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"content": "\u003cp>Four out of five older Americans with hearing loss just ignore it, in part because a hearing aid is an unwelcome sign of aging. But what if hearing aids looked like stylish fashion accessories and could be bought at your local pharmacy like reading glasses?\u003c/p>\n\u003cp>That's the vision of Kristen \"KR\" Liu, who's the director of accessibility and advocacy for Doppler Labs, a company marketing one of these devices. She thinks a hearing aid could be \"something that's hip and cool and people have multiple pairs and it's fashionable.\"\u003c/p>\n\u003cp>Liu, who has severe hearing loss herself, helped design a device designed to let people with hearing loss blend in. One person may be using the technology to stream music or take a phone call, she says. Another may be wearing it to amplify speech and hear the conversation. \"And no one is going to know the difference,\" Liu says. \"So you're wearing technology in your ear, proudly.\"\u003c/p>\n\u003cp>The device is a small circular instrument that fits snugly in the ear. It can be adjusted to individual hearing using a smartphone app to control volume, cut out background noise or turn up the sound in a theater. \"It's pretty much a hearing aid,\" says Liu, except the company isn't allowed to call it that.\u003c/p>\n\u003cp>That's because the Food and Drug Administration, which regulates medical devices, doesn't allow hearing aids to be sold over the counter. So devices sold directly to consumers are marketed as \"personal sound amplification products,\" or PSAPs. They range in price from about $250 to $350 and are considerably cheaper than hearing aids, which can cost up to $6,000 and are typically not covered by Medicare or most private insurance companies. Hearing aids are customized by a hearing specialist such as an audiologist, following a hearing test.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>PSAPs can only be marketed as sound amplifiers for people with normal hearing who want to make things louder, like music or the sounds of birds chirping. Hearing loss advocates believe this means people with mild to moderate hearing loss who could benefit from the devices don't know about them. There are dozens of the devices on the market, but their quality varies wildly, as an analysis of 11 of them last year for hearing care professionals shows. And there's no easy way for potential purchasers to figure out which work best.\u003c/p>\n\u003cp>The Hearing Loss Association of America, a consumer group, wants Congress to create a new category of aids for people with mild to moderate hearing loss by passing the Over-the-Counter Hearing Aid Act of2017. (People with severe hearing loss would still need to be seen by a medical professional.) The bill would direct the FDA to come up with safety and effectiveness standards for these new hearing aids.\u003c/p>\n\u003cp>The FDA is already moving in that direction, and in December said it would no longer require adults to be medically evaluated before buying a hearing aid. Proponents of direct-to-consumer sales hope Congressional action would get the FDA moving faster. A 2016 report from the National Academies of Sciences also endorsed allowing over-the-counter sales.\u003c/p>\n\u003cp>This could be life changing for people with hearing loss, says Richard Einhorn, a composer of modern classical music who is on the board of the Hearing Loss Association of America.\u003c/p>\n\u003cp>Early one morning in 2010, he woke up with his ears ringing — a loud, piercing hiss. \"I hit the panic button,\" Einhorn says. \"I jumped out of bed and immediately fell over onto the floor.\"\u003c/p>\n\u003cp>An inner ear infection, likely a virus, had caused him to lose his balance. He went deaf in his right ear. He already had some hearing loss in his left ear. His hearing aids cost $5,000 and were not covered by insurance.\u003c/p>\n\u003cp>\"I'm a composer, for goodness sake,\" Einhorn says. \"This is not an easy purchase to scrounge up the money for.\"\u003c/p>\n\u003cp>Opening up the hearing aid market would foster competition and drive prices down, says Einhorn.\u003c/p>\n\u003cp>It would also encourage companies to come up with new and better products, says Liu. She envisions a future that solves one of the biggest problems for many people – hearing in a noisy environment, like a party or a busy restaurant. She wants a hearing aid that would automatically adjust to different sound environments, so she could hear the person talking to her and not the background distraction.\u003c/p>\n\u003cp>\"Nothing like that exists today,\" Liu says. \"But I very much see something like that down the road.\"\u003c/p>\n\u003cp>Some audio specialists support rolling back regulations, while others are skeptical.\u003c/p>\n\u003cp>Hearing loss is complex, says Neil DiSarno, chief staff officer for audiology at the American Speech-Language-Hearing Association. This makes it difficult for consumers to \"self-evaluate, self-treat and self-monitor,\" he says. If people buy their hearing aids directly over the counter, they'll miss out on all the skills audiologists can teach them, like how to lip read and how to distinguish high frequency sounds, he says.\u003c/p>\n\u003cp>The market for over-the-counter hearing aids could be huge. More than 35 million Americans have some degree of hearing loss. And for older Americans, not dealing with the problem can have a big impact on age-related cognitive decline, says Dr. Frank Lin, associate professor of otolaryngology at Johns Hopkins University School of Medicine. Lin has done studies looking at the link between hearing loss and cognitive decline.\u003c/p>\n\u003cp>\"The greater the hearing loss, the greater the risk of loss of thinking and memory abilities over time,\" he says, which can lead to feelings of insecurity and social isolation – a known risk factor for dementia.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Lin says his findings should serve as a \"wake-up call\" for policy makers. If people have easier access to more affordable hearing aids, he says, that could lead to benefits that go far beyond hearing.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>PSAPs can only be marketed as sound amplifiers for people with normal hearing who want to make things louder, like music or the sounds of birds chirping. Hearing loss advocates believe this means people with mild to moderate hearing loss who could benefit from the devices don't know about them. There are dozens of the devices on the market, but their quality varies wildly, as an analysis of 11 of them last year for hearing care professionals shows. And there's no easy way for potential purchasers to figure out which work best.\u003c/p>\n\u003cp>The Hearing Loss Association of America, a consumer group, wants Congress to create a new category of aids for people with mild to moderate hearing loss by passing the Over-the-Counter Hearing Aid Act of2017. (People with severe hearing loss would still need to be seen by a medical professional.) The bill would direct the FDA to come up with safety and effectiveness standards for these new hearing aids.\u003c/p>\n\u003cp>The FDA is already moving in that direction, and in December said it would no longer require adults to be medically evaluated before buying a hearing aid. Proponents of direct-to-consumer sales hope Congressional action would get the FDA moving faster. A 2016 report from the National Academies of Sciences also endorsed allowing over-the-counter sales.\u003c/p>\n\u003cp>This could be life changing for people with hearing loss, says Richard Einhorn, a composer of modern classical music who is on the board of the Hearing Loss Association of America.\u003c/p>\n\u003cp>Early one morning in 2010, he woke up with his ears ringing — a loud, piercing hiss. \"I hit the panic button,\" Einhorn says. \"I jumped out of bed and immediately fell over onto the floor.\"\u003c/p>\n\u003cp>An inner ear infection, likely a virus, had caused him to lose his balance. He went deaf in his right ear. He already had some hearing loss in his left ear. His hearing aids cost $5,000 and were not covered by insurance.\u003c/p>\n\u003cp>\"I'm a composer, for goodness sake,\" Einhorn says. \"This is not an easy purchase to scrounge up the money for.\"\u003c/p>\n\u003cp>Opening up the hearing aid market would foster competition and drive prices down, says Einhorn.\u003c/p>\n\u003cp>It would also encourage companies to come up with new and better products, says Liu. She envisions a future that solves one of the biggest problems for many people – hearing in a noisy environment, like a party or a busy restaurant. She wants a hearing aid that would automatically adjust to different sound environments, so she could hear the person talking to her and not the background distraction.\u003c/p>\n\u003cp>\"Nothing like that exists today,\" Liu says. \"But I very much see something like that down the road.\"\u003c/p>\n\u003cp>Some audio specialists support rolling back regulations, while others are skeptical.\u003c/p>\n\u003cp>Hearing loss is complex, says Neil DiSarno, chief staff officer for audiology at the American Speech-Language-Hearing Association. This makes it difficult for consumers to \"self-evaluate, self-treat and self-monitor,\" he says. If people buy their hearing aids directly over the counter, they'll miss out on all the skills audiologists can teach them, like how to lip read and how to distinguish high frequency sounds, he says.\u003c/p>\n\u003cp>The market for over-the-counter hearing aids could be huge. More than 35 million Americans have some degree of hearing loss. And for older Americans, not dealing with the problem can have a big impact on age-related cognitive decline, says Dr. Frank Lin, associate professor of otolaryngology at Johns Hopkins University School of Medicine. Lin has done studies looking at the link between hearing loss and cognitive decline.\u003c/p>\n\u003cp>\"The greater the hearing loss, the greater the risk of loss of thinking and memory abilities over time,\" he says, which can lead to feelings of insecurity and social isolation – a known risk factor for dementia.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Lin says his findings should serve as a \"wake-up call\" for policy makers. If people have easier access to more affordable hearing aids, he says, that could lead to benefits that go far beyond hearing.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The Food and Drug Administration says children under 12 should not be given prescription medicines that contain codeine or another narcotic, tramadol, and that such drugs can also be dangerous to youth between 12 and 18.\u003c/p>\n\u003cp>On Thursday, the FDA said it will require that prescription drugs containing codeine or tramadol carry a warning on the label against using them in children under 12 or in women who are breast-feeding. The agency cited evidence that the drugs could cause dangerously slowed breathing in some children, which could lead to death.\u003c/p>\n\u003cp>Multiple prescription drugs contain codeine or tramadol. For example, the painkiller Tylenol 3 contains acetaminophen and codeine. Drugs containing codeine already carry a black-box warning against using it to treat pain in children who have their tonsils removed.\u003c/p>\n\u003cp>\"This is something we've been watching for several years,\" says Douglas Throckmorton, the deputy director for regulatory programs at the FDA's Center for Drug Evaluation and Research. \"They are powerful, effective medicines when used right [but] they can cause a lot of harm when they're not.\"\u003c/p>\n\u003cp>The agency also warned against using the drugs in young people between 12 and 18 who are obese or have breathing problems such as sleep apnea or lung disease.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The new warnings did not further restrict over-the-counter medicines that contain codeine, such as popular types of cough syrup and medication marketed for cold and flu symptoms. The FDA recommends that parents talk to a doctor before giving their children such drugs and notes that colds and coughs in kids \"are generally mild and go away in a few days, so they may not need to take any medicine.\"\u003c/p>\n\u003cp>Thursday's announcement was a partial acceptance of 2015 recommendations by an independent advisory committee that recommended the agency restrict prescription of codeine-containing drugs for children and also voted overwhelmingly against over-the-counter sale of codeine-containing cough syrup for children.\u003c/p>\n\u003cp>At the time, pharmacist Maria Pruchnicki, an associate professor at the Ohio State University College of Pharmacy, told NPR's Rob Stein, \"My concern, were I to be prescribing codeine in children, would be that I would, frankly, kill them.\"\u003c/p>\n\u003cp>As Stein reported, the FDA is not required to follow the committee's 2015 advice, although the agency generally acts in line with advisory committee recommendations.\u003c/p>\n\u003cp>In this case, the agency did act on prescription drugs but did not act on the over-the-counter recommendation.\u003c/p>\n\u003cp>It was unclear why more than a year passed between the committee recommendations and their partial adoption by the agency. In a press briefing, Throckmorton said the agency had received \"additional information.\"\u003c/p>\n\u003cp>Diana Zuckerman, president of the consumer group National Center for Health Research, called the move a \"long-overdue step to protect our children\":\u003c/p>\n\u003cp>\"The science is clear, so why did it take almost 18 months since the FDA's public meeting on the exact same issue? FDA needs to do more to warn patients about the known risks of medical products as soon as data are available. A change in the label is important, but unfortunately many doctors and patients don't read these labels. We need a public education campaign to warn parents and nursing women about these risks.