with others who may be ill,” said Dr. Stephen Parodi, Kaiser’s infectious disease specialist, in a statement. “We will activate our emergency-preparedness plans if a person has a positive screening and an infectious disease specialist will be called into the case immediately.”\u003c/p>\n\u003cp>But the hospital continues to clash with nurses over protective gear. Kaiser says it is following \u003ca title=\"http://www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recommendations.html\" href=\"http://www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recommendations.html\" target=\"_blank\">guidelines \u003c/a>from the Centers for Disease Control and Prevention and providing Tyvek suits, surgical gowns, books, masks, and face shields at its medical centers.\u003c/p>\n\u003cp>“We don’t believe what the CDC has recommended is adequate,” McClure says.\u003c/p>\n\u003cp>Nurses want full-body hazardous material suits that they’ve seen health care workers at other hospitals and medical clean-up crews wearing on television, including the Dallas crew that picked up the bed linens from the apartment where Thomas Duncan, the Liberian man who died of Ebola, stayed while ill.\u003c/p>\n\u003cp>“They went in with full Hazmats,” McClure said, in reference to the suits. “We want the same high standard for health care workers that are directly dealing with patients who are very ill.”\u003c/p>\n\u003cp>The California Nurses’ Association and its partner National Nurses United have been actively involved in the national discussion on Ebola, hosting rallies and press conferences, particularly after a nurse in Dallas became ill with the virus. The union released results of a national survey that found 80 percent of nurses said their hospital had not communicated any policy regarding the potential admission of patients infected with Ebola.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The CDC says it is now \u003ca title=\"http://www.nytimes.com/2014/10/14/us/dallas-nurse-ebola-patient.html?_r=1\" href=\"http://www.nytimes.com/2014/10/14/us/dallas-nurse-ebola-patient.html?_r=1\" target=\"_blank\">“rethinking” its guidelines for Ebola infection control\u003c/a>, and vowed on Tuesday to dispatch a specialized CDC response team to any hospital with a confirmed Ebola diagnosis.\u003c/p>\n\n",
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"excerpt": "Kaiser nurses want better training and better protective gear in the face of a potential patient with Ebola.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22048\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/453210018-e1413347219345.jpg\">\u003cimg class=\"wp-image-22048 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/453210018-640x498.jpg\" alt=\"(Centers for Disease Control via Getty Images)\" width=\"640\" height=\"498\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Centers for Disease Control via Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Nurses’ calls for better hospital preparation around Ebola have landed on the bargaining table. California’s powerful nurses’ union has been bargaining with Kaiser Permanente for months over a new contract, and is now adding to its list of demands better training, protection, and insurance coverage for nurses who may treat patients infected with Ebola.\u003c/p>\n\u003cp>Diane McClure, a nurse at Kaiser’s South Sacramento facility, says nurses still had no meaningful training more than a month after a patient was \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/08/21/sacramento-patient-does-not-have-ebola-officials-say/\" href=\"http://ww2.kqed.org/stateofhealth/2014/08/21/sacramento-patient-does-not-have-ebola-officials-say/\" target=\"_blank\">admitted to the hospital for a potential Ebola infection\u003c/a>, though he later tested negative for the virus.\u003c/p>\n\u003cp>“Kaiser felt all they had to do was pull up some CDC flyers and put them on the lunchroom tables or up in the bathrooms,” she says.\u003c!--more-->\u003c/p>\n\u003cp>Nurses want hands-on, interactive training with demonstrations and the opportunity to ask questions, says McClure, who is a member of the California Nurses Association and part of the bargaining team negotiating with Kaiser Permanente Northern California. They also want better protective gear, and better coverage if a nurse gets sick while caring for patients.\u003c/p>\n\u003cp>“We are asking in our contract negotiations for an extra insurance policy,” she says. “We’d like to have an extra supplemental coverage, specifically for Ebola, if we were to contract Ebola while we’re at work.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nurses’ medical costs are covered by workers’ compensation if they become ill while on the job, but the nurses want an additional life insurance-type policy added to their contract that would provide cash to their families if they were to become ill or die from Ebola, or another infectious disease.\u003c/p>\n\u003cp>Nurses say Kaiser has not yet responded to this particular contractual request in bargaining, and Kaiser declined to comment on this piece of the negotiation. But the hospital system says it did begin rolling out enhanced training this week, including a video that demonstrates the proper way to put on and take off protective suits, and “table top” and “simulation” exercises where nurses walk through scenarios of screening and caring for patients who may have Ebola.\u003c/p>\n\u003cp>“Patients arriving at any of our facilities or who dial our call centers are being screened for symptoms, a travel history, or contact with others who may be ill,” said Dr. Stephen Parodi, Kaiser’s infectious disease specialist, in a statement. “We will activate our emergency-preparedness plans if a person has a positive screening and an infectious disease specialist will be called into the case immediately.”\u003c/p>\n\u003cp>But the hospital continues to clash with nurses over protective gear. Kaiser says it is following \u003ca title=\"http://www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recommendations.html\" href=\"http://www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recommendations.html\" target=\"_blank\">guidelines \u003c/a>from the Centers for Disease Control and Prevention and providing Tyvek suits, surgical gowns, books, masks, and face shields at its medical centers.\u003c/p>\n\u003cp>“We don’t believe what the CDC has recommended is adequate,” McClure says.\u003c/p>\n\u003cp>Nurses want full-body hazardous material suits that they’ve seen health care workers at other hospitals and medical clean-up crews wearing on television, including the Dallas crew that picked up the bed linens from the apartment where Thomas Duncan, the Liberian man who died of Ebola, stayed while ill.\u003c/p>\n\u003cp>“They went in with full Hazmats,” McClure said, in reference to the suits. “We want the same high standard for health care workers that are directly dealing with patients who are very ill.”\u003c/p>\n\u003cp>The California Nurses’ Association and its partner National Nurses United have been actively involved in the national discussion on Ebola, hosting rallies and press conferences, particularly after a nurse in Dallas became ill with the virus. The union released results of a national survey that found 80 percent of nurses said their hospital had not communicated any policy regarding the potential admission of patients infected with Ebola.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The CDC says it is now \u003ca title=\"http://www.nytimes.com/2014/10/14/us/dallas-nurse-ebola-patient.html?_r=1\" href=\"http://www.nytimes.com/2014/10/14/us/dallas-nurse-ebola-patient.html?_r=1\" target=\"_blank\">“rethinking” its guidelines for Ebola infection control\u003c/a>, and vowed on Tuesday to dispatch a specialized CDC response team to any hospital with a confirmed Ebola diagnosis.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Prop. 45 Fight Worthy of Television Drama",
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"content": "\u003cfigure id=\"attachment_22018\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/469263795-e1413059491589.jpg\">\u003cimg class=\"size-large wp-image-22018\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/469263795-640x448.jpg\" alt='Kevin Spacey stars as Frank Underwood in the Netflix series \"House of Cards.\" (Kevin Winter/Getty Images)' width=\"640\" height=\"448\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kevin Spacey stars as Frank Underwood in the Netflix series \"House of Cards.\" (Kevin Winter/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>The power play behind Proposition 45 could be fodder for an episode of House of Cards:\u003c/p>\n\u003caside class=\"pullquote alignleft\">Dave Jones might not like this comparison, but he's the Frank Underwood in this fight.\u003c/aside>\n\u003cp>“Power is a lot like real estate. It’s all about location, location, location. The closer you are to the source, the higher your property value,” so goes protagonist Frank Underwood, who plays the menacing House majority whip scheming to get closer to the president.\u003c/p>\n\u003cp>You'd never think there'd be such positioning over who gets to regulate health insurance.\u003c/p>\n\u003cp>But this is California. And no less than three state agencies want to have a say in this one.\u003c!--more-->\u003c/p>\n\u003cp>“I’ve taken a look at the regulation at the Department of Insurance and concluded it’s abysmal,” says Dave Jones the state’s insurance commissioner. “It’s too weak, it doesn’t provide enough teeth.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Jones wouldn't like this comparison, but he's the Frank in this fight. Now, I’m not saying Jones is sneaky or evil. But he is campaigning for Prop. 45 to give himself the power to reject rate hikes in health insurance, even though there are two state agencies that already review rates: the Department of Insurance and the Department of Managed Health Care.\u003c/p>\n\u003cp>“But neither department has the ability to actually reject health insurance rates that are excessive,” Jones says. “And review simply isn’t enough. We’ve been reviewing for four years now and rates continue to climb.”\u003c/p>\n\u003cp>It's a message that resonates with a lot of voters. Many have been waiting for someone to do something about skyrocketing health premiums. Like Josh Libresco, a market researcher in San Rafael who buys his own insurance. Health care costs for his family have gone up more than a thousand percent in the last fifteen years.\u003c/p>\n\u003cp>“It has become our single biggest expense. Bigger than my mortgage. Bigger than my daughters’ college tuition, which is incredible,” he says.\u003c/p>\n\u003cp>Testimonials like this make Prop. 45 seem like a slam dunk. But here’s the plot twist.\u003c/p>\n\u003cp>The commissioners’ own allies are against him on this one.\u003c/p>\n\u003cp>Covered California is the state agency tasked with implementing the Affordable Care Act in California. Susan Kennedy is a member of the board. It’s a stretch, but let’s cast her as Jackie Sharp from Season Two of House of Cards.\u003c/p>\n\u003cp>“I’ve been in politics and government for the last 25, 30 years,” Kennedy says. She served as cabinet secretary for Governor Gray Davis and chief of staff to Gov. Arnold Schwarzenegger.\u003c/p>\n\u003cp>In the show, Jackie and Frank are united on most issues –- until they aren’t. Similarly, Commissioner Jones and Covered California are on the same side when it comes to Obamacare.\u003c/p>\n\u003cp>But they disagree big time on whether Prop. 45 would help health reform or undermine it.\u003c/p>\n\u003cp>Jones says Prop. 45 is the missing piece of the Affordable Care Act; Kennedy says the timing is all wrong, and that the measure would interfere with Covered California’s ability to do its job.\u003c/p>\n\u003cp>“It would be one thing if we were to vote for Prop. 45 before we had begun implementing Obamacare, but I just don’t see how it’s possible to inject an entirely different system into an existing one and not expect it to cause chaos, delay, and cost,” she says.\u003c/p>\n\u003cp>Covered California has its own power to negotiate with insurers who want to sell health plans through the state’s individual and small business marketplace. The agency keeps an eye to cost already, but Kennedy says that’s not its only priority.\u003c/p>\n\u003cp>“For the last hundred years, health care reform has been about controlling the cost of health care. And, we want to improve quality of care and the outcomes of health care as opposed to just the cost,” she says. “Those are sometimes very conflicting goals.”\u003c/p>\n\u003cp>In the Hollywood version of this debate, one side self-implodes, or pulls out a dirty trick to throw the others’ credibility into question. But in real life in Sacramento, this is where the debate spirals into a long he-said-she-said and ends with Dave Jones swearing it can all work out and everyone can work together.