window.__IS_SSR__=true
window.__INITIAL_STATE__={
"attachmentsReducer": {
"audio_0": {
"type": "attachments",
"id": "audio_0",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background0.jpg"
}
}
},
"audio_1": {
"type": "attachments",
"id": "audio_1",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background1.jpg"
}
}
},
"audio_2": {
"type": "attachments",
"id": "audio_2",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background2.jpg"
}
}
},
"audio_3": {
"type": "attachments",
"id": "audio_3",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background3.jpg"
}
}
},
"audio_4": {
"type": "attachments",
"id": "audio_4",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background4.jpg"
}
}
},
"placeholder": {
"type": "attachments",
"id": "placeholder",
"imgSizes": {
"thumbnail": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-160x107.jpg",
"width": 160,
"height": 107,
"mimeType": "image/jpeg"
},
"medium": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-800x533.jpg",
"width": 800,
"height": 533,
"mimeType": "image/jpeg"
},
"medium_large": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-768x512.jpg",
"width": 768,
"height": 512,
"mimeType": "image/jpeg"
},
"large": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1020x680.jpg",
"width": 1020,
"height": 680,
"mimeType": "image/jpeg"
},
"1536x1536": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1536x1024.jpg",
"width": 1536,
"height": 1024,
"mimeType": "image/jpeg"
},
"fd-lrg": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1536x1024.jpg",
"width": 1536,
"height": 1024,
"mimeType": "image/jpeg"
},
"fd-med": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1020x680.jpg",
"width": 1020,
"height": 680,
"mimeType": "image/jpeg"
},
"fd-sm": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-800x533.jpg",
"width": 800,
"height": 533,
"mimeType": "image/jpeg"
},
"post-thumbnail": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-672x372.jpg",
"width": 672,
"height": 372,
"mimeType": "image/jpeg"
},
"twentyfourteen-full-width": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1038x576.jpg",
"width": 1038,
"height": 576,
"mimeType": "image/jpeg"
},
"xxsmall": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-160x107.jpg",
"width": 160,
"height": 107,
"mimeType": "image/jpeg"
},
"xsmall": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-672x372.jpg",
"width": 672,
"height": 372,
"mimeType": "image/jpeg"
},
"small": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-672x372.jpg",
"width": 672,
"height": 372,
"mimeType": "image/jpeg"
},
"xlarge": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1020x680.jpg",
"width": 1020,
"height": 680,
"mimeType": "image/jpeg"
},
"full-width": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1920x1280.jpg",
"width": 1920,
"height": 1280,
"mimeType": "image/jpeg"
},
"guest-author-32": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 32,
"height": 32,
"mimeType": "image/jpeg"
},
"guest-author-50": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 50,
"height": 50,
"mimeType": "image/jpeg"
},
"guest-author-64": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 64,
"height": 64,
"mimeType": "image/jpeg"
},
"guest-author-96": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 96,
"height": 96,
"mimeType": "image/jpeg"
},
"guest-author-128": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 128,
"height": 128,
"mimeType": "image/jpeg"
},
"detail": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 160,
"height": 160,
"mimeType": "image/jpeg"
},
"kqedFullSize": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1.jpg",
"width": 2000,
"height": 1333
}
}
},
"stateofhealth_8222": {
"type": "attachments",
"id": "stateofhealth_8222",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "8222",
"found": true
},
"parent": 8158,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/CTmachine_Flickr_DerekKMiller-622x576.jpg",
"width": 622,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/CTmachine_Flickr_DerekKMiller-400x433.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 433
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/CTmachine_Flickr_DerekKMiller-320x346.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 346
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/CTmachine_Flickr_DerekKMiller-622x372.jpg",
"width": 622,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/CTmachine_Flickr_DerekKMiller.jpg",
"width": 622,
"height": 673
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/CTmachine_Flickr_DerekKMiller-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/CTmachine_Flickr_DerekKMiller-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/CTmachine_Flickr_DerekKMiller-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/CTmachine_Flickr_DerekKMiller-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/CTmachine_Flickr_DerekKMiller-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1345663318,
"modified": 1345663318,
"caption": "CT imaging system. (Derek K. Miller: Flickr)",
"description": "A CT imaging system. (Derek K. Miller: Flickr)",
"title": "A CT imaging system. (Derek K. Miller: Flickr)",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_8196": {
"type": "attachments",
"id": "stateofhealth_8196",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "8196",
"found": true
},
"parent": 8191,
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/girl-child-kohl-cosmetic.jpg",
"width": 255,
"height": 192
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/girl-child-kohl-cosmetic-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/girl-child-kohl-cosmetic-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/girl-child-kohl-cosmetic-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/girl-child-kohl-cosmetic-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/girl-child-kohl-cosmetic-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1345653950,
"modified": 1345653950,
"caption": null,
"description": null,
"title": "girl-child-kohl-cosmetic",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_8176": {
"type": "attachments",
"id": "stateofhealth_8176",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "8176",
"found": true
},
"parent": 8168,
"imgSizes": {
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-21-at-10.29.44-AM-320x249.png",
"width": 320,
"mimeType": "image/png",
"height": 249
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-21-at-10.29.44-AM.png",
"width": 352,
"height": 274
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-21-at-10.29.44-AM-96x96.png",
"width": 96,
"mimeType": "image/png",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-21-at-10.29.44-AM-64x64.png",
"width": 64,
"mimeType": "image/png",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-21-at-10.29.44-AM-75x75.png",
"width": 75,
"mimeType": "image/png",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-21-at-10.29.44-AM-32x32.png",
"width": 32,
"mimeType": "image/png",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-21-at-10.29.44-AM-128x128.png",
"width": 128,
"mimeType": "image/png",
"height": 128
}
},
"publishDate": 1345570216,
"modified": 1345570216,
"caption": null,
"description": null,
"title": "Rep. Todd Akin in television interview Sunday, made remarks about rape.",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_8125": {
"type": "attachments",
"id": "stateofhealth_8125",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "8125",
"found": true
},
"parent": 8120,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Breastfeeding_fikirbaz_flickr-1024x576.jpg",
"width": 1024,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Breastfeeding_fikirbaz_flickr-400x266.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 266
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Breastfeeding_fikirbaz_flickr-320x213.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 213
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Breastfeeding_fikirbaz_flickr-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Breastfeeding_fikirbaz_flickr.jpg",
"width": 1024,
"height": 681
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Breastfeeding_fikirbaz_flickr-768x511.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 511
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Breastfeeding_fikirbaz_flickr-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Breastfeeding_fikirbaz_flickr-800x532.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 532
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Breastfeeding_fikirbaz_flickr-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Breastfeeding_fikirbaz_flickr-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Breastfeeding_fikirbaz_flickr-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Breastfeeding_fikirbaz_flickr-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1345228139,
"modified": 1345228139,
"caption": "(fikirbaz: Flickr)",
"description": "(fikirbaz: Flickr)",
"title": "(fikirbaz: Flickr)",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_8104": {
"type": "attachments",
"id": "stateofhealth_8104",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "8104",
"found": true
},
"parent": 8077,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/MedicalTextbooks_Pmccormi_Flickr-1024x576.jpg",
"width": 1024,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/MedicalTextbooks_Pmccormi_Flickr-400x300.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 300
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/MedicalTextbooks_Pmccormi_Flickr-320x240.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 240
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/MedicalTextbooks_Pmccormi_Flickr-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/MedicalTextbooks_Pmccormi_Flickr.jpg",
"width": 1024,
"height": 768
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/MedicalTextbooks_Pmccormi_Flickr-768x576.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 576
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/MedicalTextbooks_Pmccormi_Flickr-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/MedicalTextbooks_Pmccormi_Flickr-800x600.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 600
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/MedicalTextbooks_Pmccormi_Flickr-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/MedicalTextbooks_Pmccormi_Flickr-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/MedicalTextbooks_Pmccormi_Flickr-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/MedicalTextbooks_Pmccormi_Flickr-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1345140491,
"modified": 1345140491,
"caption": "(Pmccormi: Flickr)",
"description": "(Pmccormi: Flickr)",
"title": "(Pmccormi: Flickr)",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_8095": {
"type": "attachments",
"id": "stateofhealth_8095",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "8095",
"found": true
},
"parent": 8088,
"imgSizes": {
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-15-at-9.04.39-AM-400x196.png",
"width": 400,
"mimeType": "image/png",
"height": 196
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-15-at-9.04.39-AM-320x157.png",
"width": 320,
"mimeType": "image/png",
"height": 157
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-15-at-9.04.39-AM.png",
"width": 509,
"height": 250
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-15-at-9.04.39-AM-96x96.png",
"width": 96,
"mimeType": "image/png",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-15-at-9.04.39-AM-64x64.png",
"width": 64,
"mimeType": "image/png",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-15-at-9.04.39-AM-75x75.png",
"width": 75,
"mimeType": "image/png",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-15-at-9.04.39-AM-32x32.png",
"width": 32,
"mimeType": "image/png",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-15-at-9.04.39-AM-128x128.png",
"width": 128,
"mimeType": "image/png",
"height": 128
}
},
"publishDate": 1345046715,
"modified": 1345046715,
"caption": null,
"description": null,
"title": "Screen-Shot-2012-08-15-at-9.04.39-AM",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_8069": {
"type": "attachments",
"id": "stateofhealth_8069",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "8069",
"found": true
},
"parent": 8062,
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/ryan-romney-300_WinMcNamee_Getty.jpg",
"width": 300,
"height": 199
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/ryan-romney-300_WinMcNamee_Getty-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/ryan-romney-300_WinMcNamee_Getty-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/ryan-romney-300_WinMcNamee_Getty-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/ryan-romney-300_WinMcNamee_Getty-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/ryan-romney-300_WinMcNamee_Getty-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1344874439,
"modified": 1344874439,
"caption": "Republican Presidential Candidate Mitt Romney Announces Rep. Paul Ryan As His Vice Presidential Pick",
"description": "NORFOLK, VA - AUGUST 11: Republican presidential candidate, former Massachusetts Gov. Mitt Romney (L) jokes with U.S. Rep. Paul Ryan (R-WI) (R) after announcing him as the \"next PRESIDENT of the United States\" during an event announcing him as his vice presidential running mate in front of the USS Wisconsin August 11, 2012 in Norfolk, Virginia. Ryan, a seven term congressman, is Chairman of the House Budget Committee and provides a strong contrast to the Obama administration on fiscal policy. (Photo by Win McNamee/Getty Images)",
"title": "Republican Presidential Candidate Mitt Romney Announces Rep. Paul Ryan As His Vice Presidential Pick",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_8019": {
"type": "attachments",
"id": "stateofhealth_8019",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "8019",
"found": true
},
"parent": 8010,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/RichmondSoda_20120806b-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/RichmondSoda_20120806b-400x300.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 300
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/RichmondSoda_20120806b-320x240.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 240
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/RichmondSoda_20120806b-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/RichmondSoda_20120806b.jpg",
"width": 1632,
"height": 1224
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/RichmondSoda_20120806b-1440x1080.jpg",
"width": 1440,
"mimeType": "image/jpeg",
"height": 1080
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/RichmondSoda_20120806b-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/RichmondSoda_20120806b-800x600.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 600
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/RichmondSoda_20120806b-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/RichmondSoda_20120806b-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/RichmondSoda_20120806b-1180x885.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 885
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/RichmondSoda_20120806b-768x576.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 576
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/RichmondSoda_20120806b-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/RichmondSoda_20120806b-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1344526381,
"modified": 1344526381,
"caption": "Rosa Lara talks with Alejandra Nava at La Raza market in Richmond. Lara is a paid organizer for the community coalition against beverage taxes.",
"description": null,
"title": "Rosa Lara talks with Alejandra Nava at La Raza market. Lara is a paid organizer for the Community Coalition Against Beverage Taxes. (Photo: Mina Kim)",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_7887": {
"type": "attachments",
"id": "stateofhealth_7887",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "7887",
"found": true
},
"parent": 7883,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Soda_Flickr_Tessek-907x576.jpg",
"width": 907,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Soda_Flickr_Tessek-400x298.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 298
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Soda_Flickr_Tessek-320x238.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 238
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Soda_Flickr_Tessek-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Soda_Flickr_Tessek.jpg",
"width": 907,
"height": 675
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Soda_Flickr_Tessek-768x572.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 572
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Soda_Flickr_Tessek-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Soda_Flickr_Tessek-800x595.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 595
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Soda_Flickr_Tessek-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Soda_Flickr_Tessek-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Soda_Flickr_Tessek-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Soda_Flickr_Tessek-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1344274678,
"modified": 1344274678,
"caption": "(Flickr: Tessek)",
"description": "(Flickr: Tessek)",
"title": "(Flickr: Tessek)",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_7858": {
"type": "attachments",
"id": "stateofhealth_7858",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "7858",
"found": true
},
"parent": 7833,
"imgSizes": {
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-2.07.46-PM-400x193.png",
"width": 400,
"mimeType": "image/png",
"height": 193
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-2.07.46-PM-320x154.png",
"width": 320,
"mimeType": "image/png",
"height": 154
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-2.07.46-PM.png",
"width": 404,
"height": 195
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-2.07.46-PM-96x96.png",
"width": 96,
"mimeType": "image/png",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-2.07.46-PM-64x64.png",
"width": 64,
"mimeType": "image/png",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-2.07.46-PM-75x75.png",
"width": 75,
"mimeType": "image/png",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-2.07.46-PM-32x32.png",
"width": 32,
"mimeType": "image/png",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-2.07.46-PM-128x128.png",
"width": 128,
"mimeType": "image/png",
"height": 128
}
},
"publishDate": 1344035072,
"modified": 1344035072,
"caption": null,
"description": null,
"title": "Each green circle shows a whooping cough outbreak. (Image: Council on Fore",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_7841": {
"type": "attachments",
"id": "stateofhealth_7841",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "7841",
"found": true
},
"parent": 7835,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/ToddlerExamined_Flickr_AlecCouros_08032012-746x576.jpg",
"width": 746,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/ToddlerExamined_Flickr_AlecCouros_08032012-400x312.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 312
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/ToddlerExamined_Flickr_AlecCouros_08032012-320x250.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 250
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/ToddlerExamined_Flickr_AlecCouros_08032012-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/ToddlerExamined_Flickr_AlecCouros_08032012.jpg",
"width": 746,
"height": 582
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/ToddlerExamined_Flickr_AlecCouros_08032012-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/ToddlerExamined_Flickr_AlecCouros_08032012-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/ToddlerExamined_Flickr_AlecCouros_08032012-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/ToddlerExamined_Flickr_AlecCouros_08032012-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/ToddlerExamined_Flickr_AlecCouros_08032012-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1344016700,
"modified": 1344016700,
"caption": "(Flickr: Alec Couros)",
"description": "(Flickr: Alec Couros)",
"title": "(Flickr: Alec Couros)",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_7826": {
"type": "attachments",
"id": "stateofhealth_7826",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "7826",
"found": true
},
"parent": 7824,
"imgSizes": {
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-10.03.51-AM-400x219.png",
"width": 400,
"mimeType": "image/png",
"height": 219
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-10.03.51-AM-320x175.png",
"width": 320,
"mimeType": "image/png",
"height": 175
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-10.03.51-AM.png",
"width": 626,
"height": 342
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-10.03.51-AM-96x96.png",
"width": 96,
"mimeType": "image/png",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-10.03.51-AM-64x64.png",
"width": 64,
"mimeType": "image/png",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-10.03.51-AM-75x75.png",
"width": 75,
"mimeType": "image/png",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-10.03.51-AM-32x32.png",
"width": 32,
"mimeType": "image/png",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-10.03.51-AM-128x128.png",
"width": 128,
"mimeType": "image/png",
"height": 128
}
},
"publishDate": 1343927258,
"modified": 1343927258,
"caption": "(Image: Center for Investigative Reporting)",
"description": null,
"title": "Screen Shot 2012-08-02 at 10.03.51 AM",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
}
},
"audioPlayerReducer": {
"postId": "stream_live",
"isPaused": true,
"isPlaying": false,
"pfsActive": false,
"pledgeModalIsOpen": true,
"playerDrawerIsOpen": false,
"liveAudioPlayStartedAt": 0,
"liveAudioPlayContext": ""
},
"authorsReducer": {
"lisaaliferis": {
"type": "authors",
"id": "240",
"meta": {
"index": "authors_1716337520",
"id": "240",
"found": true
},
"name": "Lisa Aliferis",
"firstName": "Lisa",
"lastName": "Aliferis",
"slug": "lisaaliferis",
"email": "laliferis@kqed.org",
"display_author_email": false,
"staff_mastheads": [],
"title": "KQED Contributor",
"bio": "Lisa Aliferis is the founding editor of KQED's \u003cem>State of Health\u003c/em> blog. Since 2011, she's been writing and editing stories for the site. Before taking up blogging, she toiled for many years (more than we can count) producing health stories for television, including\u003cem> Dateline NBC\u003c/em> and San Francisco's CBS affiliate, KPIX-TV. She also wrote up a \u003ca title=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\">handy guide to the Affordable Care Act\u003c/a>, especially for Californians. Her work has been honored for many awards. Most recently she was a finalist for \"Best Topical Reporting\" from the Online News Association. You can follow her on Twitter: \u003ca title=\"https://twitter.com/laliferis\" href=\"https://twitter.com/laliferis\">@laliferis\u003c/a>",
"avatar": "https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=mm&r=g",
"twitter": "laliferis",
"facebook": null,
"instagram": null,
"linkedin": null,
"sites": [
{
"site": "news",
"roles": [
"subscriber"
]
},
{
"site": "futureofyou",
"roles": [
"subscriber"
]
},
{
"site": "stateofhealth",
"roles": [
"subscriber"
]
},
{
"site": "science",
"roles": [
"subscriber"
]
},
{
"site": "food",
"roles": []
}
],
"headData": {
"title": "Lisa Aliferis | KQED",
"description": "KQED Contributor",
"ogImgSrc": "https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=mm&r=g",
"twImgSrc": "https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=mm&r=g"
},
"isLoading": false,
"link": "/author/lisaaliferis"
},
"state-of-health": {
"type": "authors",
"id": "8344",
"meta": {
"index": "authors_1716337520",
"id": "8344",
"found": true
},
"name": "State of Health",
"firstName": "State of Health",
"lastName": null,
"slug": "state-of-health",
"email": "stateofhealth@kqed.org",
"display_author_email": false,
"staff_mastheads": [],
"title": null,
"bio": null,
"avatar": "https://secure.gravatar.com/avatar/66de4bf6d331fa7402bba1ffe8135e17?s=600&d=blank&r=g",
"twitter": null,
"facebook": null,
"instagram": null,
"linkedin": null,
"sites": [
{
"site": "arts",
"roles": [
"author"
]
},
{
"site": "stateofhealth",
"roles": [
"editor"
]
}
],
"headData": {
"title": "State of Health | KQED",
"description": null,
"ogImgSrc": "https://secure.gravatar.com/avatar/66de4bf6d331fa7402bba1ffe8135e17?s=600&d=blank&r=g",
"twImgSrc": "https://secure.gravatar.com/avatar/66de4bf6d331fa7402bba1ffe8135e17?s=600&d=blank&r=g"
},
"isLoading": false,
"link": "/author/state-of-health"
},
"eveharris": {
"type": "authors",
"id": "8372",
"meta": {
"index": "authors_1716337520",
"id": "8372",
"found": true
},
"name": "Eve Harris",
"firstName": "Eve",
"lastName": "Harris",
"slug": "eveharris",
"email": "harriseve@hotmail.com",
"display_author_email": false,
"staff_mastheads": [],
"title": null,
"bio": null,
"avatar": "https://secure.gravatar.com/avatar/82d1c9195656a3a8b3c2a2a2e50d8242?s=600&d=blank&r=g",
"twitter": null,
"facebook": null,
"instagram": null,
"linkedin": null,
"sites": [
{
"site": "stateofhealth",
"roles": [
"contributor"
]
}
],
"headData": {
"title": "Eve Harris | KQED",
"description": null,
"ogImgSrc": "https://secure.gravatar.com/avatar/82d1c9195656a3a8b3c2a2a2e50d8242?s=600&d=blank&r=g",
"twImgSrc": "https://secure.gravatar.com/avatar/82d1c9195656a3a8b3c2a2a2e50d8242?s=600&d=blank&r=g"
},
"isLoading": false,
"link": "/author/eveharris"
}
},
"pagesReducer": {
"stateofhealth_category_policy": {
"type": "terms",
"id": "stateofhealth_14",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "14",
"score": 12.672578
},
"featImg": null,
"name": "Policy",
"description": "Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed",
"title": "Policy Archives | KQED Arts",
"ogDescription": null
},
"ttid": 14,
"slug": "policy",
"isLoading": false,
"title": "Policy",
"pageMeta": {
"site": "stateofhealth",
"WpPageTemplate": "page-topic-editorial",
"currentPage": 56
},
"blocks": [
{
"blockName": "kqed/company-paragraph",
"content": "Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed"
},
{
"blockName": "kqed/post-list",
"attrs": {
"layout": "cardArticle2",
"query": "posts/stateofhealth?category=policy",
"seeMore": false,
"paginated": true,
"page": 56
}
},
{
"blockName": "kqed/ad"
}
]
}
},
"pfsSessionReducer": {},
"postsReducer": {
"stream_live": {
"type": "live",
"id": "stream_live",
"audioUrl": "https://hls.kqed.org/hls/kqed_app/playlist.m3u8",
"title": "Live Stream",
"excerpt": "Live Stream information currently unavailable.",
"link": "/radio",
"featImg": "",
"label": {
"name": "KQED Live",
"link": "/"
}
},
"stream_kqedNewscast": {
"type": "posts",
"id": "stream_kqedNewscast",
"audioUrl": "https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1",
"title": "KQED Newscast",
"featImg": "",
"label": {
"name": "88.5 FM",
"link": "/"
}
},
"stateofhealth_8158": {
"type": "posts",
"id": "stateofhealth_8158",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "8158",
"score": null,
"sort": [
1345663427000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1345663427,
"format": "aside",
"disqusTitle": "Who Should Pay for Lung Cancer Screening?",
