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"content": "\u003cp>\u003cem>By Joshua Johnson and Lisa Aliferis\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_9296\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/Cigarette_RaulLieberwirth_Flickr_04172012.jpg\">\u003cimg class=\"size-medium wp-image-9296\" title=\"(Raul Lieberwirth/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/Cigarette_RaulLieberwirth_Flickr_04172012-300x237.jpg\" alt=\"\" width=\"300\" height=\"237\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Raul Lieberwirth/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Tobacco prevention advocates are calling on California to spend more on anti-smoking programs -- especially since the state already has the money for it.\u003c/p>\n\u003cp>A new report published Thursday titled \u003ca href=\"http://www.tobaccofreekids.org/what_we_do/state_local/tobacco_settlement/?utm_source=home&utm_medium=carousel&utm_campaign=home\" target=\"_blank\">Broken Promises to Our Children\u003c/a> looked nationwide at how states are spending the money from the 1998 master settlement agreement with cigarette companies and from states' tobacco taxes.\u003c/p>\n\u003cp>Campaign for Tobacco-Free Kids, which published the analysis, says states spend only a \"minuscule portion\" or tobacco revenue on cessation and prevention programs. The group estimates California will get $1.6 billion this year in tobacco revenue, but will spend just $62 million on smoking prevention and cessation efforts. Nationwide, states spend just two percent of their total tobacco revenue on prevention and cessation.\u003c/p>\n\u003cp>\"California and other states have shown that these tobacco prevention/cessation programs more than pay for themselves,\" said Danny McGoldrick, vice-president for research with the Campaign for Tobacco Free Kids. \"When we cut them and reverse our progress in reducing smoking, we're actually costing the state money, because we're going to have more costs related to treating tobacco-caused disease.\" His group estimates health care costs to treat tobacco-caused diseases total $9 billion in California.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In its\u003ca href=\"http://www.cdc.gov/tobacco/stateandcommunity/best_practices/pdfs/2007/BestPractices_Complete.pdf\" target=\"_blank\"> best practices recommendations\u003c/a>, the Centers for Disease Control says that California should spend about $440 million on cessation and prevention. By contrast, Campaign for Tobacco-Free Kids estimates tobacco companies spend more than $500 million in marketing in the state.\u003c/p>\n\u003cp>\"The decision makers are the people sitting in the legislature and the governor,\" McGoldrick said. \"They have to decide that 36,000 people dying every year in California from tobacco-caused disease and losing 12-14 years off their lives ... are worth doing more about than California has already done and is currently doing. But in order to do that, they need to hear from us -- the citizens and tobacco control advocates have to let them know this is important to us.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Sixteen percent of Californians smoked in 2011, according to the \u003ca href=\"http://www.gallup.com/poll/142694/Adult-Smoking-Ranges-Across-States.aspx\" target=\"_blank\">Gallup Healthways Well Being Index\u003c/a>, the second lowest rate in the U.S. behind Utah, at 13 percent.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>By Joshua Johnson and Lisa Aliferis\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_9296\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/Cigarette_RaulLieberwirth_Flickr_04172012.jpg\">\u003cimg class=\"size-medium wp-image-9296\" title=\"(Raul Lieberwirth/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/Cigarette_RaulLieberwirth_Flickr_04172012-300x237.jpg\" alt=\"\" width=\"300\" height=\"237\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Raul Lieberwirth/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Tobacco prevention advocates are calling on California to spend more on anti-smoking programs -- especially since the state already has the money for it.\u003c/p>\n\u003cp>A new report published Thursday titled \u003ca href=\"http://www.tobaccofreekids.org/what_we_do/state_local/tobacco_settlement/?utm_source=home&utm_medium=carousel&utm_campaign=home\" target=\"_blank\">Broken Promises to Our Children\u003c/a> looked nationwide at how states are spending the money from the 1998 master settlement agreement with cigarette companies and from states' tobacco taxes.\u003c/p>\n\u003cp>Campaign for Tobacco-Free Kids, which published the analysis, says states spend only a \"minuscule portion\" or tobacco revenue on cessation and prevention programs. The group estimates California will get $1.6 billion this year in tobacco revenue, but will spend just $62 million on smoking prevention and cessation efforts. Nationwide, states spend just two percent of their total tobacco revenue on prevention and cessation.\u003c/p>\n\u003cp>\"California and other states have shown that these tobacco prevention/cessation programs more than pay for themselves,\" said Danny McGoldrick, vice-president for research with the Campaign for Tobacco Free Kids. \"When we cut them and reverse our progress in reducing smoking, we're actually costing the state money, because we're going to have more costs related to treating tobacco-caused disease.\" His group estimates health care costs to treat tobacco-caused diseases total $9 billion in California.\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 its\u003ca href=\"http://www.cdc.gov/tobacco/stateandcommunity/best_practices/pdfs/2007/BestPractices_Complete.pdf\" target=\"_blank\"> best practices recommendations\u003c/a>, the Centers for Disease Control says that California should spend about $440 million on cessation and prevention. By contrast, Campaign for Tobacco-Free Kids estimates tobacco companies spend more than $500 million in marketing in the state.\u003c/p>\n\u003cp>\"The decision makers are the people sitting in the legislature and the governor,\" McGoldrick said. \"They have to decide that 36,000 people dying every year in California from tobacco-caused disease and losing 12-14 years off their lives ... are worth doing more about than California has already done and is currently doing. But in order to do that, they need to hear from us -- the citizens and tobacco control advocates have to let them know this is important to us.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Sixteen percent of Californians smoked in 2011, according to the \u003ca href=\"http://www.gallup.com/poll/142694/Adult-Smoking-Ranges-Across-States.aspx\" target=\"_blank\">Gallup Healthways Well Being Index\u003c/a>, the second lowest rate in the U.S. behind Utah, at 13 percent.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Fiscal Cliffnotes: 6 Health Care Questions, Answered",
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"content": "\u003cp>By Mary Agnes Carey, \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2012/December/05/fiscal-cliff.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_9261\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/healthFiscalCliff_KHN.jpg\">\u003cimg class=\"size-full wp-image-9261\" title=\"(Graphic: Kaiser Health News)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/healthFiscalCliff_KHN.jpg\" alt=\"(Graphic: Kaiser Health News)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Graphic: Kaiser Health News)\u003c/figcaption>\u003c/figure>\n\u003cp>The so-called \"fiscal cliff\" is a package of automatic spending cuts and tax hikes set to kick in next month unless President Obama and Capitol Hill agree on a way to stop them.\u003c/p>\n\u003cp>Negotiations to avert the cuts are ongoing and both sides have exchanged offers. On one side, the president and congressional Democrats have said they will reduce spending on entitlements, including Medicare, if Republicans will agree to increase tax rates on the highest earners.\u003c/p>\n\u003cp>And on the other side, Republicans have agreed to more revenue -- but by closing loopholes and eliminating some deductions. They oppose raising tax rates.\u003c/p>\n\u003cp>Here are answers to six questions about what could happen in health care before the end-of-year deadline.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Q: If no deal is struck, how would that affect Medicare patients as well as the hospitals and physicians and other providers who care for them?\u003c!--more-->\u003c/strong>\u003c/p>\n\u003cp>A: Under the series of automatic spending cuts called \"sequestration,\" Medicare providers would be subject to an across-the-board 2 percent payment cut in fiscal 2013. That's $11 billion. According to a September \u003ca href=\"http://www.kaiserhealthnews.org/%7E/media/Files/2012/105934922OmbSequestrationReport.pdf\" target=\"_blank\">report\u003c/a> from the Office of Management and Budget, \u003ca href=\"http://www.kaiserhealthnews.org/stories/2012/september/14/sequestration-and-medicare.aspx\" target=\"_blank\">hospitals would bear the largest share of the cuts\u003c/a>, with payments reduced by about $5.8 billion.\u003c/p>\n\u003cp>Seniors would see no changes in their benefits.\u003c/p>\n\u003cp>\u003cstrong>Q: How does that 2 percent cut in payments to physicians affect the 27 percent cut in Medicare payments to doctors already scheduled to occur in January? \u003c/strong>\u003c/p>\n\u003cp>A: Physicians who accept Medicare patients would face the 2 percent cut on top of an already scheduled 27 percent reduction in January unless Congress steps in to stop it.\u003c/p>\n\u003cp>That \u003ca href=\"http://www.kaiserhealthnews.org/stories/2011/december/15/faq-doc-fix.aspx\" target=\"_blank\">payment formula\u003c/a> was created in a 1997 deficit reduction law that called for setting Medicare physician payment rates through a formula based on economic growth. It’s known as the \"sustainable growth rate\" (SGR).\u003c/p>\n\u003cp>For the first few years, Medicare expenditures did not exceed the target and doctors received modest pay increases. But in 2002, doctors reacted with fury when they came in for a 4.8 percent pay cut. Every year since, Congress has staved off the scheduled cuts. But each deferral just increased the size – and price tag – of the fix needed the next time.\u003c/p>\n\u003cp>A deal on the SGR could be part of a \"grand bargain,\" if congressional fiscal cliff negotiators decide to include it. To that point, Obama’s offer to Republicans included $25 billion to stop the scheduled cut. Congress could also pass separate legislation to stop the cuts. Some doctors say that if Medicare reimbursements are further reduced they may stop accepting Medicare patients.\u003cstrong>\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Q: If negotiators do reach a deal, what could that mean for Medicare?\u003c/strong>\u003c/p>\n\u003cp>A: It depends on \u003ca href=\"http://www.kaiserhealthnews.org/stories/2012/november/14/fiscal-cliff-medicare.aspx\" target=\"_blank\">how large a role Medicare plays\u003c/a> in a broader deal. Some of the proposals include raising Medicare's eligibility age to 67, asking wealthier Medicare beneficiaries to pay more for their coverage and paying Medicare providers less. All are complicated and many Democrats have said that they do not want to make changes that harm beneficiaries or shift costs from the government onto seniors. Republicans are insisting that entitlement savings play a large role in any deficit reduction deal.\u003cstrong>\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Q: How is Medicaid affected, either way?\u003c/strong>\u003c/p>\n\u003cp>A: Medicaid does not face any automatic cuts starting Jan. 1. The Supreme Court's ruling in June made the health law’s Medicaid expansion optional for states, so there’s concern that any reductions in federal Medicaid spending might make governors even more reluctant to expand the federal-state program.\u003c/p>\n\u003cp>Many Republicans, including GOP presidential nominee Mitt Romney and his running mate, Rep. Paul Ryan, R-Wis., \u003ca href=\"http://www.kaiserhealthnews.org/stories/2012/august/15/medicaid-ryan-faq.aspx\" target=\"_blank\">favor changing Medicaid into a block grant\u003c/a>, where states are given a set amount of money and more freedom to decide who is covered and what benefits they would receive. But the block grant concept is a non-starter with Obama and Democrats.\u003cstrong>\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Q: If no deal is reached by Jan. 1, what happens to federal funding for medical research?\u003c/strong>\u003c/p>\n\u003cp>A: The National Institutes of Health would see a $2.5 billion reduction in 2013, which means that the agency would \"have to halt or curtail scientific research,\" according to the OMB analysis. Other agencies would see cuts, too. For example, the Centers for Disease Control and Prevention would face cuts of $490 million, and the Food and Drug administration would see reductions of about $318 million.\u003cstrong>\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Q: If no deal is reached, what happens to health care for members of the military and veterans?\u003c/strong>\u003c/p>\n\u003cp>A: The TRICARE program for active members of the military system would also face an across-the-board 2 percent cut. The Veterans Affairs health system, however, is exempt from sequestration.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Alvin Tran contributed to this report.\u003c/em>\u003c/p>\n\n",
