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"content": "\u003cdiv>\n\u003cp>\u003cstrong>By Emily Bazar,\u003c/strong> \u003ca title=\"http://centerforhealthreporting.org/blog/not-all-childrens-advocacy-groups-oppose-healthy-families-transition946\" href=\"http://centerforhealthreporting.org/blog/not-all-childrens-advocacy-groups-oppose-healthy-families-transition946\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_7190\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_Doctor_DavidMason_Flickr_07092012.jpg\">\u003cimg class=\"size-medium wp-image-7190\" title=\"(David Mason: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_Doctor_DavidMason_Flickr_07092012-300x199.jpg\" alt=\"(David Mason: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(David Mason: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>As the Legislature debated -- and ultimately approved –- a budget-cutting plan to transfer nearly 900,000 California children on the \u003ca title=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families\u003c/a> program into Medi-Cal next year, dozens of groups joined in opposition.\u003c/p>\n\u003cp>They ranged from the \u003ca title=\"http://www.cmanet.org/\" href=\"http://www.cmanet.org/\" target=\"_blank\">California Medical Association\u003c/a>, a professional organization that represents the state’s doctors, to the \u003ca title=\"http://www.cpca.org/\" href=\"http://www.cpca.org/\" target=\"_blank\">California Primary Care Association\u003c/a>, which represents community clinics.\u003c/p>\n\u003cp>Mostly, they were groups that focus on children and families, such as C\u003ca title=\"http://www.childrennow.org/index.php/\" href=\"http://www.childrennow.org/index.php/\" target=\"_blank\">hildren Now\u003c/a> and \u003ca title=\"http://www.unitedwaysca.org/\" href=\"http://www.unitedwaysca.org/\" target=\"_blank\">United Ways of California\u003c/a>.\u003c/p>\n\u003cp>They warned that the transition could disrupt care for thousands of children and ultimately lead to a lack of access to care, particularly in parts of California where doctors – especially those who accept Medi-Cal – are scarce.\u003c/p>\n\u003cp>But it turns out that opposition to the proposal was not unanimous, even among nonprofits that advocate for children and families.\u003c!--more-->\u003c/p>\n\u003cp>“We were supportive of what happened,” said Vanessa Cajina, a \u003ca title=\"http://www.wclp.org/WesternCenter/tabid/1035/Default.aspx\" href=\"http://www.wclp.org/WesternCenter/tabid/1035/Default.aspx\" target=\"_blank\">Western Center on Law & Poverty\u003c/a> lobbyist who focuses on health-related budget items.\u003c/p>\n\u003cp>First, a little background. Medi-Cal is a public health insurance program for the lowest-income Californians. Healthy Families covers children in families with incomes too high to qualify for Medi-Cal, up to 250 percent of the poverty level.\u003c/p>\n\u003cp>Under the transition plan that the Legislature agreed to, 415,000 Healthy Families children will move to Medi-Cal on Jan. 1, 2013, with the remainder making the move later in the year. (Check out this \u003ca title=\"http://centerforhealthreporting.org/sites/default/files/hf_transition_info_from_sen._steinbergs_office.pdf\" href=\"http://centerforhealthreporting.org/sites/default/files/hf_transition_info_from_sen._steinbergs_office.pdf\" target=\"_blank\">fact sheet \u003c/a>from the Legislature for more details on the transition.)\u003c/p>\n\u003cp>Cajina said her group supports the transition, in part, because Medi-Cal covers a broader array of medical services for children than Healthy Families, a point echoed by Lynn Kersey, executive director of \u003ca title=\"http://www.mchaccess.org/index.php\" href=\"http://www.mchaccess.org/index.php\" target=\"_blank\">Maternal and Child Health Access\u003c/a>.\u003c/p>\n\u003cp>Kersey pointed to a benefit under Medi-Cal called \u003ca title=\"http://www.dhcs.ca.gov/services/Pages/EPSDT.aspx\" href=\"http://www.dhcs.ca.gov/services/Pages/EPSDT.aspx\" target=\"_blank\">Early and Periodic Screening, Diagnosis and Treatment\u003c/a>, which she said mandates that “any service a child needs that is medically necessary must be provided. If a plan doesn’t have that in its package, there are outside services that have to be included.”\u003c/p>\n\u003cp>As a result, she said, treatment options for certain medical issues, such as mental health and orthodontia, are better under Medi-Cal than Healthy Families.\u003c/p>\n\u003cp>Norman Williams, spokesman for the state Department of Health Care Services, which administers Medi-Cal, provided another example.\u003c/p>\n\u003cp>“Chiropractic treatments are limited under Healthy Families to a certain number,” he said. “Under Medi-Cal, children can go beyond the limit if there is a medical necessity identified.”\u003c/p>\n\u003cp>Cajina and Kersey also said that families will save money with the transition to Medi-Cal. Healthy Families children pay premiums on a sliding scale and children with Medi-Cal do not.\u003c/p>\n\u003cp>“For children in Medi-Cal under 150 percent of the federal poverty level, there won’t be any cost sharing or monthly premiums, which they had in Healthy Families,” Cajina said.\u003c/p>\n\u003cp>Cajina and Kersey noted other issues that bolster their support for the transition, such as increased efficiencies and more due process rights for participants. Both also agreed that access to care under Medi-Cal will be a continuing concern.\u003c/p>\n\u003cp>But “if everybody is in the same program, we’re all fighting for the same improvements,” Kersey said.\u003c/p>\n\u003cp>Mike Odeh, senior health policy associate for Children Now, said he agrees with the points that Cajina and Kersey make, but worries more about access to care.\u003c/p>\n\u003cp>“If kids don’t have access to care, then who cares if they’re paying a premium or not? … We’re concerned not just about the kids in Healthy Families who will move to Medi-Cal and their access to care. 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"excerpt": "As the Legislature debated -- and ultimately approved –- a budget-cutting plan to transfer nearly 900,000 California children on the Healthy Families program into Medi-Cal next year, dozens of groups joined in opposition.\r\n\r\nThey ranged from the California Medical Association, a professional organization that represents the state’s doctors, to the California Primary Care Association, which represents community clinics.\r\n\r\nMostly, they were groups that focus on children and families, such as Children Now and United Ways of California.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cdiv>\n\u003cp>\u003cstrong>By Emily Bazar,\u003c/strong> \u003ca title=\"http://centerforhealthreporting.org/blog/not-all-childrens-advocacy-groups-oppose-healthy-families-transition946\" href=\"http://centerforhealthreporting.org/blog/not-all-childrens-advocacy-groups-oppose-healthy-families-transition946\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_7190\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_Doctor_DavidMason_Flickr_07092012.jpg\">\u003cimg class=\"size-medium wp-image-7190\" title=\"(David Mason: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_Doctor_DavidMason_Flickr_07092012-300x199.jpg\" alt=\"(David Mason: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(David Mason: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>As the Legislature debated -- and ultimately approved –- a budget-cutting plan to transfer nearly 900,000 California children on the \u003ca title=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families\u003c/a> program into Medi-Cal next year, dozens of groups joined in opposition.\u003c/p>\n\u003cp>They ranged from the \u003ca title=\"http://www.cmanet.org/\" href=\"http://www.cmanet.org/\" target=\"_blank\">California Medical Association\u003c/a>, a professional organization that represents the state’s doctors, to the \u003ca title=\"http://www.cpca.org/\" href=\"http://www.cpca.org/\" target=\"_blank\">California Primary Care Association\u003c/a>, which represents community clinics.\u003c/p>\n\u003cp>Mostly, they were groups that focus on children and families, such as C\u003ca title=\"http://www.childrennow.org/index.php/\" href=\"http://www.childrennow.org/index.php/\" target=\"_blank\">hildren Now\u003c/a> and \u003ca title=\"http://www.unitedwaysca.org/\" href=\"http://www.unitedwaysca.org/\" target=\"_blank\">United Ways of California\u003c/a>.\u003c/p>\n\u003cp>They warned that the transition could disrupt care for thousands of children and ultimately lead to a lack of access to care, particularly in parts of California where doctors – especially those who accept Medi-Cal – are scarce.\u003c/p>\n\u003cp>But it turns out that opposition to the proposal was not unanimous, even among nonprofits that advocate for children and families.\u003c!--more-->\u003c/p>\n\u003cp>“We were supportive of what happened,” said Vanessa Cajina, a \u003ca title=\"http://www.wclp.org/WesternCenter/tabid/1035/Default.aspx\" href=\"http://www.wclp.org/WesternCenter/tabid/1035/Default.aspx\" target=\"_blank\">Western Center on Law & Poverty\u003c/a> lobbyist who focuses on health-related budget items.\u003c/p>\n\u003cp>First, a little background. Medi-Cal is a public health insurance program for the lowest-income Californians. Healthy Families covers children in families with incomes too high to qualify for Medi-Cal, up to 250 percent of the poverty level.\u003c/p>\n\u003cp>Under the transition plan that the Legislature agreed to, 415,000 Healthy Families children will move to Medi-Cal on Jan. 1, 2013, with the remainder making the move later in the year. (Check out this \u003ca title=\"http://centerforhealthreporting.org/sites/default/files/hf_transition_info_from_sen._steinbergs_office.pdf\" href=\"http://centerforhealthreporting.org/sites/default/files/hf_transition_info_from_sen._steinbergs_office.pdf\" target=\"_blank\">fact sheet \u003c/a>from the Legislature for more details on the transition.)\u003c/p>\n\u003cp>Cajina said her group supports the transition, in part, because Medi-Cal covers a broader array of medical services for children than Healthy Families, a point echoed by Lynn Kersey, executive director of \u003ca title=\"http://www.mchaccess.org/index.php\" href=\"http://www.mchaccess.org/index.php\" target=\"_blank\">Maternal and Child Health Access\u003c/a>.\u003c/p>\n\u003cp>Kersey pointed to a benefit under Medi-Cal called \u003ca title=\"http://www.dhcs.ca.gov/services/Pages/EPSDT.aspx\" href=\"http://www.dhcs.ca.gov/services/Pages/EPSDT.aspx\" target=\"_blank\">Early and Periodic Screening, Diagnosis and Treatment\u003c/a>, which she said mandates that “any service a child needs that is medically necessary must be provided. If a plan doesn’t have that in its package, there are outside services that have to be included.”\u003c/p>\n\u003cp>As a result, she said, treatment options for certain medical issues, such as mental health and orthodontia, are better under Medi-Cal than Healthy Families.\u003c/p>\n\u003cp>Norman Williams, spokesman for the state Department of Health Care Services, which administers Medi-Cal, provided another example.\u003c/p>\n\u003cp>“Chiropractic treatments are limited under Healthy Families to a certain number,” he said. “Under Medi-Cal, children can go beyond the limit if there is a medical necessity identified.”\u003c/p>\n\u003cp>Cajina and Kersey also said that families will save money with the transition to Medi-Cal. 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"content": "\u003cp>The Supreme Court ruling to uphold the \u003ca href=\"http://www.healthcare.gov/law/full/\" target=\"_blank\">Patient Protection and Affordable Care Act\u003c/a> was a big victory for the Obama Administration, but obstacles still lie ahead. How will states respond to the \u003ca href=\"http://www.healthcare.gov/prevention/nphpphc/advisorygrp/essential-health-benefits-10032011.pdf\" target=\"_blank\">Medicaid expansion\u003c/a> [PDF]? And will Republicans try to repeal the health overhaul law if President Obama loses the November election?\u003c/p>\n\u003cp>\u003ca href=\"http://www.kaiserhealthnews.org/reporters/mac.aspx\" target=\"_blank\">Mary Agnes Carey\u003c/a> of of Kaiser Health News moderates a discussion between Kaiser Health News' Marilyn Werber Serafini, Politico's \u003ca href=\"http://www.politico.com/reporters/JenniferHaberkorn.html\" target=\"_blank\">Jennifer Haberkorn\u003c/a> and the Los Angeles Times' \u003ca href=\"http://www.latimes.com/search/dispatcher.front?Query=noam+levey&target=article&sortby=display_time+descending\" target=\"_blank\">Noam Levey\u003c/a>.\u003c/p>\n\u003cp>\u003cobject id=\"flashObj\" width=\"486\" height=\"412\" 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=\"videoId=1719377789001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\">\u003cparam name=\"base\" value=\"http://admin.brightcove.com\">\u003cparam name=\"seamlesstabbing\" value=\"false\">\u003cparam name=\"allowFullScreen\" value=\"true\">\u003cparam name=\"swLiveConnect\" value=\"true\">\u003cparam name=\"allowScriptAccess\" value=\"always\">\u003cparam name=\"src\" value=\"http://c.brightcove.com/services/viewer/federated_f9?isVid=1\">\u003cparam name=\"flashvars\" value=\"videoId=1719377789001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\">\u003cparam name=\"allowfullscreen\" value=\"true\">\u003cparam name=\"swliveconnect\" value=\"true\">\u003cparam name=\"allowscriptaccess\" value=\"always\">\u003cparam name=\"pluginspage\" value=\"http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash\">\u003cembed width=\"486\" height=\"412\" type=\"application/x-shockwave-flash\" src=\"http://c.brightcove.com/services/viewer/federated_f9?isVid=1\" flashvars=\"videoId=1719377789001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\" base=\"http://admin.brightcove.com\" seamlesstabbing=\"false\" allowfullscreen=\"true\" swliveconnect=\"true\" allowscriptaccess=\"always\" pluginspage=\"http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Supreme Court ruling to uphold the \u003ca href=\"http://www.healthcare.gov/law/full/\" target=\"_blank\">Patient Protection and Affordable Care Act\u003c/a> was a big victory for the Obama Administration, but obstacles still lie ahead. How will states respond to the \u003ca href=\"http://www.healthcare.gov/prevention/nphpphc/advisorygrp/essential-health-benefits-10032011.pdf\" target=\"_blank\">Medicaid expansion\u003c/a> [PDF]? And will Republicans try to repeal the health overhaul law if President Obama loses the November election?\u003c/p>\n\u003cp>\u003ca href=\"http://www.kaiserhealthnews.org/reporters/mac.aspx\" target=\"_blank\">Mary Agnes Carey\u003c/a> of of Kaiser Health News moderates a discussion between Kaiser Health News' Marilyn Werber Serafini, Politico's \u003ca href=\"http://www.politico.com/reporters/JenniferHaberkorn.html\" target=\"_blank\">Jennifer Haberkorn\u003c/a> and the Los Angeles Times' \u003ca href=\"http://www.latimes.com/search/dispatcher.front?Query=noam+levey&target=article&sortby=display_time+descending\" target=\"_blank\">Noam Levey\u003c/a>.\u003c/p>\n\u003cp>\u003cobject id=\"flashObj\" width=\"486\" height=\"412\" 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=\"videoId=1719377789001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\">\u003cparam name=\"base\" value=\"http://admin.brightcove.com\">\u003cparam name=\"seamlesstabbing\" value=\"false\">\u003cparam name=\"allowFullScreen\" value=\"true\">\u003cparam name=\"swLiveConnect\" value=\"true\">\u003cparam name=\"allowScriptAccess\" value=\"always\">\u003cparam name=\"src\" value=\"http://c.brightcove.com/services/viewer/federated_f9?isVid=1\">\u003cparam name=\"flashvars\" value=\"videoId=1719377789001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\">\u003cparam name=\"allowfullscreen\" value=\"true\">\u003cparam name=\"swliveconnect\" value=\"true\">\u003cparam name=\"allowscriptaccess\" value=\"always\">\u003cparam name=\"pluginspage\" value=\"http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash\">\u003cembed width=\"486\" height=\"412\" type=\"application/x-shockwave-flash\" src=\"http://c.brightcove.com/services/viewer/federated_f9?isVid=1\" flashvars=\"videoId=1719377789001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\" base=\"http://admin.brightcove.com\" seamlesstabbing=\"false\" allowfullscreen=\"true\" swliveconnect=\"true\" allowscriptaccess=\"always\" pluginspage=\"http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cstrong>By \u003ca href=\"http://annenberg.usc.edu/Faculty/Communication%20and%20Journalism/WestphalD.aspxhttp://\" target=\"_blank\">David Westphal\u003c/a>, \u003ca href=\"http://centerforhealthreporting.org/\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>The Supreme Court’s validation of President Obama’s landmark health law sets off a scramble across California to find enough primary care doctors and other professionals to serve an estimated 3 million newly insured patients by 2014.\u003c/p>\n\u003cp>California already rates below average in the number of doctors per capita. But the state – rural counties in particular – will face additional headwinds as health reform slashes the ranks of its 7 million uninsured.\u003c/p>\n\u003cp>California has an unusually large number of doctors heading into their retirement years. It expects a much higher-than-average rise in the health-intensive 65-and-older population. And it has one of the lowest reimbursement rates in the country for Medi-Cal, the state’s primary program offering health coverage for the poor.