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"content": "\u003cfigure id=\"attachment_2768\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/sugar_uwehermann_flickr_02012012/\" rel=\"attachment wp-att-2768\">\u003cimg class=\"size-medium wp-image-2768\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Sugar_UweHermann_Flickr_02012012-300x225.jpg\" alt=\"(Uwe Hermann: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Uwe Hermann: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. Robert Lustig is perhaps the most outspoken anti-sugar critic out there. His 90 minute video, \u003ca href=\"http://www.youtube.com/watch?v=dBnniua6-oM\" target=\"_blank\">Sugar: The Bitter Truth\u003c/a>, has netted 3.2 million views on YouTube; his latest book \u003cem>Fat Chance, \u003c/em>which, among other things, links sugar to obesity and chronic disease, is currently #68 on Amazon's \u003ca href=\"http://www.amazon.com/best-sellers-books-Amazon/zgbs/books/ref=pd_dp_ts_b_1\" target=\"_blank\">Top 100 bestselling books\u003c/a>.\u003c/p>\n\u003cp>On Monday, Lustig was a guest on \u003ca href=\"http://www.kqed.org/a/forum/R201301280900\" target=\"_blank\">KQED's Forum\u003c/a> and even though he was fighting a bad cold, he was his usual passionate self on many things related to the American diet, especially sugar. Lustig believes sugar is such a dietary menace that\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/\" target=\"_blank\"> it should be regulated\u003c/a>, much the same way alcohol is regulated.\u003c/p>\n\u003cp>He rattled off a lot of numbers during his discussion with \u003cem>Forum\u003c/em> host Michael Krasny.\u003c/p>\n\u003cp>\u003c!--more-->\u003cbr>\n\u003cstrong>Nearly one-half cup of sugar per day\u003c/strong>\u003c/p>\n\u003cp>\"Our current sugar consumption is 22 teaspoons per day, on average ... for all of America,\" Lustig told \u003cem>Forum\u003c/em>'s audience. For reference, that's nearly one-half cup. \"The American Heart Association put out a scientific statement in 2009 recommending that we reduce that to six teaspoons a day for women and nine teaspoons a day for men.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>To follow Lustig's recommendations, that means we would need to cut our sugar intake by two-thirds to three-fourths. How did we get here? Our sugar consumption has been climbing for two decades as cited by this 2010 analysis by the \u003ca href=\"http://cwh.berkeley.edu/sites/default/files/primary_pdfs/Sweetened_Bevs_Obesity_Epidemic_PHN_2010_0.pdf\" target=\"_blank\">UC Berkeley Center on Weight and Health\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>\"All lines of evidence consistently support the conclusion that the consumption of sweetened beverages has contributed to the obesity epidemic. It is estimated that sweetened beverages account for at least one-fifth of the weight gained between 1977 and 2007 in the US population. Actions that are successful in reducing sweetened beverage consumption are likely to have a measurable impact on obesity.\u003c/p>\u003c/blockquote>\n\u003cp>Sugar-sweetened beverages are a major contributor to overall sugar consumption, but they are not the only one, Lustig says, pointing out that one-sixth of our sugar consumption comes from sweet things like desserts and ice cream. \"But ... one-half of our sugar consumption is coming in foods that we didn't even know had it -- like tomato sauce, like salad dressing, like barbeque sauce.\" And the list goes on.\u003c/p>\n\u003cp>Lustig had plenty more to say -- and addressed criticisms of his science. Listen for yourself here:\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201301280900.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201301280900.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "Dr. Robert Lustig is perhaps the most outspoken anti-sugar critic out there. His 90 minute video, Sugar: The Bitter Truth, has netted 3.2 million views on YouTube; his latest book Fat Chance, which, among other things, links sugar to obesity and chronic disease, is currently #68 on Amazon's Top 100 bestselling books.\r\n\r\nOn Monday, Lustig was a guest on KQED's Forum and even though he was fighting a bad cold, he was his usual passionate self on many things related to the American diet, especially sugar. Lustig believes sugar is such a dietary menace that it should be regulated, much the same way alcohol is regulated.",
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"description": "Dr. Robert Lustig is perhaps the most outspoken anti-sugar critic out there. His 90 minute video, Sugar: The Bitter Truth, has netted 3.2 million views on YouTube; his latest book Fat Chance, which, among other things, links sugar to obesity and chronic disease, is currently #68 on Amazon's Top 100 bestselling books.\r\n\r\nOn Monday, Lustig was a guest on KQED's Forum and even though he was fighting a bad cold, he was his usual passionate self on many things related to the American diet, especially sugar. Lustig believes sugar is such a dietary menace that it should be regulated, much the same way alcohol is regulated.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_2768\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/sugar_uwehermann_flickr_02012012/\" rel=\"attachment wp-att-2768\">\u003cimg class=\"size-medium wp-image-2768\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/02/Sugar_UweHermann_Flickr_02012012-300x225.jpg\" alt=\"(Uwe Hermann: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Uwe Hermann: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Dr. Robert Lustig is perhaps the most outspoken anti-sugar critic out there. His 90 minute video, \u003ca href=\"http://www.youtube.com/watch?v=dBnniua6-oM\" target=\"_blank\">Sugar: The Bitter Truth\u003c/a>, has netted 3.2 million views on YouTube; his latest book \u003cem>Fat Chance, \u003c/em>which, among other things, links sugar to obesity and chronic disease, is currently #68 on Amazon's \u003ca href=\"http://www.amazon.com/best-sellers-books-Amazon/zgbs/books/ref=pd_dp_ts_b_1\" target=\"_blank\">Top 100 bestselling books\u003c/a>.\u003c/p>\n\u003cp>On Monday, Lustig was a guest on \u003ca href=\"http://www.kqed.org/a/forum/R201301280900\" target=\"_blank\">KQED's Forum\u003c/a> and even though he was fighting a bad cold, he was his usual passionate self on many things related to the American diet, especially sugar. Lustig believes sugar is such a dietary menace that\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/02/01/sugar-a-sweetener-gone-sour/\" target=\"_blank\"> it should be regulated\u003c/a>, much the same way alcohol is regulated.\u003c/p>\n\u003cp>He rattled off a lot of numbers during his discussion with \u003cem>Forum\u003c/em> host Michael Krasny.\u003c/p>\n\u003cp>\u003c!--more-->\u003cbr>\n\u003cstrong>Nearly one-half cup of sugar per day\u003c/strong>\u003c/p>\n\u003cp>\"Our current sugar consumption is 22 teaspoons per day, on average ... for all of America,\" Lustig told \u003cem>Forum\u003c/em>'s audience. For reference, that's nearly one-half cup. \"The American Heart Association put out a scientific statement in 2009 recommending that we reduce that to six teaspoons a day for women and nine teaspoons a day for men.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>To follow Lustig's recommendations, that means we would need to cut our sugar intake by two-thirds to three-fourths. How did we get here? Our sugar consumption has been climbing for two decades as cited by this 2010 analysis by the \u003ca href=\"http://cwh.berkeley.edu/sites/default/files/primary_pdfs/Sweetened_Bevs_Obesity_Epidemic_PHN_2010_0.pdf\" target=\"_blank\">UC Berkeley Center on Weight and Health\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>\"All lines of evidence consistently support the conclusion that the consumption of sweetened beverages has contributed to the obesity epidemic. It is estimated that sweetened beverages account for at least one-fifth of the weight gained between 1977 and 2007 in the US population. Actions that are successful in reducing sweetened beverage consumption are likely to have a measurable impact on obesity.\u003c/p>\u003c/blockquote>\n\u003cp>Sugar-sweetened beverages are a major contributor to overall sugar consumption, but they are not the only one, Lustig says, pointing out that one-sixth of our sugar consumption comes from sweet things like desserts and ice cream. \"But ... one-half of our sugar consumption is coming in foods that we didn't even know had it -- like tomato sauce, like salad dressing, like barbeque sauce.\" And the list goes on.\u003c/p>\n\u003cp>Lustig had plenty more to say -- and addressed criticisms of his science. Listen for yourself here:\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201301280900.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201301280900.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Learning to Live with Guns -- Advocates Urge a Public Health Campaign",
"title": "Learning to Live with Guns -- Advocates Urge a Public Health Campaign",
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"content": "\u003cp>By Mina Kim\u003c/p>\n\u003cp>\u003cem>Editor's note: State lawmakers are expected to hold a joint legislative hearing on guns and gun laws Tuesday. \u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_10205\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/28/learning-to-live-with-guns-advocates-say-a-public-health-campaign-could-help/sandramacias_guncontrol_minakim/\" rel=\"attachment wp-att-10205\">\u003cimg class=\"size-medium wp-image-10205\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/SandraMacias_GunControl_MinaKim-300x199.jpg\" alt=\"Sandra Macias of Fairfield looks at posters she's made over the years for marches and rallies demanding more gun control. In 1995, Macias's 14-year-old son Alex Stasenka was shot and killed accidentally by the brother of a friend of his. (Photo/Mina Kim)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sandra Macias of Fairfield looks at posters she's made for marches and rallies demanding more gun control. In 1995, Macias's 14-year-old son Alex Stasenka was accidentally shot and killed. (Photo/Mina Kim)\u003c/figcaption>\u003c/figure>\n\u003cp>Remember those ads from the early 1990s that encouraged people to intervene if a friend who had been drinking was about to get behind the wheel? ‘When friends don't stop friends from drinking and driving, friends die. Friends don't let friends drive drunk.’\u003c/p>\n\u003cp>Researchers believe this type of public health campaign that was successful at reducing motor vehicle fatalities could also be used to reduce the number of gun deaths and injuries, including suicides. David Hemenway is a professor of health policy at Harvard and director of the Harvard Injury Control Research Center.\u003c/p>\n\u003caside class=\"pullquote alignright\">“What we want to be able to do is figure out a way to live with our guns. Right now we are dying with our guns.”\u003c/aside>\n\u003cp>“It's the notion ‘friends don't let friends drive drunk’, ‘friends don't let friends who are going through a bad patch have easy access to a gun,’” Hemenway said. “If a close friend you can see has just got a divorce, he's started drinking, he's started talking crazy, try to figure out a way to get the gun out of the house for a few months until things get better.”\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In California there were more than 1,300 gun related homicides in 2010 according to data from the Centers for Disease Control. Yet more people -- nearly 1,500 -- died from gun suicides. Hemenway said an effective awareness-raising campaign could reduce the number of suicides or fuel demands for better gun safety standards, including safer gun storage practices.\u003c/p>\n\u003cp>“We are in a society where we have lots of guns, and for a variety of reasons we will always have lots of guns,” Hemenway said. “What we want to be able to do is figure out a way to live with our guns. Right now we are dying with our guns.”\u003c/p>\n\u003cp>Sandra Macias’s 14-year-old son Alex Stasenka was shot dead -- accidentally -- by the brother of one of his friends. The Fairfield mother of three –- including Alex -- said the brother was playing with a shotgun he had found in the garage when he pointed it at Alex and pulled the trigger.\u003c/p>\n\u003cp>“Time passes and you continue to live your life, but it’s never the same,” Macias said.\u003c/p>\n\u003cp>Macias wasn’t there when her son was shot 18 years ago. But she said she knows the moment it happened.\u003c/p>\n\u003cp>“I was at a conference, and I just felt this surge of energy and I just jumped up out of my chair and walked to the back of the room,” Macias said. “I just felt like something was wrong, but I just didn't know what it was.”\u003c/p>\n\u003cp>While most of the gun debate has centered on banning weapons or high capacity magazines, or controlling other aspects of gun ownership, Harvard’s David Hemenway said more research is needed on whether easy access to guns contributes to injuries and deaths.\u003c/p>\n\u003cp>“The [CDC] is afraid to even say the word guns, let alone do any research in guns, even though this is an enormous public health problem,” Hemenway said. “There’s very little money out of foundations. So we really lack a lot of good research.”\u003c/p>\n\u003cp>But Hemenway is hopeful. President Obama recently directed the CDC to support research into the causes of gun violence and ways to prevent it. The president also clarified that doctors could discuss gun ownership with patients. Hemenway said he’s working with pro-gun groups to see what public health strategies might appeal to gun owners.\u003c/p>\n\u003cp>“Certainly this is our big opportunity here, so it really behooves us to take advantage of this,” Hemenway said. “We can really do so much better as a country protecting our children, protecting our young people, than we are currently doing.”\u003c/p>\n\u003cp>Fairfield’s Sandra Macias was less optimistic as she looked through posters she made after her son’s death, for rallies and marches that demanded more state and federal regulations on guns.\u003c/p>\n\u003cp>“It’s been seventeen years, and we’re still talking about the same things.”\u003c/p>\n\u003cp>Among other things, Macias wants to see stiffer penalties for gun owners who don't use or store their weapons responsibly.\u003c/p>\n\u003cp>“I'm a very angry person. I don't think I was before,” Macias said. “The fact that people can own guns and not be responsible when something like this happens I mean, and my son is dead, my son is gone.”\u003c/p>\n\u003cp>Macias said her son Alex would have turned 33 years old this year.\u003c/p>\n\u003cp>\u003cem>Gina Scialabba contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Mina Kim reported this story as part of KQED's ongoing coverage of gun violence. Learn more:\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/2013/01/24/oakland-residents-plead-pay-attention-to-killings/\" target=\"_blank\">Oakland Residents Plead: Pay Attention to Killings\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/2013/01/25/among-oaklands-dead-whats-a-typical-case/\" target=\"_blank\">Among Oakland's Dead, What's a 'Typical' Case?\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/2013/01/28/oaklands-gun-problem-11-firearm-crimes-a-day/\" target=\"_blank\">Oakland's Gun Problem: 11 Firearm Crimes a Day\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Listen to Mina Kim's story:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201301280850.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201301280850.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "Remember those ads from the early 1990s that encouraged people to intervene if a friend who had been drinking was about to get behind the wheel? ‘When friends don't stop friends from drinking and driving, friends die. Friends don't let friends drive drunk.’\r\n\r\nResearchers believe this type of public health campaign that was successful at reducing motor vehicle fatalities could also be used to reduce the number of gun deaths and injuries, including suicides. David Hemenway is a professor of health policy at Harvard and director of the Harvard Injury Control Research Center.