\u003c/p>\n\u003cp>“The Department of Insurance, which has had over 25 years’ experience with rate regulation for all these other insurance products has reviewed Prop. 45 and concluded that Prop. 45 can be implemented consistent with Covered California,” he says.\u003c/p>\n\u003cp>Polls show support for the measure is slipping, with a third of voters still undecided.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>So I guess by my own metaphor, this makes me journalist Zoe Barnes, a comparison I do not appreciate, thank you very much. I assure you there were no shady deals in the making if this story. Though I’m pretty sure Dave Jones and Susan Kennedy will not be responding to my texts for a while.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22018\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/469263795-e1413059491589.jpg\">\u003cimg class=\"size-large wp-image-22018\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/469263795-640x448.jpg\" alt='Kevin Spacey stars as Frank Underwood in the Netflix series \"House of Cards.\" (Kevin Winter/Getty Images)' width=\"640\" height=\"448\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kevin Spacey stars as Frank Underwood in the Netflix series \"House of Cards.\" (Kevin Winter/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>The power play behind Proposition 45 could be fodder for an episode of House of Cards:\u003c/p>\n\u003caside class=\"pullquote alignleft\">Dave Jones might not like this comparison, but he's the Frank Underwood in this fight.\u003c/aside>\n\u003cp>“Power is a lot like real estate. It’s all about location, location, location. The closer you are to the source, the higher your property value,” so goes protagonist Frank Underwood, who plays the menacing House majority whip scheming to get closer to the president.\u003c/p>\n\u003cp>You'd never think there'd be such positioning over who gets to regulate health insurance.\u003c/p>\n\u003cp>But this is California. And no less than three state agencies want to have a say in this one.\u003c!--more-->\u003c/p>\n\u003cp>“I’ve taken a look at the regulation at the Department of Insurance and concluded it’s abysmal,” says Dave Jones the state’s insurance commissioner. “It’s too weak, it doesn’t provide enough teeth.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Jones wouldn't like this comparison, but he's the Frank in this fight. Now, I’m not saying Jones is sneaky or evil. But he is campaigning for Prop. 45 to give himself the power to reject rate hikes in health insurance, even though there are two state agencies that already review rates: the Department of Insurance and the Department of Managed Health Care.\u003c/p>\n\u003cp>“But neither department has the ability to actually reject health insurance rates that are excessive,” Jones says. “And review simply isn’t enough. We’ve been reviewing for four years now and rates continue to climb.”\u003c/p>\n\u003cp>It's a message that resonates with a lot of voters. Many have been waiting for someone to do something about skyrocketing health premiums. Like Josh Libresco, a market researcher in San Rafael who buys his own insurance. Health care costs for his family have gone up more than a thousand percent in the last fifteen years.\u003c/p>\n\u003cp>“It has become our single biggest expense. Bigger than my mortgage. Bigger than my daughters’ college tuition, which is incredible,” he says.\u003c/p>\n\u003cp>Testimonials like this make Prop. 45 seem like a slam dunk. But here’s the plot twist.\u003c/p>\n\u003cp>The commissioners’ own allies are against him on this one.\u003c/p>\n\u003cp>Covered California is the state agency tasked with implementing the Affordable Care Act in California. Susan Kennedy is a member of the board. It’s a stretch, but let’s cast her as Jackie Sharp from Season Two of House of Cards.\u003c/p>\n\u003cp>“I’ve been in politics and government for the last 25, 30 years,” Kennedy says. She served as cabinet secretary for Governor Gray Davis and chief of staff to Gov. Arnold Schwarzenegger.\u003c/p>\n\u003cp>In the show, Jackie and Frank are united on most issues –- until they aren’t. Similarly, Commissioner Jones and Covered California are on the same side when it comes to Obamacare.\u003c/p>\n\u003cp>But they disagree big time on whether Prop. 45 would help health reform or undermine it.\u003c/p>\n\u003cp>Jones says Prop. 45 is the missing piece of the Affordable Care Act; Kennedy says the timing is all wrong, and that the measure would interfere with Covered California’s ability to do its job.\u003c/p>\n\u003cp>“It would be one thing if we were to vote for Prop. 45 before we had begun implementing Obamacare, but I just don’t see how it’s possible to inject an entirely different system into an existing one and not expect it to cause chaos, delay, and cost,” she says.\u003c/p>\n\u003cp>Covered California has its own power to negotiate with insurers who want to sell health plans through the state’s individual and small business marketplace. The agency keeps an eye to cost already, but Kennedy says that’s not its only priority.\u003c/p>\n\u003cp>“For the last hundred years, health care reform has been about controlling the cost of health care. And, we want to improve quality of care and the outcomes of health care as opposed to just the cost,” she says. “Those are sometimes very conflicting goals.”\u003c/p>\n\u003cp>In the Hollywood version of this debate, one side self-implodes, or pulls out a dirty trick to throw the others’ credibility into question. But in real life in Sacramento, this is where the debate spirals into a long he-said-she-said and ends with Dave Jones swearing it can all work out and everyone can work together.\u003c/p>\n\u003cp>“The Department of Insurance, which has had over 25 years’ experience with rate regulation for all these other insurance products has reviewed Prop. 45 and concluded that Prop. 45 can be implemented consistent with Covered California,” he says.\u003c/p>\n\u003cp>Polls show support for the measure is slipping, with a third of voters still undecided.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>So I guess by my own metaphor, this makes me journalist Zoe Barnes, a comparison I do not appreciate, thank you very much. I assure you there were no shady deals in the making if this story. Though I’m pretty sure Dave Jones and Susan Kennedy will not be responding to my texts for a while.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Darrell Steinberg, Termed Out, Leaves Health Care Legacy in California",
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"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_21998\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Steinberg-e1412875491122.jpg\">\u003cimg class=\"size-large wp-image-21998\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Steinberg-640x426.jpg\" alt=\"Sen. Darrel Steinberg has served in the California legislature for 14 years. (Lorie Shelley, Senate Photographer)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sen. Darrell Steinberg has served in the California legislature for 14 years, including six years as president pro tem. (Lorie Shelley, Senate Photographer)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By David Gorn,\u003c/strong>\u003ca title=\"http://www.californiahealthline.org/insight/2014/steinberg-leaves-health-care-legacy-after-14-years-in-california-legislature\" href=\"http://www.californiahealthline.org/insight/2014/steinberg-leaves-health-care-legacy-after-14-years-in-california-legislature\" target=\"_blank\"> California Healthline\u003c/a>\u003c/p>\n\u003cp>It only \u003cem>seems\u003c/em> like Darrell Steinberg (D) has been in the California Legislature forever. Really, forever has just been 14 years.\u003c/p>\n\u003caside class=\"pullquote alignleft\">The senator had made mental health issues a priority.\u003c/aside>\n\u003cp>For health care advocates, Steinberg's presence has cast the longest shadow in the 21st century, helping advance health causes on multiple fronts -- including autism care, mental health services, foster care and homeless services.\u003c/p>\n\u003cp>Steinberg was elected to the Assembly in 1998, the Senate in 2006 and became Senate President Pro Tempore in 2008. In that 16-year span, he took a two-year break from the Legislature, from 2004 to 2006. He built a reputation as a deal-maker, a horse trader, a broker of political compromises.\u003c/p>\n\u003cp>Along the way, he helped shape and muscle into existence some of the cornerstone mental health laws in the state. In 2004, Steinberg wrote and backed the voter-approved California Mental Health Services Act, passed in 2004 as Proposition 63.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>That law alone has raised $13.2 billion for mental health services in the past decade, and it is due to deliver an estimated $1.58 billion in fiscal year 2014-2015.\u003c/p>\n\u003cp>In 2000, he ushered in AB 2034, an expansion of an earlier pilot program he championed that integrated services to the homeless, cutting down on incarceration and hospitalization. He authored a bill in 2011 (SB 946) that required private health plans to cover autism therapy.\u003c/p>\n\u003cp>Steinberg has said his aggressive pursuit of mental illness issues stemmed from his time on the Sacramento City Council, just before he decided to run for Assembly. In 1997, the City Council voted 6-2 to sue Loaves and Fishes, a private charity providing food to the homeless, for becoming a nuisance to businesses around it. Steinberg was one of those \"no\" votes, along with then-mayor Joe Serna (D).\u003c/p>\n\u003cp>Steve Cohn (D), a longtime City Council member now running for Assembly, was one of the people pushing the lawsuit. Steinberg said it became clear to him then that many of the homeless had mental illnesses, and that contributed to the local ruckus that prompted the lawsuit. Since then, Steinberg has made mental illness one of the legacy issues of his time in the Legislature.\u003cbr>\nSteinberg's daughter recently revealed she has been diagnosed with bipolar disorder and said she would like to follow her father's lead and be an advocate for mental health issues.\u003c/p>\n\u003cp>Steinberg has been termed out of office and has indicated that he plans to create a foundation \u003ca title=\"http://www.sacbee.com/2014/10/07/6768372/steinberg-to-launch-mental-health.html\" href=\"http://www.sacbee.com/2014/10/07/6768372/steinberg-to-launch-mental-health.html\" target=\"_blank\">focused on mental health policy \u003c/a>issues. Beyond that, he has not commented about what other steps he might take. The possibilities mentioned include everything from running for mayor of Sacramento to being appointed a state Supreme Court justice, given his law background.\u003c/p>\n\u003cp>California Healthline sat down with Steinberg this week to review his years in office, and get his sense of the health issues on the legislative horizon, who might carry on his fights and what health care challenges he foresees in the years ahead.\u003c/p>\n\u003cp>And, of course, to ask about what deals he might still make, considering he's officially in office for another month or so.\u003cbr>\nCalifornia Healthline: Let's start with the issue most associated with you. Why are mental health issues so important to you? Why has that mattered so much to you?\u003c/p>\n\u003cp>\u003cstrong> Steinberg\u003c/strong>: It matters for many reasons. Tens of thousands of people suffer unnecessarily, because as much as we have done we still have so much more to do. It's important because mental health and mental illness is inextricably tied to most everything else we care about and spend public money on -- whether it's criminal justice, homelessness, child welfare, kids falling behind in school, family dysfunction -- and, in large part because of the continuing stigma, it's an issue that affects every community, knows no artificial boundaries. And everybody knows somebody. It does not get the attention or resources that it deserves and needs.\u003c/p>\n\u003cp>I feel very strongly that the next great advance in society ought to be understanding the brain. How it functions, why people suffer from these illnesses and more importantly, what we can do to help people lead good lives.\u003c/p>\n\u003cp>The flip side of disability is ability. People can live good lives, even with these biochemical illnesses -- if we do better.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> When you look back over your 14 years in the Legislature at the accomplishments high on the pride list, the big one has to be the Mental Health Services Act.\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> It is, because of its magnitude. It's projected to generate $1.7 billion a year. Even though I wished those in charge of implementing had completed a comprehensive outcome-based evaluation. But thousands of people have benefited from it.