\u003c/p>\n\u003cp>Especially for communities that are already struggling with doctor shortages, the court’s somewhat unexpected endorsement of the Affordable Care Act suddenly presents a steep challenge.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“What good is it in 2014,” when millions of uninsured Californians will gain coverage “when they don’t have access to providers?”\u003c/aside>\n\u003cp>“The Affordable Care Act will add hundreds of thousands of people to the rolls of the insured. That’s good,” said Dr. G. Richard Olds, founding dean of the UC Riverside School of Medicine. “But where are the primary care physicians going to come from to serve that population?”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>According to a 2009 study by the California HealthCare Foundation, only 16 of 58 California counties had sufficient primary care doctors as measured against standards set by the American Medical Association. The Association of American Medical Colleges has warned the nation could reach a shortfall of nearly 100,000 doctors by 2020.\u003c!--more-->\u003c/p>\n\u003cp>Many of California’s most acute shortages are in the Inland Empire and the San Joaquin Valley, where communities struggle to attract and retain doctors. They also have some of California’s highest uninsured rates – exceeding 30 percent of residents in some counties, according to a 2009 UCLA study.\u003c/p>\n\u003cp>That could mean the same counties already fighting doctor shortages could see big increases in the insured starting in 2014.\u003c/p>\n\u003cp>Asked if local providers in San Luis Obispo County were numerous enough to accommodate the new patients created by health reform, county health officer Dr. Penny Borenstein had a definitive answer: “No. Simply.”\u003c/p>\n\u003cp>“We may have the possibility of adding 10,000, 15,000, 25,000 people into the health care system who have not used it very much,” she said.\u003c/p>\n\u003cp>Lee Kemper, executive director of the County Medical Services Program, a consortium of 34 rural counties that are implementing the Medi-Cal expansion together, said a mixture of innovation and increased funding was key to meeting the demands of health reform -- now a mere 18 months away.\u003c/p>\n\u003cp>“We’re going to have to get creative,” Kemper said on Friday. “Strike teams” of medical specialists from urban areas could be brought into rural hospitals and clinics on a set schedule, he said. And tele-health systems could be strengthened to allow far-away specialists to consult, and even treat patients, with an online connection.\u003c/p>\n\u003cp>Kemper added that Medi-Cal reimbursement rates for doctors in rural areas must be increased so practitioners have incentive to set up shop in the far corners of the state. Statewide, barely more than half of primary care doctors are willing to see new Medi-Cal patients.\u003c/p>\n\u003cp>James Hay, a family physician in Encinitas and president of the California Medical Association, is among those who decline Medi-Cal patients.\u003c/p>\n\u003cp>“In my office, we figure it probably costs us $50 to $55 to see any patient on average,” he said. “If Medi-Cal pays us $23 to see a medical patient for a routine office visit… I would be spending $32 per visit to see that patient.”\u003c/p>\n\u003cp>In California, Hay said, that’s why much of Medi-Cal primary care is done in federally qualified clinics, which are paid a higher amount for patient care because they also have to cover certain tests and other costs.\u003c/p>\n\u003cp>Can those community clinics handle the new wave of Medi-Cal patients? “Absolutely not,” Hay said. “I think there will be a huge access problem.”\u003c/p>\n\u003cp>The Affordable Care Act does provide some help on this front, sending $700 million to California so that Medi-Cal reimbursement rates rise to the level of Medicare payments for two years. But the health industry worries that the underlying problem won’t go away, and that both state and federal politicians will be tempted to cut Medicaid reimbursements even more.\u003c/p>\n\u003cp>Senate Health Committee chairman Ed Hernandez (D-West Covina) plans to make the health care workforce, which he said is currently inadequate, one of his top priorities. “What good is it in 2014,” when millions of uninsured Californians will gain coverage “when they don’t have access to providers?” he asked.\u003c/p>\n\u003cp>One of his key but controversial proposals will be legislation to\u003c/p>\n\u003cp>expand scope-of-practice definitions for some health care providers such as nurse practitioners and physician assistants.\u003c/p>\n\u003cp>Janet Coffman, assistant professor of health policy at UC San Francisco, said California lags many states in this area because most residents live in urban areas where doctor shortages aren’t as much of a problem. Because of the Affordable Care Act, she said, “I would say scope of practice is on the radar screen.”\u003c/p>\n\u003cp>Hernandez, who said he is holding committee hearings on workforce issues, will also try to boost the number of medical students in the state and bring medical residency programs to underserved areas.\u003c/p>\n\u003cp>Even before the health law was passed in 2010, the shortage of primary care physicians in California catalyzed a far-flung campaign--by educators, doctors, government leaders--to train new doctors in the state and encourage them to practice in under-served regions, including the Central Valley and the Inland Empire.\u003c/p>\n\u003cp>That drive led to plans for all-new medical schools at UC Riverside and UC Merced, with an emphasis on primary care. Plans called for eventually enrolling 400 students at each school, both of them aiming to coax graduates to stay in the region.\u003c/p>\n\u003cp>But the state budget crisis has delayed both projects. This fall, 11 students, all ethnic minority students from the Central Valley area, will be enrolled in a UC Merced program with ties to UC Davis and UCSF-Fresno. Pending accreditation approval, UC Riverside hopes to open in 2013 with an initial class of 50.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>The\u003c/em>\u003ca href=\"http://www.centerforhealthreporting.org/\">\u003cem> \u003c/em>\u003cem>California HealthCare Foundation Center for Health Reporting\u003c/em>\u003c/a> \u003cem>produces in-depth reporting on California health policy.\u003c/em>\u003cem> \u003c/em> \u003cem>Attached to the\u003c/em>\u003ca href=\"http://annenberg.usc.edu/\">\u003cem> \u003c/em>\u003cem>USC Annenberg School for Communication & Journalism,\u003c/em>\u003c/a>\u003cem> the center is funded by the nonpartisan\u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem> \u003c/em>\u003cem>California HealthCare Foundation\u003c/em>\u003c/a>\u003cem>. John M. Gonzales, Lauren M. 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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By \u003ca href=\"http://annenberg.usc.edu/Faculty/Communication%20and%20Journalism/WestphalD.aspxhttp://\" target=\"_blank\">David Westphal\u003c/a>, \u003ca href=\"http://centerforhealthreporting.org/\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>The Supreme Court’s validation of President Obama’s landmark health law sets off a scramble across California to find enough primary care doctors and other professionals to serve an estimated 3 million newly insured patients by 2014.\u003c/p>\n\u003cp>California already rates below average in the number of doctors per capita. But the state – rural counties in particular – will face additional headwinds as health reform slashes the ranks of its 7 million uninsured.\u003c/p>\n\u003cp>California has an unusually large number of doctors heading into their retirement years. It expects a much higher-than-average rise in the health-intensive 65-and-older population. And it has one of the lowest reimbursement rates in the country for Medi-Cal, the state’s primary program offering health coverage for the poor.\u003c/p>\n\u003cp>Especially for communities that are already struggling with doctor shortages, the court’s somewhat unexpected endorsement of the Affordable Care Act suddenly presents a steep challenge.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“What good is it in 2014,” when millions of uninsured Californians will gain coverage “when they don’t have access to providers?”\u003c/aside>\n\u003cp>“The Affordable Care Act will add hundreds of thousands of people to the rolls of the insured. That’s good,” said Dr. G. Richard Olds, founding dean of the UC Riverside School of Medicine. “But where are the primary care physicians going to come from to serve that population?”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>According to a 2009 study by the California HealthCare Foundation, only 16 of 58 California counties had sufficient primary care doctors as measured against standards set by the American Medical Association. The Association of American Medical Colleges has warned the nation could reach a shortfall of nearly 100,000 doctors by 2020.\u003c!--more-->\u003c/p>\n\u003cp>Many of California’s most acute shortages are in the Inland Empire and the San Joaquin Valley, where communities struggle to attract and retain doctors. They also have some of California’s highest uninsured rates – exceeding 30 percent of residents in some counties, according to a 2009 UCLA study.\u003c/p>\n\u003cp>That could mean the same counties already fighting doctor shortages could see big increases in the insured starting in 2014.\u003c/p>\n\u003cp>Asked if local providers in San Luis Obispo County were numerous enough to accommodate the new patients created by health reform, county health officer Dr. Penny Borenstein had a definitive answer: “No. Simply.”\u003c/p>\n\u003cp>“We may have the possibility of adding 10,000, 15,000, 25,000 people into the health care system who have not used it very much,” she said.\u003c/p>\n\u003cp>Lee Kemper, executive director of the County Medical Services Program, a consortium of 34 rural counties that are implementing the Medi-Cal expansion together, said a mixture of innovation and increased funding was key to meeting the demands of health reform -- now a mere 18 months away.\u003c/p>\n\u003cp>“We’re going to have to get creative,” Kemper said on Friday. “Strike teams” of medical specialists from urban areas could be brought into rural hospitals and clinics on a set schedule, he said. And tele-health systems could be strengthened to allow far-away specialists to consult, and even treat patients, with an online connection.\u003c/p>\n\u003cp>Kemper added that Medi-Cal reimbursement rates for doctors in rural areas must be increased so practitioners have incentive to set up shop in the far corners of the state. Statewide, barely more than half of primary care doctors are willing to see new Medi-Cal patients.\u003c/p>\n\u003cp>James Hay, a family physician in Encinitas and president of the California Medical Association, is among those who decline Medi-Cal patients.\u003c/p>\n\u003cp>“In my office, we figure it probably costs us $50 to $55 to see any patient on average,” he said. “If Medi-Cal pays us $23 to see a medical patient for a routine office visit… I would be spending $32 per visit to see that patient.”\u003c/p>\n\u003cp>In California, Hay said, that’s why much of Medi-Cal primary care is done in federally qualified clinics, which are paid a higher amount for patient care because they also have to cover certain tests and other costs.\u003c/p>\n\u003cp>Can those community clinics handle the new wave of Medi-Cal patients? “Absolutely not,” Hay said. “I think there will be a huge access problem.”\u003c/p>\n\u003cp>The Affordable Care Act does provide some help on this front, sending $700 million to California so that Medi-Cal reimbursement rates rise to the level of Medicare payments for two years. But the health industry worries that the underlying problem won’t go away, and that both state and federal politicians will be tempted to cut Medicaid reimbursements even more.\u003c/p>\n\u003cp>Senate Health Committee chairman Ed Hernandez (D-West Covina) plans to make the health care workforce, which he said is currently inadequate, one of his top priorities. “What good is it in 2014,” when millions of uninsured Californians will gain coverage “when they don’t have access to providers?” he asked.\u003c/p>\n\u003cp>One of his key but controversial proposals will be legislation to\u003c/p>\n\u003cp>expand scope-of-practice definitions for some health care providers such as nurse practitioners and physician assistants.\u003c/p>\n\u003cp>Janet Coffman, assistant professor of health policy at UC San Francisco, said California lags many states in this area because most residents live in urban areas where doctor shortages aren’t as much of a problem. 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This fall, 11 students, all ethnic minority students from the Central Valley area, will be enrolled in a UC Merced program with ties to UC Davis and UCSF-Fresno. Pending accreditation approval, UC Riverside hopes to open in 2013 with an initial class of 50.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>The\u003c/em>\u003ca href=\"http://www.centerforhealthreporting.org/\">\u003cem> \u003c/em>\u003cem>California HealthCare Foundation Center for Health Reporting\u003c/em>\u003c/a> \u003cem>produces in-depth reporting on California health policy.\u003c/em>\u003cem> \u003c/em> \u003cem>Attached to the\u003c/em>\u003ca href=\"http://annenberg.usc.edu/\">\u003cem> \u003c/em>\u003cem>USC Annenberg School for Communication & Journalism,\u003c/em>\u003c/a>\u003cem> the center is funded by the nonpartisan\u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem> \u003c/em>\u003cem>California HealthCare Foundation\u003c/em>\u003c/a>\u003cem>. John M. Gonzales, Lauren M. Whaley, Emily Bazar, Deborah Schoch and Richard Kipling contributed. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Will Employers Start Dropping Employees From Health Plans? Discuss.",
"title": "Will Employers Start Dropping Employees From Health Plans? Discuss.",
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"content": "\u003cfigure id=\"attachment_7024\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/JobSeekersQueens20120503.jpg\">\u003cimg class=\"size-medium wp-image-7024\" title=\"Will employers stop covering employees and push them to the exchanges once they are set up in the 50 states? (STAN HONDA/AFP/GettyImages)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/JobSeekersQueens20120503-300x212.jpg\" alt=\"\" width=\"300\" height=\"212\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Will employers stop covering employees and push them to the exchanges once they are set up in the 50 states? (STAN HONDA/AFP/GettyImages)\u003c/figcaption>\u003c/figure>\n\u003cp>Now that the future of the \u003ca href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act \u003c/a>has been decided - \u003ca href=\"http://www.cbsnews.com/8301-503544_162-57463762-503544/gop-doubles-down-on-health-care-repeal-promise/\" target=\"_blank\">to some degree\u003c/a> - the debates over what it means have begun.\u003c/p>\n\u003cp>Does the act potentially impose a \u003ca href=\"http://www.cnn.com/2012/06/28/politics/health-care-taxes/index.html\" target=\"_blank\">tax\u003c/a> on Americans or \u003ca href=\"http://www.washingtonpost.com/politics/federal_government/white-house-health-care-law-creates-a-penalty-not-a-tax-on-those-refusing-to-get-insurance/2012/06/29/gJQAjsHhBW_story.html\" target=\"_blank\">a penalty\u003c/a>? Will the \u003ca href=\"http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=6&ved=0CGgQFjAF&url=http%3A%2F%2Fwww.healthcare.gov%2Flaw%2Fresources%2Freports%2Fnationalqualitystrategy032011.pdf&ei=hurtT7q-D-LYmAXcmITsDQ&usg=AFQjCNGYdFr3tlRHnQB8_yMkjKrrJTBMCw\" target=\"_blank\">health care system become uniformly robust\u003c/a>, or will it put a huge \u003ca href=\"http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=10&ved=0CGYQFjAJ&url=http%3A%2F%2Fwww.physiciansfoundation.org%2FuploadedFiles%2FHealth%2520Reform%2520and%2520the%2520Decline%2520of%2520Physician%2520Private%2520Practice.pdf&ei=YubtT72BC6T4mAXu7f3hDQ&usg=AFQjCNEuQcVRmc2ji1J9GX8kB1xFwR31xQ\" target=\"_blank\">burden on physicians in private practice\u003c/a>?\u003c/p>\n\u003cp>And another biggie that you'll be hearing about:\u003c/p>\n\u003cp>The Chronicle has \u003ca href=\"http://blog.sfgate.com/nov05election/2012/06/29/yes-virginia-employers-will-drop-coverage/\" target=\"_blank\">a piece this morning\u003c/a>, with a link to\u003ca href=\"http://www.mckinseyquarterly.com/How_US_health_care_reform_will_affect_employee_benefits_2813\" target=\"_blank\"> a report in McKinsey & Company\u003c/a>, which suggests: YES, given the opportunity, employers will stop offering coverage. But in Massachusetts, which has a \u003ca href=\"http://www.kaiserhealthnews.org/stories/2012/april/12/different-takes-nicholas.aspx?referrer=search\" target=\"_blank\">similar law already in place\u003c/a>, \u003ca href=\"http://www.mass.gov/eohhs/docs/dhcfp/r/pubs/11/fair-share-analyses-2010.pdf\" target=\"_blank\">that hasn't been the case\u003c/a>.\u003c/p>\n\u003cp>Who is right? Probably \u003ca href=\"http://www.commonwealthfund.org/Newsletters/Purchasing-High-Performance/2011/September-19-2011/Perspectives-on-Policy/Will-Employers-Drop-Health-Coverage-in-2014.aspx\" target=\"_blank\">this report\u003c/a> from the Commonwealth Fund that sorts through a number of studies and concludes it will be hard to know how it will shake out until large employers are eligible for the health exchanges in 2017.