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Mina Kim\u003c/p>\n\u003cp>\u003cem>Editor's note: State lawmakers are expected to hold a joint legislative hearing on guns and gun laws Tuesday. \u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_10205\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/28/learning-to-live-with-guns-advocates-say-a-public-health-campaign-could-help/sandramacias_guncontrol_minakim/\" rel=\"attachment wp-att-10205\">\u003cimg class=\"size-medium wp-image-10205\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/SandraMacias_GunControl_MinaKim-300x199.jpg\" alt=\"Sandra Macias of Fairfield looks at posters she's made over the years for marches and rallies demanding more gun control. In 1995, Macias's 14-year-old son Alex Stasenka was shot and killed accidentally by the brother of a friend of his. (Photo/Mina Kim)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sandra Macias of Fairfield looks at posters she's made for marches and rallies demanding more gun control. In 1995, Macias's 14-year-old son Alex Stasenka was accidentally shot and killed. (Photo/Mina Kim)\u003c/figcaption>\u003c/figure>\n\u003cp>Remember those ads from the early 1990s that encouraged people to intervene if a friend who had been drinking was about to get behind the wheel? ‘When friends don't stop friends from drinking and driving, friends die. Friends don't let friends drive drunk.’\u003c/p>\n\u003cp>Researchers believe this type of public health campaign that was successful at reducing motor vehicle fatalities could also be used to reduce the number of gun deaths and injuries, including suicides. David Hemenway is a professor of health policy at Harvard and director of the Harvard Injury Control Research Center.\u003c/p>\n\u003caside class=\"pullquote alignright\">“What we want to be able to do is figure out a way to live with our guns. Right now we are dying with our guns.”\u003c/aside>\n\u003cp>“It's the notion ‘friends don't let friends drive drunk’, ‘friends don't let friends who are going through a bad patch have easy access to a gun,’” Hemenway said. “If a close friend you can see has just got a divorce, he's started drinking, he's started talking crazy, try to figure out a way to get the gun out of the house for a few months until things get better.”\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In California there were more than 1,300 gun related homicides in 2010 according to data from the Centers for Disease Control. Yet more people -- nearly 1,500 -- died from gun suicides. Hemenway said an effective awareness-raising campaign could reduce the number of suicides or fuel demands for better gun safety standards, including safer gun storage practices.\u003c/p>\n\u003cp>“We are in a society where we have lots of guns, and for a variety of reasons we will always have lots of guns,” Hemenway said. “What we want to be able to do is figure out a way to live with our guns. Right now we are dying with our guns.”\u003c/p>\n\u003cp>Sandra Macias’s 14-year-old son Alex Stasenka was shot dead -- accidentally -- by the brother of one of his friends. The Fairfield mother of three –- including Alex -- said the brother was playing with a shotgun he had found in the garage when he pointed it at Alex and pulled the trigger.\u003c/p>\n\u003cp>“Time passes and you continue to live your life, but it’s never the same,” Macias said.\u003c/p>\n\u003cp>Macias wasn’t there when her son was shot 18 years ago. But she said she knows the moment it happened.\u003c/p>\n\u003cp>“I was at a conference, and I just felt this surge of energy and I just jumped up out of my chair and walked to the back of the room,” Macias said. “I just felt like something was wrong, but I just didn't know what it was.”\u003c/p>\n\u003cp>While most of the gun debate has centered on banning weapons or high capacity magazines, or controlling other aspects of gun ownership, Harvard’s David Hemenway said more research is needed on whether easy access to guns contributes to injuries and deaths.\u003c/p>\n\u003cp>“The [CDC] is afraid to even say the word guns, let alone do any research in guns, even though this is an enormous public health problem,” Hemenway said. “There’s very little money out of foundations. So we really lack a lot of good research.”\u003c/p>\n\u003cp>But Hemenway is hopeful. President Obama recently directed the CDC to support research into the causes of gun violence and ways to prevent it. The president also clarified that doctors could discuss gun ownership with patients. Hemenway said he’s working with pro-gun groups to see what public health strategies might appeal to gun owners.\u003c/p>\n\u003cp>“Certainly this is our big opportunity here, so it really behooves us to take advantage of this,” Hemenway said. “We can really do so much better as a country protecting our children, protecting our young people, than we are currently doing.”\u003c/p>\n\u003cp>Fairfield’s Sandra Macias was less optimistic as she looked through posters she made after her son’s death, for rallies and marches that demanded more state and federal regulations on guns.\u003c/p>\n\u003cp>“It’s been seventeen years, and we’re still talking about the same things.”\u003c/p>\n\u003cp>Among other things, Macias wants to see stiffer penalties for gun owners who don't use or store their weapons responsibly.\u003c/p>\n\u003cp>“I'm a very angry person. I don't think I was before,” Macias said. “The fact that people can own guns and not be responsible when something like this happens I mean, and my son is dead, my son is gone.”\u003c/p>\n\u003cp>Macias said her son Alex would have turned 33 years old this year.\u003c/p>\n\u003cp>\u003cem>Gina Scialabba contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Mina Kim reported this story as part of KQED's ongoing coverage of gun violence. Learn more:\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/2013/01/24/oakland-residents-plead-pay-attention-to-killings/\" target=\"_blank\">Oakland Residents Plead: Pay Attention to Killings\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/2013/01/25/among-oaklands-dead-whats-a-typical-case/\" target=\"_blank\">Among Oakland's Dead, What's a 'Typical' Case?\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/2013/01/28/oaklands-gun-problem-11-firearm-crimes-a-day/\" target=\"_blank\">Oakland's Gun Problem: 11 Firearm Crimes a Day\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Listen to Mina Kim's story:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201301280850.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201301280850.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Two Soda Stories: Richmond Tax Post-Mortem, New Ally in NYC Ban",
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"content": "\u003cfigure id=\"attachment_6672\" class=\"wp-caption alignleft\" style=\"max-width: 250px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/06/21/beverage-companies-blur-the-line-between-philanthropy-marketing/soda/\" rel=\"attachment wp-att-6672\">\u003cimg class=\"size-full wp-image-6672\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/soda.jpg\" alt=\" (La Piazza Pizzeria/Flickr)\" width=\"250\" height=\"250\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda.jpg 250w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-75x75.jpg 75w\" sizes=\"(max-width: 250px) 100vw, 250px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(La Piazza Pizzeria/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The East Bay Express chose one heckuva startling headline for its article examining the fight over Measure N -- Richmond's penny-per-ounce tax on soda and sugar sweetened beverages that was defeated last November. \"\u003ca href=\"http://www.eastbayexpress.com/ebx/race-baiting-in-richmond/Content?oid=3441871&showFullText=true\" target=\"_blank\">Race Baiting in Richmond\u003c/a>\" alleges that big business used race to fracture Richmond's progressive community in its ultimately successful campaign to defeat the tax.\u003c/p>\n\u003cp>The lengthy and detailed article makes clear that race was already a factor in the anti-soda tax movement before the soda industry -- and its dollars -- arrived in Richmond last summer. From the East Bay Express:\u003c/p>\n\u003cblockquote>\u003cp>Some opponents of the tax had alleged that it was racist, arguing that it would unfairly harm low-income residents in the city. And the No on Measure N campaign, bankrolled by large corporations that make a fortune from selling cheap soda to low-income consumers, nurtured that sentiment. Indeed, there is evidence that the beverage association helped keep race at the forefront of the campaign as part of a strategy that exploited Richmond's existing tensions. And after spending at least $2.7 million — believed to be a record in East Bay politics — against Measure N, the beverage industry emerged victorious as the soda tax was beaten soundly.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->Meanwhile, proponents of the tax made arguments about how the tax would fund better health programs for Richmond low income children and teens, including plans to build more sports fields, but to little avail, says the Express:\u003c/p>\n\u003cblockquote>\u003cp>... (T)he health debate was ultimately drowned out in the election by arguments related to race and class. And that's not unusual for Richmond: It might be one of the few cities in the country that has a history of black leaders calling white liberals \"racists\" and of contending that progressive ideas hurt people of color. For example, black politicians in town, like Councilman Nat Bates, have fought for years against environmentalists who oppose Chevron's plans to expand its massive refinery. Bates and other black leaders in the city have contended that blocking Chevron could cost African-Americans jobs and hurt Richmond's economy.\u003c/p>\u003c/blockquote>\n\u003cp>From there, the Express examines individual members of the Richmond City Council and their positions on Measure N in detail -- and relates those positions to the larger political picture in the community. It's a fascinating read. In its wrap up, the Express sounds a cautionary note:\u003c/p>\n\u003cblockquote>\u003cp>... (T)he beverage industry discovered a winning formula in Richmond last year that it might be able to replicate elsewhere — an argument that the costs associated with taxes or governmental regulation on Big Business are \"regressive\" because they will merely be passed onto to low-income residents. And if that were to happen, it could drive a wedge through traditional Democratic constituencies in many communities, with blacks and Latinos opposing their longtime political allies — progressives and environmentalists — just like they did in Richmond.\u003c/p>\u003c/blockquote>\n\u003cp>It is with some irony then, that we look to news from New York City today. The beverage industry has filed suit against the city's limit on sizes of sugar sweetened beverages, which is set to go into effect in March. Yesterday, \u003ca href=\"http://ww2.kqed.org/stateofhealth/jp/quick-read-fight-over-bloombergs-soda-ban-reaches-courtroom/\" target=\"_blank\">the parties were in court\u003c/a> with the beverage industry asking a judge for a stay on the ban until the lawsuit can be resolved.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Now we learn that the beverage industry has a surprising friend in this fight: the NAACP. The civil rights group has filed an amicus brief in support of the lawsuit. From the \u003ca href=\"http://www.nytimes.com/2013/01/24/nyregion/fight-over-bloombergs-soda-ban-reaches-courtroom.html?ref=health\" target=\"_blank\">New York Times\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>In its brief, the N.A.A.C.P. conceded that obesity was a significant problem among blacks and Hispanics. But the group urged the city to create a more holistic program to attack the problem, including an increase in financing for physical education programs in public schools.\u003c/p>\n\u003cp>Mr. Bloomberg’s plan, the brief argued, would disproportionately hurt minority-owned small businesses, which faced competition from larger convenience stores like 7-Eleven that would be exempt from the soda restrictions because of a quirk in New York’s regulatory structure.\u003c/p>\n\u003cp>“At its worst, the ban arbitrarily discriminates against citizens and small-business owners in African-American and Hispanic communities,” the brief said.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>Public health advocates say \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/01/09/soda-tax-what-can-a-penny-do/\" target=\"_blank\">a soda tax is one useful lever\u003c/a> in the fight against obesity. Back in Richmond, the Express says now-retired Richmond city councilman Jeff Ritterman, who led the Measure N charge, is undeterred and talking about a possible statewide initiative.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_6672\" class=\"wp-caption alignleft\" style=\"max-width: 250px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/06/21/beverage-companies-blur-the-line-between-philanthropy-marketing/soda/\" rel=\"attachment wp-att-6672\">\u003cimg class=\"size-full wp-image-6672\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/soda.jpg\" alt=\" (La Piazza Pizzeria/Flickr)\" width=\"250\" height=\"250\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda.jpg 250w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-75x75.jpg 75w\" sizes=\"(max-width: 250px) 100vw, 250px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(La Piazza Pizzeria/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The East Bay Express chose one heckuva startling headline for its article examining the fight over Measure N -- Richmond's penny-per-ounce tax on soda and sugar sweetened beverages that was defeated last November. \"\u003ca href=\"http://www.eastbayexpress.com/ebx/race-baiting-in-richmond/Content?oid=3441871&showFullText=true\" target=\"_blank\">Race Baiting in Richmond\u003c/a>\" alleges that big business used race to fracture Richmond's progressive community in its ultimately successful campaign to defeat the tax.\u003c/p>\n\u003cp>The lengthy and detailed article makes clear that race was already a factor in the anti-soda tax movement before the soda industry -- and its dollars -- arrived in Richmond last summer. From the East Bay Express:\u003c/p>\n\u003cblockquote>\u003cp>Some opponents of the tax had alleged that it was racist, arguing that it would unfairly harm low-income residents in the city. And the No on Measure N campaign, bankrolled by large corporations that make a fortune from selling cheap soda to low-income consumers, nurtured that sentiment. Indeed, there is evidence that the beverage association helped keep race at the forefront of the campaign as part of a strategy that exploited Richmond's existing tensions. And after spending at least $2.7 million — believed to be a record in East Bay politics — against Measure N, the beverage industry emerged victorious as the soda tax was beaten soundly.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->Meanwhile, proponents of the tax made arguments about how the tax would fund better health programs for Richmond low income children and teens, including plans to build more sports fields, but to little avail, says the Express:\u003c/p>\n\u003cblockquote>\u003cp>... (T)he health debate was ultimately drowned out in the election by arguments related to race and class. And that's not unusual for Richmond: It might be one of the few cities in the country that has a history of black leaders calling white liberals \"racists\" and of contending that progressive ideas hurt people of color. For example, black politicians in town, like Councilman Nat Bates, have fought for years against environmentalists who oppose Chevron's plans to expand its massive refinery. Bates and other black leaders in the city have contended that blocking Chevron could cost African-Americans jobs and hurt Richmond's economy.\u003c/p>\u003c/blockquote>\n\u003cp>From there, the Express examines individual members of the Richmond City Council and their positions on Measure N in detail -- and relates those positions to the larger political picture in the community. It's a fascinating read. In its wrap up, the Express sounds a cautionary note:\u003c/p>\n\u003cblockquote>\u003cp>... (T)he beverage industry discovered a winning formula in Richmond last year that it might be able to replicate elsewhere — an argument that the costs associated with taxes or governmental regulation on Big Business are \"regressive\" because they will merely be passed onto to low-income residents. And if that were to happen, it could drive a wedge through traditional Democratic constituencies in many communities, with blacks and Latinos opposing their longtime political allies — progressives and environmentalists — just like they did in Richmond.