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> So this is the biggest one…\u003c/p>\n\u003cp>\u003cstrong> Steinberg\u003c/strong>: But it's not the only one. In this field, I realized what you need to do is build and layer, build and layer. It isn't done. What we did in 2013 when the state budget finally turned around was significant -- maybe not as significant in terms of magnitude as the Mental Health Services Act, but it begins to answer the question: How do you help people access these services when they have hit rock bottom?\u003c/p>\n\u003cp>What we did in 2013 is establish funding for 2,000 crisis beds, if you figure they turn over about three times a month, that's 6,000 beds a month. We put together money for 600 triage workers, to help people navigate [the system] … and 25 mobile outreach teams. Really, what we really focused on there was the infrastructure.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> I want to get to the build-and-layer idea, but you brought up Loaves and Fishes, too. I assume you know Steve Cohn is running for Assembly.\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> Yes.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> And you have a little history with him. Going back, you want to tell me the Loaves and Fishes story?\u003cbr>\nSteinberg: Well, sure. Steve's my friend, we've traveled together, we're members of the same synagogue, and I have respect for him, I mean real respect for him. I'm endorsing his opponent in the Assembly race, but I still have respect for Steve.\u003c/p>\n\u003cp>Back then we were on the other side, and I suppose that was the formative battle for me, that motivated me to take on this issue.\u003cbr>\nI've told the story many times. The folks in the downtown area and the businesses, it was not completely an illegitimate issue in terms of the over-concentration of people needing help in one part of town. But I disagreed with the way the city and the city council majority went about trying to address it. They sued Loaves and Fishes. It was a \"Man Bites Dog\" story.\u003c/p>\n\u003cp>The lawsuit settled relatively quickly. But for me, that was around the time I began my campaign for state Assembly, and it was very clear to me that the underlying cause of the problem was untreated mental illness.\u003c/p>\n\u003cp>I combined that with the advice I got from Phil Isenberg (D) (who was a former mayor of Sacramento and served in the state Assembly for 14 years before the term-limits law passed in 1990). He said to me, \"If you're going to succeed in the term-limited Legislature, you need to focus on a couple of things that really matter, that few others are really working on. Make it your passion and drive it.\" So I decided I was going to make this issue a priority.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> Most people get involved in a particular health issue because someone they're close to has that health issue. It's interesting that wasn't the case with you.\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> Yes, my daughter's story is something that happened recently.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> That's a little different. It does reinforce your point that everyone knows someone.\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> Yes, that all came out after [my work in the Legislature].\u003c/p>\n\u003cp>The homeless may be the most visible manifestation of untreated mental illness, but this is about every family. Every community. And people we know.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> This idea of build and layer, build and layer. Of all the bills you've authored, some of them obviously are naming freeways after people, but of the health care ones, if you had to pick a top three, can you name three bills that made the biggest difference?\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> For me, it's definitely the Mental Health Services Act, when you add the investment from 2013, you add the recidivism reduction fund ... in 2013, as well, and we're getting close to $2 billion of investment next year in the public mental health system. To me, that represents untold numbers of lives that are saved or bettered.\u003c/p>\n\u003cp>So that's one. Two is autism, SB 946. That now is expanded to Medi-Cal, now thousands of kids are going to get the early help they need to have better lives. That has been transforming.\u003c/p>\n\u003cp>Third is restoring the Denti-Cal program for 800,000 low-income Californians. That was a horrible cut we made in 2009.\u003cbr>\nAnd AB 34 and AB 2034 (the homeless services bills, first as a pilot project and then expanded), those are right there at the top.\u003c/p>\n\u003cp>Let me just say, the 2013 package, the recidivism reduction fund, autism and ABA (applied behavior analysis) therapy for kids across the board, the restoration of Denti-Cal, and I wasn't the only one, but I played a key role in negotiating the Affordable Care Act, making sure it was implemented in California in a way that was right and fair.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> That's a pretty impressive list.\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> Well, thank you.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> So that's 14 years of work. Now, looking ahead, at life in the Legislature without you, when you look at the governor's veto and signing messages, there's a theme -- he says he's weary of the cost of additional Medi-Cal benefits. What might that mean to California in the next few years?\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> California can be very proud of what it's done with health care reform and the Affordable Care Act. I do believe there is a next evolution of change, and that is to fully integrate care -- physical health care, mental health and behavioral health, substance abuse, to focus on chronic conditions, to make prevention and early intervention the priority.\u003c/p>\n\u003cp>So that the person being cared for is seen as a whole person and treated as a whole person, that's the next evolution and that by definition will bring down costs.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> But to do all of that, the cost may come down in the long run, but just to make changes in the first place -- or to get more people on Medi-Cal so fewer people show up in hospital emergency departments -- that takes money up front. That's what seems to be at issue.\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> The governor is always going to emphasize, appropriately by the way, the cost issues. But in the end, look at the result. He signed ACA implementation [and Medi-Cal expansion] in California. He most often comes down on the side that represents progress here. Yeah, it may be push and pull. But I think he's going to be receptive to the idea of improving the effectiveness of these private and public systems that are too often balkanized and separate.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> Getting to your replacement [as Senate pro Tem], Kevin de León (D-Los Angeles) seems to have a different agenda from yours. When he's asked about health care issues, he'll talk about coverage for the undocumented. He seems to shy away from provider rate increases in Medi-Cal, for instance. Where do you see him in terms of health care?\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> He's a formidable advocate. I do believe any leader has to state their point of emphasis. If Sen. de Leon's point of emphasis is expanding coverage to undocumented immigrants, I'm confident he will get that done and have a great legacy as a result.\u003c/p>\n\u003cp>The thing about this job, it's a bit of a fire hose.\u003c/p>\n\u003cp>You can pick your points of emphasis. But inevitably many of the decisions will land in your office, so he'll be dealing with every part of health care. If you don't have a point of emphasis, or some priorities you state clearly, you'll find yourself just trying to avoid the fire hose.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> It was interesting to hear [Assembly Speaker] Toni Atkins (D-San Diego) and de Leon on the stage recently. They're trying to agree on everything, but Atkins did not come down on the undocumented side, and de Leon did not come down on the provider rate increase side.\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> Maybe you see the makings of a partnership.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> It's the beginning of a beautiful relationship.\u003c/p>\n\u003cp>Steinberg: It's often better, whether it's intentional or not, for the two leaders in the two Houses to have different but complementary priorities.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> You're such a positive person.\u003c/p>\n\u003cp>Steinberg: Yeah, you got more to negotiate for!\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> Who is going to take up the mental health and autism issues in your absence? How can you ensure the work you did continues?\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> I may be leaving Legislature, but I'm not leaving the community or the state or my commitment to these issues, so I'm going to stay involved myself. That's number one.\u003c/p>\n\u003cp>And two, one of the things I was very excited about this year is to see someone like Jim Beall (D-San Jose) picking up the mantle. When he put together the mental health conference, it was always packed. There were always a lot of members ... There's a lot of interest out there, and it doesn't have to be one person.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> You say you're staying. But no one knows what you're going to be doing. People have said you're going to become a Supreme Court judge.\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> No, that isn't happening.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> You're going to become mayor of Sacramento\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> Well, maybe.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> So go ahead, what's next?\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> I'm not ready to make any announcements yet, but I'm going to step out for a while. I'm going to affiliate with a law firm, maybe get involved with an institute around mental health advocacy, and I'm going to do a combination of things.\u003c/p>\n\u003cp>Will that be for a while or will that be for longer, I don't know. I hope that I'm not done with my public service. But it would have to be the right thing.\u003c/p>\n\u003cp>I don't know exactly what the future holds. I know, after 20 years, I feel good about what I've been able to work on, and some of the accomplishments. It's OK to step out, and look at it all from a different vantage point for a while.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>It's not like I don't have plans. I'm going to join a law firm and try to start my institute or foundation work, I'm not retiring I'm just changing my role. I've been termed out of office, it's not as if I have a choice. I am going to miss it terribly. How could I not?\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_21998\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Steinberg-e1412875491122.jpg\">\u003cimg class=\"size-large wp-image-21998\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/Steinberg-640x426.jpg\" alt=\"Sen. Darrel Steinberg has served in the California legislature for 14 years. (Lorie Shelley, Senate Photographer)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sen. Darrell Steinberg has served in the California legislature for 14 years, including six years as president pro tem. (Lorie Shelley, Senate Photographer)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By David Gorn,\u003c/strong>\u003ca title=\"http://www.californiahealthline.org/insight/2014/steinberg-leaves-health-care-legacy-after-14-years-in-california-legislature\" href=\"http://www.californiahealthline.org/insight/2014/steinberg-leaves-health-care-legacy-after-14-years-in-california-legislature\" target=\"_blank\"> California Healthline\u003c/a>\u003c/p>\n\u003cp>It only \u003cem>seems\u003c/em> like Darrell Steinberg (D) has been in the California Legislature forever. Really, forever has just been 14 years.\u003c/p>\n\u003caside class=\"pullquote alignleft\">The senator had made mental health issues a priority.\u003c/aside>\n\u003cp>For health care advocates, Steinberg's presence has cast the longest shadow in the 21st century, helping advance health causes on multiple fronts -- including autism care, mental health services, foster care and homeless services.\u003c/p>\n\u003cp>Steinberg was elected to the Assembly in 1998, the Senate in 2006 and became Senate President Pro Tempore in 2008. In that 16-year span, he took a two-year break from the Legislature, from 2004 to 2006. He built a reputation as a deal-maker, a horse trader, a broker of political compromises.