\u003c/p>\n\u003cblockquote>\u003cp>Studies and surveys on the subject aren’t hard to find, but they are hard to reconcile. Just since June 2010, there have been at least seven surveys on the subject.\u003csup>\u003ca href=\"http://www.commonwealthfund.org/Newsletters/Purchasing-High-Performance/2011/September-19-2011/Perspectives-on-Policy/Will-Employers-Drop-Health-Coverage-in-2014.aspx#1\">1\u003c/a>\u003c/sup> So, will 2.7 percent of employers drop coverage as this \u003ca href=\"http://www.ifebp.org/pdf/research/HealthCareReform_May2010.pdf\" target=\"_blank\">survey\u003c/a> suggests? Or will 18.8 percent drop coverage, as this \u003ca href=\"http://www.lockton.com/Resource_/PageResource/MKT/Employer%20Health%20Reform%20Survey%20Results%202011--FINAL.pdf\" target=\"_blank\">survey\u003c/a>, conducted one month later, suggests? Or were researchers at RAND correct when then calculated in late 2010 that employers would offer coverage to an additional 13.6 million workers once the exchanges, penalties, and various subsidies are all up and running?\u003csup>\u003ca href=\"http://www.commonwealthfund.org/Newsletters/Purchasing-High-Performance/2011/September-19-2011/Perspectives-on-Policy/Will-Employers-Drop-Health-Coverage-in-2014.aspx#2\">2\u003c/a> \u003c/sup>\u003c/p>\u003c/blockquote>\n\u003cp>Let the debates begin.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_7024\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/JobSeekersQueens20120503.jpg\">\u003cimg class=\"size-medium wp-image-7024\" title=\"Will employers stop covering employees and push them to the exchanges once they are set up in the 50 states? (STAN HONDA/AFP/GettyImages)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/JobSeekersQueens20120503-300x212.jpg\" alt=\"\" width=\"300\" height=\"212\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Will employers stop covering employees and push them to the exchanges once they are set up in the 50 states? (STAN HONDA/AFP/GettyImages)\u003c/figcaption>\u003c/figure>\n\u003cp>Now that the future of the \u003ca href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act \u003c/a>has been decided - \u003ca href=\"http://www.cbsnews.com/8301-503544_162-57463762-503544/gop-doubles-down-on-health-care-repeal-promise/\" target=\"_blank\">to some degree\u003c/a> - the debates over what it means have begun.\u003c/p>\n\u003cp>Does the act potentially impose a \u003ca href=\"http://www.cnn.com/2012/06/28/politics/health-care-taxes/index.html\" target=\"_blank\">tax\u003c/a> on Americans or \u003ca href=\"http://www.washingtonpost.com/politics/federal_government/white-house-health-care-law-creates-a-penalty-not-a-tax-on-those-refusing-to-get-insurance/2012/06/29/gJQAjsHhBW_story.html\" target=\"_blank\">a penalty\u003c/a>? Will the \u003ca href=\"http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=6&ved=0CGgQFjAF&url=http%3A%2F%2Fwww.healthcare.gov%2Flaw%2Fresources%2Freports%2Fnationalqualitystrategy032011.pdf&ei=hurtT7q-D-LYmAXcmITsDQ&usg=AFQjCNGYdFr3tlRHnQB8_yMkjKrrJTBMCw\" target=\"_blank\">health care system become uniformly robust\u003c/a>, or will it put a huge \u003ca href=\"http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=10&ved=0CGYQFjAJ&url=http%3A%2F%2Fwww.physiciansfoundation.org%2FuploadedFiles%2FHealth%2520Reform%2520and%2520the%2520Decline%2520of%2520Physician%2520Private%2520Practice.pdf&ei=YubtT72BC6T4mAXu7f3hDQ&usg=AFQjCNEuQcVRmc2ji1J9GX8kB1xFwR31xQ\" target=\"_blank\">burden on physicians in private practice\u003c/a>?\u003c/p>\n\u003cp>And another biggie that you'll be hearing about:\u003c/p>\n\u003cp>The Chronicle has \u003ca href=\"http://blog.sfgate.com/nov05election/2012/06/29/yes-virginia-employers-will-drop-coverage/\" target=\"_blank\">a piece this morning\u003c/a>, with a link to\u003ca href=\"http://www.mckinseyquarterly.com/How_US_health_care_reform_will_affect_employee_benefits_2813\" target=\"_blank\"> a report in McKinsey & Company\u003c/a>, which suggests: YES, given the opportunity, employers will stop offering coverage. But in Massachusetts, which has a \u003ca href=\"http://www.kaiserhealthnews.org/stories/2012/april/12/different-takes-nicholas.aspx?referrer=search\" target=\"_blank\">similar law already in place\u003c/a>, \u003ca href=\"http://www.mass.gov/eohhs/docs/dhcfp/r/pubs/11/fair-share-analyses-2010.pdf\" target=\"_blank\">that hasn't been the case\u003c/a>.\u003c/p>\n\u003cp>Who is right? Probably \u003ca href=\"http://www.commonwealthfund.org/Newsletters/Purchasing-High-Performance/2011/September-19-2011/Perspectives-on-Policy/Will-Employers-Drop-Health-Coverage-in-2014.aspx\" target=\"_blank\">this report\u003c/a> from the Commonwealth Fund that sorts through a number of studies and concludes it will be hard to know how it will shake out until large employers are eligible for the health exchanges in 2017.\u003c/p>\n\u003cblockquote>\u003cp>Studies and surveys on the subject aren’t hard to find, but they are hard to reconcile. Just since June 2010, there have been at least seven surveys on the subject.\u003csup>\u003ca href=\"http://www.commonwealthfund.org/Newsletters/Purchasing-High-Performance/2011/September-19-2011/Perspectives-on-Policy/Will-Employers-Drop-Health-Coverage-in-2014.aspx#1\">1\u003c/a>\u003c/sup> So, will 2.7 percent of employers drop coverage as this \u003ca href=\"http://www.ifebp.org/pdf/research/HealthCareReform_May2010.pdf\" target=\"_blank\">survey\u003c/a> suggests? Or will 18.8 percent drop coverage, as this \u003ca href=\"http://www.lockton.com/Resource_/PageResource/MKT/Employer%20Health%20Reform%20Survey%20Results%202011--FINAL.pdf\" target=\"_blank\">survey\u003c/a>, conducted one month later, suggests? Or were researchers at RAND correct when then calculated in late 2010 that employers would offer coverage to an additional 13.6 million workers once the exchanges, penalties, and various subsidies are all up and running?\u003csup>\u003ca href=\"http://www.commonwealthfund.org/Newsletters/Purchasing-High-Performance/2011/September-19-2011/Perspectives-on-Policy/Will-Employers-Drop-Health-Coverage-in-2014.aspx#2\">2\u003c/a> \u003c/sup>\u003c/p>\u003c/blockquote>\n\u003cp>Let the debates begin.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cfigure id=\"attachment_6849\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/supreme-court.jpg\">\u003cimg class=\"size-medium wp-image-6849\" title=\"The Supreme Court has ruled on the Affordable Care Act. (afagen/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/supreme-court-300x282.jpg\" alt=\"\" width=\"300\" height=\"282\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Supreme Court has ruled on the Affordable Care Act. (afagen/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update 6:42 PM Interview with Nancy Pelosi on Health Care: It was always in the bag\u003c/strong>\u003c/p>\n\u003cp>KQED's Jon Brooks \u003ca href=\"https://mail.kqed.org/owa/?ae=Item&t=IPM.Note&id=RgAAAABndTHmspO%2fRrKSzhTjp7NcBwC7U%2bUPBq2%2fSK2sl6tG8bsrAAAEjhtTAAA84MdHmDpgQLGoGf5r%2bJOwABLej4G7AAAJ\" target=\"_blank\">posted a full transcript, audio and some commentary (always fun) about Scott Shafer's interview with Nancy Pelosi\u003c/a>. It's a great overview of the drama surrounding the Act over the years.\u003c/p>\n\u003cp>\u003cstrong>Update 1:47 PM Supreme Court Ruling Could Be Good for the State's Budget\u003c/strong>\u003c/p>\n\u003cp>The \u003ca href=\"http://www.latimes.com/business/money/la-fi-mo-healthlaw-calif-20120628,0,1495890.story\" target=\"_blank\">LA Times is reporting\u003c/a> that \"California stands to receive as much as $15 billion a year to extend coverage to millions of the poor and uninsured starting in 2014.\" Welcome news after last night which saw\u003ca href=\"http://www.sfgate.com/politics/article/Brown-cuts-deeper-in-budget-but-most-parks-spared-3670349.php\" target=\"_blank\"> Governor Jerry Brown whittling almost $200 million more\u003c/a> from the budget before finally approving it.\u003c/p>\n\u003cp>\u003cstrong>Update 12:24 PM Open Browser, Insert Foot\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>KQED's News Fix blog has a great post up about \u003ca href=\"http://ww2.kqed.org/news/2012/06/28/health-care-decision-on-twitter-dnc-official-and-cnn-stumble-moving-to-canada-sarah-palin-jokes/\" target=\"_blank\">all the tweets flying around after the decision\u003c/a>. Some ill advised ones from public officials. And a slew from disgruntled Americans who don't like the health care plan announcing they're \"moving to Canada.\" Hmmmm.\u003c/p>\n\u003cp>\u003cstrong>Update 11:43 AM \"The Horse Is Out Of the Barn\"\u003c/strong>\u003c/p>\n\u003cp>The head of California's Health Benefit Exchange, Peter Lee, just spoke. He's been leading California's efforts to create an online market for health insurance. He long contended it would move ahead regardless, but the mandate for all to have insurance definitely ups its relevance. Lee said his goal was to make an online system that would make buying health insurance as simple as buying a book from Amazon (or almost as simple). He also detailed what this decision means for Californians pocketbooks (or purses as we say in California). Lee also said \"the horse is out of the barn,\" and unlike what some commentators are saying he believes the Affordable Care Act is here to stay.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>Update 10:23 AM Take It Online:\u003c/strong>\u003c/p>\n\u003cp>As if to underscore the contentiousness that President Obama was referring to, Chief Justice Robert's Wikipedia page was just vandalized, \u003ca href=\"http://livewire.talkingpointsmemo.com/entries/photo-john-roberts-wikipedia-page-vandalized-chief-traitor\" target=\"_blank\">according to Talking Points Memo\u003c/a>. Apparently the caption under his photo was changed to “17th Chief Traitor of the United States”\u003c/p>\n\u003cp>\u003cstrong>Update 9:23 AM: President Obama Addresses the Nation\u003c/strong>\u003c/p>\n\u003cp>The President spoke to some of the benefits of the law. And referring to the contentious debate Obama said it should be clear by now I didn't do this because of political reasons.\u003c/p>\n\u003cp>Stay tuned for more reactions to the decision from within California.\u003c/p>\n\u003cp>\u003cstrong>Update 8:24 AM: President Obama scheduled to address the nation at 9:15\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Update 8:10 AM: Impacts of the decision for California\u003c/strong>\u003c/p>\n\u003cp>The decision holds some good news for the state, although there are those that say - especially in the immediate wake of another painful budget process - it's going to mean too much spending, with not enough gained.\u003c/p>\n\u003cp>California Healthline lays out \u003ca href=\"http://m.californiahealthline.org/road-to-reform/2012/if-aca-stands-what-california-stands-to-gain-or-lose.aspx#ixzz1z6IE4ZFP\" target=\"_blank\">the nitty gritty in this article\u003c/a>. But here's a quick overview from the piece.\u003c/p>\n\u003cp>On the positive side, some predict it would create 100,000 jobs in the Golden State and others point out that California has long been in the lead in enacting many of the reforms, so we're already well on our way. The article says Peter Long from the Blue Shield of California Foundation and MIT economist Jonathan Gruber last year \u003ca href=\"http://content.healthaffairs.org/content/30/1/63.full.html\" target=\"_blank\">modeled the ACA's impact on the Golden State\u003c/a>.\u003c/p>\n\u003cblockquote>\u003cp>According to their predictive model, the law by 2016 would:\u003c/p>\n\u003cul>\n\u003cli>More than halve the number of the state's uninsured, from 6.53 million to 3.10 million;\u003c/li>\n\u003cli>Reduce employers' health insurance spending by 6%; and\u003c/li>\n\u003cli>Add about $280 in average economic benefits to each household.\u003c/li>\n\u003c/ul>\n\u003c/blockquote>\n\u003cp>Sounds good. But critics say that the additional costs could actually lead to job losses. Voices of concern come from the left and the right. Former US Labor Secretary Robert Reich, an icon of the left, felt the best chance the country had for real health reform was if the law got struck down.\u003c/p>\n\u003cp>Meanwhile some on the right fear it will lead to too much hiring in state and county government.\u003c/p>\n\u003cp>The article goes out on this cheery, are we all just spinning our wheels question: would the ACA just get overturned by a Republican president anyway?\u003c/p>\n\u003cdiv>\u003cstrong>Update 7:47 AM: Read the full text\u003c/strong>\u003c/div>\n\u003cp>\u003cstrong>\u003c/strong>The decision is posted \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/06/28/full-transcript-supreme-court-decision-on-health-care/\" target=\"_blank\">here\u003c/a>. All 193 pages. A big one. Justices clearly had a lot to say.\u003cbr>\n\u003cstrong>\u003cbr>\nUpdate 7:33 AM: The tax reading carries the day\u003c/strong>\u003c/p>\n\u003cp>Here's an \u003ca href=\"http://www.latimes.com/health/la-na-court-final-20120625,0,1925650.story\" target=\"_blank\">article from the Los Angeles Times explaining the intricacies of the tax argument\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Update, 7:27 AM: Nuances from the individual justices \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>\u003c/strong> Now from scotusblog.com: Kennedy is reading a dissent saying the whole thing should be invalid. Meanwhile Ginsberg writes it should be entirely valid. \"Justice Ginsburg makes clear that the vote is 5-4 on sustaining the mandate as a form of tax. Her opinion, for herself and Sotomayor, Breyer and Kagan, joins the key section of Roberts opinion on that point. She would go further and uphold the mandate under the Commerce Clause, which Roberts wouldn't. Her opinion on Commerce does not control.\"\u003c/p>\n\u003cp>\u003cstrong>Update 7:14 AM: Chief Roberts' vote saves ACA\u003c/strong>\u003c/p>\n\u003cp>(AP) WASHINGTON (AP) - The Supreme Court on Thursday upheld the individual insurance requirement at the heart of President Barack Obama's health care overhaul.\u003c/p>\n\u003cp>The decision handed Obama a campaign-season victory in rejecting arguments that Congress went too far in requiring most Americans to have health insurance or pay a penalty.\u003c/p>\n\u003cp>Chief Justice John Roberts announced the court's judgment that allows the law to go forward with its aim of covering more than 30 million uninsured Americans.\u003cbr>\n\u003cstrong>Update, 7:12 AM\u003c/strong>: Scotusblog reports: So the mandate is constitutional. Chief Justice Roberts joins the left of the Court. The Medicaid provision is limited but not invalidated.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Scotusblog reports: The individual mandate survives as a tax.\u003c/strong>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_6849\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/supreme-court.jpg\">\u003cimg class=\"size-medium wp-image-6849\" title=\"The Supreme Court has ruled on the Affordable Care Act. (afagen/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/supreme-court-300x282.jpg\" alt=\"\" width=\"300\" height=\"282\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Supreme Court has ruled on the Affordable Care Act. (afagen/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update 6:42 PM Interview with Nancy Pelosi on Health Care: It was always in the bag\u003c/strong>\u003c/p>\n\u003cp>KQED's Jon Brooks \u003ca href=\"https://mail.kqed.org/owa/?ae=Item&t=IPM.Note&id=RgAAAABndTHmspO%2fRrKSzhTjp7NcBwC7U%2bUPBq2%2fSK2sl6tG8bsrAAAEjhtTAAA84MdHmDpgQLGoGf5r%2bJOwABLej4G7AAAJ\" target=\"_blank\">posted a full transcript, audio and some commentary (always fun) about Scott Shafer's interview with Nancy Pelosi\u003c/a>. It's a great overview of the drama surrounding the Act over the years.\u003c/p>\n\u003cp>\u003cstrong>Update 1:47 PM Supreme Court Ruling Could Be Good for the State's Budget\u003c/strong>\u003c/p>\n\u003cp>The \u003ca href=\"http://www.latimes.com/business/money/la-fi-mo-healthlaw-calif-20120628,0,1495890.story\" target=\"_blank\">LA Times is reporting\u003c/a> that \"California stands to receive as much as $15 billion a year to extend coverage to millions of the poor and uninsured starting in 2014.\" Welcome news after last night which saw\u003ca href=\"http://www.sfgate.com/politics/article/Brown-cuts-deeper-in-budget-but-most-parks-spared-3670349.php\" target=\"_blank\"> Governor Jerry Brown whittling almost $200 million more\u003c/a> from the budget before finally approving it.\u003c/p>\n\u003cp>\u003cstrong>Update 12:24 PM Open Browser, Insert Foot\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>KQED's News Fix blog has a great post up about \u003ca href=\"http://ww2.kqed.org/news/2012/06/28/health-care-decision-on-twitter-dnc-official-and-cnn-stumble-moving-to-canada-sarah-palin-jokes/\" target=\"_blank\">all the tweets flying around after the decision\u003c/a>. Some ill advised ones from public officials. And a slew from disgruntled Americans who don't like the health care plan announcing they're \"moving to Canada.\" Hmmmm.