\u003c/p>\u003c/blockquote>\n\u003cp>It is with some irony then, that we look to news from New York City today. The beverage industry has filed suit against the city's limit on sizes of sugar sweetened beverages, which is set to go into effect in March. Yesterday, \u003ca href=\"http://ww2.kqed.org/stateofhealth/jp/quick-read-fight-over-bloombergs-soda-ban-reaches-courtroom/\" target=\"_blank\">the parties were in court\u003c/a> with the beverage industry asking a judge for a stay on the ban until the lawsuit can be resolved.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Now we learn that the beverage industry has a surprising friend in this fight: the NAACP. The civil rights group has filed an amicus brief in support of the lawsuit. From the \u003ca href=\"http://www.nytimes.com/2013/01/24/nyregion/fight-over-bloombergs-soda-ban-reaches-courtroom.html?ref=health\" target=\"_blank\">New York Times\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>In its brief, the N.A.A.C.P. conceded that obesity was a significant problem among blacks and Hispanics. But the group urged the city to create a more holistic program to attack the problem, including an increase in financing for physical education programs in public schools.\u003c/p>\n\u003cp>Mr. Bloomberg’s plan, the brief argued, would disproportionately hurt minority-owned small businesses, which faced competition from larger convenience stores like 7-Eleven that would be exempt from the soda restrictions because of a quirk in New York’s regulatory structure.\u003c/p>\n\u003cp>“At its worst, the ban arbitrarily discriminates against citizens and small-business owners in African-American and Hispanic communities,” the brief said.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>Public health advocates say \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/01/09/soda-tax-what-can-a-penny-do/\" target=\"_blank\">a soda tax is one useful lever\u003c/a> in the fight against obesity. Back in Richmond, the Express says now-retired Richmond city councilman Jeff Ritterman, who led the Measure N charge, is undeterred and talking about a possible statewide initiative.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>For more than three decades, Drs. Marcia and Oscar Sablan have served the tiny Central Valley town of Firebaugh. In an affectionate portrait today, the \u003cem>Los Angeles Times\u003c/em> describes a couple who made a plan to work for three years in a rural area and walk away from all their medical school debt. As Marcia Sablan mentioned last week in \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/17/in-fresno-the-road-to-health-reform-is-bumpy/\" target=\"_blank\">a panel discussion in Fresno\u003c/a>, she and her husband moved from Hawaii and arrived in Firebaugh in July on what turned out to be the hottest day of the year.\u003c/p>\n\u003cp>The couple never left Firebaugh, and today they are fixtures in the community. But what I found particularly interesting was the couple's recognition that medicine only goes so far, as reporter Anna Gorman describes in the \u003cem>Times\u003c/em> article:\u003c/p>\n\u003cblockquote>\u003cp>... (A)s they built up their medical practice, the Sablans say, they realized that they could do only so much in the exam room. For example, they would tell their diabetic patients to exercise, but there were few places to do so. So they turned to politics. \"I just saw that was the only way change could be made,\" says Marcia Sablan, who is still on the city council.\u003c!--more-->\u003c/p>\n\u003cp>During her time in city government, Sablan has helped get more affordable housing, parks and a walking path in the city. She also spearheaded the opening of a child care center. Her husband, who is also still on the school board, helped get sidewalks built near the schools so students could walk to campus.\u003c/p>\n\u003cp>\"What I do there is just as important but more far-reaching in terms of health outcomes,\" he says, \"than what I do taking care of the day-to-day patients.\"\u003c/p>\u003c/blockquote>\n\u003cp>Sidewalks, parks, walking paths. These are what policy types call the \"\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/01/31/if-we-build-it-will-people-be-more-healthy/\" target=\"_blank\">built environment\u003c/a>.\" And as the Sablans have found, what we build can contribute immeasurably to our overall health.\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>For more than three decades, Drs. Marcia and Oscar Sablan have served the tiny Central Valley town of Firebaugh. In an affectionate portrait today, the \u003cem>Los Angeles Times\u003c/em> describes a couple who made a plan to work for three years in a rural area and walk away from all their medical school debt. As Marcia Sablan mentioned last week in \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/17/in-fresno-the-road-to-health-reform-is-bumpy/\" target=\"_blank\">a panel discussion in Fresno\u003c/a>, she and her husband moved from Hawaii and arrived in Firebaugh in July on what turned out to be the hottest day of the year.\u003c/p>\n\u003cp>The couple never left Firebaugh, and today they are fixtures in the community. But what I found particularly interesting was the couple's recognition that medicine only goes so far, as reporter Anna Gorman describes in the \u003cem>Times\u003c/em> article:\u003c/p>\n\u003cblockquote>\u003cp>... (A)s they built up their medical practice, the Sablans say, they realized that they could do only so much in the exam room. For example, they would tell their diabetic patients to exercise, but there were few places to do so. So they turned to politics. \"I just saw that was the only way change could be made,\" says Marcia Sablan, who is still on the city council.\u003c!--more-->\u003c/p>\n\u003cp>During her time in city government, Sablan has helped get more affordable housing, parks and a walking path in the city. She also spearheaded the opening of a child care center. Her husband, who is also still on the school board, helped get sidewalks built near the schools so students could walk to campus.\u003c/p>\n\u003cp>\"What I do there is just as important but more far-reaching in terms of health outcomes,\" he says, \"than what I do taking care of the day-to-day patients.\"\u003c/p>\u003c/blockquote>\n\u003cp>Sidewalks, parks, walking paths. These are what policy types call the \"\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/01/31/if-we-build-it-will-people-be-more-healthy/\" target=\"_blank\">built environment\u003c/a>.\" And as the Sablans have found, what we build can contribute immeasurably to our overall health.\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Assembly Bill Seeks to Increase Number of Abortion Providers",
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"content": "\u003cfigure id=\"attachment_10098\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/22/assembly-bill-seeks-to-increase-number-of-abortion-providers/screen-shot-2013-01-22-at-4-08-57-pm/\" rel=\"attachment wp-att-10098\">\u003cimg class=\"size-large wp-image-10098\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Screen-Shot-2013-01-22-at-4.08.57-PM-620x324.png\" alt=\"Regulations around abortion providers in the U.S. (American Journal of Public Health)\" width=\"620\" height=\"324\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Regulations around abortion providers in the U.S. (American Journal of Public Health)\u003c/figcaption>\u003c/figure>\n\u003cp>Tuesday afternoon, on the 40th anniversary of Roe v. Wade, a group of state lawmakers and women's advocates announced the introduction of a bill in the California Legislature aimed at expanding a woman's access to abortion. Currently in California, only physicians are authorized to conduct early abortions. This new bill, AB 154, would authorize other clinicians -- specially-trained nurse practitioners, certified nurse midwives and physician assistants -- to perform early abortions.\u003c/p>\n\u003cp>\"As a former administrator of a health clinic, I know how important timely care is for women,\" Assemblymember Toni Atkins (D-San Diego), author of AB 154, said in a statement. \"This bill will ensure that early abortion care will be available for women in California who need it.\"\u003c/p>\n\u003cp>Four other states permit nonphysician clinicians to perform early abortions. Still, clinical evidence of safety had been lacking. Last week, a \u003ca href=\"http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2012.301159\" target=\"_blank\">new study\u003c/a> led by researchers at UCSF showed that early abortions performed by trained nurse practitioners, certified nurse midwives and physician assistants are \"clinically equivalent\" to those performed by physicians.\u003c/p>\n\u003cp>\"Early abortion is safer than we thought overall, and there's no difference in the complication rate between the two groups,\" said lead author Tracy Weitz, UCSF professor of obstetrics and gynecology. The research team found a two percent complication rate -- below the four percent rate they had expected. Complications were mostly minor.\u003c/p>\n\u003cp>In the study, published online by the American Journal of Public Health, researchers received a waiver from the state of California to permit training of nurse practitioners, certified nurse midwives and physician assistants to perform what are called surgical or aspiration abortions. Altogether, researchers analyzed more than 11,000 procedures.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>These nonphysician providers are already authorized in California to prescribe medications that can induce an abortion.\u003c/p>\n\u003cp>Access to an abortion provider is a significant issue across much of the country. \u003ca href=\"http://onlinelibrary.wiley.com/doi/10.1363/4304111/abstract\" target=\"_blank\">According to the Guttmacher Institute\u003c/a>, 87 percent of counties in the U.S. lack an abortion provider. In California, 22 percent of counties lack a provider, but only about one percent of women of reproductive age live in those counties. Overall, 54 of California's 58 counties lack what Guttmacher calls a \"regular provider\" of abortions. The institute defined \"regular\" as a facility where 400 or more abortions are performed annually. \"Facilities that do fewer than 400 abortions per year are less likely to advertise, and women may not know that abortion services are available at these facilities,\" says Rachel Jones, the Guttmacher researcher who crunched the California numbers.\u003c/p>\n\u003cp>Amy Everitt, executive director of NARAL Pro-Choice California, an advocacy group promoting the bill, says some women may have to travel five hours to seek care. \"These barriers to accessing care can force women to delay abortions into advanced stages of pregnancy which can result in a more complicated procedure,\" she said.\u003c/p>\n\u003cp>Nationally, 92 percent of abortions take place in the first trimester. In California, among women who receive Medi-Cal, the health insurance program for the poor, the first trimester abortion rate falls to 87 percent, meaning that many women delay getting an abortion putting them at risk of higher complication rates. Researchers believe that increasing providers is one way to alleviate the disparity.\u003c/p>\n\u003cp>The language of AB 154 will be worked out in the coming weeks. The \"spot bill\" language is brief: \"It is the intent of the legislature to enact legislation that would expand access to reproductive health care in CA by allowing qualified health care professionals to perform early abortions, provided that the functions are within the scope of their licenses.\"\u003c/p>\n\u003cp>Weitz, the UCSF author of the study, pointed out that while abortion is a socially complicated question, it is not a \u003cem>medically\u003c/em> complicated one. \"We often want to regulate abortion as if we want to solve its social complexity,\" she told me. \"The take home from our study is it's incredibly safe and that it can be offered in an outpatient facility by either physicians, nurse practitioners, certified nurse midwives or physician assistants. Women can feel safe that the care is high quality.\"\u003c/p>\n\u003cp>Everitt acknowledged that a social goal is for California to be a \"harbinger\" for change. \"We do hope that other states will pay attention and will broaden access to care.\"\u003c/p>\n\u003cp>\u003cem>This post was updated to clarify why 400 abortions per year is the study's threshold to be defined as a \"regular provider\" of abortions.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Learn More\u003c/strong>: \u003ca href=\"http://www.sacbee.com/2013/01/23/5133981/democratic-lawmakers-revive-california.html\" target=\"_blank\">Democratic Lawmakers Revive California Bill on Early Abortion Providers \u003c/a>(Sacramento Bee)\u003c/p>\n\n",
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"excerpt": "Tuesday afternoon, on the 40th anniversary of Roe vs. Wade, a group of state lawmakers and women's advocates announced the introduction of a bill in the California legislature aimed at expanding a woman's access to abortion. Currently in California, only physicians are authorized to conduct early abortions. This new bill, AB 154, would authorize other clinicians -- specially-trained nurse practitioners, certified nurse midwives and physician assistants -- to perform early abortions.\r\n\r\n\"As a former administrator of a health clinic, I know how important timely care is for women,\" Assemblymember Toni Atkins (D-San Diego), author of AB 154, said in a statement. \"This bill will ensure that early abortion care will be available for women in California who need it.\"",