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"excerpt": "The so-called \"fiscal cliff\" is a package of automatic spending cuts and tax hikes set to kick in next month unless President Obama and Capitol Hill agree on a way to stop them.\r\n\r\nNegotiations to avert the cuts are ongoing and both sides have exchanged offers. On one side, the president and congressional Democrats have said they will reduce spending on entitlements, including Medicare, if Republicans will agree to increase tax rates on the highest earners.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Mary Agnes Carey, \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2012/December/05/fiscal-cliff.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_9261\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/healthFiscalCliff_KHN.jpg\">\u003cimg class=\"size-full wp-image-9261\" title=\"(Graphic: Kaiser Health News)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/healthFiscalCliff_KHN.jpg\" alt=\"(Graphic: Kaiser Health News)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Graphic: Kaiser Health News)\u003c/figcaption>\u003c/figure>\n\u003cp>The so-called \"fiscal cliff\" is a package of automatic spending cuts and tax hikes set to kick in next month unless President Obama and Capitol Hill agree on a way to stop them.\u003c/p>\n\u003cp>Negotiations to avert the cuts are ongoing and both sides have exchanged offers. On one side, the president and congressional Democrats have said they will reduce spending on entitlements, including Medicare, if Republicans will agree to increase tax rates on the highest earners.\u003c/p>\n\u003cp>And on the other side, Republicans have agreed to more revenue -- but by closing loopholes and eliminating some deductions. They oppose raising tax rates.\u003c/p>\n\u003cp>Here are answers to six questions about what could happen in health care before the end-of-year deadline.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Q: If no deal is struck, how would that affect Medicare patients as well as the hospitals and physicians and other providers who care for them?\u003c!--more-->\u003c/strong>\u003c/p>\n\u003cp>A: Under the series of automatic spending cuts called \"sequestration,\" Medicare providers would be subject to an across-the-board 2 percent payment cut in fiscal 2013. That's $11 billion. According to a September \u003ca href=\"http://www.kaiserhealthnews.org/%7E/media/Files/2012/105934922OmbSequestrationReport.pdf\" target=\"_blank\">report\u003c/a> from the Office of Management and Budget, \u003ca href=\"http://www.kaiserhealthnews.org/stories/2012/september/14/sequestration-and-medicare.aspx\" target=\"_blank\">hospitals would bear the largest share of the cuts\u003c/a>, with payments reduced by about $5.8 billion.\u003c/p>\n\u003cp>Seniors would see no changes in their benefits.\u003c/p>\n\u003cp>\u003cstrong>Q: How does that 2 percent cut in payments to physicians affect the 27 percent cut in Medicare payments to doctors already scheduled to occur in January? \u003c/strong>\u003c/p>\n\u003cp>A: Physicians who accept Medicare patients would face the 2 percent cut on top of an already scheduled 27 percent reduction in January unless Congress steps in to stop it.\u003c/p>\n\u003cp>That \u003ca href=\"http://www.kaiserhealthnews.org/stories/2011/december/15/faq-doc-fix.aspx\" target=\"_blank\">payment formula\u003c/a> was created in a 1997 deficit reduction law that called for setting Medicare physician payment rates through a formula based on economic growth. It’s known as the \"sustainable growth rate\" (SGR).\u003c/p>\n\u003cp>For the first few years, Medicare expenditures did not exceed the target and doctors received modest pay increases. But in 2002, doctors reacted with fury when they came in for a 4.8 percent pay cut. Every year since, Congress has staved off the scheduled cuts. But each deferral just increased the size – and price tag – of the fix needed the next time.\u003c/p>\n\u003cp>A deal on the SGR could be part of a \"grand bargain,\" if congressional fiscal cliff negotiators decide to include it. To that point, Obama’s offer to Republicans included $25 billion to stop the scheduled cut. Congress could also pass separate legislation to stop the cuts. Some doctors say that if Medicare reimbursements are further reduced they may stop accepting Medicare patients.\u003cstrong>\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Q: If negotiators do reach a deal, what could that mean for Medicare?\u003c/strong>\u003c/p>\n\u003cp>A: It depends on \u003ca href=\"http://www.kaiserhealthnews.org/stories/2012/november/14/fiscal-cliff-medicare.aspx\" target=\"_blank\">how large a role Medicare plays\u003c/a> in a broader deal. Some of the proposals include raising Medicare's eligibility age to 67, asking wealthier Medicare beneficiaries to pay more for their coverage and paying Medicare providers less. All are complicated and many Democrats have said that they do not want to make changes that harm beneficiaries or shift costs from the government onto seniors. Republicans are insisting that entitlement savings play a large role in any deficit reduction deal.\u003cstrong>\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Q: How is Medicaid affected, either way?\u003c/strong>\u003c/p>\n\u003cp>A: Medicaid does not face any automatic cuts starting Jan. 1. The Supreme Court's ruling in June made the health law’s Medicaid expansion optional for states, so there’s concern that any reductions in federal Medicaid spending might make governors even more reluctant to expand the federal-state program.\u003c/p>\n\u003cp>Many Republicans, including GOP presidential nominee Mitt Romney and his running mate, Rep. Paul Ryan, R-Wis., \u003ca href=\"http://www.kaiserhealthnews.org/stories/2012/august/15/medicaid-ryan-faq.aspx\" target=\"_blank\">favor changing Medicaid into a block grant\u003c/a>, where states are given a set amount of money and more freedom to decide who is covered and what benefits they would receive. But the block grant concept is a non-starter with Obama and Democrats.\u003cstrong>\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Q: If no deal is reached by Jan. 1, what happens to federal funding for medical research?\u003c/strong>\u003c/p>\n\u003cp>A: The National Institutes of Health would see a $2.5 billion reduction in 2013, which means that the agency would \"have to halt or curtail scientific research,\" according to the OMB analysis. Other agencies would see cuts, too. For example, the Centers for Disease Control and Prevention would face cuts of $490 million, and the Food and Drug administration would see reductions of about $318 million.\u003cstrong>\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Q: If no deal is reached, what happens to health care for members of the military and veterans?\u003c/strong>\u003c/p>\n\u003cp>A: The TRICARE program for active members of the military system would also face an across-the-board 2 percent cut. The Veterans Affairs health system, however, is exempt from sequestration.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Alvin Tran contributed to this report.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "What Will the ACA Look Like in California? Getting to the Nitty Gritty Now",
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"content": "\u003cfigure id=\"attachment_9251\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/Sacramento_Capital_seliaymiwell_flickr1.jpg\">\u003cimg class=\"size-medium wp-image-9251\" title=\"(seliaymiwell/flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/Sacramento_Capital_seliaymiwell_flickr1-300x200.jpg\" alt=\"(seliaymiwell/flickr)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(seliaymiwell/flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>More than 200 people filled a Sacramento hotel meeting room yesterday to celebrate the 25th anniversary of Health Access, the consumer health advocacy group. But it wasn't all party -- the event featured a four-hour symposium with speakers including Diana Dooley, secretary of the state Health and Human Services agency; key legislators who chair health committees; and long time health advocates.\u003c/p>\n\u003cp>And everyone was focused on one thing: implementation of the Affordable Care Act.\u003c/p>\n\u003cp>After joking that \"I quake in my boots\" over the amount of work that needs to be done between now and January 1, 2014, Secretary Dooley sounded a distinctly cautionary note of what to expect as the rollout of Obamacare progresses in California. \"It's going to take years to make this work,\" she told the crowd. \"There are going to be fits and starts, speed bumps that we'll have to get over.\"\u003c/p>\n\u003cp>She talked about her concerns around affordability and \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/06/29/california-faces-headwinds-in-easing-doctor-shortages/\" target=\"_blank\">capacity\u003c/a>. Then she reminded the crowd of the wait for more information from the feds. For example, the Affordable Care Act promises to fund 100 percent of those newly eligible for Medicaid. But in an acknowledgement to the \"fiscal cliff\" discussions in Washington, she said it's unclear if some of that money may be pulled back.\u003c!--more-->\u003c/p>\n\u003cp>\"We're not going to extend benchmark coverage beyond what is sustainable,\" Dooley said, \"because we cannot take it back. ... I don't want to be on the hook for promising things we can't deliver.\" She added that she wants to build on a stable foundation and maintain California's position as the \"lead car\" among states implementing the ACA, but added, \"I want to be honest with our partners about where the challenges are.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>With that, she had to leave, and three legislators took the podium with a decidedly different view of how the ACA should progress. Assemblymember Holly Mitchell argued that she felt it was a time to be \"bold ... You heard from the representative of the administration who has a much narrower view than I see,\" she said. \"We have another branch of government ... clearly we have work to do to create policy and create legislation that can get a signature out of the governor.\"\u003c/p>\n\u003cp>Ed Hernandez, chair of the Senate Health Committee, pointed specifically to bills he plans to introduce during the special legislative session expected to begin in early January. The Medicaid expansion bill is among them, he explained, saying the state should \"draw down every federal dollar we can.\" Assemblymember Richard Pan, who chairs the Assembly Health Committee, echoed a desire to get \"as close as we can to universal coverage.\"\u003c/p>\n\u003cp>Just before taking the podium for the last panel of the day, Ellen Wu, Executive Director of the California Pan-Ethnic Health Network, expressed a level of frustration with Dooley's remarks, especially Dooley's concerns about the cost of Medicaid expansion -- and an apparent suggestion that California might not implement the expansion as fully as advocates would like. \"We helped with Prop 30,\" she said, referring to health advocates' work on behalf of the passage of the governor's education proposition. Communities of color \"are 60 percent of California ... and now we're going to turn down federal dollars? It doesn't make sense.\" She said people of color feel they're \"getting the short end of the stick, always getting left behind.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In that last panel of the day, Health Access Executive Director Anthony Wright pointed to the \"10 short months we have until October, 2013\" when the new exchange will begin selling insurance. \"The final obstacle is the clock. That should not curtail our ambition.\"\u003c/p>\n\n",
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"excerpt": "More than 200 people filled a Sacramento hotel meeting room yesterday to celebrate the 25th anniversary of Health Access, the consumer health advocacy group. But it wasn't all party -- the event featured a four-hour symposium with speakers including Diana Dooley, secretary of the state Health and Human Services agency; key legislators who chair health committees; and long time health advocates.\r\n\r\nAnd everyone was focused on one thing: implementation of the Affordable Care Act.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_9251\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/Sacramento_Capital_seliaymiwell_flickr1.jpg\">\u003cimg class=\"size-medium wp-image-9251\" title=\"(seliaymiwell/flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/Sacramento_Capital_seliaymiwell_flickr1-300x200.jpg\" alt=\"(seliaymiwell/flickr)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(seliaymiwell/flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>More than 200 people filled a Sacramento hotel meeting room yesterday to celebrate the 25th anniversary of Health Access, the consumer health advocacy group. But it wasn't all party -- the event featured a four-hour symposium with speakers including Diana Dooley, secretary of the state Health and Human Services agency; key legislators who chair health committees; and long time health advocates.\u003c/p>\n\u003cp>And everyone was focused on one thing: implementation of the Affordable Care Act.\u003c/p>\n\u003cp>After joking that \"I quake in my boots\" over the amount of work that needs to be done between now and January 1, 2014, Secretary Dooley sounded a distinctly cautionary note of what to expect as the rollout of Obamacare progresses in California. \"It's going to take years to make this work,\" she told the crowd. \"There are going to be fits and starts, speed bumps that we'll have to get over.\"\u003c/p>\n\u003cp>She talked about her concerns around affordability and \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/06/29/california-faces-headwinds-in-easing-doctor-shortages/\" target=\"_blank\">capacity\u003c/a>. Then she reminded the crowd of the wait for more information from the feds. For example, the Affordable Care Act promises to fund 100 percent of those newly eligible for Medicaid. But in an acknowledgement to the \"fiscal cliff\" discussions in Washington, she said it's unclear if some of that money may be pulled back.\u003c!--more-->\u003c/p>\n\u003cp>\"We're not going to extend benchmark coverage beyond what is sustainable,\" Dooley said, \"because we cannot take it back. ... I don't want to be on the hook for promising things we can't deliver.\" She added that she wants to build on a stable foundation and maintain California's position as the \"lead car\" among states implementing the ACA, but added, \"I want to be honest with our partners about where the challenges are.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>With that, she had to leave, and three legislators took the podium with a decidedly different view of how the ACA should progress. Assemblymember Holly Mitchell argued that she felt it was a time to be \"bold ... You heard from the representative of the administration who has a much narrower view than I see,\" she said. \"We have another branch of government ... clearly we have work to do to create policy and create legislation that can get a signature out of the governor.\"\u003c/p>\n\u003cp>Ed Hernandez, chair of the Senate Health Committee, pointed specifically to bills he plans to introduce during the special legislative session expected to begin in early January. The Medicaid expansion bill is among them, he explained, saying the state should \"draw down every federal dollar we can.\" Assemblymember Richard Pan, who chairs the Assembly Health Committee, echoed a desire to get \"as close as we can to universal coverage.\"\u003c/p>\n\u003cp>Just before taking the podium for the last panel of the day, Ellen Wu, Executive Director of the California Pan-Ethnic Health Network, expressed a level of frustration with Dooley's remarks, especially Dooley's concerns about the cost of Medicaid expansion -- and an apparent suggestion that California might not implement the expansion as fully as advocates would like. \"We helped with Prop 30,\" she said, referring to health advocates' work on behalf of the passage of the governor's education proposition. Communities of color \"are 60 percent of California ... and now we're going to turn down federal dollars? It doesn't make sense.\" She said people of color feel they're \"getting the short end of the stick, always getting left behind.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In that last panel of the day, Health Access Executive Director Anthony Wright pointed to the \"10 short months we have until October, 2013\" when the new exchange will begin selling insurance. \"The final obstacle is the clock. That should not curtail our ambition.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Hey, You With the High Deductible Health Plan -- Your Preventive Care is Likely Free",