"title": "Who Should Pay for Lung Cancer Screening?",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_8222\" class=\"wp-caption alignleft\" style=\"max-width: 277px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/CTmachine_Flickr_DerekKMiller.jpg\">\u003cimg class=\"size-medium wp-image-8222\" title=\"A CT imaging system. (Derek K. Miller: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/CTmachine_Flickr_DerekKMiller-300x324.jpg\" alt=\"A CT imaging system. (Derek K. Miller: Flickr)\" width=\"277\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">CT imaging system. (Derek K. Miller: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Looking for unique ways to spend your money? Straight outta Compton this week, an announcement: CT scans available at a local medical center for people who are at risk for lung cancer. Cost is $295.\u003c/p>\n\u003cp>Or, if you live near San Jose, you can walk into a free-standing imaging center that will charge you $349, but according to the center's website, “check for promotional pricing.” The private imaging center started offering this test six years ago, even though the test was only validated by the medical community last year.\u003c/p>\n\u003cp>\u003cspan style=\"color: #333333\">CT -- Computed Tomography -- is a type of powerful X-ray that makes 3-D images. It has been successfully used since the 1970s to visualize structures inside the body, including abnormalities like tumors. These exams are usually painless.\u003c/span>\u003c/p>\n\u003cp>Only some insurers cover the scan. The rush to provide the test was reignited in June with the publication in JAMA of \u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=1163892\" target=\"_blank\">findings\u003c/a> from several studies. There was good news, for sure: as previously reported the National Lung Screening Trial (NLST) showed that lung cancer deaths could be reduced by 20 percent by screening people at high risk -- mostly those with a serious cigarette addiction.\u003c!--more-->\u003c/p>\n\u003cp>But the report also contained caution. The test can only be assumed helpful for high risk individuals -- those over 55 who have smoked the equivalent of a pack a day for 30 years. Those who choose the test should understand the potential risks, including radiation exposure from the CT. The radiation from a CT scan causes problems of its own.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cspan style=\"color: #333333\">According to the \u003ca href=\"http://www.radiologyinfo.org/en/safety/index.cfm?pg=sfty_xray\">\u003cspan style=\"color: #333333\">American College of Radiology\u003c/span>\u003c/a>, the test delivers approximately the same amount of radiation a person gets from the sun in 2 years and could cause one additional fatal cancer for each thousand people tested.\u003c/span>\u003c/p>\n\u003cp>As with most cancer screening, the risks also include a false positive scan, which can result in a fearful, anxious patient. The imaging may reveal other, unexpected concerns outside the lung. Either of those results can lead to invasive follow up procedures, such as biopsy -- “a significant risk” for patients, said \u003ca href=\"http://people.healthsciences.ucla.edu/institution/personnel?personnel_id=8390\" target=\"_blank\">UCLA Radiology Professor Denise Aberle\u003c/a> in an interview. Aberle was one of a handful of authors of the NLST results \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMoa1102873#t=articleBackground\" target=\"_blank\">reported in NEJM\u003c/a> last year.\u003c/p>\n\u003cp>The magnitude of the problem creates tremendous pressure for solutions. Lung cancer kills \u003ca href=\"http://www.cancer.org/acs/groups/content/@epidemiologysurveilance/documents/document/acspc-032011.pdf\" target=\"_blank\">23 percent of Californians\u003c/a> who die of cancer. Since most people with early stage lung cancer don’t suspect a thing, until now the disease has been diagnosed almost exclusively in its late stages. This is particularly true among people of lower socio-economic status. Despite lower smoking rates, African Americans are \u003ca href=\"http://www.lung.org/about-us/our-impact/top-stories/african-americans-and-lung-cancer.html\" target=\"_blank\">more likely\u003c/a> to die of lung cancer than whites, for example.\u003c/p>\n\u003cp>The cost of a spiral CT, according to the \u003ca href=\"http://www.nationallungcancerpartnership.org/lung-cancer-info/lung-cancer-facts/screening-faqs\" target=\"_blank\">National Lung Cancer Partnership\u003c/a>, “varies but is usually in the range of $300 to $500 and Medicare may not currently pay for this test “because the guidelines are so new.”\u003c/p>\n\u003cp>But Medicare may not cover this test for another reason, too: the value of the test is still controversial to policy makers who must consider the health of whole populations. Some limitations of the NLST may mean the data is not perfectly applicable to the real world.\u003c/p>\n\u003cp>Still, the Department of Veterans Affairs (VA), for example, has agreed to move forward on CT screening for veterans at high risk for lung cancer – a move Aberle supports. But if Medicare and other commercial insurers do not cover the cost of the test only people who can pay out of pocket will get it. People without means to pay for the test “will be disproportionately adversely affected by lung cancer,” Aberle said.\u003c/p>\n\u003cp>With budgets already strained, the policy decisions about coverage for CT lung cancer screening will be complicated. Lung cancer is stigmatized, in part because much of lung cancer is preventable. And California’s efforts to reduce smoking were given a poor grade last year by the \u003ca href=\"http://www.stateoftobaccocontrol.org/state-grades/california/grade-summary.html\">American Lung Association\u003c/a>, indicating substantial room for improvement.\u003c/p>\n\u003cp>\u003ca href=\"http://profiles.ucsf.edu/ProfileDetails.aspx?Person=5351029\" target=\"_blank\">UCSF Radiology Professor Rebecca Smith-Bindman\u003c/a> examined the NLST data and is one author of the JAMA paper. In an email, she said the decision about whether or not CT lung cancer screening should be a covered expense is a discussion that “needs to weigh the benefits and costs and competing demands. … If the goal was to reduce lung cancer deaths, probably investing in smoking cessation would be much more effective.”\u003c/p>\n\u003cp>Aberle believes both approaches are necessary. “We will have a hugely missed opportunity if screening is not 'tied at the waist' with smoking cessation,” she said. \"That’s a powerful combination.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003cstrong>This post was updated to show that some insurers cover the test. Prior versions of this post had indicated that only the VA covered the test.\u003c/strong>\u003c/em>\u003c/p>\n\n",
"disqusIdentifier": "8158 http://blogs.kqed.org/stateofhealth/?p=8158",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/08/22/who-should-pay-for-lung-cancer-screening/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 819,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 17
},
"modified": 1345850946,
"excerpt": null,
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Looking for unique ways to spend your money? Straight outta Compton this week, an announcement: CT scans available at a local medical center for people who are at risk for lung cancer. Cost is $295. Or, if you live near San Jose, you can walk into a free-standing imaging center that will charge you $349,",
"title": "Who Should Pay for Lung Cancer Screening? | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Who Should Pay for Lung Cancer Screening?",
"datePublished": "2012-08-22T12:23:47-07:00",
"dateModified": "2012-08-24T16:29:06-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "who-should-pay-for-lung-cancer-screening",
"status": "publish",
"path": "/stateofhealth/8158/who-should-pay-for-lung-cancer-screening",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_8222\" class=\"wp-caption alignleft\" style=\"max-width: 277px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/CTmachine_Flickr_DerekKMiller.jpg\">\u003cimg class=\"size-medium wp-image-8222\" title=\"A CT imaging system. (Derek K. Miller: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/CTmachine_Flickr_DerekKMiller-300x324.jpg\" alt=\"A CT imaging system. (Derek K. Miller: Flickr)\" width=\"277\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">CT imaging system. (Derek K. Miller: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Looking for unique ways to spend your money? Straight outta Compton this week, an announcement: CT scans available at a local medical center for people who are at risk for lung cancer. Cost is $295.\u003c/p>\n\u003cp>Or, if you live near San Jose, you can walk into a free-standing imaging center that will charge you $349, but according to the center's website, “check for promotional pricing.” The private imaging center started offering this test six years ago, even though the test was only validated by the medical community last year.\u003c/p>\n\u003cp>\u003cspan style=\"color: #333333\">CT -- Computed Tomography -- is a type of powerful X-ray that makes 3-D images. It has been successfully used since the 1970s to visualize structures inside the body, including abnormalities like tumors. These exams are usually painless.\u003c/span>\u003c/p>\n\u003cp>Only some insurers cover the scan. The rush to provide the test was reignited in June with the publication in JAMA of \u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=1163892\" target=\"_blank\">findings\u003c/a> from several studies. There was good news, for sure: as previously reported the National Lung Screening Trial (NLST) showed that lung cancer deaths could be reduced by 20 percent by screening people at high risk -- mostly those with a serious cigarette addiction.\u003c!--more-->\u003c/p>\n\u003cp>But the report also contained caution. The test can only be assumed helpful for high risk individuals -- those over 55 who have smoked the equivalent of a pack a day for 30 years. Those who choose the test should understand the potential risks, including radiation exposure from the CT. The radiation from a CT scan causes problems of its own.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"color: #333333\">According to the \u003ca href=\"http://www.radiologyinfo.org/en/safety/index.cfm?pg=sfty_xray\">\u003cspan style=\"color: #333333\">American College of Radiology\u003c/span>\u003c/a>, the test delivers approximately the same amount of radiation a person gets from the sun in 2 years and could cause one additional fatal cancer for each thousand people tested.\u003c/span>\u003c/p>\n\u003cp>As with most cancer screening, the risks also include a false positive scan, which can result in a fearful, anxious patient. The imaging may reveal other, unexpected concerns outside the lung. Either of those results can lead to invasive follow up procedures, such as biopsy -- “a significant risk” for patients, said \u003ca href=\"http://people.healthsciences.ucla.edu/institution/personnel?personnel_id=8390\" target=\"_blank\">UCLA Radiology Professor Denise Aberle\u003c/a> in an interview. Aberle was one of a handful of authors of the NLST results \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMoa1102873#t=articleBackground\" target=\"_blank\">reported in NEJM\u003c/a> last year.\u003c/p>\n\u003cp>The magnitude of the problem creates tremendous pressure for solutions. Lung cancer kills \u003ca href=\"http://www.cancer.org/acs/groups/content/@epidemiologysurveilance/documents/document/acspc-032011.pdf\" target=\"_blank\">23 percent of Californians\u003c/a> who die of cancer. Since most people with early stage lung cancer don’t suspect a thing, until now the disease has been diagnosed almost exclusively in its late stages. This is particularly true among people of lower socio-economic status. Despite lower smoking rates, African Americans are \u003ca href=\"http://www.lung.org/about-us/our-impact/top-stories/african-americans-and-lung-cancer.html\" target=\"_blank\">more likely\u003c/a> to die of lung cancer than whites, for example.\u003c/p>\n\u003cp>The cost of a spiral CT, according to the \u003ca href=\"http://www.nationallungcancerpartnership.org/lung-cancer-info/lung-cancer-facts/screening-faqs\" target=\"_blank\">National Lung Cancer Partnership\u003c/a>, “varies but is usually in the range of $300 to $500 and Medicare may not currently pay for this test “because the guidelines are so new.”\u003c/p>\n\u003cp>But Medicare may not cover this test for another reason, too: the value of the test is still controversial to policy makers who must consider the health of whole populations. Some limitations of the NLST may mean the data is not perfectly applicable to the real world.\u003c/p>\n\u003cp>Still, the Department of Veterans Affairs (VA), for example, has agreed to move forward on CT screening for veterans at high risk for lung cancer – a move Aberle supports. But if Medicare and other commercial insurers do not cover the cost of the test only people who can pay out of pocket will get it. People without means to pay for the test “will be disproportionately adversely affected by lung cancer,” Aberle said.\u003c/p>\n\u003cp>With budgets already strained, the policy decisions about coverage for CT lung cancer screening will be complicated. Lung cancer is stigmatized, in part because much of lung cancer is preventable. And California’s efforts to reduce smoking were given a poor grade last year by the \u003ca href=\"http://www.stateoftobaccocontrol.org/state-grades/california/grade-summary.html\">American Lung Association\u003c/a>, indicating substantial room for improvement.\u003c/p>\n\u003cp>\u003ca href=\"http://profiles.ucsf.edu/ProfileDetails.aspx?Person=5351029\" target=\"_blank\">UCSF Radiology Professor Rebecca Smith-Bindman\u003c/a> examined the NLST data and is one author of the JAMA paper. In an email, she said the decision about whether or not CT lung cancer screening should be a covered expense is a discussion that “needs to weigh the benefits and costs and competing demands. … If the goal was to reduce lung cancer deaths, probably investing in smoking cessation would be much more effective.”\u003c/p>\n\u003cp>Aberle believes both approaches are necessary. “We will have a hugely missed opportunity if screening is not 'tied at the waist' with smoking cessation,” she said. \"That’s a powerful combination.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003cstrong>This post was updated to show that some insurers cover the test. Prior versions of this post had indicated that only the VA covered the test.\u003c/strong>\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/8158/who-should-pay-for-lung-cancer-screening",
"authors": [
"8372"
],
"categories": [
"stateofhealth_14",
"stateofhealth_13"
],
"featImg": "stateofhealth_8222",
"label": "stateofhealth"
},
"stateofhealth_8191": {
"type": "posts",
"id": "stateofhealth_8191",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "8191",
"score": null,
"sort": [
1345654500000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1345654500,
"format": "aside",
"disqusTitle": "Lead in Eye Cosmetic -- and Other Kinds of Makeup",
"title": "Lead in Eye Cosmetic -- and Other Kinds of Makeup",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>By Joanna Lin, \u003ca title=\"http://californiawatch.org/dailyreport/health-officials-warn-lead-eye-cosmetic-17600\" href=\"http://californiawatch.org/dailyreport/health-officials-warn-lead-eye-cosmetic-17600\" target=\"_blank\">California Watch\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_8196\" class=\"wp-caption alignleft\" style=\"max-width: 255px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/girl-child-kohl-cosmetic.jpg\">\u003cimg class=\"size-full wp-image-8196\" title=\"A girl wears kohl around her eyes. Similar products are known in other languages as tiro and surma. (Photo: New York City Health Department)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/girl-child-kohl-cosmetic.jpg\" alt=\"A girl wears kohl around her eyes. Similar products are known in other languages as tiro and surma. (Photo: New York City Health Department)\" width=\"255\" height=\"192\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A girl wears kohl around her eyes. Similar products are known in other languages as tiro and surma. (Photo: New York City Health Department)\u003c/figcaption>\u003c/figure>\n\u003cp>After a Massachusetts doctor found high levels of lead in an infant's blood last year, hospital staff found no hazards in common sources of the toxic metal – paint at the family's home, residue from workplace exposure, kitchenware and diet. Instead, they identified an unusual culprit: makeup.\u003c/p>\n\u003cp>For months, three to four times a week, the family had applied a Nigerian cosmetic and folk remedy called \"tiro\" to the boy's eyelids. The amount of lead in the boy's blood -- 13 micrograms per deciliter -- was more than double the \u003ca href=\"http://www.usatoday.com/news/health/story/2012-05-16/cdc-blood-lead-level-standard/55005258/1\" target=\"_blank\">level of concern\u003c/a> set by the Centers for Disease Control and Prevention. A test revealed the cosmetic was 82.6 percent lead.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6130a3.htm?s_cid=mm6130a3_w\" target=\"_blank\">findings\u003c/a>, published earlier this month by the CDC, raise concerns about a product that certain immigrant populations often use but that health care providers rarely question as a source of lead exposure. The case is the first to the CDC's knowledge of an infant being poisoned by a cosmetic like tiro, said Jay Dempsey, the agency's health communications specialist.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Cosmetics are a little-known source of possible lead exposure\u003c/aside>\n\u003cp>\"We're recommending (that) health care providers and workers should ask about eye medications and cosmetics when seeking a source of exposure to lead in children that have been diagnosed with elevated lead levels – particularly if they're from an immigrant population,\" Dempsey said.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Lead can build up in the body and damage the nervous system and brain, kidneys and other major organs. There is no known safe level of lead, which can cause learning and behavior problems, seizures and death. Children are especially vulnerable because they absorb the toxin more easily, are still developing and often put their hands or objects that can be contaminated with lead in their mouths.\u003c/p>\n\u003cp>Born in the United States to Nigerian parents, the Massachusetts boy received tiro from a grandparent who had purchased the black powder from a street vendor in Kwara State, Nigeria. \u003ca href=\"http://www.fda.gov/Cosmetics/ProductandIngredientSafety/ProductInformation/ucm137250.htm\" target=\"_blank\">Similar products\u003c/a> are used in other parts of Africa, Asia and the Middle East, and are known in different languages as \"kohl,\" \"surma,\" \"kajal,\" \"tozali\" and \"kwalli.\"\u003c/p>\n\u003cp>In Nigeria, tiro is generally used on infants and by women for both cosmetic and medicinal purposes, Dr. Abdulsalami Nasidi, project director of the Nigeria Centre for Disease Control, said in an email. The product is used to cleanse eyes, beautify eyelids and improve eyesight.\u003c/p>\n\u003cp>In the United States, the Food and Drug Administration and various state and local health departments have published warnings about such products, most often identified as kohl or surma. Still, cosmetics are a little-known source of possible lead exposure, said Lisa Archer, campaign director of the Campaign for Safe Cosmetics, which has conducted tests that found \u003ca href=\"http://safecosmetics.org/article.php?id=223\" target=\"_blank\">lead in lipsticks\u003c/a>.\u003c/p>\n\u003cp>\"People just don't know -- they don't know that cosmetics could be dangerous,\" she said. \"They think that somebody's watching the aisle in the store, and in reality, that's just not the case.\"\u003c/p>\n\u003cp>It's unknown how widespread the use of tiro and similar products is in California.\u003cstrong> \u003c/strong>The California Department of Public Health estimates that cosmetics are involved in less than 5 percent of childhood lead poisoning cases in the state, according to a statement provided to California Watch by Dr. Rick Kreutzer, chief of the California Department of Public Health's environmental and occupational disease control division.\u003c/p>\n\u003cp>Some eyeliners and shadows use the word \"kohl\" to describe their black coloring but do not actually contain kohl; the FDA advises consumers to avoid products that do not list approved color additives in their ingredients.\u003c/p>\n\u003cp>Real kohl is illegal in the United States. But unlike the Consumer Product Safety Commission, which can issue mandatory recalls of lead-tainted toys and jewelry, the FDA does not have recall authority over cosmetics.\u003c/p>\n\u003cp>California's \u003ca href=\"http://www.cdph.ca.gov/programs/cosmetics/Pages/default.aspx\" target=\"_blank\">Safe Cosmetics Program\u003c/a> requires commercial vendors of cosmetics to report products that contain any amount of certain chemicals, including lead, that are known to cause cancer, or reproductive or developmental harm. But even if a vendor reports that a cosmetic contains harmful ingredients, the state cannot ban the product's sale, Kreutzer said.\u003c/p>\n\u003cp>The program has not received any reports of eye cosmetics containing lead, Kreutzer said. And among cases of childhood lead poisoning in California involving surma, which date back to 1993, none stemmed from commercial cosmetics. Surma and products like it are often brought into the country by individuals.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Massachusetts case is \"an example of the bigger problem where cosmetics are virtually unregulated in this country,\" Archer said. Still, she said, \"even if we had the best laws in the world, it might be challenging to keep this stuff out of people's homes.\"\u003c/p>\n\n",
"disqusIdentifier": "8191 http://blogs.kqed.org/stateofhealth/?p=8191",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/08/22/lead-in-eye-cosmetic-and-other-kinds-of-makeup/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 829,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 18
},
"modified": 1345654500,
"excerpt": "After a Massachusetts doctor found high levels of lead in an infant's blood last year, hospital staff found no hazards in common sources of the toxic metal – paint at the family's home, residue from workplace exposure, kitchenware and diet. Instead, they identified an unusual culprit: makeup.\r\n\r\nFor months, three to four times a week, the family had applied a Nigerian cosmetic and folk remedy called \"tiro\" to the boy's eyelids. The amount of lead in the boy's blood -- 13 micrograms per deciliter -- was more than double the level of concern set by the Centers for Disease Control and Prevention. A test revealed the cosmetic was 82.6 percent lead.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "After a Massachusetts doctor found high levels of lead in an infant's blood last year, hospital staff found no hazards in common sources of the toxic metal – paint at the family's home, residue from workplace exposure, kitchenware and diet. Instead, they identified an unusual culprit: makeup.\r\n\r\nFor months, three to four times a week, the family had applied a Nigerian cosmetic and folk remedy called "tiro" to the boy's eyelids. The amount of lead in the boy's blood -- 13 micrograms per deciliter -- was more than double the level of concern set by the Centers for Disease Control and Prevention. A test revealed the cosmetic was 82.6 percent lead.",
"title": "Lead in Eye Cosmetic -- and Other Kinds of Makeup | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Lead in Eye Cosmetic -- and Other Kinds of Makeup",
"datePublished": "2012-08-22T09:55:00-07:00",
"dateModified": "2012-08-22T09:55:00-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "lead-in-eye-cosmetic-and-other-kinds-of-makeup",
"status": "publish",
"path": "/stateofhealth/8191/lead-in-eye-cosmetic-and-other-kinds-of-makeup",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Joanna Lin, \u003ca title=\"http://californiawatch.org/dailyreport/health-officials-warn-lead-eye-cosmetic-17600\" href=\"http://californiawatch.org/dailyreport/health-officials-warn-lead-eye-cosmetic-17600\" target=\"_blank\">California Watch\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_8196\" class=\"wp-caption alignleft\" style=\"max-width: 255px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/girl-child-kohl-cosmetic.jpg\">\u003cimg class=\"size-full wp-image-8196\" title=\"A girl wears kohl around her eyes. Similar products are known in other languages as tiro and surma. (Photo: New York City Health Department)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/girl-child-kohl-cosmetic.jpg\" alt=\"A girl wears kohl around her eyes. Similar products are known in other languages as tiro and surma. (Photo: New York City Health Department)\" width=\"255\" height=\"192\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A girl wears kohl around her eyes. Similar products are known in other languages as tiro and surma. (Photo: New York City Health Department)\u003c/figcaption>\u003c/figure>\n\u003cp>After a Massachusetts doctor found high levels of lead in an infant's blood last year, hospital staff found no hazards in common sources of the toxic metal – paint at the family's home, residue from workplace exposure, kitchenware and diet. Instead, they identified an unusual culprit: makeup.\u003c/p>\n\u003cp>For months, three to four times a week, the family had applied a Nigerian cosmetic and folk remedy called \"tiro\" to the boy's eyelids. The amount of lead in the boy's blood -- 13 micrograms per deciliter -- was more than double the \u003ca href=\"http://www.usatoday.com/news/health/story/2012-05-16/cdc-blood-lead-level-standard/55005258/1\" target=\"_blank\">level of concern\u003c/a> set by the Centers for Disease Control and Prevention. A test revealed the cosmetic was 82.6 percent lead.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6130a3.htm?s_cid=mm6130a3_w\" target=\"_blank\">findings\u003c/a>, published earlier this month by the CDC, raise concerns about a product that certain immigrant populations often use but that health care providers rarely question as a source of lead exposure. The case is the first to the CDC's knowledge of an infant being poisoned by a cosmetic like tiro, said Jay Dempsey, the agency's health communications specialist.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Cosmetics are a little-known source of possible lead exposure\u003c/aside>\n\u003cp>\"We're recommending (that) health care providers and workers should ask about eye medications and cosmetics when seeking a source of exposure to lead in children that have been diagnosed with elevated lead levels – particularly if they're from an immigrant population,\" Dempsey said.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Lead can build up in the body and damage the nervous system and brain, kidneys and other major organs. There is no known safe level of lead, which can cause learning and behavior problems, seizures and death. Children are especially vulnerable because they absorb the toxin more easily, are still developing and often put their hands or objects that can be contaminated with lead in their mouths.\u003c/p>\n\u003cp>Born in the United States to Nigerian parents, the Massachusetts boy received tiro from a grandparent who had purchased the black powder from a street vendor in Kwara State, Nigeria. \u003ca href=\"http://www.fda.gov/Cosmetics/ProductandIngredientSafety/ProductInformation/ucm137250.htm\" target=\"_blank\">Similar products\u003c/a> are used in other parts of Africa, Asia and the Middle East, and are known in different languages as \"kohl,\" \"surma,\" \"kajal,\" \"tozali\" and \"kwalli.\"\u003c/p>\n\u003cp>In Nigeria, tiro is generally used on infants and by women for both cosmetic and medicinal purposes, Dr. Abdulsalami Nasidi, project director of the Nigeria Centre for Disease Control, said in an email. The product is used to cleanse eyes, beautify eyelids and improve eyesight.\u003c/p>\n\u003cp>In the United States, the Food and Drug Administration and various state and local health departments have published warnings about such products, most often identified as kohl or surma. Still, cosmetics are a little-known source of possible lead exposure, said Lisa Archer, campaign director of the Campaign for Safe Cosmetics, which has conducted tests that found \u003ca href=\"http://safecosmetics.org/article.php?id=223\" target=\"_blank\">lead in lipsticks\u003c/a>.\u003c/p>\n\u003cp>\"People just don't know -- they don't know that cosmetics could be dangerous,\" she said. \"They think that somebody's watching the aisle in the store, and in reality, that's just not the case.\"\u003c/p>\n\u003cp>It's unknown how widespread the use of tiro and similar products is in California.\u003cstrong> \u003c/strong>The California Department of Public Health estimates that cosmetics are involved in less than 5 percent of childhood lead poisoning cases in the state, according to a statement provided to California Watch by Dr. Rick Kreutzer, chief of the California Department of Public Health's environmental and occupational disease control division.\u003c/p>\n\u003cp>Some eyeliners and shadows use the word \"kohl\" to describe their black coloring but do not actually contain kohl; the FDA advises consumers to avoid products that do not list approved color additives in their ingredients.\u003c/p>\n\u003cp>Real kohl is illegal in the United States. But unlike the Consumer Product Safety Commission, which can issue mandatory recalls of lead-tainted toys and jewelry, the FDA does not have recall authority over cosmetics.\u003c/p>\n\u003cp>California's \u003ca href=\"http://www.cdph.ca.gov/programs/cosmetics/Pages/default.aspx\" target=\"_blank\">Safe Cosmetics Program\u003c/a> requires commercial vendors of cosmetics to report products that contain any amount of certain chemicals, including lead, that are known to cause cancer, or reproductive or developmental harm. But even if a vendor reports that a cosmetic contains harmful ingredients, the state cannot ban the product's sale, Kreutzer said.\u003c/p>\n\u003cp>The program has not received any reports of eye cosmetics containing lead, Kreutzer said. And among cases of childhood lead poisoning in California involving surma, which date back to 1993, none stemmed from commercial cosmetics. Surma and products like it are often brought into the country by individuals.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Massachusetts case is \"an example of the bigger problem where cosmetics are virtually unregulated in this country,\" Archer said. Still, she said, \"even if we had the best laws in the world, it might be challenging to keep this stuff out of people's homes.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/8191/lead-in-eye-cosmetic-and-other-kinds-of-makeup",
"authors": [
"240"
],
"categories": [
"stateofhealth_14"
],
"tags": [
"stateofhealth_96"
],
"featImg": "stateofhealth_8196",
"label": "stateofhealth"
},
"stateofhealth_8168": {
"type": "posts",
"id": "stateofhealth_8168",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "8168",
"score": null,
"sort": [
1345570777000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1345570777,
"format": "aside",
"disqusTitle": "Akin's Rape Remarks Refuted by Science, Supported in Anti-Abortion Circles",