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"description": "Tuesday afternoon, on the 40th anniversary of Roe vs. Wade, a group of state lawmakers and women's advocates announced the introduction of a bill in the California legislature aimed at expanding a woman's access to abortion. Currently in California, only physicians are authorized to conduct early abortions. This new bill, AB 154, would authorize other clinicians -- specially-trained nurse practitioners, certified nurse midwives and physician assistants -- to perform early abortions.\r\n\r\n"As a former administrator of a health clinic, I know how important timely care is for women," Assemblymember Toni Atkins (D-San Diego), author of AB 154, said in a statement. "This bill will ensure that early abortion care will be available for women in California who need it."",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_10098\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/22/assembly-bill-seeks-to-increase-number-of-abortion-providers/screen-shot-2013-01-22-at-4-08-57-pm/\" rel=\"attachment wp-att-10098\">\u003cimg class=\"size-large wp-image-10098\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Screen-Shot-2013-01-22-at-4.08.57-PM-620x324.png\" alt=\"Regulations around abortion providers in the U.S. (American Journal of Public Health)\" width=\"620\" height=\"324\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Regulations around abortion providers in the U.S. (American Journal of Public Health)\u003c/figcaption>\u003c/figure>\n\u003cp>Tuesday afternoon, on the 40th anniversary of Roe v. Wade, a group of state lawmakers and women's advocates announced the introduction of a bill in the California Legislature aimed at expanding a woman's access to abortion. Currently in California, only physicians are authorized to conduct early abortions. This new bill, AB 154, would authorize other clinicians -- specially-trained nurse practitioners, certified nurse midwives and physician assistants -- to perform early abortions.\u003c/p>\n\u003cp>\"As a former administrator of a health clinic, I know how important timely care is for women,\" Assemblymember Toni Atkins (D-San Diego), author of AB 154, said in a statement. \"This bill will ensure that early abortion care will be available for women in California who need it.\"\u003c/p>\n\u003cp>Four other states permit nonphysician clinicians to perform early abortions. Still, clinical evidence of safety had been lacking. Last week, a \u003ca href=\"http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2012.301159\" target=\"_blank\">new study\u003c/a> led by researchers at UCSF showed that early abortions performed by trained nurse practitioners, certified nurse midwives and physician assistants are \"clinically equivalent\" to those performed by physicians.\u003c/p>\n\u003cp>\"Early abortion is safer than we thought overall, and there's no difference in the complication rate between the two groups,\" said lead author Tracy Weitz, UCSF professor of obstetrics and gynecology. The research team found a two percent complication rate -- below the four percent rate they had expected. Complications were mostly minor.\u003c/p>\n\u003cp>In the study, published online by the American Journal of Public Health, researchers received a waiver from the state of California to permit training of nurse practitioners, certified nurse midwives and physician assistants to perform what are called surgical or aspiration abortions. Altogether, researchers analyzed more than 11,000 procedures.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>These nonphysician providers are already authorized in California to prescribe medications that can induce an abortion.\u003c/p>\n\u003cp>Access to an abortion provider is a significant issue across much of the country. \u003ca href=\"http://onlinelibrary.wiley.com/doi/10.1363/4304111/abstract\" target=\"_blank\">According to the Guttmacher Institute\u003c/a>, 87 percent of counties in the U.S. lack an abortion provider. In California, 22 percent of counties lack a provider, but only about one percent of women of reproductive age live in those counties. Overall, 54 of California's 58 counties lack what Guttmacher calls a \"regular provider\" of abortions. The institute defined \"regular\" as a facility where 400 or more abortions are performed annually. \"Facilities that do fewer than 400 abortions per year are less likely to advertise, and women may not know that abortion services are available at these facilities,\" says Rachel Jones, the Guttmacher researcher who crunched the California numbers.\u003c/p>\n\u003cp>Amy Everitt, executive director of NARAL Pro-Choice California, an advocacy group promoting the bill, says some women may have to travel five hours to seek care. \"These barriers to accessing care can force women to delay abortions into advanced stages of pregnancy which can result in a more complicated procedure,\" she said.\u003c/p>\n\u003cp>Nationally, 92 percent of abortions take place in the first trimester. In California, among women who receive Medi-Cal, the health insurance program for the poor, the first trimester abortion rate falls to 87 percent, meaning that many women delay getting an abortion putting them at risk of higher complication rates. Researchers believe that increasing providers is one way to alleviate the disparity.\u003c/p>\n\u003cp>The language of AB 154 will be worked out in the coming weeks. The \"spot bill\" language is brief: \"It is the intent of the legislature to enact legislation that would expand access to reproductive health care in CA by allowing qualified health care professionals to perform early abortions, provided that the functions are within the scope of their licenses.\"\u003c/p>\n\u003cp>Weitz, the UCSF author of the study, pointed out that while abortion is a socially complicated question, it is not a \u003cem>medically\u003c/em> complicated one. \"We often want to regulate abortion as if we want to solve its social complexity,\" she told me. \"The take home from our study is it's incredibly safe and that it can be offered in an outpatient facility by either physicians, nurse practitioners, certified nurse midwives or physician assistants. Women can feel safe that the care is high quality.\"\u003c/p>\n\u003cp>Everitt acknowledged that a social goal is for California to be a \"harbinger\" for change. \"We do hope that other states will pay attention and will broaden access to care.\"\u003c/p>\n\u003cp>\u003cem>This post was updated to clarify why 400 abortions per year is the study's threshold to be defined as a \"regular provider\" of abortions.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Learn More\u003c/strong>: \u003ca href=\"http://www.sacbee.com/2013/01/23/5133981/democratic-lawmakers-revive-california.html\" target=\"_blank\">Democratic Lawmakers Revive California Bill on Early Abortion Providers \u003c/a>(Sacramento Bee)\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "President Obama Ends Research Freeze on Gun Violence",
"title": "President Obama Ends Research Freeze on Gun Violence",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_9691\" class=\"wp-caption alignleft\" style=\"max-width: 176px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/gun-176.jpg\">\u003cimg class=\"size-full wp-image-9691\" title=\"gun-176\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/gun-176.jpg\" alt=\"\" width=\"176\" height=\"237\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Image: Kaiser Health News)\u003c/figcaption>\u003c/figure>\n\u003cp>We think of the Centers for Disease Control as collecting data on just about everything. But scientists say a lack of funding and political pressure had long prevented them from researching gun violence. And not just the possible causes of violence -- but data collection around specific acts of violence.\u003c/p>\n\u003cp>On Wednesday, the president addressed the need to look for those causes in \u003ca href=\"http://ww2.kqed.org/news/2013/01/16/obama-to-announce-gun-control-measures/\" target=\"_blank\">his proposals \u003c/a>to curb gun violence. In a \u003ca href=\"http://www.whitehouse.gov/sites/default/files/docs/wh_now_is_the_time_full.pdf\" target=\"_blank\">section\u003c/a> [PDF] titled \"End the Freeze on Gun Violence Research,\" the president directs the CDC to research gun violence and also wants Congress to pony up $20 million to expand the national database on violent deaths.\u003c/p>\n\u003cp>\"We don't benefit from ignorance,\" Obama said. \"We don't benefit from not knowing the science from this epidemic of violence.\"\u003c/p>\n\u003cp>From the president's plan:\u003c/p>\n\u003cblockquote>\u003cp>... for years, the Centers for Disease Control (CDC) and other scientific agencies have been barred by Congress from using funds to “advocate or promote gun control,” and some members of Congress have claimed this prohibition also bans the CDC from conducting any research on the causes of gun violence. However, research on gun violence is not advocacy; it is critical public health research that gives all Americans information they need.\u003c/p>\u003c/blockquote>\n\u003caside class=\"pullquote alignright\">\"People have been working for years to prevent violence, but it’s like we’re working with blinders on.\"\u003c/aside>\n\u003cp>Larry Cohen, executive director of Oakland's Prevention Institute, called the backing of research \"perhaps the most important part\" of the President's proposals.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>\"People have been working for years to prevent violence, but it’s like we’re working with blinders on, because there are certain very obvious places we’re unable to look,\" Cohen said. \"Clearly there’s no way to look at the epidemic and not realize that guns are a clear element of homicide, and yet we're told, 'don’t look at guns.'\"\u003c/p>\n\u003cp>\u003ca href=\"http://vitals.nbcnews.com/_news/2013/01/15/16532333-obama-plan-eases-freeze-on-cdc-gun-violence-research?lite\" target=\"_blank\">NBC News\u003c/a> quoted scientists who were equally enthusiastic about the president's plans. From NBC:\u003c/p>\n\u003cblockquote>\u003cp>(Scientists say) pro-gun advocates -- including the National Rifle Association -- had choked off funding for CDC firearms research starting in the mid-1990s and imposed a chilling effect on those who dared to pursue it.\u003c/p>\n\u003cp>\"He's saying this is very important and I'm going to back you on this,\" said Dr. Mark Rosenberg, president of the Task Force for Global Health and director of the CDC's Center for Injury Prevention and Control from 1994 to 1999. \"Basically, they've been terrorized by the NRA.\"\u003c/p>\u003c/blockquote>\n\u003cp>If you're wondering how we got here, Slate published a \u003ca href=\"http://www.slate.com/articles/health_and_science/science/2012/12/gun_violence_research_nra_and_congress_blocked_gun_control_studies_at_cdc.single.html\" target=\"_blank\">great explainer\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>In the 1990s, politicians \u003ca href=\"http://articles.washingtonpost.com/2012-07-27/opinions/35486709_1_gun-violence-traffic-fatalities-firearm-deaths\" target=\"_blank\">backed by the NRA\u003c/a> attacked researchers for publishing data on firearm research. For good measure, they also went after the Centers for Disease Control and Prevention for funding the research. According to the NRA, such science is \u003ca href=\"http://www.nytimes.com/2011/01/26/us/26guns.html?pagewanted=all&_r=0\" target=\"_blank\">not “legitimate.”\u003c/a> To make sure federal agencies got the message, Rep. Jay Dickey (R-Ark.) sponsored an amendment that stripped $2.6 million from the CDC’s budget, the exact amount it had spent on firearms research the previous year.\u003c/p>\u003c/blockquote>\n\u003cp>To be fair, Dickey later recanted and published an \u003ca href=\"http://articles.washingtonpost.com/2012-07-27/opinions/35486709_1_gun-violence-traffic-fatalities-firearm-deaths\" target=\"_blank\">opinion piece\u003c/a> in the Washington Post, titled \"We won't know the cause of gun violence until we look for it.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Now researchers will get a better opportunity to look.\u003c/p>\n\n",
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"excerpt": "We think of the Centers for Disease Control as collecting data on just about everything. But scientists say a lack of funding and political pressure had long prevented them from researching gun violence. And not just the possible causes of violence -- but data collection around specific acts of violence.\r\n\r\nOn Wednesday, the president addressed the need to look for those causes in his proposals to curb gun violence. In a section [PDF] titled \"End the Freeze on Gun Violence Research,\" the president directs the CDC to research gun violence and also wants Congress to pony up $20 million to expand the national database on violent deaths.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_9691\" class=\"wp-caption alignleft\" style=\"max-width: 176px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/gun-176.jpg\">\u003cimg class=\"size-full wp-image-9691\" title=\"gun-176\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/gun-176.jpg\" alt=\"\" width=\"176\" height=\"237\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Image: Kaiser Health News)\u003c/figcaption>\u003c/figure>\n\u003cp>We think of the Centers for Disease Control as collecting data on just about everything. But scientists say a lack of funding and political pressure had long prevented them from researching gun violence. And not just the possible causes of violence -- but data collection around specific acts of violence.\u003c/p>\n\u003cp>On Wednesday, the president addressed the need to look for those causes in \u003ca href=\"http://ww2.kqed.org/news/2013/01/16/obama-to-announce-gun-control-measures/\" target=\"_blank\">his proposals \u003c/a>to curb gun violence. In a \u003ca href=\"http://www.whitehouse.gov/sites/default/files/docs/wh_now_is_the_time_full.pdf\" target=\"_blank\">section\u003c/a> [PDF] titled \"End the Freeze on Gun Violence Research,\" the president directs the CDC to research gun violence and also wants Congress to pony up $20 million to expand the national database on violent deaths.\u003c/p>\n\u003cp>\"We don't benefit from ignorance,\" Obama said. \"We don't benefit from not knowing the science from this epidemic of violence.\"\u003c/p>\n\u003cp>From the president's plan:\u003c/p>\n\u003cblockquote>\u003cp>... for years, the Centers for Disease Control (CDC) and other scientific agencies have been barred by Congress from using funds to “advocate or promote gun control,” and some members of Congress have claimed this prohibition also bans the CDC from conducting any research on the causes of gun violence. However, research on gun violence is not advocacy; it is critical public health research that gives all Americans information they need.\u003c/p>\u003c/blockquote>\n\u003caside class=\"pullquote alignright\">\"People have been working for years to prevent violence, but it’s like we’re working with blinders on.\"\u003c/aside>\n\u003cp>Larry Cohen, executive director of Oakland's Prevention Institute, called the backing of research \"perhaps the most important part\" of the President's proposals.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>\"People have been working for years to prevent violence, but it’s like we’re working with blinders on, because there are certain very obvious places we’re unable to look,\" Cohen said. \"Clearly there’s no way to look at the epidemic and not realize that guns are a clear element of homicide, and yet we're told, 'don’t look at guns.'\"\u003c/p>\n\u003cp>\u003ca href=\"http://vitals.nbcnews.com/_news/2013/01/15/16532333-obama-plan-eases-freeze-on-cdc-gun-violence-research?lite\" target=\"_blank\">NBC News\u003c/a> quoted scientists who were equally enthusiastic about the president's plans. From NBC:\u003c/p>\n\u003cblockquote>\u003cp>(Scientists say) pro-gun advocates -- including the National Rifle Association -- had choked off funding for CDC firearms research starting in the mid-1990s and imposed a chilling effect on those who dared to pursue it.\u003c/p>\n\u003cp>\"He's saying this is very important and I'm going to back you on this,\" said Dr. Mark Rosenberg, president of the Task Force for Global Health and director of the CDC's Center for Injury Prevention and Control from 1994 to 1999. \"Basically, they've been terrorized by the NRA.\"\u003c/p>\u003c/blockquote>\n\u003cp>If you're wondering how we got here, Slate published a \u003ca href=\"http://www.slate.com/articles/health_and_science/science/2012/12/gun_violence_research_nra_and_congress_blocked_gun_control_studies_at_cdc.single.html\" target=\"_blank\">great explainer\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>In the 1990s, politicians \u003ca href=\"http://articles.washingtonpost.com/2012-07-27/opinions/35486709_1_gun-violence-traffic-fatalities-firearm-deaths\" target=\"_blank\">backed by the NRA\u003c/a> attacked researchers for publishing data on firearm research. For good measure, they also went after the Centers for Disease Control and Prevention for funding the research. According to the NRA, such science is \u003ca href=\"http://www.nytimes.com/2011/01/26/us/26guns.html?pagewanted=all&_r=0\" target=\"_blank\">not “legitimate.”\u003c/a> To make sure federal agencies got the message, Rep. Jay Dickey (R-Ark.) sponsored an amendment that stripped $2.6 million from the CDC’s budget, the exact amount it had spent on firearms research the previous year.\u003c/p>\u003c/blockquote>\n\u003cp>To be fair, Dickey later recanted and published an \u003ca href=\"http://articles.washingtonpost.com/2012-07-27/opinions/35486709_1_gun-violence-traffic-fatalities-firearm-deaths\" target=\"_blank\">opinion piece\u003c/a> in the Washington Post, titled \"We won't know the cause of gun violence until we look for it.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Now researchers will get a better opportunity to look.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Governor's Proposals for Medicaid Expansion",