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"content": "\u003cp>By Jay Hancock, \u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2012/12/patients-often-dont-realize-preventive-care-is-free-study-says/\" target=\"_blank\">Kaiser Health News \u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_9233\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/preventive-doctor-300_KaiserHealthNews.jpg\">\u003cimg class=\"size-full wp-image-9233\" title=\"(Courtesy: Kaiser Health News)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/preventive-doctor-300_KaiserHealthNews.jpg\" alt=\"\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Courtesy: Kaiser Health News)\u003c/figcaption>\u003c/figure>\n\u003cp>Researchers \u003ca href=\"http://www.rand.org/pubs/external_publications/EP20110048.html\">have known\u003c/a> that members of high-deductible health plans, a \u003ca href=\"http://www.kaiserhealthnews.org/stories/2012/june/04/high-deductible-health-insurance.aspx?referrer=search\">rapidly growing type of coverage\u003c/a>, seem to get less preventive care than people who pay lower out-of-pocket costs. But evidence for why was scanty. After all, under the 2010 Affordable Care Act many preventive screenings and treatments are covered with no out-of-pocket cost at all, even for high-deductible insurance.\u003c/p>\n\u003cp>Now policy pros at Kaiser Permanente, the giant health plan, have \u003ca href=\"http://content.healthaffairs.org/content/31/12/2641.abstract\">filled in some of the gaps\u003c/a>. Perhaps not surprisingly, their research shows that many consumers with high-deductible coverage think the deductible — which can run to thousands of dollars — applies to all doctor visits.\u003c/p>\n\u003caside class=\"pullquote alignright\">Fewer than one member in five understood that preventive care was free or almost free.\u003c/aside>\n\u003cp>A survey of hundreds of Californians enrolled in health savings accounts, one type of high deductible plan, showed that fewer than one member in five understood that preventive care was free or almost free. A fifth of those surveyed said they had avoided preventive examination or treatment because of cost.\u003c/p>\n\u003cp>“It’s a reminder that patients usually have a pretty limited understanding of the details of their health insurance plan,” Mary Reed, a Kaiser Permanente scientist and the study’s lead author, said in an interview. ”Even when plans are designed well or thoughtfully, if patients don’t understand they probably won’t behave accordingly.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The lesson doesn’t apply just to high-deductible plans, she said. The need for member education is rising as all plans “continue to get relatively more complicated,” she added.\u003c/p>\n\u003cp>Nineteen percent of American workers are enrolled in a high-deductible plan, up from 4 percent in 2006, \u003ca href=\"http://ehbs.kff.org/pdf/2012/8346.pdf\">according to\u003c/a> the Kaiser Family Foundation. High-deductible insurance comes with substantially lower premiums than other coverage, partly because patients bear more of the cost when they get sick. But advocates see it as a way to prompt consumers to think more carefully about the kind, amount and expense of health services they seek.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Kaiser Health News is an editorially independent program of the Kaiser Family Foundation. It is not affiliated with Kaiser Permanente.\u003c/em>\u003c/p>\n\n",
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"excerpt": "Researchers have known that members of high-deductible health plans, a rapidly growing type of coverage, seem to get less preventive care than people who pay lower out-of-pocket costs. But evidence for why was scanty. After all, under the 2010 Affordable Care Act many preventive screenings and treatments are covered with no out-of-pocket cost at all, even for high-deductible insurance.\r\n\r\nNow policy pros at Kaiser Permanente, the giant health plan, have filled in some of the gaps. Perhaps not surprisingly, their research shows that many consumers with high-deductible coverage think the deductible — which can run to thousands of dollars — applies to all doctor visits.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Jay Hancock, \u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2012/12/patients-often-dont-realize-preventive-care-is-free-study-says/\" target=\"_blank\">Kaiser Health News \u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_9233\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/preventive-doctor-300_KaiserHealthNews.jpg\">\u003cimg class=\"size-full wp-image-9233\" title=\"(Courtesy: Kaiser Health News)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/preventive-doctor-300_KaiserHealthNews.jpg\" alt=\"\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Courtesy: Kaiser Health News)\u003c/figcaption>\u003c/figure>\n\u003cp>Researchers \u003ca href=\"http://www.rand.org/pubs/external_publications/EP20110048.html\">have known\u003c/a> that members of high-deductible health plans, a \u003ca href=\"http://www.kaiserhealthnews.org/stories/2012/june/04/high-deductible-health-insurance.aspx?referrer=search\">rapidly growing type of coverage\u003c/a>, seem to get less preventive care than people who pay lower out-of-pocket costs. But evidence for why was scanty. After all, under the 2010 Affordable Care Act many preventive screenings and treatments are covered with no out-of-pocket cost at all, even for high-deductible insurance.\u003c/p>\n\u003cp>Now policy pros at Kaiser Permanente, the giant health plan, have \u003ca href=\"http://content.healthaffairs.org/content/31/12/2641.abstract\">filled in some of the gaps\u003c/a>. Perhaps not surprisingly, their research shows that many consumers with high-deductible coverage think the deductible — which can run to thousands of dollars — applies to all doctor visits.\u003c/p>\n\u003caside class=\"pullquote alignright\">Fewer than one member in five understood that preventive care was free or almost free.\u003c/aside>\n\u003cp>A survey of hundreds of Californians enrolled in health savings accounts, one type of high deductible plan, showed that fewer than one member in five understood that preventive care was free or almost free. A fifth of those surveyed said they had avoided preventive examination or treatment because of cost.\u003c/p>\n\u003cp>“It’s a reminder that patients usually have a pretty limited understanding of the details of their health insurance plan,” Mary Reed, a Kaiser Permanente scientist and the study’s lead author, said in an interview. ”Even when plans are designed well or thoughtfully, if patients don’t understand they probably won’t behave accordingly.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The lesson doesn’t apply just to high-deductible plans, she said. The need for member education is rising as all plans “continue to get relatively more complicated,” she added.\u003c/p>\n\u003cp>Nineteen percent of American workers are enrolled in a high-deductible plan, up from 4 percent in 2006, \u003ca href=\"http://ehbs.kff.org/pdf/2012/8346.pdf\">according to\u003c/a> the Kaiser Family Foundation. High-deductible insurance comes with substantially lower premiums than other coverage, partly because patients bear more of the cost when they get sick. But advocates see it as a way to prompt consumers to think more carefully about the kind, amount and expense of health services they seek.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Kaiser Health News is an editorially independent program of the Kaiser Family Foundation. It is not affiliated with Kaiser Permanente.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Homeless Young People Find Help at Larkin Street Youth Services in SF",
"title": "Homeless Young People Find Help at Larkin Street Youth Services in SF",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/Screen-Shot-2012-11-30-at-4.05.02-PM.png\">\u003cimg class=\"alignleft size-full wp-image-9198\" title=\"Screen Shot 2012-11-30 at 4.05.02 PM\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/Screen-Shot-2012-11-30-at-4.05.02-PM.png\" alt=\"\" width=\"131\" height=\"105\">\u003c/a>The news this week from the \u003ca href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6147a5.htm?s_cid=mm6147a5_w\" target=\"_blank\">Centers for Disease Control\u003c/a> about HIV and young people may have startled some, but to people who work at San Francisco's Larkin Street Youth Services, it was a spotlight on what they see every day.\u003c/p>\n\u003cp>More than a quarter of all new infections every year are in young people between ages 13 and 24 -- and more than half of those youth infected don't know it. Hardest hit are African Americans -- 57 percent of people in this young age group.\u003c/p>\n\u003cp>In advance of World AIDS Day on Saturday, The California Report's host \u003ca href=\"http://www.californiareport.org/archive/R201211300850/c\" target=\"_blank\">Rachael Myrow visited Larkin Street Youth Services\u003c/a>, which helps homeless teens get off the streets and get tested for HIV. She talked to two women who manage programs at the organization.\u003c/p>\n\u003cp>Here is an edited transcript of their discussion:\u003c/p>\n\u003cp>\u003cstrong>LARA TANNENBAUM, Larkin Street's housing programs\u003c/strong>: The majority of our youth have experienced a severe amount of abuse or neglect in the home, parental substance use, perhaps a lot of poverty in the home where families weren’t able to care for them. Many of our clients are LGBT and their parents asked them to leave because of their sexual orientation. So people really become homeless for a variety of reasons.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>RACHAEL MYROW\u003c/strong>: How do you start a conversation with a teenager about HIV/AIDS?\u003c/p>\n\u003cp>\u003cstrong>RAE SUBER, Larkin Street's HIV testing & prevention program\u003c/strong>: Getting a client to consider testing is like getting them to consider medical care in general. Usually there’s a crisis. They think they might have a sexually transmitted infection. They think they might be pregnant. They think their partner might have an infection or be pregnant, and they’re concerned. So they come in and, if testing is indicated, we’ll recommend it.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>RACHAEL MYROW\u003c/strong>: What is it that stands between a young person who may be homeless or may be insecure about their housing situation and medical care in general?\u003cstrong> \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>LARA TANNENBAUM:\u003c/strong> There are a lot of barriers that prevent young people from thinking about HIV prevention and testing while they are on the streets. Just meeting basic needs is really the primary thing on most of our youths' mind -- finding a place to stay for the night, having food.\u003c/p>\n\u003cp>In addition, the things that youth have to do to survive for the night on the streets put them at higher risk for HIV. Many of our youth engage in what we call \"survival sex,\" trading sex for food or a place to stay, or even money. Very often in those interactions, youth are not able to negotiate safer sex, so that puts them at risk for HIV. Many of our youth on the streets are using substances as part of their coping mechanism. They may be using intravenous drugs; they may be sharing needles. That puts them at risk for HIV. So there are a lot of risk factors for homeless youth as well as a lot of barriers to getting them tested.\u003cstrong> \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>RACHAEL MYROW\u003c/strong>: There have been a number of reports that point to new infections coming primarily among men and teenage boys who have sex with other men and teenage boys -- and new infections are high among African Americans. Have you decided to tailor your programs any differently, in light of these reports, or is it just something you bear in mind as you do your work?\u003c/p>\n\u003cp>\u003cstrong>LARA TANNENBAUM\u003c/strong>: The statistics are really alarming nationwide. The disproportionality of HIV infection is really concerning. If you are a young person, if you are a man who has sex with men, if you are a man of color who’s a young person -- who has sex with men -- you are at extremely high risk of HIV in the United States, and we see that in our programs. Of the 70 to 80 HIV positive youth a year who we serve, the vast majority are young men of color who have sex with men.\u003c/p>\n\u003cp>\u003cstrong>RACHAEL MYROW\u003c/strong>: If you're a traveler, if you’re having sex in circles where there’s already a higher incidence of HIV infection, you’re at a statistically higher risk.\u003c/p>\n\u003cp>\u003cstrong>LARA TANNENBAUM\u003c/strong>: Absolutely. Part of what we try to do when we identify someone who is positive is encourage them to have their friends get tested. 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"excerpt": "The news this week from the Centers for Disease Control about HIV and young people may have startled some, but to people who work at San Francisco's Larkin Street Youth Services, it was a spotlight on what they see every day.\r\n\r\nMore than a quarter of all new infections every year are in young people between ages 13 and 24 -- and more than half of those youth infected don't know it. Hardest hit are African Americans -- 57 percent of people in this young age group.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/Screen-Shot-2012-11-30-at-4.05.02-PM.png\">\u003cimg class=\"alignleft size-full wp-image-9198\" title=\"Screen Shot 2012-11-30 at 4.05.02 PM\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/Screen-Shot-2012-11-30-at-4.05.02-PM.png\" alt=\"\" width=\"131\" height=\"105\">\u003c/a>The news this week from the \u003ca href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6147a5.htm?s_cid=mm6147a5_w\" target=\"_blank\">Centers for Disease Control\u003c/a> about HIV and young people may have startled some, but to people who work at San Francisco's Larkin Street Youth Services, it was a spotlight on what they see every day.\u003c/p>\n\u003cp>More than a quarter of all new infections every year are in young people between ages 13 and 24 -- and more than half of those youth infected don't know it. Hardest hit are African Americans -- 57 percent of people in this young age group.\u003c/p>\n\u003cp>In advance of World AIDS Day on Saturday, The California Report's host \u003ca href=\"http://www.californiareport.org/archive/R201211300850/c\" target=\"_blank\">Rachael Myrow visited Larkin Street Youth Services\u003c/a>, which helps homeless teens get off the streets and get tested for HIV. She talked to two women who manage programs at the organization.\u003c/p>\n\u003cp>Here is an edited transcript of their discussion:\u003c/p>\n\u003cp>\u003cstrong>LARA TANNENBAUM, Larkin Street's housing programs\u003c/strong>: The majority of our youth have experienced a severe amount of abuse or neglect in the home, parental substance use, perhaps a lot of poverty in the home where families weren’t able to care for them. Many of our clients are LGBT and their parents asked them to leave because of their sexual orientation. So people really become homeless for a variety of reasons.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>RACHAEL MYROW\u003c/strong>: How do you start a conversation with a teenager about HIV/AIDS?\u003c/p>\n\u003cp>\u003cstrong>RAE SUBER, Larkin Street's HIV testing & prevention program\u003c/strong>: Getting a client to consider testing is like getting them to consider medical care in general. Usually there’s a crisis. They think they might have a sexually transmitted infection. They think they might be pregnant. They think their partner might have an infection or be pregnant, and they’re concerned. So they come in and, if testing is indicated, we’ll recommend it.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>RACHAEL MYROW\u003c/strong>: What is it that stands between a young person who may be homeless or may be insecure about their housing situation and medical care in general?\u003cstrong> \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>LARA TANNENBAUM:\u003c/strong> There are a lot of barriers that prevent young people from thinking about HIV prevention and testing while they are on the streets. Just meeting basic needs is really the primary thing on most of our youths' mind -- finding a place to stay for the night, having food.\u003c/p>\n\u003cp>In addition, the things that youth have to do to survive for the night on the streets put them at higher risk for HIV. Many of our youth engage in what we call \"survival sex,\" trading sex for food or a place to stay, or even money. Very often in those interactions, youth are not able to negotiate safer sex, so that puts them at risk for HIV. Many of our youth on the streets are using substances as part of their coping mechanism. They may be using intravenous drugs; they may be sharing needles. That puts them at risk for HIV. So there are a lot of risk factors for homeless youth as well as a lot of barriers to getting them tested.\u003cstrong> \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>RACHAEL MYROW\u003c/strong>: There have been a number of reports that point to new infections coming primarily among men and teenage boys who have sex with other men and teenage boys -- and new infections are high among African Americans. Have you decided to tailor your programs any differently, in light of these reports, or is it just something you bear in mind as you do your work?\u003c/p>\n\u003cp>\u003cstrong>LARA TANNENBAUM\u003c/strong>: The statistics are really alarming nationwide. The disproportionality of HIV infection is really concerning. If you are a young person, if you are a man who has sex with men, if you are a man of color who’s a young person -- who has sex with men -- you are at extremely high risk of HIV in the United States, and we see that in our programs. Of the 70 to 80 HIV positive youth a year who we serve, the vast majority are young men of color who have sex with men.\u003c/p>\n\u003cp>\u003cstrong>RACHAEL MYROW\u003c/strong>: If you're a traveler, if you’re having sex in circles where there’s already a higher incidence of HIV infection, you’re at a statistically higher risk.\u003c/p>\n\u003cp>\u003cstrong>LARA TANNENBAUM\u003c/strong>: Absolutely. Part of what we try to do when we identify someone who is positive is encourage them to have their friends get tested. We’re very much aware that homeless youth in particular are travelers and do tend to have social networks, and there’s a lot of potentially drug use and/or sexual partners within those networks and so the risk can be very high in those networks. We do see sometimes youth who come into our program for positive youth, we have had occasion where a young person will come in, and then a friend comes in, and then another friend comes in, so we’ve actually see that play out.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Listen to Rachael Myrow interview Lara Tannenbaum and Rae Subaro:\u003c/strong>\u003cbr>\n\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/R201211300850c.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/R201211300850c.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California Faces Shortage of Primary Care Doctors",