\u003c/p>\n\u003cp>Along the way, he helped shape and muscle into existence some of the cornerstone mental health laws in the state. In 2004, Steinberg wrote and backed the voter-approved California Mental Health Services Act, passed in 2004 as Proposition 63.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That law alone has raised $13.2 billion for mental health services in the past decade, and it is due to deliver an estimated $1.58 billion in fiscal year 2014-2015.\u003c/p>\n\u003cp>In 2000, he ushered in AB 2034, an expansion of an earlier pilot program he championed that integrated services to the homeless, cutting down on incarceration and hospitalization. He authored a bill in 2011 (SB 946) that required private health plans to cover autism therapy.\u003c/p>\n\u003cp>Steinberg has said his aggressive pursuit of mental illness issues stemmed from his time on the Sacramento City Council, just before he decided to run for Assembly. In 1997, the City Council voted 6-2 to sue Loaves and Fishes, a private charity providing food to the homeless, for becoming a nuisance to businesses around it. Steinberg was one of those \"no\" votes, along with then-mayor Joe Serna (D).\u003c/p>\n\u003cp>Steve Cohn (D), a longtime City Council member now running for Assembly, was one of the people pushing the lawsuit. Steinberg said it became clear to him then that many of the homeless had mental illnesses, and that contributed to the local ruckus that prompted the lawsuit. Since then, Steinberg has made mental illness one of the legacy issues of his time in the Legislature.\u003cbr>\nSteinberg's daughter recently revealed she has been diagnosed with bipolar disorder and said she would like to follow her father's lead and be an advocate for mental health issues.\u003c/p>\n\u003cp>Steinberg has been termed out of office and has indicated that he plans to create a foundation \u003ca title=\"http://www.sacbee.com/2014/10/07/6768372/steinberg-to-launch-mental-health.html\" href=\"http://www.sacbee.com/2014/10/07/6768372/steinberg-to-launch-mental-health.html\" target=\"_blank\">focused on mental health policy \u003c/a>issues. Beyond that, he has not commented about what other steps he might take. The possibilities mentioned include everything from running for mayor of Sacramento to being appointed a state Supreme Court justice, given his law background.\u003c/p>\n\u003cp>California Healthline sat down with Steinberg this week to review his years in office, and get his sense of the health issues on the legislative horizon, who might carry on his fights and what health care challenges he foresees in the years ahead.\u003c/p>\n\u003cp>And, of course, to ask about what deals he might still make, considering he's officially in office for another month or so.\u003cbr>\nCalifornia Healthline: Let's start with the issue most associated with you. Why are mental health issues so important to you? Why has that mattered so much to you?\u003c/p>\n\u003cp>\u003cstrong> Steinberg\u003c/strong>: It matters for many reasons. Tens of thousands of people suffer unnecessarily, because as much as we have done we still have so much more to do. It's important because mental health and mental illness is inextricably tied to most everything else we care about and spend public money on -- whether it's criminal justice, homelessness, child welfare, kids falling behind in school, family dysfunction -- and, in large part because of the continuing stigma, it's an issue that affects every community, knows no artificial boundaries. And everybody knows somebody. It does not get the attention or resources that it deserves and needs.\u003c/p>\n\u003cp>I feel very strongly that the next great advance in society ought to be understanding the brain. How it functions, why people suffer from these illnesses and more importantly, what we can do to help people lead good lives.\u003c/p>\n\u003cp>The flip side of disability is ability. People can live good lives, even with these biochemical illnesses -- if we do better.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> When you look back over your 14 years in the Legislature at the accomplishments high on the pride list, the big one has to be the Mental Health Services Act.\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> It is, because of its magnitude. It's projected to generate $1.7 billion a year. Even though I wished those in charge of implementing had completed a comprehensive outcome-based evaluation. But thousands of people have benefited from it.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> So this is the biggest one…\u003c/p>\n\u003cp>\u003cstrong> Steinberg\u003c/strong>: But it's not the only one. In this field, I realized what you need to do is build and layer, build and layer. It isn't done. What we did in 2013 when the state budget finally turned around was significant -- maybe not as significant in terms of magnitude as the Mental Health Services Act, but it begins to answer the question: How do you help people access these services when they have hit rock bottom?\u003c/p>\n\u003cp>What we did in 2013 is establish funding for 2,000 crisis beds, if you figure they turn over about three times a month, that's 6,000 beds a month. We put together money for 600 triage workers, to help people navigate [the system] … and 25 mobile outreach teams. Really, what we really focused on there was the infrastructure.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> I want to get to the build-and-layer idea, but you brought up Loaves and Fishes, too. I assume you know Steve Cohn is running for Assembly.\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> Yes.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> And you have a little history with him. Going back, you want to tell me the Loaves and Fishes story?\u003cbr>\nSteinberg: Well, sure. Steve's my friend, we've traveled together, we're members of the same synagogue, and I have respect for him, I mean real respect for him. I'm endorsing his opponent in the Assembly race, but I still have respect for Steve.\u003c/p>\n\u003cp>Back then we were on the other side, and I suppose that was the formative battle for me, that motivated me to take on this issue.\u003cbr>\nI've told the story many times. The folks in the downtown area and the businesses, it was not completely an illegitimate issue in terms of the over-concentration of people needing help in one part of town. But I disagreed with the way the city and the city council majority went about trying to address it. They sued Loaves and Fishes. It was a \"Man Bites Dog\" story.\u003c/p>\n\u003cp>The lawsuit settled relatively quickly. But for me, that was around the time I began my campaign for state Assembly, and it was very clear to me that the underlying cause of the problem was untreated mental illness.\u003c/p>\n\u003cp>I combined that with the advice I got from Phil Isenberg (D) (who was a former mayor of Sacramento and served in the state Assembly for 14 years before the term-limits law passed in 1990). He said to me, \"If you're going to succeed in the term-limited Legislature, you need to focus on a couple of things that really matter, that few others are really working on. Make it your passion and drive it.\" So I decided I was going to make this issue a priority.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> Most people get involved in a particular health issue because someone they're close to has that health issue. It's interesting that wasn't the case with you.\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> Yes, my daughter's story is something that happened recently.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> That's a little different. It does reinforce your point that everyone knows someone.\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> Yes, that all came out after [my work in the Legislature].\u003c/p>\n\u003cp>The homeless may be the most visible manifestation of untreated mental illness, but this is about every family. Every community. And people we know.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> This idea of build and layer, build and layer. Of all the bills you've authored, some of them obviously are naming freeways after people, but of the health care ones, if you had to pick a top three, can you name three bills that made the biggest difference?\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> For me, it's definitely the Mental Health Services Act, when you add the investment from 2013, you add the recidivism reduction fund ... in 2013, as well, and we're getting close to $2 billion of investment next year in the public mental health system. To me, that represents untold numbers of lives that are saved or bettered.\u003c/p>\n\u003cp>So that's one. Two is autism, SB 946. That now is expanded to Medi-Cal, now thousands of kids are going to get the early help they need to have better lives. That has been transforming.\u003c/p>\n\u003cp>Third is restoring the Denti-Cal program for 800,000 low-income Californians. That was a horrible cut we made in 2009.\u003cbr>\nAnd AB 34 and AB 2034 (the homeless services bills, first as a pilot project and then expanded), those are right there at the top.\u003c/p>\n\u003cp>Let me just say, the 2013 package, the recidivism reduction fund, autism and ABA (applied behavior analysis) therapy for kids across the board, the restoration of Denti-Cal, and I wasn't the only one, but I played a key role in negotiating the Affordable Care Act, making sure it was implemented in California in a way that was right and fair.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> That's a pretty impressive list.\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> Well, thank you.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> So that's 14 years of work. Now, looking ahead, at life in the Legislature without you, when you look at the governor's veto and signing messages, there's a theme -- he says he's weary of the cost of additional Medi-Cal benefits. What might that mean to California in the next few years?\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> California can be very proud of what it's done with health care reform and the Affordable Care Act. I do believe there is a next evolution of change, and that is to fully integrate care -- physical health care, mental health and behavioral health, substance abuse, to focus on chronic conditions, to make prevention and early intervention the priority.\u003c/p>\n\u003cp>So that the person being cared for is seen as a whole person and treated as a whole person, that's the next evolution and that by definition will bring down costs.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> But to do all of that, the cost may come down in the long run, but just to make changes in the first place -- or to get more people on Medi-Cal so fewer people show up in hospital emergency departments -- that takes money up front. That's what seems to be at issue.\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> The governor is always going to emphasize, appropriately by the way, the cost issues. But in the end, look at the result. He signed ACA implementation [and Medi-Cal expansion] in California. He most often comes down on the side that represents progress here. Yeah, it may be push and pull. But I think he's going to be receptive to the idea of improving the effectiveness of these private and public systems that are too often balkanized and separate.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> Getting to your replacement [as Senate pro Tem], Kevin de León (D-Los Angeles) seems to have a different agenda from yours. When he's asked about health care issues, he'll talk about coverage for the undocumented. He seems to shy away from provider rate increases in Medi-Cal, for instance. Where do you see him in terms of health care?\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> He's a formidable advocate. I do believe any leader has to state their point of emphasis. If Sen. de Leon's point of emphasis is expanding coverage to undocumented immigrants, I'm confident he will get that done and have a great legacy as a result.\u003c/p>\n\u003cp>The thing about this job, it's a bit of a fire hose.\u003c/p>\n\u003cp>You can pick your points of emphasis. But inevitably many of the decisions will land in your office, so he'll be dealing with every part of health care. If you don't have a point of emphasis, or some priorities you state clearly, you'll find yourself just trying to avoid the fire hose.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> It was interesting to hear [Assembly Speaker] Toni Atkins (D-San Diego) and de Leon on the stage recently. They're trying to agree on everything, but Atkins did not come down on the undocumented side, and de Leon did not come down on the provider rate increase side.\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> Maybe you see the makings of a partnership.