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"content": "\u003cfigure id=\"attachment_9886\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/PatientMoved_05252012_MilitaryHealth_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-9886\" title=\"(Military Health/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/PatientMoved_05252012_MilitaryHealth_Flickr-300x232.jpg\" alt=\"(Military Health/Flickr)\" width=\"300\" height=\"232\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Military Health/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Gov. Jerry Brown has released his \u003ca href=\"http://ww2.kqed.org/news/2013/01/10/governor-to-propose-budget-more-money-for-schools-expected/\" target=\"_blank\">new state budget\u003c/a>, including plans for implementing the Affordable Care Act in California. In a press conference this morning, the governor said he plans to handle that implementation \"cautiously.\"\u003c/p>\n\u003cp>\"We are committed to expanding Medi-Cal, we’re committed to bringing more people into the healthcare system, but we recognize there are big costs out there,\" the governor told reporters. \"There are big unknowns so we’re going to move carefully, but we’re going to move with commitment, because I believe people do need decent healthcare, and I believe what Pres. Obama did was historic. It was heroic, and I’m going to do everything I can to be a good partner to make sure his plan works.\"\u003c/p>\n\u003cp>The ACA calls for an expansion of the Medicaid program, known as Medi-Cal in California. The federal government will pay 100 percent of the costs of the new enrollees through 2016. After that, the federal contribution will decline to 90 percent by 2020.\u003c/p>\n\u003cp>The governor is proposing two ways to handle the expansion.\u003c!--more-->\u003c/p>\n\u003cp>The first option would be a pretty straightforward expansion of the existing program, which would cover people earning up to 138 percent of poverty as described in the federal law. But the governor is proposing that this expansion would cover only health care costs, not long term care costs.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The governor's second option would be a county-based expansion. Counties would build on the Low Income Health Program, also called the \"Bridge to Reform,\" currently in place in 55 of 58 California counties. In a press call with reporters, California's Secretary of Health and Human Services Diana Dooley pointed out the counties stand to benefit financially from the influx of federal dollars when new enrollees enter the system. Both proposals acknowledge that counties benefit.\u003c/p>\n\u003cp>\"It is a recognition they will have costs reduced,\" Dooley said, referring to counties. \"The relief to the system is a relief to the counties whether we do it at the counties or whether we do it at the state. The counties have the obligation to provide care to this population and that obligation will be satisfied with new federal funds. So the conversation has to be what is an appropriate sharing of that new relationship with the availability of new federal funds.\"\u003c/p>\n\u003cp>Dooley did not put a timetable on reaching a decision of which path to take, but said \"the conversation starts today.\"\u003c/p>\n\u003cp>While those newly eligible for Medi-Cal under the Affordable Care Act will be funded 100 percent by the federal government, many tens of thousands of people currently eligible but not enrolled are also expected to sign up for Medi-Cal. That's because of several factors. The individual mandate requires everyone to have health insurance, and the Affordable Care Act requires more streamlined enrollment into state run Medicaid programs. The Health Insurance Exchange, Covered California, is expected to launch a major marketing effort to bring people in to purchase insurance. Many people eligible for Medi-Cal will likely respond.\u003c/p>\n\u003cp>The federal government is not picking up the whole tab of this currently-eligible-but-not-enrolled population. The state has put $350 million in the budget as a \"placeholder,\" Dooley said. It's hard to be sure if that's enough or too much money. Dooley discussed the difficulty of determining true numbers because estimates of how many people will enroll vary widely. \u003ca href=\"http://laborcenter.berkeley.edu/healthcare/medi-cal_expansion.shtml\" target=\"_blank\">One recent report\u003c/a> showed that between 240,000 and 510,000 currently eligible people are expected to be enrolled between 2014 and 2019. That's a big differential.\u003c/p>\n\u003cp>At a rally by health advocates in San Francisco today, Linda Lew of Health Access chided the state for being so careful. \"It's good to be cautious,\" she told KQED's Mina Kim, \"but in some ways it's needlessly cautious. The Medicaid expansion is one good example. The first two years are 100 percent federally funded and subsequent years are 90 percent funded, so it's not going to be a huge lift on the state.\"\u003c/p>\n\u003cp>In \u003ca href=\"http://www.csac.counties.org/post/csac-issues-statement-regarding-governors-budget-proposal\" target=\"_blank\">a statement on its website\u003c/a>, the California State Association of Counties said it was \"pleased\" that the governor is moving ahead with implementing the Affordable Care Act. But the group echoed the Administration in discussing the challenges.\u003c/p>\n\u003cp>\"Counties recognize that a number of short- and long-term questions about health reform remain unanswered and the uncertainty makes implementation challenging. These proposals carry risks for counties, too. Counties want to be sure that all options for Medicaid expansion are discussed and that the critical role of counties in delivering health services, including hospital and safety net services, is maintained.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Editor's note: This post has been updated with details from California's Secretary of Health and Human Services and other reactions to the governor's budget.\u003c/em>\u003c/p>\n\n",
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"excerpt": "Gov. Jerry Brown has released his new state budget, including plans for implementing the Affordable Care Act in California. In a press conference this morning, the governor said he plans to handle that implementation \"cautiously.\"\r\n\r\n\"We are committed to expanding Medi-Cal, we’re committed to bringing more people into the healthcare system, but we recognize there are big costs out there,\" the governor told reporters.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_9886\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/PatientMoved_05252012_MilitaryHealth_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-9886\" title=\"(Military Health/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/PatientMoved_05252012_MilitaryHealth_Flickr-300x232.jpg\" alt=\"(Military Health/Flickr)\" width=\"300\" height=\"232\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Military Health/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Gov. Jerry Brown has released his \u003ca href=\"http://ww2.kqed.org/news/2013/01/10/governor-to-propose-budget-more-money-for-schools-expected/\" target=\"_blank\">new state budget\u003c/a>, including plans for implementing the Affordable Care Act in California. In a press conference this morning, the governor said he plans to handle that implementation \"cautiously.\"\u003c/p>\n\u003cp>\"We are committed to expanding Medi-Cal, we’re committed to bringing more people into the healthcare system, but we recognize there are big costs out there,\" the governor told reporters. \"There are big unknowns so we’re going to move carefully, but we’re going to move with commitment, because I believe people do need decent healthcare, and I believe what Pres. Obama did was historic. It was heroic, and I’m going to do everything I can to be a good partner to make sure his plan works.\"\u003c/p>\n\u003cp>The ACA calls for an expansion of the Medicaid program, known as Medi-Cal in California. The federal government will pay 100 percent of the costs of the new enrollees through 2016. After that, the federal contribution will decline to 90 percent by 2020.\u003c/p>\n\u003cp>The governor is proposing two ways to handle the expansion.\u003c!--more-->\u003c/p>\n\u003cp>The first option would be a pretty straightforward expansion of the existing program, which would cover people earning up to 138 percent of poverty as described in the federal law. But the governor is proposing that this expansion would cover only health care costs, not long term care costs.\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 second option would be a county-based expansion. Counties would build on the Low Income Health Program, also called the \"Bridge to Reform,\" currently in place in 55 of 58 California counties. In a press call with reporters, California's Secretary of Health and Human Services Diana Dooley pointed out the counties stand to benefit financially from the influx of federal dollars when new enrollees enter the system. Both proposals acknowledge that counties benefit.\u003c/p>\n\u003cp>\"It is a recognition they will have costs reduced,\" Dooley said, referring to counties. \"The relief to the system is a relief to the counties whether we do it at the counties or whether we do it at the state. The counties have the obligation to provide care to this population and that obligation will be satisfied with new federal funds. So the conversation has to be what is an appropriate sharing of that new relationship with the availability of new federal funds.\"\u003c/p>\n\u003cp>Dooley did not put a timetable on reaching a decision of which path to take, but said \"the conversation starts today.\"\u003c/p>\n\u003cp>While those newly eligible for Medi-Cal under the Affordable Care Act will be funded 100 percent by the federal government, many tens of thousands of people currently eligible but not enrolled are also expected to sign up for Medi-Cal. That's because of several factors. The individual mandate requires everyone to have health insurance, and the Affordable Care Act requires more streamlined enrollment into state run Medicaid programs. The Health Insurance Exchange, Covered California, is expected to launch a major marketing effort to bring people in to purchase insurance. Many people eligible for Medi-Cal will likely respond.\u003c/p>\n\u003cp>The federal government is not picking up the whole tab of this currently-eligible-but-not-enrolled population. The state has put $350 million in the budget as a \"placeholder,\" Dooley said. It's hard to be sure if that's enough or too much money. Dooley discussed the difficulty of determining true numbers because estimates of how many people will enroll vary widely. \u003ca href=\"http://laborcenter.berkeley.edu/healthcare/medi-cal_expansion.shtml\" target=\"_blank\">One recent report\u003c/a> showed that between 240,000 and 510,000 currently eligible people are expected to be enrolled between 2014 and 2019. That's a big differential.\u003c/p>\n\u003cp>At a rally by health advocates in San Francisco today, Linda Lew of Health Access chided the state for being so careful. \"It's good to be cautious,\" she told KQED's Mina Kim, \"but in some ways it's needlessly cautious. The Medicaid expansion is one good example. The first two years are 100 percent federally funded and subsequent years are 90 percent funded, so it's not going to be a huge lift on the state.\"\u003c/p>\n\u003cp>In \u003ca href=\"http://www.csac.counties.org/post/csac-issues-statement-regarding-governors-budget-proposal\" target=\"_blank\">a statement on its website\u003c/a>, the California State Association of Counties said it was \"pleased\" that the governor is moving ahead with implementing the Affordable Care Act. But the group echoed the Administration in discussing the challenges.\u003c/p>\n\u003cp>\"Counties recognize that a number of short- and long-term questions about health reform remain unanswered and the uncertainty makes implementation challenging. These proposals carry risks for counties, too. Counties want to be sure that all options for Medicaid expansion are discussed and that the critical role of counties in delivering health services, including hospital and safety net services, is maintained.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Editor's note: This post has been updated with details from California's Secretary of Health and Human Services and other reactions to the governor's budget.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Best Health System in the World? ",
"title": "Best Health System in the World? ",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_9865\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/PregnantExamGenericGetty.jpg\">\u003cimg class=\"size-medium wp-image-9865\" title=\"American children are less likely to live to age 5 than children in other high-income countries. (Photo: Comstock)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/PregnantExamGenericGetty-300x200.jpg\" alt=\"American children are less likely to live to age 5 than children in other high-income countries. (Photo: Comstock)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">American children are less likely to live to age 5 than children in other high-income countries. (Photo: Comstock)\u003c/figcaption>\u003c/figure>\n\u003cp>If one big thing you want out of life is to live a long time in good health, the U.S. is not doing a good job, says a major report from the National Research Council and the Institute of Medicine, entitled \"\u003ca href=\"http://www.nap.edu/openbook.php?record_id=13497&page=1\" target=\"_blank\">Shorter Lives, Poorer Health\u003c/a>.\"\u003c/p>\n\u003cp>There's no explaining it away. A panel of physicians and researchers from around the country found a health disadvantage at all ages -- from birth to 75 -- when compared against people in 16 other \"high income\" countries.\u003c/p>\n\u003cp>The breadth and scale of this report is something: 405 pages of analysis across diseases, ages and incomes groups.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"The rule is we're worse on everything.\"\u003c/aside>\n\u003cp>Even well-off Americans, \"those who have health insurance, college educations, higher incomes and healthy behaviors,\" according to the press release, seem to be in worse health than their counterparts in the other well-off countries.\u003c/p>\n\u003cp>Dr. Steven Woolf, chair of the panel that wrote the report, said they were \"struck by the gravity\" of what they learned. \"Americans are dying and suffering at rates that we know are unnecessary because people in other high-income countries are living longer lives and enjoying better health. What concerns our panel is why, for decades, we have been slipping behind.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Pretty sobering.\u003c!--more-->\u003c/p>\n\u003cp>This study builds on a \u003ca href=\"http://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=13089\" target=\"_blank\">2011 report\u003c/a> that looked at people over 50, but that report largely blamed past smoking history and obesity for the shorter longevity of older Americans. Today's news broadens to include younger Americans, news which is a \"tragedy\" according to Woolf. \"I don't think most parents know that, on average, infants, children, and adolescents in the U.S. die younger and have greater rates of illness and injury than youth in other countries.\" (The report includes a depressing \u003ca href=\"http://sites.nationalacademies.org/DBASSE/CPOP/DBASSE_080393#deaths-from-communicable-maternal-perinatal-nutritional-conditions\" target=\"_blank\">interactive chart\u003c/a> that compares the U.S. to other countries by disease.)\u003c/p>\n\u003cp>UCSF's Dr. Paula Braveman was on the panel and repeatedly used the word \"shocked\" in an interview today to discuss the findings. Still, she said there were a couple bright spots. The U.S. does better on cancer and stroke mortality, but \"the rule is we're worse on everything,\" she told me.\u003c/p>\n\u003cp>The U.S. is famous for spending significantly more per capita on health care than any other country, \"about 90% higher than in many other countries that we would consider global competitors,\" according to the \u003ca href=\"http://www.kff.org/insurance/upload/7670-03.pdf\" target=\"_blank\">Kaiser Family Foundation\u003c/a> (see pg. 7). But the panel was unanimous, Braveman said, in its agreement that these health disparities go beyond the health care system itself.\u003c/p>\n\u003cp>Yes, the panel acknowledges obesity and other unhealthy behaviors as drivers of poor health. But they also point to a multitude of other factors, including the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/04/17/smoking-or-schools-which-is-more-important-to-your-health/\" target=\"_blank\">social determinants of health\u003c/a> -- things like high rates of poverty, income inequality and the (poor) quality of schools -- as well as social policy that can contribute dramatically to poor health outcomes.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I'm hoping this will shake people up enough that they will finally be willing to consider what we have to learn from other countries,\" Braveman says. \"I think coming to grips with the fact that we're the bottom of the heap on health, I'm hoping that that will make people willing to take a look at what's being done in other countries and what we can learn from that.\"\u003c/p>\n\n",