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"content": "\u003cp>\u003cem>By Susan Valot\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_9160\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/CalifDocShortage.jpg\">\u003cimg class=\"size-medium wp-image-9160\" title=\"(Susan Valot/KQED)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/CalifDocShortage-300x169.jpg\" alt=\"(Susan Valot/KQED)\" width=\"300\" height=\"169\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Medical student gets information at the California Family Medicine Residency Fair. (Susan Valot/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>At a Los Angeles hotel meeting room dozens of medical students mill around booths set up by residency programs. They pick up literature and stop to ask questions.\u003c/p>\n\u003cp>It's the \u003ca href=\"http://www.familydocs.org/students-residents/cafps-family-medicine-summit/california-residency-fair.php\" target=\"_blank\">California Family Medicine Residency Fair\u003c/a>, put on by the California Academy of Family Physicians. Its goal is to bring more general practice doctors into the fold. Dr. Jeff Luther runs the family medicine residency program at Long Beach Memorial Medical Center.\u003c/p>\n\u003cp>\"There are benefits to living in California,\" Luther says. \"That’s why so many people do it and a lot of people want to come to California for training. It can be harder to attract people to practice in ... the more developed parts of California, because it’s expensive to live there. And if you’re coming out of medical school with $200,000 in debt off the ground and then thinking about trying to buy a home and raise a family, that part of it can be a little more difficult.\"\u003c/p>\n\u003cp>In general, specialists make a lot more money than general practitioners. \u003ca href=\"http://www.chcf.org/publications/2009/06/fewer-and-more-specialized--a-new-assessment-of-physician-supply-in-california\" target=\"_blank\">A study three years ago\u003c/a> by the California HealthCare Foundation found that only 16 of California’s 58 counties had enough primary care physicians, based on standards by the American Medical Association. Areas like San Bernardino and Riverside counties and the San Joaquin Valley fared the worst.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>UC Riverside next year plans to open California’s first new medical school in 40 years. That's a first step. Once medical school is completed, Dr. Luther says residency slots are key to keeping doctors in the state’s underserved areas.\u003c/p>\n\u003cp>\"People often go to train in an area where they hope to settle eventually or where they have some ties to begin with. And when you’re finishing training, it’s very comfortable to stay where you trained. You know the community. .. And to pick up and leave where you trained and go to a new community, it’s a little scarier.\"\u003c/p>\n\u003cp>Callie Langton of the California Academy of Family Physicians says the state government limits the number of family medicine residency slots, which also contributes to the shortage of family docs.\u003c/p>\n\u003cp>\"If you’re a new patient and you’re moving into the area,\" Langton says, \"it’s really hard to find somebody. And that shortage is only expected to get worse as more and more people become insured under healthcare reform.\"\u003c/p>\n\u003cp>Tucked away in a corner of the residency fair, Dr. Robert Allen is trying to attract medical students to a new family medicine residency program in the Central Valley town of Visalia. He’s in charge of it at Kaweah Delta Healthcare District Hospital, in an area that until now has had no general practice residency program.\u003c/p>\n\u003cp>\"We currently have an estimate of between 30 to 50 percent underserved in the area of primary care,\" Allen laments. \"If you look at the number of docs that are going to retire, we could probably place the next ten years of graduates of our program. We think we’ve probably got positions for about 50 to 60 doctors in the area.\"\u003c/p>\n\u003cp>Dr. Raul Ayala chose to do his residency at UCSF Fresno. Ayala this year created a networking program to help doctors share resources in his underserved area. Ayala says President Obama’s healthcare plan is another step in the right direction, but it won’t work without enough primary care physicians.\u003c/p>\n\u003cp>\"You have a great blueprint,\" Ayala says \"but you also forget about, okay, do we have enough wood? Do we have enough nails? Do we have enough sheet rock? ... It's a great monument, but if you don’t have the raw material, then I’m sorry, you’re not going to be able to build something with a great foundation.\"\u003c/p>\n\u003cp>Some state lawmakers want to strengthen that foundation by expanding the roles of lower level healthcare providers, such as pharmacists and nurses. Democratic State Senator Ed Hernandez of LA's San Gabriel Valley also wants to reintroduce a bill that died during the last legislative session to increase the number of California’s residency slots.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Listen to Susan Valot's story:\u003c/em>\u003cbr>\n\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/R201211280850b.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/R201211280850b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "At a Los Angeles hotel meeting room dozens of medical students mill around booths set up by residency programs. They pick up literature and stop to ask questions.\r\n\r\nIt's the California Family Medicine Residency Fair, put on by the California Academy of Family Physicians. Its goal is to bring more general practice doctors into the fold. Dr. Jeff Luther runs the family medicine residency program at Long Beach Memorial Medical Center.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>By Susan Valot\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_9160\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/CalifDocShortage.jpg\">\u003cimg class=\"size-medium wp-image-9160\" title=\"(Susan Valot/KQED)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/CalifDocShortage-300x169.jpg\" alt=\"(Susan Valot/KQED)\" width=\"300\" height=\"169\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Medical student gets information at the California Family Medicine Residency Fair. (Susan Valot/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>At a Los Angeles hotel meeting room dozens of medical students mill around booths set up by residency programs. They pick up literature and stop to ask questions.\u003c/p>\n\u003cp>It's the \u003ca href=\"http://www.familydocs.org/students-residents/cafps-family-medicine-summit/california-residency-fair.php\" target=\"_blank\">California Family Medicine Residency Fair\u003c/a>, put on by the California Academy of Family Physicians. Its goal is to bring more general practice doctors into the fold. Dr. Jeff Luther runs the family medicine residency program at Long Beach Memorial Medical Center.\u003c/p>\n\u003cp>\"There are benefits to living in California,\" Luther says. \"That’s why so many people do it and a lot of people want to come to California for training. It can be harder to attract people to practice in ... the more developed parts of California, because it’s expensive to live there. And if you’re coming out of medical school with $200,000 in debt off the ground and then thinking about trying to buy a home and raise a family, that part of it can be a little more difficult.\"\u003c/p>\n\u003cp>In general, specialists make a lot more money than general practitioners. \u003ca href=\"http://www.chcf.org/publications/2009/06/fewer-and-more-specialized--a-new-assessment-of-physician-supply-in-california\" target=\"_blank\">A study three years ago\u003c/a> by the California HealthCare Foundation found that only 16 of California’s 58 counties had enough primary care physicians, based on standards by the American Medical Association. Areas like San Bernardino and Riverside counties and the San Joaquin Valley fared the worst.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>UC Riverside next year plans to open California’s first new medical school in 40 years. That's a first step. Once medical school is completed, Dr. Luther says residency slots are key to keeping doctors in the state’s underserved areas.\u003c/p>\n\u003cp>\"People often go to train in an area where they hope to settle eventually or where they have some ties to begin with. And when you’re finishing training, it’s very comfortable to stay where you trained. You know the community. .. And to pick up and leave where you trained and go to a new community, it’s a little scarier.\"\u003c/p>\n\u003cp>Callie Langton of the California Academy of Family Physicians says the state government limits the number of family medicine residency slots, which also contributes to the shortage of family docs.\u003c/p>\n\u003cp>\"If you’re a new patient and you’re moving into the area,\" Langton says, \"it’s really hard to find somebody. And that shortage is only expected to get worse as more and more people become insured under healthcare reform.\"\u003c/p>\n\u003cp>Tucked away in a corner of the residency fair, Dr. Robert Allen is trying to attract medical students to a new family medicine residency program in the Central Valley town of Visalia. He’s in charge of it at Kaweah Delta Healthcare District Hospital, in an area that until now has had no general practice residency program.\u003c/p>\n\u003cp>\"We currently have an estimate of between 30 to 50 percent underserved in the area of primary care,\" Allen laments. \"If you look at the number of docs that are going to retire, we could probably place the next ten years of graduates of our program. We think we’ve probably got positions for about 50 to 60 doctors in the area.\"\u003c/p>\n\u003cp>Dr. Raul Ayala chose to do his residency at UCSF Fresno. Ayala this year created a networking program to help doctors share resources in his underserved area. Ayala says President Obama’s healthcare plan is another step in the right direction, but it won’t work without enough primary care physicians.\u003c/p>\n\u003cp>\"You have a great blueprint,\" Ayala says \"but you also forget about, okay, do we have enough wood? Do we have enough nails? Do we have enough sheet rock? ... It's a great monument, but if you don’t have the raw material, then I’m sorry, you’re not going to be able to build something with a great foundation.\"\u003c/p>\n\u003cp>Some state lawmakers want to strengthen that foundation by expanding the roles of lower level healthcare providers, such as pharmacists and nurses. Democratic State Senator Ed Hernandez of LA's San Gabriel Valley also wants to reintroduce a bill that died during the last legislative session to increase the number of California’s residency slots.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Listen to Susan Valot's story:\u003c/em>\u003cbr>\n\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/R201211280850b.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/R201211280850b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "New Law Helps LGBT Families Access Fertility Treatments",
"title": "New Law Helps LGBT Families Access Fertility Treatments",
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"content": "\u003cp>\u003cem>By Mina Kim, KQED\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_9089\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/Scott-ChungFamily_Vaschelle-Andre.jpg\">\u003cimg class=\"size-medium wp-image-9089\" title=\"From left to right, Maya and MeiBeck Scott-Chung with their daughter Luna, and Daniel Bao. Bao donated his sperm to help Maya and MeiBeck conceive. (Photo: Vaschelle Andre)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/Scott-ChungFamily_Vaschelle-Andre-300x230.jpg\" alt=\"From left to right, Maya and MeiBeck Scott-Chung with their daughter Luna, and Daniel Bao. Bao donated his sperm to help Maya and MeiBeck conceive. (Photo: Vaschelle Andre)\" width=\"300\" height=\"230\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">From left to right, Maya and MeiBeck Scott-Chung with their daughter Luna, and Daniel Bao. Bao donated his sperm to help Maya and MeiBeck conceive. (Photo: Vaschelle Andre)\u003c/figcaption>\u003c/figure>\n\u003cp>Maya Scott-Chung knew she wanted to be a mom when she was seven years old and got to see a home birth.\u003c/p>\n\u003cp>Then in high school, she fell in love with a woman.\u003c/p>\n\u003cp>“When I began to realize when I was a teenager that I thought I might be gay, I thought I couldn’t be a parent,” Maya says. “It was a real conflict in my heart.”\u003c/p>\n\u003cp>Then Maya saw the movie \u003cem>Choosing Children\u003c/em> that showed her lesbians could be parents.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“And that it's also possible to build families in an intentional way,” Maya says. “It wasn’t exactly like replicating the nuclear family. It was really more creating an extended family.”\u003c/p>\n\u003cp>That’s exactly what Maya did about 20 years later, with her transgender partner MeiBeck Scott-Chung.\u003c/p>\n\u003cp>On a recent visit to their Oakland home, Maya and MeiBeck are helping their eight year-old daughter Luna Lee Yulien Gillingham Scott-Chung with her math homework. Luna's name reflects the Irish, Scottish, Chinese and Hispanic heritages of Maya and MeiBeck, and their friend Daniel Bao. Bao donated his sperm to help conceive Luna.\u003c!--more-->\u003c/p>\n\u003cp>“He would just basically bring the sperm sample to our house,” Maya says. “Then MeiBeck inseminated me just with a syringe at home.”