"title": "Akin's Rape Remarks Refuted by Science, Supported in Anti-Abortion Circles",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_8176\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://www.youtube.com/watch?v=0mvrtluhURQ\">\u003cimg class=\"size-medium wp-image-8176\" title=\"Rep. Todd Akin in television interview Sunday, made remarks about rape.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/Screen-Shot-2012-08-21-at-10.29.44-AM-300x233.png\" alt=\"\" width=\"300\" height=\"233\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rep. Todd Akin in television interview Sunday, made remarks about rape and pregnancy.\u003c/figcaption>\u003c/figure>\n\u003cp>I'm sure you've all heard by now about Representative Todd Akin's statements about rape. (If not, you can \u003ca title=\"http://www.youtube.com/watch?v=0mvrtluhURQ\" href=\"http://www.youtube.com/watch?v=0mvrtluhURQ\" target=\"_blank\">watch here\u003c/a>.)\u003c/p>\n\u003cp>In less than 30 seconds of a television interview, he articulated two viewpoints that have riled just about everyone -- including many members of his own party.\u003c/p>\n\u003cp>First, he suggested that rape can be either legitimate or illegitimate. Second, he said that if a woman is a victim of the former, “the female body has ways to try to shut that whole thing down,\" and she will not get pregnant.\u003c/p>\n\u003cp>Today, in a \u003ca title=\"http://www.youtube.com/watch?v=R57E3S8RO7A\" href=\"http://www.youtube.com/watch?v=R57E3S8RO7A\" target=\"_blank\">new ad\u003c/a>, Representative Akin is asking forgiveness, saying he used the wrong words in the wrong way.\u003c/p>\n\u003cp>While I had thought this was one guy with a crazy idea, the\u003cem> New York Times\u003c/em> reports today that the idea rape cannot end in pregnancy has circulated in anti-abortion circles for more than 25 years.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>From the \u003ca title=\"http://www.nytimes.com/2012/08/21/us/politics/rape-assertions-are-dismissed-by-health-experts.html?_r=1&ref=health&pagewanted=print\" href=\"http://www.nytimes.com/2012/08/21/us/politics/rape-assertions-are-dismissed-by-health-experts.html?_r=1&ref=health&pagewanted=print\" target=\"_blank\">Times\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Dr. John C. Willke, a general practitioner with obstetric training and a former president of the National Right to Life Committee, was an early proponent of this view, articulating it in a book originally published in 1985 and again in a 1999 article. He reiterated it in an interview Monday.\u003c/p>\n\u003cp>“This is a traumatic thing — she’s, shall we say, she’s uptight,” Dr. Willke said of a woman being raped, adding, “She is frightened, tight, and so on. And sperm, if deposited in her vagina, are less likely to be able to fertilize. The tubes are spastic.”\u003c/p>\u003c/blockquote>\n\u003cp>Not surprisingly, most of the medical experts on reproductive health disagreed. The most succinct response came from Dr. Michael Green, a professor of obstetrics and gynecology at Harvard Medical School.\u003c/p>\n\u003cp>“There are no words for this — it is just nuts,” he told \u003cem>the Times.\u003c/em>\u003c/p>\n\u003cp>The \u003cem>Times\u003c/em> quotes other sources who basically say the same thing. But Dr. Willkie does have support from at least some in anti-abortion circles including an analyst with the conservative Christian group, the American Family Association.\u003c/p>\n\u003cp>\u003cem>The Huffington Post\u003c/em> looked at both the question of \"illegitimate\" vs. \"legitimate rape\" while refuting the idea that rape can somehow not lead to pregnancy. From \u003ca title=\"http://www.huffingtonpost.com/2012/08/20/akin-rape-remark-science-pregnancy_n_1811642.html?ir=Science\" href=\"http://www.huffingtonpost.com/2012/08/20/akin-rape-remark-science-pregnancy_n_1811642.html?ir=Science\" target=\"_blank\">HuffPost Science\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>\"Physiologically, if the sperm is in the vagina, a pregnancy can occur, regardless of the circumstances of how that sperm got there,\" said Dr. Melisa Holmes, an ob-gyn and founder of Girlology, an organization that promotes healthy sexuality and communication in families.\u003c/p>\n\u003cp>And though the anti-abortion Republican says he \"misspoke,\" Holmes says that Akin's remark also suggests that some rapes are not \"legitimate,\" and this continues a harmful misconception about \u003ca href=\"http://www.livescience.com/22039-domestic-violence-often-triggered-by-jealousy.html\">violence against women\u003c/a>.\u003c/p>\n\u003cp>\"A rape is a rape, and a woman has the same physical and emotional consequences whether she's raped by a stranger in a dark alley or someone she's known for five years,\" Holmes told LiveScience. \"That's one of those misperceptions that gets perpetuated and unfortunately affects women in a bad way — 'Were you really raped, or were you at fault for part of it?'\"\u003c/p>\n\u003cp>Perhaps Akin is correct in thinking it's not the easiest of tasks to get pregnant; that's why men don't ejaculate just one sperm and instead release nearly 100 million sperm.\u003c/p>\u003c/blockquote>\n\u003cp>Republican party big-wigs are calling for Akin to step down from the Missouri Senate race. He says he will not, but has only until 6pm ET to withdraw. After that, it would take a court order to remove his name from the ballot, \u003ca title=\"http://www.npr.org/templates/story/story.php?storyId=159476810\" href=\"http://www.npr.org/templates/story/story.php?storyId=159476810\" target=\"_blank\">AP reports\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>More:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Forum\u003c/em>: \u003ca title=\"http://www.kqed.org/a/forum/R201208210900\" href=\"http://www.kqed.org/a/forum/R201208210900\" target=\"_blank\">The Country Reacts to Akin's Abortion Comments\u003c/a>\u003c/p>\n\n",
"disqusIdentifier": "8168 http://blogs.kqed.org/stateofhealth/?p=8168",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/08/21/akins-rape-remarks-refuted-by-science-supported-in-anti-abortion-circles/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 621,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 21
},
"modified": 1345583934,
"excerpt": "I'm sure you've all heard by now about Representative Todd Akin's statements about rape. (If not, you can watch here.) There were two parts that have riled just about everyone: first, that rape can be either legitimate or illegitimate; second, that if a woman is a victim of the former, “the female body has ways to try to shut that whole thing down,\" and she will not get pregnant.\r\n\r\nToday, in a new ad, Representative Akin is asking forgiveness, saying he used the wrong words in the wrong way.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "I'm sure you've all heard by now about Representative Todd Akin's statements about rape. (If not, you can watch here.) There were two parts that have riled just about everyone: first, that rape can be either legitimate or illegitimate; second, that if a woman is a victim of the former, “the female body has ways to try to shut that whole thing down," and she will not get pregnant.\r\n\r\nToday, in a new ad, Representative Akin is asking forgiveness, saying he used the wrong words in the wrong way.",
"title": "Akin's Rape Remarks Refuted by Science, Supported in Anti-Abortion Circles | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Akin's Rape Remarks Refuted by Science, Supported in Anti-Abortion Circles",
"datePublished": "2012-08-21T10:39:37-07:00",
"dateModified": "2012-08-21T14:18:54-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "akins-rape-remarks-refuted-by-science-supported-in-anti-abortion-circles",
"status": "publish",
"path": "/stateofhealth/8168/akins-rape-remarks-refuted-by-science-supported-in-anti-abortion-circles",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_8176\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://www.youtube.com/watch?v=0mvrtluhURQ\">\u003cimg class=\"size-medium wp-image-8176\" title=\"Rep. Todd Akin in television interview Sunday, made remarks about rape.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/Screen-Shot-2012-08-21-at-10.29.44-AM-300x233.png\" alt=\"\" width=\"300\" height=\"233\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rep. Todd Akin in television interview Sunday, made remarks about rape and pregnancy.\u003c/figcaption>\u003c/figure>\n\u003cp>I'm sure you've all heard by now about Representative Todd Akin's statements about rape. (If not, you can \u003ca title=\"http://www.youtube.com/watch?v=0mvrtluhURQ\" href=\"http://www.youtube.com/watch?v=0mvrtluhURQ\" target=\"_blank\">watch here\u003c/a>.)\u003c/p>\n\u003cp>In less than 30 seconds of a television interview, he articulated two viewpoints that have riled just about everyone -- including many members of his own party.\u003c/p>\n\u003cp>First, he suggested that rape can be either legitimate or illegitimate. Second, he said that if a woman is a victim of the former, “the female body has ways to try to shut that whole thing down,\" and she will not get pregnant.\u003c/p>\n\u003cp>Today, in a \u003ca title=\"http://www.youtube.com/watch?v=R57E3S8RO7A\" href=\"http://www.youtube.com/watch?v=R57E3S8RO7A\" target=\"_blank\">new ad\u003c/a>, Representative Akin is asking forgiveness, saying he used the wrong words in the wrong way.\u003c/p>\n\u003cp>While I had thought this was one guy with a crazy idea, the\u003cem> New York Times\u003c/em> reports today that the idea rape cannot end in pregnancy has circulated in anti-abortion circles for more than 25 years.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>From the \u003ca title=\"http://www.nytimes.com/2012/08/21/us/politics/rape-assertions-are-dismissed-by-health-experts.html?_r=1&ref=health&pagewanted=print\" href=\"http://www.nytimes.com/2012/08/21/us/politics/rape-assertions-are-dismissed-by-health-experts.html?_r=1&ref=health&pagewanted=print\" target=\"_blank\">Times\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Dr. John C. Willke, a general practitioner with obstetric training and a former president of the National Right to Life Committee, was an early proponent of this view, articulating it in a book originally published in 1985 and again in a 1999 article. He reiterated it in an interview Monday.\u003c/p>\n\u003cp>“This is a traumatic thing — she’s, shall we say, she’s uptight,” Dr. Willke said of a woman being raped, adding, “She is frightened, tight, and so on. And sperm, if deposited in her vagina, are less likely to be able to fertilize. The tubes are spastic.”\u003c/p>\u003c/blockquote>\n\u003cp>Not surprisingly, most of the medical experts on reproductive health disagreed. The most succinct response came from Dr. Michael Green, a professor of obstetrics and gynecology at Harvard Medical School.\u003c/p>\n\u003cp>“There are no words for this — it is just nuts,” he told \u003cem>the Times.\u003c/em>\u003c/p>\n\u003cp>The \u003cem>Times\u003c/em> quotes other sources who basically say the same thing. But Dr. Willkie does have support from at least some in anti-abortion circles including an analyst with the conservative Christian group, the American Family Association.\u003c/p>\n\u003cp>\u003cem>The Huffington Post\u003c/em> looked at both the question of \"illegitimate\" vs. \"legitimate rape\" while refuting the idea that rape can somehow not lead to pregnancy. From \u003ca title=\"http://www.huffingtonpost.com/2012/08/20/akin-rape-remark-science-pregnancy_n_1811642.html?ir=Science\" href=\"http://www.huffingtonpost.com/2012/08/20/akin-rape-remark-science-pregnancy_n_1811642.html?ir=Science\" target=\"_blank\">HuffPost Science\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>\"Physiologically, if the sperm is in the vagina, a pregnancy can occur, regardless of the circumstances of how that sperm got there,\" said Dr. Melisa Holmes, an ob-gyn and founder of Girlology, an organization that promotes healthy sexuality and communication in families.\u003c/p>\n\u003cp>And though the anti-abortion Republican says he \"misspoke,\" Holmes says that Akin's remark also suggests that some rapes are not \"legitimate,\" and this continues a harmful misconception about \u003ca href=\"http://www.livescience.com/22039-domestic-violence-often-triggered-by-jealousy.html\">violence against women\u003c/a>.\u003c/p>\n\u003cp>\"A rape is a rape, and a woman has the same physical and emotional consequences whether she's raped by a stranger in a dark alley or someone she's known for five years,\" Holmes told LiveScience. \"That's one of those misperceptions that gets perpetuated and unfortunately affects women in a bad way — 'Were you really raped, or were you at fault for part of it?'\"\u003c/p>\n\u003cp>Perhaps Akin is correct in thinking it's not the easiest of tasks to get pregnant; that's why men don't ejaculate just one sperm and instead release nearly 100 million sperm.\u003c/p>\u003c/blockquote>\n\u003cp>Republican party big-wigs are calling for Akin to step down from the Missouri Senate race. He says he will not, but has only until 6pm ET to withdraw. After that, it would take a court order to remove his name from the ballot, \u003ca title=\"http://www.npr.org/templates/story/story.php?storyId=159476810\" href=\"http://www.npr.org/templates/story/story.php?storyId=159476810\" target=\"_blank\">AP reports\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>More:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Forum\u003c/em>: \u003ca title=\"http://www.kqed.org/a/forum/R201208210900\" href=\"http://www.kqed.org/a/forum/R201208210900\" target=\"_blank\">The Country Reacts to Akin's Abortion Comments\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/8168/akins-rape-remarks-refuted-by-science-supported-in-anti-abortion-circles",
"authors": [
"240"
],
"categories": [
"stateofhealth_14"
],
"tags": [
"stateofhealth_349"
],
"featImg": "stateofhealth_8176",
"label": "stateofhealth"
},
"stateofhealth_8120": {
"type": "posts",
"id": "stateofhealth_8120",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "8120",
"score": null,
"sort": [
1345229772000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1345229772,
"format": "aside",
"disqusTitle": "Hospital Policies Dramatically Improve Breastfeeding Rates",
"title": "Hospital Policies Dramatically Improve Breastfeeding Rates",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>By Alice Daniel, \u003ca title=\"http://www.californiahealthline.org/features/2012/tulare-county-hospital-takes-big-steps-to-promote-breastfeeding.aspx\" href=\"http://www.californiahealthline.org/features/2012/tulare-county-hospital-takes-big-steps-to-promote-breastfeeding.aspx\" target=\"_blank\">California Healthline\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_8125\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/Breastfeeding_fikirbaz_flickr.jpg\">\u003cimg class=\"size-medium wp-image-8125\" title=\"(fikirbaz: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/Breastfeeding_fikirbaz_flickr-300x199.jpg\" alt=\"(fikirbaz: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(fikirbaz: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Patti McCowan was fairly new to her job as director of perinatal and pediatric services at Tulare Regional Medical Center when statistics came out showing the hospital had the worst rate in the county for exclusive breastfeeding.\u003c/p>\n\u003cp>That was four years ago and only 15 percent of new mothers were exclusively breastfeeding -- meaning they weren't giving their infants any supplemental formula -- while in the hospital. But 80 percent of women coming in to give birth said their goal was to breastfeed exclusively, McGowan says.\u003c/p>\n\u003cp>\"We were not doing something right,\" said McCowan. \"We were letting 65 percent [of babies] have a bottle. We realized something had to be done.\"\u003c/p>\n\u003cp>Jump ahead to 2012, and Tulare Regional Medical Center has one of the highest rates for exclusive breastfeeding in the Central Valley-- nearly 62 percent, according to the California Department of Public Health -- and the highest in Tulare County.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The county's other two hospitals had much lower exclusive breastfeeding rates; one was 27.9%, the other was 38.5%.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>Changing Policies and Procedures\u003c/strong>\u003c/p>\n\u003cp>Much of Tulare Regional Medical Center's increased rate is due to an overhaul in policies and procedures, said McCowan.\u003c/p>\n\u003cp>The hospital started by sending its obstetrics and gynecology team to a breastfeeding seminar called Birth and Beyond California. Once the medical staff all had the same training, they could offer uniform advice to mothers.\u003c/p>\n\u003cp>Previously, said McCowan, a nurse or a doctor might speak from personal experience instead of objectively offering information on breastfeeding. \"Now we all get the same education and we all educate in the same way,\" she said.\u003c/p>\n\u003cp>A quality assurance team also looked at hospital policies to see which ones needed to be changed or updated to better promote breastfeeding.\u003c/p>\n\u003cp>For instance, nurses no longer give out pacifiers or offer a bottle to a baby just because the mother wants to rest or take a nap. \"That's not the right reason to give a bottle,\" said McCowan. Pacifiers aren't handed out because \"you don't want new babies sucking on something artificial. Any baby awake enough to be sucking needs to be nursing.\"\u003c/p>\n\u003cp>One thing hospital staff members have learned, said McCowan, is \"if you give mothers the right information, they will make the right choice.\"\u003c/p>\n\u003cp>Another policy change was the establishment of skin-to-skin bonding during what is called the \"golden hour.\"\u003c/p>\n\u003cp>\"The first hour after a baby is born, we let the family in to say hello, then have them leave and put the baby on the mother skin-to-skin so they have that attachment and bonding that's so important,\" said McCowan. She said most infants, if allowed, will breastfeed on their own in an hour or two.\u003c/p>\n\u003cp>The Affordable Care Act also supports breastfeeding mothers. As of Aug. 1, new or renewing health insurance plans now must cover certain preventive services, including breastfeeding counseling, for women at no out-of-pocket cost.\u003c/p>\n\u003cp>The Tulare program already has two full-time lactation nurses on staff, a strong ratio for a smaller regional hospital delivering approximately 100 infants a month.\u003c/p>\n\u003cp>\u003cstrong>Partnerships\u003c/strong>\u003c/p>\n\u003cp>The hospital also partnered with First 5 Tulare County, a group focused on children's health, to increase its breastfeeding rates. The Tulare County Women, Infants and Children (WIC) program worked with Tulare Regional to help women continue to breastfeed after leaving the hospital.\u003c/p>\n\u003cp>\"Tulare Regional Medical Center has made amazing progress,\" said Linda Sward, a breastfeeding/nutrition education coordinator with Tulare WIC who also is the Tulare County Breastfeeding Coalition chairperson.\u003c/p>\n\u003cp>Sward said the medical center's program is effective because of the major policy shifts that took place to promote breastfeeding as well as the number of people, including the two lactation consultants, trained to assist in breastfeeding. \"They really help the mothers. There are people with real skills there six days a week,\" she said. \"It really, really has come a long way.\"\u003c/p>\n\u003cp>In January 2011, the California Women, Infants and Children Association recognized Tulare Regional Medical Center as a leader in promoting and improving breastfeeding rates in the state of California.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
"disqusIdentifier": "8120 http://blogs.kqed.org/stateofhealth/?p=8120",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/08/17/hospital-policies-dramatically-improve-breastfeeding-rates/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 691,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 24
},
"modified": 1345502463,
"excerpt": "Patti McCowan was fairly new to her job as director of perinatal and pediatric services at Tulare Regional Medical Center when statistics came out showing the hospital had the worst rate in the county for exclusive breastfeeding.\r\n\r\nThat was four years ago and only 15 percent of new mothers were exclusively breastfeeding -- meaning they weren't giving their infants any supplemental formula -- while in the hospital. But 80 percent of women coming in to give birth said their goal was to breastfeed exclusively, McGowan says.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Patti McCowan was fairly new to her job as director of perinatal and pediatric services at Tulare Regional Medical Center when statistics came out showing the hospital had the worst rate in the county for exclusive breastfeeding.\r\n\r\nThat was four years ago and only 15 percent of new mothers were exclusively breastfeeding -- meaning they weren't giving their infants any supplemental formula -- while in the hospital. But 80 percent of women coming in to give birth said their goal was to breastfeed exclusively, McGowan says.",
"title": "Hospital Policies Dramatically Improve Breastfeeding Rates | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Hospital Policies Dramatically Improve Breastfeeding Rates",
"datePublished": "2012-08-17T11:56:12-07:00",
"dateModified": "2012-08-20T15:41:03-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "hospital-policies-dramatically-improve-breastfeeding-rates",
"status": "publish",
"path": "/stateofhealth/8120/hospital-policies-dramatically-improve-breastfeeding-rates",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Alice Daniel, \u003ca title=\"http://www.californiahealthline.org/features/2012/tulare-county-hospital-takes-big-steps-to-promote-breastfeeding.aspx\" href=\"http://www.californiahealthline.org/features/2012/tulare-county-hospital-takes-big-steps-to-promote-breastfeeding.aspx\" target=\"_blank\">California Healthline\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_8125\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/Breastfeeding_fikirbaz_flickr.jpg\">\u003cimg class=\"size-medium wp-image-8125\" title=\"(fikirbaz: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/Breastfeeding_fikirbaz_flickr-300x199.jpg\" alt=\"(fikirbaz: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(fikirbaz: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Patti McCowan was fairly new to her job as director of perinatal and pediatric services at Tulare Regional Medical Center when statistics came out showing the hospital had the worst rate in the county for exclusive breastfeeding.\u003c/p>\n\u003cp>That was four years ago and only 15 percent of new mothers were exclusively breastfeeding -- meaning they weren't giving their infants any supplemental formula -- while in the hospital. But 80 percent of women coming in to give birth said their goal was to breastfeed exclusively, McGowan says.\u003c/p>\n\u003cp>\"We were not doing something right,\" said McCowan. \"We were letting 65 percent [of babies] have a bottle. We realized something had to be done.\"\u003c/p>\n\u003cp>Jump ahead to 2012, and Tulare Regional Medical Center has one of the highest rates for exclusive breastfeeding in the Central Valley-- nearly 62 percent, according to the California Department of Public Health -- and the highest in Tulare County.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The county's other two hospitals had much lower exclusive breastfeeding rates; one was 27.9%, the other was 38.5%.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>Changing Policies and Procedures\u003c/strong>\u003c/p>\n\u003cp>Much of Tulare Regional Medical Center's increased rate is due to an overhaul in policies and procedures, said McCowan.\u003c/p>\n\u003cp>The hospital started by sending its obstetrics and gynecology team to a breastfeeding seminar called Birth and Beyond California. Once the medical staff all had the same training, they could offer uniform advice to mothers.\u003c/p>\n\u003cp>Previously, said McCowan, a nurse or a doctor might speak from personal experience instead of objectively offering information on breastfeeding. \"Now we all get the same education and we all educate in the same way,\" she said.\u003c/p>\n\u003cp>A quality assurance team also looked at hospital policies to see which ones needed to be changed or updated to better promote breastfeeding.\u003c/p>\n\u003cp>For instance, nurses no longer give out pacifiers or offer a bottle to a baby just because the mother wants to rest or take a nap. \"That's not the right reason to give a bottle,\" said McCowan. Pacifiers aren't handed out because \"you don't want new babies sucking on something artificial. Any baby awake enough to be sucking needs to be nursing.\"\u003c/p>\n\u003cp>One thing hospital staff members have learned, said McCowan, is \"if you give mothers the right information, they will make the right choice.\"\u003c/p>\n\u003cp>Another policy change was the establishment of skin-to-skin bonding during what is called the \"golden hour.\"\u003c/p>\n\u003cp>\"The first hour after a baby is born, we let the family in to say hello, then have them leave and put the baby on the mother skin-to-skin so they have that attachment and bonding that's so important,\" said McCowan. She said most infants, if allowed, will breastfeed on their own in an hour or two.\u003c/p>\n\u003cp>The Affordable Care Act also supports breastfeeding mothers. As of Aug. 1, new or renewing health insurance plans now must cover certain preventive services, including breastfeeding counseling, for women at no out-of-pocket cost.\u003c/p>\n\u003cp>The Tulare program already has two full-time lactation nurses on staff, a strong ratio for a smaller regional hospital delivering approximately 100 infants a month.\u003c/p>\n\u003cp>\u003cstrong>Partnerships\u003c/strong>\u003c/p>\n\u003cp>The hospital also partnered with First 5 Tulare County, a group focused on children's health, to increase its breastfeeding rates. The Tulare County Women, Infants and Children (WIC) program worked with Tulare Regional to help women continue to breastfeed after leaving the hospital.\u003c/p>\n\u003cp>\"Tulare Regional Medical Center has made amazing progress,\" said Linda Sward, a breastfeeding/nutrition education coordinator with Tulare WIC who also is the Tulare County Breastfeeding Coalition chairperson.\u003c/p>\n\u003cp>Sward said the medical center's program is effective because of the major policy shifts that took place to promote breastfeeding as well as the number of people, including the two lactation consultants, trained to assist in breastfeeding. \"They really help the mothers. There are people with real skills there six days a week,\" she said. \"It really, really has come a long way.\"\u003c/p>\n\u003cp>In January 2011, the California Women, Infants and Children Association recognized Tulare Regional Medical Center as a leader in promoting and improving breastfeeding rates in the state of California.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/8120/hospital-policies-dramatically-improve-breastfeeding-rates",
"authors": [
"8344"
],
"categories": [
"stateofhealth_11",
"stateofhealth_14"
],
"featImg": "stateofhealth_8125",
"label": "stateofhealth"
},
"stateofhealth_8077": {
"type": "posts",
"id": "stateofhealth_8077",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "8077",
"score": null,
"sort": [
1345141408000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1345141408,
"format": "aside",
"disqusTitle": "In Medicine, Don't Believe Everything You Know",
"title": "In Medicine, Don't Believe Everything You Know",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_8104\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/MedicalTextbooks_Pmccormi_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-8104\" title=\"(Pmccormi: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/MedicalTextbooks_Pmccormi_Flickr-300x225.jpg\" alt=\"(Pmccormi: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Pmccormi: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Eve Harris\u003c/strong>\u003c/p>\n\u003cp>How do you know your doctor is right? Ideally you and your doctor have a relationship based on trust. That is, you believe she knows the best options to recommend to you. \u003cem>You\u003c/em> may think your doctor is right, but -- how does \u003cem>your doctor \u003c/em>know she's right? We'd like to think physicians are relying on the latest evidence of medical practice. But not all physicians do that.\u003c/p>\n\u003cp>I recently joined in a robust, four-day discussion designed to address this issue at the \u003ca title=\"http://www.cochrane.org/news/tags/authors/14th-rocky-mountain-workshop-how-practice-evidence-based-health-care-steamboat-spr\" href=\"http://www.cochrane.org/news/tags/authors/14th-rocky-mountain-workshop-how-practice-evidence-based-health-care-steamboat-spr\" target=\"_blank\">14th Rocky Mountain Workshop on How to Practice Evidence-Based Health Care\u003c/a>. Doctors, policy makers and yes, journalists gathered to explore what many patients might have thought they were already getting: evidence-based health care, also called evidence based medicine.\u003c/p>\n\u003cp>In evidence based medicine, a hierarchy of evidence\u003cem> \u003c/em>guides decisions about patient care. But at the same time, evidence based medicine recognizes that \u003cem>evidence alone is not sufficient\u003c/em>. That's because treatment options come with risks, and different patients will react differently to different risks. It's not a simple matter of \"Drug X\" or \"Treatment Y\" has a five percent higher likelihood of success. If \"Treatment Y\" involves a risk or side effect a patient finds unacceptable, then this patient's preference is part of the decision process.\u003c/p>\n\u003cp>Decision makers \u003ca title=\"http://www.ncbi.nlm.nih.gov/pubmed/8963526\" href=\"http://www.ncbi.nlm.nih.gov/pubmed/8963526\" target=\"_blank\">must always acknowledge these trade offs\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>The emphasis on patients’ considerations makes evidence based medicine a patient-centered practice, ideal for the coming age of healthcare reform. It’s imperative that both providers and patients learn to properly evaluate their sources of medical information. Even tougher -- old habits die hard, as we all know. Earlier this year in the \u003ca title=\"http://jama.jamanetwork.com/article.aspx?articleid=1104821\" href=\"http://jama.jamanetwork.com/article.aspx?articleid=1104821\" target=\"_blank\">Journal of the American Medical Association\u003c/a>, Stanford professor \u003ca href=\"http://med.stanford.edu/profiles/John_Ioannidis/\">John Ioannidis\u003c/a> (and others) wrote of just how hard it is to reverse established medical practice:\u003c/p>\n\u003cblockquote>\u003cp>\u003cem>\u003c/em>Ideally, good medical practices are replaced by better ones, based on robust comparative trials in which new interventions outperform older ones and establish new standards of care. Often, however … what was thought to be beneficial was not. In these cases, it becomes apparent that clinicians, encouraged by professional societies and guidelines, have been using medications, procedures, or preventive measures in vain.\u003c/p>\u003c/blockquote>\n\u003cp>Factors beyond science -- including bias -- can alter the outcome of a study. They can even affect what research is conducted and published. Ioannidis is well known for exposing ways this happens and why it is harmful to patients and physicians.\u003c/p>\n\u003cp>One take-away from the workshop I particularly endorse came from the U.S. Preventive Services Task Force chair \u003ca href=\"http://www.uspreventiveservicestaskforce.org/tflongbios.htm\">Virginia Moyer\u003c/a>: researchers should stop designing research around outcomes that don't matter to patients! One example we discussed was bone density. What patients care about is preventing fractures. But studies looked at bone density, believing bone density was linked to fractures. Turns out it's not. In this case, studies that look at fractures are what's needed.\u003c/p>\n\u003cp>But overall it appears that patient perspectives and values are increasingly part of research design. The Patient Centered Outcomes Research Institute (PCORI) is funding innovative new studies. In a recent article, PCORI explains \"\u003ca href=\"http://www.pcori.org/blog/why-methods-matter/\" target=\"_blank\">Why Methods Matter\u003c/a>.\" Today, patients have more treatment options than ever, and changes in the way we receive our healthcare today – shorter hospital stays, for example -- may affect outcomes. So although difficult, it’s crucial for patients and providers to understand and use the most relevant information when making decisions.\u003c/p>\n\u003cp>Doctors and patients are making progress in defining and trying out new ways of communicating about treatment decisions. Achieving the best outcomes via this newer, more participatory practice of medicine requires attention not only to the evidence provided by high quality studies but also clinical judgment and the bottom line: patient values.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Eve Harris is a Bay Area writer. Check out her health blog, \u003ca href=\"http://eve-harris.blogspot.com/\">A Healthy Piece of My Mind\u003c/a>.\u003c/em>\u003c/p>\n\n",