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"excerpt": "If one big thing you want out of life is to live a long time in good health, the U.S. is not doing such a great job, says a major report from the National Research Council and the Institute of Medicine, entitled \"Shorter Lives, Poorer Health.\"\r\n\r\nThere's no explaining it away. A panel of physicians and researchers from around the country found a health disadvantage at all ages -- from birth to 75 -- when compared against people in 16 other \"high income\" countries.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_9865\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/PregnantExamGenericGetty.jpg\">\u003cimg class=\"size-medium wp-image-9865\" title=\"American children are less likely to live to age 5 than children in other high-income countries. (Photo: Comstock)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/PregnantExamGenericGetty-300x200.jpg\" alt=\"American children are less likely to live to age 5 than children in other high-income countries. (Photo: Comstock)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">American children are less likely to live to age 5 than children in other high-income countries. (Photo: Comstock)\u003c/figcaption>\u003c/figure>\n\u003cp>If one big thing you want out of life is to live a long time in good health, the U.S. is not doing a good job, says a major report from the National Research Council and the Institute of Medicine, entitled \"\u003ca href=\"http://www.nap.edu/openbook.php?record_id=13497&page=1\" target=\"_blank\">Shorter Lives, Poorer Health\u003c/a>.\"\u003c/p>\n\u003cp>There's no explaining it away. A panel of physicians and researchers from around the country found a health disadvantage at all ages -- from birth to 75 -- when compared against people in 16 other \"high income\" countries.\u003c/p>\n\u003cp>The breadth and scale of this report is something: 405 pages of analysis across diseases, ages and incomes groups.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"The rule is we're worse on everything.\"\u003c/aside>\n\u003cp>Even well-off Americans, \"those who have health insurance, college educations, higher incomes and healthy behaviors,\" according to the press release, seem to be in worse health than their counterparts in the other well-off countries.\u003c/p>\n\u003cp>Dr. Steven Woolf, chair of the panel that wrote the report, said they were \"struck by the gravity\" of what they learned. \"Americans are dying and suffering at rates that we know are unnecessary because people in other high-income countries are living longer lives and enjoying better health. What concerns our panel is why, for decades, we have been slipping behind.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Pretty sobering.\u003c!--more-->\u003c/p>\n\u003cp>This study builds on a \u003ca href=\"http://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=13089\" target=\"_blank\">2011 report\u003c/a> that looked at people over 50, but that report largely blamed past smoking history and obesity for the shorter longevity of older Americans. Today's news broadens to include younger Americans, news which is a \"tragedy\" according to Woolf. \"I don't think most parents know that, on average, infants, children, and adolescents in the U.S. die younger and have greater rates of illness and injury than youth in other countries.\" (The report includes a depressing \u003ca href=\"http://sites.nationalacademies.org/DBASSE/CPOP/DBASSE_080393#deaths-from-communicable-maternal-perinatal-nutritional-conditions\" target=\"_blank\">interactive chart\u003c/a> that compares the U.S. to other countries by disease.)\u003c/p>\n\u003cp>UCSF's Dr. Paula Braveman was on the panel and repeatedly used the word \"shocked\" in an interview today to discuss the findings. Still, she said there were a couple bright spots. The U.S. does better on cancer and stroke mortality, but \"the rule is we're worse on everything,\" she told me.\u003c/p>\n\u003cp>The U.S. is famous for spending significantly more per capita on health care than any other country, \"about 90% higher than in many other countries that we would consider global competitors,\" according to the \u003ca href=\"http://www.kff.org/insurance/upload/7670-03.pdf\" target=\"_blank\">Kaiser Family Foundation\u003c/a> (see pg. 7). But the panel was unanimous, Braveman said, in its agreement that these health disparities go beyond the health care system itself.\u003c/p>\n\u003cp>Yes, the panel acknowledges obesity and other unhealthy behaviors as drivers of poor health. But they also point to a multitude of other factors, including the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/04/17/smoking-or-schools-which-is-more-important-to-your-health/\" target=\"_blank\">social determinants of health\u003c/a> -- things like high rates of poverty, income inequality and the (poor) quality of schools -- as well as social policy that can contribute dramatically to poor health outcomes.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I'm hoping this will shake people up enough that they will finally be willing to consider what we have to learn from other countries,\" Braveman says. \"I think coming to grips with the fact that we're the bottom of the heap on health, I'm hoping that that will make people willing to take a look at what's being done in other countries and what we can learn from that.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "School Health Centers Get Final Health Reform Grants",
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"content": "\u003cp>By Kelley Weiss, \u003ca href=\"http://centerforhealthreporting.org/blog/school-health-centers-get-final-round-health-reform-grants1039\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_9823\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Petaluma_momboleum_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-9823\" title=\"Federal grants totaling $500,000 will fund new school clinics in Petaluma, among many others in California. (momboleum/Flickr) \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Petaluma_momboleum_Flickr-300x196.jpg\" alt=\"Federal grants totaling $500,000 will fund new school clinics in Petaluma, among many others in California. (momboleum/Flickr) \" width=\"300\" height=\"196\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Federal grants totaling $500,000 will fund new school clinics in Petaluma, among many others in California. (momboleum/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The last influx of federal funds to boost California’s school health centers came just before the New Year.\u003c/p>\n\u003cp>Through the Affordable Care Act \u003ca href=\"http://www.hrsa.gov/about/news/2012tables/121218schoolbasedawards.html#california\" target=\"_blank\">31 California school health centers received more than $14 million\u003c/a> in December.\u003c/p>\n\u003cp>This final round of grants brought California’s total federal funding to more than $30 million since 2011, \u003ca href=\"http://www.nasbhc.org/site/c.ckLQKbOVLkK6E/b.8019505/k.1DA1/SBHC_Construction_and_Equipment_Grants.htm\" target=\"_blank\">the most of any state\u003c/a>.\u003c/p>\n\u003cp>School-based health centers, which are usually on or adjacent to schools in low- income areas, offer students – and sometimes community members – free primary care. Several also have dental clinics and more than half provide mental health services.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Serena Clayton is the executive director of the \u003ca href=\"http://www.schoolhealthcenters.org/\" target=\"_blank\">California School Health Centers Association\u003c/a>. She says the federal money has gone to 70 school health centers across the state to make it easier for thousands of children to access health care.\u003c/p>\n\u003cp>She says certain areas will particularly benefit. Clayton says Petaluma, for example, did not have any school health centers. Now, with its recently announced $500,000 federal grant, \u003ca href=\"http://www.petaluma360.com/article/20121220/ARTICLES/121229961\" target=\"_blank\">new clinics will open at Petaluma high schools\u003c/a>.\u003c!--more-->\u003c/p>\n\u003cp>Bakersfield will also be able to open its first school health center using the federal money. And in Tulare, she says, the school health center operating out of a mobile van will now have a facility to provide services.\u003c/p>\n\u003cp>Clayton says the funds will bring significant impact to less populated areas of California.\u003c/p>\n\u003cp>“There’s huge, huge need in the rural areas,” she says. “We haven’t quite figured out the school-based health centers in rural areas. If you look at a map, they tend to be in urban areas, but the Central Valley is getting more.”\u003c/p>\n\u003cp>Clayton also says the school-based health centers will be more important than ever as almost one million children will be moved from the Healthy Families Program to Medi-Cal this year. She says the transition will be difficult at first for some families to navigate.\u003c/p>\n\u003cp>“The school-based health center is the ultimate safety net,” Clayton says. “Even if they’ve gotten confused because their physician who used to accept Healthy Families now doesn’t because they’re in Medi-Cal, they can always go to school-based health centers.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Clayton says since the health reform grants have come to an end, her association will focus on securing state funds. She hopes to get a state-funded grant to expand mental health services this year.\u003c/p>\n\n",
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"excerpt": "The last influx of federal funds to boost California’s school health centers came just before the New Year.\r\n\r\nThrough the Affordable Care Act 31 California school health centers received more than $14 million in December.\r\n\r\nThis final round of grants brought California’s total federal funding to more than $30 million since 2011, the most of any state.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Kelley Weiss, \u003ca href=\"http://centerforhealthreporting.org/blog/school-health-centers-get-final-round-health-reform-grants1039\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_9823\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Petaluma_momboleum_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-9823\" title=\"Federal grants totaling $500,000 will fund new school clinics in Petaluma, among many others in California. (momboleum/Flickr) \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Petaluma_momboleum_Flickr-300x196.jpg\" alt=\"Federal grants totaling $500,000 will fund new school clinics in Petaluma, among many others in California. (momboleum/Flickr) \" width=\"300\" height=\"196\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Federal grants totaling $500,000 will fund new school clinics in Petaluma, among many others in California. (momboleum/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The last influx of federal funds to boost California’s school health centers came just before the New Year.\u003c/p>\n\u003cp>Through the Affordable Care Act \u003ca href=\"http://www.hrsa.gov/about/news/2012tables/121218schoolbasedawards.html#california\" target=\"_blank\">31 California school health centers received more than $14 million\u003c/a> in December.\u003c/p>\n\u003cp>This final round of grants brought California’s total federal funding to more than $30 million since 2011, \u003ca href=\"http://www.nasbhc.org/site/c.ckLQKbOVLkK6E/b.8019505/k.1DA1/SBHC_Construction_and_Equipment_Grants.htm\" target=\"_blank\">the most of any state\u003c/a>.\u003c/p>\n\u003cp>School-based health centers, which are usually on or adjacent to schools in low- income areas, offer students – and sometimes community members – free primary care. Several also have dental clinics and more than half provide mental health services.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Serena Clayton is the executive director of the \u003ca href=\"http://www.schoolhealthcenters.org/\" target=\"_blank\">California School Health Centers Association\u003c/a>. She says the federal money has gone to 70 school health centers across the state to make it easier for thousands of children to access health care.\u003c/p>\n\u003cp>She says certain areas will particularly benefit. Clayton says Petaluma, for example, did not have any school health centers. Now, with its recently announced $500,000 federal grant, \u003ca href=\"http://www.petaluma360.com/article/20121220/ARTICLES/121229961\" target=\"_blank\">new clinics will open at Petaluma high schools\u003c/a>.\u003c!--more-->\u003c/p>\n\u003cp>Bakersfield will also be able to open its first school health center using the federal money. And in Tulare, she says, the school health center operating out of a mobile van will now have a facility to provide services.\u003c/p>\n\u003cp>Clayton says the funds will bring significant impact to less populated areas of California.\u003c/p>\n\u003cp>“There’s huge, huge need in the rural areas,” she says. “We haven’t quite figured out the school-based health centers in rural areas. If you look at a map, they tend to be in urban areas, but the Central Valley is getting more.”\u003c/p>\n\u003cp>Clayton also says the school-based health centers will be more important than ever as almost one million children will be moved from the Healthy Families Program to Medi-Cal this year. She says the transition will be difficult at first for some families to navigate.\u003c/p>\n\u003cp>“The school-based health center is the ultimate safety net,” Clayton says. “Even if they’ve gotten confused because their physician who used to accept Healthy Families now doesn’t because they’re in Medi-Cal, they can always go to school-based health centers.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Clayton says since the health reform grants have come to an end, her association will focus on securing state funds. She hopes to get a state-funded grant to expand mental health services this year.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Pap Tests for Cervical Cancer Are Too Often Overused",