\u003c/p>\n\u003cp>MeiBeck remembers the day Luna was born.\u003c/p>\n\u003cp>“I had [Luna] in my hands,” MeiBeck says. “She was on her back and she opened up her eyes and looked right into my eyes. It was just, wow.”\u003c/p>\n\u003cp>Maya and MeiBeck always knew they wanted more than one child. Three years ago, they began trying again with Daniel Bao’s sperm. He'd become like family. But they had trouble conceiving. Maya was 42 years old then. They thought a doctor could help inseminate Maya with Daniel’s sperm through a process known as intrauterine insemination.\u003c/p>\n\u003cp>“That’s when we started to really encounter barriers,” Maya says.\u003c/p>\n\u003cp>Doctors told Maya and MeiBeck that they could not inseminate Maya with Daniel’s unfrozen sperm because federal law requires Maya and Daniel to be \"sexually intimate partners.\" Daniel’s sperm would need to be treated like it was from a sperm bank and go through extensive testing, be frozen, and then quarantined for six months.\u003c/p>\n\u003cp>“That process cost four or five thousand dollars,” Maya says. “We would also have to wait six months until we were able to use the sperm and I was 42, so waiting six months was actually a big deal.”\u003c/p>\n\u003cp>Starting in January, a new state law takes effect and it could make a difference for people trying to access fertility services. The new law expands California's interpretation of “sexually intimate partner” to include both known sperm donors and a donor whose sperm a recipient has already been exposed to through a non-medical attempt to conceive.\u003c/p>\n\u003cp>San Francisco Bay Area Assemblywoman Nancy Skinner authored the legislation, \u003ca href=\"http://lassen.networkofcare.org/mh/legislate/state-bill-text.aspx?id=209048&bill=AB%202356&sessionid=2011000\" target=\"_blank\">AB 2356\u003c/a>. Skinner says the law also helps single women, lower income women, or heterosexual couples who need help conceiving and want to use the sperm of someone they know.\u003c/p>\n\u003cp>“There were some colleagues who were afraid [to vote] on a ‘gay rights issue.’” Skinner says. “Well, this affects everyone. And yes, it's very much beneficial to the LGBT community, but it affects everyone.”\u003cstrong>\u003cem> \u003c/em>\u003c/strong>\u003c/p>\n\u003cp>Other than a handful of lawmakers and the California Right to Life Committee -- which called the measure bad public policy that could harm women -- Skinner's bill had little organized opposition. Skinner suspects that's because it makes a relatively small change to existing law.\u003c/p>\n\u003cp>“When I look at a lot of my legislative success, much of it has been little teeny changes that for the people affected make just worlds of difference,” Skinner says.\u003c/p>\n\u003cp>But the passage of AB 2356 comes too late for Maya and MeiBeck Scott-Chung.\u003c/p>\n\u003cp>“It doesn't help us because I'm 46 now,” Maya says. “It's extremely unlikely that we would be successful in having children right now, so we are not going to be utilizing this option for our own family building at this point.”\u003c/p>\n\u003cp>That didn't stop the Scott-Chung's from helping to get the bill passed; telling their story to legislators and writing letters of support.\u003c/p>\n\u003cp>“We know several dozen people who literally are waiting for that moment to be able to walk in the door and access care,” Maya says.\u003c/p>\n\u003cp>Moreover, Maya says, the law legitimizes one way the LGBT community builds families.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I think that the fact that this bill went through with as much support and as little opposition says something about the shifting perception of who is a family,” Maya says. “Certainly we're ready for it because we've been here all along.”\u003c/p>\n\n",
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"excerpt": "Maya Scott-Chung knew she wanted to be a mom when she was seven years old and got to see a home birth.\r\n\r\nThen in high school, she fell in love with a woman.\r\n\r\n“When I began to realize when I was a teenager that I thought I might be gay, I thought I couldn’t be a parent,” Maya says. “It was a real conflict in my heart.”",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>By Mina Kim, KQED\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_9089\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/Scott-ChungFamily_Vaschelle-Andre.jpg\">\u003cimg class=\"size-medium wp-image-9089\" title=\"From left to right, Maya and MeiBeck Scott-Chung with their daughter Luna, and Daniel Bao. Bao donated his sperm to help Maya and MeiBeck conceive. (Photo: Vaschelle Andre)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/Scott-ChungFamily_Vaschelle-Andre-300x230.jpg\" alt=\"From left to right, Maya and MeiBeck Scott-Chung with their daughter Luna, and Daniel Bao. Bao donated his sperm to help Maya and MeiBeck conceive. (Photo: Vaschelle Andre)\" width=\"300\" height=\"230\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">From left to right, Maya and MeiBeck Scott-Chung with their daughter Luna, and Daniel Bao. Bao donated his sperm to help Maya and MeiBeck conceive. (Photo: Vaschelle Andre)\u003c/figcaption>\u003c/figure>\n\u003cp>Maya Scott-Chung knew she wanted to be a mom when she was seven years old and got to see a home birth.\u003c/p>\n\u003cp>Then in high school, she fell in love with a woman.\u003c/p>\n\u003cp>“When I began to realize when I was a teenager that I thought I might be gay, I thought I couldn’t be a parent,” Maya says. “It was a real conflict in my heart.”\u003c/p>\n\u003cp>Then Maya saw the movie \u003cem>Choosing Children\u003c/em> that showed her lesbians could be parents.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“And that it's also possible to build families in an intentional way,” Maya says. “It wasn’t exactly like replicating the nuclear family. It was really more creating an extended family.”\u003c/p>\n\u003cp>That’s exactly what Maya did about 20 years later, with her transgender partner MeiBeck Scott-Chung.\u003c/p>\n\u003cp>On a recent visit to their Oakland home, Maya and MeiBeck are helping their eight year-old daughter Luna Lee Yulien Gillingham Scott-Chung with her math homework. Luna's name reflects the Irish, Scottish, Chinese and Hispanic heritages of Maya and MeiBeck, and their friend Daniel Bao. Bao donated his sperm to help conceive Luna.\u003c!--more-->\u003c/p>\n\u003cp>“He would just basically bring the sperm sample to our house,” Maya says. “Then MeiBeck inseminated me just with a syringe at home.”\u003c/p>\n\u003cp>MeiBeck remembers the day Luna was born.\u003c/p>\n\u003cp>“I had [Luna] in my hands,” MeiBeck says. “She was on her back and she opened up her eyes and looked right into my eyes. It was just, wow.”\u003c/p>\n\u003cp>Maya and MeiBeck always knew they wanted more than one child. Three years ago, they began trying again with Daniel Bao’s sperm. He'd become like family. But they had trouble conceiving. Maya was 42 years old then. They thought a doctor could help inseminate Maya with Daniel’s sperm through a process known as intrauterine insemination.\u003c/p>\n\u003cp>“That’s when we started to really encounter barriers,” Maya says.\u003c/p>\n\u003cp>Doctors told Maya and MeiBeck that they could not inseminate Maya with Daniel’s unfrozen sperm because federal law requires Maya and Daniel to be \"sexually intimate partners.\" Daniel’s sperm would need to be treated like it was from a sperm bank and go through extensive testing, be frozen, and then quarantined for six months.\u003c/p>\n\u003cp>“That process cost four or five thousand dollars,” Maya says. “We would also have to wait six months until we were able to use the sperm and I was 42, so waiting six months was actually a big deal.”\u003c/p>\n\u003cp>Starting in January, a new state law takes effect and it could make a difference for people trying to access fertility services. The new law expands California's interpretation of “sexually intimate partner” to include both known sperm donors and a donor whose sperm a recipient has already been exposed to through a non-medical attempt to conceive.\u003c/p>\n\u003cp>San Francisco Bay Area Assemblywoman Nancy Skinner authored the legislation, \u003ca href=\"http://lassen.networkofcare.org/mh/legislate/state-bill-text.aspx?id=209048&bill=AB%202356&sessionid=2011000\" target=\"_blank\">AB 2356\u003c/a>. Skinner says the law also helps single women, lower income women, or heterosexual couples who need help conceiving and want to use the sperm of someone they know.\u003c/p>\n\u003cp>“There were some colleagues who were afraid [to vote] on a ‘gay rights issue.’” Skinner says. “Well, this affects everyone. And yes, it's very much beneficial to the LGBT community, but it affects everyone.”\u003cstrong>\u003cem> \u003c/em>\u003c/strong>\u003c/p>\n\u003cp>Other than a handful of lawmakers and the California Right to Life Committee -- which called the measure bad public policy that could harm women -- Skinner's bill had little organized opposition. Skinner suspects that's because it makes a relatively small change to existing law.\u003c/p>\n\u003cp>“When I look at a lot of my legislative success, much of it has been little teeny changes that for the people affected make just worlds of difference,” Skinner says.\u003c/p>\n\u003cp>But the passage of AB 2356 comes too late for Maya and MeiBeck Scott-Chung.\u003c/p>\n\u003cp>“It doesn't help us because I'm 46 now,” Maya says. “It's extremely unlikely that we would be successful in having children right now, so we are not going to be utilizing this option for our own family building at this point.”\u003c/p>\n\u003cp>That didn't stop the Scott-Chung's from helping to get the bill passed; telling their story to legislators and writing letters of support.\u003c/p>\n\u003cp>“We know several dozen people who literally are waiting for that moment to be able to walk in the door and access care,” Maya says.\u003c/p>\n\u003cp>Moreover, Maya says, the law legitimizes one way the LGBT community builds families.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I think that the fact that this bill went through with as much support and as little opposition says something about the shifting perception of who is a family,” Maya says. “Certainly we're ready for it because we've been here all along.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Study Questions Benefit of Many Double Mastectomies",
"title": "Study Questions Benefit of Many Double Mastectomies",
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"content": "\u003cp>By Richard Knox, for NPR and \u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2012/11/study-questions-benefits-of-many-double-mastectomies/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>It’s a startling finding: Many women with cancer in one breast are choosing to have their healthy breast removed, too.\u003c/p>\n\u003cp>But a \u003ca href=\"http://www.uofmhealth.org/news/archive/201211/most-women-who-have-double-mastectomy-don%E2%80%99t-need-it\">study\u003c/a> being presented later this week says more than three-quarters of women who opt for double mastectomies are not getting any benefit because their risk of cancer developing in the healthy breast is no greater than in women without cancer.\u003c/p>\n\u003caside class=\"pullquote alignright\">Double mastectomy “does not make sense” for about three-quarters of the women who are choosing the operation. \u003c/aside>\n\u003cp>“People want absolute certainty,” breast surgeon \u003ca href=\"http://www.mskcc.org/cancer-care/doctor/monica-morrow\">Monica Morrow\u003c/a> of Memorial Sloan-Kettering Cancer Center tells NPR's Shots blog. “Unfortunately, even having a double mastectomy doesn’t provide certainty that breast cancer will not recur. So it’s a false sense of security.”\u003c/p>\n\u003cp>Morrow is a co-author of a paper that will be presented at the American Society of Clinical Oncology’s Quality Care Symposium in San Diego.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Another co-author, \u003ca href=\"http://www.med.umich.edu/cansort/bio_hawley.html\">Sarah Hawley\u003c/a>, of the University of Michigan, says double mastectomy “does not make sense” for about three-quarters of the women who are choosing the operation “because having a non-affected breast removed will not reduce the risk of recurrence in the affected breast.”\u003c!--more-->\u003c/p>\n\u003cp>The researchers looked at nearly 1,500 women who had been treated for early-stage breast cancer. Of those who chose \u003ca href=\"http://www.nlm.nih.gov/medlineplus/mastectomy.html\">mastectomy\u003c/a> instead of \u003ca href=\"http://www.breastcancer.org/treatment/surgery/lumpectomy\">lumpectomy\u003c/a>, nearly 20 percent opted to have both breasts removed.\u003c/p>\n\u003cp>But of those who chose double mastectomy, three-quarters had no medical justification, Hawley tells NPR.\u003c/p>\n\u003cp>In fact, many women had a diagnosis of \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001911/\">ductal carcinoma in situ or DCIS\u003c/a>, considered a so-called stage zero breast cancer — a type many say shouldn’t really be considered cancer at all.\u003c/p>\n\u003cp>The more radical operation makes medical sense, Hawley says, for fewer than 10 percent of women with early breast cancer. Those include the 1.5 percent who have a genetic mutation called \u003ca href=\"http://www.npr.org/blogs/health/2012/09/24/161710858/scientists-parse-genes-of-breast-cancers-four-major-types?live=1\">BRCA-1 or BRCA-2\u003c/a> and another 8 percent who have a strong family history, which means two or more immediate relatives who’ve had breast or ovarian cancer.\u003c/p>\n\u003cp>Double mastectomy rates “have been inching up over the last decade,” Hawley says. There are no guidelines on who should be getting the operation.\u003c/p>\n\u003cp>When the researchers surveyed women about their choice of therapy, not surprisingly they found the main factor was fear that cancer would “spread” to the healthy breast — even though, Morrow says, “it’s a misunderstanding that cancer spreads from breast to breast.”\u003c/p>\n\u003cp>“One of the biggest fears when you get a cancer diagnosis is, 'if I go through this treatment, can I be done, can I go on and live my life and not have to worry about it coming back?'” Hawley says.\u003c/p>\n\u003cp>“I have seen young women who leave the office having signed up for lumpectomy,” Morrow says, “and they call back the next day and say, ‘Well, I was on the Internet or I was talking to my friends and they said I’m a young mother, don’t I want to do everything I can to be there for my child? I think I want a double mastectomy.’ ”\u003c/p>\n\u003cp>But there’s a flaw in that approach. “Unfortunately, that’s just fuzzy reasoning.”\u003c/p>\n\u003cp>There’s another reason cited by many — the belief that a double mastectomy plus breast reconstruction will give a better, more symmetrical cosmetic result.\u003c/p>\n\u003cp>“We would have thought that concerns about body image would lead women away from double mastectomy,” Hawley says. “But it may be almost the inverse.”\u003c/p>\n\u003cp>Morrow says there’s no evidence that reconstruction after double mastectomy will lead to a better cosmetic result and there are other ways to achieve symmetry.\u003c/p>\n\u003cp>She says there’s \u003ca href=\"http://www.cancernetwork.com/conference-report/asco2011-breastcancer/content/article/10165/1877366\">growing concern\u003c/a> among breast cancer specialists about the trend toward double mastectomy.\u003c/p>\n\u003cp>The evidence, Morrow says, is that the trend is driven by consumers — not surgeons. She finds that ironic.\u003c/p>\n\u003cp>“I’m old enough to remember the days when surgeons were considered to be horrible mutilators of women when they did one mastectomy, no less two,” Morrow says. It took years of pressure from the then-nascent patients’ rights movement, along with the evidence from controversial research studies, to establish breast-conserving lumpectomy as a valid alternative to mastectomy.\u003c/p>\n\u003cp>“The two operations really are equal — not just in survival but in the risk of cancer recurrence,” Morrow says. “That wasn’t true 30 years ago. We’ve gotten better at lumpectomy; we understand more about the biology of breast cancer.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“So at a time when we can decrease the intensity of surgical therapy,” she continues, “instead what we’re seeing is patients who want to be ‘safe’ choosing the bigger surgery, even though in fact it’s no safer for them.”\u003c/p>\n\n",