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> It's the beginning of a beautiful relationship.\u003c/p>\n\u003cp>Steinberg: It's often better, whether it's intentional or not, for the two leaders in the two Houses to have different but complementary priorities.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> You're such a positive person.\u003c/p>\n\u003cp>Steinberg: Yeah, you got more to negotiate for!\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> Who is going to take up the mental health and autism issues in your absence? How can you ensure the work you did continues?\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> I may be leaving Legislature, but I'm not leaving the community or the state or my commitment to these issues, so I'm going to stay involved myself. That's number one.\u003c/p>\n\u003cp>And two, one of the things I was very excited about this year is to see someone like Jim Beall (D-San Jose) picking up the mantle. When he put together the mental health conference, it was always packed. There were always a lot of members ... There's a lot of interest out there, and it doesn't have to be one person.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> You say you're staying. But no one knows what you're going to be doing. People have said you're going to become a Supreme Court judge.\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> No, that isn't happening.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> You're going to become mayor of Sacramento\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> Well, maybe.\u003c/p>\n\u003cp>\u003cstrong> California Healthline:\u003c/strong> So go ahead, what's next?\u003c/p>\n\u003cp>\u003cstrong> Steinberg:\u003c/strong> I'm not ready to make any announcements yet, but I'm going to step out for a while. I'm going to affiliate with a law firm, maybe get involved with an institute around mental health advocacy, and I'm going to do a combination of things.\u003c/p>\n\u003cp>Will that be for a while or will that be for longer, I don't know. I hope that I'm not done with my public service. But it would have to be the right thing.\u003c/p>\n\u003cp>I don't know exactly what the future holds. I know, after 20 years, I feel good about what I've been able to work on, and some of the accomplishments. It's OK to step out, and look at it all from a different vantage point for a while.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It's not like I don't have plans. I'm going to join a law firm and try to start my institute or foundation work, I'm not retiring I'm just changing my role. I've been termed out of office, it's not as if I have a choice. I am going to miss it terribly. How could I not?\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Poll: Majority of California Voters Support Health Coverage for Undocumented Immigrants",
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"content": "\u003cfigure id=\"attachment_17893\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/450425533-e1393447522623.jpg\">\u003cimg class=\"wp-image-17893 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/450425533-640x492.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"492\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images) \u003ccite>(Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A majority of the state's voters support extending current health insurance programs to all low-income Californians, including undocumented immigrants, \u003ca title=\"http://www.calendow.org/uploadedFiles/Health_Happends_Here/FM3-GS_Strat-Final%20Memo.pdf\" href=\"http://www.calendow.org/uploadedFiles/Health_Happends_Here/FM3-GS_Strat-Final%20Memo.pdf\" target=\"_blank\">according to a new statewide poll\u003c/a> released Monday.\u003c/p>\n\u003cp>The poll was commissioned by The California Endowment, a foundation that has been actively working to expand health insurance access to all people, regardless of immigration status. The Affordable Care Act expressly bars undocumented immigrants from receiving any of its benefits, including subsidies to purchase health insurance.\u003c/p>\n\u003cp>In the poll, 54 percent of those surveyed said they support covering the undocumented. Support was strongest among younger voters as well as Latino respondents and African Americans.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Those surveyed were also asked about specific aspects of the policy approach. Total support for those issues were as follows:\u003c/p>\n\u003cul>\n\u003cli>86 percent: support important access to preventive care to reduce overall health costs and prevent spread of disease\u003c/li>\n\u003cli>69 percent: support ensuring that working undocumented immigrants can purchase affordable health insurance\u003c/li>\n\u003cli>56 percent: support expanding Medi-Cal, the state's version of Medicaid, to undocumented residents\u003c/li>\n\u003cli>54 percent: support making subsidies to purchase Covered California plans available to working undocumented immigrants. Covered California is the state's Obamacare marketplace.\u003c/li>\n\u003c/ul>\n\u003cp>In conducting the poll, the California Endowment retained two polling firms, FM3, which generally handles Democratic campaigns, and GS Strategy Group, which generally handles Republican campaigns. The stated goal was to reflect the perspective of both parties. In breakdowns by party, liberal and moderate Republicans had strong support for access to preventive care and ensuring that undocumented immigrants can purchase affordable health insurance.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The surveyed voters were read a statement that explicitly referenced unreimbursed health care costs:\u003c/p>\n\u003cblockquote>\u003cp>\"Currently, health care providers are required by law to provide emergency care to all Californians, including those who are undocumented, whether or not they have health insurance coverage. The costs of this care are currently passed on to other patients and taxpayers.\"\u003c/p>\u003c/blockquote>\n\u003cp>This explanation of costs seemed to have made an impact on respondents, especially when seen in light of the 86 percent support for access to preventive care. \"We've seen this in a lot of other research,\" said Dave Metz with FM3, \"that voters think investments in prevention make a great deal of sense both from an economic and public health perspective, and that's true for this policy as well.\"\u003c/p>\n\u003cp>Respondents were also presented with statements explicitly opposed to the proposal of expanding access to health insurance, including that \"undocumented immigrants are breaking the law and should not be rewarded.\" Total support actually went up slightly, from 54 to 56 percent, after respondents heard the negatives messages.\u003c/p>\n\u003cp>Daniel Zingale, senior vice president for the Endowment pointed to the strong support in young voters for expanding health programs to the undocumented. Those 18-29 showed 68 percent support and people 30-39 had 61 percent support. Zingale said there seems to be a \"generational shift under way in California and attitudes around these particular questions seems to even transcend the partisan divide.\"\u003c/p>\n\u003cp>Earlier this year, Senator Ricardo Lara (D-Bell Gardens) introduced \u003ca title=\"http://sd33.senate.ca.gov/news/2014-01-10-senator-lara-proposes-expanding-access-health-care-all-regardless-immigration-status\" href=\"http://sd33.senate.ca.gov/news/2014-01-10-senator-lara-proposes-expanding-access-health-care-all-regardless-immigration-status\" target=\"_blank\">SB 1005, the Health for All Act\u003c/a>, which would have expanded Medi-Cal to undocumented immigrants and created a new insurance exchange for the undocumented to obtain subsidized insurance. The bill ultimately stalled in the senate.\u003c/p>\n\u003cp>Anthony Wright, executive director of Health Access, a consumer advocacy group said the poll results give \"hope and momentum\" to efforts to pass a bill next year. \"We had a lot of energy and enthusiasm and coalition support last year, and with the findings that this is getting increasing public support, we fell like we have momentum to win this year,\" he said.\u003c/p>\n\u003cp>The poll was a survey of 800 registered California voters. Interviews were conducted in English and Spanish on landlines and wireless phones. Phone calls were made August 24-31.\u003c/p>\n\u003cp>Pollsters noted that they conducted an additional 154 interviews among African American voters. The purpose was to oversample and ensure a more accurate position of the group.\u003c/p>\n\u003cp>\"There's some perception out there that there's an African American vs. Latino divide on this issue,\" Zingale said, explaining the reason for the oversample. In the poll, 69 percent of Latinos support expanding access to undocumented, and 68 percent of African Americans support the proposal.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We're pleased to see in this survey,\" Zingale said, \"there seems to be zero evidence\" of such a divide.\u003c/p>\n\n",
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"excerpt": "The Affordable Care Act bars undocumented immigrants from benefits. Statewide advocates want California to provide health insurance access.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17893\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/450425533-e1393447522623.jpg\">\u003cimg class=\"wp-image-17893 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/450425533-640x492.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"492\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images) \u003ccite>(Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A majority of the state's voters support extending current health insurance programs to all low-income Californians, including undocumented immigrants, \u003ca title=\"http://www.calendow.org/uploadedFiles/Health_Happends_Here/FM3-GS_Strat-Final%20Memo.pdf\" href=\"http://www.calendow.org/uploadedFiles/Health_Happends_Here/FM3-GS_Strat-Final%20Memo.pdf\" target=\"_blank\">according to a new statewide poll\u003c/a> released Monday.\u003c/p>\n\u003cp>The poll was commissioned by The California Endowment, a foundation that has been actively working to expand health insurance access to all people, regardless of immigration status. The Affordable Care Act expressly bars undocumented immigrants from receiving any of its benefits, including subsidies to purchase health insurance.\u003c/p>\n\u003cp>In the poll, 54 percent of those surveyed said they support covering the undocumented. Support was strongest among younger voters as well as Latino respondents and African Americans.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Those surveyed were also asked about specific aspects of the policy approach. Total support for those issues were as follows:\u003c/p>\n\u003cul>\n\u003cli>86 percent: support important access to preventive care to reduce overall health costs and prevent spread of disease\u003c/li>\n\u003cli>69 percent: support ensuring that working undocumented immigrants can purchase affordable health insurance\u003c/li>\n\u003cli>56 percent: support expanding Medi-Cal, the state's version of Medicaid, to undocumented residents\u003c/li>\n\u003cli>54 percent: support making subsidies to purchase Covered California plans available to working undocumented immigrants. Covered California is the state's Obamacare marketplace.\u003c/li>\n\u003c/ul>\n\u003cp>In conducting the poll, the California Endowment retained two polling firms, FM3, which generally handles Democratic campaigns, and GS Strategy Group, which generally handles Republican campaigns. The stated goal was to reflect the perspective of both parties. In breakdowns by party, liberal and moderate Republicans had strong support for access to preventive care and ensuring that undocumented immigrants can purchase affordable health insurance.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The surveyed voters were read a statement that explicitly referenced unreimbursed health care costs:\u003c/p>\n\u003cblockquote>\u003cp>\"Currently, health care providers are required by law to provide emergency care to all Californians, including those who are undocumented, whether or not they have health insurance coverage. The costs of this care are currently passed on to other patients and taxpayers.\"\u003c/p>\u003c/blockquote>\n\u003cp>This explanation of costs seemed to have made an impact on respondents, especially when seen in light of the 86 percent support for access to preventive care. \"We've seen this in a lot of other research,\" said Dave Metz with FM3, \"that voters think investments in prevention make a great deal of sense both from an economic and public health perspective, and that's true for this policy as well.\"\u003c/p>\n\u003cp>Respondents were also presented with statements explicitly opposed to the proposal of expanding access to health insurance, including that \"undocumented immigrants are breaking the law and should not be rewarded.