"disqusIdentifier": "8077 http://blogs.kqed.org/stateofhealth/?p=8077",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/08/16/in-medicine-dont-believe-everything-you-know/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 650,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 15
},
"modified": 1345229814,
"excerpt": "How do you know your doctor is right? Ideally you and your doctor have a relationship based on trust. That is, you believe she knows the best options to recommend to you. You may think your doctor is right, but -- how does your doctor know she's right? We'd like to think physicians are relying on the latest evidence of medical practice. But not all physicians do that.\r\n\r\nI recently joined in a robust, four-day discussion designed to address this issue at the 14th Rocky Mountain Workshop on How to Practice Evidence-Based Health Care. Doctors, policy makers and yes, journalists gathered to explore what many patients might have thought they were already getting: evidence-based health care, or evidence based medicine.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "How do you know your doctor is right? Ideally you and your doctor have a relationship based on trust. That is, you believe she knows the best options to recommend to you. You may think your doctor is right, but -- how does your doctor know she's right? We'd like to think physicians are relying on the latest evidence of medical practice. But not all physicians do that.\r\n\r\nI recently joined in a robust, four-day discussion designed to address this issue at the 14th Rocky Mountain Workshop on How to Practice Evidence-Based Health Care. Doctors, policy makers and yes, journalists gathered to explore what many patients might have thought they were already getting: evidence-based health care, or evidence based medicine.",
"title": "In Medicine, Don't Believe Everything You Know | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "In Medicine, Don't Believe Everything You Know",
"datePublished": "2012-08-16T11:23:28-07:00",
"dateModified": "2012-08-17T11:56:54-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "in-medicine-dont-believe-everything-you-know",
"status": "publish",
"path": "/stateofhealth/8077/in-medicine-dont-believe-everything-you-know",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_8104\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/MedicalTextbooks_Pmccormi_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-8104\" title=\"(Pmccormi: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/MedicalTextbooks_Pmccormi_Flickr-300x225.jpg\" alt=\"(Pmccormi: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Pmccormi: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Eve Harris\u003c/strong>\u003c/p>\n\u003cp>How do you know your doctor is right? Ideally you and your doctor have a relationship based on trust. That is, you believe she knows the best options to recommend to you. \u003cem>You\u003c/em> may think your doctor is right, but -- how does \u003cem>your doctor \u003c/em>know she's right? We'd like to think physicians are relying on the latest evidence of medical practice. But not all physicians do that.\u003c/p>\n\u003cp>I recently joined in a robust, four-day discussion designed to address this issue at the \u003ca title=\"http://www.cochrane.org/news/tags/authors/14th-rocky-mountain-workshop-how-practice-evidence-based-health-care-steamboat-spr\" href=\"http://www.cochrane.org/news/tags/authors/14th-rocky-mountain-workshop-how-practice-evidence-based-health-care-steamboat-spr\" target=\"_blank\">14th Rocky Mountain Workshop on How to Practice Evidence-Based Health Care\u003c/a>. Doctors, policy makers and yes, journalists gathered to explore what many patients might have thought they were already getting: evidence-based health care, also called evidence based medicine.\u003c/p>\n\u003cp>In evidence based medicine, a hierarchy of evidence\u003cem> \u003c/em>guides decisions about patient care. But at the same time, evidence based medicine recognizes that \u003cem>evidence alone is not sufficient\u003c/em>. That's because treatment options come with risks, and different patients will react differently to different risks. It's not a simple matter of \"Drug X\" or \"Treatment Y\" has a five percent higher likelihood of success. If \"Treatment Y\" involves a risk or side effect a patient finds unacceptable, then this patient's preference is part of the decision process.\u003c/p>\n\u003cp>Decision makers \u003ca title=\"http://www.ncbi.nlm.nih.gov/pubmed/8963526\" href=\"http://www.ncbi.nlm.nih.gov/pubmed/8963526\" target=\"_blank\">must always acknowledge these trade offs\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>The emphasis on patients’ considerations makes evidence based medicine a patient-centered practice, ideal for the coming age of healthcare reform. It’s imperative that both providers and patients learn to properly evaluate their sources of medical information. Even tougher -- old habits die hard, as we all know. Earlier this year in the \u003ca title=\"http://jama.jamanetwork.com/article.aspx?articleid=1104821\" href=\"http://jama.jamanetwork.com/article.aspx?articleid=1104821\" target=\"_blank\">Journal of the American Medical Association\u003c/a>, Stanford professor \u003ca href=\"http://med.stanford.edu/profiles/John_Ioannidis/\">John Ioannidis\u003c/a> (and others) wrote of just how hard it is to reverse established medical practice:\u003c/p>\n\u003cblockquote>\u003cp>\u003cem>\u003c/em>Ideally, good medical practices are replaced by better ones, based on robust comparative trials in which new interventions outperform older ones and establish new standards of care. Often, however … what was thought to be beneficial was not. In these cases, it becomes apparent that clinicians, encouraged by professional societies and guidelines, have been using medications, procedures, or preventive measures in vain.\u003c/p>\u003c/blockquote>\n\u003cp>Factors beyond science -- including bias -- can alter the outcome of a study. They can even affect what research is conducted and published. Ioannidis is well known for exposing ways this happens and why it is harmful to patients and physicians.\u003c/p>\n\u003cp>One take-away from the workshop I particularly endorse came from the U.S. Preventive Services Task Force chair \u003ca href=\"http://www.uspreventiveservicestaskforce.org/tflongbios.htm\">Virginia Moyer\u003c/a>: researchers should stop designing research around outcomes that don't matter to patients! One example we discussed was bone density. What patients care about is preventing fractures. But studies looked at bone density, believing bone density was linked to fractures. Turns out it's not. In this case, studies that look at fractures are what's needed.\u003c/p>\n\u003cp>But overall it appears that patient perspectives and values are increasingly part of research design. The Patient Centered Outcomes Research Institute (PCORI) is funding innovative new studies. In a recent article, PCORI explains \"\u003ca href=\"http://www.pcori.org/blog/why-methods-matter/\" target=\"_blank\">Why Methods Matter\u003c/a>.\" Today, patients have more treatment options than ever, and changes in the way we receive our healthcare today – shorter hospital stays, for example -- may affect outcomes. So although difficult, it’s crucial for patients and providers to understand and use the most relevant information when making decisions.\u003c/p>\n\u003cp>Doctors and patients are making progress in defining and trying out new ways of communicating about treatment decisions. Achieving the best outcomes via this newer, more participatory practice of medicine requires attention not only to the evidence provided by high quality studies but also clinical judgment and the bottom line: patient values.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Eve Harris is a Bay Area writer. Check out her health blog, \u003ca href=\"http://eve-harris.blogspot.com/\">A Healthy Piece of My Mind\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/8077/in-medicine-dont-believe-everything-you-know",
"authors": [
"8372"
],
"categories": [
"stateofhealth_12",
"stateofhealth_14"
],
"tags": [
"stateofhealth_344",
"stateofhealth_236"
],
"featImg": "stateofhealth_8104",
"label": "stateofhealth"
},
"stateofhealth_8088": {
"type": "posts",
"id": "stateofhealth_8088",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "8088",
"score": null,
"sort": [
1345046850000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1345046850,
"format": "aside",
"disqusTitle": "Suburban Junkies",
"title": "Suburban Junkies",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>This morning, KQED's \u003cem>The California Report\u003c/em> aired \u003ca title=\"http://www.californiareport.org/archive/R201208150850/a\" href=\"http://www.californiareport.org/archive/R201208150850/a\" target=\"_blank\">its investigation\u003c/a> of young painkiller drug abusers who have turned to heroin. The problem seems to be hitting affluent California suburbs hardest. Today's story is part of a multi-media collaboration between KQED and \u003cem>California Watch\u003c/em> which includes this gripping video -- stories of addiction and lives lost.\u003c/p>\n\u003cp>\u003ciframe src=\"http://www.youtube.com/embed/uhgdZHPxYds\" frameborder=\"0\" width=\"560\" height=\"315\">\u003c/iframe>\u003c/p>\n\u003cp>More from \u003ca title=\"http://californiawatch.org/health-and-welfare/rise-young-painkiller-abusers-officials-see-more-heroin-overdoses-17550\" href=\"http://californiawatch.org/health-and-welfare/rise-young-painkiller-abusers-officials-see-more-heroin-overdoses-17550\" target=\"_blank\">California Watch\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
"disqusIdentifier": "8088 http://blogs.kqed.org/stateofhealth/?p=8088",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/08/15/suburban-junkies/",
"stats": {
"hasVideo": true,
"hasChartOrMap": true,
"hasAudio": false,
"hasPolis": false,
"wordCount": 63,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [
"http://www.youtube.com/embed/uhgdZHPxYds"
],
"paragraphCount": 5
},
"modified": 1345141510,
"excerpt": "This morning, KQED's The California Report aired its investigation of young painkiller drug abusers who are turning to heroin. The story is the result of a multi-media collaboration between KQED and California Watch which includes this gripping video -- stories of addiction and lives lost.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "This morning, KQED's The California Report aired its investigation of young painkiller drug abusers who are turning to heroin. The story is the result of a multi-media collaboration between KQED and California Watch which includes this gripping video -- stories of addiction and lives lost.",
"title": "Suburban Junkies | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Suburban Junkies",
"datePublished": "2012-08-15T09:07:30-07:00",
"dateModified": "2012-08-16T11:25:10-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "suburban-junkies",
"status": "publish",
"path": "/stateofhealth/8088/suburban-junkies",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>This morning, KQED's \u003cem>The California Report\u003c/em> aired \u003ca title=\"http://www.californiareport.org/archive/R201208150850/a\" href=\"http://www.californiareport.org/archive/R201208150850/a\" target=\"_blank\">its investigation\u003c/a> of young painkiller drug abusers who have turned to heroin. The problem seems to be hitting affluent California suburbs hardest. Today's story is part of a multi-media collaboration between KQED and \u003cem>California Watch\u003c/em> which includes this gripping video -- stories of addiction and lives lost.\u003c/p>\n\u003cp>\u003ciframe src=\"http://www.youtube.com/embed/uhgdZHPxYds\" frameborder=\"0\" width=\"560\" height=\"315\">\u003c/iframe>\u003c/p>\n\u003cp>More from \u003ca title=\"http://californiawatch.org/health-and-welfare/rise-young-painkiller-abusers-officials-see-more-heroin-overdoses-17550\" href=\"http://californiawatch.org/health-and-welfare/rise-young-painkiller-abusers-officials-see-more-heroin-overdoses-17550\" target=\"_blank\">California Watch\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/8088/suburban-junkies",
"authors": [
"240"
],
"categories": [
"stateofhealth_14"
],
"featImg": "stateofhealth_8095",
"label": "stateofhealth"
},
"stateofhealth_8062": {
"type": "posts",
"id": "stateofhealth_8062",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "8062",
"score": null,
"sort": [
1344874681000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1344874681,
"format": "aside",
"disqusTitle": "Paul Ryan's Plan for Medicare",
"title": "Paul Ryan's Plan for Medicare",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>By \u003ca href=\"http://www.kaiserhealthnews.org/Reporters/SerafiniM.aspx\">Marilyn Werber Serafini\u003c/a>, \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/August/11/faq-paul-ryan-house-republican-medicare-plan.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/August/11/faq-paul-ryan-house-republican-medicare-plan.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_8069\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/ryan-romney-300_WinMcNamee_Getty.jpg\">\u003cimg class=\"size-full wp-image-8069 \" title=\"Republican Presidential Candidate Mitt Romney Announces Rep. Paul Ryan As His Vice Presidential Pick\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/ryan-romney-300_WinMcNamee_Getty.jpg\" alt=\"Republican Presidential Candidate Mitt Romney Announces Rep. Paul Ryan As His Vice Presidential Pick\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Mitt Romney introduces Paul Ryan as his choice for running mate in Norfolk, Va., last Saturday. (Photo by Win McNamee/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Wisconsin Republican Paul Ryan, GOP presidential hopeful Mitt Romney’s choice for vice president, has provoked consternation from Democrats and anxiety among some congressional Republicans with his proposals to reshape Medicare.\u003c/p>\n\u003cp>The Republican-controlled House, along party lines, twice approved his proposals to overhaul the popular social insurance program for the elderly and disabled by giving beneficiaries a set amount of money every year to buy coverage from competing health plans. That is a fundamental shift from today’s program, where the federal government pays for as many services as beneficiaries use.\u003c/p>\n\u003cp>The proposals were never enacted because of opposition from the Democratic-controlled Senate and President Barack Obama.\u003c/p>\n\u003cp>This year, Democratic congressional candidates nationwide are making the protection of traditional Medicare a centerpiece of their campaigns, just as Republicans attacked them two years ago for curbing future Medicare spending as part of the 2010 health care law. Now, Democrats are hammering their GOP opponents for voting for Ryan’s proposals, which were included in the last two House budget resolutions.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Here is a guide to some of the issues and questions raised by Ryan's plan.\u003c/p>\n\u003cp>\u003cstrong>Q. What is Ryan’s latest Medicare plan?\u003c!--more-->\u003c/strong>\u003c/p>\n\u003cp>Ryan would gradually raise the eligibility age of Medicare from 65 to 67 by 2034, and cap its spending increases at half a percentage point higher than the growth rate of the economy, or the gross domestic product. Ryan’s plan would provide a set amount of money annually for future Medicare beneficiaries -- those currently under age 55 -- to be used to purchase either a private health plan, or the traditional government-administered program through a newly created Medicare exchange.\u003c/p>\n\u003cp>Under the proposal all plans, including traditional Medicare, would submit bids for how much they would charge to cover a beneficiary's health care costs. All plans would include a minimum set of benefits equal to the value of those in the traditional program. The government would pay the full premium for the private plan with the second lowest bid, or for traditional Medicare, whichever is lower. Beneficiaries would have to pay the difference if they chose a plan that set rates higher. There could be one less expensive plan option, and beneficiaries who chose it would get a rebate for the difference.\u003c/p>\n\u003cp>Private health plans would have to offer coverage that is at least actuarially equivalent to that offered in the traditional, government-administered plan. That means that while the benefits could vary, the value of the plan would have to be the same.\u003c/p>\n\u003cp>\u003cstrong>Q. So seniors could stay in the traditional, government-run Medicare program if they like?\u003c/strong>\u003c/p>\n\u003cp>Ryan says that is the case, but Democrats and some critics argue that the plan would so fundamentally alter Medicare that \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2012/March/09/GOP-Dilemma-What-To-Do-About-Medicare.aspx\" target=\"_blank\">it might no longer be a desirable – or affordable -- option.\u003c/a>\u003c/p>\n\u003cp>\"The real question is what it would cost,\" and whether seniors would pay more out of pocket than they do now, said Jonathan Gruber, an economist at the Massachusetts Institute of Technology. He cited the risk the government-run plan would attract the sickest people, driving up its costs, while private plans would lure the healthiest. In addition, medical providers could abandon the program if Medicare cut their reimbursement rates to curb costs.\u003c/p>\n\u003cp>\u003cstrong>Q. Would the changes apply to current seniors?\u003c/strong>\u003c/p>\n\u003cp>Ryan’s plan would apply only to those under age 55. Current Medicare beneficiaries and those nearing eligibility would continue to get Medicare as it exists today.\u003c/p>\n\u003cp>\u003cstrong>Q. Would seniors pay more under Ryan’s plan?\u003c/strong>\u003c/p>\n\u003cp>The Congressional Budget Office estimated that \u003ca href=\"http://www.kaiserhealthnews.org/stories/2011/april/06/cbo-seniors-pay-more-medicare-ryan-plan.aspx\" target=\"_blank\">Ryan's original proposal for 2012\u003c/a> would require a typical 65-year-old person to pay a lot more for Medicare by 2030. \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2012/March/20/ryan-budget-medicare-medicaid-republicans.aspx\" target=\"_blank\">His latest plan\u003c/a> is missing key details, however, so the CBO has been limited in its analysis of the impact.\u003c/p>\n\u003cp>Although Ryan would give future seniors the option of remaining in the traditional, government-run Medicare program, that program would have to compete with private plans. Critics predict that traditional Medicare could become unaffordable if it attracts the sickest people who require more health care and who, therefore, drive up the program’s costs.\u003c/p>\n\u003cp>\u003cstrong>Q. Ryan’s most recent plan is similar to one he co-authored with a Democrat last year. Does that mean it has bipartisan support?\u003c/strong>\u003c/p>\n\u003cp>No. Sen. Ron Wyden, D-Ore., did not endorse Ryan’s Medicare plan in the last House budget resolution. It is similar to a \u003ca href=\"http://www.kaiserhealthnews.org/stories/2011/december/15/wyden-ryan-medicare-plan.aspx\" target=\"_blank\">plan that the two wrote\u003c/a> together last year, but there is an important difference. The limit on federal spending per beneficiary was not as strict in the plan they wrote together: The two had placed the cap at GDP growth rate plus 1 percent. Also, no other Democrat supported their 2011 proposal.\u003c/p>\n\u003cp>\u003cstrong>Q. How do Ryan’s proposals compare to Democratic plans?\u003c/strong>\u003c/p>\n\u003cp>President Barack Obama and many Democrats have said they agree the federal government needs to restrain the growth of Medicare spending, but they seek to do it without making direct cuts to benefits. Democrats want to preserve the program’s defined benefit basis, meaning that the government will pay whatever it takes to cover a specified set of services. During budget deficit reduction negotiations in Washington, Obama proposed holding Medicare spending to half a percentage point higher than the growth rate of the economy. Romney later adopted the same cap.\u003c/p>\n\u003cp>As part of last year’s budget negotiations, Obama also proposed gradually raising the Medicare eligibility age – if Republicans agreed to revenue raising proposals. But no agreement was reached.\u003c/p>\n\u003cp>The health law tackles Medicare spending growth, in part, by creating an expert panel, called the Independent Payment Advisory Board (IPAB), which would be responsible for finding ways to reduce spending if Medicare grows at a higher rate than the target. But the board is not allowed to recommend anything that would ration care or that would change benefits, eligibility or cost sharing for Part A (hospital services) or Part B (physician services). It also couldn't do anything to change the percentage of premium that seniors pay for prescription drug coverage, or the subsidies that low-income individuals get. The expectation is that reductions would come from medical providers, although hospitals are protected at first.\u003c/p>\n\u003cp>\u003cstrong>Q. If both Obama and Ryan are proposing a target rate of GDP growth plus half a percentage point for Medicare, wouldn’t federal spending be the same under both scenarios?\u003c/strong>\u003c/p>\n\u003cp>There are \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2012/May/04/obama-ryan-controlling-federal-medicare-spending-faq.aspx\" target=\"_blank\">important differences\u003c/a>. Ryan's plan is a hard cap on federal spending. He would automatically lower Medicare spending so that it is below the trigger level.\u003c/p>\n\u003cp>Obama is proposing a target that might not bring federal spending down to that level. His proposal follows an effort in the 2010 health law to curb Medicare cost growth by tying the spending target to the Consumer Price Index in early years, and later on to the rate of GDP growth plus 1 percentage point. Now Obama is proposing to lower the target to the rate of GDP plus half a percentage point. If federal spending per Medicare beneficiary rises faster than that – a determination made by the Medicare actuary – then the expert panel must recommend cuts to Congress, which would go into effect unless lawmakers passed an alternative cost-cutting plan. The cuts would come as a percent reduction in Medicare spending, and wouldn’t necessarily be sufficient to meet the target.\u003c/p>\n\u003cp>Moreover, the panel’s future may be in question, as Republicans – and some Democrats – have sought to kill it, arguing the board would be able to ration care and would have too much control over Medicare. Obama has yet to nominate the panel's 15 members, who must be confirmed by the Senate.\u003c/p>\n\u003cp>Some health care analysts also argue that reducing payments to medical providers could drive them out of accepting Medicare patients, creating access issues for beneficiaries. Richard Foster, Medicare's chief actuary, warned in the 2012 Medicare trustees' report that the health law will eventually lower payments to medical providers so much that \"Congress would have to intervene to prevent the withdrawal of providers from the Medicare market and the severe problems with beneficiary access to care that would result.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cstrong>Read More: \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2012/August/11/paul-ryan-republican-vice-president-candidate-medicare.aspx\">Paul Ryan's Plan For Medicare: Essential Reading\u003c/a>\u003c/strong>\u003c/p>\n\n",
"disqusIdentifier": "8062 http://blogs.kqed.org/stateofhealth/?p=8062",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/08/13/paul-ryans-plan-for-medicare/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 1432,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 32
},
"modified": 1345144853,
"excerpt": "Wisconsin Republican Paul Ryan, GOP presidential hopeful Mitt Romney’s choice for vice president, has provoked consternation from Democrats and anxiety among some congressional Republicans with his proposals to reshape Medicare.\r\n\r\nMitt Romney introduces Paul Ryan as his choice for running mate in Norfolk, Va., Saturday (Photo by Win McNamee/Getty Images).\r\n\r\nThe Republican-controlled House, along party lines, twice approved his proposals to overhaul the popular social insurance program for the elderly and disabled by giving beneficiaries a set amount of money every year to buy coverage from competing health plans. That is a fundamental shift from today’s program, where the federal government pays for as many services as beneficiaries use.\r\n\r\nThe proposals were never enacted because of opposition from the Democratic-controlled Senate and President Barack Obama.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Wisconsin Republican Paul Ryan, GOP presidential hopeful Mitt Romney’s choice for vice president, has provoked consternation from Democrats and anxiety among some congressional Republicans with his proposals to reshape Medicare.\r\n\r\nMitt Romney introduces Paul Ryan as his choice for running mate in Norfolk, Va., Saturday (Photo by Win McNamee/Getty Images).\r\n\r\nThe Republican-controlled House, along party lines, twice approved his proposals to overhaul the popular social insurance program for the elderly and disabled by giving beneficiaries a set amount of money every year to buy coverage from competing health plans. That is a fundamental shift from today’s program, where the federal government pays for as many services as beneficiaries use.\r\n\r\nThe proposals were never enacted because of opposition from the Democratic-controlled Senate and President Barack Obama.",
"title": "Paul Ryan's Plan for Medicare | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Paul Ryan's Plan for Medicare",
"datePublished": "2012-08-13T09:18:01-07:00",
"dateModified": "2012-08-16T12:20:53-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "paul-ryans-plan-for-medicare",
"status": "publish",