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"excerpt": "It’s a startling finding: Many women with cancer in one breast are choosing to have their healthy breast removed, too.\r\n\r\nBut a study being presented later this week says more than three-quarters of women who opt for double mastectomies are not getting any benefit because their risk of cancer developing in the healthy breast is no greater than in women without cancer.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Richard Knox, for NPR and \u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2012/11/study-questions-benefits-of-many-double-mastectomies/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>It’s a startling finding: Many women with cancer in one breast are choosing to have their healthy breast removed, too.\u003c/p>\n\u003cp>But a \u003ca href=\"http://www.uofmhealth.org/news/archive/201211/most-women-who-have-double-mastectomy-don%E2%80%99t-need-it\">study\u003c/a> being presented later this week says more than three-quarters of women who opt for double mastectomies are not getting any benefit because their risk of cancer developing in the healthy breast is no greater than in women without cancer.\u003c/p>\n\u003caside class=\"pullquote alignright\">Double mastectomy “does not make sense” for about three-quarters of the women who are choosing the operation. \u003c/aside>\n\u003cp>“People want absolute certainty,” breast surgeon \u003ca href=\"http://www.mskcc.org/cancer-care/doctor/monica-morrow\">Monica Morrow\u003c/a> of Memorial Sloan-Kettering Cancer Center tells NPR's Shots blog. “Unfortunately, even having a double mastectomy doesn’t provide certainty that breast cancer will not recur. So it’s a false sense of security.”\u003c/p>\n\u003cp>Morrow is a co-author of a paper that will be presented at the American Society of Clinical Oncology’s Quality Care Symposium in San Diego.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Another co-author, \u003ca href=\"http://www.med.umich.edu/cansort/bio_hawley.html\">Sarah Hawley\u003c/a>, of the University of Michigan, says double mastectomy “does not make sense” for about three-quarters of the women who are choosing the operation “because having a non-affected breast removed will not reduce the risk of recurrence in the affected breast.”\u003c!--more-->\u003c/p>\n\u003cp>The researchers looked at nearly 1,500 women who had been treated for early-stage breast cancer. Of those who chose \u003ca href=\"http://www.nlm.nih.gov/medlineplus/mastectomy.html\">mastectomy\u003c/a> instead of \u003ca href=\"http://www.breastcancer.org/treatment/surgery/lumpectomy\">lumpectomy\u003c/a>, nearly 20 percent opted to have both breasts removed.\u003c/p>\n\u003cp>But of those who chose double mastectomy, three-quarters had no medical justification, Hawley tells NPR.\u003c/p>\n\u003cp>In fact, many women had a diagnosis of \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001911/\">ductal carcinoma in situ or DCIS\u003c/a>, considered a so-called stage zero breast cancer — a type many say shouldn’t really be considered cancer at all.\u003c/p>\n\u003cp>The more radical operation makes medical sense, Hawley says, for fewer than 10 percent of women with early breast cancer. Those include the 1.5 percent who have a genetic mutation called \u003ca href=\"http://www.npr.org/blogs/health/2012/09/24/161710858/scientists-parse-genes-of-breast-cancers-four-major-types?live=1\">BRCA-1 or BRCA-2\u003c/a> and another 8 percent who have a strong family history, which means two or more immediate relatives who’ve had breast or ovarian cancer.\u003c/p>\n\u003cp>Double mastectomy rates “have been inching up over the last decade,” Hawley says. There are no guidelines on who should be getting the operation.\u003c/p>\n\u003cp>When the researchers surveyed women about their choice of therapy, not surprisingly they found the main factor was fear that cancer would “spread” to the healthy breast — even though, Morrow says, “it’s a misunderstanding that cancer spreads from breast to breast.”\u003c/p>\n\u003cp>“One of the biggest fears when you get a cancer diagnosis is, 'if I go through this treatment, can I be done, can I go on and live my life and not have to worry about it coming back?'” Hawley says.\u003c/p>\n\u003cp>“I have seen young women who leave the office having signed up for lumpectomy,” Morrow says, “and they call back the next day and say, ‘Well, I was on the Internet or I was talking to my friends and they said I’m a young mother, don’t I want to do everything I can to be there for my child? I think I want a double mastectomy.’ ”\u003c/p>\n\u003cp>But there’s a flaw in that approach. “Unfortunately, that’s just fuzzy reasoning.”\u003c/p>\n\u003cp>There’s another reason cited by many — the belief that a double mastectomy plus breast reconstruction will give a better, more symmetrical cosmetic result.\u003c/p>\n\u003cp>“We would have thought that concerns about body image would lead women away from double mastectomy,” Hawley says. “But it may be almost the inverse.”\u003c/p>\n\u003cp>Morrow says there’s no evidence that reconstruction after double mastectomy will lead to a better cosmetic result and there are other ways to achieve symmetry.\u003c/p>\n\u003cp>She says there’s \u003ca href=\"http://www.cancernetwork.com/conference-report/asco2011-breastcancer/content/article/10165/1877366\">growing concern\u003c/a> among breast cancer specialists about the trend toward double mastectomy.\u003c/p>\n\u003cp>The evidence, Morrow says, is that the trend is driven by consumers — not surgeons. She finds that ironic.\u003c/p>\n\u003cp>“I’m old enough to remember the days when surgeons were considered to be horrible mutilators of women when they did one mastectomy, no less two,” Morrow says. It took years of pressure from the then-nascent patients’ rights movement, along with the evidence from controversial research studies, to establish breast-conserving lumpectomy as a valid alternative to mastectomy.\u003c/p>\n\u003cp>“The two operations really are equal — not just in survival but in the risk of cancer recurrence,” Morrow says. “That wasn’t true 30 years ago. We’ve gotten better at lumpectomy; we understand more about the biology of breast cancer.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“So at a time when we can decrease the intensity of surgical therapy,” she continues, “instead what we’re seeing is patients who want to be ‘safe’ choosing the bigger surgery, even though in fact it’s no safer for them.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Toxics Linked to Cancer Prevalent in Couches",
"title": "Toxics Linked to Cancer Prevalent in Couches",
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"content": "\u003cp>\u003cstrong>By Christina Jewett\u003c/strong>, \u003ca href=\"http://californiawatch.org/dailyreport/more-couches-contain-chemicals-tied-cancer-risk-18701\" target=\"_blank\">California Watch\u003c/a>\u003c/p>\n\u003cp>Eight out of 10 couches\u003cstrong>\u003cem> \u003c/em>\u003c/strong>contain flame retardant chemicals that are linked to heightened cancer risk, developmental delays in children or are lacking adequate health information, according to a study released today by researchers at UC Berkeley and Duke University.\u003c/p>\n\u003cfigure id=\"attachment_9067\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/Couch_ChrisMetcalf_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-9067\" title=\"(Chris Metcalf/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/Couch_ChrisMetcalf_Flickr-300x199.jpg\" alt=\"(Chris Metcalf/Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Chris Metcalf/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The study also shows an increase in the number of couches bought throughout the U.S. that contain flame retardants. That number went up even though California is the only state that has a flame retardant regulation. While 75 percent of couches bought before 2005 contained a flame retardant chemical, the rate rose to 93 percent in couches bought since 2005, the study found.\u003c/p>\n\u003cp>“I didn’t expect to find such a high percentage of furniture bought outside of California to meet the standard,” said Arlene Blum, an author of the study and founder of the Berkeley-based Green Science Policy Institute. “It’s led to the use of more toxic chemicals.”\u003c/p>\n\u003cp>The study is coming out as California authorities, at the direction of Gov. Jerry Brown, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/06/27/california-moving-to-new-rules-on-flame-retardants/\" target=\"_blank\">are revising the state’s Technical Bulletin 117\u003c/a>, which requires furniture foam to resist combustion when exposed to a flame for 12 seconds.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>An updated bulletin is being drafted that will require couch upholstery to resist catching fire when it comes into contact with something, such as a cigarette, that is smoldering, according to Russ Heimerich, a spokesman for the Department of Consumer Affairs, which includes the state’s furniture safety bureau.\u003c/p>\n\u003cp>The change would mean that many couches would meet the fire-safety standard as they are currently made, without adding chemicals to foam, Heimerich said.\u003c!--more-->\u003c/p>\n\u003cp>Heimerich said a draft regulation is expected to be released in December for public comment. The new rule may take effect next summer.\u003c/p>\n\u003cp>The study released today sheds light on which chemicals are used most frequently in furniture foam.\u003c/p>\n\u003cp>Researchers collected 102 samples of foam from couches bought from 1985 to 2010. They found that 85 percent of the samples contained a flame retardant. The chemicals tend to leech from foam and accumulate in household dust. People, particularly toddlers, can ingest them through hand-to-mouth contact.\u003c/p>\n\u003cp>The most common chemical in the couches was Tris phosphate, found in 42 couch samples. The chemical was \u003ca href=\"http://californiawatch.org/dailyreport/flame-retardant-added-states-list-cancer-causing-chemicals-13065\" target=\"_blank\">added in 2011\u003c/a> to the state’s Proposition 65 list of chemicals known to cause cancer. The 1986 ballot initiative\u003cstrong> \u003c/strong>requires companies to warn consumers who would be exposed to the chemical a year after it's added to the list.\u003c/p>\n\u003cp>The American Chemistry Council, which represents chemical makers, \u003ca href=\"http://www.americanchemistry.com/Media/PressReleasesTranscripts/ACC-news-releases/OEHHAs-Next-Steps-on-Flame-Retardant-Should-Be-Based-on-Science.html\" target=\"_blank\">said the listing\u003c/a> does not “automatically mean a consumer’s health is threatened.”\u003c/p>\n\u003cp>The second-most common chemical, discovered in 17 couch samples, was PentaBDE, which was banned in California in 2004 but remains in many couches, which most people keep for about 15 years. That chemical has been linked to \u003ca href=\"http://www.scientificamerican.com/article.cfm?id=flame-retardant-fertility-pregnancy-pbde\" target=\"_blank\">problems with fertility\u003c/a> in adults and \u003ca href=\"http://newscenter.berkeley.edu/2012/11/15/pbdes-and-neurodevelopmental-deficits/\" target=\"_blank\">lower IQ\u003c/a> and impaired motor function in children.\u003c/p>\n\u003cp>The third-most prevalent chemical was Firemaster 550, a compound made by the firm Chemtura. While there are few studies of that chemical, \u003ca href=\"http://news.ncsu.edu/releases/wms-patisaul-firemaster/\" target=\"_blank\">one linked\u003c/a> Firemaster 550 exposure to rapid weight gain and early onset of puberty in young rats.\u003c/p>\n\u003cp>Heather Stapleton, an associate professor of environmental chemistry at Duke University and an author of the Firemaster study and the couch study released today, said concerned consumers are unlikely to learn much about their own couch’s chemicals.\u003c/p>\n\u003cp>Many couches made outside California have no label saying they comply with Technical Bulletin 117. Yet 64 percent of couches with no label still contain flame retardants, the new study found. Also, few furniture makers can trace their supply chain back to a foam supplier to find out which fire-fighting product was used.\u003c/p>\n\u003cp>“There’s no way to find out if it does or doesn’t” contain flame retardants, Stapleton said. “You have no way of knowing what’s in there.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Researchers say washing hands and dusting with a damp rag or mop are good ways to limit dust ingestion and reduce exposure.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Christina Jewett\u003c/strong>, \u003ca href=\"http://californiawatch.org/dailyreport/more-couches-contain-chemicals-tied-cancer-risk-18701\" target=\"_blank\">California Watch\u003c/a>\u003c/p>\n\u003cp>Eight out of 10 couches\u003cstrong>\u003cem> \u003c/em>\u003c/strong>contain flame retardant chemicals that are linked to heightened cancer risk, developmental delays in children or are lacking adequate health information, according to a study released today by researchers at UC Berkeley and Duke University.\u003c/p>\n\u003cfigure id=\"attachment_9067\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/Couch_ChrisMetcalf_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-9067\" title=\"(Chris Metcalf/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/Couch_ChrisMetcalf_Flickr-300x199.jpg\" alt=\"(Chris Metcalf/Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Chris Metcalf/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The study also shows an increase in the number of couches bought throughout the U.S. that contain flame retardants. That number went up even though California is the only state that has a flame retardant regulation. While 75 percent of couches bought before 2005 contained a flame retardant chemical, the rate rose to 93 percent in couches bought since 2005, the study found.\u003c/p>\n\u003cp>“I didn’t expect to find such a high percentage of furniture bought outside of California to meet the standard,” said Arlene Blum, an author of the study and founder of the Berkeley-based Green Science Policy Institute. “It’s led to the use of more toxic chemicals.”\u003c/p>\n\u003cp>The study is coming out as California authorities, at the direction of Gov. Jerry Brown, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/06/27/california-moving-to-new-rules-on-flame-retardants/\" target=\"_blank\">are revising the state’s Technical Bulletin 117\u003c/a>, which requires furniture foam to resist combustion when exposed to a flame for 12 seconds.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>An updated bulletin is being drafted that will require couch upholstery to resist catching fire when it comes into contact with something, such as a cigarette, that is smoldering, according to Russ Heimerich, a spokesman for the Department of Consumer Affairs, which includes the state’s furniture safety bureau.\u003c/p>\n\u003cp>The change would mean that many couches would meet the fire-safety standard as they are currently made, without adding chemicals to foam, Heimerich said.\u003c!