\"\u003c/p>\n\u003cp>In 2015, the FDA acknowledged that although tramadol is not approved for use in children, it is used off-label to treat pain in kids. In that warning, the agency noted that some people are what's known as ultra-rapid metabolizers of tramadol and codeine. Those people have a variant of a liver enzyme that breaks down the drugs more quickly, leading to a rapid and potentially dangerous spike in the level of active opioids in the bloodstream.\u003c/p>\n\u003cp>The drugs can make their way into breast milk in nursing mothers and potentially harm infants, the FDA warns. The proportion of people with the enzyme variant, which is genetic, is thought to be between 1 and 10 percent.\u003c/p>\n\u003cp>\"Because we can't easily determine which children or nursing mothers specifically are at greater risk of ultra-rapid metabolism of codeine or tramadol, we are requiring manufacturers ... to make important labeling changes to protect those children who are at the greatest risk,\" explains Throckmorton.\u003c/p>\n\u003cp>As for future action on over-the-counter medicines that contain codeine, the American Academy of Pediatrics has made its position clear.\u003c/p>\n\u003cp>In a report published last year in the journal Pediatrics, members of the academy's committee on drugs wrote that although over-the-counter cough and cold medicines containing codeine were available in 28 states and Washington, D.C., \"neither the value of suppressing cough nor the effectiveness of codeine in children with acute illnesses has been shown.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Regulators in Europe, Canada and Australia have all restricted the use of medicines containing codeine for children. According to the FDA's public label database, more than 100 medications containing codeine are approved for sale without a prescription in the U.S.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Food and Drug Administration says children under 12 should not be given prescription medicines that contain codeine or another narcotic, tramadol, and that such drugs can also be dangerous to youth between 12 and 18.\u003c/p>\n\u003cp>On Thursday, the FDA said it will require that prescription drugs containing codeine or tramadol carry a warning on the label against using them in children under 12 or in women who are breast-feeding. The agency cited evidence that the drugs could cause dangerously slowed breathing in some children, which could lead to death.\u003c/p>\n\u003cp>Multiple prescription drugs contain codeine or tramadol. For example, the painkiller Tylenol 3 contains acetaminophen and codeine. Drugs containing codeine already carry a black-box warning against using it to treat pain in children who have their tonsils removed.\u003c/p>\n\u003cp>\"This is something we've been watching for several years,\" says Douglas Throckmorton, the deputy director for regulatory programs at the FDA's Center for Drug Evaluation and Research. \"They are powerful, effective medicines when used right [but] they can cause a lot of harm when they're not.\"\u003c/p>\n\u003cp>The agency also warned against using the drugs in young people between 12 and 18 who are obese or have breathing problems such as sleep apnea or lung disease.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The new warnings did not further restrict over-the-counter medicines that contain codeine, such as popular types of cough syrup and medication marketed for cold and flu symptoms. The FDA recommends that parents talk to a doctor before giving their children such drugs and notes that colds and coughs in kids \"are generally mild and go away in a few days, so they may not need to take any medicine.\"\u003c/p>\n\u003cp>Thursday's announcement was a partial acceptance of 2015 recommendations by an independent advisory committee that recommended the agency restrict prescription of codeine-containing drugs for children and also voted overwhelmingly against over-the-counter sale of codeine-containing cough syrup for children.\u003c/p>\n\u003cp>At the time, pharmacist Maria Pruchnicki, an associate professor at the Ohio State University College of Pharmacy, told NPR's Rob Stein, \"My concern, were I to be prescribing codeine in children, would be that I would, frankly, kill them.\"\u003c/p>\n\u003cp>As Stein reported, the FDA is not required to follow the committee's 2015 advice, although the agency generally acts in line with advisory committee recommendations.\u003c/p>\n\u003cp>In this case, the agency did act on prescription drugs but did not act on the over-the-counter recommendation.\u003c/p>\n\u003cp>It was unclear why more than a year passed between the committee recommendations and their partial adoption by the agency. In a press briefing, Throckmorton said the agency had received \"additional information.\"\u003c/p>\n\u003cp>Diana Zuckerman, president of the consumer group National Center for Health Research, called the move a \"long-overdue step to protect our children\":\u003c/p>\n\u003cp>\"The science is clear, so why did it take almost 18 months since the FDA's public meeting on the exact same issue? FDA needs to do more to warn patients about the known risks of medical products as soon as data are available. A change in the label is important, but unfortunately many doctors and patients don't read these labels. We need a public education campaign to warn parents and nursing women about these risks.\"\u003c/p>\n\u003cp>In 2015, the FDA acknowledged that although tramadol is not approved for use in children, it is used off-label to treat pain in kids. In that warning, the agency noted that some people are what's known as ultra-rapid metabolizers of tramadol and codeine. Those people have a variant of a liver enzyme that breaks down the drugs more quickly, leading to a rapid and potentially dangerous spike in the level of active opioids in the bloodstream.\u003c/p>\n\u003cp>The drugs can make their way into breast milk in nursing mothers and potentially harm infants, the FDA warns. The proportion of people with the enzyme variant, which is genetic, is thought to be between 1 and 10 percent.\u003c/p>\n\u003cp>\"Because we can't easily determine which children or nursing mothers specifically are at greater risk of ultra-rapid metabolism of codeine or tramadol, we are requiring manufacturers ... to make important labeling changes to protect those children who are at the greatest risk,\" explains Throckmorton.\u003c/p>\n\u003cp>As for future action on over-the-counter medicines that contain codeine, the American Academy of Pediatrics has made its position clear.\u003c/p>\n\u003cp>In a report published last year in the journal Pediatrics, members of the academy's committee on drugs wrote that although over-the-counter cough and cold medicines containing codeine were available in 28 states and Washington, D.C., \"neither the value of suppressing cough nor the effectiveness of codeine in children with acute illnesses has been shown.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Regulators in Europe, Canada and Australia have all restricted the use of medicines containing codeine for children. According to the FDA's public label database, more than 100 medications containing codeine are approved for sale without a prescription in the U.S.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Beauty salon workers who paint the nails and treat the hair of millions of Californians are regularly exposed to toxic chemicals — and they may not know it, advocates say.\u003c/p>\n\u003cp>The advocates are asking California lawmakers to approve legislation requiring cosmetic companies to list the ingredients of beauty products used in professional salons. The bill, which passed the Assembly health committee Tuesday, will next be heard by the environmental safety committee.\u003c/p>\n\u003cp>Ingredient labels are now required on retail beauty products like makeup or shampoo, but federal law on labeling doesn’t apply to cosmetic products such as hair-straightening treatments or nail polishes used in salons.\u003c/p>\n\u003cp>In addition to requiring a list of ingredients on the salon product, the Assembly bill would require the label to flag any hazardous chemicals. The manufacturer would also be required to print its website address on the product and list its ingredients on the site.\u003c/p>\n\u003cp>“Nobody’s minding the store” when it comes to protecting the health of the workers who handle these products every day, said Nourbese Flint, policy director for Los Angeles-based Black Women for Wellness, an advocacy organization that is co-sponsoring the bill.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Hair stylists in black beauty salons are some of the backbones of the black community in terms of economic entrepreneurship,” said Flint. More transparency about salon product ingredients would help the cosmetologists “make better, healthier choices for their bodies and their clients.”\u003c/p>\n\u003cp>A cosmetics industry trade group, the Personal Care Products Council, opposes the bill. During the hearing in the Assembly health committee, Tom Myers, general counsel for the group, said the bill is unnecessary because the industry already sends out safety information to salons.\u003c/p>\n\u003cp>The council also opposes the measure because it would impose “unworkable, state-specific labeling requirements on global brands,” according to a legislative analysis.\u003c/p>\n\u003cp>Nail care products such as artificial nails and polishes contain chemicals like formaldehyde, which is a probable carcinogen, and toluene, which has been shown to cause birth defects when inhaled by pregnant women.\u003c/p>\n\u003cp>A 2015 study looking at birth outcomes among California cosmetologists and manicurists found that, overall, these workers had a higher rate of gestational diabetes, and babies born to Vietnamese manicurists were smaller than those born in the general population.\u003c/p>\n\u003cp>Hair-straightening treatments such as the Brazilian Blowout have been known to contain formaldehyde. The U.S. Department of Labor found that workers using such products in one beauty salon were exposed to as much as five times the accepted limits of exposure to formaldehyde.\u003c/p>\n\u003cp>Dr. Thu Quach, a researcher at the Cancer Prevention Institute of California, says informing workers of potential risks is especially important given their level of exposure to salon products. Beauty salon workers may absorb chemicals both through their skin and the air they breathe, Quach said. A cosmetologist could apply a chemical-laden treatment to customers 10 times a day, or work in a space where chemicals are recirculating in the air all day, she added.\u003c/p>\n\u003cp>“Workers are exposed at much higher levels, so why would they not have the same right as consumers to know what they’re being exposed to?” said Quach, who is also a Steering Committee member of the California Health Nail Salon Collaborative, a co-sponsor of the bill.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Supporters hope new labeling requirements on salon products would pressure manufacturers to change the chemical formulations in their products.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Beauty salon workers who paint the nails and treat the hair of millions of Californians are regularly exposed to toxic chemicals — and they may not know it, advocates say.\u003c/p>\n\u003cp>The advocates are asking California lawmakers to approve legislation requiring cosmetic companies to list the ingredients of beauty products used in professional salons. The bill, which passed the Assembly health committee Tuesday, will next be heard by the environmental safety committee.\u003c/p>\n\u003cp>Ingredient labels are now required on retail beauty products like makeup or shampoo, but federal law on labeling doesn’t apply to cosmetic products such as hair-straightening treatments or nail polishes used in salons.\u003c/p>\n\u003cp>In addition to requiring a list of ingredients on the salon product, the Assembly bill would require the label to flag any hazardous chemicals. The manufacturer would also be required to print its website address on the product and list its ingredients on the site.\u003c/p>\n\u003cp>“Nobody’s minding the store” when it comes to protecting the health of the workers who handle these products every day, said Nourbese Flint, policy director for Los Angeles-based Black Women for Wellness, an advocacy organization that is co-sponsoring the bill.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Hair stylists in black beauty salons are some of the backbones of the black community in terms of economic entrepreneurship,” said Flint. More transparency about salon product ingredients would help the cosmetologists “make better, healthier choices for their bodies and their clients.”\u003c/p>\n\u003cp>A cosmetics industry trade group, the Personal Care Products Council, opposes the bill. During the hearing in the Assembly health committee, Tom Myers, general counsel for the group, said the bill is unnecessary because the industry already sends out safety information to salons.\u003c/p>\n\u003cp>The council also opposes the measure because it would impose “unworkable, state-specific labeling requirements on global brands,” according to a legislative analysis.\u003c/p>\n\u003cp>Nail care products such as artificial nails and polishes contain chemicals like formaldehyde, which is a probable carcinogen, and toluene, which has been shown to cause birth defects when inhaled by pregnant women.\u003c/p>\n\u003cp>A 2015 study looking at birth outcomes among California cosmetologists and manicurists found that, overall, these workers had a higher rate of gestational diabetes, and babies born to Vietnamese manicurists were smaller than those born in the general population.\u003c/p>\n\u003cp>Hair-straightening treatments such as the Brazilian Blowout have been known to contain formaldehyde. The U.S. Department of Labor found that workers using such products in one beauty salon were exposed to as much as five times the accepted limits of exposure to formaldehyde.\u003c/p>\n\u003cp>Dr. Thu Quach, a researcher at the Cancer Prevention Institute of California, says informing workers of potential risks is especially important given their level of exposure to salon products. Beauty salon workers may absorb chemicals both through their skin and the air they breathe, Quach said. A cosmetologist could apply a chemical-laden treatment to customers 10 times a day, or work in a space where chemicals are recirculating in the air all day, she added.\u003c/p>\n\u003cp>“Workers are exposed at much higher levels, so why would they not have the same right as consumers to know what they’re being exposed to?” said Quach, who is also a Steering Committee member of the California Health Nail Salon Collaborative, a co-sponsor of the bill.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Supporters hope new labeling requirements on salon products would pressure manufacturers to change the chemical formulations in their products.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "San Francisco May Ban Sales Of Flavored Tobacco Products",