\" Total support actually went up slightly, from 54 to 56 percent, after respondents heard the negatives messages.\u003c/p>\n\u003cp>Daniel Zingale, senior vice president for the Endowment pointed to the strong support in young voters for expanding health programs to the undocumented. Those 18-29 showed 68 percent support and people 30-39 had 61 percent support. Zingale said there seems to be a \"generational shift under way in California and attitudes around these particular questions seems to even transcend the partisan divide.\"\u003c/p>\n\u003cp>Earlier this year, Senator Ricardo Lara (D-Bell Gardens) introduced \u003ca title=\"http://sd33.senate.ca.gov/news/2014-01-10-senator-lara-proposes-expanding-access-health-care-all-regardless-immigration-status\" href=\"http://sd33.senate.ca.gov/news/2014-01-10-senator-lara-proposes-expanding-access-health-care-all-regardless-immigration-status\" target=\"_blank\">SB 1005, the Health for All Act\u003c/a>, which would have expanded Medi-Cal to undocumented immigrants and created a new insurance exchange for the undocumented to obtain subsidized insurance. The bill ultimately stalled in the senate.\u003c/p>\n\u003cp>Anthony Wright, executive director of Health Access, a consumer advocacy group said the poll results give \"hope and momentum\" to efforts to pass a bill next year. \"We had a lot of energy and enthusiasm and coalition support last year, and with the findings that this is getting increasing public support, we fell like we have momentum to win this year,\" he said.\u003c/p>\n\u003cp>The poll was a survey of 800 registered California voters. Interviews were conducted in English and Spanish on landlines and wireless phones. Phone calls were made August 24-31.\u003c/p>\n\u003cp>Pollsters noted that they conducted an additional 154 interviews among African American voters. The purpose was to oversample and ensure a more accurate position of the group.\u003c/p>\n\u003cp>\"There's some perception out there that there's an African American vs. Latino divide on this issue,\" Zingale said, explaining the reason for the oversample. In the poll, 69 percent of Latinos support expanding access to undocumented, and 68 percent of African Americans support the proposal.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We're pleased to see in this survey,\" Zingale said, \"there seems to be zero evidence\" of such a divide.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "More Than Half of California's Hospitals Dinged for Readmissions",
"title": "More Than Half of California's Hospitals Dinged for Readmissions",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_21944\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/sleepylovelorn/2570124734/in/photolist-4V7yxq-4E4Gyj-5SVm5E-8mdjzd-7oH4wW-5SVKJN-5SR4pR-5SRBJx-643opj-5yBvMt-eiQZN5-7u2nQK-4GT33u-4GNS8H-6wrQCt-nGpskC-63LsLt-5UN7of-5SR3Jn-8mdjHJ-8maamF-8mdjGd-4MoGw4-5SU3zA-5SU17d-fxHzp6-aH728-72v3fA-ewunU-NVHk-8xVm1-fxHxet-8mdk4u-bCDZL1-bCDZ49-8cjRC-8mdjru-8xVms-8maaBc-8xVmc-8mdjqj-8mdk2y-bRyHEt-p39tC-8mdjKQ-bCDX59-bD3Sqz-bq8WuY-bD3SQR-bD3TyM\">\u003cimg class=\"size-large wp-image-21944\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/2570124734_83c1a82847_o-640x425.jpg\" alt=\"Chinese Hospital in San Francisco received the second-highest fine of any hospital statewide. (m./Flickr)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Chinese Hospital in San Francisco received the second-highest fine of any hospital statewide. (m./Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan>The federal government is fining 64 percent of California hospitals for having too many Medicare patients return to the hospital within a month of being discharged, according to \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2014/October/02/Medicare-readmissions-penalties-2015.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2014/October/02/Medicare-readmissions-penalties-2015.aspx\" target=\"_blank\">an analysis of Medicare data \u003c/a>by Kaiser Health News.\u003c/span>\u003c/p>\n\u003cp>Sutter Surgical Hospital North Valley in Yuba City was the only facility in the state that received the maximum 3 percent fine. Chinese Hospital in San Francisco received the second highest fine: 2.16 percent of all Medicare billings in the coming year.\u003c/p>\n\u003cp>“Any little bit hurts. We will definitely feel it,” says Peggy Cmiel, chief nursing officer at Chinese Hospital.\u003c/p>\n\u003cp>The fines are meant to encourage hospitals to do a better job of caring for patients after they’re released. In the past, many hospitals benefited if a patient returned after surgery – more treatment meant more money. Now, the Medicare program that pays for those treatments wants to reverse the trend by fining hospitals that don't do a good enough job transitioning patients out of the hospital.\u003c!--more-->\u003c/p>\n\u003cp>Nationwide, a record total of 2,610 hospitals were fined this year, according to the Kaiser analysis. Nearly 18 percent of Medicare patients who had been hospitalized were readmitted within 30 days. Officials estimate $17 billion is spent on potentially avoidable readmissions. They expect to recoup $428 million in fines over the next year.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The fines began three years ago and were applied only to patients hospitalized for heart failure, heart attack, and pneumonia. This year, Medicare added chronic lung ailments, as well as elective knee and hip replacements to the list.\u003c/p>\n\u003cp>This is the first year that Sutter Surgical Hospital North Valley is on the list. It incurred no fines in the last two years, then received the maximum this year.\u003c/p>\n\u003cp>Hospital executives declined to comment.\u003c/p>\n\u003cp>\u003cstrong>Safety Net Hospitals Say Fines Unfair\u003c/strong>\u003c/p>\n\u003cp>Chinese Hospital in San Francisco sees an unusually large proportion of low-income, immigrant patients with limited English skills. Many have congestive heart failure or chronic lung problems.\u003c/p>\n\u003cp>“I rarely have a day in here that we don’t have a patient that’s over 100 years old,” says Cmiel, the hospital's chief nursing officer.\u003c/p>\n\u003cp>She says the hospital set up a comprehensive program four years ago in anticipation of the fines for readmissions. They have a team of bilingual and trilingual nurses and social workers who meet with patients before they’re discharged and call and visit patients after they’ve returned home. They make sure patients understand and adhere to their medications and help them get to their follow-up appointments. But Cmiel acknowledges that sometimes even all of that is not enough.\u003c/p>\n\u003cp>“After a certain age, no matter how well, as medical professionals we try to manage their illness, there’s a point where it may not work anymore,” she says.\u003c/p>\n\u003cp>Many of their patients live alone and can become very frightened if they have trouble breathing for example.\u003c/p>\n\u003cp>“It’s just not shocking that they call 911 and want to go to the hospital,” she says.\u003c/p>\n\u003cp>She says the hospital has decreased its readmission rates by almost 30 percent in the last year. But Medicare doesn’t take individual hospital improvements into account in its calculations. It measures rates against a national standard that they deem appropriate.\u003c/p>\n\u003cp>It also makes no concessions for safety-net hospitals that care for a large number of low-income or immigrant patients, who face more obstacles to follow-up care and are more likely to get sick.\u003c/p>\n\u003cp>Cmiel says both of these things came into play for Chinese Hospital. She and other health care experts say that the punishments levied against such hospitals are too harsh or even unfair.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It seems wrong to me to be making your savings based on a very vulnerable, fragile patient population,” she says. “It doesn’t make sense to me.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_21944\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/sleepylovelorn/2570124734/in/photolist-4V7yxq-4E4Gyj-5SVm5E-8mdjzd-7oH4wW-5SVKJN-5SR4pR-5SRBJx-643opj-5yBvMt-eiQZN5-7u2nQK-4GT33u-4GNS8H-6wrQCt-nGpskC-63LsLt-5UN7of-5SR3Jn-8mdjHJ-8maamF-8mdjGd-4MoGw4-5SU3zA-5SU17d-fxHzp6-aH728-72v3fA-ewunU-NVHk-8xVm1-fxHxet-8mdk4u-bCDZL1-bCDZ49-8cjRC-8mdjru-8xVms-8maaBc-8xVmc-8mdjqj-8mdk2y-bRyHEt-p39tC-8mdjKQ-bCDX59-bD3Sqz-bq8WuY-bD3SQR-bD3TyM\">\u003cimg class=\"size-large wp-image-21944\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/10/2570124734_83c1a82847_o-640x425.jpg\" alt=\"Chinese Hospital in San Francisco received the second-highest fine of any hospital statewide. (m./Flickr)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Chinese Hospital in San Francisco received the second-highest fine of any hospital statewide. (m./Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan>The federal government is fining 64 percent of California hospitals for having too many Medicare patients return to the hospital within a month of being discharged, according to \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2014/October/02/Medicare-readmissions-penalties-2015.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2014/October/02/Medicare-readmissions-penalties-2015.aspx\" target=\"_blank\">an analysis of Medicare data \u003c/a>by Kaiser Health News.\u003c/span>\u003c/p>\n\u003cp>Sutter Surgical Hospital North Valley in Yuba City was the only facility in the state that received the maximum 3 percent fine. Chinese Hospital in San Francisco received the second highest fine: 2.16 percent of all Medicare billings in the coming year.\u003c/p>\n\u003cp>“Any little bit hurts. We will definitely feel it,” says Peggy Cmiel, chief nursing officer at Chinese Hospital.\u003c/p>\n\u003cp>The fines are meant to encourage hospitals to do a better job of caring for patients after they’re released. In the past, many hospitals benefited if a patient returned after surgery – more treatment meant more money. Now, the Medicare program that pays for those treatments wants to reverse the trend by fining hospitals that don't do a good enough job transitioning patients out of the hospital.\u003c!--more-->\u003c/p>\n\u003cp>Nationwide, a record total of 2,610 hospitals were fined this year, according to the Kaiser analysis. Nearly 18 percent of Medicare patients who had been hospitalized were readmitted within 30 days. Officials estimate $17 billion is spent on potentially avoidable readmissions. They expect to recoup $428 million in fines over the next year.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The fines began three years ago and were applied only to patients hospitalized for heart failure, heart attack, and pneumonia. This year, Medicare added chronic lung ailments, as well as elective knee and hip replacements to the list.\u003c/p>\n\u003cp>This is the first year that Sutter Surgical Hospital North Valley is on the list. It incurred no fines in the last two years, then received the maximum this year.\u003c/p>\n\u003cp>Hospital executives declined to comment.\u003c/p>\n\u003cp>\u003cstrong>Safety Net Hospitals Say Fines Unfair\u003c/strong>\u003c/p>\n\u003cp>Chinese Hospital in San Francisco sees an unusually large proportion of low-income, immigrant patients with limited English skills. Many have congestive heart failure or chronic lung problems.\u003c/p>\n\u003cp>“I rarely have a day in here that we don’t have a patient that’s over 100 years old,” says Cmiel, the hospital's chief nursing officer.\u003c/p>\n\u003cp>She says the hospital set up a comprehensive program four years ago in anticipation of the fines for readmissions. They have a team of bilingual and trilingual nurses and social workers who meet with patients before they’re discharged and call and visit patients after they’ve returned home. They make sure patients understand and adhere to their medications and help them get to their follow-up appointments. But Cmiel acknowledges that sometimes even all of that is not enough.\u003c/p>\n\u003cp>“After a certain age, no matter how well, as medical professionals we try to manage their illness, there’s a point where it may not work anymore,” she says.\u003c/p>\n\u003cp>Many of their patients live alone and can become very frightened if they have trouble breathing for example.\u003c/p>\n\u003cp>“It’s just not shocking that they call 911 and want to go to the hospital,” she says.\u003c/p>\n\u003cp>She says the hospital has decreased its readmission rates by almost 30 percent in the last year. But Medicare doesn’t take individual hospital improvements into account in its calculations. It measures rates against a national standard that they deem appropriate.\u003c/p>\n\u003cp>It also makes no concessions for safety-net hospitals that care for a large number of low-income or immigrant patients, who face more obstacles to follow-up care and are more likely to get sick.\u003c/p>\n\u003cp>Cmiel says both of these things came into play for Chinese Hospital. She and other health care experts say that the punishments levied against such hospitals are too harsh or even unfair.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It seems wrong to me to be making your savings based on a very vulnerable, fragile patient population,” she says. “It doesn’t make sense to me.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Early Elective Deliveries Down in California, Still More Work to be Done",