"path": "/stateofhealth/8062/paul-ryans-plan-for-medicare",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By \u003ca href=\"http://www.kaiserhealthnews.org/Reporters/SerafiniM.aspx\">Marilyn Werber Serafini\u003c/a>, \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/August/11/faq-paul-ryan-house-republican-medicare-plan.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/August/11/faq-paul-ryan-house-republican-medicare-plan.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_8069\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/ryan-romney-300_WinMcNamee_Getty.jpg\">\u003cimg class=\"size-full wp-image-8069 \" title=\"Republican Presidential Candidate Mitt Romney Announces Rep. Paul Ryan As His Vice Presidential Pick\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/ryan-romney-300_WinMcNamee_Getty.jpg\" alt=\"Republican Presidential Candidate Mitt Romney Announces Rep. Paul Ryan As His Vice Presidential Pick\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Mitt Romney introduces Paul Ryan as his choice for running mate in Norfolk, Va., last Saturday. (Photo by Win McNamee/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Wisconsin Republican Paul Ryan, GOP presidential hopeful Mitt Romney’s choice for vice president, has provoked consternation from Democrats and anxiety among some congressional Republicans with his proposals to reshape Medicare.\u003c/p>\n\u003cp>The Republican-controlled House, along party lines, twice approved his proposals to overhaul the popular social insurance program for the elderly and disabled by giving beneficiaries a set amount of money every year to buy coverage from competing health plans. That is a fundamental shift from today’s program, where the federal government pays for as many services as beneficiaries use.\u003c/p>\n\u003cp>The proposals were never enacted because of opposition from the Democratic-controlled Senate and President Barack Obama.\u003c/p>\n\u003cp>This year, Democratic congressional candidates nationwide are making the protection of traditional Medicare a centerpiece of their campaigns, just as Republicans attacked them two years ago for curbing future Medicare spending as part of the 2010 health care law. Now, Democrats are hammering their GOP opponents for voting for Ryan’s proposals, which were included in the last two House budget resolutions.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Here is a guide to some of the issues and questions raised by Ryan's plan.\u003c/p>\n\u003cp>\u003cstrong>Q. What is Ryan’s latest Medicare plan?\u003c!--more-->\u003c/strong>\u003c/p>\n\u003cp>Ryan would gradually raise the eligibility age of Medicare from 65 to 67 by 2034, and cap its spending increases at half a percentage point higher than the growth rate of the economy, or the gross domestic product. Ryan’s plan would provide a set amount of money annually for future Medicare beneficiaries -- those currently under age 55 -- to be used to purchase either a private health plan, or the traditional government-administered program through a newly created Medicare exchange.\u003c/p>\n\u003cp>Under the proposal all plans, including traditional Medicare, would submit bids for how much they would charge to cover a beneficiary's health care costs. All plans would include a minimum set of benefits equal to the value of those in the traditional program. The government would pay the full premium for the private plan with the second lowest bid, or for traditional Medicare, whichever is lower. Beneficiaries would have to pay the difference if they chose a plan that set rates higher. There could be one less expensive plan option, and beneficiaries who chose it would get a rebate for the difference.\u003c/p>\n\u003cp>Private health plans would have to offer coverage that is at least actuarially equivalent to that offered in the traditional, government-administered plan. That means that while the benefits could vary, the value of the plan would have to be the same.\u003c/p>\n\u003cp>\u003cstrong>Q. So seniors could stay in the traditional, government-run Medicare program if they like?\u003c/strong>\u003c/p>\n\u003cp>Ryan says that is the case, but Democrats and some critics argue that the plan would so fundamentally alter Medicare that \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2012/March/09/GOP-Dilemma-What-To-Do-About-Medicare.aspx\" target=\"_blank\">it might no longer be a desirable – or affordable -- option.\u003c/a>\u003c/p>\n\u003cp>\"The real question is what it would cost,\" and whether seniors would pay more out of pocket than they do now, said Jonathan Gruber, an economist at the Massachusetts Institute of Technology. He cited the risk the government-run plan would attract the sickest people, driving up its costs, while private plans would lure the healthiest. In addition, medical providers could abandon the program if Medicare cut their reimbursement rates to curb costs.\u003c/p>\n\u003cp>\u003cstrong>Q. Would the changes apply to current seniors?\u003c/strong>\u003c/p>\n\u003cp>Ryan’s plan would apply only to those under age 55. Current Medicare beneficiaries and those nearing eligibility would continue to get Medicare as it exists today.\u003c/p>\n\u003cp>\u003cstrong>Q. Would seniors pay more under Ryan’s plan?\u003c/strong>\u003c/p>\n\u003cp>The Congressional Budget Office estimated that \u003ca href=\"http://www.kaiserhealthnews.org/stories/2011/april/06/cbo-seniors-pay-more-medicare-ryan-plan.aspx\" target=\"_blank\">Ryan's original proposal for 2012\u003c/a> would require a typical 65-year-old person to pay a lot more for Medicare by 2030. \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2012/March/20/ryan-budget-medicare-medicaid-republicans.aspx\" target=\"_blank\">His latest plan\u003c/a> is missing key details, however, so the CBO has been limited in its analysis of the impact.\u003c/p>\n\u003cp>Although Ryan would give future seniors the option of remaining in the traditional, government-run Medicare program, that program would have to compete with private plans. Critics predict that traditional Medicare could become unaffordable if it attracts the sickest people who require more health care and who, therefore, drive up the program’s costs.\u003c/p>\n\u003cp>\u003cstrong>Q. Ryan’s most recent plan is similar to one he co-authored with a Democrat last year. Does that mean it has bipartisan support?\u003c/strong>\u003c/p>\n\u003cp>No. Sen. Ron Wyden, D-Ore., did not endorse Ryan’s Medicare plan in the last House budget resolution. It is similar to a \u003ca href=\"http://www.kaiserhealthnews.org/stories/2011/december/15/wyden-ryan-medicare-plan.aspx\" target=\"_blank\">plan that the two wrote\u003c/a> together last year, but there is an important difference. The limit on federal spending per beneficiary was not as strict in the plan they wrote together: The two had placed the cap at GDP growth rate plus 1 percent. Also, no other Democrat supported their 2011 proposal.\u003c/p>\n\u003cp>\u003cstrong>Q. How do Ryan’s proposals compare to Democratic plans?\u003c/strong>\u003c/p>\n\u003cp>President Barack Obama and many Democrats have said they agree the federal government needs to restrain the growth of Medicare spending, but they seek to do it without making direct cuts to benefits. Democrats want to preserve the program’s defined benefit basis, meaning that the government will pay whatever it takes to cover a specified set of services. During budget deficit reduction negotiations in Washington, Obama proposed holding Medicare spending to half a percentage point higher than the growth rate of the economy. Romney later adopted the same cap.\u003c/p>\n\u003cp>As part of last year’s budget negotiations, Obama also proposed gradually raising the Medicare eligibility age – if Republicans agreed to revenue raising proposals. But no agreement was reached.\u003c/p>\n\u003cp>The health law tackles Medicare spending growth, in part, by creating an expert panel, called the Independent Payment Advisory Board (IPAB), which would be responsible for finding ways to reduce spending if Medicare grows at a higher rate than the target. But the board is not allowed to recommend anything that would ration care or that would change benefits, eligibility or cost sharing for Part A (hospital services) or Part B (physician services). It also couldn't do anything to change the percentage of premium that seniors pay for prescription drug coverage, or the subsidies that low-income individuals get. The expectation is that reductions would come from medical providers, although hospitals are protected at first.\u003c/p>\n\u003cp>\u003cstrong>Q. If both Obama and Ryan are proposing a target rate of GDP growth plus half a percentage point for Medicare, wouldn’t federal spending be the same under both scenarios?\u003c/strong>\u003c/p>\n\u003cp>There are \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2012/May/04/obama-ryan-controlling-federal-medicare-spending-faq.aspx\" target=\"_blank\">important differences\u003c/a>. Ryan's plan is a hard cap on federal spending. He would automatically lower Medicare spending so that it is below the trigger level.\u003c/p>\n\u003cp>Obama is proposing a target that might not bring federal spending down to that level. His proposal follows an effort in the 2010 health law to curb Medicare cost growth by tying the spending target to the Consumer Price Index in early years, and later on to the rate of GDP growth plus 1 percentage point. Now Obama is proposing to lower the target to the rate of GDP plus half a percentage point. If federal spending per Medicare beneficiary rises faster than that – a determination made by the Medicare actuary – then the expert panel must recommend cuts to Congress, which would go into effect unless lawmakers passed an alternative cost-cutting plan. The cuts would come as a percent reduction in Medicare spending, and wouldn’t necessarily be sufficient to meet the target.\u003c/p>\n\u003cp>Moreover, the panel’s future may be in question, as Republicans – and some Democrats – have sought to kill it, arguing the board would be able to ration care and would have too much control over Medicare. Obama has yet to nominate the panel's 15 members, who must be confirmed by the Senate.\u003c/p>\n\u003cp>Some health care analysts also argue that reducing payments to medical providers could drive them out of accepting Medicare patients, creating access issues for beneficiaries. Richard Foster, Medicare's chief actuary, warned in the 2012 Medicare trustees' report that the health law will eventually lower payments to medical providers so much that \"Congress would have to intervene to prevent the withdrawal of providers from the Medicare market and the severe problems with beneficiary access to care that would result.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "floatright"
},
"numeric": [
"floatright"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Read More: \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2012/August/11/paul-ryan-republican-vice-president-candidate-medicare.aspx\">Paul Ryan's Plan For Medicare: Essential Reading\u003c/a>\u003c/strong>\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/8062/paul-ryans-plan-for-medicare",
"authors": [
"240"
],
"categories": [
"stateofhealth_15",
"stateofhealth_14"
],
"tags": [
"stateofhealth_105"
],
"featImg": "stateofhealth_8069",
"label": "stateofhealth"
},
"stateofhealth_8010": {
"type": "posts",
"id": "stateofhealth_8010",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "8010",
"score": null,
"sort": [
1344526590000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1344526590,
"format": "aside",
"disqusTitle": "Soda Industry Spending Big to Defeat Richmond Beverage Tax",
"title": "Soda Industry Spending Big to Defeat Richmond Beverage Tax",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_8019\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/RichmondSoda_20120806b.jpg\">\u003cimg class=\"size-medium wp-image-8019\" title=\"Rosa Lara talks with Alejandra Nava at La Raza market. Lara is a paid organizer for the Community Coalition Against Beverage Taxes. (Photo: Mina Kim)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/RichmondSoda_20120806b-300x225.jpg\" alt=\"Rosa Lara talks with Alejandra Nava at La Raza market. Lara is a paid organizer for the community coalition against beverage taxes.\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rosa Lara talks with Alejandra Nava at La Raza market in Richmond. Lara is a paid organizer for the community coalition against beverage taxes.\u003c/figcaption>\u003c/figure>\n\u003cp>Earlier this week, KQED's Mina Kim looked at \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/08/06/the-soda-tax-campaign-in-full-swing-in-richmond/\" href=\"http://ww2.kqed.org/stateofhealth/2012/08/06/the-soda-tax-campaign-in-full-swing-in-richmond/\" target=\"_blank\">the ongoing soda tax campaign\u003c/a> in Richmond. In November, voters there will decide whether to impose a penny-an-ounce fee on sweetened drinks. Today, William Harless at \u003ca title=\"http://californiawatch.org/dailyreport/soda-industry-outspends-beverage-tax-supporters-10-1-richmond-17454\" href=\"http://californiawatch.org/dailyreport/soda-industry-outspends-beverage-tax-supporters-10-1-richmond-17454\" target=\"_blank\">California Watch\u003c/a> drilled down into newly-released campaign finance disclosures and learned that -- not surprisingly -- tax opponents are outspending tax supporters.\u003c/p>\n\u003cp>What might be more surprising is that the margin is 10 to 1. Harless reports that the \u003ca href=\"http://www.ameribev.org/\" target=\"_blank\">American Beverage Association\u003c/a>, based in Washington and representing Coca Cola, PepsiCo et. al. has spent $150,000 since June. (Note that the City Council \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/05/16/richmond-voters-will-decide-on-soda-tax/\" href=\"http://ww2.kqed.org/stateofhealth/2012/05/16/richmond-voters-will-decide-on-soda-tax/\" target=\"_blank\">voted to put the tax on the ballot \u003c/a>on May 15.)\u003c/p>\n\u003cp>Harless \u003ca title=\"http://californiawatch.org/dailyreport/beverage-lobbyist-funds-community-campaign-against-soda-tax-16585\" href=\"http://californiawatch.org/dailyreport/beverage-lobbyist-funds-community-campaign-against-soda-tax-16585\" target=\"_blank\">earlier reported\u003c/a> that the beverage association is funding the \u003ca href=\"http://www.norichmondbeveragetax.com/\" target=\"_blank\">Community Coalition Against Beverage Taxes\u003c/a>. To date, that organization has spent an additional $200,000, again according to campaign finance records.\u003c/p>\n\u003cp>While dramatically outspent, more organizations are also joining the campaign to support the tax. \u003c!--more-->From California Watch:\u003c/p>\n\u003cblockquote>\u003cp>The \u003ca href=\"http://www.publichealthadvocacy.org/\" target=\"_blank\">California Center for Public Health Advocacy\u003c/a>, a nonprofit group with offices in Oakland, Davis and Los Angeles, has spent about $21,600 on polling and focus groups.\u003c/p>\n\u003cp>Richmond City Council Member Jeff Ritterman, a cardiologist who is leading the campaign for the sweetened-beverage tax, said he believes soda drinkers will start to turn to tap water, saving money and drinking something healthier. He said the American Beverage Association is worried that Richmond will set a trend.\u003c/p>\n\u003cp>“I think they’re quite aware that if these dominoes begin to fall, a lot more will,” he said, referring to the two California cities, Richmond and \u003ca href=\"http://articles.latimes.com/2012/jul/24/local/la-me-el-monte-20120724\" target=\"_blank\">El Monte\u003c/a>, in Los Angeles County, that are considering penny-per-ounce sweetened-beverage taxes, which would be the first of their kind in the United States.\u003c/p>\n\u003cp>Ritterman and a handful of Bay Area residents have raised about $10,400 for their own campaign, dubbed \u003ca href=\"http://www.fit-for-life.org/\" target=\"_blank\">Richmond Fit for Life\u003c/a>, and have sent out brochures and mailers advocating for the tax, outlining obesity statistics and describing how it and a companion health measure are phrased on the November ballot.\u003c/p>\u003c/blockquote>\n\u003cp>Ritterman believes the tax could raise $3 million annually. A non-binding resolution passed by City Council the same night it voted to put the tax on the ballot recommends that the money be spent on obesity prevention programs. Opponents say they think the money would end up in the general fund.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
"disqusIdentifier": "8010 http://blogs.kqed.org/stateofhealth/?p=8010",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/08/09/soda-industry-spending-big-to-defeat-richmond-beverage-tax/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 430,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 11
},
"modified": 1475178890,
"excerpt": "Earlier this week, KQED's Mina Kim looked at the ongoing soda tax campaign in Richmond. In November, voters will decide whether to impose a penny an ounce fee on sweetened drinks. Today, William Harless at California Watch drilled down into newly released campaign finance disclosures and learned that -- not surprisingly -- tax opponents are outspending tax supporters. \r\n\r\nWhat might be somewhat more surprising is that the margin is 10 to 1. Harless reports that the American Beverage Association, based in Washington and representing Coca Cola, PepsiCo et. a. has spent $150,000 since June. (Note that the City Council voted to put the tax on the ballot on May 15.)",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Earlier this week, KQED's Mina Kim looked at the ongoing soda tax campaign in Richmond. In November, voters will decide whether to impose a penny an ounce fee on sweetened drinks. Today, William Harless at California Watch drilled down into newly released campaign finance disclosures and learned that -- not surprisingly -- tax opponents are outspending tax supporters. \r\n\r\nWhat might be somewhat more surprising is that the margin is 10 to 1. Harless reports that the American Beverage Association, based in Washington and representing Coca Cola, PepsiCo et. a. has spent $150,000 since June. (Note that the City Council voted to put the tax on the ballot on May 15.)",
"title": "Soda Industry Spending Big to Defeat Richmond Beverage Tax | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Soda Industry Spending Big to Defeat Richmond Beverage Tax",
"datePublished": "2012-08-09T08:36:30-07:00",
"dateModified": "2016-09-29T12:54:50-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "soda-industry-spending-big-to-defeat-richmond-beverage-tax",
"status": "publish",
"path": "/stateofhealth/8010/soda-industry-spending-big-to-defeat-richmond-beverage-tax",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_8019\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/RichmondSoda_20120806b.jpg\">\u003cimg class=\"size-medium wp-image-8019\" title=\"Rosa Lara talks with Alejandra Nava at La Raza market. Lara is a paid organizer for the Community Coalition Against Beverage Taxes. (Photo: Mina Kim)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/RichmondSoda_20120806b-300x225.jpg\" alt=\"Rosa Lara talks with Alejandra Nava at La Raza market. Lara is a paid organizer for the community coalition against beverage taxes.\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rosa Lara talks with Alejandra Nava at La Raza market in Richmond. Lara is a paid organizer for the community coalition against beverage taxes.\u003c/figcaption>\u003c/figure>\n\u003cp>Earlier this week, KQED's Mina Kim looked at \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/08/06/the-soda-tax-campaign-in-full-swing-in-richmond/\" href=\"http://ww2.kqed.org/stateofhealth/2012/08/06/the-soda-tax-campaign-in-full-swing-in-richmond/\" target=\"_blank\">the ongoing soda tax campaign\u003c/a> in Richmond. In November, voters there will decide whether to impose a penny-an-ounce fee on sweetened drinks. Today, William Harless at \u003ca title=\"http://californiawatch.org/dailyreport/soda-industry-outspends-beverage-tax-supporters-10-1-richmond-17454\" href=\"http://californiawatch.org/dailyreport/soda-industry-outspends-beverage-tax-supporters-10-1-richmond-17454\" target=\"_blank\">California Watch\u003c/a> drilled down into newly-released campaign finance disclosures and learned that -- not surprisingly -- tax opponents are outspending tax supporters.\u003c/p>\n\u003cp>What might be more surprising is that the margin is 10 to 1. Harless reports that the \u003ca href=\"http://www.ameribev.org/\" target=\"_blank\">American Beverage Association\u003c/a>, based in Washington and representing Coca Cola, PepsiCo et. al. has spent $150,000 since June. (Note that the City Council \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/05/16/richmond-voters-will-decide-on-soda-tax/\" href=\"http://ww2.kqed.org/stateofhealth/2012/05/16/richmond-voters-will-decide-on-soda-tax/\" target=\"_blank\">voted to put the tax on the ballot \u003c/a>on May 15.)\u003c/p>\n\u003cp>Harless \u003ca title=\"http://californiawatch.org/dailyreport/beverage-lobbyist-funds-community-campaign-against-soda-tax-16585\" href=\"http://californiawatch.org/dailyreport/beverage-lobbyist-funds-community-campaign-against-soda-tax-16585\" target=\"_blank\">earlier reported\u003c/a> that the beverage association is funding the \u003ca href=\"http://www.norichmondbeveragetax.com/\" target=\"_blank\">Community Coalition Against Beverage Taxes\u003c/a>. To date, that organization has spent an additional $200,000, again according to campaign finance records.\u003c/p>\n\u003cp>While dramatically outspent, more organizations are also joining the campaign to support the tax. \u003c!--more-->From California Watch:\u003c/p>\n\u003cblockquote>\u003cp>The \u003ca href=\"http://www.publichealthadvocacy.org/\" target=\"_blank\">California Center for Public Health Advocacy\u003c/a>, a nonprofit group with offices in Oakland, Davis and Los Angeles, has spent about $21,600 on polling and focus groups.\u003c/p>\n\u003cp>Richmond City Council Member Jeff Ritterman, a cardiologist who is leading the campaign for the sweetened-beverage tax, said he believes soda drinkers will start to turn to tap water, saving money and drinking something healthier. He said the American Beverage Association is worried that Richmond will set a trend.\u003c/p>\n\u003cp>“I think they’re quite aware that if these dominoes begin to fall, a lot more will,” he said, referring to the two California cities, Richmond and \u003ca href=\"http://articles.latimes.com/2012/jul/24/local/la-me-el-monte-20120724\" target=\"_blank\">El Monte\u003c/a>, in Los Angeles County, that are considering penny-per-ounce sweetened-beverage taxes, which would be the first of their kind in the United States.\u003c/p>\n\u003cp>Ritterman and a handful of Bay Area residents have raised about $10,400 for their own campaign, dubbed \u003ca href=\"http://www.fit-for-life.org/\" target=\"_blank\">Richmond Fit for Life\u003c/a>, and have sent out brochures and mailers advocating for the tax, outlining obesity statistics and describing how it and a companion health measure are phrased on the November ballot.\u003c/p>\u003c/blockquote>\n\u003cp>Ritterman believes the tax could raise $3 million annually. A non-binding resolution passed by City Council the same night it voted to put the tax on the ballot recommends that the money be spent on obesity prevention programs. Opponents say they think the money would end up in the general fund.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/8010/soda-industry-spending-big-to-defeat-richmond-beverage-tax",
"authors": [
"240"
],
"categories": [
"stateofhealth_11",
"stateofhealth_14",
"stateofhealth_2746"
],
"tags": [
"stateofhealth_117"
],
"featImg": "stateofhealth_8019",
"label": "stateofhealth"
},
"stateofhealth_7883": {
"type": "posts",
"id": "stateofhealth_7883",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "7883",
"score": null,
"sort": [
1344274784000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1344274784,
"format": "aside",
"disqusTitle": "Richmond Soda Tax Campaign in Full Swing",
"title": "Richmond Soda Tax Campaign in Full Swing",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cstrong>By Mina Kim\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_7899\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/JeffRitterman_sugar_MinaKim_08062012.jpg\">\u003cimg class=\"size-medium wp-image-7899\" title=\"Jeff Ritterman, Richmond city councilman who is championing the soda tax. (Photo: Mina Kim)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/JeffRitterman_sugar_MinaKim_08062012-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jeff Ritterman, Richmond city councilman who is championing the soda tax, on the campaign trail. (Photo: Mina Kim)\u003c/figcaption>\u003c/figure>\n\u003cp>On MacDonald Avenue, the city of Richmond’s main drag, \u003ca title=\"http://www.ci.richmond.ca.us/index.aspx?nid=1799\" href=\"http://www.ci.richmond.ca.us/index.aspx?nid=1799\" target=\"_blank\">Jeff Ritterman\u003c/a> is pulling a little red wagon that holds a plastic water cooler jug filled with forty pounds of sugar. Ritterman says that's the average amount a child in Richmond consumes each year, just from drinking sodas. \"The child gets overweight,\" he says, \"and the arteries of the heart fill up with bad fat. And that’s a real health problem.\"\u003c/p>\n\u003cp>Ritterman is a retired cardiologist who likes to wear his graying hair in a ponytail. He’s also a city councilman and \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/05/16/richmond-voters-will-decide-on-soda-tax/\" href=\"http://ww2.kqed.org/stateofhealth/2012/05/16/richmond-voters-will-decide-on-soda-tax/\" target=\"_blank\">the man behind a November ballot measure\u003c/a> that would make Richmond one of the first cities in the nation to impose a penny-per-ounce tax on sodas and other sugar-sweetened drinks.\u003c/p>\n\u003cp>According to \u003ca title=\"http://cchealth.org/topics/nutrition/pdf/ssb_report_richmond.pdf\" href=\"http://cchealth.org/topics/nutrition/pdf/ssb_report_richmond.pdf\" target=\"_blank\">a report from Contra Costa Health Services\u003c/a> [PDF], more than half of Richmond’s children are overweight or obese.\u003c/p>\n\u003cp>At a shopping plaza, Ritterman's wagon catches the attention of passerby Michael Bracey.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"I know what that sugar will do,\" Bracey says. \"It'll swell you up and once you get swole up you going to get like you said, diabetes, high blood pressure or heart failure, you going to have one or the other. That's what this sugar going to do, so I think it's a good cause that you fighting right now, yeah, I’m behind it.\"\u003c/p>\n\u003cp>Shopper Raymond Landry disagrees. Holding a tall can of Arizona iced tea, Landry says the tax hurts those who can least afford to pay it. And government, he says, shouldn’t control what he has a right to do.\u003c/p>\n\u003cp>\"I understand it’s an effort to promote health,\" Landry says. \"But at the same time, it comes at the expense of business, and there has to be a balance between the two.\"\u003c/p>\n\u003cp>That’s how opponents of the tax are casting this proposal. The tax would be imposed as a business license fee and would require any retailer that sells drinks with added sugar -- including energy drinks and sweetened teas -- to tally up all ounces sold and write a check to the city.\u003c/p>\n\u003cp>For weeks, 26-year-old, Richmond native Rosa Lara has been mobilizing local business owners against the measure. City officials project the tax could raise up to 8 million dollars a year to be used for things like more sports fields, nutrition education, and other anti-obesity programs geared at Latino and African American youth. But Lara says most of the people she talks to don’t believe that’s how the money will be spent\u003c/p>\n\u003cp>\"When I approach the people to let them know what’s going on it’s to educate them on how it’s going to affect the businesses and where the money’s going,\" Lara says. \"The money is going to a general fund. There’s no strings attached to that money.\"\u003c/p>\n\u003cp>Lara says she’s already signed up more than a hundred business owners against the tax. Her anti-tax signs can be found on the windows and shopping aisles of several businesses on 23rd Street, a hub of Latino-owned shops. Lara says business owners worry their customers will go to neighboring cities for cheaper sodas.\u003c/p>\n\u003cp>At La Raza Market, where cases of soda are stacked counter high, Alejandra Nava, a cashier, says trying to track all ounces sold could mean having to hire another person.\u003c/p>\n\u003cp>But what makes the outgoing Lara a particularly formidable tax foe is that she has the deep pockets of the \u003ca title=\"http://www.ameribev.org\" href=\"http://www.ameribev.org\" target=\"_blank\">American Beverage Association\u003c/a> -- the trade group that represents Pepsi Co, Coke and others -- paying her for her work.\u003c/p>\n\u003cp>Karen Hanretty is the group's vice-president of public affairs. \"The American Beverage Association always opposes discriminatory taxes on our products,\" she says. \"We think it is fundamentally unfair to single out any soft drink as a unique contributor to obesity.\"\u003c/p>\n\u003cp>But Harold Goldstein, head of the nonprofit \u003ca title=\"http://www.publichealthadvocacy.org\" href=\"http://www.publichealthadvocacy.org\" target=\"_blank\">California Center for Public Health Advocacy\u003c/a> which supports the Richmond tax, says the real reason the soda industry is invested in the measure’s defeat is to discourage other cities from following suit. Late last month, the Southern California city of El Monte voted to put a soda tax measure -- modeled on Richmond's -- on its November ballot. \u003ca title=\"http://www.mercurynews.com/peninsula/ci_21223933/san-mateo-county-sipping-thought-soda-tax\" href=\"http://www.mercurynews.com/peninsula/ci_21223933/san-mateo-county-sipping-thought-soda-tax\" target=\"_blank\">The Palo Alto Daily News\u003c/a> reports that officials in San Mateo County are researching the idea of a soda tax for unincorporated areas of the county.\u003c/p>\n\u003cp>Goldstein draws an interesting parallel to another product, challenged on health issues. \"I think the soda industry is in the long run going to really go the way of the tobacco industry,\" he says, \"that people are going to begin to see that the soda industry has one thing in mind and that is to protect their profits.\"\u003c/p>\n\u003cp>Back at his council office, Jeff Ritterman says he knows he has a tough fight on his hands but he says he’s determined to do this for the health his community -- especially the kids who are so overweight. \"Everybody loves their children and when we put the issue of children’s health front and center and we let people know what we’re doing then we get people’s support.\u003c/p>\n\u003cp>Then Ritterman begins working the phones -- in his quest for votes this November.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Listen to Mina Kim's report:\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/R201208060850a.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/R201208060850a.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