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"content": "\u003cp>San Francisco has unveiled a tough anti-tobacco proposal that would ban the retail sale of menthol cigarettes and other flavored tobacco or tobacco-related products that are often the first choice of minority group members and teenagers who smoke.\u003c/p>\n\u003cp>Supervisor Malia Cohen, sponsor of the proposed ordinance, joined Tuesday with public health experts and community advocates to announce the measure, which she said goes beyond more narrow laws on flavored tobacco in cities such as Chicago, Berkeley and New York.\u003c/p>\n\u003cp>“The legislation I’ve authored is a full restriction on the sale of all flavored tobacco products, and that does include menthol. There are no exemptions,” Cohen said. This includes cigarettes, cigars, smokeless tobacco and e-cigarettes.\u003c/p>\n\u003cp>The proposed ordinance is designed to address two major groups, youth and minorities, who have been targeted in successful, well-financed advertising campaigns that promote menthol cigarettes and flavored non-cigarette tobacco products. The products often attract African-Americans, Asian-Americans and Latinos, as well as teenagers.\u003c/p>\n\u003cp>San Francisco Mayor Ed Lee endorsed the proposal. “We know from research and studies that tobacco-related diseases continue to be the No. 1 cause of preventable deaths, especially among low-income and minority communities,” he said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A similar measure is being considered in Oakland.\u003c/p>\n\u003cp>Cohen, who represents the predominantly African-American Bayview-Hunters Point district of San Francisco, said the ordinance grew out of her personal experience with family members who smoked menthol cigarettes and died of cancer, and her desire to spare San Franciscans a similar fate. “This is an evidence-based tobacco prevention strategy that will save lives and cut costs for taxpayers who are collectively shouldering the health care costs of tobacco-related illnesses,” she said.\u003c/p>\n\u003cp>Nearly 9 out of 10 African-Americans who smoke prefer menthol cigarettes, according to the federal Centers for Disease Control and Prevention. Menthol is believed to make the harmful chemicals contained in cigarettes more easily absorbed by the body, and some research shows that menthol cigarettes are more addictive than regular ones, according to the CDC.\u003c/p>\n\u003cp>“African-Americans don’t have a genetic disposition that makes them smoke menthol cigarettes,” said Dr. Valerie Yerger, an associate professor of health policy at the University of California, San Francisco. “It’s the result of a very conscious advertising campaign by the tobacco industry.” Menthol cigarettes are also preferred by a majority of Latinos and Asian-Americans who smoke, according to Randy Uang, director of tobacco prevention and control services at Breathe California, a Golden Gate Public Health Partnership.\u003c/p>\n\u003cp>Public health experts say restricting menthol and other flavored tobacco would improve health outcomes not only for the minority populations but also for teens. “Because flavors play such a key role in youth starting to smoke, restricting access to these products means that fewer youth will start smoking,” said Uang.\u003c/p>\n\u003cp>Flavors are popular with inexperienced smokers, he said, because they mask the taste of tobacco and decrease the irritating effects of nicotine.\u003c/p>\n\u003cp>E-cigarettes are now the tobacco-related product most commonly used by young people in the U.S., according to the CDC. It found that more than 8 out of 10 youths ages 12-17 who vape said they use flavored e-cigarettes that taste like mint, candy or other sweets.\u003c/p>\n\u003cp>The San Francisco ordinance, if approved, would fill a gap in federal legislation that authorized the U.S. Food and Drug Administration to regulate tobacco. In 2009, the FDA banned “characterizing flavors,” such as candy, fruit and chocolate in cigarettes. But, faced with tobacco industry lobbying, it stopped short of prohibiting menthol in cigarettes or flavorings in other tobacco-related products such as e-cigarettes, little cigars and smokeless tobacco.\u003c/p>\n\u003cp>Tobacco control advocates, such as Yerger, have been pushing the FDA to ban menthol and other flavorings for years. “This ordinance didn’t happen overnight,” she said. “It’s been a very long process and part of that has been gathering evidence about the role of menthol in hooking kids at a very early age and the tobacco industry knowing that it has the ability to do that by manipulating the levels of menthol in their products.”\u003c/p>\n\u003cp>Cohen noted the tobacco lobby is strong in Sacramento and she’s expecting pushback from the industry. “I would imagine they will be fighting this legislation every step of the way,” she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>If enacted, the tobacco ordinance would become effective Jan. 1, 2018. Enforcement would be the job of the Department of Public Health, which also would be responsible for educating retailers about the new restrictions.\u003c/p>\n\n",
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"nprByline": "\u003cstrong>\u003ca href=\"http://californiahealthline.org/news/author/elaine-korry/\" target=\"_blank\">Elaine Korry\u003c/strong>\u003c/a>\u003c/br>California HealthLine",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco has unveiled a tough anti-tobacco proposal that would ban the retail sale of menthol cigarettes and other flavored tobacco or tobacco-related products that are often the first choice of minority group members and teenagers who smoke.\u003c/p>\n\u003cp>Supervisor Malia Cohen, sponsor of the proposed ordinance, joined Tuesday with public health experts and community advocates to announce the measure, which she said goes beyond more narrow laws on flavored tobacco in cities such as Chicago, Berkeley and New York.\u003c/p>\n\u003cp>“The legislation I’ve authored is a full restriction on the sale of all flavored tobacco products, and that does include menthol. There are no exemptions,” Cohen said. This includes cigarettes, cigars, smokeless tobacco and e-cigarettes.\u003c/p>\n\u003cp>The proposed ordinance is designed to address two major groups, youth and minorities, who have been targeted in successful, well-financed advertising campaigns that promote menthol cigarettes and flavored non-cigarette tobacco products. The products often attract African-Americans, Asian-Americans and Latinos, as well as teenagers.\u003c/p>\n\u003cp>San Francisco Mayor Ed Lee endorsed the proposal. “We know from research and studies that tobacco-related diseases continue to be the No. 1 cause of preventable deaths, especially among low-income and minority communities,” he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A similar measure is being considered in Oakland.\u003c/p>\n\u003cp>Cohen, who represents the predominantly African-American Bayview-Hunters Point district of San Francisco, said the ordinance grew out of her personal experience with family members who smoked menthol cigarettes and died of cancer, and her desire to spare San Franciscans a similar fate. “This is an evidence-based tobacco prevention strategy that will save lives and cut costs for taxpayers who are collectively shouldering the health care costs of tobacco-related illnesses,” she said.\u003c/p>\n\u003cp>Nearly 9 out of 10 African-Americans who smoke prefer menthol cigarettes, according to the federal Centers for Disease Control and Prevention. Menthol is believed to make the harmful chemicals contained in cigarettes more easily absorbed by the body, and some research shows that menthol cigarettes are more addictive than regular ones, according to the CDC.\u003c/p>\n\u003cp>“African-Americans don’t have a genetic disposition that makes them smoke menthol cigarettes,” said Dr. Valerie Yerger, an associate professor of health policy at the University of California, San Francisco. “It’s the result of a very conscious advertising campaign by the tobacco industry.” Menthol cigarettes are also preferred by a majority of Latinos and Asian-Americans who smoke, according to Randy Uang, director of tobacco prevention and control services at Breathe California, a Golden Gate Public Health Partnership.\u003c/p>\n\u003cp>Public health experts say restricting menthol and other flavored tobacco would improve health outcomes not only for the minority populations but also for teens. “Because flavors play such a key role in youth starting to smoke, restricting access to these products means that fewer youth will start smoking,” said Uang.\u003c/p>\n\u003cp>Flavors are popular with inexperienced smokers, he said, because they mask the taste of tobacco and decrease the irritating effects of nicotine.\u003c/p>\n\u003cp>E-cigarettes are now the tobacco-related product most commonly used by young people in the U.S., according to the CDC. It found that more than 8 out of 10 youths ages 12-17 who vape said they use flavored e-cigarettes that taste like mint, candy or other sweets.\u003c/p>\n\u003cp>The San Francisco ordinance, if approved, would fill a gap in federal legislation that authorized the U.S. Food and Drug Administration to regulate tobacco. In 2009, the FDA banned “characterizing flavors,” such as candy, fruit and chocolate in cigarettes. But, faced with tobacco industry lobbying, it stopped short of prohibiting menthol in cigarettes or flavorings in other tobacco-related products such as e-cigarettes, little cigars and smokeless tobacco.\u003c/p>\n\u003cp>Tobacco control advocates, such as Yerger, have been pushing the FDA to ban menthol and other flavorings for years. “This ordinance didn’t happen overnight,” she said. “It’s been a very long process and part of that has been gathering evidence about the role of menthol in hooking kids at a very early age and the tobacco industry knowing that it has the ability to do that by manipulating the levels of menthol in their products.”\u003c/p>\n\u003cp>Cohen noted the tobacco lobby is strong in Sacramento and she’s expecting pushback from the industry. “I would imagine they will be fighting this legislation every step of the way,” she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>If enacted, the tobacco ordinance would become effective Jan. 1, 2018. Enforcement would be the job of the Department of Public Health, which also would be responsible for educating retailers about the new restrictions.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California Lawmakers Weigh Measures to Improve Dental Care for the Poor",