"title": "Pap Tests for Cervical Cancer Are Too Often Overused",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_9805\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Cervix_Healthy_Euthman.jpg\">\u003cimg class=\"size-medium wp-image-9805\" title=\"Healthy cervix cells, gathered during a Pap test, as seen under a microscope. (Euthman/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Cervix_Healthy_Euthman-300x218.jpg\" alt=\"Healthy cervix cells, gathered during a Pap test, as seen under a microscope. (Euthman/Flickr)\" width=\"300\" height=\"218\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Healthy cervix cells, gathered during a Pap test, as seen under a microscope. (Euthman/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>January is Cervical Health Awareness month, and the Centers for Disease Control is celebrating by highlighting just how poorly the US is doing at following established guidelines.\u003c/p>\n\u003cp>In \u003ca href=\"http://www.cdc.gov/mmwr/mmwr_wk.html\" target=\"_blank\">dual reports\u003c/a> today, the CDC finds that many women are being screened for cervical cancer way too often -- while other women are not screened enough.\u003c/p>\n\u003cp>Let's start with the guidelines themselves. In 2012, three different groups, the \u003ca href=\"http://www.uspreventiveservicestaskforce.org/uspstf/uspscerv.htm\" target=\"_blank\">US Preventive Services Task Force\u003c/a>, the \u003ca href=\"http://www.cancer.org/cancer/news/new-screening-guidelines-for-cervical-cancer\" target=\"_blank\">American Cancer Society\u003c/a> and the \u003ca href=\"http://www.acog.org/About%20ACOG/Announcements/New%20Cervical%20Cancer%20Screening%20Recommendations.aspx\" target=\"_blank\">American College of Obstetricians and Gynecologists \u003c/a>all came to agreement: Women ages 21 to 65 should receive a Pap test -- the definitive screen for cervical cancer -- once every three years. If you're either under 21 -- or 65 or older, you don't need one, barring \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22711081\" target=\"_blank\">certain limitations\u003c/a>. (Some women opt for an additional HPV test and can be screened with a Pap test every five years.)\u003c/p>\n\u003cp>In addition, the overwhelming number of women who have had a total hysterectomy (in which the cervix is also removed) do not need any more Pap tests. As Dr. David Chelmow, a professor of obstetrics and gynecology at Virginia Commonwealth University Medical Center, \u003ca href=\"http://www.reuters.com/article/2013/01/03/us-usa-cancer-cervix-idUSBRE9020PR20130103?feedType=RSS&feedName=healthNews&utm_source=dlvr.it&utm_medium=twitter\" target=\"_blank\">told Reuters\u003c/a>, \"It's tough to get cervical cancer without a cervix.\"\u003c/p>\n\u003cp>The upshot from the CDC's survey? Here are the numbers:\u003c/p>\n\u003cul>\n\u003cli>41.5% of women ages 18 to 21 had a Pap test in the last year, despite the recommendations that they don't need them\u003c!--more-->\u003c/li>\n\u003cli>58.7% of women older than 30 who had a hysterectomy had a Pap test in the last three years. Got that? Hat/Tip to \u003ca href=\"http://www.npr.org/blogs/health/2013/01/03/168542327/pap-tests-for-cervical-cancer-often-are-wasted\" target=\"_blank\">NPR's Shots blog\u003c/a> for pointing out this blistering reaction:\u003c/li>\n\u003c/ul>\n\u003cdiv>\n\u003cblockquote>\u003cp>That statistic sent Reuters health and science correspondent Sharon Begley right up the wall. \"Angry that 1/3 of US med $$ goes to useless 'care'? Get ready 2 scream: 60% of women w/hysterectomy keep having Paps,\" \u003ca href=\"https://twitter.com/sxbegle/status/286884946440749056\">she yelled\u003c/a> on Twitter.\u003c/p>\u003c/blockquote>\n\u003c/div>\n\u003cdiv>\n\u003cp>While women may view the mildly invasive Pap test as benign, the CDC suggests thinking again. \"Most precancerous lesions detected by Pap testing regress, even without treatment,\" the authors say. \"(F)requent testing and overtreatment of women can lead to harm associated with diagnostic procedures including adverse birth outcomes.\"\u003c/p>\n\u003cp>An \"adverse birth outcome\" doesn't sound very benign to me.\u003c/p>\n\u003cp>To be fair, the CDC notes that the rate of women being screened inappropriately has declined since 2000. But, then there's the women who need to be screened but aren't. In women ages 22-30, the number who said they have \u003cem>never\u003c/em> had a Pap test increased from 6.6% in 2000 to 9.0% in 2010. As the CDC notes, \"Women not receiving recommended screening and followup are at increased risk for cervical cancer mortality. Underscreening among women with less education, no usual source of health care, and no health-care coverage is well-documented and a persistent cause of health disparities.\"\u003c/p>\n\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "January is Cervical Health Awareness month, and the Centers for Disease Control is celebrating by highlighting just how poorly the US is doing at following established guidelines.\r\n\r\nIn dual reports today, the CDC finds that many women are being screened for cervical cancer way too often -- while other women are not screened enough.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_9805\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Cervix_Healthy_Euthman.jpg\">\u003cimg class=\"size-medium wp-image-9805\" title=\"Healthy cervix cells, gathered during a Pap test, as seen under a microscope. (Euthman/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Cervix_Healthy_Euthman-300x218.jpg\" alt=\"Healthy cervix cells, gathered during a Pap test, as seen under a microscope. (Euthman/Flickr)\" width=\"300\" height=\"218\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Healthy cervix cells, gathered during a Pap test, as seen under a microscope. (Euthman/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>January is Cervical Health Awareness month, and the Centers for Disease Control is celebrating by highlighting just how poorly the US is doing at following established guidelines.\u003c/p>\n\u003cp>In \u003ca href=\"http://www.cdc.gov/mmwr/mmwr_wk.html\" target=\"_blank\">dual reports\u003c/a> today, the CDC finds that many women are being screened for cervical cancer way too often -- while other women are not screened enough.\u003c/p>\n\u003cp>Let's start with the guidelines themselves. In 2012, three different groups, the \u003ca href=\"http://www.uspreventiveservicestaskforce.org/uspstf/uspscerv.htm\" target=\"_blank\">US Preventive Services Task Force\u003c/a>, the \u003ca href=\"http://www.cancer.org/cancer/news/new-screening-guidelines-for-cervical-cancer\" target=\"_blank\">American Cancer Society\u003c/a> and the \u003ca href=\"http://www.acog.org/About%20ACOG/Announcements/New%20Cervical%20Cancer%20Screening%20Recommendations.aspx\" target=\"_blank\">American College of Obstetricians and Gynecologists \u003c/a>all came to agreement: Women ages 21 to 65 should receive a Pap test -- the definitive screen for cervical cancer -- once every three years. If you're either under 21 -- or 65 or older, you don't need one, barring \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22711081\" target=\"_blank\">certain limitations\u003c/a>. (Some women opt for an additional HPV test and can be screened with a Pap test every five years.)\u003c/p>\n\u003cp>In addition, the overwhelming number of women who have had a total hysterectomy (in which the cervix is also removed) do not need any more Pap tests. As Dr. David Chelmow, a professor of obstetrics and gynecology at Virginia Commonwealth University Medical Center, \u003ca href=\"http://www.reuters.com/article/2013/01/03/us-usa-cancer-cervix-idUSBRE9020PR20130103?feedType=RSS&feedName=healthNews&utm_source=dlvr.it&utm_medium=twitter\" target=\"_blank\">told Reuters\u003c/a>, \"It's tough to get cervical cancer without a cervix.\"\u003c/p>\n\u003cp>The upshot from the CDC's survey? Here are the numbers:\u003c/p>\n\u003cul>\n\u003cli>41.5% of women ages 18 to 21 had a Pap test in the last year, despite the recommendations that they don't need them\u003c!--more-->\u003c/li>\n\u003cli>58.7% of women older than 30 who had a hysterectomy had a Pap test in the last three years. Got that? Hat/Tip to \u003ca href=\"http://www.npr.org/blogs/health/2013/01/03/168542327/pap-tests-for-cervical-cancer-often-are-wasted\" target=\"_blank\">NPR's Shots blog\u003c/a> for pointing out this blistering reaction:\u003c/li>\n\u003c/ul>\n\u003cdiv>\n\u003cblockquote>\u003cp>That statistic sent Reuters health and science correspondent Sharon Begley right up the wall. \"Angry that 1/3 of US med $$ goes to useless 'care'? Get ready 2 scream: 60% of women w/hysterectomy keep having Paps,\" \u003ca href=\"https://twitter.com/sxbegle/status/286884946440749056\">she yelled\u003c/a> on Twitter.\u003c/p>\u003c/blockquote>\n\u003c/div>\n\u003cdiv>\n\u003cp>While women may view the mildly invasive Pap test as benign, the CDC suggests thinking again. \"Most precancerous lesions detected by Pap testing regress, even without treatment,\" the authors say. \"(F)requent testing and overtreatment of women can lead to harm associated with diagnostic procedures including adverse birth outcomes.\"\u003c/p>\n\u003cp>An \"adverse birth outcome\" doesn't sound very benign to me.\u003c/p>\n\u003cp>To be fair, the CDC notes that the rate of women being screened inappropriately has declined since 2000. But, then there's the women who need to be screened but aren't. In women ages 22-30, the number who said they have \u003cem>never\u003c/em> had a Pap test increased from 6.6% in 2000 to 9.0% in 2010. As the CDC notes, \"Women not receiving recommended screening and followup are at increased risk for cervical cancer mortality. Underscreening among women with less education, no usual source of health care, and no health-care coverage is well-documented and a persistent cause of health disparities.\"\u003c/p>\n\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>By Jay Hancock, \u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2012/12/the-gun-lobbys-favorite-part-of-the-health-law/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_9691\" class=\"wp-caption alignleft\" style=\"max-width: 176px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/gun-176.jpg\">\u003cimg class=\"size-full wp-image-9691\" title=\"gun-176\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/gun-176.jpg\" alt=\"\" width=\"176\" height=\"237\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Image: Kaiser Health News)\u003c/figcaption>\u003c/figure>\n\u003cp>Did you know the Affordable Care Act stands up for gun rights? The “Protection of Second Amendment Gun Rights” section \u003ca href=\"http://www.ncsl.org/documents/health/ppaca-consolidated.pdf\">(page 19 in this PDF)\u003c/a> says the health law’s wellness programs can’t require participants to give information about guns in the house. It also keeps the Department of Health and Human Services from collecting data on gun use and stops insurance companies from denying coverage or raising premiums on members because of gun use.\u003c/p>\n\u003cp>The Newtown massacre renews the controversy about whether gun violence is a public health issue. Should health authorities view guns in the same category as pneumonia and car crashes? The debate has been going on for years, with epidemiologists arguing firearms can kill just as many as a bad flu season and gun-rights advocates viewing any attention from public health officials as a step toward gun confiscation -- the beginning of the end of the Second Amendment.\u003c/p>\n\u003cp>The ACA language was included \u003ca href=\"http://www.gpo.gov/fdsys/pkg/CREC-2009-12-19/pdf/CREC-2009-12-19-pt1-PgS13490-2.pdf#page=1\">at the request\u003c/a> of Nevada Democrat Sen. Harry Reid, the Senate majority leader and a gun rights supporter. Reid’s office did not respond to a request for comment, nor did the National Rifle Association.\u003c/p>\n\u003cp>Public health scholars criticize the measure because they say it keeps doctors and nurses from doing their jobs. While the law doesn’t ban doctors from asking about guns, it places limits on what information they can record. The fear is physicians will avoid the topic altogether, inhibiting a full conversation about firearms hazards.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“A lot of people buy guns every year, and it’s a health concern,” said \u003ca href=\"http://www.sp2.upenn.edu/people/faculty/sorenson/\">Susan Sorenson\u003c/a>, professor of social policy at the University of Pennsylvania. “For physicians and other health care professionals not to be able to ask about these issues and record them is counterproductive.” Doctors ask patients about illegal drug use, disease history and sexual habits, Sorenson said. Why not guns? “To regulate what the provider can or can’t do really intrudes into the role of the health care provider,” she added, “which is to ensure the health of the individual and the people who are living in that home.”\u003c/p>\n\u003cp>But some think firearms in your closet are none of a doctor’s business. Marion Hammer, a former NRA president and lobbyist for the group in Florida, \u003ca href=\"http://www.kaiserhealthnews.org/features/insuring-your-health/2012/112712-michelle-andrews-on-gun-ownership.aspx?referrer=search\">told Kaiser Health News\u003c/a> last month that people don’t take their children to the doctor ”for political dialogue or for pediatricians to ask us not to exercise a constitutional right.”\u003c/p>\n\u003cp>She was referring to a Florida law that limits conversations doctors can have with patients about guns. Last summer U.S. District Court Judge Marcia Cooke \u003ca href=\"http://www.palmbeachpost.com/news/news/state-regional-govt-politics/florida-to-appeal-ruling-blocking-law-banning-doct/nP6zQ/\">permanently enjoined the state\u003c/a> from enforcing the statute, saying it restricted free speech.\u003c/p>\n\u003cp>The Connecticut massacre has also renewed criticism of Congress’s decision years ago to defund research on guns and public health by the Centers for Disease Control.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We are in an environment when children are dying and we are playing political games,” Dr. David Satcher, who was director of the CDC in the 1990s, \u003ca href=\"http://www.ajc.com/news/news/cdc-politics-affected-gun-violence-research/nTZnf/\">told the Atlanta Journal-Constitution\u003c/a>.\u003c/p>\n\n",
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"excerpt": "Did you know the Affordable Care Act stands up for gun rights? The “Protection of Second Amendment Gun Rights” section (page 19 in this PDF) says the health law’s wellness programs can’t require participants to give information about guns in the house. It also keeps the Department of Health and Human Services from collecting data on gun use and stops insurance companies from denying coverage or raising premiums on members because of gun use.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Jay Hancock, \u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2012/12/the-gun-lobbys-favorite-part-of-the-health-law/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_9691\" class=\"wp-caption alignleft\" style=\"max-width: 176px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/gun-176.jpg\">\u003cimg class=\"size-full wp-image-9691\" title=\"gun-176\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/gun-176.jpg\" alt=\"\" width=\"176\" height=\"237\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Image: Kaiser Health News)\u003c/figcaption>\u003c/figure>\n\u003cp>Did you know the Affordable Care Act stands up for gun rights? The “Protection of Second Amendment Gun Rights” section \u003ca href=\"http://www.ncsl.org/documents/health/ppaca-consolidated.pdf\">(page 19 in this PDF)\u003c/a> says the health law’s wellness programs can’t require participants to give information about guns in the house. It also keeps the Department of Health and Human Services from collecting data on gun use and stops insurance companies from denying coverage or raising premiums on members because of gun use.\u003c/p>\n\u003cp>The Newtown massacre renews the controversy about whether gun violence is a public health issue. Should health authorities view guns in the same category as pneumonia and car crashes? The debate has been going on for years, with epidemiologists arguing firearms can kill just as many as a bad flu season and gun-rights advocates viewing any attention from public health officials as a step toward gun confiscation -- the beginning of the end of the Second Amendment.\u003c/p>\n\u003cp>The ACA language was included \u003ca href=\"http://www.gpo.gov/fdsys/pkg/CREC-2009-12-19/pdf/CREC-2009-12-19-pt1-PgS13490-2.pdf#page=1\">at the request\u003c/a> of Nevada Democrat Sen. Harry Reid, the Senate majority leader and a gun rights supporter. Reid’s office did not respond to a request for comment, nor did the National Rifle Association.\u003c/p>\n\u003cp>Public health scholars criticize the measure because they say it keeps doctors and nurses from doing their jobs. While the law doesn’t ban doctors from asking about guns, it places limits on what information they can record. The fear is physicians will avoid the topic altogether, inhibiting a full conversation about firearms hazards.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“A lot of people buy guns every year, and it’s a health concern,” said \u003ca href=\"http://www.sp2.upenn.edu/people/faculty/sorenson/\">Susan Sorenson\u003c/a>, professor of social policy at the University of Pennsylvania. “For physicians and other health care professionals not to be able to ask about these issues and record them is counterproductive.” Doctors ask patients about illegal drug use, disease history and sexual habits, Sorenson said. Why not guns? “To regulate what the provider can or can’t do really intrudes into the role of the health care provider,” she added, “which is to ensure the health of the individual and the people who are living in that home.”\u003c/p>\n\u003cp>But some think firearms in your closet are none of a doctor’s business. Marion Hammer, a former NRA president and lobbyist for the group in Florida, \u003ca href=\"http://www.kaiserhealthnews.org/features/insuring-your-health/2012/112712-michelle-andrews-on-gun-ownership.aspx?referrer=search\">told Kaiser Health News\u003c/a> last month that people don’t take their children to the doctor ”for political dialogue or for pediatricians to ask us not to exercise a constitutional right.”\u003c/p>\n\u003cp>She was referring to a Florida law that limits conversations doctors can have with patients about guns. Last summer U.S. District Court Judge Marcia Cooke \u003ca href=\"http://www.palmbeachpost.com/news/news/state-regional-govt-politics/florida-to-appeal-ruling-blocking-law-banning-doct/nP6zQ/\">permanently enjoined the state\u003c/a> from enforcing the statute, saying it restricted free speech.\u003c/p>\n\u003cp>The Connecticut massacre has also renewed criticism of Congress’s decision years ago to defund research on guns and public health by the Centers for Disease Control.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We are in an environment when children are dying and we are playing political games,” Dr. David Satcher, who was director of the CDC in the 1990s, \u003ca href=\"http://www.ajc.com/news/news/cdc-politics-affected-gun-violence-research/nTZnf/\">told the Atlanta Journal-Constitution\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "A Public Health Approach to Gun Violence",