"disqusIdentifier": "7883 http://blogs.kqed.org/stateofhealth/?p=7883",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/08/06/the-soda-tax-campaign-in-full-swing-in-richmond/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 933,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 22
},
"modified": 1393451723,
"excerpt": "On MacDonald Avenue, the city of Richmond’s main drag, Jeff Ritterman is pulling a little red wagon that holds a plastic water cooler jug filled with forty pounds of sugar. Ritterman says that's the average amount a child in Richmond consumes each year, just from drinking sodas. \"The child gets overweight,\" he says, \"and the arteries of the heart fill up with bad fat. And that’s a real health problem.\"\r\n\r\nRitterman is a retired cardiologist who likes to wear his graying hair in a ponytail. He’s also a city councilman and the man behind a November ballot measure that would make Richmond one of the first cities in the nation to impose a penny-per-ounce tax on sodas and other sugar-sweetened drinks.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "On MacDonald Avenue, the city of Richmond’s main drag, Jeff Ritterman is pulling a little red wagon that holds a plastic water cooler jug filled with forty pounds of sugar. Ritterman says that's the average amount a child in Richmond consumes each year, just from drinking sodas. "The child gets overweight," he says, "and the arteries of the heart fill up with bad fat. And that’s a real health problem."\r\n\r\nRitterman is a retired cardiologist who likes to wear his graying hair in a ponytail. He’s also a city councilman and the man behind a November ballot measure that would make Richmond one of the first cities in the nation to impose a penny-per-ounce tax on sodas and other sugar-sweetened drinks.",
"title": "Richmond Soda Tax Campaign in Full Swing | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Richmond Soda Tax Campaign in Full Swing",
"datePublished": "2012-08-06T10:39:44-07:00",
"dateModified": "2014-02-26T13:55:23-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "the-soda-tax-campaign-in-full-swing-in-richmond",
"status": "publish",
"path": "/stateofhealth/7883/the-soda-tax-campaign-in-full-swing-in-richmond",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Mina Kim\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_7899\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/JeffRitterman_sugar_MinaKim_08062012.jpg\">\u003cimg class=\"size-medium wp-image-7899\" title=\"Jeff Ritterman, Richmond city councilman who is championing the soda tax. (Photo: Mina Kim)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/JeffRitterman_sugar_MinaKim_08062012-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jeff Ritterman, Richmond city councilman who is championing the soda tax, on the campaign trail. (Photo: Mina Kim)\u003c/figcaption>\u003c/figure>\n\u003cp>On MacDonald Avenue, the city of Richmond’s main drag, \u003ca title=\"http://www.ci.richmond.ca.us/index.aspx?nid=1799\" href=\"http://www.ci.richmond.ca.us/index.aspx?nid=1799\" target=\"_blank\">Jeff Ritterman\u003c/a> is pulling a little red wagon that holds a plastic water cooler jug filled with forty pounds of sugar. Ritterman says that's the average amount a child in Richmond consumes each year, just from drinking sodas. \"The child gets overweight,\" he says, \"and the arteries of the heart fill up with bad fat. And that’s a real health problem.\"\u003c/p>\n\u003cp>Ritterman is a retired cardiologist who likes to wear his graying hair in a ponytail. He’s also a city councilman and \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/05/16/richmond-voters-will-decide-on-soda-tax/\" href=\"http://ww2.kqed.org/stateofhealth/2012/05/16/richmond-voters-will-decide-on-soda-tax/\" target=\"_blank\">the man behind a November ballot measure\u003c/a> that would make Richmond one of the first cities in the nation to impose a penny-per-ounce tax on sodas and other sugar-sweetened drinks.\u003c/p>\n\u003cp>According to \u003ca title=\"http://cchealth.org/topics/nutrition/pdf/ssb_report_richmond.pdf\" href=\"http://cchealth.org/topics/nutrition/pdf/ssb_report_richmond.pdf\" target=\"_blank\">a report from Contra Costa Health Services\u003c/a> [PDF], more than half of Richmond’s children are overweight or obese.\u003c/p>\n\u003cp>At a shopping plaza, Ritterman's wagon catches the attention of passerby Michael Bracey.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"I know what that sugar will do,\" Bracey says. \"It'll swell you up and once you get swole up you going to get like you said, diabetes, high blood pressure or heart failure, you going to have one or the other. That's what this sugar going to do, so I think it's a good cause that you fighting right now, yeah, I’m behind it.\"\u003c/p>\n\u003cp>Shopper Raymond Landry disagrees. Holding a tall can of Arizona iced tea, Landry says the tax hurts those who can least afford to pay it. And government, he says, shouldn’t control what he has a right to do.\u003c/p>\n\u003cp>\"I understand it’s an effort to promote health,\" Landry says. \"But at the same time, it comes at the expense of business, and there has to be a balance between the two.\"\u003c/p>\n\u003cp>That’s how opponents of the tax are casting this proposal. The tax would be imposed as a business license fee and would require any retailer that sells drinks with added sugar -- including energy drinks and sweetened teas -- to tally up all ounces sold and write a check to the city.\u003c/p>\n\u003cp>For weeks, 26-year-old, Richmond native Rosa Lara has been mobilizing local business owners against the measure. City officials project the tax could raise up to 8 million dollars a year to be used for things like more sports fields, nutrition education, and other anti-obesity programs geared at Latino and African American youth. But Lara says most of the people she talks to don’t believe that’s how the money will be spent\u003c/p>\n\u003cp>\"When I approach the people to let them know what’s going on it’s to educate them on how it’s going to affect the businesses and where the money’s going,\" Lara says. \"The money is going to a general fund. There’s no strings attached to that money.\"\u003c/p>\n\u003cp>Lara says she’s already signed up more than a hundred business owners against the tax. Her anti-tax signs can be found on the windows and shopping aisles of several businesses on 23rd Street, a hub of Latino-owned shops. Lara says business owners worry their customers will go to neighboring cities for cheaper sodas.\u003c/p>\n\u003cp>At La Raza Market, where cases of soda are stacked counter high, Alejandra Nava, a cashier, says trying to track all ounces sold could mean having to hire another person.\u003c/p>\n\u003cp>But what makes the outgoing Lara a particularly formidable tax foe is that she has the deep pockets of the \u003ca title=\"http://www.ameribev.org\" href=\"http://www.ameribev.org\" target=\"_blank\">American Beverage Association\u003c/a> -- the trade group that represents Pepsi Co, Coke and others -- paying her for her work.\u003c/p>\n\u003cp>Karen Hanretty is the group's vice-president of public affairs. \"The American Beverage Association always opposes discriminatory taxes on our products,\" she says. \"We think it is fundamentally unfair to single out any soft drink as a unique contributor to obesity.\"\u003c/p>\n\u003cp>But Harold Goldstein, head of the nonprofit \u003ca title=\"http://www.publichealthadvocacy.org\" href=\"http://www.publichealthadvocacy.org\" target=\"_blank\">California Center for Public Health Advocacy\u003c/a> which supports the Richmond tax, says the real reason the soda industry is invested in the measure’s defeat is to discourage other cities from following suit. Late last month, the Southern California city of El Monte voted to put a soda tax measure -- modeled on Richmond's -- on its November ballot. \u003ca title=\"http://www.mercurynews.com/peninsula/ci_21223933/san-mateo-county-sipping-thought-soda-tax\" href=\"http://www.mercurynews.com/peninsula/ci_21223933/san-mateo-county-sipping-thought-soda-tax\" target=\"_blank\">The Palo Alto Daily News\u003c/a> reports that officials in San Mateo County are researching the idea of a soda tax for unincorporated areas of the county.\u003c/p>\n\u003cp>Goldstein draws an interesting parallel to another product, challenged on health issues. \"I think the soda industry is in the long run going to really go the way of the tobacco industry,\" he says, \"that people are going to begin to see that the soda industry has one thing in mind and that is to protect their profits.\"\u003c/p>\n\u003cp>Back at his council office, Jeff Ritterman says he knows he has a tough fight on his hands but he says he’s determined to do this for the health his community -- especially the kids who are so overweight. \"Everybody loves their children and when we put the issue of children’s health front and center and we let people know what we’re doing then we get people’s support.\u003c/p>\n\u003cp>Then Ritterman begins working the phones -- in his quest for votes this November.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Listen to Mina Kim's report:\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/R201208060850a.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/R201208060850a.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/7883/the-soda-tax-campaign-in-full-swing-in-richmond",
"authors": [
"240"
],
"categories": [
"stateofhealth_11",
"stateofhealth_14"
],
"tags": [
"stateofhealth_117"
],
"featImg": "stateofhealth_7887",
"label": "stateofhealth"
},
"stateofhealth_7833": {
"type": "posts",
"id": "stateofhealth_7833",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "7833",
"score": null,
"sort": [
1344036773000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1344036773,
"format": "aside",
"disqusTitle": "Today's Whooping Cough Vaccine May Be Safer, But Less Effective than the Old One",
"title": "Today's Whooping Cough Vaccine May Be Safer, But Less Effective than the Old One",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_7858\" class=\"wp-caption aligncenter\" style=\"max-width: 404px\">\u003ca href=\"http://www.cfr.org/interactives/GH_Vaccine_Map/index.html#map\">\u003cimg class=\"size-full wp-image-7858 \" title=\"Each green circle in the interactive map above shows a whooping cough outbreak. (Map: Council on Foreign Relations)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-2.07.46-PM.png\" alt=\"Each green circle shows a whooping cough outbreak. (Map: Council on Foreign Relations)\" width=\"404\" height=\"195\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-2.07.46-PM.png 404w, https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-2.07.46-PM-400x193.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-2.07.46-PM-320x154.png 320w\" sizes=\"(max-width: 404px) 100vw, 404px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Each green circle depicts a whooping cough outbreak this year. (Map: Council on Foreign Relations)\u003c/figcaption>\u003c/figure>\n\u003cp>As the map illustrates, many areas in the country are in the grip of \u003ca title=\"http://www.cdc.gov/features/pertussis/\" href=\"http://www.cdc.gov/features/pertussis/\" target=\"_blank\">whooping cough\u003c/a> outbreaks, everywhere but California. More on California in a minute. Let's first take a look at a new(ish) vaccine and see how its limitations might be contributing to the outbreaks.\u003c/p>\n\u003cp>In the 1990s, the U.S. and other developed countries switched from one kind of vaccine against whooping cough (also called pertussis) to another. The older vaccine was very effective but there were concerns about a rare side effect, a neurological disorder, which may (or may not) have been connected to the vaccine. More commonly, the vaccine caused the same minor side effects that we traditionally associate with shots: redness, soreness at the injection site, etc. Except that with the old pertussis vaccine, the side effects occurred more frequently.\u003c/p>\n\u003cp>In her \u003ca title=\"http://www.wired.com/wiredscience/2012/08/pertussis-vax-effectiveness/\" href=\"http://www.wired.com/wiredscience/2012/08/pertussis-vax-effectiveness/\" target=\"_blank\">wired.com blog\u003c/a> noted science reporter Maryn McKenna recaps the research and wonders if there could have been an unexpected trade-off with this new vaccine -- that it is less effective and therefore contributing to the outbreaks we're seeing now. From McKenna's blog Superbug:\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>In the most recent research, a letter published \u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=1273011\" target=\"_blank\">Tuesday night in JAMA\u003c/a>, researchers in Queensland, Australia examined the incidence of whooping cough in children who were born in 1998, the year in which that province began phasing out whole-cell pertussis vaccine (known as there as DTwP) in favor of less-reactive acellular vaccine (known as DTaP). Children who were born in that year and received a complete series of infant pertussis shots (at 2, 4 and 6 months) might have received all-whole cell, all-acellular, or a mix — and because of the excellent record-keeping of the state-based healthcare system, researchers were able to confirm which children received which shots. (NB: Queensland kids, like kids in the US, \u003ca href=\"http://www.health.qld.gov.au/immunisation/documents/natimmsched_adult_ch.pdf\" target=\"_blank\">also receive\u003c/a> boosters after the infant series, along with a final booster in their preteen years.)\u003c/p>\n\u003cp>The researchers were prompted to investigate because, like the US, Australia is enduring a ferocious pertussis epidemic. When they examined the disease history for 40,694 children whose vaccine history could be verified, they found 267 pertussis cases between 1999 and 2011. They said:\u003c/p>\n\u003cp>\"Children who received a 3-dose DTaP primary course had higher rates of pertussis than those who received a 3-dose DTwP primary course in the preepidemic and outbreak periods. Among those who received mixed courses, rates in the current epidemic were highest for children receiving DTaP as their first dose. This pattern remained when looking at subgroups with 1 or 2 DTwP doses in the first year of life, although it did not reach statistical significance. Children who received a mixed course with DTwP as the initial dose had incidence rates that were between rates for the pure course DTwP and DTaP cohorts.\"\u003c/p>\u003c/blockquote>\n\u003cp>Even if the current vaccine is less effective than its forebear, McKenna makes clear that the vaccine is still highly valuable. Dr. Gil Chavez, state epidemiologist and deputy director of the department's Center for Infectious Diseases, concurs. \"We are aware of reports of acellular vaccine being less effective,\" he told me in an interview. \"From the onset of the use of these vaccines, we public health professionals try to weigh both safety and effectiveness. The new vaccines are very safe, so we, the public health community, went to that because of safety.\"\u003c/p>\n\u003cp>Which brings us back to the recent history of whooping cough outbreaks in California. While California is not suffering now, the Golden State had a fierce outbreak in 2010 -- 9,000 cases and nine infants died. In response, the state mounted a massive vaccination campaign for 11 to 18-year-olds. More than\u003ca title=\"More than 97 percent of students enrolled in grades 7 through 12 were vaccinated.\" href=\"More%20than%2097%20percent%20of%20students%20enrolled%20in%20grades%207%20through%2012%20were%20vaccinated.\" target=\"_blank\"> 97 percent of students\u003c/a> enrolled in grades 7 through 12 were vaccinated during the 2011-2012 school year.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In the wake of that vaccination effort, cases dwindled from 9,000 in 2010 to 409 \"suspect, probable and confirmed\" whooping cough cases as July 24, according to state officials.\u003c/p>\n\u003cp>If you're a parent of an incoming 7th grader, note that California now requires all entering 7th graders must be vaccinated with the booster before starting school.\u003c/p>\n\u003cp>The CDC also recommends that adults ages 19 to 64 get the booster. And just this week, the CDC \u003ca title=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6125a4.htm?s_cid=mm6125a4_e%0d%0a\" href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6125a4.htm?s_cid=mm6125a4_e%0d%0a\" target=\"_blank\">formally recommended\u003c/a> adults \u003cem>over \u003c/em>age 65 be vaccinated as well.\u003c/p>\n\u003cp>These recommendations are not only for individuals but also for that \"herd immunity\" provided by vaccinating a population. No vaccine is 100 percent effective, but the greater the number of people who are vaccinated, the less likely we are to see outbreaks. This protection is especially important in infants too young to be vaccinated.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Even if you vaccinate a baby for pertussis, vaccination starts at two months, they complete a full series by 8 months,\" Chavez said. \"When you have outbreaks and you have a lot of whooping cough circulating, babies are vulnerable. ... We recommend anyone who is around a baby be immunized. we experienced 9 (infant) deaths in 2010, none in 2011, none in 2012. That is an important component of this tragedy, besides immunizing babies, immunize any adult who is around infants.\"\u003c/p>\n\n",
"disqusIdentifier": "7833 http://blogs.kqed.org/stateofhealth/?p=7833",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/08/03/todays-whooping-cough-vaccine-may-be-safer-but-less-effective-than-the-old-one/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 881,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 15
},
"modified": 1344281999,
"excerpt": "As the map illustrates, many areas in the country are in the grip of whooping cough outbreaks, everywhere but California. More on California in a minute. Let's first take a look at a new(ish) vaccine and see how its limitations might be contributing to the outbreaks.\r\n\r\nIn the 1990s, the U.S. and other developed countries switched from one kind of vaccine against whooping cough (also called pertussis) to another. The older vaccine was very effective but there were concerns about a rare side effect, a neurological disorder, which may (or may not) have been connected to the vaccine. More commonly, the vaccine caused the same minor side effects that we traditionally associate with shots: redness, soreness at the injection site, etc. Except that with the old pertussis vaccine, the side effects occurred more frequently.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "As the map illustrates, many areas in the country are in the grip of whooping cough outbreaks, everywhere but California. More on California in a minute. Let's first take a look at a new(ish) vaccine and see how its limitations might be contributing to the outbreaks.\r\n\r\nIn the 1990s, the U.S. and other developed countries switched from one kind of vaccine against whooping cough (also called pertussis) to another. The older vaccine was very effective but there were concerns about a rare side effect, a neurological disorder, which may (or may not) have been connected to the vaccine. More commonly, the vaccine caused the same minor side effects that we traditionally associate with shots: redness, soreness at the injection site, etc. Except that with the old pertussis vaccine, the side effects occurred more frequently.",
"title": "Today's Whooping Cough Vaccine May Be Safer, But Less Effective than the Old One | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Today's Whooping Cough Vaccine May Be Safer, But Less Effective than the Old One",
"datePublished": "2012-08-03T16:32:53-07:00",
"dateModified": "2012-08-06T12:39:59-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "todays-whooping-cough-vaccine-may-be-safer-but-less-effective-than-the-old-one",
"status": "publish",
"path": "/stateofhealth/7833/todays-whooping-cough-vaccine-may-be-safer-but-less-effective-than-the-old-one",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_7858\" class=\"wp-caption aligncenter\" style=\"max-width: 404px\">\u003ca href=\"http://www.cfr.org/interactives/GH_Vaccine_Map/index.html#map\">\u003cimg class=\"size-full wp-image-7858 \" title=\"Each green circle in the interactive map above shows a whooping cough outbreak. (Map: Council on Foreign Relations)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-2.07.46-PM.png\" alt=\"Each green circle shows a whooping cough outbreak. (Map: Council on Foreign Relations)\" width=\"404\" height=\"195\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-2.07.46-PM.png 404w, https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-2.07.46-PM-400x193.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2012/08/Screen-Shot-2012-08-02-at-2.07.46-PM-320x154.png 320w\" sizes=\"(max-width: 404px) 100vw, 404px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Each green circle depicts a whooping cough outbreak this year. (Map: Council on Foreign Relations)\u003c/figcaption>\u003c/figure>\n\u003cp>As the map illustrates, many areas in the country are in the grip of \u003ca title=\"http://www.cdc.gov/features/pertussis/\" href=\"http://www.cdc.gov/features/pertussis/\" target=\"_blank\">whooping cough\u003c/a> outbreaks, everywhere but California. More on California in a minute. Let's first take a look at a new(ish) vaccine and see how its limitations might be contributing to the outbreaks.\u003c/p>\n\u003cp>In the 1990s, the U.S. and other developed countries switched from one kind of vaccine against whooping cough (also called pertussis) to another. The older vaccine was very effective but there were concerns about a rare side effect, a neurological disorder, which may (or may not) have been connected to the vaccine. More commonly, the vaccine caused the same minor side effects that we traditionally associate with shots: redness, soreness at the injection site, etc. Except that with the old pertussis vaccine, the side effects occurred more frequently.\u003c/p>\n\u003cp>In her \u003ca title=\"http://www.wired.com/wiredscience/2012/08/pertussis-vax-effectiveness/\" href=\"http://www.wired.com/wiredscience/2012/08/pertussis-vax-effectiveness/\" target=\"_blank\">wired.com blog\u003c/a> noted science reporter Maryn McKenna recaps the research and wonders if there could have been an unexpected trade-off with this new vaccine -- that it is less effective and therefore contributing to the outbreaks we're seeing now. From McKenna's blog Superbug:\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>In the most recent research, a letter published \u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=1273011\" target=\"_blank\">Tuesday night in JAMA\u003c/a>, researchers in Queensland, Australia examined the incidence of whooping cough in children who were born in 1998, the year in which that province began phasing out whole-cell pertussis vaccine (known as there as DTwP) in favor of less-reactive acellular vaccine (known as DTaP). Children who were born in that year and received a complete series of infant pertussis shots (at 2, 4 and 6 months) might have received all-whole cell, all-acellular, or a mix — and because of the excellent record-keeping of the state-based healthcare system, researchers were able to confirm which children received which shots. (NB: Queensland kids, like kids in the US, \u003ca href=\"http://www.health.qld.gov.au/immunisation/documents/natimmsched_adult_ch.pdf\" target=\"_blank\">also receive\u003c/a> boosters after the infant series, along with a final booster in their preteen years.)\u003c/p>\n\u003cp>The researchers were prompted to investigate because, like the US, Australia is enduring a ferocious pertussis epidemic. When they examined the disease history for 40,694 children whose vaccine history could be verified, they found 267 pertussis cases between 1999 and 2011. They said:\u003c/p>\n\u003cp>\"Children who received a 3-dose DTaP primary course had higher rates of pertussis than those who received a 3-dose DTwP primary course in the preepidemic and outbreak periods. Among those who received mixed courses, rates in the current epidemic were highest for children receiving DTaP as their first dose. This pattern remained when looking at subgroups with 1 or 2 DTwP doses in the first year of life, although it did not reach statistical significance. Children who received a mixed course with DTwP as the initial dose had incidence rates that were between rates for the pure course DTwP and DTaP cohorts.\"\u003c/p>\u003c/blockquote>\n\u003cp>Even if the current vaccine is less effective than its forebear, McKenna makes clear that the vaccine is still highly valuable. Dr. Gil Chavez, state epidemiologist and deputy director of the department's Center for Infectious Diseases, concurs. \"We are aware of reports of acellular vaccine being less effective,\" he told me in an interview. \"From the onset of the use of these vaccines, we public health professionals try to weigh both safety and effectiveness. The new vaccines are very safe, so we, the public health community, went to that because of safety.\"\u003c/p>\n\u003cp>Which brings us back to the recent history of whooping cough outbreaks in California. While California is not suffering now, the Golden State had a fierce outbreak in 2010 -- 9,000 cases and nine infants died. In response, the state mounted a massive vaccination campaign for 11 to 18-year-olds. More than\u003ca title=\"More than 97 percent of students enrolled in grades 7 through 12 were vaccinated.\" href=\"More%20than%2097%20percent%20of%20students%20enrolled%20in%20grades%207%20through%2012%20were%20vaccinated.\" target=\"_blank\"> 97 percent of students\u003c/a> enrolled in grades 7 through 12 were vaccinated during the 2011-2012 school year.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In the wake of that vaccination effort, cases dwindled from 9,000 in 2010 to 409 \"suspect, probable and confirmed\" whooping cough cases as July 24, according to state officials.\u003c/p>\n\u003cp>If you're a parent of an incoming 7th grader, note that California now requires all entering 7th graders must be vaccinated with the booster before starting school.\u003c/p>\n\u003cp>The CDC also recommends that adults ages 19 to 64 get the booster. And just this week, the CDC \u003ca title=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6125a4.htm?s_cid=mm6125a4_e%0d%0a\" href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6125a4.htm?s_cid=mm6125a4_e%0d%0a\" target=\"_blank\">formally recommended\u003c/a> adults \u003cem>over \u003c/em>age 65 be vaccinated as well.\u003c/p>\n\u003cp>These recommendations are not only for individuals but also for that \"herd immunity\" provided by vaccinating a population. No vaccine is 100 percent effective, but the greater the number of people who are vaccinated, the less likely we are to see outbreaks. This protection is especially important in infants too young to be vaccinated.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Even if you vaccinate a baby for pertussis, vaccination starts at two months, they complete a full series by 8 months,\" Chavez said. \"When you have outbreaks and you have a lot of whooping cough circulating, babies are vulnerable. ... We recommend anyone who is around a baby be immunized. we experienced 9 (infant) deaths in 2010, none in 2011, none in 2012. That is an important component of this tragedy, besides immunizing babies, immunize any adult who is around infants.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/7833/todays-whooping-cough-vaccine-may-be-safer-but-less-effective-than-the-old-one",
"authors": [
"240"
],
"categories": [
"stateofhealth_14"
],
"tags": [
"stateofhealth_31",
"stateofhealth_152"
],
"featImg": "stateofhealth_7858",
"label": "stateofhealth"
},
"stateofhealth_7835": {
"type": "posts",
"id": "stateofhealth_7835",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "7835",
"score": null,
"sort": [
1344016844000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1344016844,
"format": "aside",
"disqusTitle": "A Health Training Program Everyone Likes But...",