\u003c/p>\n\u003cp>\u003cstrong>Update 11:43 AM \"The Horse Is Out Of the Barn\"\u003c/strong>\u003c/p>\n\u003cp>The head of California's Health Benefit Exchange, Peter Lee, just spoke. He's been leading California's efforts to create an online market for health insurance. He long contended it would move ahead regardless, but the mandate for all to have insurance definitely ups its relevance. Lee said his goal was to make an online system that would make buying health insurance as simple as buying a book from Amazon (or almost as simple). He also detailed what this decision means for Californians pocketbooks (or purses as we say in California). Lee also said \"the horse is out of the barn,\" and unlike what some commentators are saying he believes the Affordable Care Act is here to stay.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>Update 10:23 AM Take It Online:\u003c/strong>\u003c/p>\n\u003cp>As if to underscore the contentiousness that President Obama was referring to, Chief Justice Robert's Wikipedia page was just vandalized, \u003ca href=\"http://livewire.talkingpointsmemo.com/entries/photo-john-roberts-wikipedia-page-vandalized-chief-traitor\" target=\"_blank\">according to Talking Points Memo\u003c/a>. Apparently the caption under his photo was changed to “17th Chief Traitor of the United States”\u003c/p>\n\u003cp>\u003cstrong>Update 9:23 AM: President Obama Addresses the Nation\u003c/strong>\u003c/p>\n\u003cp>The President spoke to some of the benefits of the law. And referring to the contentious debate Obama said it should be clear by now I didn't do this because of political reasons.\u003c/p>\n\u003cp>Stay tuned for more reactions to the decision from within California.\u003c/p>\n\u003cp>\u003cstrong>Update 8:24 AM: President Obama scheduled to address the nation at 9:15\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Update 8:10 AM: Impacts of the decision for California\u003c/strong>\u003c/p>\n\u003cp>The decision holds some good news for the state, although there are those that say - especially in the immediate wake of another painful budget process - it's going to mean too much spending, with not enough gained.\u003c/p>\n\u003cp>California Healthline lays out \u003ca href=\"http://m.californiahealthline.org/road-to-reform/2012/if-aca-stands-what-california-stands-to-gain-or-lose.aspx#ixzz1z6IE4ZFP\" target=\"_blank\">the nitty gritty in this article\u003c/a>. But here's a quick overview from the piece.\u003c/p>\n\u003cp>On the positive side, some predict it would create 100,000 jobs in the Golden State and others point out that California has long been in the lead in enacting many of the reforms, so we're already well on our way. The article says Peter Long from the Blue Shield of California Foundation and MIT economist Jonathan Gruber last year \u003ca href=\"http://content.healthaffairs.org/content/30/1/63.full.html\" target=\"_blank\">modeled the ACA's impact on the Golden State\u003c/a>.\u003c/p>\n\u003cblockquote>\u003cp>According to their predictive model, the law by 2016 would:\u003c/p>\n\u003cul>\n\u003cli>More than halve the number of the state's uninsured, from 6.53 million to 3.10 million;\u003c/li>\n\u003cli>Reduce employers' health insurance spending by 6%; and\u003c/li>\n\u003cli>Add about $280 in average economic benefits to each household.\u003c/li>\n\u003c/ul>\n\u003c/blockquote>\n\u003cp>Sounds good. But critics say that the additional costs could actually lead to job losses. Voices of concern come from the left and the right. Former US Labor Secretary Robert Reich, an icon of the left, felt the best chance the country had for real health reform was if the law got struck down.\u003c/p>\n\u003cp>Meanwhile some on the right fear it will lead to too much hiring in state and county government.\u003c/p>\n\u003cp>The article goes out on this cheery, are we all just spinning our wheels question: would the ACA just get overturned by a Republican president anyway?\u003c/p>\n\u003cdiv>\u003cstrong>Update 7:47 AM: Read the full text\u003c/strong>\u003c/div>\n\u003cp>\u003cstrong>\u003c/strong>The decision is posted \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/06/28/full-transcript-supreme-court-decision-on-health-care/\" target=\"_blank\">here\u003c/a>. All 193 pages. A big one. Justices clearly had a lot to say.\u003cbr>\n\u003cstrong>\u003cbr>\nUpdate 7:33 AM: The tax reading carries the day\u003c/strong>\u003c/p>\n\u003cp>Here's an \u003ca href=\"http://www.latimes.com/health/la-na-court-final-20120625,0,1925650.story\" target=\"_blank\">article from the Los Angeles Times explaining the intricacies of the tax argument\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Update, 7:27 AM: Nuances from the individual justices \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>\u003c/strong> Now from scotusblog.com: Kennedy is reading a dissent saying the whole thing should be invalid. Meanwhile Ginsberg writes it should be entirely valid. \"Justice Ginsburg makes clear that the vote is 5-4 on sustaining the mandate as a form of tax. Her opinion, for herself and Sotomayor, Breyer and Kagan, joins the key section of Roberts opinion on that point. She would go further and uphold the mandate under the Commerce Clause, which Roberts wouldn't. Her opinion on Commerce does not control.\"\u003c/p>\n\u003cp>\u003cstrong>Update 7:14 AM: Chief Roberts' vote saves ACA\u003c/strong>\u003c/p>\n\u003cp>(AP) WASHINGTON (AP) - The Supreme Court on Thursday upheld the individual insurance requirement at the heart of President Barack Obama's health care overhaul.\u003c/p>\n\u003cp>The decision handed Obama a campaign-season victory in rejecting arguments that Congress went too far in requiring most Americans to have health insurance or pay a penalty.\u003c/p>\n\u003cp>Chief Justice John Roberts announced the court's judgment that allows the law to go forward with its aim of covering more than 30 million uninsured Americans.\u003cbr>\n\u003cstrong>Update, 7:12 AM\u003c/strong>: Scotusblog reports: So the mandate is constitutional. Chief Justice Roberts joins the left of the Court. The Medicaid provision is limited but not invalidated.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Scotusblog reports: The individual mandate survives as a tax.\u003c/strong>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003ca href=\"http://igs.berkeley.edu/people/nac/sundheim.html\" target=\"_blank\">Duf Sundheim\u003c/a> was the chair of the California Republican Party from 2003-2007 and remains active in the party. He lives in Los Altos Hills, CA. KQED's \u003ca href=\"http://www.kqed.org/radio/about/staff/stephanie-martin.jsp\" target=\"_blank\">Stephanie Martin\u003c/a> spoke to him today about his reaction to the Supreme Court decision.\u003c/p>\n\u003cp>\u003cstrong>MARTIN\u003c/strong> How do you feel that Chief Justice Roberts, a fellow conservative, voted to uphold the law?\u003c/p>\n\u003cp>\u003cstrong>SUNDHEIM\u003c/strong> Well I think he really had a lot of things he was trying to address. One was the specific issue of the mandate and the commerce clause. That’s why I think so many people thought the legislation would be overturned. And the fact he was able to make a bridge to find that it was a tax, not a mandate. I think was very interesting.\u003c/p>\n\u003cp>\u003cstrong>\u003c/strong> I thought the reasoning was a little tortured but I think he was really concerned about the future of the court, the public perception of the court.\u003c/p>\n\u003cp>So I understand what he was trying to do. Again it’s not a situation where they’re making a decision that ties the hands of the other branches of government. It really transfers to the decision to those two branches. And it’s now up to those two branches to make a decision that’s in the best interest of the people.\u003c!--more-->\u003c/p>\n\u003caside class=\"pullquote alignleft\">The supreme court has said the president was wrong, that it is a tax and it’s a very substantial tax. So that will be an issue that the people will have to decide. Is this a tax increase that they approve or do they want to overturn it?\u003c/aside>\n\u003cp>\u003cstrong>MARTIN\u003c/strong> The Bay Area is a favorite stop for presidential candidates from both sides of the aisle because of deep pocketed residents. How do you think it’s playing out among local Romney supporters?\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>SUNDHEIM\u003c/strong> I haven’t had a chance to talk with too many today. I think what’s going to be interesting is really what it comes down to now. And the court has made it perfectly clear today what their view is. This is a substantial tax increase on many people, on many different points of the economic spectrum. And the question is whether that is going to be a problem for the president, who promised that there would not be a tax increase and that in fact this legislation was not a tax increase.\u003c/p>\n\u003cp>The supreme court has said the president was wrong, that it is a tax and it’s a very substantial tax. So that will be an issue that the people will have to decide. Is this a tax increase that they approve or do they want to overturn it?\u003c/p>\n\u003cp>\u003cstrong>MARTIN\u003c/strong> And among California Republicans do you have a sense how that will play out?\u003c/p>\n\u003cp>\u003cstrong>SUNDHEIM\u003c/strong> I think clearly there will be opposition, but the opposition to the legislation existed prior to today. I think some people will be more motivated because of the decision of the court, and how it is important that if they do not want the tax increase that we need to elect leaders that oppose this kind of tax increase.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"description": "Duf Sundheim was the chair of the California Republican Party from 2003-2007 and remains active in the party. He lives in Los Altos Hills, CA. KQED's Stephanie Martin spoke to him today about his reaction to the Supreme Court decision. MARTIN How do you feel that Chief Justice Roberts, a fellow conservative, voted to uphold",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"http://igs.berkeley.edu/people/nac/sundheim.html\" target=\"_blank\">Duf Sundheim\u003c/a> was the chair of the California Republican Party from 2003-2007 and remains active in the party. He lives in Los Altos Hills, CA. KQED's \u003ca href=\"http://www.kqed.org/radio/about/staff/stephanie-martin.jsp\" target=\"_blank\">Stephanie Martin\u003c/a> spoke to him today about his reaction to the Supreme Court decision.\u003c/p>\n\u003cp>\u003cstrong>MARTIN\u003c/strong> How do you feel that Chief Justice Roberts, a fellow conservative, voted to uphold the law?\u003c/p>\n\u003cp>\u003cstrong>SUNDHEIM\u003c/strong> Well I think he really had a lot of things he was trying to address. One was the specific issue of the mandate and the commerce clause. That’s why I think so many people thought the legislation would be overturned. And the fact he was able to make a bridge to find that it was a tax, not a mandate. I think was very interesting.\u003c/p>\n\u003cp>\u003cstrong>\u003c/strong> I thought the reasoning was a little tortured but I think he was really concerned about the future of the court, the public perception of the court.\u003c/p>\n\u003cp>So I understand what he was trying to do. Again it’s not a situation where they’re making a decision that ties the hands of the other branches of government. It really transfers to the decision to those two branches. And it’s now up to those two branches to make a decision that’s in the best interest of the people.\u003c!--more-->\u003c/p>\n\u003caside class=\"pullquote alignleft\">The supreme court has said the president was wrong, that it is a tax and it’s a very substantial tax. So that will be an issue that the people will have to decide. Is this a tax increase that they approve or do they want to overturn it?\u003c/aside>\n\u003cp>\u003cstrong>MARTIN\u003c/strong> The Bay Area is a favorite stop for presidential candidates from both sides of the aisle because of deep pocketed residents. How do you think it’s playing out among local Romney supporters?\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>SUNDHEIM\u003c/strong> I haven’t had a chance to talk with too many today. I think what’s going to be interesting is really what it comes down to now. And the court has made it perfectly clear today what their view is. This is a substantial tax increase on many people, on many different points of the economic spectrum. And the question is whether that is going to be a problem for the president, who promised that there would not be a tax increase and that in fact this legislation was not a tax increase.\u003c/p>\n\u003cp>The supreme court has said the president was wrong, that it is a tax and it’s a very substantial tax. So that will be an issue that the people will have to decide. Is this a tax increase that they approve or do they want to overturn it?\u003c/p>\n\u003cp>\u003cstrong>MARTIN\u003c/strong> And among California Republicans do you have a sense how that will play out?\u003c/p>\n\u003cp>\u003cstrong>SUNDHEIM\u003c/strong> I think clearly there will be opposition, but the opposition to the legislation existed prior to today. I think some people will be more motivated because of the decision of the court, and how it is important that if they do not want the tax increase that we need to elect leaders that oppose this kind of tax increase.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Health Decision Will Have Big Impact on California's Ethnic Communities",
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"content": "\u003cfigure id=\"attachment_6994\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/equal-pic.jpg\">\u003cimg class=\"size-medium wp-image-6994\" title=\"A sign from a recent health care rally (seiuhealthcare775nw/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/equal-pic-300x284.jpg\" alt=\"\" width=\"300\" height=\"284\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A sign from a recent health care rally (seiuhealthcare775nw/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Health disparities in the state are stark.\u003c/p>\n\u003cp>\"Diabetes affects 13 percent of Native Americans in the state, 11 percent of Latinos, 10 percent of African Americans,\" says \u003ca href=\"http://www.cpehn.org/staff.php\" target=\"_blank\">Ellen Wu\u003c/a>, the executive director of the \u003ca href=\"http://www.cpehn.org/\" target=\"_blank\">California Pan-Ethnic Health Network\u003c/a> (CPEHN). \"That's compared to five percent of the white population.\"\u003c/p>\n\u003cp>Wu says there's a gap in access to care too. That's why the Supreme Court decision upholding the Affordable Care Act is such a watershed moment for her.\u003c/p>\n\u003cp>She says of the three million Californians who will now be eligible for coverage through the state's health benefit exchange in 2014, two-thirds come from communities of color.\u003c/p>\n\u003cp>\"For example with diabetes ... they’ll be able to get screened earlier and prevent it. And when they do have onset they’ll be able to manage their care better and stay healthier,\" said Wu.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The same goes for asthma, she said. \"We know that for communities of color, they can show up in the emergency room for an asthma attack at higher rates than whites so the free preventive care under the Affordable Care Act (ACA) is really, really critical to keeping our communities healthy.\"\u003c/p>\n\u003cp>\u003c!--more-->The news of the decision was especially welcomed among the state's Indian tribes. It turns out that \u003ca href=\"http://www.hhs.gov/news/press/2010pres/03/20100326a.html\" target=\"_blank\">folded into the ACA was a provision updating and making permanent a 1976 law on health care \u003c/a>for American Indians and Alaska Natives.\u003c/p>\n\u003cp>Indians leaders had been working \u003ca href=\"http://www.nativetimes.com/news/federal/7396-indian-health-care-improvement-act-permanent\" target=\"_blank\">for fourteen years\u003c/a> to get the law - called the \u003ca href=\"http://www.nihb.org/legislative/ihcia.php\" target=\"_blank\">Indian Health Care Improvement Act\u003c/a> - reauthorized, and \u003ca href=\"http://indiancountrytodaymedianetwork.com/2012/06/28/us-supreme-court-upholds-indian-health-law-and-larger-obama-health-law-121084\" target=\"_blank\">some people wanted it approved as a stand alone legislation\u003c/a>.\u003c/p>\n\u003cp>Some of the updated provisions include giving authorization for hospice and assisted living care and establishing comprehensive behavioral health prevention, and treatment.\u003c/p>\n\u003cp>In response to the decision James Crouch, the executive director of the \u003ca href=\"http://www.crihb.org/\" target=\"_blank\">California Rural Indian Health Board\u003c/a>, said it gives them confidence in their \"efforts to establish a Low Income Health Program for our tribal communities and ensure successful implementation of some of the key improvements to the Indian Health Care Improvement Act.\"\u003c/p>\n\u003cp>For many advocates, today was decades in the making.\u003c/p>\n\u003cp>Remember \u003ca href=\"http://www.upenn.edu/pnc/ptbok.html\" target=\"_blank\">Health Reform efforts, Act I\u003c/a>? Ellen Wu says CPEHN was founded in the 1990's back when the Clinton administration was working on the issue.\u003c/p>\n\u003cp>\"To see it 20 years later be able to... to come to fruition, is really an amazing experience.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Wu got choked up. \"It’s the biggest thing that happened since the 60s, with Medicaid and Medicare and we get to be a part of it. it’s really exciting.