--more-->\u003c/p>\n\u003cp>Heimerich said a draft regulation is expected to be released in December for public comment. The new rule may take effect next summer.\u003c/p>\n\u003cp>The study released today sheds light on which chemicals are used most frequently in furniture foam.\u003c/p>\n\u003cp>Researchers collected 102 samples of foam from couches bought from 1985 to 2010. They found that 85 percent of the samples contained a flame retardant. The chemicals tend to leech from foam and accumulate in household dust. People, particularly toddlers, can ingest them through hand-to-mouth contact.\u003c/p>\n\u003cp>The most common chemical in the couches was Tris phosphate, found in 42 couch samples. The chemical was \u003ca href=\"http://californiawatch.org/dailyreport/flame-retardant-added-states-list-cancer-causing-chemicals-13065\" target=\"_blank\">added in 2011\u003c/a> to the state’s Proposition 65 list of chemicals known to cause cancer. The 1986 ballot initiative\u003cstrong> \u003c/strong>requires companies to warn consumers who would be exposed to the chemical a year after it's added to the list.\u003c/p>\n\u003cp>The American Chemistry Council, which represents chemical makers, \u003ca href=\"http://www.americanchemistry.com/Media/PressReleasesTranscripts/ACC-news-releases/OEHHAs-Next-Steps-on-Flame-Retardant-Should-Be-Based-on-Science.html\" target=\"_blank\">said the listing\u003c/a> does not “automatically mean a consumer’s health is threatened.”\u003c/p>\n\u003cp>The second-most common chemical, discovered in 17 couch samples, was PentaBDE, which was banned in California in 2004 but remains in many couches, which most people keep for about 15 years. That chemical has been linked to \u003ca href=\"http://www.scientificamerican.com/article.cfm?id=flame-retardant-fertility-pregnancy-pbde\" target=\"_blank\">problems with fertility\u003c/a> in adults and \u003ca href=\"http://newscenter.berkeley.edu/2012/11/15/pbdes-and-neurodevelopmental-deficits/\" target=\"_blank\">lower IQ\u003c/a> and impaired motor function in children.\u003c/p>\n\u003cp>The third-most prevalent chemical was Firemaster 550, a compound made by the firm Chemtura. While there are few studies of that chemical, \u003ca href=\"http://news.ncsu.edu/releases/wms-patisaul-firemaster/\" target=\"_blank\">one linked\u003c/a> Firemaster 550 exposure to rapid weight gain and early onset of puberty in young rats.\u003c/p>\n\u003cp>Heather Stapleton, an associate professor of environmental chemistry at Duke University and an author of the Firemaster study and the couch study released today, said concerned consumers are unlikely to learn much about their own couch’s chemicals.\u003c/p>\n\u003cp>Many couches made outside California have no label saying they comply with Technical Bulletin 117. Yet 64 percent of couches with no label still contain flame retardants, the new study found. Also, few furniture makers can trace their supply chain back to a foam supplier to find out which fire-fighting product was used.\u003c/p>\n\u003cp>“There’s no way to find out if it does or doesn’t” contain flame retardants, Stapleton said. “You have no way of knowing what’s in there.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Researchers say washing hands and dusting with a damp rag or mop are good ways to limit dust ingestion and reduce exposure.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>by Ian Hill, KQED News\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_9037\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/AIDS20121127.jpg\">\u003cimg class=\"size-medium wp-image-9037\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/AIDS20121127-300x199.jpg\" alt=\"Workers hang a red ribbon on the White House before World AIDS Day, 2011. Chip Somodevilla/Getty Images\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Workers hang a red ribbon on the White House before World AIDS Day, 2011. Chip Somodevilla/Getty Images\u003c/figcaption>\u003c/figure>\n\u003cp>Living with HIV is not cheap. Earlier this year NPR \u003ca href=\"http://www.npr.org/blogs/health/2012/07/27/157499134/cost-of-treatment-still-a-challenge-for-hiv-patients-in-u-s\">reported\u003c/a> that monthly HIV treatments can cost between $2,000-$5,000 and that the lifetime cost of treatment is estimated at more than a half-million dollars. While public assistance programs can help cover some treatments, some people still find it a challenge to pay for the drugs they need to survive.\u003c/p>\n\u003cp>In advance of \u003ca href=\"http://www.worldaidsday.org/\">World AIDS Day\u003c/a> this Saturday, KQED wants to know how the cost of treatments has affected people living with HIV. If you're HIV positive, you can help inform our reporting by filling out the form below. The information you provide may be used in a future blog post or in our reporting on radio, unless otherwise noted.\u003c!--more-->\u003c/p>\n\u003cp>\u003ciframe src=\"https://docs.google.com/spreadsheet/embeddedform?formkey=dENackNXakFiTHo0czQ3N0k5UmVuYmc6MQ\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" width=\"620\" height=\"1050\">\u003c/iframe>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "Living with HIV is not cheap. Earlier this year NPR reported that monthly HIV treatments can cost between $2,000-$5,000 and that the lifetime cost of treatment is estimated at more than a half-million dollars. While public assistance programs can help cover some treatments, some people still find it a challenge to pay for the drugs they need to survive.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>by Ian Hill, KQED News\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_9037\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/AIDS20121127.jpg\">\u003cimg class=\"size-medium wp-image-9037\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/AIDS20121127-300x199.jpg\" alt=\"Workers hang a red ribbon on the White House before World AIDS Day, 2011. Chip Somodevilla/Getty Images\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Workers hang a red ribbon on the White House before World AIDS Day, 2011. Chip Somodevilla/Getty Images\u003c/figcaption>\u003c/figure>\n\u003cp>Living with HIV is not cheap. Earlier this year NPR \u003ca href=\"http://www.npr.org/blogs/health/2012/07/27/157499134/cost-of-treatment-still-a-challenge-for-hiv-patients-in-u-s\">reported\u003c/a> that monthly HIV treatments can cost between $2,000-$5,000 and that the lifetime cost of treatment is estimated at more than a half-million dollars. While public assistance programs can help cover some treatments, some people still find it a challenge to pay for the drugs they need to survive.\u003c/p>\n\u003cp>In advance of \u003ca href=\"http://www.worldaidsday.org/\">World AIDS Day\u003c/a> this Saturday, KQED wants to know how the cost of treatments has affected people living with HIV. If you're HIV positive, you can help inform our reporting by filling out the form below. The information you provide may be used in a future blog post or in our reporting on radio, unless otherwise noted.\u003c!--more-->\u003c/p>\n\u003cp>\u003ciframe src=\"https://docs.google.com/spreadsheet/embeddedform?formkey=dENackNXakFiTHo0czQ3N0k5UmVuYmc6MQ\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" width=\"620\" height=\"1050\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>By Mina Kim\u003c/p>\n\u003cfigure id=\"attachment_9011\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/MonsterDrinks_Kim.jpg\">\u003cimg class=\"size-medium wp-image-9011\" title=\"Nineteen year-old Malaysia Sanders stands in front of Friendly Liquor in San Francisco. She doesn't drink energy drinks anymore, but she did when she was fourteen because she thought they were "cool." (Mina Kim/KQED)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/MonsterDrinks_Kim-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nineteen-year-old Malaysia Sanders stands in front of Friendly Liquor in San Francisco. She doesn't drink energy drinks anymore, but she did when she was 14 because she thought they were \"cool.\" (Catherine Borgeson/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>In the last few months, Southern California-based Monster Beverage has faced increasing questions about its energy drinks. The Food and Drug Administration is investigating whether the drinks are linked to five deaths, and there's interest at the state and local level, too. Monster has until Friday to respond to a query from the San Francisco City Attorney.\u003c/p>\n\u003cp>The legal case of fourteen year-old Anais Fournier prompted the FDA to disclose that it’s investigating five deaths that could be linked to Monster Beverage. After the Maryland teen drank two large cans of Monster Energy within a 24 hour period, she went into cardiac arrest and died a few days later.\u003c/p>\n\u003cp>That was last year, and this October, Fournier’s mother filed a wrongful death lawsuit against Monster Beverage of Corona. With those two 24-ounce cans of Monster Energy, Fournier had consumed more than five times the daily amount of caffeine that the American Academy of Pediatrics recommends is safe for teens.\u003c!--more-->\u003c/p>\n\u003cp>“Well, we do know that caffeine raises the adrenalin in your body,” USCF cardiologist Byron Lee said. “That leads to increased blood pressure and increased heart rate.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But Lee said it's unlikely that caffeine alone would kill someone. Fournier had an underlying heart condition and Lee said it was likely the combination of the two that could have made the drinks deadly.\u003c/p>\n\u003cp>“I think it’s going too far to say that anybody who drinks a big dose of coffee is putting themselves at risk,” Lee said. “I think the real message is that if you're not used to caffeine and you take a big dose of it, that there are going to be physiologic effects that you'll feel. And if you have some pre-existing heart disease, I think there's some potential for an abnormal heart rhythm that could be dangerous.”\u003c/p>\n\u003cp>Lee said there isn’t enough research about the effects of caffeine on teens and more study is needed. According to Lee, the drinks are being consumed in large quantities by adolescents.\u003c/p>\n\u003cp>Energy drinks, with their bold cartoon logos have found a market among teens and young adults. Researchers say teens use the drinks when cramming for tests, or because they believe it will enhance athletic performance. Some just like the jolt of adrenalin the caffeine provides.\u003c/p>\n\u003cp>Standing in front of a brightly-lit display of colorful energy drinks at a San Francisco corner store, 19 year-old Malaysia Sanders said she started drinking them when she was fourteen because the can looked so cool.\u003c/p>\n\u003cp>“Also, the fact that it kind of looks like alcoholic beverages too, it's like, I'll buy it, ‘cuz it looks like it,” Sanders said. “[It says] I’m cool, I’m hip.”\u003c/p>\n\u003cp>Sanders said she doesn’t buy energy drinks anymore, but the beverages are popular with her friends who skateboard.\u003c/p>\n\u003cp>Monster Energy's website features a 17 year-old skateboarder amid a slew of extreme sports videos and images of “Monster girls” in low-cut tops.\u003c/p>\n\u003cp>San Francisco City Attorney Dennis Herrera said the energy drink market targets teens. Herrera recently sent a letter to Monster Beverage officials demanding they prove their drinks are safe.\u003c/p>\n\u003cp>“The campaign talks about how ‘bigger is better’ and ‘you can never get too much of a good thing’ or ‘two cans per day of 24-ounce Monster is responsible for safe consumption by adolescents and adults,’” Herrera said. “Show me the facts.”\u003c/p>\n\u003cp>Officials with Monster Beverage Corporation did not respond to our requests for an interview, but said in a recent statement that its products are “safe” and that its cans have stated for years that the drinks are “not recommended for children.\u003c/p>\n\u003cp>Herrera has given the company until November 30, to respond to his letter or face possible legal action. In the meantime, California health officials are starting to gather data on energy drink-related health emergencies. Tom Kearney heads one of four divisions of the state's poison control system.\u003c/p>\n\u003cp>“I think we're starting to develop a picture of what's going on, but also finding that it's somewhat murky,” Kearney said.\u003c/p>\n\u003cp>Kearney found 675 poison center reports involving energy drinks in the last three years. 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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Mina Kim\u003c/p>\n\u003cfigure id=\"attachment_9011\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/MonsterDrinks_Kim.jpg\">\u003cimg class=\"size-medium wp-image-9011\" title=\"Nineteen year-old Malaysia Sanders stands in front of Friendly Liquor in San Francisco. She doesn't drink energy drinks anymore, but she did when she was fourteen because she thought they were "cool." (Mina Kim/KQED)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/MonsterDrinks_Kim-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nineteen-year-old Malaysia Sanders stands in front of Friendly Liquor in San Francisco. She doesn't drink energy drinks anymore, but she did when she was 14 because she thought they were \"cool.\" (Catherine Borgeson/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>In the last few months, Southern California-based Monster Beverage has faced increasing questions about its energy drinks. The Food and Drug Administration is investigating whether the drinks are linked to five deaths, and there's interest at the state and local level, too. Monster has until Friday to respond to a query from the San Francisco City Attorney.\u003c/p>\n\u003cp>The legal case of fourteen year-old Anais Fournier prompted the FDA to disclose that it’s investigating five deaths that could be linked to Monster Beverage. After the Maryland teen drank two large cans of Monster Energy within a 24 hour period, she went into cardiac arrest and died a few days later.\u003c/p>\n\u003cp>That was last year, and this October, Fournier’s mother filed a wrongful death lawsuit against Monster Beverage of Corona. With those two 24-ounce cans of Monster Energy, Fournier had consumed more than five times the daily amount of caffeine that the American Academy of Pediatrics recommends is safe for teens.\u003c!--more-->\u003c/p>\n\u003cp>“Well, we do know that caffeine raises the adrenalin in your body,” USCF cardiologist Byron Lee said. “That leads to increased blood pressure and increased heart rate.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But Lee said it's unlikely that caffeine alone would kill someone. Fournier had an underlying heart condition and Lee said it was likely the combination of the two that could have made the drinks deadly.\u003c/p>\n\u003cp>“I think it’s going too far to say that anybody who drinks a big dose of coffee is putting themselves at risk,” Lee said. “I think the real message is that if you're not used to caffeine and you take a big dose of it, that there are going to be physiologic effects that you'll feel. And if you have some pre-existing heart disease, I think there's some potential for an abnormal heart rhythm that could be dangerous.”\u003c/p>\n\u003cp>Lee said there isn’t enough research about the effects of caffeine on teens and more study is needed. According to Lee, the drinks are being consumed in large quantities by adolescents.\u003c/p>\n\u003cp>Energy drinks, with their bold cartoon logos have found a market among teens and young adults. Researchers say teens use the drinks when cramming for tests, or because they believe it will enhance athletic performance. Some just like the jolt of adrenalin the caffeine provides.\u003c/p>\n\u003cp>Standing in front of a brightly-lit display of colorful energy drinks at a San Francisco corner store, 19 year-old Malaysia Sanders said she started drinking them when she was fourteen because the can looked so cool.