"title": "A Health Training Program Everyone Likes But...",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>By Richard Kipling, \u003ca title=\"http://centerforhealthreporting.org/blog/health-training-program-everybody-likes-but…950\" href=\"http://centerforhealthreporting.org/blog/health-training-program-everybody-likes-but%E2%80%A6950\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_7841\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/ToddlerExamined_Flickr_AlecCouros_08032012.jpg\">\u003cimg class=\"size-medium wp-image-7841\" title=\"(Flickr: Alec Couros)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/ToddlerExamined_Flickr_AlecCouros_08032012-300x234.jpg\" alt=\"(Flickr: Alec Couros)\" width=\"300\" height=\"234\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Flickr: Alec Couros)\u003c/figcaption>\u003c/figure>\n\u003cp>The past couple years, we’ve witnessed a seeming contradiction in state health policy.\u003c/p>\n\u003cp>On the one hand, we’ve had an unending march of state health programs to the budgetary cutting block, victims of California’s impoverished financial condition; on the other, that same state government has busily prepared for the \u003ca title=\"http://www.healthcare.gov\" href=\"http://www.healthcare.gov\" target=\"_blank\">Affordable Care Act\u003c/a>, set to hit ground in January 2014.\u003c/p>\n\u003cp>While glancing at data on the website of the\u003ca title=\"http://www.oshpd.ca.gov\" href=\"http://www.oshpd.ca.gov\" target=\"_blank\"> Office of Statewide Health Planning and Development\u003c/a> (better known as OSHPD), I thought I’d found a program that was another example of California preparing for reform and decided to dig deeper.\u003c/p>\n\u003cp>Its moniker, \u003ca href=\"http://www.oshpd.ca.gov/hwdd/cal-search/\" target=\"_blank\">Cal-SEARCH\u003c/a>, stands for Student/Resident Experiences and Rotations in Community Health. Its description reads like a perfect fit for this health-reform, getting-health-providers-to-underserved-communities world we’ve entered.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Cal-SEARCH, its literature says, “will provide funded training opportunities for health professional students and residents statewide\" who are enrolled in one of 15 programs ranging from primary care residencies to clinical psychology to clinical social work. Those who qualify “will serve a 4-8 week, 80-hour minimum, clinical rotation in CCHCs (community clinics and health centers) and complete a community project.”\u003c!--more-->\u003c/p>\n\u003cp>If students successfully complete their stints, they get “a modest stipend” of $700. The program provides no money for housing or food or transportation. That’s all on the student.\u003c/p>\n\u003cp>And speaking of modest, I found that Cal-SEARCH is part of a national SEARCH program, funded by the U.S. Department of Health and Human Services, that since its inception three years ago has cost the government a paltry $579,000. That’s right, a little more than half a million for three years, less than the cost of one moderately priced home in California. Since the program operates in a number of states, it’s a safe bet that the budget for California’s version is a modest part of that modest amount.\u003c/p>\n\u003cp>It sure sounds like an unusually cost-effective way to open the world of medically underserved California to medical students, to acquaint them with the challenges, opportunities and rewards that working in such an environment can offer.\u003c/p>\n\u003cp>And again, the state uses \u003cem>federal\u003c/em> monies, not its own, to get a leg up on a major challenge facing California -- getting medical professionals to underserved areas and populations.\u003c/p>\n\u003cp>So, using exclusively federal dollars to solve a California problem? Too good to be true, eh?\u003c/p>\n\u003cp>Well, it is.\u003c/p>\n\u003cp>Money for the program has run out, and there are no federal dollars to keep Cal-SEARCH alive, said Donna Scheerer-Treleven, senior program coordinator with the California Primary Care Association. The \u003ca href=\"http://www.cpca.org/\" target=\"_blank\">CPCA\u003c/a> serves as one of several partners for the program’s California arm.\u003c/p>\n\u003cp>The SEARCH program, or some rendering of it, has been around for years. The most recent version began in September of 2009, funded by Washington stimulus money. But, “we’re at the tail end of that now,” said Scheerer-Treleven. The program will end on September 30, despite its popularity.\u003c/p>\n\u003cp>“Feedback has been overwhelmingly positive from program participants,” said Lupe Alonzo-Diaz, acting deputy director at OSHPD’s Healthcare Workforce Development Division.\u003c/p>\n\u003cp>So positive that the program grew almost exponentially over the last three years – from 25 students in year one to 45 the second year and 78 this year.\u003c/p>\n\u003cp>“It’s a great way to get students into rotations who might not have gone this route if it weren’t for this program,” said Scheerer-Treleven. “Students have loved it.”\u003c/p>\n\u003cp>Long Beach native Christine Ruby, 30, certainly did. Ruby, who has eight months to go for a master’s degree in public health plus a second one in physician assistant studies at \u003ca href=\"http://www.tu.edu/\" target=\"_blank\">Touro University\u003c/a>, completed a six-week program at \u003ca href=\"http://www.altamed.org/contact_altamed/orange_county_locations\" target=\"_blank\">Altamed’s Huntington Beach\u003c/a> community clinic just last month.\u003c/p>\n\u003cp>By the second week she was seeing patients on her own, with a “preceptor” to guide her. Over the course of her training, “I easily saw hundreds of patients,” Ruby said.\u003c/p>\n\u003cp>So was the program worth it? “The whole basis of the program is to encourage people to go into primary care and serve the community,” Ruby said. “It benefits the health care system at no cost to the system at all. It just seems silly to me not to continue to fund it.”\u003c/p>\n\u003cp>The folks at OSHPD seem to feel the same way.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“While initial funding has ended, OSHPD is optimistic that it will secure funding and continue to offer students and residents the opportunity to participate in the future,\" Alonzo-Diaz said in an email statement.\u003c/p>\n\n",
"disqusIdentifier": "7835 http://blogs.kqed.org/stateofhealth/?p=7835",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/08/03/a-health-training-program-everyone-likes-but/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 824,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 24
},
"modified": 1344016844,
"excerpt": null,
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "By Richard Kipling, CHCF Center for Health Reporting The past couple years, we’ve witnessed a seeming contradiction in state health policy. On the one hand, we’ve had an unending march of state health programs to the budgetary cutting block, victims of California’s impoverished financial condition; on the other, that same state government has busily prepared",
"title": "A Health Training Program Everyone Likes But... | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "A Health Training Program Everyone Likes But...",
"datePublished": "2012-08-03T11:00:44-07:00",
"dateModified": "2012-08-03T11:00:44-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "a-health-training-program-everyone-likes-but",
"status": "publish",
"path": "/stateofhealth/7835/a-health-training-program-everyone-likes-but",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Richard Kipling, \u003ca title=\"http://centerforhealthreporting.org/blog/health-training-program-everybody-likes-but…950\" href=\"http://centerforhealthreporting.org/blog/health-training-program-everybody-likes-but%E2%80%A6950\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_7841\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/ToddlerExamined_Flickr_AlecCouros_08032012.jpg\">\u003cimg class=\"size-medium wp-image-7841\" title=\"(Flickr: Alec Couros)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/ToddlerExamined_Flickr_AlecCouros_08032012-300x234.jpg\" alt=\"(Flickr: Alec Couros)\" width=\"300\" height=\"234\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Flickr: Alec Couros)\u003c/figcaption>\u003c/figure>\n\u003cp>The past couple years, we’ve witnessed a seeming contradiction in state health policy.\u003c/p>\n\u003cp>On the one hand, we’ve had an unending march of state health programs to the budgetary cutting block, victims of California’s impoverished financial condition; on the other, that same state government has busily prepared for the \u003ca title=\"http://www.healthcare.gov\" href=\"http://www.healthcare.gov\" target=\"_blank\">Affordable Care Act\u003c/a>, set to hit ground in January 2014.\u003c/p>\n\u003cp>While glancing at data on the website of the\u003ca title=\"http://www.oshpd.ca.gov\" href=\"http://www.oshpd.ca.gov\" target=\"_blank\"> Office of Statewide Health Planning and Development\u003c/a> (better known as OSHPD), I thought I’d found a program that was another example of California preparing for reform and decided to dig deeper.\u003c/p>\n\u003cp>Its moniker, \u003ca href=\"http://www.oshpd.ca.gov/hwdd/cal-search/\" target=\"_blank\">Cal-SEARCH\u003c/a>, stands for Student/Resident Experiences and Rotations in Community Health. Its description reads like a perfect fit for this health-reform, getting-health-providers-to-underserved-communities world we’ve entered.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Cal-SEARCH, its literature says, “will provide funded training opportunities for health professional students and residents statewide\" who are enrolled in one of 15 programs ranging from primary care residencies to clinical psychology to clinical social work. Those who qualify “will serve a 4-8 week, 80-hour minimum, clinical rotation in CCHCs (community clinics and health centers) and complete a community project.”\u003c!--more-->\u003c/p>\n\u003cp>If students successfully complete their stints, they get “a modest stipend” of $700. The program provides no money for housing or food or transportation. That’s all on the student.\u003c/p>\n\u003cp>And speaking of modest, I found that Cal-SEARCH is part of a national SEARCH program, funded by the U.S. Department of Health and Human Services, that since its inception three years ago has cost the government a paltry $579,000. That’s right, a little more than half a million for three years, less than the cost of one moderately priced home in California. Since the program operates in a number of states, it’s a safe bet that the budget for California’s version is a modest part of that modest amount.\u003c/p>\n\u003cp>It sure sounds like an unusually cost-effective way to open the world of medically underserved California to medical students, to acquaint them with the challenges, opportunities and rewards that working in such an environment can offer.\u003c/p>\n\u003cp>And again, the state uses \u003cem>federal\u003c/em> monies, not its own, to get a leg up on a major challenge facing California -- getting medical professionals to underserved areas and populations.\u003c/p>\n\u003cp>So, using exclusively federal dollars to solve a California problem? Too good to be true, eh?\u003c/p>\n\u003cp>Well, it is.\u003c/p>\n\u003cp>Money for the program has run out, and there are no federal dollars to keep Cal-SEARCH alive, said Donna Scheerer-Treleven, senior program coordinator with the California Primary Care Association. The \u003ca href=\"http://www.cpca.org/\" target=\"_blank\">CPCA\u003c/a> serves as one of several partners for the program’s California arm.\u003c/p>\n\u003cp>The SEARCH program, or some rendering of it, has been around for years. The most recent version began in September of 2009, funded by Washington stimulus money. But, “we’re at the tail end of that now,” said Scheerer-Treleven. The program will end on September 30, despite its popularity.\u003c/p>\n\u003cp>“Feedback has been overwhelmingly positive from program participants,” said Lupe Alonzo-Diaz, acting deputy director at OSHPD’s Healthcare Workforce Development Division.\u003c/p>\n\u003cp>So positive that the program grew almost exponentially over the last three years – from 25 students in year one to 45 the second year and 78 this year.\u003c/p>\n\u003cp>“It’s a great way to get students into rotations who might not have gone this route if it weren’t for this program,” said Scheerer-Treleven. “Students have loved it.”\u003c/p>\n\u003cp>Long Beach native Christine Ruby, 30, certainly did. Ruby, who has eight months to go for a master’s degree in public health plus a second one in physician assistant studies at \u003ca href=\"http://www.tu.edu/\" target=\"_blank\">Touro University\u003c/a>, completed a six-week program at \u003ca href=\"http://www.altamed.org/contact_altamed/orange_county_locations\" target=\"_blank\">Altamed’s Huntington Beach\u003c/a> community clinic just last month.\u003c/p>\n\u003cp>By the second week she was seeing patients on her own, with a “preceptor” to guide her. Over the course of her training, “I easily saw hundreds of patients,” Ruby said.\u003c/p>\n\u003cp>So was the program worth it? “The whole basis of the program is to encourage people to go into primary care and serve the community,” Ruby said. “It benefits the health care system at no cost to the system at all. It just seems silly to me not to continue to fund it.”\u003c/p>\n\u003cp>The folks at OSHPD seem to feel the same way.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“While initial funding has ended, OSHPD is optimistic that it will secure funding and continue to offer students and residents the opportunity to participate in the future,\" Alonzo-Diaz said in an email statement.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/7835/a-health-training-program-everyone-likes-but",
"authors": [
"240"
],
"categories": [
"stateofhealth_11",
"stateofhealth_14"
],
"tags": [
"stateofhealth_335"
],
"featImg": "stateofhealth_7841",
"label": "stateofhealth"
},
"stateofhealth_7824": {
"type": "posts",
"id": "stateofhealth_7824",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "7824",
"score": null,
"sort": [
1343927369000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1343927369,
"format": "aside",
"disqusTitle": "The Hidden Cost of Hamburgers",
"title": "The Hidden Cost of Hamburgers",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>The Center for Investigative Reporting has produced this slick 8-minute mini-documentary with a blizzard of facts about the hidden environmental costs of the cattle industry.\u003c/p>\n\u003cp>\u003ciframe src=\"http://www.youtube.com/embed/ut3URdEzlKQ\" frameborder=\"0\" width=\"560\" height=\"315\">\u003c/iframe>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
"disqusIdentifier": "7824 http://blogs.kqed.org/stateofhealth/?p=7824",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/08/02/the-hidden-cost-of-hamburgers/",
"stats": {
"hasVideo": true,
"hasChartOrMap": true,
"hasAudio": false,
"hasPolis": false,
"wordCount": 29,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [
"http://www.youtube.com/embed/ut3URdEzlKQ"
],
"paragraphCount": 4
},
"modified": 1344037019,
"excerpt": "The Center for Investigative Reporting has produced this slick 8-minute mini-documentary with a blizzard of facts about the hidden environmental costs of the cattle industry.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "The Center for Investigative Reporting has produced this slick 8-minute mini-documentary with a blizzard of facts about the hidden environmental costs of the cattle industry.",
"title": "The Hidden Cost of Hamburgers | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "The Hidden Cost of Hamburgers",
"datePublished": "2012-08-02T10:09:29-07:00",
"dateModified": "2012-08-03T16:36:59-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "the-hidden-cost-of-hamburgers",
"status": "publish",
"path": "/stateofhealth/7824/the-hidden-cost-of-hamburgers",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Center for Investigative Reporting has produced this slick 8-minute mini-documentary with a blizzard of facts about the hidden environmental costs of the cattle industry.\u003c/p>\n\u003cp>\u003ciframe src=\"http://www.youtube.com/embed/ut3URdEzlKQ\" frameborder=\"0\" width=\"560\" height=\"315\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/7824/the-hidden-cost-of-hamburgers",
"authors": [
"240"
],
"categories": [
"stateofhealth_14"
],
"tags": [
"stateofhealth_20"
],
"featImg": "stateofhealth_7826",
"label": "stateofhealth"
}
},
"podcastsReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": false,
"podcasts": {}
},
"radioProgramsReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": false,
"radioPrograms": {}
},
"radioSearchSegmentsReducer": {},
"programsReducer": {
"all-things-considered": {
"id": "all-things-considered",
"title": "All Things Considered",
"info": "Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.",
"airtime": "MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/all-things-considered/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/all-things-considered"
},
"american-suburb-podcast": {
"id": "american-suburb-podcast",
"title": "American Suburb: The Podcast",
"tagline": "The flip side of gentrification, told through one town",
"info": "Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg",
"officialWebsiteLink": "/news/series/american-suburb-podcast",
"meta": {
"site": "news",
"source": "kqed",
"order": 19
},
"link": "/news/series/american-suburb-podcast/",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/RBrW",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328",
"tuneIn": "https://tunein.com/radio/American-Suburb-p1086805/",
"rss": "https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"
}
},
"baycurious": {
"id": "baycurious",
"title": "Bay Curious",
"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Bay Curious",
"officialWebsiteLink": "/news/series/baycurious",
"meta": {
"site": "news",
"source": "kqed",
"order": 3
},
"link": "/podcasts/baycurious",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/bay-curious/id1172473406",
"npr": "https://www.npr.org/podcasts/500557090/bay-curious",
"rss": "https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast",
"amazon": "https://music.amazon.com/podcasts/9a90d476-aa04-455d-9a4c-0871ed6216d4/bay-curious",
"stitcher": "https://www.stitcher.com/podcast/kqed/bay-curious",
"spotify": "https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"
}
},
"bbc-world-service": {
"id": "bbc-world-service",
"title": "BBC World Service",
"info": "The day's top stories from BBC News compiled twice daily in the week, once at weekends.",
"airtime": "MON-FRI 9pm-10pm, TUE-FRI 1am-2am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.bbc.co.uk/sounds/play/live:bbc_world_service",
"meta": {
"site": "news",
"source": "BBC World Service"
},
"link": "/radio/program/bbc-world-service",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2",
"tuneIn": "https://tunein.com/radio/BBC-World-Service-p455581/",
"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The California Report",
"officialWebsiteLink": "/californiareport",
"meta": {
"site": "news",
"source": "kqed",
"order": 8
},
"link": "/californiareport",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/kqeds-the-california-report/id79681292",
"amazon": "https://music.amazon.com/podcasts/26099305-72af-4542-9dde-ac1807fe36d5/kqed-s-the-california-report",
"npr": "https://www.npr.org/podcasts/432285393/the-california-report",
"stitcher": "https://www.stitcher.com/podcast/kqedfm-kqeds-the-california-report-podcast-8838",
"rss": "https://ww2.kqed.org/news/tag/tcram/feed/podcast"
}
},
"californiareportmagazine": {
"id": "californiareportmagazine",
"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Magazine-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The California Report Magazine",
"officialWebsiteLink": "/californiareportmagazine",
"meta": {
"site": "news",
"source": "kqed",
"order": 10
},
"link": "/californiareportmagazine",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-california-report-magazine/id1314750545",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
"npr": "https://www.npr.org/podcasts/564733126/the-california-report-magazine",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-california-report-magazine",
"rss": "https://ww2.kqed.org/news/tag/tcrmag/feed/podcast"
}
},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
"officialWebsiteLink": "https://www.cityarts.net/",
"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
"title": "Close All Tabs",
"tagline": "Your irreverent guide to the trends redefining our world",
"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/02/CAT_2_Tile-scaled.jpg",
"imageAlt": "KQED Close All Tabs",
"officialWebsiteLink": "/podcasts/closealltabs",
"meta": {
"site": "news",
"source": "kqed",
"order": 1
},
"link": "/podcasts/closealltabs",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/close-all-tabs/id214663465",
"rss": "https://feeds.megaphone.fm/KQINC6993880386",
"amazon": "https://music.amazon.com/podcasts/92d9d4ac-67a3-4eed-b10a-fb45d45b1ef2/close-all-tabs",
"spotify": "https://open.spotify.com/show/6LAJFHnGK1pYXYzv6SIol6?si=deb0cae19813417c"
}
},
"code-switch-life-kit": {
"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
"airtime": "SUN 9pm-10pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/code-switch-life-kit",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
"spotify": "https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV",
"rss": "https://feeds.npr.org/510312/podcast.xml"
}
},
"commonwealth-club": {
"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.commonwealthclub.org/podcasts",
"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2",
"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
"tuneIn": "https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"
}
},
"forum": {
"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
"officialWebsiteLink": "/forum",
"meta": {
"site": "news",
"source": "kqed",
"order": 9
},
"link": "/forum",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
"npr": "https://www.npr.org/podcasts/432307980/forum",
"stitcher": "https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast",
"rss": "https://feeds.megaphone.fm/KQINC9557381633"
}
},
"freakonomics-radio": {
"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/4s8b",
"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
}
},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
"airtime": "MON-FRI 7pm-8pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Fresh-Air-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/fresh-air/",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/fresh-air",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/4s8b",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Fresh-Air-p17/",
"rss": "https://feeds.npr.org/381444908/podcast.xml"
}
},
"here-and-now": {
"id": "here-and-now",
"title": "Here & Now",
"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
"airtime": "MON-THU 11am-12pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Here-And-Now-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "http://www.wbur.org/hereandnow",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/here-and-now",
"subsdcribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=426698661",
"tuneIn": "https://tunein.com/radio/Here--Now-p211/",
"rss": "https://feeds.npr.org/510051/podcast.xml"
}
},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/hiddenbrain.jpg",
"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
"site": "news",
"source": "NPR"
},
"link": "/radio/program/hidden-brain",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/hidden-brain/id1028908750?mt=2",
"tuneIn": "https://tunein.com/podcasts/Science-Podcasts/Hidden-Brain-p787503/",
"rss": "https://feeds.npr.org/510308/podcast.xml"
}
},
"how-i-built-this": {
"id": "how-i-built-this",
"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/how-i-built-this",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
"tuneIn": "https://tunein.com/podcasts/Arts--Culture-Podcasts/How-I-Built-This-p910896/",
"rss": "https://feeds.npr.org/510313/podcast.xml"
}
},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
"imageAlt": "KQED Hyphenación",
"officialWebsiteLink": "/podcasts/hyphenacion",
"meta": {
"site": "news",
"source": "kqed",
"order": 15
},
"link": "/podcasts/hyphenacion",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/hyphenaci%C3%B3n/id1191591838",
"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
"youtube": "https://www.youtube.com/c/kqedarts",
"amazon": "https://music.amazon.com/podcasts/6c3dd23c-93fb-4aab-97ba-1725fa6315f1/hyphenaci%C3%B3n",
"rss": "https://feeds.megaphone.fm/KQINC2275451163"
}
},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Political Mind of Jerry Brown",
"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
"site": "news",
"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
"subscribe": {
"npr": "https://www.npr.org/podcasts/790253322/the-political-mind-of-jerry-brown",
"apple": "https://itunes.apple.com/us/podcast/id1492194549",
"rss": "https://ww2.kqed.org/news/series/jerrybrown/feed/podcast/",
"tuneIn": "http://tun.in/pjGcK",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-political-mind-of-jerry-brown",
"spotify": "https://open.spotify.com/show/54C1dmuyFyKMFttY6X2j6r?si=K8SgRCoISNK6ZbjpXrX5-w",
"amazon": "https://music.amazon.com/podcasts/44420f75-3b0e-4301-ab3b-16da6b09e543/the-political-mind-of-jerry-brown"
}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/xtTd",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Latino-USA-p621/",
"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
"subscribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201853034&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/APM-Marketplace-p88/",
"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
"site": "news",
"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
"spotify": "https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"
}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
"npr": "https://rpb3r.app.goo.gl/onourwatch",
"spotify": "https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x",
"tuneIn": "https://tunein.com/radio/On-Our-Watch-p1436229/",
"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
"site": "news",
"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
"meta": {
"site": "news",
"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
"meta": {
"site": "radio",
"source": "kqed",
"order": 14
},
"link": "/perspectives",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/id73801135",
"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"
}
},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
"officialWebsiteLink": "https://www.npr.org/sections/money/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/M4f5",
"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
"tuneIn": "https://tunein.com/podcasts/Business--Economics-Podcasts/Planet-Money-p164680/",
"rss": "https://feeds.npr.org/510289/podcast.xml"
}
},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Political Breakdown",
"officialWebsiteLink": "/podcasts/politicalbreakdown",
"meta": {
"site": "radio",
"source": "kqed",
"order": 5
},
"link": "/podcasts/politicalbreakdown",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/political-breakdown/id1327641087",
"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
"npr": "https://www.npr.org/podcasts/572155894/political-breakdown",
"stitcher": "https://www.stitcher.com/podcast/kqed/political-breakdown",
"spotify": "https://open.spotify.com/show/07RVyIjIdk2WDuVehvBMoN",
"rss": "https://ww2.kqed.org/news/tag/political-breakdown/feed/podcast"
}
},
"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
"meta": {
"site": "news",
"source": "Possible"
},
"link": "/radio/program/possible",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/possible/id1677184070",
"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
}
},
"pri-the-world": {
"id": "pri-the-world",
"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pri.org/programs/the-world",
"meta": {
"site": "news",
"source": "PRI"
},
"link": "/radio/program/pri-the-world",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pris-the-world-latest-edition/id278196007?mt=2",
"tuneIn": "https://tunein.com/podcasts/News--Politics-Podcasts/PRIs-The-World-p24/",
"rss": "http://feeds.feedburner.com/pri/theworld"
}
},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
"airtime": "SUN 12am-1am, SAT 2pm-3pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/radiolab1400.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/radiolab/",
"meta": {
"site": "science",
"source": "WNYC"
},
"link": "/radio/program/radiolab",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/radiolab/id152249110?mt=2",
"tuneIn": "https://tunein.com/radio/RadioLab-p68032/",
"rss": "https://feeds.wnyc.org/radiolab"
}
},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
"airtime": "SAT 4pm-5pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/reveal300px.png",
"officialWebsiteLink": "https://www.revealnews.org/episodes/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/reveal",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/reveal/id886009669",
"tuneIn": "https://tunein.com/radio/Reveal-p679597/",
"rss": "http://feeds.revealradio.org/revealpodcast"
}
},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Rightnowish-Podcast-Tile-500x500-1.jpg",
"imageAlt": "KQED Rightnowish with Pendarvis Harshaw",
"officialWebsiteLink": "/podcasts/rightnowish",
"meta": {
"site": "arts",
"source": "kqed",
"order": 16
},
"link": "/podcasts/rightnowish",
"subscribe": {
"npr": "https://www.npr.org/podcasts/721590300/rightnowish",
"rss": "https://ww2.kqed.org/arts/programs/rightnowish/feed/podcast",
"apple": "https://podcasts.apple.com/us/podcast/rightnowish/id1482187648",
"stitcher": "https://www.stitcher.com/podcast/kqed/rightnowish",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMxMjU5MTY3NDc4",
"spotify": "https://open.spotify.com/show/7kEJuafTzTVan7B78ttz1I"
}
},
"science-friday": {
"id": "science-friday",
"title": "Science Friday",
"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
"airtime": "FRI 11am-1pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Science-Friday-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/science-friday",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/science-friday",
"subscribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=73329284&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Science-Friday-p394/",
"rss": "http://feeds.wnyc.org/science-friday"
}
},
"snap-judgment": {
"id": "snap-judgment",
"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.",
"airtime": "SAT 1pm-2pm, 9pm-10pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/05/Snap-Judgment-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Snap Judgment",
"officialWebsiteLink": "https://snapjudgment.org",
"meta": {
"site": "arts",
"source": "kqed",
"order": 4
},
"link": "https://snapjudgment.org",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/snap-judgment/id283657561",
"npr": "https://www.npr.org/podcasts/449018144/snap-judgment",
"stitcher": "https://www.pandora.com/podcast/snap-judgment/PC:241?source=stitcher-sunset",
"spotify": "https://open.spotify.com/show/3Cct7ZWmxHNAtLgBTqjC5v",
"rss": "https://snap.feed.snapjudgment.org/"
}
},
"soldout": {
"id": "soldout",
"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