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"content": "\u003cp>California lawmakers are considering several bills to improve and expand access to Denti-Cal, the state’s troubled dental program for low-income people — including ones that would draw from the state’s new tobacco tax to boost dentists’ pay.\u003c/p>\n\u003cp>Assembly Bill 753, introduced by Assemblywoman Anna Caballero (D-Salinas), would direct money from the state’s new tobacco tax to broaden access to Denti-Cal, which for years has been faulted in state and federal reports. The bill will be heard in the Assembly Committee on Health on Tuesday.\u003c/p>\n\u003cp>A 2014 California state auditor’s report showed that fewer than half of the children eligible for Denti-Cal benefits actually saw a dentist in the previous year.\u003c/p>\n\u003cp>Critics say access to care suffers because Denti-Cal payments to dentists are so low that many can’t afford to participate in the program. The auditor’s report also found that Denti-Cal payments for the most common procedures averaged $21.60, about 35 percent of the national average.\u003c/p>\n\u003cp>In the next fiscal year, Caballero’s bill would earmark $300 million of the almost $1.2 billion expected in new Medi-Cal funding from the state’s tobacco tax revenues. In future years, the bill would require at least 15 percent of those revenues to be spent on Denti-Cal services.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Most of the money would go toward boosting payments to dentists who provide preventive services to adults, such as regular teeth cleanings. A program known as the Dental Transformation Initiative, funded by both state and federal dollars, offers extra money to dentists for children’s preventive services.\u003c/p>\n\u003cp>Caballero said she believes California voters who approved the tobacco tax last year wanted the money to be used to improve underfunded programs like Denti-Cal. “We want to make sure that this intent is kept alive,” Caballero said.\u003c/p>\n\u003cp>Caballero represents a largely rural district that includes the Salinas Valley, San Benito County and Watsonville. She said there are not enough dentists overall in the region, let alone ones who can afford to see Denti-Cal patients.\u003c/p>\n\u003cp>Dr. John Blake runs the Children’s Dental Health Clinic in Long Beach, where 85 percent of the patients are on Denti-Cal. Blake said Caballero’s legislation is a good start, although it probably is not enough to draw more dentists into the program, he said.\u003c/p>\n\u003cp>The initiative would help fill gaps in preventive care, he said, but adults may have serious dental disease and dentists would find themselves in a difficult position if they detected it during basic cleaning and screening.\u003c/p>\n\u003cp>“The adult population is a different beast from a treatment standpoint,” Blake said. “We’ve done all this cleaning, but now we need root canals and extractions…how do we cover this?”\u003c/p>\n\u003cp>Caballero’s bill would also require that some of the tobacco tax money be used to increase payments to dentists for the 20 most common dental procedures for children, such as X-rays and fillings. This would supplement and expand efforts by the Dental Transformation Initiative.\u003c/p>\n\u003cp>Another bill, AB 15, introduced by Republicans late last year, would require that Denti-Cal rates be doubled for the 15 most common prevention and treatment services.\u003c/p>\n\u003cp>Blake said most dentists ask only that Denti-Cal payments match the national median rate, and that’s not taking into account that California tends to have higher living and business costs.\u003c/p>\n\u003cp>Using tobacco tax money to improve Denti-Cal makes sense, Blake said. That was the intent of the proposition to better Medi-Cal, including its dental program.\u003c/p>\n\u003cp>“We’d certainly like to see that honored,” Blake said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>AB 15 cleared the Assembly Health Committee last month and next will be heard by the Assembly’s Committee on Appropriations. A hearing date has not yet been set.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California lawmakers are considering several bills to improve and expand access to Denti-Cal, the state’s troubled dental program for low-income people — including ones that would draw from the state’s new tobacco tax to boost dentists’ pay.\u003c/p>\n\u003cp>Assembly Bill 753, introduced by Assemblywoman Anna Caballero (D-Salinas), would direct money from the state’s new tobacco tax to broaden access to Denti-Cal, which for years has been faulted in state and federal reports. The bill will be heard in the Assembly Committee on Health on Tuesday.\u003c/p>\n\u003cp>A 2014 California state auditor’s report showed that fewer than half of the children eligible for Denti-Cal benefits actually saw a dentist in the previous year.\u003c/p>\n\u003cp>Critics say access to care suffers because Denti-Cal payments to dentists are so low that many can’t afford to participate in the program. The auditor’s report also found that Denti-Cal payments for the most common procedures averaged $21.60, about 35 percent of the national average.\u003c/p>\n\u003cp>In the next fiscal year, Caballero’s bill would earmark $300 million of the almost $1.2 billion expected in new Medi-Cal funding from the state’s tobacco tax revenues. In future years, the bill would require at least 15 percent of those revenues to be spent on Denti-Cal services.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Most of the money would go toward boosting payments to dentists who provide preventive services to adults, such as regular teeth cleanings. A program known as the Dental Transformation Initiative, funded by both state and federal dollars, offers extra money to dentists for children’s preventive services.\u003c/p>\n\u003cp>Caballero said she believes California voters who approved the tobacco tax last year wanted the money to be used to improve underfunded programs like Denti-Cal. “We want to make sure that this intent is kept alive,” Caballero said.\u003c/p>\n\u003cp>Caballero represents a largely rural district that includes the Salinas Valley, San Benito County and Watsonville. She said there are not enough dentists overall in the region, let alone ones who can afford to see Denti-Cal patients.\u003c/p>\n\u003cp>Dr. John Blake runs the Children’s Dental Health Clinic in Long Beach, where 85 percent of the patients are on Denti-Cal. Blake said Caballero’s legislation is a good start, although it probably is not enough to draw more dentists into the program, he said.\u003c/p>\n\u003cp>The initiative would help fill gaps in preventive care, he said, but adults may have serious dental disease and dentists would find themselves in a difficult position if they detected it during basic cleaning and screening.\u003c/p>\n\u003cp>“The adult population is a different beast from a treatment standpoint,” Blake said. “We’ve done all this cleaning, but now we need root canals and extractions…how do we cover this?”\u003c/p>\n\u003cp>Caballero’s bill would also require that some of the tobacco tax money be used to increase payments to dentists for the 20 most common dental procedures for children, such as X-rays and fillings. This would supplement and expand efforts by the Dental Transformation Initiative.\u003c/p>\n\u003cp>Another bill, AB 15, introduced by Republicans late last year, would require that Denti-Cal rates be doubled for the 15 most common prevention and treatment services.\u003c/p>\n\u003cp>Blake said most dentists ask only that Denti-Cal payments match the national median rate, and that’s not taking into account that California tends to have higher living and business costs.\u003c/p>\n\u003cp>Using tobacco tax money to improve Denti-Cal makes sense, Blake said. That was the intent of the proposition to better Medi-Cal, including its dental program.\u003c/p>\n\u003cp>“We’d certainly like to see that honored,” Blake said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>AB 15 cleared the Assembly Health Committee last month and next will be heard by the Assembly’s Committee on Appropriations. A hearing date has not yet been set.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "While Washington Fiddles, California Leaders Forge Ideas for Universal Health Care",
"title": "While Washington Fiddles, California Leaders Forge Ideas for Universal Health Care",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>As the nation’s Republican leaders huddle to reconsider their plans to “repeal and replace” the nation’s health law, advocates for universal health coverage press on in California, armed with renewed political will and a new set of proposals.\u003c/p>\n\u003cp>Organized labor and two lawmakers are leading the charge for a single, government-financed program for everyone in the state. Another legislator wants to create a commission that would weigh the best options for a system to cover everyone. And Democratic Lt. Gov. Gavin Newsom, who hopes to become the next governor, has suggested building on employer-based health care to plug holes in existing coverage.\u003c/p>\n\u003cp>The proposals are fueled both by a fear of losing gains under the Affordable Care Act and a sense that the law doesn’t go far enough toward covering everyone and cutting costs.\u003c/p>\n\u003cp>But heath policy experts say that creating any type of universal health plan would face enormous political and fiscal challenges — and that if it happens at all, it could take years.\u003c/p>\n\u003cp>“There are different ways to get there,” says Jonathan Oberlander, professor of social medicine and health policy at the University of North Carolina. “None of them is easy.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The most specific California proposal comes from state Sens. Ricardo Lara (D-Bell Gardens) and Toni Atkins (D-San Diego), co-authors of legislation that would take steps toward creating one publicly financed “single-payer” program.\u003c/p>\n\u003cp>The \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=201720180SB562\" target=\"_blank\">bill\u003c/a>, co-sponsored by the California Nurses Association, would aim for something like a system of “Medicare for all” in which the government, not insurers, provides payments and sets coverage rules.\u003c/p>\n\u003cp>\"It's the right moral thing to do,\" Lara says. \"We live in the United States of America. We live in the most powerful state in the union. It is the right thing for us to make sure that we fight to ensure that everyone has coverage.”\u003c/p>\n\u003cp>Lara’s bill contains a long \u003ca href=\"http://sd33.senate.ca.gov/news/2017-02-17-californians-healthy-california-act-seeks-one-plan-more-choice-residents\" target=\"_blank\">list of benefits \u003c/a>the statewide program would cover. Not just doctors and hospitals, but also prescriptions, vision and dental care, hospice and rehabilitative therapies, and more.\u003c/p>\n\u003cp>California Health and Human Services Secretary, \u003ca href=\"http://www.chhs.ca.gov/Pages/Secretary-Diana-S.-Dooley.aspx\" target=\"_blank\">Diana Dooley\u003c/a>, understands the appeal.\u003c/p>\n\u003cp>“I think in California there continues to be a great deal of interest and enthusiasm around single payer,\" she says. \"It is very easy to talk about and it certainly takes advantage of the anxiety people have about health insurance companies.”\u003c/p>\n\u003cp>Lara’s plan does away with premiums, deductibles, co-pays — all those pesky out-of-pocket expenses. So where would the state get the money? Past proposals – here and in states like Vermont and Colorado – have suggested new payroll taxes.\u003c/p>\n\u003cp>\"We know that single payer will be expensive,\" says Assemblyman Jim Wood, chairman of the Health Committee. \"Some estimates from a few years ago, the analysis showed $200 billion plus.\"\u003c/p>\n\u003cp>\"I believe in universal coverage and I’d love to see that happen in the future, but the devils in the details,” he added.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/317282377\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>\u003ca href=\"http://kff.org/other/state-indicator/total-population/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D\" target=\"_blank\">Roughly half of coverage\u003c/a> in California is sponsored by employers.\u003c/p>\n\u003cp>If “you’re going to take health insurance largely out of the market, you’re going to disconnect it from employers,” Oberlander says.\u003c/p>\n\u003cp>Currently, premiums paid by both employer and employee fund private health insurance plans. Single-payer would change that: instead of paycheck deductions for premiums, workers would see new taxes on their wages to pay for the state plan. It would be controversial and disruptive, Oberlander says. \"A lot of people are satisfied with what they have.\"\u003c/p>\n\u003cp>But Lara thinks it can be done, slowly and methodically. He is traveling this week in Canada, along with Bay-Area state senators Nancy Skinner and Scott Wiener. They’ll be learning about Canadian medical care and how it’s financed.\u003c/p>\n\u003cp>Lara takes heart from the fact that Canada’s system began in just one province, and then spread to others. It did so despite resistance, over many years.\u003c/p>\n\u003cp>\"We envision California being the first state to implement a universal healthcare program, and then having that then be the model for the rest of the other states.”\u003c/p>\n\u003cp>Lara says everyone should withhold judgment until he can provide more detailed funding plans in a month or two. His goal is to get the bill at least through the Senate this year, and then push it farther forward in 2018.\u003c/p>\n\u003cp>The trade group for insurers in California does not support the single-payer idea.\u003c/p>\n\u003cp>“A single-payer system would make the quality of our health care worse, not better,” says Charles Bacchi, president and CEO of the \u003ca href=\"http://www.calhealthplans.org/\" target=\"_blank\">California Association of Health Plans\u003c/a>. “We’ve made substantial progress in expanding and increasing access to and quality of care — this step backwards would be particularly devastating for Californians.”\u003c/p>\n\u003cp>Many conservatives oppose the single-payer approach. “We have come to value and expect a health care system that has private-sector market elements,” said \u003ca href=\"http://www.hoover.org/profiles/lanhee-j-chen\" target=\"_blank\">Lanhee Chen,\u003c/a> a fellow at the Hoover Institution and former chief policy adviser to former Massachusetts governor Mitt Romney.\u003c/p>\n\u003cp>A single-payer system would need federal approval, essentially giving California permission to take the money meant for Medicare and Medicaid, and distribute those funds in a totally new way.\u003c/p>\n\u003cp>\"I’m not sure under what construct that could even occur,\" says \u003ca href=\"http://www.dhcs.ca.gov/Pages/DirectorsBiography.aspx\" target=\"_blank\">Jennifer Kent\u003c/a>, director of the Department of Health Care Services, which operates the state’s Medicaid program, known as Medi-Cal.\u003c/p>\n\u003cp>\"The federal government would have to essentially turn those funds over to a state,\" she says.\u003c/p>\n\u003cp>As it stands, \u003ca href=\"http://californiahealthline.org/news/single-payer-health-care-bill-to-be-introduced-in-california-senate/\">no state has a single-payer system\u003c/a>. Perhaps the best-known effort to create one was in Vermont, but it failed in 2014 after officials there couldn’t figure out how to finance it.