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_6994\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/equal-pic.jpg\">\u003cimg class=\"size-medium wp-image-6994\" title=\"A sign from a recent health care rally (seiuhealthcare775nw/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/equal-pic-300x284.jpg\" alt=\"\" width=\"300\" height=\"284\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A sign from a recent health care rally (seiuhealthcare775nw/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Health disparities in the state are stark.\u003c/p>\n\u003cp>\"Diabetes affects 13 percent of Native Americans in the state, 11 percent of Latinos, 10 percent of African Americans,\" says \u003ca href=\"http://www.cpehn.org/staff.php\" target=\"_blank\">Ellen Wu\u003c/a>, the executive director of the \u003ca href=\"http://www.cpehn.org/\" target=\"_blank\">California Pan-Ethnic Health Network\u003c/a> (CPEHN). \"That's compared to five percent of the white population.\"\u003c/p>\n\u003cp>Wu says there's a gap in access to care too. That's why the Supreme Court decision upholding the Affordable Care Act is such a watershed moment for her.\u003c/p>\n\u003cp>She says of the three million Californians who will now be eligible for coverage through the state's health benefit exchange in 2014, two-thirds come from communities of color.\u003c/p>\n\u003cp>\"For example with diabetes ... they’ll be able to get screened earlier and prevent it. And when they do have onset they’ll be able to manage their care better and stay healthier,\" said Wu.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The same goes for asthma, she said. \"We know that for communities of color, they can show up in the emergency room for an asthma attack at higher rates than whites so the free preventive care under the Affordable Care Act (ACA) is really, really critical to keeping our communities healthy.\"\u003c/p>\n\u003cp>\u003c!--more-->The news of the decision was especially welcomed among the state's Indian tribes. It turns out that \u003ca href=\"http://www.hhs.gov/news/press/2010pres/03/20100326a.html\" target=\"_blank\">folded into the ACA was a provision updating and making permanent a 1976 law on health care \u003c/a>for American Indians and Alaska Natives.\u003c/p>\n\u003cp>Indians leaders had been working \u003ca href=\"http://www.nativetimes.com/news/federal/7396-indian-health-care-improvement-act-permanent\" target=\"_blank\">for fourteen years\u003c/a> to get the law - called the \u003ca href=\"http://www.nihb.org/legislative/ihcia.php\" target=\"_blank\">Indian Health Care Improvement Act\u003c/a> - reauthorized, and \u003ca href=\"http://indiancountrytodaymedianetwork.com/2012/06/28/us-supreme-court-upholds-indian-health-law-and-larger-obama-health-law-121084\" target=\"_blank\">some people wanted it approved as a stand alone legislation\u003c/a>.\u003c/p>\n\u003cp>Some of the updated provisions include giving authorization for hospice and assisted living care and establishing comprehensive behavioral health prevention, and treatment.\u003c/p>\n\u003cp>In response to the decision James Crouch, the executive director of the \u003ca href=\"http://www.crihb.org/\" target=\"_blank\">California Rural Indian Health Board\u003c/a>, said it gives them confidence in their \"efforts to establish a Low Income Health Program for our tribal communities and ensure successful implementation of some of the key improvements to the Indian Health Care Improvement Act.\"\u003c/p>\n\u003cp>For many advocates, today was decades in the making.\u003c/p>\n\u003cp>Remember \u003ca href=\"http://www.upenn.edu/pnc/ptbok.html\" target=\"_blank\">Health Reform efforts, Act I\u003c/a>? Ellen Wu says CPEHN was founded in the 1990's back when the Clinton administration was working on the issue.\u003c/p>\n\u003cp>\"To see it 20 years later be able to... to come to fruition, is really an amazing experience.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Wu got choked up. \"It’s the biggest thing that happened since the 60s, with Medicaid and Medicare and we get to be a part of it. it’s really exciting.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_6936\" class=\"wp-caption alignleft\" style=\"max-width: 387px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/DemocraticWordle120628.jpg\">\u003cimg class=\"size-full wp-image-6936\" title=\"DemocraticWordle120628\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/DemocraticWordle120628.jpg\" alt=\"\" width=\"387\" height=\"238\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/06/DemocraticWordle120628.jpg 325w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/DemocraticWordle120628-320x197.jpg 320w\" sizes=\"(max-width: 387px) 100vw, 387px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A word bubble displays the most prevalent words in Democratic reactions to the Supreme Court's ruling on the Affordable Care Act.\u003c/figcaption>\u003c/figure>\n\u003cp>Responses from California Politicians are starting to roll in.\u003c/p>\n\u003cp>Here at State of Health we made \u003ca href=\"http://www.wordle.net/\" target=\"_blank\">wordles\u003c/a> out of the statements from the Democrats and the Republicans. Can you match the word cloud to the party?\u003c/p>\n\u003cfigure id=\"attachment_6937\" class=\"wp-caption alignright\" style=\"max-width: 413px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/RepublicanWordle120628.jpg\">\u003cimg class=\"size-medium wp-image-6937\" title=\"RepublicanWordle120628\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/RepublicanWordle120628-300x184.jpg\" alt=\"\" width=\"413\" height=\"253\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A word bubble demonstrating the most used words used by Republicans in response to the Supreme Court ruling.\u003c/figcaption>\u003c/figure>\n\u003cp> \u003c/p>\n\u003cp> \u003c/p>\n\u003cp>A hint: reading through the statements, themes from the Democrats: \"great day,\" \"reaffirms what is right,\" \"benefits millions.\" Themes from the Republicans: \"great harm,\" \"repeal,\" \"take back the White House.\" The Sacramento Bee has \u003ca href=\"http://blogs.sacbee.com/capitolalertlatest/2012/06/rapid-response-round-up-supreme-court-health-care-decision.html#storylink=cp\" target=\"_blank\">a wide round up\u003c/a>. Here's a sampling:\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Democratic U.S. Sen Barbara Boxer\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>The decision is great news for the millions of Californians who have already seen the benefits of this law - including the six million who now have access to free preventive \u003ca href=\"http://topics.sacbee.com/health+services/\" rel=\"nofollow\">health services,\u003c/a> 355,000 young adults who now have coverage on their parents' health plans and 320,000 seniors who have received help in paying for their prescription drugs. ... We will continue to fight Republican efforts to repeal these important health benefits while we work to make sure every American has access to quality, affordable health care.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>Democratic U.S. Sen Dianne Feinstein \u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>This is an historic day. The \u003ca href=\"http://topics.sacbee.com/Supreme+Court/\" rel=\"nofollow\">Supreme Court\u003c/a> today upheld the \u003ca href=\"http://topics.sacbee.com/health+care/\" rel=\"nofollow\">health care\u003c/a> reform law passed by Congress in 2010, meaning Californians can be confident that access to affordable \u003ca href=\"http://topics.sacbee.com/health+insurance/\" rel=\"nofollow\">health insurance\u003c/a> is finally a reality. ...\u003c/p>\n\u003cp>I realize that passage of \u003ca href=\"http://topics.sacbee.com/health+care+reform/\" rel=\"nofollow\">health care reform\u003c/a> was extremely controversial. But we cannot forget that insuring fellow Americans and driving down the exploding cost of health care spending in this country is a national emergency. Even with this favorable decision from the court, our work reforming the \u003ca href=\"http://topics.sacbee.com/insurance+market/\" rel=\"nofollow\">insurance market\u003c/a> and expanding access to health care continues.\u003c/p>\u003c/blockquote>\n\u003cdiv>\n\u003cp>\u003cstrong>Assembly Speaker John A. Pérez, D-Los Angeles\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>Today's ruling by the Supreme Court is a victory for all Californians. The Court's decision to uphold the constitutionality of the landmark Affordable Care Act will ensure that the President's efforts expand access to affordable, quality health care for individuals regardless of age, income, or pre-existing conditions will continue moving forward.\u003c/p>\n\u003cp>As the author of legislation establishing California's Health Care Exchange, I am committed to continuing our work to reform California's healthcare system to ensure that millions of Californians can get coverage that is comprehensive and affordable and doesn't discriminate based on pre-existing conditions.\u003c/p>\n\u003cp>\u003ca href=\"http://topics.sacbee.com/President+Obama/\" rel=\"nofollow\">President Obama\u003c/a> and Congressional Democrats showed great leadership in enacting the Affordable Care Act and today's decision reinforces that leadership. California has been the national leader on implementing federal healthcare reform, and today's decision affirming the wisdom and constitutionality of the Affordable Care Act means we will continue to move full-speed ahead.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>Rep. Loretta Sanchez, D-Orange County \u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>With today's ruling by the highest court in the land behind us, it's time to move forward, roll up our sleeves, and work together to get our economy back on track and create jobs. I hope my Republican colleagues in Congress will join me in this effort, rather than focusing on new attempts to try to strip Americans of their health care rights.\u003c/p>\u003c/blockquote>\n\u003c/div>\n\u003cp>\u003cstrong>Rep. Darrell Issa, R-Vista \u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>The Supreme Court has ruled to uphold the President's Obamacare. Despite being viewed as Constitutional by a narrow majority, this law will do great harm to our country by imposing new taxes, burying job creators in new red tape and saddling future generations with debt they can't afford.\u003c/p>\n\u003cp>In selling Obamacare, Congressional Democrats and \u003ca href=\"http://topics.sacbee.com/President+Obama/\" rel=\"nofollow\">President Obama\u003c/a> assured the American people that it was not a tax. Today, the Supreme Court ruled it was, in fact, a tax. This tax was imposed on the American people amidst an extended recession and is one of the many reasons our economy remains stagnant under \u003ca href=\"http://topics.sacbee.com/President+Obama/\" rel=\"nofollow\">President Obama's\u003c/a> leadership.\u003c/p>\n\u003cp>To date, the Republican-led House of Representatives has voted 30 times to repeal, dismantle and defund Obamacare--and we will continue our efforts to repeal this law and replace it with \u003ca href=\"http://topics.sacbee.com/health+care+reform/\" rel=\"nofollow\">health care reform\u003c/a> that enacts needed reforms without imposing costs that will be paid by subsequent generations.\u003c/p>\n\u003cp>\"In the days ahead, I will work with my colleagues to achieve real solutions to America's health care challenges that do not infringe on doctor patient relationships, impose unpopular mandates, and do not add to the nation's already significant debt.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Elizabeth Emken, Republican U.S. Senate nominee\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>The high court's decision makes it crystal clear that the only way to ensure that Americans repeal this dishonest attempt at \u003ca href=\"http://topics.sacbee.com/health+care+reform/\" rel=\"nofollow\">health care reform\u003c/a> is to take back the White House and the U.S. Senate this November.\u003c/p>\n\u003cp>Democrats like Dianne Feinstein lied about the cost of Obamacare, then stole from Medicare to justify the initial price tag. Now they are attempting to steal from core institutional programs at the Centers for Disease Control that support programs for the disabled to cover up the ballooning cost. That's not just shady politics, it's just plain wrong. And now the Supreme Court ruling has brought Obamacare's hidden taxes to the light of day.\u003c/p>\n\u003cp>Obamacare will continue to have a negative impact on job creation and hiring, and businesses will be forced to continue to grapple with all of the uncertainty and costs the law creates. The simple truth is that businesses across the nation are not hiring as a result of this administration's mismanagement of \u003ca href=\"http://topics.sacbee.com/health+care+reform/\" rel=\"nofollow\">health care reform.\u003c/a>\u003c/p>\n\u003cp>Only with new leadership in Washington can we expand access and lower costs through competition and choice while keeping in mind our responsibility to care for the truly vulnerable without raising taxes or increasing debt. I will vote to repeal the Obamacare tax dragging down our economy and hurting families. Dianne Feinstein won't. It's a simple choice.\u003c/p>\u003c/blockquote>\n\u003cdiv>\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_6936\" class=\"wp-caption alignleft\" style=\"max-width: 387px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/DemocraticWordle120628.jpg\">\u003cimg class=\"size-full wp-image-6936\" title=\"DemocraticWordle120628\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/DemocraticWordle120628.jpg\" alt=\"\" width=\"387\" height=\"238\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/06/DemocraticWordle120628.jpg 325w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/DemocraticWordle120628-320x197.jpg 320w\" sizes=\"(max-width: 387px) 100vw, 387px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A word bubble displays the most prevalent words in Democratic reactions to the Supreme Court's ruling on the Affordable Care Act.\u003c/figcaption>\u003c/figure>\n\u003cp>Responses from California Politicians are starting to roll in.\u003c/p>\n\u003cp>Here at State of Health we made \u003ca href=\"http://www.wordle.net/\" target=\"_blank\">wordles\u003c/a> out of the statements from the Democrats and the Republicans. Can you match the word cloud to the party?\u003c/p>\n\u003cfigure id=\"attachment_6937\" class=\"wp-caption alignright\" style=\"max-width: 413px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/RepublicanWordle120628.jpg\">\u003cimg class=\"size-medium wp-image-6937\" title=\"RepublicanWordle120628\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/RepublicanWordle120628-300x184.jpg\" alt=\"\" width=\"413\" height=\"253\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A word bubble demonstrating the most used words used by Republicans in response to the Supreme Court ruling.\u003c/figcaption>\u003c/figure>\n\u003cp> \u003c/p>\n\u003cp> \u003c/p>\n\u003cp>A hint: reading through the statements, themes from the Democrats: \"great day,\" \"reaffirms what is right,\" \"benefits millions.\" Themes from the Republicans: \"great harm,\" \"repeal,\" \"take back the White House.\" The Sacramento Bee has \u003ca href=\"http://blogs.sacbee.com/capitolalertlatest/2012/06/rapid-response-round-up-supreme-court-health-care-decision.html#storylink=cp\" target=\"_blank\">a wide round up\u003c/a>. Here's a sampling:\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Democratic U.S. Sen Barbara Boxer\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>The decision is great news for the millions of Californians who have already seen the benefits of this law - including the six million who now have access to free preventive \u003ca href=\"http://topics.sacbee.com/health+services/\" rel=\"nofollow\">health services,\u003c/a> 355,000 young adults who now have coverage on their parents' health plans and 320,000 seniors who have received help in paying for their prescription drugs. ... We will continue to fight Republican efforts to repeal these important health benefits while we work to make sure every American has access to quality, affordable health care.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>Democratic U.S. Sen Dianne Feinstein \u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>This is an historic day. The \u003ca href=\"http://topics.sacbee.com/Supreme+Court/\" rel=\"nofollow\">Supreme Court\u003c/a> today upheld the \u003ca href=\"http://topics.sacbee.com/health+care/\" rel=\"nofollow\">health care\u003c/a> reform law passed by Congress in 2010, meaning Californians can be confident that access to affordable \u003ca href=\"http://topics.sacbee.com/health+insurance/\" rel=\"nofollow\">health insurance\u003c/a> is finally a reality. ...\u003c/p>\n\u003cp>I realize that passage of \u003ca href=\"http://topics.sacbee.com/health+care+reform/\" rel=\"nofollow\">health care reform\u003c/a> was extremely controversial. But we cannot forget that insuring fellow Americans and driving down the exploding cost of health care spending in this country is a national emergency. Even with this favorable decision from the court, our work reforming the \u003ca href=\"http://topics.sacbee.com/insurance+market/\" rel=\"nofollow\">insurance market\u003c/a> and expanding access to health care continues.\u003c/p>\u003c/blockquote>\n\u003cdiv>\n\u003cp>\u003cstrong>Assembly Speaker John A. Pérez, D-Los Angeles\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>Today's ruling by the Supreme Court is a victory for all Californians. The Court's decision to uphold the constitutionality of the landmark Affordable Care Act will ensure that the President's efforts expand access to affordable, quality health care for individuals regardless of age, income, or pre-existing conditions will continue moving forward.