"info": "Sold Out: Rethinking Housing in America",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Sold-Out-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Sold Out: Rethinking Housing in America",
"officialWebsiteLink": "/podcasts/soldout",
"meta": {
"site": "news",
"source": "kqed",
"order": 13
},
"link": "/podcasts/soldout",
"subscribe": {
"npr": "https://www.npr.org/podcasts/911586047/s-o-l-d-o-u-t-a-new-future-for-housing",
"apple": "https://podcasts.apple.com/us/podcast/introducing-sold-out-rethinking-housing-in-america/id1531354937",
"rss": "https://feeds.megaphone.fm/soldout",
"spotify": "https://open.spotify.com/show/38dTBSk2ISFoPiyYNoKn1X",
"stitcher": "https://www.stitcher.com/podcast/kqed/sold-out-rethinking-housing-in-america",
"tunein": "https://tunein.com/radio/SOLD-OUT-Rethinking-Housing-in-America-p1365871/"
}
},
"spooked": {
"id": "spooked",
"title": "Spooked",
"tagline": "True-life supernatural stories",
"info": "",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/10/Spooked-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Spooked",
"officialWebsiteLink": "https://spookedpodcast.org/",
"meta": {
"site": "news",
"source": "kqed",
"order": 7
},
"link": "https://spookedpodcast.org/",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/spooked/id1279361017",
"npr": "https://www.npr.org/podcasts/549547848/snap-judgment-presents-spooked",
"spotify": "https://open.spotify.com/show/76571Rfl3m7PLJQZKQIGCT",
"rss": "https://feeds.simplecast.com/TBotaapn"
}
},
"tech-nation": {
"id": "tech-nation",
"title": "Tech Nation Radio Podcast",
"info": "Tech Nation is a weekly public radio program, hosted by Dr. Moira Gunn. Founded in 1993, it has grown from a simple interview show to a multi-faceted production, featuring conversations with noted technology and science leaders, and a weekly science and technology-related commentary.",
"airtime": "FRI 10pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Tech-Nation-Radio-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "http://technation.podomatic.com/",
"meta": {
"site": "science",
"source": "Tech Nation Media"
},
"link": "/radio/program/tech-nation",
"subscribe": {
"rss": "https://technation.podomatic.com/rss2.xml"
}
},
"ted-radio-hour": {
"id": "ted-radio-hour",
"title": "TED Radio Hour",
"info": "The TED Radio Hour is a journey through fascinating ideas, astonishing inventions, fresh approaches to old problems, and new ways to think and create.",
"airtime": "SUN 3pm-4pm, SAT 10pm-11pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/tedRadioHour.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/ted-radio-hour/?showDate=2018-06-22",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/ted-radio-hour",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/8vsS",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=523121474&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/TED-Radio-Hour-p418021/",
"rss": "https://feeds.npr.org/510298/podcast.xml"
}
},
"thebay": {
"id": "thebay",
"title": "The Bay",
"tagline": "Local news to keep you rooted",
"info": "Host Devin Katayama walks you through the biggest story of the day with reporters and newsmakers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Bay-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Bay",
"officialWebsiteLink": "/podcasts/thebay",
"meta": {
"site": "radio",
"source": "kqed",
"order": 2
},
"link": "/podcasts/thebay",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-bay/id1350043452",
"amazon": "https://music.amazon.com/podcasts/d800ea4c-7a2c-42f2-b861-edaf78a5db0b/the-bay",
"npr": "https://www.npr.org/podcasts/586725995/the-bay",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-bay",
"spotify": "https://open.spotify.com/show/4BIKBKIujizLHlIlBNaAqQ",
"rss": "https://feeds.megaphone.fm/KQINC8259786327"
}
},
"thelatest": {
"id": "thelatest",
"title": "The Latest",
"tagline": "Trusted local news in real time",
"info": "",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/05/The-Latest-2025-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Latest",
"officialWebsiteLink": "/thelatest",
"meta": {
"site": "news",
"source": "kqed",
"order": 6
},
"link": "/thelatest",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-latest-from-kqed/id1197721799",
"npr": "https://www.npr.org/podcasts/1257949365/the-latest-from-k-q-e-d",
"spotify": "https://open.spotify.com/show/5KIIXMgM9GTi5AepwOYvIZ?si=bd3053fec7244dba",
"rss": "https://feeds.megaphone.fm/KQINC9137121918"
}
},
"theleap": {
"id": "theleap",
"title": "The Leap",
"tagline": "What if you closed your eyes, and jumped?",
"info": "Stories about people making dramatic, risky changes, told by award-winning public radio reporter Judy Campbell.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Leap-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Leap",
"officialWebsiteLink": "/podcasts/theleap",
"meta": {
"site": "news",
"source": "kqed",
"order": 17
},
"link": "/podcasts/theleap",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-leap/id1046668171",
"npr": "https://www.npr.org/podcasts/447248267/the-leap",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-leap",
"spotify": "https://open.spotify.com/show/3sSlVHHzU0ytLwuGs1SD1U",
"rss": "https://ww2.kqed.org/news/programs/the-leap/feed/podcast"
}
},
"the-moth-radio-hour": {
"id": "the-moth-radio-hour",
"title": "The Moth Radio Hour",
"info": "Since its launch in 1997, The Moth has presented thousands of true stories, told live and without notes, to standing-room-only crowds worldwide. Moth storytellers stand alone, under a spotlight, with only a microphone and a roomful of strangers. The storyteller and the audience embark on a high-wire act of shared experience which is both terrifying and exhilarating. Since 2008, The Moth podcast has featured many of our favorite stories told live on Moth stages around the country. For information on all of our programs and live events, visit themoth.org.",
"airtime": "SAT 8pm-9pm and SUN 11am-12pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/theMoth.jpg",
"officialWebsiteLink": "https://themoth.org/",
"meta": {
"site": "arts",
"source": "prx"
},
"link": "/radio/program/the-moth-radio-hour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/the-moth-podcast/id275699983?mt=2",
"tuneIn": "https://tunein.com/radio/The-Moth-p273888/",
"rss": "http://feeds.themoth.org/themothpodcast"
}
},
"the-new-yorker-radio-hour": {
"id": "the-new-yorker-radio-hour",
"title": "The New Yorker Radio Hour",
"info": "The New Yorker Radio Hour is a weekly program presented by the magazine's editor, David Remnick, and produced by WNYC Studios and The New Yorker. Each episode features a diverse mix of interviews, profiles, storytelling, and an occasional burst of humor inspired by the magazine, and shaped by its writers, artists, and editors. This isn't a radio version of a magazine, but something all its own, reflecting the rich possibilities of audio storytelling and conversation. Theme music for the show was composed and performed by Merrill Garbus of tUnE-YArDs.",
"airtime": "SAT 10am-11am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-New-Yorker-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/tnyradiohour",
"meta": {
"site": "arts",
"source": "WNYC"
},
"link": "/radio/program/the-new-yorker-radio-hour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/id1050430296",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/New-Yorker-Radio-Hour-p803804/",
"rss": "https://feeds.feedburner.com/newyorkerradiohour"
}
},
"the-sam-sanders-show": {
"id": "the-sam-sanders-show",
"title": "The Sam Sanders Show",
"info": "One of public radio's most dynamic voices, Sam Sanders helped launch The NPR Politics Podcast and hosted NPR's hit show It's Been A Minute. Now, the award-winning host returns with something brand new, The Sam Sanders Show. Every week, Sam Sanders and friends dig into the culture that shapes our lives: what's driving the biggest trends, how artists really think, and even the memes you can't stop scrolling past. Sam is beloved for his way of unpacking the world and bringing you up close to fresh currents and engaging conversations. The Sam Sanders Show is smart, funny and always a good time.",
"airtime": "FRI 12-1pm AND SAT 11am-12pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/11/The-Sam-Sanders-Show-Podcast-Tile-400x400-1.jpg",
"officialWebsiteLink": "https://www.kcrw.com/shows/the-sam-sanders-show/latest",
"meta": {
"site": "arts",
"source": "KCRW"
},
"link": "https://www.kcrw.com/shows/the-sam-sanders-show/latest",
"subscribe": {
"rss": "https://feed.cdnstream1.com/zjb/feed/download/ac/28/59/ac28594c-e1d0-4231-8728-61865cdc80e8.xml"
}
},
"the-splendid-table": {
"id": "the-splendid-table",
"title": "The Splendid Table",
"info": "\u003cem>The Splendid Table\u003c/em> hosts our nation's conversations about cooking, sustainability and food culture.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Splendid-Table-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.splendidtable.org/",
"airtime": "SUN 10-11 pm",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/the-splendid-table"
},
"this-american-life": {
"id": "this-american-life",
"title": "This American Life",
"info": "This American Life is a weekly public radio show, heard by 2.2 million people on more than 500 stations. Another 2.5 million people download the weekly podcast. It is hosted by Ira Glass, produced in collaboration with Chicago Public Media, delivered to stations by PRX The Public Radio Exchange, and has won all of the major broadcasting awards.",
"airtime": "SAT 12pm-1pm, 7pm-8pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/thisAmericanLife.png",
"officialWebsiteLink": "https://www.thisamericanlife.org/",
"meta": {
"site": "news",
"source": "wbez"
},
"link": "/radio/program/this-american-life",
"subscribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201671138&at=11l79Y&ct=nprdirectory",
"rss": "https://www.thisamericanlife.org/podcast/rss.xml"
}
},
"tinydeskradio": {
"id": "tinydeskradio",
"title": "Tiny Desk Radio",
"info": "We're bringing the best of Tiny Desk to the airwaves, only on public radio.",
"airtime": "SUN 8pm and SAT 9pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/04/300x300-For-Member-Station-Logo-Tiny-Desk-Radio-@2x.png",
"officialWebsiteLink": "https://www.npr.org/series/g-s1-52030/tiny-desk-radio",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/tinydeskradio",
"subscribe": {
"rss": "https://feeds.npr.org/g-s1-52030/rss.xml"
}
},
"wait-wait-dont-tell-me": {
"id": "wait-wait-dont-tell-me",
"title": "Wait Wait... Don't Tell Me!",
"info": "Peter Sagal and Bill Kurtis host the weekly NPR News quiz show alongside some of the best and brightest news and entertainment personalities.",
"airtime": "SUN 10am-11am, SAT 11am-12pm, SAT 6pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Wait-Wait-Podcast-Tile-300x300-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/wait-wait-dont-tell-me/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/wait-wait-dont-tell-me",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/Xogv",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=121493804&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Wait-Wait-Dont-Tell-Me-p46/",
"rss": "https://feeds.npr.org/344098539/podcast.xml"
}
},
"weekend-edition-saturday": {
"id": "weekend-edition-saturday",
"title": "Weekend Edition Saturday",
"info": "Weekend Edition Saturday wraps up the week's news and offers a mix of analysis and features on a wide range of topics, including arts, sports, entertainment, and human interest stories. The two-hour program is hosted by NPR's Peabody Award-winning Scott Simon.",
"airtime": "SAT 5am-10am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Weekend-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/weekend-edition-saturday/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/weekend-edition-saturday"
},
"weekend-edition-sunday": {
"id": "weekend-edition-sunday",
"title": "Weekend Edition Sunday",
"info": "Weekend Edition Sunday features interviews with newsmakers, artists, scientists, politicians, musicians, writers, theologians and historians. The program has covered news events from Nelson Mandela's 1990 release from a South African prison to the capture of Saddam Hussein.",
"airtime": "SUN 5am-10am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Weekend-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/weekend-edition-sunday/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/weekend-edition-sunday"
}
},
"racesReducer": {},
"racesGenElectionReducer": {},
"racesGenElection2026Reducer": {},
"racesGenElection2026PresidentialReducer": {},
"radioSchedulesReducer": {},
"listsReducer": {
"posts/stateofhealth?category=policy": {
"isFetching": false,
"latestQuery": {
"from": 660,
"size": 12
},
"vitalsOnly": false,
"totalRequested": 12,
"isLoading": false,
"isLoadingMore": true,
"total": {
"value": 824,
"relation": "eq"
},
"items": [
"stateofhealth_8158",
"stateofhealth_8191",
"stateofhealth_8168",
"stateofhealth_8120",
"stateofhealth_8077",
"stateofhealth_8088",
"stateofhealth_8062",
"stateofhealth_8010",
"stateofhealth_7883",
"stateofhealth_7833",
"stateofhealth_7835",
"stateofhealth_7824"
],
"complete": true
}
},
"recallGuideReducer": {
"intros": {},
"policy": {},
"candidates": {}
},
"savedArticleReducer": {
"articles": [],
"status": {}
},
"newslettersReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": false,
"newsletters": {},
"isSubscribing": false,
"isUnsubscribing": false,
"subscribedNewsletters": {}
},
"termsReducer": {
"about": {
"name": "About",
"type": "terms",
"id": "about",
"slug": "about",
"link": "/about",
"taxonomy": "site"
},
"arts": {
"name": "Arts & Culture",
"grouping": [
"arts",
"pop",
"trulyca"
],
"description": "KQED Arts provides daily in-depth coverage of the Bay Area's music, art, film, performing arts, literature and arts news, as well as cultural commentary and criticism.",
"type": "terms",
"id": "arts",
"slug": "arts",
"link": "/arts",
"taxonomy": "site"
},
"artschool": {
"name": "Art School",
"parent": "arts",
"type": "terms",
"id": "artschool",
"slug": "artschool",
"link": "/artschool",
"taxonomy": "site"
},
"bayareabites": {
"name": "KQED food",
"grouping": [
"food",
"bayareabites",
"checkplease"
],
"parent": "food",
"type": "terms",
"id": "bayareabites",
"slug": "bayareabites",
"link": "/food",
"taxonomy": "site"
},
"bayareahiphop": {
"name": "Bay Area Hiphop",
"type": "terms",
"id": "bayareahiphop",
"slug": "bayareahiphop",
"link": "/bayareahiphop",
"taxonomy": "site"
},
"campaign21": {
"name": "Campaign 21",
"type": "terms",
"id": "campaign21",
"slug": "campaign21",
"link": "/campaign21",
"taxonomy": "site"
},
"careers": {
"name": "Careers",
"type": "terms",
"id": "careers",
"slug": "careers",
"link": "/careers",
"taxonomy": "site"
},
"checkplease": {
"name": "KQED food",
"grouping": [
"food",
"bayareabites",
"checkplease"
],
"parent": "food",
"type": "terms",
"id": "checkplease",
"slug": "checkplease",
"link": "/food",
"taxonomy": "site"
},
"education": {
"name": "Education",
"grouping": [
"education"
],
"type": "terms",
"id": "education",
"slug": "education",
"link": "/education",
"taxonomy": "site"
},
"elections": {
"name": "Elections",
"type": "terms",
"id": "elections",
"slug": "elections",
"link": "/elections",
"taxonomy": "site"
},
"events": {
"name": "Events",
"type": "terms",
"id": "events",
"slug": "events",
"link": "/events",
"taxonomy": "site"
},
"event": {
"name": "Event",
"alias": "events",
"type": "terms",
"id": "event",
"slug": "event",
"link": "/event",
"taxonomy": "site"
},
"filmschoolshorts": {
"name": "Film School Shorts",
"type": "terms",
"id": "filmschoolshorts",
"slug": "filmschoolshorts",
"link": "/filmschoolshorts",
"taxonomy": "site"
},
"food": {
"name": "KQED food",
"grouping": [
"food",
"bayareabites",
"checkplease"
],
"type": "terms",
"id": "food",
"slug": "food",
"link": "/food",
"taxonomy": "site"
},
"forum": {
"name": "Forum",
"relatedContentQuery": "posts/forum?",
"parent": "news",
"type": "terms",
"id": "forum",
"slug": "forum",
"link": "/forum",
"taxonomy": "site"
},
"futureofyou": {
"name": "Future of You",
"grouping": [
"science",
"futureofyou"
],
"parent": "science",
"type": "terms",
"id": "futureofyou",
"slug": "futureofyou",
"link": "/futureofyou",
"taxonomy": "site"
},
"jpepinheart": {
"name": "KQED food",
"relatedContentQuery": "posts/food,bayareabites,checkplease",
"parent": "food",
"type": "terms",
"id": "jpepinheart",
"slug": "jpepinheart",
"link": "/food",
"taxonomy": "site"
},
"liveblog": {
"name": "Live Blog",
"type": "terms",
"id": "liveblog",
"slug": "liveblog",
"link": "/liveblog",
"taxonomy": "site"
},
"livetv": {
"name": "Live TV",
"parent": "tv",
"type": "terms",
"id": "livetv",
"slug": "livetv",
"link": "/livetv",
"taxonomy": "site"
},
"lowdown": {
"name": "The Lowdown",
"relatedContentQuery": "posts/lowdown?",
"parent": "news",
"type": "terms",
"id": "lowdown",
"slug": "lowdown",
"link": "/lowdown",
"taxonomy": "site"
},
"mindshift": {
"name": "Mindshift",
"parent": "news",
"description": "MindShift explores the future of education by highlighting the innovative – and sometimes counterintuitive – ways educators and parents are helping all children succeed.",
"type": "terms",
"id": "mindshift",
"slug": "mindshift",
"link": "/mindshift",
"taxonomy": "site"
},
"news": {
"name": "News",
"grouping": [
"news",
"forum"
],
"type": "terms",
"id": "news",
"slug": "news",
"link": "/news",
"taxonomy": "site"
},
"newsletters": {
"name": "newsletters",
"type": "terms",
"id": "newsletters",
"slug": "newsletters",
"link": "/newsletters",
"taxonomy": "site"
},
"perspectives": {
"name": "Perspectives",
"parent": "radio",
"type": "terms",
"id": "perspectives",
"slug": "perspectives",
"link": "/perspectives",
"taxonomy": "site"
},
"podcasts": {
"name": "Podcasts",
"type": "terms",
"id": "podcasts",
"slug": "podcasts",
"link": "/podcasts",
"taxonomy": "site"
},
"pop": {
"name": "Pop",
"parent": "arts",
"type": "terms",
"id": "pop",
"slug": "pop",
"link": "/pop",
"taxonomy": "site"
},
"pressroom": {
"name": "Pressroom",
"type": "terms",
"id": "pressroom",
"slug": "pressroom",
"link": "/pressroom",
"taxonomy": "site"
},
"quest": {
"name": "Quest",
"parent": "science",
"type": "terms",
"id": "quest",
"slug": "quest",
"link": "/quest",
"taxonomy": "site"
},
"radio": {
"name": "Radio",
"grouping": [
"forum",
"perspectives"
],
"description": "Listen to KQED Public Radio – home of Forum and The California Report – on 88.5 FM in San Francisco, 89.3 FM in Sacramento, 88.3 FM in Santa Rosa and 88.1 FM in Martinez.",
"type": "terms",
"id": "radio",
"slug": "radio",
"link": "/radio",
"taxonomy": "site"
},
"root": {
"name": "KQED",
"image": "https://ww2.kqed.org/app/uploads/2020/02/KQED-OG-Image@1x.png",
"imageWidth": 1200,
"imageHeight": 630,
"headData": {
"title": "KQED | News, Radio, Podcasts, TV | Public Media for Northern California",
"description": "KQED provides public radio, television, and independent reporting on issues that matter to the Bay Area. We’re the NPR and PBS member station for Northern California."
},
"type": "terms",
"id": "root",
"slug": "root",
"link": "/root",
"taxonomy": "site"
},
"science": {
"name": "Science",
"grouping": [
"science",
"futureofyou"
],
"description": "KQED Science brings you award-winning science and environment coverage from the Bay Area and beyond.",
"type": "terms",
"id": "science",
"slug": "science",
"link": "/science",
"taxonomy": "site"
},
"stateofhealth": {
"name": "State of Health",
"parent": "science",
"type": "terms",
"id": "stateofhealth",
"slug": "stateofhealth",
"link": "/stateofhealth",
"taxonomy": "site"
},
"support": {
"name": "Support",
"type": "terms",
"id": "support",
"slug": "support",
"link": "/support",
"taxonomy": "site"
},
"thedolist": {
"name": "The Do List",
"parent": "arts",
"type": "terms",
"id": "thedolist",
"slug": "thedolist",
"link": "/thedolist",
"taxonomy": "site"
},
"trulyca": {
"name": "Truly CA",
"grouping": [
"arts",
"pop",
"trulyca"
],
"parent": "arts",
"type": "terms",
"id": "trulyca",
"slug": "trulyca",
"link": "/trulyca",
"taxonomy": "site"
},
"tv": {
"name": "TV",
"type": "terms",
"id": "tv",
"slug": "tv",
"link": "/tv",
"taxonomy": "site"
},
"voterguide": {
"name": "Voter Guide",
"parent": "elections",
"alias": "elections",
"type": "terms",
"id": "voterguide",
"slug": "voterguide",
"link": "/voterguide",
"taxonomy": "site"
},
"guiaelectoral": {
"name": "Guia Electoral",
"parent": "elections",
"alias": "elections",
"type": "terms",
"id": "guiaelectoral",
"slug": "guiaelectoral",
"link": "/guiaelectoral",
"taxonomy": "site"
},
"stateofhealth_category_policy": {
"isLoading": true
},
"stateofhealth_14": {
"type": "terms",
"id": "stateofhealth_14",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "14",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Policy",
"description": "Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed",
"title": "Policy Archives | KQED Arts",
"ogDescription": null
},
"ttid": 14,
"slug": "policy",
"isLoading": false,
"link": "/stateofhealth/category/policy"
},
"stateofhealth_13": {
"type": "terms",
"id": "stateofhealth_13",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "13",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Tests & Treatments",
"description": "Information and new research about advances in discovering and treating diseases and conditions.",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "Information and new research about advances in discovering and treating diseases and conditions.",
"title": "Tests & Treatments Archives | KQED Arts",
"ogDescription": null
},
"ttid": 13,
"slug": "tests-treatments",
"isLoading": false,
"link": "/stateofhealth/category/tests-treatments"
},
"stateofhealth_96": {
"type": "terms",
"id": "stateofhealth_96",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "96",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Children's Health",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Children's Health Archives | KQED Arts",
"ogDescription": null
},
"ttid": 96,
"slug": "childrens-health",
"isLoading": false,
"link": "/stateofhealth/tag/childrens-health"
},
"stateofhealth_349": {
"type": "terms",
"id": "stateofhealth_349",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "349",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Pregnancy",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Pregnancy Archives | KQED Arts",
"ogDescription": null
},
"ttid": 350,
"slug": "pregnancy",
"isLoading": false,
"link": "/stateofhealth/tag/pregnancy"
},
"stateofhealth_11": {
"type": "terms",
"id": "stateofhealth_11",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "11",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Community Health",
"description": "\r\n\r\nFrom rural California to urban neighborhoods, where you live affects your health",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "From rural California to urban neighborhoods, where you live affects your health",
"title": "Community Health Archives | KQED Arts",
"ogDescription": null
},
"ttid": 11,
"slug": "place-matters",
"isLoading": false,
"link": "/stateofhealth/category/place-matters"
},
"stateofhealth_12": {
"type": "terms",
"id": "stateofhealth_12",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "12",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Living Healthy",
"description": "Health is about much more than medicine. We show you what's new to help you attain and maintain a healthy life",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "Health is about much more than medicine. We show you what's new to help you attain and maintain a healthy life",
"title": "Living Healthy Archives | KQED Arts",
"ogDescription": null
},
"ttid": 12,
"slug": "living-healthy",
"isLoading": false,
"link": "/stateofhealth/category/living-healthy"
},
"stateofhealth_344": {
"type": "terms",
"id": "stateofhealth_344",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "344",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Evidence Based Medicine",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Evidence Based Medicine Archives | KQED Arts",
"ogDescription": null
},
"ttid": 345,
"slug": "evidence-based-medicine",
"isLoading": false,
"link": "/stateofhealth/tag/evidence-based-medicine"
},
"stateofhealth_236": {
"type": "terms",
"id": "stateofhealth_236",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "236",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Shared Decision Making",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Shared Decision Making Archives | KQED Arts",
"ogDescription": null
},
"ttid": 236,
"slug": "shared-decision-making",
"isLoading": false,
"link": "/stateofhealth/tag/shared-decision-making"
},
"stateofhealth_15": {
"type": "terms",
"id": "stateofhealth_15",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "15",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Obamacare",
"description": "The Affordable Care Act celebrates its seventh birthday this year. California has embraced the law, but will it survive a new Congress and President? \r\n",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "The Affordable Care Act celebrates its seventh birthday this year. California has embraced the law, but will it survive a new Congress and President?",
"title": "Obamacare Archives | KQED Arts",
"ogDescription": null
},
"ttid": 15,
"slug": "reform",
"isLoading": false,
"link": "/stateofhealth/category/reform"
},
"stateofhealth_105": {
"type": "terms",
"id": "stateofhealth_105",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "105",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Medicare",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Medicare Archives | KQED Arts",
"ogDescription": null
},
"ttid": 105,
"slug": "medicare",
"isLoading": false,
"link": "/stateofhealth/tag/medicare"
},
"stateofhealth_2746": {
"type": "terms",
"id": "stateofhealth_2746",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "2746",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Public Health",
"description": null,
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Public Health Archives | KQED Arts",
"ogDescription": null
},
"ttid": 2755,
"slug": "public-health",
"isLoading": false,
"link": "/stateofhealth/category/public-health"
},
"stateofhealth_117": {
"type": "terms",
"id": "stateofhealth_117",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "117",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Obesity",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Obesity Archives | KQED Arts",
"ogDescription": null
},
"ttid": 117,
"slug": "obesity",
"isLoading": false,
"link": "/stateofhealth/tag/obesity"
},
"stateofhealth_31": {
"type": "terms",
"id": "stateofhealth_31",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "31",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Vaccines",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Vaccines Archives | KQED Arts",
"ogDescription": null
},
"ttid": 31,
"slug": "vaccines",
"isLoading": false,
"link": "/stateofhealth/tag/vaccines"
},
"stateofhealth_152": {
"type": "terms",
"id": "stateofhealth_152",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "152",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Whooping Cough",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Whooping Cough Archives | KQED Arts",
"ogDescription": null
},
"ttid": 152,
"slug": "whooping-cough",
"isLoading": false,
"link": "/stateofhealth/tag/whooping-cough"
},
"stateofhealth_335": {
"type": "terms",
"id": "stateofhealth_335",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "335",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Underserved Communities",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Underserved Communities Archives | KQED Arts",
"ogDescription": null
},
"ttid": 336,
"slug": "underserved-communities",
"isLoading": false,
"link": "/stateofhealth/tag/underserved-communities"
},
"stateofhealth_20": {
"type": "terms",
"id": "stateofhealth_20",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "20",
"found": true
},
"relationships": {},
"featImg": null,
"name": "environmental health",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "environmental health Archives | KQED Arts",
"ogDescription": null
},
"ttid": 20,
"slug": "environmental-health",
"isLoading": false,
"link": "/stateofhealth/tag/environmental-health"
}
},
"userPermissionsReducer": {
"wpLoggedIn": false
},
"eventsReducer": {},
"fssReducer": {},
"tvDailyScheduleReducer": {},
"tvWeeklyScheduleReducer": {},
"tvPrimetimeScheduleReducer": {},
"tvMonthlyScheduleReducer": {},
"userAccountReducer": {
"user": {
"email": null,
"emailStatus": "EMAIL_UNVALIDATED",
"loggedStatus": "LOGGED_OUT",
"loggingChecked": false,
"articles": [],
"firstName": null,
"lastName": null,
"phoneNumber": null,
"fetchingMembership": false,
"membershipError": false,
"memberships": [
{
"id": null,
"startDate": null,
"firstName": null,
"lastName": null,
"familyNumber": null,
"memberNumber": null,
"memberSince": null,
"expirationDate": null,
"pfsEligible": false,
"isSustaining": false,
"membershipLevel": "Prospect",
"membershipStatus": "Non Member",
"lastGiftDate": null,
"renewalDate": null,
"lastDonationAmount": null
}
]
},
"authModal": {
"isOpen": false,
"view": "LANDING_VIEW"
},
"error": null
},
"youthMediaReducer": {},
"checkPleaseReducer": {
"filterData": {
"region": {
"key": "Restaurant Region",
"filters": [
"Any Region"
]
},
"cuisine": {
"key": "Restaurant Cuisine",
"filters": [
"Any Cuisine"
]
}
},
"restaurantDataById": {},
"restaurantIdsSorted": [],
"error": null
},
"userAgentReducer": {
"userAgent": "Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)",
"isBot": true
},
"requestOutcomesReducer": {
"notFound": []
},
"navPromosReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": true,
"promos": {
"news": {
"name": "2026 Voter Guide",
"link": "/voterguide",
"imageURL": "https://cdn.kqed.org/wp-content/uploads/2026/10/Nav-News-Nov2026ElectionCoverage@2x-7bd4aad4.png",
"description": "Get informed in minutes with our Voter Guide for California’s November 3 election."
},
"podcasts-radio": {},
"video-tv": {},
"events": {},
"support": {}
}
}
}