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"content": "\u003cfigure id=\"attachment_14679\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/106512124-e1377898062785.jpg\">\u003cimg class=\"size-large wp-image-14679\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/106512124-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Doctors, advocates also working to reduce rates of babies born by caesarian-section. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Brittany Patterson\u003c/strong>\u003c/p>\n\u003cp>In California, about 500,000 babies are born every year. Statewide efforts to reduce early deliveries and maternal death have netted improvements, but more work is still to be done, said advocates who gathered this week to share notes on how to improve maternal and child health across the state.\u003c/p>\n\u003cp>One specific bright spot was reduction of early elective deliveries -- where a woman chooses to deliver her baby early, defined as between 36 and 39 weeks. These are scheduled deliveries that are not medically necessary. But \u003ca title=\"http://www.npr.org/blogs/health/2013/02/21/172589649/hospitals-clamp-down-on-early-elective-births\" href=\"http://www.npr.org/blogs/health/2013/02/21/172589649/hospitals-clamp-down-on-early-elective-births\" target=\"_blank\">babies born before 39 weeks\u003c/a> are more likely to have feeding and breathing problems, trouble keeping themselves warm, and infections.\u003c/p>\n\u003cp>In 2010, 14.7 percent of births in California were scheduled before 39 weeks. Today, in-part because of intense campaigning, that rate has dropped to less than three percent of total births at about half of the state's hospitals. The effort to decrease the practice was spearheaded by the March of Dimes, but strengthened by data collected and synthesized by the California Maternity Data Center.\u003c!--more-->\u003c/p>\n\u003cp>Citing a 65 percent reduction in early elective deliveries — currently about 5 percent of births in California are early elective deliveries — the effort to decrease the practice was spearheaded by the March of Dimes, but strengthened by data collected and synthesized by the California Maternity Data Center.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>By linking hospital discharge records with birth certificates from every California hospital, the center was able to give hospitals timely data on the outcomes of the babies being delivered.\u003c/p>\n\u003cp>Californian’s push seems to be working. For example, in one case, CHHS cites that 25 participating Sutter Health hospitals were able to make an 83 percent reduction in elective early deliveries in a one-year period.\u003c/p>\n\u003cp>The findings were discussed Wednesday at a briefing hosted by the California HealthCare Foundation. Advocates touted the power of harnessing big data, making it transparent, and being collaborative in continuing to make improvements to maternity care for both mothers and children in California.\u003c/p>\n\u003cp>Dr. Elliot Main, director of the California Maternal Quality Care and its California Maternity Data Center, said this major success in maternal care was borne of pressure from multiple points including advice from advocates on the risks of the medically unnecessary scheduled c-sections, buy-in from physicians, hospitals and health care providers, and readily available evidence-based plans to safely change that practice.\u003c/p>\n\u003cp>Better data also played a large role.\u003c/p>\n\u003cp>“We want to turn data into action and quality improvement measurements,” he said. “If hospitals are seeing and using this data they will have stake in improving performance measures.”\u003c/p>\n\u003cp>Over the past 15 years, the state has also seen increases in the number of mothers dying in child birth and the percentage of babies being delivered by c-section, according to the California HealthCare Foundation, but similar collaborate campaigns have started to bring down maternal mortality during childbirth to half the national average — from 16.8 per 100,000 births to 9.2 per 100,000 according to 2010 CHHS data — but experts said there is still work to be done.\u003c/p>\n\u003cp>\u003cstrong>Caesarian-section rates vary widely\u003c/strong>\u003c/p>\n\u003cp>Between 1998 and 2008, births by c-sections in California rose from 22 to 33 percent of all births and now total more than 165,000 per year, according to the CHHS. Across California c-section birth rates vary by hospital, from 10 percent to 75 percent, and some outlier hospitals have rates as high as 80.9 percent. Only 39 percent of hospitals in California meet the national target to have about one in four births by cesarean.\u003c/p>\n\u003cp>“We’ve made some improvements in maternity care, but there are lots to still be made,” Main said. “There’s an important role for physicians to work with midwives, and these collaborations require constant gardening.”\u003c/p>\n\u003cp>To help address lagging maternity health outcomes in the state, CHHS developed a maternity care initiative based on data collected by the California Simulation of Insurance Markets (CalSIM), a model that can be used estimate the impact of various elements of the Affordable Care Act. The\u003ca title=\"http://www.chhs.ca.gov/PRI/CalSIM%20State%20Health%20Care%20Innovation%20Plan_Final.pdf\" href=\"http://www.chhs.ca.gov/PRI/CalSIM%20State%20Health%20Care%20Innovation%20Plan_Final.pdf\" target=\"_blank\"> State Health Innovation Plan\u003c/a>, includes a section addressing maternity health, is currently awaiting federal approval to receive grant funding.\u003c/p>\n\u003cp>The plan calls for the rate of early elective deliveries (c-sections before 39 weeks) to drop below 3 percent, to reduce c-section rates overall by 10 percent, from 33.2 to 30 percent, and to reduce repeat c-sections from 9 percent to 11 percent, increasing instead vaginal births after a mother has previously had a c-section with their first child.\u003c/p>\n\u003cp>To reach those goals the state is calling on CalPERS, Covered California, Medi-Cal and the health plans they contract with to ultimately be required to report data in a timely manner, note in patient directories if they participate in the data reporting, and, effective January 2016, switch to value-based payments to their providers.\u003c/p>\n\u003cp>“Hospitals and doctors would get paid the same regardless of vaginal or c-section,” said Dolores Yanagihara, vice president of performance measurement for the Integrated HealthCare Association. “There would be no incentive to do what brings in more money, but rather to do the right thing.”\u003c/p>\n\u003cp>Currently, although doctors are often paid the same amount for performing a vaginal birth or c-section, hospitals receive a much larger reimbursement for c-sections.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For Dr. David Lagrew, a practicing obstetrician-gynecologist and chief of medical informatics at MemorialCare Health System, a six-hospital group in Southern California, improving maternity care comes with accepting that data and transparency are becoming more available and expected by consumers in today’s medical field landscape.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_14679\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/106512124-e1377898062785.jpg\">\u003cimg class=\"size-large wp-image-14679\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/08/106512124-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Doctors, advocates also working to reduce rates of babies born by caesarian-section. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Brittany Patterson\u003c/strong>\u003c/p>\n\u003cp>In California, about 500,000 babies are born every year. Statewide efforts to reduce early deliveries and maternal death have netted improvements, but more work is still to be done, said advocates who gathered this week to share notes on how to improve maternal and child health across the state.\u003c/p>\n\u003cp>One specific bright spot was reduction of early elective deliveries -- where a woman chooses to deliver her baby early, defined as between 36 and 39 weeks. These are scheduled deliveries that are not medically necessary. But \u003ca title=\"http://www.npr.org/blogs/health/2013/02/21/172589649/hospitals-clamp-down-on-early-elective-births\" href=\"http://www.npr.org/blogs/health/2013/02/21/172589649/hospitals-clamp-down-on-early-elective-births\" target=\"_blank\">babies born before 39 weeks\u003c/a> are more likely to have feeding and breathing problems, trouble keeping themselves warm, and infections.\u003c/p>\n\u003cp>In 2010, 14.7 percent of births in California were scheduled before 39 weeks. Today, in-part because of intense campaigning, that rate has dropped to less than three percent of total births at about half of the state's hospitals. The effort to decrease the practice was spearheaded by the March of Dimes, but strengthened by data collected and synthesized by the California Maternity Data Center.\u003c!--more-->\u003c/p>\n\u003cp>Citing a 65 percent reduction in early elective deliveries — currently about 5 percent of births in California are early elective deliveries — the effort to decrease the practice was spearheaded by the March of Dimes, but strengthened by data collected and synthesized by the California Maternity Data Center.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>By linking hospital discharge records with birth certificates from every California hospital, the center was able to give hospitals timely data on the outcomes of the babies being delivered.\u003c/p>\n\u003cp>Californian’s push seems to be working. For example, in one case, CHHS cites that 25 participating Sutter Health hospitals were able to make an 83 percent reduction in elective early deliveries in a one-year period.\u003c/p>\n\u003cp>The findings were discussed Wednesday at a briefing hosted by the California HealthCare Foundation. Advocates touted the power of harnessing big data, making it transparent, and being collaborative in continuing to make improvements to maternity care for both mothers and children in California.\u003c/p>\n\u003cp>Dr. Elliot Main, director of the California Maternal Quality Care and its California Maternity Data Center, said this major success in maternal care was borne of pressure from multiple points including advice from advocates on the risks of the medically unnecessary scheduled c-sections, buy-in from physicians, hospitals and health care providers, and readily available evidence-based plans to safely change that practice.\u003c/p>\n\u003cp>Better data also played a large role.\u003c/p>\n\u003cp>“We want to turn data into action and quality improvement measurements,” he said. “If hospitals are seeing and using this data they will have stake in improving performance measures.”\u003c/p>\n\u003cp>Over the past 15 years, the state has also seen increases in the number of mothers dying in child birth and the percentage of babies being delivered by c-section, according to the California HealthCare Foundation, but similar collaborate campaigns have started to bring down maternal mortality during childbirth to half the national average — from 16.8 per 100,000 births to 9.2 per 100,000 according to 2010 CHHS data — but experts said there is still work to be done.\u003c/p>\n\u003cp>\u003cstrong>Caesarian-section rates vary widely\u003c/strong>\u003c/p>\n\u003cp>Between 1998 and 2008, births by c-sections in California rose from 22 to 33 percent of all births and now total more than 165,000 per year, according to the CHHS. Across California c-section birth rates vary by hospital, from 10 percent to 75 percent, and some outlier hospitals have rates as high as 80.9 percent. Only 39 percent of hospitals in California meet the national target to have about one in four births by cesarean.\u003c/p>\n\u003cp>“We’ve made some improvements in maternity care, but there are lots to still be made,” Main said. “There’s an important role for physicians to work with midwives, and these collaborations require constant gardening.”