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"content": "\u003cp>So now we've heard from the NRA which asserts that \u003ca href=\"http://www.nytimes.com/2012/12/22/us/nra-calls-for-armed-guards-at-schools.html?hp&_r=0\" target=\"_blank\">we need to put armed police in every school\u003c/a>, then \u003ca href=\"http://www.sacbee.com/2012/12/21/5069433/nra-returns-to-public-debate-to.html\" target=\"_blank\">adding\u003c/a>, \"The only thing that stops a bad guy with a gun is a good guy with a gun.\"\u003c/p>\n\u003cp>It sounds good, but as Josh Sugarmann of the Violence Policy Center said today in \u003ca href=\"http://www.vpc.org/press/1212nra.htm\" target=\"_blank\">a statement\u003c/a>, that's been tried already -- and it didn't work. \"There were TWO armed law enforcement agents present at Columbine High School during the assault by Eric Harris and Dylan Klebold that left 15 dead and 23 wounded. They twice engaged and fired at Eric Harris in an effort to stop the shooting, but were unsuccessful because they were outgunned by the assault weapons wielded by the two teens.”\u003c/p>\n\u003cp>And if you're thinking that having a gun protects you from guns, think again. After all, Rachel Davis, Managing Director of the Prevention Institute points out, in Newtown, Adam Lanza first killed his mother, a gun enthusiast. \"The first victim of this shooting was a gun owner who was not able to stop this from happening,\" Davis says. \"The problem of guns is they raise the risk of lethality.\"\u003c/p>\n\u003cp>We are a society that craves simple solutions, yet violence is a complex problem. That doesn't mean nothing can be done. While Davis favors an assault weapons ban, she says that's only one piece of a comprehensive approach. \"Another piece,\" she adds, \"is addressing mental health needs -- that includes access to high quality mental health services, reducing the trauma people are exposed to and then addressing the trauma.\"\u003c/p>\n\u003cp>Mass shootings in Newtown understandably capture widespread media attention, but remember that children are murdered every day by firearms. In 2010, according to CDC numbers, 1,260 children up to age 18 were killed by someone who used a gun. That's more than three children every day -- or 21 children in the week since Newtown.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Davis argues for broad community-based prevention programs. Davis points to \"GRYD\" -- the Gang Reduction Youth Development program which has been in place for several years in Los Angeles. GRYD is multi-pronged. \"It's not one single thing,\" Davis says, \"but a combination of strategies and efforts that are coordinated in the neighborhoods that are most affected by violence.\"\u003c/p>\n\u003cp>For example, in LA's successful \u003ca href=\"http://mayor.lacity.org/issues/gangreduction/summernightlights/index.htm\" target=\"_blank\">Summer Night Lights\u003c/a> program, parks are open after dark -- prime gang-activity time -- with free food and extra programs. Families flock there.\u003c/p>\n\u003cp>And it's effective. Here are some statistics from the Summer Night Lights website:\u003c/p>\n\u003cfigure id=\"attachment_9669\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://mayor.lacity.org/issues/gangreduction/summernightlights/index.htm\">\u003cimg class=\"size-large wp-image-9669\" title=\"Screen Shot 2012-12-21 at 9.17.32 AM\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/Screen-Shot-2012-12-21-at-9.17.32-AM-620x305.png\" alt=\"\" width=\"620\" height=\"305\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Image from Summer Night Lights website)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Got that? \"Gang related homicide\" down 57 percent -- those are real lives saved.\u003c/p>\n\u003cp>In a profile, the \u003ca href=\"http://articles.latimes.com/2011/sep/12/opinion/la-oe-newton-column-gangs-20110912\" target=\"_blank\">LA Times\u003c/a> showed how GRYD also takes at-risk youngsters and not just stops violence but puts kids on a better path:\u003c/p>\n\u003cblockquote>\u003cp>According to a study by the Urban Institute, since GRYD began operating, gang crimes have fallen by 21.6%, faster than crime overall in the city; in the two years before it opened, they dropped 14.9%. Moreover, GRYD is reaching large numbers of at-risk youngsters: Young people enrolled in the program were 29% less likely to skip class, while those from the same neighborhoods not in the program increased the amount they cut class by 53%.\u003c/p>\u003c/blockquote>\n\u003cp>What all these statistics show is that violence is preventable. \"There's growing evidence for it,\" Davis concludes, \"but there's no simple solution for it. We need to put in comprehensive solutions that are working in places around the country.\"\u003c/p>\n\u003cp>\u003cstrong>Learn More:\u003c/strong>\u003c/p>\n\u003cp>KQED Forum:\u003cbr>\n\u003ca href=\"http://www.kqed.org/a/forum/R201212210900\" target=\"_blank\">Living with Gun Violence\u003c/a>\u003c/p>\n\u003cp>KQED Lowdown Blog:\u003cbr>\n\u003ca href=\"http://blogs.kqed.org/lowdown/2012/12/19/the-geography-of-u-s-gun-homicides/\" target=\"_blank\">The Geography of U.S. Gun Homicides\u003c/a>;\u003cbr>\n\u003ca href=\"http://blogs.kqed.org/lowdown/2012/12/14/the-united-states-of-firearms-americas-love-of-the-gun/\" target=\"_blank\">The United States of Firearms: America's Love Affair with the Gun\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Fresh Air:\u003cbr>\n\u003ca href=\"http://www.npr.org/2012/12/20/167694808/assault-style-weapons-in-the-civilian-market\" target=\"_blank\">Assault-Style Weapons in the Civilian Market\u003c/a>\u003c/p>\n\n",
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"excerpt": "So now we've heard from the NRA which asserts that we need to put armed police in every school, then adding, \"The only thing that stops a bad guy with a gun is a good guy with a gun.\"\r\n\r\nIt sounds good, but as Josh Sugarmann of the Violence Policy Center said today in a statement, that's been tried already -- and it didn't work. \"There were TWO armed law enforcement agents present at Columbine High School during the assault by Eric Harris and Dylan Klebold that left 15 dead and 23 wounded. They twice engaged and fired at Eric Harris in an effort to stop the shooting, but were unsuccessful because they were outgunned by the assault weapons wielded by the two teens.”",
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"description": "So now we've heard from the NRA which asserts that we need to put armed police in every school, then adding, "The only thing that stops a bad guy with a gun is a good guy with a gun."\r\n\r\nIt sounds good, but as Josh Sugarmann of the Violence Policy Center said today in a statement, that's been tried already -- and it didn't work. "There were TWO armed law enforcement agents present at Columbine High School during the assault by Eric Harris and Dylan Klebold that left 15 dead and 23 wounded. They twice engaged and fired at Eric Harris in an effort to stop the shooting, but were unsuccessful because they were outgunned by the assault weapons wielded by the two teens.”",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>So now we've heard from the NRA which asserts that \u003ca href=\"http://www.nytimes.com/2012/12/22/us/nra-calls-for-armed-guards-at-schools.html?hp&_r=0\" target=\"_blank\">we need to put armed police in every school\u003c/a>, then \u003ca href=\"http://www.sacbee.com/2012/12/21/5069433/nra-returns-to-public-debate-to.html\" target=\"_blank\">adding\u003c/a>, \"The only thing that stops a bad guy with a gun is a good guy with a gun.\"\u003c/p>\n\u003cp>It sounds good, but as Josh Sugarmann of the Violence Policy Center said today in \u003ca href=\"http://www.vpc.org/press/1212nra.htm\" target=\"_blank\">a statement\u003c/a>, that's been tried already -- and it didn't work. \"There were TWO armed law enforcement agents present at Columbine High School during the assault by Eric Harris and Dylan Klebold that left 15 dead and 23 wounded. They twice engaged and fired at Eric Harris in an effort to stop the shooting, but were unsuccessful because they were outgunned by the assault weapons wielded by the two teens.”\u003c/p>\n\u003cp>And if you're thinking that having a gun protects you from guns, think again. After all, Rachel Davis, Managing Director of the Prevention Institute points out, in Newtown, Adam Lanza first killed his mother, a gun enthusiast. \"The first victim of this shooting was a gun owner who was not able to stop this from happening,\" Davis says. \"The problem of guns is they raise the risk of lethality.\"\u003c/p>\n\u003cp>We are a society that craves simple solutions, yet violence is a complex problem. That doesn't mean nothing can be done. While Davis favors an assault weapons ban, she says that's only one piece of a comprehensive approach. \"Another piece,\" she adds, \"is addressing mental health needs -- that includes access to high quality mental health services, reducing the trauma people are exposed to and then addressing the trauma.\"\u003c/p>\n\u003cp>Mass shootings in Newtown understandably capture widespread media attention, but remember that children are murdered every day by firearms. In 2010, according to CDC numbers, 1,260 children up to age 18 were killed by someone who used a gun. That's more than three children every day -- or 21 children in the week since Newtown.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Davis argues for broad community-based prevention programs. Davis points to \"GRYD\" -- the Gang Reduction Youth Development program which has been in place for several years in Los Angeles. GRYD is multi-pronged. \"It's not one single thing,\" Davis says, \"but a combination of strategies and efforts that are coordinated in the neighborhoods that are most affected by violence.\"\u003c/p>\n\u003cp>For example, in LA's successful \u003ca href=\"http://mayor.lacity.org/issues/gangreduction/summernightlights/index.htm\" target=\"_blank\">Summer Night Lights\u003c/a> program, parks are open after dark -- prime gang-activity time -- with free food and extra programs. Families flock there.\u003c/p>\n\u003cp>And it's effective. Here are some statistics from the Summer Night Lights website:\u003c/p>\n\u003cfigure id=\"attachment_9669\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://mayor.lacity.org/issues/gangreduction/summernightlights/index.htm\">\u003cimg class=\"size-large wp-image-9669\" title=\"Screen Shot 2012-12-21 at 9.17.32 AM\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/Screen-Shot-2012-12-21-at-9.17.32-AM-620x305.png\" alt=\"\" width=\"620\" height=\"305\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Image from Summer Night Lights website)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Got that? \"Gang related homicide\" down 57 percent -- those are real lives saved.\u003c/p>\n\u003cp>In a profile, the \u003ca href=\"http://articles.latimes.com/2011/sep/12/opinion/la-oe-newton-column-gangs-20110912\" target=\"_blank\">LA Times\u003c/a> showed how GRYD also takes at-risk youngsters and not just stops violence but puts kids on a better path:\u003c/p>\n\u003cblockquote>\u003cp>According to a study by the Urban Institute, since GRYD began operating, gang crimes have fallen by 21.6%, faster than crime overall in the city; in the two years before it opened, they dropped 14.9%. Moreover, GRYD is reaching large numbers of at-risk youngsters: Young people enrolled in the program were 29% less likely to skip class, while those from the same neighborhoods not in the program increased the amount they cut class by 53%.\u003c/p>\u003c/blockquote>\n\u003cp>What all these statistics show is that violence is preventable. \"There's growing evidence for it,\" Davis concludes, \"but there's no simple solution for it. We need to put in comprehensive solutions that are working in places around the country.\"\u003c/p>\n\u003cp>\u003cstrong>Learn More:\u003c/strong>\u003c/p>\n\u003cp>KQED Forum:\u003cbr>\n\u003ca href=\"http://www.kqed.org/a/forum/R201212210900\" target=\"_blank\">Living with Gun Violence\u003c/a>\u003c/p>\n\u003cp>KQED Lowdown Blog:\u003cbr>\n\u003ca href=\"http://blogs.kqed.org/lowdown/2012/12/19/the-geography-of-u-s-gun-homicides/\" target=\"_blank\">The Geography of U.S. Gun Homicides\u003c/a>;\u003cbr>\n\u003ca href=\"http://blogs.kqed.org/lowdown/2012/12/14/the-united-states-of-firearms-americas-love-of-the-gun/\" target=\"_blank\">The United States of Firearms: America's Love Affair with the Gun\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Fresh Air:\u003cbr>\n\u003ca href=\"http://www.npr.org/2012/12/20/167694808/assault-style-weapons-in-the-civilian-market\" target=\"_blank\">Assault-Style Weapons in the Civilian Market\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"marketplace": {
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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.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
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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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"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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"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"planet-money": {
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"politicalbreakdown": {
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"title": "Political Breakdown",
"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.",
"airtime": "THU 6:30pm-7pm",
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"possible": {
"id": "possible",
"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.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
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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",
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"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",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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"officialWebsiteLink": "https://www.revealnews.org/episodes/",
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"order": 16
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},
"science-friday": {
"id": "science-friday",
"title": "Science Friday",
"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
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},
"snap-judgment": {
"id": "snap-judgment",
"title": "Snap Judgment",
"tagline": "Real stories with killer beats",
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