\u003c/p>\n\u003cp>As the author of legislation establishing California's Health Care Exchange, I am committed to continuing our work to reform California's healthcare system to ensure that millions of Californians can get coverage that is comprehensive and affordable and doesn't discriminate based on pre-existing conditions.\u003c/p>\n\u003cp>\u003ca href=\"http://topics.sacbee.com/President+Obama/\" rel=\"nofollow\">President Obama\u003c/a> and Congressional Democrats showed great leadership in enacting the Affordable Care Act and today's decision reinforces that leadership. California has been the national leader on implementing federal healthcare reform, and today's decision affirming the wisdom and constitutionality of the Affordable Care Act means we will continue to move full-speed ahead.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>Rep. Loretta Sanchez, D-Orange County \u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>With today's ruling by the highest court in the land behind us, it's time to move forward, roll up our sleeves, and work together to get our economy back on track and create jobs. I hope my Republican colleagues in Congress will join me in this effort, rather than focusing on new attempts to try to strip Americans of their health care rights.\u003c/p>\u003c/blockquote>\n\u003c/div>\n\u003cp>\u003cstrong>Rep. Darrell Issa, R-Vista \u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>The Supreme Court has ruled to uphold the President's Obamacare. Despite being viewed as Constitutional by a narrow majority, this law will do great harm to our country by imposing new taxes, burying job creators in new red tape and saddling future generations with debt they can't afford.\u003c/p>\n\u003cp>In selling Obamacare, Congressional Democrats and \u003ca href=\"http://topics.sacbee.com/President+Obama/\" rel=\"nofollow\">President Obama\u003c/a> assured the American people that it was not a tax. Today, the Supreme Court ruled it was, in fact, a tax. This tax was imposed on the American people amidst an extended recession and is one of the many reasons our economy remains stagnant under \u003ca href=\"http://topics.sacbee.com/President+Obama/\" rel=\"nofollow\">President Obama's\u003c/a> leadership.\u003c/p>\n\u003cp>To date, the Republican-led House of Representatives has voted 30 times to repeal, dismantle and defund Obamacare--and we will continue our efforts to repeal this law and replace it with \u003ca href=\"http://topics.sacbee.com/health+care+reform/\" rel=\"nofollow\">health care reform\u003c/a> that enacts needed reforms without imposing costs that will be paid by subsequent generations.\u003c/p>\n\u003cp>\"In the days ahead, I will work with my colleagues to achieve real solutions to America's health care challenges that do not infringe on doctor patient relationships, impose unpopular mandates, and do not add to the nation's already significant debt.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Elizabeth Emken, Republican U.S. Senate nominee\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>The high court's decision makes it crystal clear that the only way to ensure that Americans repeal this dishonest attempt at \u003ca href=\"http://topics.sacbee.com/health+care+reform/\" rel=\"nofollow\">health care reform\u003c/a> is to take back the White House and the U.S. Senate this November.\u003c/p>\n\u003cp>Democrats like Dianne Feinstein lied about the cost of Obamacare, then stole from Medicare to justify the initial price tag. Now they are attempting to steal from core institutional programs at the Centers for Disease Control that support programs for the disabled to cover up the ballooning cost. That's not just shady politics, it's just plain wrong. And now the Supreme Court ruling has brought Obamacare's hidden taxes to the light of day.\u003c/p>\n\u003cp>Obamacare will continue to have a negative impact on job creation and hiring, and businesses will be forced to continue to grapple with all of the uncertainty and costs the law creates. The simple truth is that businesses across the nation are not hiring as a result of this administration's mismanagement of \u003ca href=\"http://topics.sacbee.com/health+care+reform/\" rel=\"nofollow\">health care reform.\u003c/a>\u003c/p>\n\u003cp>Only with new leadership in Washington can we expand access and lower costs through competition and choice while keeping in mind our responsibility to care for the truly vulnerable without raising taxes or increasing debt. I will vote to repeal the Obamacare tax dragging down our economy and hurting families. Dianne Feinstein won't. It's a simple choice.\u003c/p>\u003c/blockquote>\n\u003cdiv>\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_6792\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Chico-truck-summer.jpg\">\u003cimg class=\"size-medium wp-image-6792\" title=\"Kids line up for a free summer meal through a Chico Unified School District program. (Photo: Patrice Chamberlain)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Chico-truck-summer-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kids line up for a free summer meal through a Chico Unified School District program. (Photo: Patrice Chamberlain)\u003c/figcaption>\u003c/figure>\n\u003cp>To understand some of the powerful hunger issues in our state, go no further than the \u003ca href=\"http://www.ymcasv.org/\" target=\"_blank\">Silicon Valley YMCA\u003c/a>.\u003c/p>\n\u003cp>The Y runs summer youth programs in Gilroy. Vice president of programming and community development Mary Hoshiko Haughey says last summer they had a boy in the middle school group who wasn't eating his lunch.\u003c/p>\n\u003cp>\"This was the first day of the program, and our staff asked 'Why aren’t you eating?' 'What would you like?'\" Haughey recalled. \"And he said, 'I can’t eat because I need to make sure my brother and sister are eating. Do they have food in their program too? Otherwise I have to save it for them.' And finally we put him on the phone with them at another site and they said 'yes, we’re eating,' so he finally did too.\"\u003c/p>\n\u003cp>Haughey paused. \"It’s an example of the adult issues that our young children are taking on. He wasn’t going to eat unless he knew his siblings would.”\u003c/p>\n\u003cp>It's also an example of the importance of the summer meal programs that are offered throughout the state. Some school-based programs directly continue the work of the \u003ca href=\"http://www.fns.usda.gov/cnd/lunch/\" target=\"_blank\">School Lunch Program \u003c/a>and \u003ca href=\"http://www.summerfood.usda.gov/\" target=\"_blank\">Summer Food Service Program\u003c/a> that serves free and reduced meals to low income students throughout the year. Others are sponsored by food banks or summer youth program sites.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Silicon Valley Y is part of the \u003ca href=\"https://mail.kqed.org/owa/redir.aspx?C=e9194a1c2ef84a68a48b4d71dea8b2ce&URL=http%3a%2f%2fccrwf.org%2fsummer-meal-coalition%2f\" target=\"_blank\">California Summer Meal Coalition\u003c/a>, which is working to increase awareness of the USDA summer nutrition programs offered through the California Department of Education.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Part of the problem, says Patrice Chamberlain who works with the coalition, is that there are not enough sites serving the meals. Last year the state COULD have received $36 million more in federal reimbursements had more sites signed onto the program.\u003c/p>\n\u003cp>School budget cuts, she says, are making things worse. \"More school districts have been faced with a dwindling budget where they’ve had to cut summer school programs and there has been a decline in participation in summer meal programs,\" Chamberlain says.\u003c/p>\n\u003caside class=\"pullquote alignleft\">He said, \"I can’t eat because I need to make sure my brother and sister are eating. Do they have food in their program too? Otherwise I have to save it for them.\"\u003c/aside>\n\u003cp>\u003ca href=\"http://cfpa.net/sowa-2011\" target=\"_blank\">A recent report \u003c/a>by \u003ca href=\"http://cfpa.net/\" target=\"_blank\">California Food Policy Advocates\u003c/a> tracked the number of children in federally funded summer nutrition programs and found the number of California students served in July 2011 declined six percent from June 2010, nearly 30 percent compared to July 2008 and over 50 percent from July 2002. They tied it directly to cuts in school summer programming.\u003c/p>\n\u003cp>Chamberlain says that's why the coalition is \u003ca href=\"//ccrwf.org/summer-meal-coalition/webinars/webinars-how-to-start-or-expand-a-summer-meal-program/\" target=\"_blank\">working to get the meal programs in other locations\u003c/a>. Last year, for example, the city of Oakland worked with the Alameda County Community Food Bank to serve summer meals at libraries in low-income neighborhoods.\u003c/p>\n\u003cp>State Superintendent Tom Torlakson has been\u003ca href=\"http://ccrwf.org/wp-content/uploads/2012/05/Letter-from-SSPI-TorlaksonCBOs.pdf\" target=\"_blank\"> working to spread the word\u003c/a> about the need for summer meal locations. The awareness campaign may be paying off. This summer, the California Department of Education has indicated that there is a 60 percent increase in the number of summer meal sponsors.\u003c/p>\n\u003cp>Chamberlain says part of the reason to prioritize this issue is the summer connection to childhood obesity. A \u003ca href=\"http://www.summerlearning.org/resource/resmgr/Healthy_Summers_/NSLA_Healthy_Summers_for_Kid.pdf\" target=\"_blank\">new report\u003c/a> from the \u003ca href=\"http://www.summerlearning.org\" target=\"_blank\">National Summer Learning Association\u003c/a> found that kids gain weight two to three times faster during the summer than during the school year.\u003c/p>\n\u003cp>\"Without the structure of the school year, and the additional barriers that impact many low-income neighborhoods, access to healthy food is really limited,\" Chamberlain says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.cde.ca.gov/ds/sh/sn/summersites12.asp\" target=\"_blank\">This map\u003c/a> has a comprehensive list of summer meal sites in California.\u003c/p>\n\n",
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"description": "To understand some of the powerful hunger issues in our state, go no further than the Silicon Valley YMCA. The Y runs summer youth programs in Gilroy. Vice president of programming and community development Mary Hoshiko Haughey says last summer they had a boy in the middle school group who wasn't eating his lunch. "This",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_6792\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Chico-truck-summer.jpg\">\u003cimg class=\"size-medium wp-image-6792\" title=\"Kids line up for a free summer meal through a Chico Unified School District program. (Photo: Patrice Chamberlain)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Chico-truck-summer-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kids line up for a free summer meal through a Chico Unified School District program. (Photo: Patrice Chamberlain)\u003c/figcaption>\u003c/figure>\n\u003cp>To understand some of the powerful hunger issues in our state, go no further than the \u003ca href=\"http://www.ymcasv.org/\" target=\"_blank\">Silicon Valley YMCA\u003c/a>.\u003c/p>\n\u003cp>The Y runs summer youth programs in Gilroy. Vice president of programming and community development Mary Hoshiko Haughey says last summer they had a boy in the middle school group who wasn't eating his lunch.\u003c/p>\n\u003cp>\"This was the first day of the program, and our staff asked 'Why aren’t you eating?' 'What would you like?'\" Haughey recalled. \"And he said, 'I can’t eat because I need to make sure my brother and sister are eating. Do they have food in their program too? Otherwise I have to save it for them.' And finally we put him on the phone with them at another site and they said 'yes, we’re eating,' so he finally did too.\"\u003c/p>\n\u003cp>Haughey paused. \"It’s an example of the adult issues that our young children are taking on. He wasn’t going to eat unless he knew his siblings would.”\u003c/p>\n\u003cp>It's also an example of the importance of the summer meal programs that are offered throughout the state. Some school-based programs directly continue the work of the \u003ca href=\"http://www.fns.usda.gov/cnd/lunch/\" target=\"_blank\">School Lunch Program \u003c/a>and \u003ca href=\"http://www.summerfood.usda.gov/\" target=\"_blank\">Summer Food Service Program\u003c/a> that serves free and reduced meals to low income students throughout the year. Others are sponsored by food banks or summer youth program sites.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Silicon Valley Y is part of the \u003ca href=\"https://mail.kqed.org/owa/redir.aspx?C=e9194a1c2ef84a68a48b4d71dea8b2ce&URL=http%3a%2f%2fccrwf.org%2fsummer-meal-coalition%2f\" target=\"_blank\">California Summer Meal Coalition\u003c/a>, which is working to increase awareness of the USDA summer nutrition programs offered through the California Department of Education.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Part of the problem, says Patrice Chamberlain who works with the coalition, is that there are not enough sites serving the meals. Last year the state COULD have received $36 million more in federal reimbursements had more sites signed onto the program.\u003c/p>\n\u003cp>School budget cuts, she says, are making things worse. \"More school districts have been faced with a dwindling budget where they’ve had to cut summer school programs and there has been a decline in participation in summer meal programs,\" Chamberlain says.\u003c/p>\n\u003caside class=\"pullquote alignleft\">He said, \"I can’t eat because I need to make sure my brother and sister are eating. Do they have food in their program too? Otherwise I have to save it for them.\"\u003c/aside>\n\u003cp>\u003ca href=\"http://cfpa.net/sowa-2011\" target=\"_blank\">A recent report \u003c/a>by \u003ca href=\"http://cfpa.net/\" target=\"_blank\">California Food Policy Advocates\u003c/a> tracked the number of children in federally funded summer nutrition programs and found the number of California students served in July 2011 declined six percent from June 2010, nearly 30 percent compared to July 2008 and over 50 percent from July 2002. They tied it directly to cuts in school summer programming.\u003c/p>\n\u003cp>Chamberlain says that's why the coalition is \u003ca href=\"//ccrwf.org/summer-meal-coalition/webinars/webinars-how-to-start-or-expand-a-summer-meal-program/\" target=\"_blank\">working to get the meal programs in other locations\u003c/a>. Last year, for example, the city of Oakland worked with the Alameda County Community Food Bank to serve summer meals at libraries in low-income neighborhoods.\u003c/p>\n\u003cp>State Superintendent Tom Torlakson has been\u003ca href=\"http://ccrwf.org/wp-content/uploads/2012/05/Letter-from-SSPI-TorlaksonCBOs.pdf\" target=\"_blank\"> working to spread the word\u003c/a> about the need for summer meal locations. The awareness campaign may be paying off. This summer, the California Department of Education has indicated that there is a 60 percent increase in the number of summer meal sponsors.\u003c/p>\n\u003cp>Chamberlain says part of the reason to prioritize this issue is the summer connection to childhood obesity. A \u003ca href=\"http://www.summerlearning.org/resource/resmgr/Healthy_Summers_/NSLA_Healthy_Summers_for_Kid.pdf\" target=\"_blank\">new report\u003c/a> from the \u003ca href=\"http://www.summerlearning.org\" target=\"_blank\">National Summer Learning Association\u003c/a> found that kids gain weight two to three times faster during the summer than during the school year.\u003c/p>\n\u003cp>\"Without the structure of the school year, and the additional barriers that impact many low-income neighborhoods, access to healthy food is really limited,\" Chamberlain says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.cde.ca.gov/ds/sh/sn/summersites12.asp\" target=\"_blank\">This map\u003c/a> has a comprehensive list of summer meal sites in California.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California Budget Proposal Would Move 880,000 Children Off Healthy Families",