\u003c/p>\n\u003cp>To help address lagging maternity health outcomes in the state, CHHS developed a maternity care initiative based on data collected by the California Simulation of Insurance Markets (CalSIM), a model that can be used estimate the impact of various elements of the Affordable Care Act. The\u003ca title=\"http://www.chhs.ca.gov/PRI/CalSIM%20State%20Health%20Care%20Innovation%20Plan_Final.pdf\" href=\"http://www.chhs.ca.gov/PRI/CalSIM%20State%20Health%20Care%20Innovation%20Plan_Final.pdf\" target=\"_blank\"> State Health Innovation Plan\u003c/a>, includes a section addressing maternity health, is currently awaiting federal approval to receive grant funding.\u003c/p>\n\u003cp>The plan calls for the rate of early elective deliveries (c-sections before 39 weeks) to drop below 3 percent, to reduce c-section rates overall by 10 percent, from 33.2 to 30 percent, and to reduce repeat c-sections from 9 percent to 11 percent, increasing instead vaginal births after a mother has previously had a c-section with their first child.\u003c/p>\n\u003cp>To reach those goals the state is calling on CalPERS, Covered California, Medi-Cal and the health plans they contract with to ultimately be required to report data in a timely manner, note in patient directories if they participate in the data reporting, and, effective January 2016, switch to value-based payments to their providers.\u003c/p>\n\u003cp>“Hospitals and doctors would get paid the same regardless of vaginal or c-section,” said Dolores Yanagihara, vice president of performance measurement for the Integrated HealthCare Association. “There would be no incentive to do what brings in more money, but rather to do the right thing.”\u003c/p>\n\u003cp>Currently, although doctors are often paid the same amount for performing a vaginal birth or c-section, hospitals receive a much larger reimbursement for c-sections.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For Dr. David Lagrew, a practicing obstetrician-gynecologist and chief of medical informatics at MemorialCare Health System, a six-hospital group in Southern California, improving maternity care comes with accepting that data and transparency are becoming more available and expected by consumers in today’s medical field landscape.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California Catholic Leadership Challenges State Abortion Order",
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"content": "\u003cfigure id=\"attachment_19909\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/451505174.jpg\">\u003cimg class=\"size-large wp-image-19909\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/451505174-640x420.jpg\" alt=\" Anti-abortion advocates rally in front of the Supreme Court awaiting the decision in Burwell v. Hobby Lobby Stores was announced Monday. (Chip Somodevilla/Getty Images)\" width=\"640\" height=\"420\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Anti-abortion advocates rally in front of the Supreme Court awaiting the decision in Burwell v. Hobby Lobby Stores in July. (Chip Somodevilla/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Associated Press\u003c/strong> -- California's Catholic leadership has filed a federal civil rights complaint over a state requirement that health insurance cover abortions.\u003c/p>\n\u003cp>The California Catholic Conference, which represents the state's bishops and archbishops, sent a letter Tuesday to the U.S. Department of Health and Human Services. It contends that California's Department of Managed Health Care discriminated against those morally opposed to abortion and requests an investigation.\u003c/p>\n\u003cp>The complaint is under review, said Rachel Seeger, spokeswoman for the federal agency's Office for Civil Rights.\u003c/p>\n\u003cp>The state agency didn't immediately comment.\u003c!--more-->\u003c/p>\n\u003cp>The Catholic conference is \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/08/22/state-reverses-abortion-coverage-rule-for-2-catholic-universities/\" href=\"http://ww2.kqed.org/stateofhealth/2014/08/22/state-reverses-abortion-coverage-rule-for-2-catholic-universities/\" target=\"_blank\">challenging a directive\u003c/a> that the state managed care agency sent Aug. 22 to seven insurance companies. It said that California's Constitution and a 1975 state law prohibited them from selling group plans that exclude coverage for legal abortions.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Abortion is a basic health care service,\" department director Michelle Rouillard wrote in the letter.\u003c/p>\n\u003cp>The civil rights complaint contends that the directive targeted Catholic-run institutions, including Santa Clara University and Loyola Marymount University in Los Angeles.\u003c/p>\n\u003cp>The schools notified employees last fall that they planned to stop paying for elective abortions, but said faculty and staff members could pay for supplemental coverage that would be provided through a third party.\u003c/p>\n\u003cp>The complaint argues that the state action violates the federal Weldon Amendment, which allows the government to withhold federal funding from agencies, programs and state or local governments that discriminate against doctors, hospitals or insurers that don't offer abortion coverage.\u003c/p>\n\u003cp>\"For the first time in California — indeed, for the first time anywhere in the United States — health plans are now required, as a matter of regulatory fiat, to cover all legal abortions, even late-term abortions, for any reason,\" the complaint stated.\u003c/p>\n\u003cp>\"It is a flagrant violation of their civil rights and deepest moral convictions, and is government coercion of the worst kind,\" said a statement from Bishop Robert McElroy, auxiliary bishop of the Archdiocese of San Francisco and chair of the Institutional Concerns Committee of the California Catholic Conference.\u003c/p>\n\u003cp>The conference represents the archbishops of Los Angeles and San Francisco, and the bishops of Fresno, Monterey, Oakland, Orange, Sacramento, San Bernardino, San Diego, San Jose, Santa Rosa and Stockton.\u003c/p>\n\u003cp>The group \"is the official voice of the 10 million Catholics and their many parishes, schools, universities, social service agencies in California,\" according to a conference press statement.\u003c/p>\n\u003cp>Clashes between governments and religious groups have intensified in recent years over birth control coverage, abortion and religious freedom. Dozens of U.S. Roman Catholic dioceses, charities and colleges have sued in federal court over the contraceptive coverage required under the federal Affordable Care Act.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Several evangelical nonprofits have also sued, arguing some of the birth control methods covered under the law are tantamount to abortion. Last June, the U.S. Supreme Court ruled that the \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2014/June/30/Supreme-Court-Limits-Contraceptive-Mandate-For-Certain-Employers.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2014/June/30/Supreme-Court-Limits-Contraceptive-Mandate-For-Certain-Employers.aspx\" target=\"_blank\">Hobby Lobby\u003c/a> chain and other closely held private businesses with religious objections could opt out of the birth control mandate.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_19909\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/451505174.jpg\">\u003cimg class=\"size-large wp-image-19909\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/451505174-640x420.jpg\" alt=\" Anti-abortion advocates rally in front of the Supreme Court awaiting the decision in Burwell v. Hobby Lobby Stores was announced Monday. (Chip Somodevilla/Getty Images)\" width=\"640\" height=\"420\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Anti-abortion advocates rally in front of the Supreme Court awaiting the decision in Burwell v. Hobby Lobby Stores in July. (Chip Somodevilla/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Associated Press\u003c/strong> -- California's Catholic leadership has filed a federal civil rights complaint over a state requirement that health insurance cover abortions.\u003c/p>\n\u003cp>The California Catholic Conference, which represents the state's bishops and archbishops, sent a letter Tuesday to the U.S. Department of Health and Human Services. It contends that California's Department of Managed Health Care discriminated against those morally opposed to abortion and requests an investigation.\u003c/p>\n\u003cp>The complaint is under review, said Rachel Seeger, spokeswoman for the federal agency's Office for Civil Rights.\u003c/p>\n\u003cp>The state agency didn't immediately comment.\u003c!--more-->\u003c/p>\n\u003cp>The Catholic conference is \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/08/22/state-reverses-abortion-coverage-rule-for-2-catholic-universities/\" href=\"http://ww2.kqed.org/stateofhealth/2014/08/22/state-reverses-abortion-coverage-rule-for-2-catholic-universities/\" target=\"_blank\">challenging a directive\u003c/a> that the state managed care agency sent Aug. 22 to seven insurance companies. It said that California's Constitution and a 1975 state law prohibited them from selling group plans that exclude coverage for legal abortions.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Abortion is a basic health care service,\" department director Michelle Rouillard wrote in the letter.\u003c/p>\n\u003cp>The civil rights complaint contends that the directive targeted Catholic-run institutions, including Santa Clara University and Loyola Marymount University in Los Angeles.\u003c/p>\n\u003cp>The schools notified employees last fall that they planned to stop paying for elective abortions, but said faculty and staff members could pay for supplemental coverage that would be provided through a third party.\u003c/p>\n\u003cp>The complaint argues that the state action violates the federal Weldon Amendment, which allows the government to withhold federal funding from agencies, programs and state or local governments that discriminate against doctors, hospitals or insurers that don't offer abortion coverage.\u003c/p>\n\u003cp>\"For the first time in California — indeed, for the first time anywhere in the United States — health plans are now required, as a matter of regulatory fiat, to cover all legal abortions, even late-term abortions, for any reason,\" the complaint stated.\u003c/p>\n\u003cp>\"It is a flagrant violation of their civil rights and deepest moral convictions, and is government coercion of the worst kind,\" said a statement from Bishop Robert McElroy, auxiliary bishop of the Archdiocese of San Francisco and chair of the Institutional Concerns Committee of the California Catholic Conference.\u003c/p>\n\u003cp>The conference represents the archbishops of Los Angeles and San Francisco, and the bishops of Fresno, Monterey, Oakland, Orange, Sacramento, San Bernardino, San Diego, San Jose, Santa Rosa and Stockton.\u003c/p>\n\u003cp>The group \"is the official voice of the 10 million Catholics and their many parishes, schools, universities, social service agencies in California,\" according to a conference press statement.\u003c/p>\n\u003cp>Clashes between governments and religious groups have intensified in recent years over birth control coverage, abortion and religious freedom. Dozens of U.S. Roman Catholic dioceses, charities and colleges have sued in federal court over the contraceptive coverage required under the federal Affordable Care Act.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Several evangelical nonprofits have also sued, arguing some of the birth control methods covered under the law are tantamount to abortion. Last June, the U.S. Supreme Court ruled that the \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2014/June/30/Supreme-Court-Limits-Contraceptive-Mandate-For-Certain-Employers.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2014/June/30/Supreme-Court-Limits-Contraceptive-Mandate-For-Certain-Employers.aspx\" target=\"_blank\">Hobby Lobby\u003c/a> chain and other closely held private businesses with religious objections could opt out of the birth control mandate.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"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.",
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"mindshift": {
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"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>",
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"order": 12
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"onourwatch": {
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"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?",
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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"officialWebsiteLink": "https://www.possible.fm/",
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"source": "Possible"
},
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"pri-the-world": {
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"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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},
"reveal": {
"id": "reveal",
"title": "Reveal",
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