\u003c/p>\n\u003cp>Single-payer proposals have been put forth many times in the California Legislature since 2003, and all have hit roadblocks.\u003c/p>\n\u003cp>One bill, carried by former state senator Sheila Kuehl several years ago and passed by the state Legislature, would have created a payroll tax to help fund a program \u003ca href=\"http://www.lao.ca.gov/2008/hlth/sb840/SB840_analysis.pdf\" target=\"_blank\">costing \u003c/a> $200 billion a year or more. That measure and a similar bill were vetoed by then-governor Arnold Schwarzenegger, who cited financial concerns.\u003c/p>\n\u003cp>Kuehl, now a Los Angeles County supervisor, said the time is as good as ever to reintroduce a proposal like single-payer because many people fear losing coverage under Republican proposals being discussed in Washington, D.C.\u003c/p>\n\u003cp>“The ACA created more familiarity with being insured,” said Kuehl. “They’ve recognized the value.”\u003c/p>\n\u003cp>Other observers say attempts to expand access should not undermine efforts to preserve insurance gains under Obamacare. The threat to Medicaid or private insurance access is still real, they say.\u003c/p>\n\u003cp>“California should explore all options, [but] we should not do that if it means withdrawing support for protecting the ACA,” said Jerry Kominski, director of the UCLA Center for Health Policy Research. “It would take decades to get back to where we are now,” he said.\u003c/p>\n\u003cp>In an interview with California Healthline, California Gov. Jerry Brown emphasized that financing a single-payer system would be a major challenge. Although he said he would entertain a conversation about a single-payer system, he did not say whether he would endorse creating one.\u003c/p>\n\u003cp>For one thing, it would require a new tax, which would have to be approved either by a two-thirds majority vote in the state Legislature or a simple-majority popular vote, he said. Even with the current Democratic supermajority, Brown said, there are always a few “outliers” who wouldn’t support raising new revenues.\u003c/p>\n\u003cp>Brown leaves office in 2018, however, and Newsom, who hopes to succeed him, is looking into a creating a plan for universal coverage that would be an alternative to a single-payer system.\u003c/p>\n\u003cp>One option, according to Newsom’s office, would be to use as a model the Healthy San Francisco program he introduced in 2007 as mayor. The city has used a combination of public money and contributions from employers and enrollees to plug holes in coverage and make primary care accessible to nearly everyone.\u003c/p>\n\u003cp>Newsom has acknowledged, however, that the San Francisco approach \u003ca href=\"https://www.thenation.com/article/can-california-achieve-universal-health-care-in-the-age-of-trump/\">would not necessarily work in every county\u003c/a>, and said he is open to other possibilities.\u003c/p>\n\u003cp>Using that model to expand health care statewide has some political advantages, Oberlander said, because it builds on the “status quo rather than radically restructuring” the current system.\u003c/p>\n\u003cp>Another California lawmaker proposes to keep the conversation going about universal health care, at least, by creating a commission that would make various recommendations to policymakers.\u003c/p>\n\u003cp>“We have to be able to move on multiple tracks at once,” said Assemblyman Rob Bonta (D-Oakland), who is carrying the bill to create the Health Care for All commission, which would convene in 2018.\u003c/p>\n\u003cp>The debate in Washington could actually produce some surprising opportunities for California and other states. The feds might, for instance, approve waivers to allow other types of experimentation within states. \u003ca href=\"http://healthaffairs.org/blog/2017/01/24/aca-replacement-bill-from-cassidy-and-colleagues-offers-state-options-roth-hsas/\">Some Republicans\u003c/a> favor an approach in which each state decides on its own coverage system, within certain limits.\u003c/p>\n\u003cp>That could mean a retraction of coverage in some states, but in California it might open the door to a new model.\u003c/p>\n\u003cp>“It is possible that some liberal-leaning states are going to do things that we didn’t think possible before,” Oberlander said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>This story was produced by \u003ca href=\"http://khn.org/\">Kaiser Health News\u003c/a>, which publishes \u003ca href=\"http://www.californiahealthline.org/\">California Healthline\u003c/a>, an editorially independent service of the \u003ca href=\"http://www.chcf.org/\">California Health Care Foundation\u003c/a>.\u003c/p>\n\n",
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"nprByline": "\u003ca href=\"http://khn.org/news/author/pauline-bartolone/\">\u003cstrong>Pauline Bartolone,\u003c/strong>\u003c/a> California Healthline, and \u003cstrong>Carrie Feibel,\u003c/strong> KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As the nation’s Republican leaders huddle to reconsider their plans to “repeal and replace” the nation’s health law, advocates for universal health coverage press on in California, armed with renewed political will and a new set of proposals.\u003c/p>\n\u003cp>Organized labor and two lawmakers are leading the charge for a single, government-financed program for everyone in the state. Another legislator wants to create a commission that would weigh the best options for a system to cover everyone. And Democratic Lt. Gov. Gavin Newsom, who hopes to become the next governor, has suggested building on employer-based health care to plug holes in existing coverage.\u003c/p>\n\u003cp>The proposals are fueled both by a fear of losing gains under the Affordable Care Act and a sense that the law doesn’t go far enough toward covering everyone and cutting costs.\u003c/p>\n\u003cp>But heath policy experts say that creating any type of universal health plan would face enormous political and fiscal challenges — and that if it happens at all, it could take years.\u003c/p>\n\u003cp>“There are different ways to get there,” says Jonathan Oberlander, professor of social medicine and health policy at the University of North Carolina. “None of them is easy.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The most specific California proposal comes from state Sens. Ricardo Lara (D-Bell Gardens) and Toni Atkins (D-San Diego), co-authors of legislation that would take steps toward creating one publicly financed “single-payer” program.\u003c/p>\n\u003cp>The \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=201720180SB562\" target=\"_blank\">bill\u003c/a>, co-sponsored by the California Nurses Association, would aim for something like a system of “Medicare for all” in which the government, not insurers, provides payments and sets coverage rules.\u003c/p>\n\u003cp>\"It's the right moral thing to do,\" Lara says. \"We live in the United States of America. We live in the most powerful state in the union. It is the right thing for us to make sure that we fight to ensure that everyone has coverage.”\u003c/p>\n\u003cp>Lara’s bill contains a long \u003ca href=\"http://sd33.senate.ca.gov/news/2017-02-17-californians-healthy-california-act-seeks-one-plan-more-choice-residents\" target=\"_blank\">list of benefits \u003c/a>the statewide program would cover. Not just doctors and hospitals, but also prescriptions, vision and dental care, hospice and rehabilitative therapies, and more.\u003c/p>\n\u003cp>California Health and Human Services Secretary, \u003ca href=\"http://www.chhs.ca.gov/Pages/Secretary-Diana-S.-Dooley.aspx\" target=\"_blank\">Diana Dooley\u003c/a>, understands the appeal.\u003c/p>\n\u003cp>“I think in California there continues to be a great deal of interest and enthusiasm around single payer,\" she says. \"It is very easy to talk about and it certainly takes advantage of the anxiety people have about health insurance companies.”\u003c/p>\n\u003cp>Lara’s plan does away with premiums, deductibles, co-pays — all those pesky out-of-pocket expenses. So where would the state get the money? Past proposals – here and in states like Vermont and Colorado – have suggested new payroll taxes.\u003c/p>\n\u003cp>\"We know that single payer will be expensive,\" says Assemblyman Jim Wood, chairman of the Health Committee. \"Some estimates from a few years ago, the analysis showed $200 billion plus.\"\u003c/p>\n\u003cp>\"I believe in universal coverage and I’d love to see that happen in the future, but the devils in the details,” he added.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/317282377&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/317282377'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://kff.org/other/state-indicator/total-population/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D\" target=\"_blank\">Roughly half of coverage\u003c/a> in California is sponsored by employers.\u003c/p>\n\u003cp>If “you’re going to take health insurance largely out of the market, you’re going to disconnect it from employers,” Oberlander says.\u003c/p>\n\u003cp>Currently, premiums paid by both employer and employee fund private health insurance plans. Single-payer would change that: instead of paycheck deductions for premiums, workers would see new taxes on their wages to pay for the state plan. It would be controversial and disruptive, Oberlander says. \"A lot of people are satisfied with what they have.\"\u003c/p>\n\u003cp>But Lara thinks it can be done, slowly and methodically. He is traveling this week in Canada, along with Bay-Area state senators Nancy Skinner and Scott Wiener. They’ll be learning about Canadian medical care and how it’s financed.\u003c/p>\n\u003cp>Lara takes heart from the fact that Canada’s system began in just one province, and then spread to others. It did so despite resistance, over many years.\u003c/p>\n\u003cp>\"We envision California being the first state to implement a universal healthcare program, and then having that then be the model for the rest of the other states.”\u003c/p>\n\u003cp>Lara says everyone should withhold judgment until he can provide more detailed funding plans in a month or two. His goal is to get the bill at least through the Senate this year, and then push it farther forward in 2018.\u003c/p>\n\u003cp>The trade group for insurers in California does not support the single-payer idea.\u003c/p>\n\u003cp>“A single-payer system would make the quality of our health care worse, not better,” says Charles Bacchi, president and CEO of the \u003ca href=\"http://www.calhealthplans.org/\" target=\"_blank\">California Association of Health Plans\u003c/a>. “We’ve made substantial progress in expanding and increasing access to and quality of care — this step backwards would be particularly devastating for Californians.”\u003c/p>\n\u003cp>Many conservatives oppose the single-payer approach. “We have come to value and expect a health care system that has private-sector market elements,” said \u003ca href=\"http://www.hoover.org/profiles/lanhee-j-chen\" target=\"_blank\">Lanhee Chen,\u003c/a> a fellow at the Hoover Institution and former chief policy adviser to former Massachusetts governor Mitt Romney.\u003c/p>\n\u003cp>A single-payer system would need federal approval, essentially giving California permission to take the money meant for Medicare and Medicaid, and distribute those funds in a totally new way.\u003c/p>\n\u003cp>\"I’m not sure under what construct that could even occur,\" says \u003ca href=\"http://www.dhcs.ca.gov/Pages/DirectorsBiography.aspx\" target=\"_blank\">Jennifer Kent\u003c/a>, director of the Department of Health Care Services, which operates the state’s Medicaid program, known as Medi-Cal.\u003c/p>\n\u003cp>\"The federal government would have to essentially turn those funds over to a state,\" she says.\u003c/p>\n\u003cp>As it stands, \u003ca href=\"http://californiahealthline.org/news/single-payer-health-care-bill-to-be-introduced-in-california-senate/\">no state has a single-payer system\u003c/a>. Perhaps the best-known effort to create one was in Vermont, but it failed in 2014 after officials there couldn’t figure out how to finance it.\u003c/p>\n\u003cp>Single-payer proposals have been put forth many times in the California Legislature since 2003, and all have hit roadblocks.\u003c/p>\n\u003cp>One bill, carried by former state senator Sheila Kuehl several years ago and passed by the state Legislature, would have created a payroll tax to help fund a program \u003ca href=\"http://www.lao.ca.gov/2008/hlth/sb840/SB840_analysis.pdf\" target=\"_blank\">costing \u003c/a> $200 billion a year or more. That measure and a similar bill were vetoed by then-governor Arnold Schwarzenegger, who cited financial concerns.\u003c/p>\n\u003cp>Kuehl, now a Los Angeles County supervisor, said the time is as good as ever to reintroduce a proposal like single-payer because many people fear losing coverage under Republican proposals being discussed in Washington, D.C.\u003c/p>\n\u003cp>“The ACA created more familiarity with being insured,” said Kuehl. “They’ve recognized the value.”\u003c/p>\n\u003cp>Other observers say attempts to expand access should not undermine efforts to preserve insurance gains under Obamacare. The threat to Medicaid or private insurance access is still real, they say.\u003c/p>\n\u003cp>“California should explore all options, [but] we should not do that if it means withdrawing support for protecting the ACA,” said Jerry Kominski, director of the UCLA Center for Health Policy Research. “It would take decades to get back to where we are now,” he said.