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"content": "\u003cfigure id=\"attachment_6734\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Child-at-dentist.jpg\">\u003cimg class=\"size-medium wp-image-6734\" title=\"A kindergartner visits the dentist, one of the services parents and advocates are worried about accessing when they switch to Medi-Cal. (heraldpost/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Child-at-dentist-300x271.jpg\" alt=\"\" width=\"300\" height=\"271\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A kindergartner visits the dentist, one of the services parents and advocates are worried about accessing when they switch to Medi-Cal. (heraldpost/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Jacqueline Dandeneau understands why children's health advocates are so upset.\u003c/p>\n\u003cp>The Humboldt County resident, and mother of a 12-year-old and a 6-year-old, was a longtime subscriber to \u003ca href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families\u003c/a>. That's California's medical insurance program for kids whose parents make just too much to qualify for \u003ca href=\"http://www.medi-cal.ca.gov/\" target=\"_blank\">Medi-Cal\u003c/a>, but struggle to afford private health insurance payments.\u003c/p>\n\u003cp>\"We were a 'Healthy Families' family and very happy to be so. The paperwork was easy and we had great dental access,\" said Dandeneau.\u003c/p>\n\u003cp>Then, came the economic downturn, their fortunes changed for the worse and their coverage changed to Medi-Cal.\u003c/p>\n\u003cp>Dandeneau says in their county there are few providers and they are waiting up to a year for appointments.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"We have to drive 3 hours to go to Redding,\" said Dandeneau, pointing out it's a challenging system for working parents struggling to juggle commitments. \"So I see right now the system is taxed as it is. We as a Medi-Cal family can’t get enough coverage as it is. Let alone if we have all the Healthy Families kids fall into that service.”\u003c/p>\n\u003cp>Wendy Lazarus with \u003ca href=\"http://www.childrenspartnership.org//AM/Template.cfm?Section=Homehttp://\" target=\"_blank\">Children’s Partnership \u003c/a>says the idea that all of the 880,000 children in Healthy Families would immediately be moved in Medi-Cal as part of the budget solution was a big surprise.\u003c!--more-->\u003c/p>\n\u003cp>She says advocates had been working with the legislature to approve a slower transition, initially moving just one-quarter of the kids from Healthy Families into Medi-Cal.\u003c/p>\n\u003cp>“Everyone assumed that that was what the budget decision would reflect,\" Lazarus said. \"And instead, after a meeting between the Governor and the head of the Senate and head of Assembly a deal was struck to do something very different. And to transition all 800,000 of the kids and that was not the budget that the legislature had sent to the governor.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"I see right now the system is taxed as it is. We as a Medi-Cal family can’t get enough coverage as it is. Let alone if we have all the Healthy Families kids fall into that service.\"\u003c/aside>\n\u003cp>Lazarus says the slow transition would allow time to assess whether families had access to doctors, were able to continue with needed specialists, and didn't disrupt the strained Medi-Cal system.\u003c/p>\n\u003cp>Other advocates have expressed frustration about the change, citing the Healthy Family program's links to improved outcomes in schools. And Chad Silva with the Latino Coalition for a Healthy California says the sudden move would disproportionately affect Latino families.\u003c/p>\n\u003cp>\"Recent LAO [Legislative Analyst Office] data show that 46 percent of Healthy Families kids are Latino,\" Silva said. \"Eighty two percent of children enrolled in Healthy Families programs in Los Angeles are Latino, so this has a great impact on Latino kids.”\u003c/p>\n\u003cp>The Sacramento Bee reports that Governor Brown had been eyeing Healthy Family for cuts for a long time.\u003c/p>\n\u003cblockquote>\u003cp>Since taking office, Brown has sought to eliminate Healthy Families, which provides low-cost care to 880,000 children in working poor households that lack health insurance. Brown has argued that all publicly insured patients should be in Medi-Cal as matter of efficiency and to eliminate the challenges patients face when switching between Medi-Cal and Healthy Families as their family income fluctuates.\u003c/p>\u003c/blockquote>\n\u003cp>\u003ca href=\"http://sd08.senate.ca.gov/\" target=\"_blank\">State Senator Leland Yee\u003c/a> said yesterday that legislators will make sure that the trailer bill approving the wholesale move will be worded so that \"kids are not going to be harmed, there will be services and there will a be a transition plan that needs to be approved. And if in fact the plan is insufficient then the transition will not in fact happen. We need to make sure that there is sufficient language in the transition bill to make sure that that happens.”\u003c/p>\n\u003cp>The Healthy Families program currently serves children whose families earn too much for Medi-Cal but might not otherwise access private insurance. \u003ca href=\"www.healthycal.org/archives/9193\" target=\"_blank\">HealthyCal.org lays out the details.\u003c/a>\u003c/p>\n\u003cblockquote>\u003cp>Medi-Cal serves adults and children from families at or below the poverty level. Some of those children get their care through managed care plans and others see doctors or go to hospitals that are reimbursed from a fee schedule set by the state. Families are not required to pay any premiums for their coverage.\u003c/p>\n\u003cp>Healthy Families is aimed at children up to 19 years old in families that don’t qualify for Medi-Cal and have incomes up to 250 percent of the poverty level, or about $46,000 for a family of three. Families are given private insurance and pay premiums on a sliding scale, according to their income.\u003c/p>\u003c/blockquote>\n\u003cp>Because the Medi-Cal program is cheaper, Brown's plan would save $73 million in 2013-2014 by shifting the children to that program. But advocates say this wouldn't be the case, because of a related tax that only gets political support because of the Healthy Families program. The \u003ca href=\"http://blogs.sacbee.com/capitolalertlatest/2012/06/could-healthy-families-shift-cost-the-state-more-money.html\" target=\"_blank\">Sacramento Bee reports \u003c/a>that it is a tax collected on managed care plans.\u003c/p>\n\u003cblockquote>\u003cp>Shifting those children to Healthy Families risks the loss of $183 million in taxes on managed care plans. The tax is set to expire at the end of this month, and managed care providers previously supported the tax because it came back to them through Healthy Families patients.\u003c/p>\n\u003cp>Democrats need a two-thirds supermajority vote with Republican support to keep the tax going. If the industry is opposed, it is difficult to see how Republicans will sign on to the tax this summer.\u003c/p>\u003c/blockquote>\n\u003cp>At a news conference announcing the budget framework last Wednesday night, though, \u003ca href=\"http://sd06.senate.ca.gov/\" target=\"_blank\">State Senate leader Darrell Steinberg\u003c/a> reiterated Governor Brown's position that \u003ca href=\"http://livewire.kcra.com/Event/Budget_deal_done/33307619\" target=\"_blank\">one program serving the state's children is more efficient than two\u003c/a>. The move has been blasted by at least one \u003ca href=\"http://cssrc.us/web/29/\" target=\"_blank\">Republican, Senate leader Bob Huff\u003c/a>.\u003c/p>\n\u003cblockquote>\u003cp>This transfer of children from a popular and successful program like Healthy Families to the problem plagued Medi-Cal system is a reckless move that unnecessarily puts the health of California children at risk.\u003c/p>\u003c/blockquote>\n\u003cp>The statement suggests that Huff and Republicans would prefer moving the children to a free market health insurance exchange that could be part of any federal health care law. \"If federal health care reform does moves forward,\" Huff wrote, \"these Healthy Families Program children will be much better served in the California Health Benefits Exchange as opposed the state Medi-Cal program, which has a poor history regarding access to care.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>The legislature is holding hearings on the issue today and is expected to make a final vote on the issue tomorrow.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_6734\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Child-at-dentist.jpg\">\u003cimg class=\"size-medium wp-image-6734\" title=\"A kindergartner visits the dentist, one of the services parents and advocates are worried about accessing when they switch to Medi-Cal. (heraldpost/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Child-at-dentist-300x271.jpg\" alt=\"\" width=\"300\" height=\"271\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A kindergartner visits the dentist, one of the services parents and advocates are worried about accessing when they switch to Medi-Cal. (heraldpost/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Jacqueline Dandeneau understands why children's health advocates are so upset.\u003c/p>\n\u003cp>The Humboldt County resident, and mother of a 12-year-old and a 6-year-old, was a longtime subscriber to \u003ca href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families\u003c/a>. That's California's medical insurance program for kids whose parents make just too much to qualify for \u003ca href=\"http://www.medi-cal.ca.gov/\" target=\"_blank\">Medi-Cal\u003c/a>, but struggle to afford private health insurance payments.\u003c/p>\n\u003cp>\"We were a 'Healthy Families' family and very happy to be so. The paperwork was easy and we had great dental access,\" said Dandeneau.\u003c/p>\n\u003cp>Then, came the economic downturn, their fortunes changed for the worse and their coverage changed to Medi-Cal.\u003c/p>\n\u003cp>Dandeneau says in their county there are few providers and they are waiting up to a year for appointments.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We have to drive 3 hours to go to Redding,\" said Dandeneau, pointing out it's a challenging system for working parents struggling to juggle commitments. \"So I see right now the system is taxed as it is. We as a Medi-Cal family can’t get enough coverage as it is. Let alone if we have all the Healthy Families kids fall into that service.”\u003c/p>\n\u003cp>Wendy Lazarus with \u003ca href=\"http://www.childrenspartnership.org//AM/Template.cfm?Section=Homehttp://\" target=\"_blank\">Children’s Partnership \u003c/a>says the idea that all of the 880,000 children in Healthy Families would immediately be moved in Medi-Cal as part of the budget solution was a big surprise.\u003c!--more-->\u003c/p>\n\u003cp>She says advocates had been working with the legislature to approve a slower transition, initially moving just one-quarter of the kids from Healthy Families into Medi-Cal.\u003c/p>\n\u003cp>“Everyone assumed that that was what the budget decision would reflect,\" Lazarus said. \"And instead, after a meeting between the Governor and the head of the Senate and head of Assembly a deal was struck to do something very different. And to transition all 800,000 of the kids and that was not the budget that the legislature had sent to the governor.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"I see right now the system is taxed as it is. We as a Medi-Cal family can’t get enough coverage as it is. Let alone if we have all the Healthy Families kids fall into that service.\"\u003c/aside>\n\u003cp>Lazarus says the slow transition would allow time to assess whether families had access to doctors, were able to continue with needed specialists, and didn't disrupt the strained Medi-Cal system.\u003c/p>\n\u003cp>Other advocates have expressed frustration about the change, citing the Healthy Family program's links to improved outcomes in schools. And Chad Silva with the Latino Coalition for a Healthy California says the sudden move would disproportionately affect Latino families.\u003c/p>\n\u003cp>\"Recent LAO [Legislative Analyst Office] data show that 46 percent of Healthy Families kids are Latino,\" Silva said. \"Eighty two percent of children enrolled in Healthy Families programs in Los Angeles are Latino, so this has a great impact on Latino kids.”\u003c/p>\n\u003cp>The Sacramento Bee reports that Governor Brown had been eyeing Healthy Family for cuts for a long time.\u003c/p>\n\u003cblockquote>\u003cp>Since taking office, Brown has sought to eliminate Healthy Families, which provides low-cost care to 880,000 children in working poor households that lack health insurance. Brown has argued that all publicly insured patients should be in Medi-Cal as matter of efficiency and to eliminate the challenges patients face when switching between Medi-Cal and Healthy Families as their family income fluctuates.\u003c/p>\u003c/blockquote>\n\u003cp>\u003ca href=\"http://sd08.senate.ca.gov/\" target=\"_blank\">State Senator Leland Yee\u003c/a> said yesterday that legislators will make sure that the trailer bill approving the wholesale move will be worded so that \"kids are not going to be harmed, there will be services and there will a be a transition plan that needs to be approved. And if in fact the plan is insufficient then the transition will not in fact happen. We need to make sure that there is sufficient language in the transition bill to make sure that that happens.”\u003c/p>\n\u003cp>The Healthy Families program currently serves children whose families earn too much for Medi-Cal but might not otherwise access private insurance. \u003ca href=\"www.healthycal.org/archives/9193\" target=\"_blank\">HealthyCal.org lays out the details.\u003c/a>\u003c/p>\n\u003cblockquote>\u003cp>Medi-Cal serves adults and children from families at or below the poverty level. Some of those children get their care through managed care plans and others see doctors or go to hospitals that are reimbursed from a fee schedule set by the state. Families are not required to pay any premiums for their coverage.\u003c/p>\n\u003cp>Healthy Families is aimed at children up to 19 years old in families that don’t qualify for Medi-Cal and have incomes up to 250 percent of the poverty level, or about $46,000 for a family of three. Families are given private insurance and pay premiums on a sliding scale, according to their income.\u003c/p>\u003c/blockquote>\n\u003cp>Because the Medi-Cal program is cheaper, Brown's plan would save $73 million in 2013-2014 by shifting the children to that program. But advocates say this wouldn't be the case, because of a related tax that only gets political support because of the Healthy Families program. The \u003ca href=\"http://blogs.sacbee.com/capitolalertlatest/2012/06/could-healthy-families-shift-cost-the-state-more-money.html\" target=\"_blank\">Sacramento Bee reports \u003c/a>that it is a tax collected on managed care plans.\u003c/p>\n\u003cblockquote>\u003cp>Shifting those children to Healthy Families risks the loss of $183 million in taxes on managed care plans. The tax is set to expire at the end of this month, and managed care providers previously supported the tax because it came back to them through Healthy Families patients.\u003c/p>\n\u003cp>Democrats need a two-thirds supermajority vote with Republican support to keep the tax going. If the industry is opposed, it is difficult to see how Republicans will sign on to the tax this summer.\u003c/p>\u003c/blockquote>\n\u003cp>At a news conference announcing the budget framework last Wednesday night, though, \u003ca href=\"http://sd06.senate.ca.gov/\" target=\"_blank\">State Senate leader Darrell Steinberg\u003c/a> reiterated Governor Brown's position that \u003ca href=\"http://livewire.kcra.com/Event/Budget_deal_done/33307619\" target=\"_blank\">one program serving the state's children is more efficient than two\u003c/a>. The move has been blasted by at least one \u003ca href=\"http://cssrc.us/web/29/\" target=\"_blank\">Republican, Senate leader Bob Huff\u003c/a>.\u003c/p>\n\u003cblockquote>\u003cp>This transfer of children from a popular and successful program like Healthy Families to the problem plagued Medi-Cal system is a reckless move that unnecessarily puts the health of California children at risk.\u003c/p>\u003c/blockquote>\n\u003cp>The statement suggests that Huff and Republicans would prefer moving the children to a free market health insurance exchange that could be part of any federal health care law. \"If federal health care reform does moves forward,\" Huff wrote, \"these Healthy Families Program children will be much better served in the California Health Benefits Exchange as opposed the state Medi-Cal program, which has a poor history regarding access to care.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The legislature is holding hearings on the issue today and is expected to make a final vote on the issue tomorrow.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_6706\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/ACA-graphic.jpg\">\u003cimg class=\"size-medium wp-image-6706\" title=\"Supreme court rules in the ACA decision (photo: s_falkow/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/ACA-graphic-300x260.jpg\" alt=\"\" width=\"300\" height=\"260\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Supreme court rules in the Affordable Care Act decision (photo: s_falkow/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>This morning came and went without a health care decision. \u003ca href=\"http://ghrfirm.com/attorney-profiles/amy-howe\" target=\"_blank\">One of the experienced lawyers\u003c/a> following the proceedings was asked when a decision had ever been so anticipated:\u003c/p>\n\u003cblockquote>\u003cp>I am pretty sure that the answer ... is NEVER. In Bush v. Gore, it all moved so quickly and we didn't know when we would get a decision.\u003c/p>\u003c/blockquote>\n\u003cp>Barring a highly unusual deferral until the next term, \u003ca href=\"http://www.scotusblog.com/cover-it-live/\" target=\"_blank\">the final health care decision will come out on Thursday morning around 7:00 AM pacific time\u003c/a>.\u003c/p>\n\u003cp>Like all controversial issues this one goes by many names. The law under consideration started life as the \"Patient Protection and Affordable Care Act\" but was nicknamed \"Obamacare\" by Republicans. Now \u003ca href=\"http://www.cnn.com/2012/06/25/politics/obamacare-word-debate/index.html\" target=\"_blank\">some Democrats are trying to reclaim \"Obamacare\"\u003c/a> for their own.