\u003c/p>\n\u003cp>“Also, the fact that it kind of looks like alcoholic beverages too, it's like, I'll buy it, ‘cuz it looks like it,” Sanders said. “[It says] I’m cool, I’m hip.”\u003c/p>\n\u003cp>Sanders said she doesn’t buy energy drinks anymore, but the beverages are popular with her friends who skateboard.\u003c/p>\n\u003cp>Monster Energy's website features a 17 year-old skateboarder amid a slew of extreme sports videos and images of “Monster girls” in low-cut tops.\u003c/p>\n\u003cp>San Francisco City Attorney Dennis Herrera said the energy drink market targets teens. Herrera recently sent a letter to Monster Beverage officials demanding they prove their drinks are safe.\u003c/p>\n\u003cp>“The campaign talks about how ‘bigger is better’ and ‘you can never get too much of a good thing’ or ‘two cans per day of 24-ounce Monster is responsible for safe consumption by adolescents and adults,’” Herrera said. “Show me the facts.”\u003c/p>\n\u003cp>Officials with Monster Beverage Corporation did not respond to our requests for an interview, but said in a recent statement that its products are “safe” and that its cans have stated for years that the drinks are “not recommended for children.\u003c/p>\n\u003cp>Herrera has given the company until November 30, to respond to his letter or face possible legal action. In the meantime, California health officials are starting to gather data on energy drink-related health emergencies. Tom Kearney heads one of four divisions of the state's poison control system.\u003c/p>\n\u003cp>“I think we're starting to develop a picture of what's going on, but also finding that it's somewhat murky,” Kearney said.\u003c/p>\n\u003cp>Kearney found 675 poison center reports involving energy drinks in the last three years. Most of them involved males in their early 20s who took the drinks with drugs or other substances.\u003c/p>\n\u003cp>“A lot of these cases, I don't know their past medical history,” Kearney said. “It's hard to gauge how much of the product they used, did they misuse the product or not?”\u003c/p>\n\u003cp>Kearney said much more study is needed before the state can determine if energy drinks pose a public health risk.\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/R201211260850b.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/R201211260850b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Engage With Grace This Thanksgiving Weekend",
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"content": "\u003cp>\u003cem>Editor's note: State of Health is participating in the Engage with Grace blogrally. Engage with Grace aims to get people talking about their wishes for end of life and advanced care. The Health Care Blog has put up the \u003ca href=\"https://docs.google.com/document/d/1YUOYRTfr28bW50j2wToF_WaZfo1NhAuL6pflZ7SYWvA/edit?pli=1\" target=\"_blank\">HTML code\u003c/a>, if you want to host this on your own blog.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Alexandra Drane\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"http://engagewithgrace.org/Questions.aspx\">\u003cimg class=\"alignright size-medium wp-image-8997\" title=\"Engage\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/Engage-300x230.png\" alt=\"\" width=\"300\" height=\"230\">\u003c/a>One of our favorite things we ever heard Steve Jobs say is: \"If you live each day as if it was your last, someday you'll most certainly be right.\" We love it for three reasons: 1) It reminds all of us that living with intention is one of the most important things we can do. 2) It reminds all of us that one day will be our last. 3) It’s a great example of how Steve Jobs just made most things (even things about death – even things he was quoting) sound better.\u003c/p>\n\u003cp>Most of us do pretty well with the living with intention part – but the dying thing? Not so much. And maybe that doesn't bother us so much as individuals because heck, we’re not going to die anyway!! That’s one of those things that happens to other people.\u003c/p>\n\u003cp>Then one day it does happen -- to someone else. But it’s someone that we love. And everything about our perspective on end of life changes.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Know what you want at the end of your life; know the preferences of your loved ones. \u003ca href=\"http://engagewithgrace.org/Questions.aspx\" target=\"_blank\">Print out this one slide\u003c/a>.\u003c/aside>\n\u003cp>If you haven’t personally had the experience of seeing or helping a loved one navigate the incredible complexities of terminal illness, then just ask someone who has. Chances are nearly three out of four of those stories will be bad ones -- involving actions and decisions that were at odds with that person’s values. And the worst part about it? Most of this mess is unintentional -- no one is deliberately trying to make anyone else suffer. It’s just that few of us are taking the time to figure out our own preferences for what we’d like when our time is near, making sure those preferences are known, and appointing someone to advocate on our behalf.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Goodness, you might be wondering, just what are we getting at and why are we keeping you from stretching out on the couch preparing your belly for onslaught?\u003c/p>\n\u003cp>Thanksgiving is a time for gathering, for communing, and for thinking hard together with friends and family about the things that matter. Here’s the crazy thing -- in the wake of one of the most intense political seasons in recent history, one of the safest topics to debate around the table this year might just be that one last taboo: end of life planning. And you know what? It’s also one of the most important.\u003c/p>\n\u003cp>Here’s one debate nobody wants to have – deciding on behalf of a loved one how to handle tough decisions at the end of their life. And there is no greater gift you can give your loved ones than saving them from that agony. So let’s take that off the table right now, this weekend.\u003c/p>\n\u003cp>Know what you want at the end of your life; know the preferences of your loved ones. \u003ca href=\"http://engagewithgrace.org/Questions.aspx\" target=\"_blank\">Print out this one slide\u003c/a> with just these five questions on it.\u003c/p>\n\u003cp>Then have the conversation with your family. Now.\u003c/p>\n\u003cp>Not a year from now, not when you or a loved one are diagnosed with something, not at the bedside of a mother or a father or a sibling or a life-long partner, but NOW. Have it this Thanksgiving when you are gathered together as a family, with your loved ones. Why? Because now is when it matters. This is the conversation to have when you don’t need to have it. And, believe it or not, when it’s a hypothetical conversation, you might even find it fascinating. We find sharing almost everything else about ourselves fascinating -- why not this, too? And then, one day, when the real stuff happens? You’ll be ready.\u003c/p>\n\u003cp>Doing end of life better is important for all of us. And the good news is that for all the squeamishness we think people have around this issue, the tide is changing, and more and more people are realizing that as a country dedicated to living with great intention – we need to apply that same sense of purpose and honor to how we die.\u003c/p>\n\u003cp>One day, Rosa Parks refused to move her seat on a bus in Montgomery County, Alabama. Others had before. Why was this day different? Because her story tapped into a million other stories that together sparked a revolution that changed the course of history.\u003c/p>\n\u003cp>Each of us has a story. It has a beginning, a middle, and an end. We work so hard to design a beautiful life -- spend the time to design a beautiful end, too. Know the answers to just these five questions for yourself and for your loved ones. Commit to advocating for each other. Then pass it on. Let’s start a revolution.\u003c/p>\n\u003cp>Engage with Grace.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Alexandra Drane is the Founder of Engage with Grace.\u003c/em>\u003c/p>\n\n",
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"description": "Editor's note: State of Health is participating in the Engage with Grace blogrally. Engage with Grace aims to get people talking about their wishes for end of life and advanced care. The Health Care Blog has put up the HTML code, if you want to host this on your own blog. By Alexandra Drane One",
"title": "Engage With Grace This Thanksgiving Weekend | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Editor's note: State of Health is participating in the Engage with Grace blogrally. Engage with Grace aims to get people talking about their wishes for end of life and advanced care. The Health Care Blog has put up the \u003ca href=\"https://docs.google.com/document/d/1YUOYRTfr28bW50j2wToF_WaZfo1NhAuL6pflZ7SYWvA/edit?pli=1\" target=\"_blank\">HTML code\u003c/a>, if you want to host this on your own blog.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Alexandra Drane\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"http://engagewithgrace.org/Questions.aspx\">\u003cimg class=\"alignright size-medium wp-image-8997\" title=\"Engage\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/Engage-300x230.png\" alt=\"\" width=\"300\" height=\"230\">\u003c/a>One of our favorite things we ever heard Steve Jobs say is: \"If you live each day as if it was your last, someday you'll most certainly be right.\" We love it for three reasons: 1) It reminds all of us that living with intention is one of the most important things we can do. 2) It reminds all of us that one day will be our last. 3) It’s a great example of how Steve Jobs just made most things (even things about death – even things he was quoting) sound better.\u003c/p>\n\u003cp>Most of us do pretty well with the living with intention part – but the dying thing? Not so much. And maybe that doesn't bother us so much as individuals because heck, we’re not going to die anyway!! That’s one of those things that happens to other people.\u003c/p>\n\u003cp>Then one day it does happen -- to someone else. But it’s someone that we love. And everything about our perspective on end of life changes.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Know what you want at the end of your life; know the preferences of your loved ones. \u003ca href=\"http://engagewithgrace.org/Questions.aspx\" target=\"_blank\">Print out this one slide\u003c/a>.\u003c/aside>\n\u003cp>If you haven’t personally had the experience of seeing or helping a loved one navigate the incredible complexities of terminal illness, then just ask someone who has. Chances are nearly three out of four of those stories will be bad ones -- involving actions and decisions that were at odds with that person’s values. And the worst part about it? Most of this mess is unintentional -- no one is deliberately trying to make anyone else suffer. It’s just that few of us are taking the time to figure out our own preferences for what we’d like when our time is near, making sure those preferences are known, and appointing someone to advocate on our behalf.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Goodness, you might be wondering, just what are we getting at and why are we keeping you from stretching out on the couch preparing your belly for onslaught?\u003c/p>\n\u003cp>Thanksgiving is a time for gathering, for communing, and for thinking hard together with friends and family about the things that matter. Here’s the crazy thing -- in the wake of one of the most intense political seasons in recent history, one of the safest topics to debate around the table this year might just be that one last taboo: end of life planning. And you know what? It’s also one of the most important.\u003c/p>\n\u003cp>Here’s one debate nobody wants to have – deciding on behalf of a loved one how to handle tough decisions at the end of their life. And there is no greater gift you can give your loved ones than saving them from that agony. So let’s take that off the table right now, this weekend.\u003c/p>\n\u003cp>Know what you want at the end of your life; know the preferences of your loved ones. \u003ca href=\"http://engagewithgrace.org/Questions.aspx\" target=\"_blank\">Print out this one slide\u003c/a> with just these five questions on it.\u003c/p>\n\u003cp>Then have the conversation with your family. Now.\u003c/p>\n\u003cp>Not a year from now, not when you or a loved one are diagnosed with something, not at the bedside of a mother or a father or a sibling or a life-long partner, but NOW. Have it this Thanksgiving when you are gathered together as a family, with your loved ones. Why? Because now is when it matters. This is the conversation to have when you don’t need to have it. And, believe it or not, when it’s a hypothetical conversation, you might even find it fascinating. We find sharing almost everything else about ourselves fascinating -- why not this, too? And then, one day, when the real stuff happens? You’ll be ready.\u003c/p>\n\u003cp>Doing end of life better is important for all of us. And the good news is that for all the squeamishness we think people have around this issue, the tide is changing, and more and more people are realizing that as a country dedicated to living with great intention – we need to apply that same sense of purpose and honor to how we die.\u003c/p>\n\u003cp>One day, Rosa Parks refused to move her seat on a bus in Montgomery County, Alabama. Others had before. Why was this day different? Because her story tapped into a million other stories that together sparked a revolution that changed the course of history.\u003c/p>\n\u003cp>Each of us has a story. It has a beginning, a middle, and an end. We work so hard to design a beautiful life -- spend the time to design a beautiful end, too. Know the answers to just these five questions for yourself and for your loved ones. Commit to advocating for each other. Then pass it on. Let’s start a revolution.\u003c/p>\n\u003cp>Engage with Grace.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Alexandra Drane is the Founder of Engage with Grace.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"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.",
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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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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
"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.",
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"pri-the-world": {
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"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": {
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"reveal": {
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},
"rightnowish": {
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"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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},
"science-friday": {
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"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": {
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"title": "Snap Judgment",
"tagline": "Real stories with killer beats",
"info": "The Snap Judgment radio show and podcast mixes real stories with killer beats to produce cinematic, dramatic radio. Snap's musical brand of storytelling dares listeners to see the world through the eyes of another. This is storytelling... with a BEAT!! Snap first aired on public radio stations nationwide in July 2010. Today, Snap Judgment airs on over 450 public radio stations and is brought to the airwaves by KQED & PRX.",
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},
"soldout": {
"id": "soldout",
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