\u003c/p>\n\u003cp>In an interview with California Healthline, California Gov. Jerry Brown emphasized that financing a single-payer system would be a major challenge. Although he said he would entertain a conversation about a single-payer system, he did not say whether he would endorse creating one.\u003c/p>\n\u003cp>For one thing, it would require a new tax, which would have to be approved either by a two-thirds majority vote in the state Legislature or a simple-majority popular vote, he said. Even with the current Democratic supermajority, Brown said, there are always a few “outliers” who wouldn’t support raising new revenues.\u003c/p>\n\u003cp>Brown leaves office in 2018, however, and Newsom, who hopes to succeed him, is looking into a creating a plan for universal coverage that would be an alternative to a single-payer system.\u003c/p>\n\u003cp>One option, according to Newsom’s office, would be to use as a model the Healthy San Francisco program he introduced in 2007 as mayor. The city has used a combination of public money and contributions from employers and enrollees to plug holes in coverage and make primary care accessible to nearly everyone.\u003c/p>\n\u003cp>Newsom has acknowledged, however, that the San Francisco approach \u003ca href=\"https://www.thenation.com/article/can-california-achieve-universal-health-care-in-the-age-of-trump/\">would not necessarily work in every county\u003c/a>, and said he is open to other possibilities.\u003c/p>\n\u003cp>Using that model to expand health care statewide has some political advantages, Oberlander said, because it builds on the “status quo rather than radically restructuring” the current system.\u003c/p>\n\u003cp>Another California lawmaker proposes to keep the conversation going about universal health care, at least, by creating a commission that would make various recommendations to policymakers.\u003c/p>\n\u003cp>“We have to be able to move on multiple tracks at once,” said Assemblyman Rob Bonta (D-Oakland), who is carrying the bill to create the Health Care for All commission, which would convene in 2018.\u003c/p>\n\u003cp>The debate in Washington could actually produce some surprising opportunities for California and other states. The feds might, for instance, approve waivers to allow other types of experimentation within states. \u003ca href=\"http://healthaffairs.org/blog/2017/01/24/aca-replacement-bill-from-cassidy-and-colleagues-offers-state-options-roth-hsas/\">Some Republicans\u003c/a> favor an approach in which each state decides on its own coverage system, within certain limits.\u003c/p>\n\u003cp>That could mean a retraction of coverage in some states, but in California it might open the door to a new model.\u003c/p>\n\u003cp>“It is possible that some liberal-leaning states are going to do things that we didn’t think possible before,” Oberlander said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>This story was produced by \u003ca href=\"http://khn.org/\">Kaiser Health News\u003c/a>, which publishes \u003ca href=\"http://www.californiahealthline.org/\">California Healthline\u003c/a>, an editorially independent service of the \u003ca href=\"http://www.chcf.org/\">California Health Care Foundation\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California Brings 15 Felony Charges Against Activists Who Secretly Recorded Planned Parenthood",
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"content": "\u003cp>Two anti-abortion rights activists who covertly recorded themselves discussing fetal tissue with Planned Parenthood staff are facing felony charges in California, for allegedly violating state law by filming people without their permission.\u003c/p>\n\u003cp>California Attorney General Xavier Becerra announced the charges against David Daleiden and Sandra Merritt on Tuesday, saying the state \"will not tolerate the criminal recording of confidential conversations.\"\u003c/p>\n\u003cp>In a statement, Daleiden called the charges \"bogus\" and reiterated claims that Planned Parenthood has violated the law by selling fetal tissue — an allegation that has been investigated by more than a dozen states, none of which found evidence supporting Daleiden's claim.\u003c/p>\n\u003cp>Planned Parenthood, meanwhile, says it has \"has done nothing wrong, and the only people who broke the law are those behind the fraudulent tapes.\"\u003c/p>\n\u003cp>You may remember that in 2015, Daleiden's organization released a video of a Planned Parenthood official discussing how the organization provides fetal tissue to researchers.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Daleiden claimed the video showed evidence that Planned Parenthood was selling that tissue, which would be illegal. Planned Parenthood said the footage was misleadingly edited and that the organization donates tissue following legal guidelines and with permitted reimbursements for expenses, which investigations have corroborated.\u003c/p>\n\u003cp>Last year, a grand jury in Texas was examining Daleiden's allegations. The grand jury determined there was no sign of criminal wrongdoing by Planned Parenthood.\u003c/p>\n\u003cp>Instead, in a surprise twist, it indicted Daleiden and Merritt on felony charges of using fake drivers licenses to gain access to a Planned Parenthood meeting. They also indicted Daleiden on misdemeanor charges of trying to buy human tissue — the kind of misconduct he was trying to pin on Planned Parenthood.\u003c/p>\n\u003cp>Those charges were dismissed: the misdemeanor on technical grounds, and the felonies after lawyers argued the grand jury didn't have the authority to bring charges so different from their original mandate.\u003c/p>\n\u003cp>The new charges filed in California are different felony charges, tied to the act of recording. The state says it reviewed thousands of video files to try to identify the people Merritt and Daleiden are accused of recording without consent. They found 14 such people recorded in California in 2014 and 2015.\u003c/p>\n\u003cp>(The state of California has not named the people it identified. In 2015 Daleiden told NPR that he spent three years planning his sting video operation, recording hours of conversation with \"top-level Planned Parenthood executives, and doctors,\" among other people. )\u003c/p>\n\u003cp>The two activists each face 15 charges — one for each person they are accused of recording without permission, and one for conspiracy.\u003c/p>\n\u003cp>In California, you generally need the consent of everyone involved in order to legally record a private conversation.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Here's more context from The Associated Press:\u003c/p>\n\u003cblockquote>\u003cp>\n\"In April of last year, Daleiden said in a Facebook post that California Department of Justice agents raided his home, seizing all of his video footage along with personal information.\u003c/p>\n\u003cp>\"Since then the case had gone largely quiet, with virtually no revelations about the investigation and no indication that the charges were coming before they were filed Tuesday in San Francisco Superior Court.\u003c/p>\n\u003cp>\"The case is one of the first of high-profile prosecutions for Becerra, who left the U.S. House to take over for Kamala Harris after she became a U.S. Senator.\"\u003c/p>\u003c/blockquote>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Two anti-abortion rights activists who covertly recorded themselves discussing fetal tissue with Planned Parenthood staff are facing felony charges in California, for allegedly violating state law by filming people without their permission.\u003c/p>\n\u003cp>California Attorney General Xavier Becerra announced the charges against David Daleiden and Sandra Merritt on Tuesday, saying the state \"will not tolerate the criminal recording of confidential conversations.\"\u003c/p>\n\u003cp>In a statement, Daleiden called the charges \"bogus\" and reiterated claims that Planned Parenthood has violated the law by selling fetal tissue — an allegation that has been investigated by more than a dozen states, none of which found evidence supporting Daleiden's claim.\u003c/p>\n\u003cp>Planned Parenthood, meanwhile, says it has \"has done nothing wrong, and the only people who broke the law are those behind the fraudulent tapes.\"\u003c/p>\n\u003cp>You may remember that in 2015, Daleiden's organization released a video of a Planned Parenthood official discussing how the organization provides fetal tissue to researchers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Daleiden claimed the video showed evidence that Planned Parenthood was selling that tissue, which would be illegal. Planned Parenthood said the footage was misleadingly edited and that the organization donates tissue following legal guidelines and with permitted reimbursements for expenses, which investigations have corroborated.\u003c/p>\n\u003cp>Last year, a grand jury in Texas was examining Daleiden's allegations. The grand jury determined there was no sign of criminal wrongdoing by Planned Parenthood.\u003c/p>\n\u003cp>Instead, in a surprise twist, it indicted Daleiden and Merritt on felony charges of using fake drivers licenses to gain access to a Planned Parenthood meeting. They also indicted Daleiden on misdemeanor charges of trying to buy human tissue — the kind of misconduct he was trying to pin on Planned Parenthood.\u003c/p>\n\u003cp>Those charges were dismissed: the misdemeanor on technical grounds, and the felonies after lawyers argued the grand jury didn't have the authority to bring charges so different from their original mandate.\u003c/p>\n\u003cp>The new charges filed in California are different felony charges, tied to the act of recording. The state says it reviewed thousands of video files to try to identify the people Merritt and Daleiden are accused of recording without consent. They found 14 such people recorded in California in 2014 and 2015.\u003c/p>\n\u003cp>(The state of California has not named the people it identified. In 2015 Daleiden told NPR that he spent three years planning his sting video operation, recording hours of conversation with \"top-level Planned Parenthood executives, and doctors,\" among other people. )\u003c/p>\n\u003cp>The two activists each face 15 charges — one for each person they are accused of recording without permission, and one for conspiracy.\u003c/p>\n\u003cp>In California, you generally need the consent of everyone involved in order to legally record a private conversation.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Here's more context from The Associated Press:\u003c/p>\n\u003cblockquote>\u003cp>\n\"In April of last year, Daleiden said in a Facebook post that California Department of Justice agents raided his home, seizing all of his video footage along with personal information.\u003c/p>\n\u003cp>\"Since then the case had gone largely quiet, with virtually no revelations about the investigation and no indication that the charges were coming before they were filed Tuesday in San Francisco Superior Court.\u003c/p>\n\u003cp>\"The case is one of the first of high-profile prosecutions for Becerra, who left the U.S. House to take over for Kamala Harris after she became a U.S. Senator.\"\u003c/p>\u003c/blockquote>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Wearing white coats and surgical scrubs, a small group of political activists passed out pink fliers in downtown Oakland Wednesday. They wore toy stethoscopes and shiny, circular mirrors on their heads.\u003c/p>\n\u003cp>They're not really doctors, but they dressed the part to grab the attention of pedestrians and warn them about the political efforts to dismantle the Affordable Care Act. Since 2014, that law has provided five million previously uninsured Californians with coverage. The state's uninsured rate is now at a historical low of 7 percent.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/314153621\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>House Representatives, riven by political differences, have delayed a planned vote on the Republican health care bill until Friday. Their bill, the American Health Care Act (AHCA), has pushed these \u003ca href=\"https://bayresistance.org/\" target=\"_blank\">Bay Area activists\u003c/a> to get creative, and this \"Pop-Up Emergency Room\" on the sidewalk is one way of highlighting the fact that the bill would \u003cem>increase\u003c/em> the number of uninsured Americans by 24 million.\u003c/p>\n\u003cp>[gallery type=\"rectangular\" ids=\"307654,307652,307655,307649,307733\"]\u003c/p>\n\u003cp>Cindy Shamban of Berkeley wore her white coat draped over another, darker-colored coat.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"That’s part of the skit,\" she said. \"Dress up, have a little bit of fun with it, at the same time we know that we’re dealing with, you know, people’s lives.\"\u003c/p>\n\u003cp>Nearby, Monique Harris had propped a sign against her wheelchair. It read, “Losing Medi-Cal means being forced into an expensive nursing home. No more living at home.”\u003c/p>\n\u003cp>Harris has spastic cerebral palsy and is concerned about the bill's proposed funding cuts to Medi-Cal. Medi-Cal is taxpayer-funded insurance that covers low-income adults, people with disabilities, and nursing home residents.\u003c/p>\n\u003cp>\"Both me and my son receive it,\" she said. \"As well as many other people.\" Harris said Medi-Cal pays for essential equipment and treatments for her and her son. \"He has seizures and diabetes,\" she explained.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>A forecast released this week by Sacramento officials estimates the adoption of the GOP-backed AHCA would blow a $6 billion hole in the California budget starting in 2020. As demand on the health system grows, the loss of federal funds to California would eventually reach $24 billion annually in 2027.