\u003c/p>\n\u003cp>There's not just a lot of jockeying about the name. The complex legal intricacies have inspired plenty of explainers and Q&A's around the web today. Here are some of the highlights.\u003c/p>\n\u003cp>The L.A. Times ran \u003ca href=\"http://www.latimes.com/health/la-na-court-final-20120625,0,1925650.story\" target=\"_blank\">a piece that looked specifically at the legal issues at stake\u003c/a> and why the Court could consider this as a tax law case, throwing a wrench in things.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Washington Post has a blog post aptly titled \u003ca href=\"http://www.washingtonpost.com/blogs/ezra-klein/wp/2012/06/25/everything-you-need-to-know-about-obamacare-and-scotus-in-one-post/\" target=\"_blank\">\"Everything you need to know about Obamacare and SCOTUS in one post.\"\u003c/a>\u003c/p>\n\u003cp>But if that's not enough, here's \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2012/March/22/consumer-guide-health-law.aspx\" target=\"_blank\">this consumer guide\u003c/a> from \u003ca href=\"www.kaiserhealthnews.org/\" target=\"_blank\">Kaiser Health News\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_6706\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/ACA-graphic.jpg\">\u003cimg class=\"size-medium wp-image-6706\" title=\"Supreme court rules in the ACA decision (photo: s_falkow/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/ACA-graphic-300x260.jpg\" alt=\"\" width=\"300\" height=\"260\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Supreme court rules in the Affordable Care Act decision (photo: s_falkow/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>This morning came and went without a health care decision. \u003ca href=\"http://ghrfirm.com/attorney-profiles/amy-howe\" target=\"_blank\">One of the experienced lawyers\u003c/a> following the proceedings was asked when a decision had ever been so anticipated:\u003c/p>\n\u003cblockquote>\u003cp>I am pretty sure that the answer ... is NEVER. In Bush v. Gore, it all moved so quickly and we didn't know when we would get a decision.\u003c/p>\u003c/blockquote>\n\u003cp>Barring a highly unusual deferral until the next term, \u003ca href=\"http://www.scotusblog.com/cover-it-live/\" target=\"_blank\">the final health care decision will come out on Thursday morning around 7:00 AM pacific time\u003c/a>.\u003c/p>\n\u003cp>Like all controversial issues this one goes by many names. The law under consideration started life as the \"Patient Protection and Affordable Care Act\" but was nicknamed \"Obamacare\" by Republicans. Now \u003ca href=\"http://www.cnn.com/2012/06/25/politics/obamacare-word-debate/index.html\" target=\"_blank\">some Democrats are trying to reclaim \"Obamacare\"\u003c/a> for their own.\u003c/p>\n\u003cp>There's not just a lot of jockeying about the name. The complex legal intricacies have inspired plenty of explainers and Q&A's around the web today. Here are some of the highlights.\u003c/p>\n\u003cp>The L.A. Times ran \u003ca href=\"http://www.latimes.com/health/la-na-court-final-20120625,0,1925650.story\" target=\"_blank\">a piece that looked specifically at the legal issues at stake\u003c/a> and why the Court could consider this as a tax law case, throwing a wrench in things.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Washington Post has a blog post aptly titled \u003ca href=\"http://www.washingtonpost.com/blogs/ezra-klein/wp/2012/06/25/everything-you-need-to-know-about-obamacare-and-scotus-in-one-post/\" target=\"_blank\">\"Everything you need to know about Obamacare and SCOTUS in one post.\"\u003c/a>\u003c/p>\n\u003cp>But if that's not enough, here's \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2012/March/22/consumer-guide-health-law.aspx\" target=\"_blank\">this consumer guide\u003c/a> from \u003ca href=\"www.kaiserhealthnews.org/\" target=\"_blank\">Kaiser Health News\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>Healthcare is not a science problem; it’s an information problem\u003c/em>. Thomas Goetz, TEDMED 2010\u003c/p>\n\u003cfigure id=\"attachment_6626\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Todd_Park.jpg\">\u003cimg class=\"size-medium wp-image-6626\" title=\"Todd_Park\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Todd_Park-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Todd Park speaks at the Commonwealth Club in SF. (Photo: gobemore.com)\u003c/figcaption>\u003c/figure>\n\u003cp>Bank and airline customers rely on sophisticated systems that allow them to personalize and track complex data. \u003cstrong>\u003c/strong>\u003cstrong>\u003c/strong>But consumers of the services and products that comprise modern\u003cem> health care\u003c/em> – the patients -- currently are offered much more rudimentary data handling.\u003cspan style=\"color: #000000\"> Faxed prescriptions, paper medical charts and X-rays on film -- though not uncommon -- are examples of outdated methods of recording and sharing data.\u003c/span>\u003c/p>\n\u003cp>The forces needed to improve patient information systems are gaining momentum, said \u003ca href=\"http://www.whitehouse.gov/administration/eop/ostp/about/leadershipstaff/park\" target=\"_blank\">Todd Park, US Chief Technology Officer\u003c/a> (CTO). Speaking June 18 at The Commonwealth Club in San Francisco, Park acknowledged the movement is in its infancy but said the nation’s healthcare information system is “light years ahead of where it was two years ago.”\u003c/p>\n\u003cp>Park’s trademark enthusiasm was also evident as he talked about the campaign to provide newly-authorized access to government data to software developers and entrepreneurs. The federal \u003ca href=\"http://www.hhs.gov/open/initiatives/hdi/\">Health Data Initiative\u003c/a> seeks to provide Health and Human Services (HHS) data to the public, free and with no strings attached, in effort to trigger the creation of health-related applications.\u003c/p>\n\u003cp>The campaign has precedent in other government bodies. For example, The Weather Channel exists because \u003ca href=\"http://www.noaa.gov/\" target=\"_blank\">National Oceanic and Atmospheric Administration\u003c/a> (NOAA) data was made public. Location-based services such as real-time driving directions rely on GPS, a system of satellites also owned by the government.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c!--more-->The HHS effort began in 2010 when the agency published its \u003ca href=\"http://www.hhs.gov/open/plan/opengovernmentplan/index.html\" target=\"_blank\">Open Government plan\u003c/a>, which says in part that its “vast stores of data” are:\u003c/p>\n\u003cblockquote>\u003cp>…a remarkable national resource which can be utilized…to increase awareness of health and human services issues, generate insights into how to improve health and well-being, spark public and private sector innovation and action, and provide the basis for new products and services that can benefit the American people.\u003c/p>\u003c/blockquote>\n\u003cp>Two key elements necessary to turn this public data resource into better health and financial reward are 1) a robust private/public partnership and 2) a rethinking of the traditional roles of doctors and patients, \u003cspan style=\"color: #000000\">who are increasingly taking greater responsibility for making decisions about their care.\u003c/span>\u003c/p>\n\u003cp>Creative and business partnerships are gaining momentum in spurts of work known as “hackathons” and “\u003ca href=\"http://www.hdiforum.org/\">datapaloozas\u003c/a>,” and in business incubators across the country. Software coders and engineers are collaborating with healthcare providers to unlock the information contained in the data.\u003c/p>\n\u003cp>To create something useful, designers need to ask the right questions: of the data, of healthcare providers and of the public. Although patients couldn't previously see it, HHS has collected data about patient satisfaction and safety in US hospitals for years, primarily for hospital administrators to use. HHS also knows that \u003ca href=\"http://pewinternet.orghttp/pewinternet.org/Trend-Data-%28Adults%29/Online-Activites-Total.aspx/Trend-Data-%28Adults%29/Online-Activites-Total.aspx\">80 percent\u003c/a> of adult Internet users now search online for health information and nearly 90 percent of Americans have a cell phone. Under the new initiative, they asked what the data could mean to patients.\u003c/p>\n\u003cp>Creating a new purpose and meaning for the data --\u003cspan style=\"color: #000000\"> enabling informed patient choice –\u003c/span> led to “\u003ca href=\"http://www.hospitalcompare.hhs.gov/\">Hospital Compare\u003c/a>.” The site allows users to easily search for hospitals by zip code and to compare patient satisfaction and safety scores using a familiar interface that works like comparison shopping.\u003c/p>\n\u003cp>But the biggest driver of change is the private sector, which has enthusiastically taken up the “free the data” challenge. Park estimated that 90 percent of the more than 200 groups who competed at the June \u003ca href=\"http://www.hdiforum.org/page/show/462529-health-datapalooza-agenda\" target=\"_blank\">Datapalooza\u003c/a> were startups. \u003cspan style=\"color: #000000\">Park raved about the results achieved by some of the coders. The teams with the least healthcare experience tackled some of the toughest public health challenges because \"they didn’t understand that some healthcare problems are considered intractable,” Park said with a chuckle.\u003c/span> Successful healthcare app designers bring consumers user-experience knowledge: they know how to unlock the potential of the data, he said. After all, “we have a deluge of data, but a paucity of information.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Eve Harris is a Bay Area writer and patient advocate blogging at \u003ca href=\"http://eve-harris.blogspot.com/\" target=\"_blank\">www.eveharris.com\u003c/a>\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Healthcare is not a science problem; it’s an information problem\u003c/em>. Thomas Goetz, TEDMED 2010\u003c/p>\n\u003cfigure id=\"attachment_6626\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Todd_Park.jpg\">\u003cimg class=\"size-medium wp-image-6626\" title=\"Todd_Park\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Todd_Park-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Todd Park speaks at the Commonwealth Club in SF. (Photo: gobemore.com)\u003c/figcaption>\u003c/figure>\n\u003cp>Bank and airline customers rely on sophisticated systems that allow them to personalize and track complex data. \u003cstrong>\u003c/strong>\u003cstrong>\u003c/strong>But consumers of the services and products that comprise modern\u003cem> health care\u003c/em> – the patients -- currently are offered much more rudimentary data handling.\u003cspan style=\"color: #000000\"> Faxed prescriptions, paper medical charts and X-rays on film -- though not uncommon -- are examples of outdated methods of recording and sharing data.\u003c/span>\u003c/p>\n\u003cp>The forces needed to improve patient information systems are gaining momentum, said \u003ca href=\"http://www.whitehouse.gov/administration/eop/ostp/about/leadershipstaff/park\" target=\"_blank\">Todd Park, US Chief Technology Officer\u003c/a> (CTO). Speaking June 18 at The Commonwealth Club in San Francisco, Park acknowledged the movement is in its infancy but said the nation’s healthcare information system is “light years ahead of where it was two years ago.”\u003c/p>\n\u003cp>Park’s trademark enthusiasm was also evident as he talked about the campaign to provide newly-authorized access to government data to software developers and entrepreneurs. The federal \u003ca href=\"http://www.hhs.gov/open/initiatives/hdi/\">Health Data Initiative\u003c/a> seeks to provide Health and Human Services (HHS) data to the public, free and with no strings attached, in effort to trigger the creation of health-related applications.\u003c/p>\n\u003cp>The campaign has precedent in other government bodies. For example, The Weather Channel exists because \u003ca href=\"http://www.noaa.gov/\" target=\"_blank\">National Oceanic and Atmospheric Administration\u003c/a> (NOAA) data was made public. Location-based services such as real-time driving directions rely on GPS, a system of satellites also owned by the government.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c!--more-->The HHS effort began in 2010 when the agency published its \u003ca href=\"http://www.hhs.gov/open/plan/opengovernmentplan/index.html\" target=\"_blank\">Open Government plan\u003c/a>, which says in part that its “vast stores of data” are:\u003c/p>\n\u003cblockquote>\u003cp>…a remarkable national resource which can be utilized…to increase awareness of health and human services issues, generate insights into how to improve health and well-being, spark public and private sector innovation and action, and provide the basis for new products and services that can benefit the American people.\u003c/p>\u003c/blockquote>\n\u003cp>Two key elements necessary to turn this public data resource into better health and financial reward are 1) a robust private/public partnership and 2) a rethinking of the traditional roles of doctors and patients, \u003cspan style=\"color: #000000\">who are increasingly taking greater responsibility for making decisions about their care.\u003c/span>\u003c/p>\n\u003cp>Creative and business partnerships are gaining momentum in spurts of work known as “hackathons” and “\u003ca href=\"http://www.hdiforum.org/\">datapaloozas\u003c/a>,” and in business incubators across the country. Software coders and engineers are collaborating with healthcare providers to unlock the information contained in the data.\u003c/p>\n\u003cp>To create something useful, designers need to ask the right questions: of the data, of healthcare providers and of the public. Although patients couldn't previously see it, HHS has collected data about patient satisfaction and safety in US hospitals for years, primarily for hospital administrators to use. HHS also knows that \u003ca href=\"http://pewinternet.orghttp/pewinternet.org/Trend-Data-%28Adults%29/Online-Activites-Total.aspx/Trend-Data-%28Adults%29/Online-Activites-Total.aspx\">80 percent\u003c/a> of adult Internet users now search online for health information and nearly 90 percent of Americans have a cell phone. Under the new initiative, they asked what the data could mean to patients.\u003c/p>\n\u003cp>Creating a new purpose and meaning for the data --\u003cspan style=\"color: #000000\"> enabling informed patient choice –\u003c/span> led to “\u003ca href=\"http://www.hospitalcompare.hhs.gov/\">Hospital Compare\u003c/a>.” The site allows users to easily search for hospitals by zip code and to compare patient satisfaction and safety scores using a familiar interface that works like comparison shopping.\u003c/p>\n\u003cp>But the biggest driver of change is the private sector, which has enthusiastically taken up the “free the data” challenge. Park estimated that 90 percent of the more than 200 groups who competed at the June \u003ca href=\"http://www.hdiforum.org/page/show/462529-health-datapalooza-agenda\" target=\"_blank\">Datapalooza\u003c/a> were startups. \u003cspan style=\"color: #000000\">Park raved about the results achieved by some of the coders. The teams with the least healthcare experience tackled some of the toughest public health challenges because \"they didn’t understand that some healthcare problems are considered intractable,” Park said with a chuckle.\u003c/span> Successful healthcare app designers bring consumers user-experience knowledge: they know how to unlock the potential of the data, he said. After all, “we have a deluge of data, but a paucity of information.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Eve Harris is a Bay Area writer and patient advocate blogging at \u003ca href=\"http://eve-harris.blogspot.com/\" target=\"_blank\">www.eveharris.com\u003c/a>\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"marketplace": {
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"pri-the-world": {
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"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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"radiolab": {
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"reveal": {
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},
"rightnowish": {
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"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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},
"science-friday": {
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"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
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"snap-judgment": {
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"title": "Snap Judgment",
"tagline": "Real stories with killer beats",
"info": "The Snap Judgment radio show and podcast mixes real stories with killer beats to produce cinematic, dramatic radio. Snap's musical brand of storytelling dares listeners to see the world through the eyes of another. This is storytelling... with a BEAT!! Snap first aired on public radio stations nationwide in July 2010. Today, Snap Judgment airs on over 450 public radio stations and is brought to the airwaves by KQED & PRX.",
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},
"soldout": {
"id": "soldout",
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