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Wearing white coats and surgical scrubs, a small group of political activists passed out pink fliers in downtown Oakland Wednesday. They wore toy stethoscopes and shiny, circular mirrors on their heads.\u003c/p>\n\u003cp>They're not really doctors, but they dressed the part to grab the attention of pedestrians and warn them about the political efforts to dismantle the Affordable Care Act. Since 2014, that law has provided five million previously uninsured Californians with coverage. The state's uninsured rate is now at a historical low of 7 percent.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/314153621&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/314153621'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>House Representatives, riven by political differences, have delayed a planned vote on the Republican health care bill until Friday. Their bill, the American Health Care Act (AHCA), has pushed these \u003ca href=\"https://bayresistance.org/\" target=\"_blank\">Bay Area activists\u003c/a> to get creative, and this \"Pop-Up Emergency Room\" on the sidewalk is one way of highlighting the fact that the bill would \u003cem>increase\u003c/em> the number of uninsured Americans by 24 million.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"That’s part of the skit,\" she said. \"Dress up, have a little bit of fun with it, at the same time we know that we’re dealing with, you know, people’s lives.\"\u003c/p>\n\u003cp>Nearby, Monique Harris had propped a sign against her wheelchair. It read, “Losing Medi-Cal means being forced into an expensive nursing home. No more living at home.”\u003c/p>\n\u003cp>Harris has spastic cerebral palsy and is concerned about the bill's proposed funding cuts to Medi-Cal. Medi-Cal is taxpayer-funded insurance that covers low-income adults, people with disabilities, and nursing home residents.\u003c/p>\n\u003cp>\"Both me and my son receive it,\" she said. \"As well as many other people.\" Harris said Medi-Cal pays for essential equipment and treatments for her and her son. \"He has seizures and diabetes,\" she explained.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>A forecast released this week by Sacramento officials estimates the adoption of the GOP-backed AHCA would blow a $6 billion hole in the California budget starting in 2020. As demand on the health system grows, the loss of federal funds to California would eventually reach $24 billion annually in 2027.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>California would lose $24.3 billion in federal funding by 2027 for low-income health coverage under the current Republican plan to replace the Affordable Care Act, according to \u003ca href=\"https://www.gov.ca.gov/docs/3.21.17_AHCA_Fiscal_Analysis.pdf\" target=\"_blank\">a new state analysis\u003c/a> released Wednesday.\u003c/p>\n\u003cp>The bill, up for a vote in the House on Thursday, represents a “massive and significant fiscal shift” from the federal to state governments by setting caps on spending, reducing the amount of money available for new enrollees and eliminating other funding for hospitals and Planned Parenthood, the analysis said. The analysis, based on internal cost, utilization and enrollment data, was sent Tuesday to the state’s secretary of Health and Human Services.\u003c/p>\n\u003cp>“It’s really devastating,” said Mari Cantwell, state Medicaid director with the California Department of Health Care Services, who co-wrote the analysis. “It raises some serious questions about whether we can continue to operate the program the way we do today.”\u003c/p>\n\u003cp>Although the analysis didn’t explain how the state would deal with the federal cuts, Cantwell said it would have to look at changes to eligibility, benefits or provider rates — or all three.\u003c/p>\n\u003cp>The Republican bill, called the American Health Care Act, would dramatically change funding for the Medicaid program, known as Medi-Cal in California. Since its inception, Medicaid funding has been open-ended, based on need. Under the new bill, federal money would be capped either through block grants or fixed per-capita amounts.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Medi-Cal provides coverage to 13.5 million low-income residents, about half of California’s children and a third of the adults. About 3.7 million people of those became newly eligible for the publicly funded health coverage through the Affordable Care Act, helping to reduce the state’s uninsurance rate from 17 percent in 2013 to about 7 percent in 2016, according to the \u003ca href=\"http://laborcenter.berkeley.edu/medi-cal-expansion-under-ahca/\" target=\"_blank\">UC Berkeley Labor Center for Education and Research\u003c/a>.\u003c/p>\n\u003cp>The public insurance program is funded jointly by California and the federal government and provides health, dental, mental health, long-term care and other services. The Affordable Care Act allowed states to expand their Medicaid programs in 2014 to low-income childless adults, and the federal government is paying nearly all the costs for those new beneficiaries.\u003c/p>\n\u003cp>The bill could put hospitals, clinics and other providers in a tenuous financial position by forcing them to live within the cost limits while at the same time seeing more uninsured patients, the analysis said.\u003c/p>\n\u003cp>California health officials said they estimated that Medi-Cal costs would exceed per-capita caps by nearly $680 million in 2020, with the gap growing to $5.28 billion by 2027. That spending limit could have a “devastating and chilling effect” on any increases in provider payments or plan rates, according to the analysis.\u003c/p>\n\u003cp>The state also expects an additional $3.3 billion in costs in 2020, growing to $13 billion by 2027, because of a change that reduces federal funds for new enrollees and for people who have a break in coverage. The bill would require certain beneficiaries to renew coverage every six months rather than once a year, which state officials say will cause many to lose their coverage.\u003c/p>\n\u003cp>According to the analysis, the state would face additional costs from other federal cuts, including to a program that pays for in-home care for elderly and disabled residents. In addition, the proposed freeze on federal funding to organizations that provide abortions would make the state responsible for $400 million in payments to Planned Parenthood, which serves more than 600,000 people in Medi-Cal and a state family planning program.\u003c/p>\n\u003cp>A new study by UC Berkeley’s Labor Center released Wednesday also warned of dramatic cuts in federal Medi-Cal funding that would threaten coverage for low-income adults. The center estimated that the state would have to increase spending by $10 billion each year to maintain coverage for those who became eligible for coverage under the Affordable Care Act. Without that funding, the researchers wrote, 3.7 million people could lose coverage by 2027.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"http://khn.org/\" target=\"_blank\">Kaiser Health News\u003c/a>, an editorially independent program of the \u003ca href=\"http://kff.org/\" target=\"\">Kaiser Family Foundation\u003c/a>.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California would lose $24.3 billion in federal funding by 2027 for low-income health coverage under the current Republican plan to replace the Affordable Care Act, according to \u003ca href=\"https://www.gov.ca.gov/docs/3.21.17_AHCA_Fiscal_Analysis.pdf\" target=\"_blank\">a new state analysis\u003c/a> released Wednesday.\u003c/p>\n\u003cp>The bill, up for a vote in the House on Thursday, represents a “massive and significant fiscal shift” from the federal to state governments by setting caps on spending, reducing the amount of money available for new enrollees and eliminating other funding for hospitals and Planned Parenthood, the analysis said. The analysis, based on internal cost, utilization and enrollment data, was sent Tuesday to the state’s secretary of Health and Human Services.\u003c/p>\n\u003cp>“It’s really devastating,” said Mari Cantwell, state Medicaid director with the California Department of Health Care Services, who co-wrote the analysis. “It raises some serious questions about whether we can continue to operate the program the way we do today.”\u003c/p>\n\u003cp>Although the analysis didn’t explain how the state would deal with the federal cuts, Cantwell said it would have to look at changes to eligibility, benefits or provider rates — or all three.\u003c/p>\n\u003cp>The Republican bill, called the American Health Care Act, would dramatically change funding for the Medicaid program, known as Medi-Cal in California. Since its inception, Medicaid funding has been open-ended, based on need. Under the new bill, federal money would be capped either through block grants or fixed per-capita amounts.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Medi-Cal provides coverage to 13.5 million low-income residents, about half of California’s children and a third of the adults. About 3.7 million people of those became newly eligible for the publicly funded health coverage through the Affordable Care Act, helping to reduce the state’s uninsurance rate from 17 percent in 2013 to about 7 percent in 2016, according to the \u003ca href=\"http://laborcenter.berkeley.edu/medi-cal-expansion-under-ahca/\" target=\"_blank\">UC Berkeley Labor Center for Education and Research\u003c/a>.\u003c/p>\n\u003cp>The public insurance program is funded jointly by California and the federal government and provides health, dental, mental health, long-term care and other services. The Affordable Care Act allowed states to expand their Medicaid programs in 2014 to low-income childless adults, and the federal government is paying nearly all the costs for those new beneficiaries.\u003c/p>\n\u003cp>The bill could put hospitals, clinics and other providers in a tenuous financial position by forcing them to live within the cost limits while at the same time seeing more uninsured patients, the analysis said.\u003c/p>\n\u003cp>California health officials said they estimated that Medi-Cal costs would exceed per-capita caps by nearly $680 million in 2020, with the gap growing to $5.28 billion by 2027. That spending limit could have a “devastating and chilling effect” on any increases in provider payments or plan rates, according to the analysis.\u003c/p>\n\u003cp>The state also expects an additional $3.3 billion in costs in 2020, growing to $13 billion by 2027, because of a change that reduces federal funds for new enrollees and for people who have a break in coverage. The bill would require certain beneficiaries to renew coverage every six months rather than once a year, which state officials say will cause many to lose their coverage.\u003c/p>\n\u003cp>According to the analysis, the state would face additional costs from other federal cuts, including to a program that pays for in-home care for elderly and disabled residents. In addition, the proposed freeze on federal funding to organizations that provide abortions would make the state responsible for $400 million in payments to Planned Parenthood, which serves more than 600,000 people in Medi-Cal and a state family planning program.\u003c/p>\n\u003cp>A new study by UC Berkeley’s Labor Center released Wednesday also warned of dramatic cuts in federal Medi-Cal funding that would threaten coverage for low-income adults. The center estimated that the state would have to increase spending by $10 billion each year to maintain coverage for those who became eligible for coverage under the Affordable Care Act. Without that funding, the researchers wrote, 3.7 million people could lose coverage by 2027.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"http://khn.org/\" target=\"_blank\">Kaiser Health News\u003c/a>, an editorially independent program of the \u003ca href=\"http://kff.org/\" target=\"\">Kaiser Family Foundation\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Ignored by Obamacare, Vasectomies Find a Champion in 'March Madness' Marketing",
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"content": "\u003cp>Doctors say it all started eight years ago, when a urology clinic in Oregon ran \u003ca href=\"https://www.youtube.com/watch?v=_fpfMtRIdKM\" target=\"_blank\">an ad\u003c/a> promoting the benefits of scheduling a vasectomy in March.\u003c/p>\n\u003cp>“You go in for a little snip, snip and come out with doctor's orders to sit back and watch nonstop basketball,” the voice-over promises. “If you miss out on this, you’ll end up recovering during a weekend marathon of \u003cem>Desperate Housewives\u003c/em>!”\u003c/p>\n\u003cp>Copycat ads followed. Now a \u003ca href=\"http://washington.cbslocal.com/station/106-7-the-fan/\" target=\"_blank\">sports radio show\u003c/a> in Washington, D.C., has an annual Vasectomy Madness contest, where the prize is a free vasectomy.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/313607132\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Here's how it works: Three guys come on the air to make their cases for getting snipped. The announcers ruthlessly roast them, then listeners vote on their favorite.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“All right, let's bring in our next contestant,\" a host says. \"I believe it’s Abe from Warrenton, Virginia. So tell us your story, why are you here?”\u003c/p>\n\u003cp>Abe has three kids now, ages 9, 6 and 3.\u003c/p>\n\u003cp>“Another one, surprise! Due in July,” Abe says. “I was shopping after the third for a vasectomy, and like a dope, drug my feet.”\u003c/p>\n\u003cp>There’s Mike, also expecting his fourth child -- \u003cem>also\u003c/em> a surprise.\u003c/p>\n\u003cp>“My wife and I have had enough,” he pleads. “We need help to stop the flow.”\u003c/p>\n\u003cp>And then there’s Charles.\u003c/p>\n\u003cp>“Four kids, three different women,” Charles says, inspiring a roar of jeers from the hosts.\u003c/p>\n\u003cp>Procrastination can be so common with the “Big V” that it takes a panel of sports jocks offering a free procedure for some guys to finally let a doctor take a scalpel to their nether regions.\u003c/p>\n\u003cp>That may be one reason vasectomy rates are low: \u003ca href=\"https://www.cdc.gov/nchs/nsfg/key_statistics/v.htm\" target=\"_blank\">Five percent\u003c/a> of women rely on their partner’s vasectomy for contraception, unchanged from a decade ago. The CDC's National Survey of Family Growth compares that to \u003ca href=\"https://www.cdc.gov/nchs/nsfg/key_statistics/s.htm#sterilizationfemale\">20 percent \u003c/a>of women who have had a sterilization procedure, even though women’s surgery is more invasive and more expensive.\u003c/p>\n\u003cp>“Men are culturally the providers. It’s hard for them to seek care,” said Dr. Paul Turek, a urologist. “They don’t know how to be a patient.”\u003c/p>\n\u003cp>Turek has \u003ca href=\"http://www.theturekclinic.com/\" target=\"_blank\">clinics\u003c/a> in San Francisco and Beverly Hills. He sees an uptick in vasectomy visits during March Madness, and he’s also noticed more guys coming in together.\u003c/p>\n\u003cp>“One group came in from a tech company in a limousine,” he remembered.\u003c/p>\n\u003cp>Last year, five college buddies scheduled a group vasectomy in March. They live all over the U.S. now, and one of them had an idea to reunite in San Francisco and undergo the outpatient procedure together.\u003c/p>\n\u003cp>“I gave 'em a deal. I closed the doors,” Turek said. “We had sports TV on. They were having fun.”\u003c/p>\n\u003cp>As each guy returned to the waiting room, he was greeted with fist bumps and high-fives. Then they hobbled back to their hotel to bet on the games and yell at the television.\u003c/p>\n\u003cp>Turek made an interesting observation during that bro basketball weekend: The guys seemed to recover faster than his typical patients.\u003c/p>\n\u003cp>“They had no complaints. They were back at work sooner. They took fewer pain pills,” he said. “It was the best anesthesia, having their buddies with them.”\u003c/p>\n\u003cp>Turek gives all his vasectomy patients a certificate of honor for “uncommon bravery and meritorious performance.”\u003c/p>\n\u003cp>There is another theory about why vasectomies aren’t more popular: the cost. The Affordable Care Act requires insurers to \u003ca href=\"https://www.healthcare.gov/coverage/birth-control-benefits/\" target=\"_blank\">cover contraceptives \u003c/a>without charging out-of-pocket costs. But vasectomy wasn’t included in the rule. The procedure costs about $500, but some doctors charge up to $1,000.\u003c/p>\n\u003cp>That’s why Charles subjected himself to the free vasectomy contest at the D.C. radio station. His insurance covers a portion of the procedure, “but I'd still have to pay my deductible, which is, like, a thousand bucks.”\u003c/p>\n\u003cp>Vasectomy was overlooked in Obamacare because, under the law, birth control was considered a women’s health service.\u003c/p>\n\u003cp>“Right now the policy says to a couple: Your insurance will cover birth control without any out-of-pocket costs on your end, as long as it’s the woman who’s using it,” said \u003ca href=\"https://www.guttmacher.org/about/staff/adam-sonfield\" target=\"_blank\">Adam Sonfield\u003c/a>, senior policy manager at the \u003ca href=\"https://www.guttmacher.org/\" target=\"_blank\">Guttmacher Institute.\u003c/a>\u003c/p>\n\u003cp>Last year, 12,000 people signed a \u003ca href=\"https://www.change.org/p/health-and-human-services-cover-vasectomies-under-the-affordable-care-act\" target=\"_blank\">petition\u003c/a> asking regulators to cover vasectomy without cost sharing. Doctors’ groups even drafted language to this effect to add to the regulations, but when the Trump administration took over, it told the groups to stop trying, according to Aaron Hamlin, executive director of the \u003ca href=\"https://www.malecontraceptive.org/\" target=\"_blank\">Male Contraception Initiative.\u003c/a>\u003c/p>\n\u003cp>“The birth control benefit has been under pretty much continual political attack since the ACA was enacted,” said Sonfield.\u003c/p>\n\u003cp>The vasectomy battle is now moot, he added, because President Trump’s health officials want to get rid of the contraceptive mandate altogether, even for women.\u003c/p>\n\u003cp>“They are very much in danger at the moment,” Sonfield said.\u003c/p>\n\u003cp>So for now that leaves guys like Charles, Mike and Abe vying for a free March Madness vasectomy. The winner in the end?\u003c/p>\n\u003cp>Abe.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>His prize comes with a catch, though. He has to let one of the sportscasters come to his appointment, to broadcast a \"play-by-play.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Doctors say it all started eight years ago, when a urology clinic in Oregon ran \u003ca href=\"https://www.youtube.com/watch?v=_fpfMtRIdKM\" target=\"_blank\">an ad\u003c/a> promoting the benefits of scheduling a vasectomy in March.\u003c/p>\n\u003cp>“You go in for a little snip, snip and come out with doctor's orders to sit back and watch nonstop basketball,” the voice-over promises. “If you miss out on this, you’ll end up recovering during a weekend marathon of \u003cem>Desperate Housewives\u003c/em>!”\u003c/p>\n\u003cp>Copycat ads followed. Now a \u003ca href=\"http://washington.cbslocal.com/station/106-7-the-fan/\" target=\"_blank\">sports radio show\u003c/a> in Washington, D.C., has an annual Vasectomy Madness contest, where the prize is a free vasectomy.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/313607132&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/313607132'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Here's how it works: Three guys come on the air to make their cases for getting snipped. The announcers ruthlessly roast them, then listeners vote on their favorite.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“All right, let's bring in our next contestant,\" a host says. \"I believe it’s Abe from Warrenton, Virginia. So tell us your story, why are you here?”\u003c/p>\n\u003cp>Abe has three kids now, ages 9, 6 and 3.\u003c/p>\n\u003cp>“Another one, surprise! Due in July,” Abe says. “I was shopping after the third for a vasectomy, and like a dope, drug my feet.”\u003c/p>\n\u003cp>There’s Mike, also expecting his fourth child -- \u003cem>also\u003c/em> a surprise.\u003c/p>\n\u003cp>“My wife and I have had enough,” he pleads. “We need help to stop the flow.”\u003c/p>\n\u003cp>And then there’s Charles.\u003c/p>\n\u003cp>“Four kids, three different women,” Charles says, inspiring a roar of jeers from the hosts.\u003c/p>\n\u003cp>Procrastination can be so common with the “Big V” that it takes a panel of sports jocks offering a free procedure for some guys to finally let a doctor take a scalpel to their nether regions.\u003c/p>\n\u003cp>That may be one reason vasectomy rates are low: \u003ca href=\"https://www.cdc.gov/nchs/nsfg/key_statistics/v.htm\" target=\"_blank\">Five percent\u003c/a> of women rely on their partner’s vasectomy for contraception, unchanged from a decade ago. The CDC's National Survey of Family Growth compares that to \u003ca href=\"https://www.cdc.gov/nchs/nsfg/key_statistics/s.htm#sterilizationfemale\">20 percent \u003c/a>of women who have had a sterilization procedure, even though women’s surgery is more invasive and more expensive.\u003c/p>\n\u003cp>“Men are culturally the providers. It’s hard for them to seek care,” said Dr. Paul Turek, a urologist. “They don’t know how to be a patient.”\u003c/p>\n\u003cp>Turek has \u003ca href=\"http://www.theturekclinic.com/\" target=\"_blank\">clinics\u003c/a> in San Francisco and Beverly Hills. He sees an uptick in vasectomy visits during March Madness, and he’s also noticed more guys coming in together.\u003c/p>\n\u003cp>“One group came in from a tech company in a limousine,” he remembered.\u003c/p>\n\u003cp>Last year, five college buddies scheduled a group vasectomy in March. They live all over the U.S. now, and one of them had an idea to reunite in San Francisco and undergo the outpatient procedure together.\u003c/p>\n\u003cp>“I gave 'em a deal. I closed the doors,” Turek said. “We had sports TV on. They were having fun.”\u003c/p>\n\u003cp>As each guy returned to the waiting room, he was greeted with fist bumps and high-fives. Then they hobbled back to their hotel to bet on the games and yell at the television.\u003c/p>\n\u003cp>Turek made an interesting observation during that bro basketball weekend: The guys seemed to recover faster than his typical patients.\u003c/p>\n\u003cp>“They had no complaints. They were back at work sooner. They took fewer pain pills,” he said. “It was the best anesthesia, having their buddies with them.”\u003c/p>\n\u003cp>Turek gives all his vasectomy patients a certificate of honor for “uncommon bravery and meritorious performance.”\u003c/p>\n\u003cp>There is another theory about why vasectomies aren’t more popular: the cost. The Affordable Care Act requires insurers to \u003ca href=\"https://www.healthcare.gov/coverage/birth-control-benefits/\" target=\"_blank\">cover contraceptives \u003c/a>without charging out-of-pocket costs. But vasectomy wasn’t included in the rule. The procedure costs about $500, but some doctors charge up to $1,000.\u003c/p>\n\u003cp>That’s why Charles subjected himself to the free vasectomy contest at the D.C. radio station. His insurance covers a portion of the procedure, “but I'd still have to pay my deductible, which is, like, a thousand bucks.”\u003c/p>\n\u003cp>Vasectomy was overlooked in Obamacare because, under the law, birth control was considered a women’s health service.\u003c/p>\n\u003cp>“Right now the policy says to a couple: Your insurance will cover birth control without any out-of-pocket costs on your end, as long as it’s the woman who’s using it,” said \u003ca href=\"https://www.guttmacher.org/about/staff/adam-sonfield\" target=\"_blank\">Adam Sonfield\u003c/a>, senior policy manager at the \u003ca href=\"https://www.guttmacher.org/\" target=\"_blank\">Guttmacher Institute.\u003c/a>\u003c/p>\n\u003cp>Last year, 12,000 people signed a \u003ca href=\"https://www.change.org/p/health-and-human-services-cover-vasectomies-under-the-affordable-care-act\" target=\"_blank\">petition\u003c/a> asking regulators to cover vasectomy without cost sharing. Doctors’ groups even drafted language to this effect to add to the regulations, but when the Trump administration took over, it told the groups to stop trying, according to Aaron Hamlin, executive director of the \u003ca href=\"https://www.malecontraceptive.org/\" target=\"_blank\">Male Contraception Initiative.\u003c/a>\u003c/p>\n\u003cp>“The birth control benefit has been under pretty much continual political attack since the ACA was enacted,” said Sonfield.\u003c/p>\n\u003cp>The vasectomy battle is now moot, he added, because President Trump’s health officials want to get rid of the contraceptive mandate altogether, even for women.\u003c/p>\n\u003cp>“They are very much in danger at the moment,” Sonfield said.\u003c/p>\n\u003cp>So for now that leaves guys like Charles, Mike and Abe vying for a free March Madness vasectomy. The winner in the end?\u003c/p>\n\u003cp>Abe.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>His prize comes with a catch, though. He has to let one of the sportscasters come to his appointment, to broadcast a \"play-by-play.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "A New Diagnosis: ‘Post-Election Stress Disorder’",
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"content": "\u003cp>Wally Pfingsten has always been a news junkie. But since President Donald Trump was elected, he’s been so anxious about the political tumult that even just having the TV news on in the background at home is unbearable.\u003c/p>\n\u003cp>“It’s been crippling,” said the 35-year-old San Mateo resident and political moderate who has supported both Democratic and Republican candidates in the past. “I feel angry, really, really angry, far more angry than I expected to be.”\u003c/p>\n\u003cp>He’s tried hard to quell his anxiety. First, he shut down his Facebook page to limit his exposure to the daily soaking of news from Washington. But not knowing the goings-on made him anxious, too. He found himself sneaking onto the Facebook account he made for his dog. “I felt like I was cheating,” he said.\u003c/p>\n\u003cp>Pfingsten is not alone in his politics-induced anxiety — it’s so common it’s been given an unofficial name: Post-Election Stress Disorder. Mental health professionals around the country, especially those working in Democratic strongholds, report a stream of patients coming in with anxiety and depression related to — or worsened by — the blast of daily news on the new administration.\u003c/p>\n\u003cp>In the past, therapists say it’s been fairly uncommon for patients to bring up politics on the couch. “It is big money to talk about politics with me ― that is not what we do!” said Maria Lymberis, a psychiatrist in Santa Monica.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But that was before “fake news,” “alternative facts,” “repeal and replace,” contested confirmations, travel bans, protests and suits over travel bans, suspicions about Russian influence and the departures of the acting attorney general and the new national security adviser. Among other things.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/312550437\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Requests for therapy appointments to Talkspace, an online therapy portal based in New York City, tripled immediately following the election and have remained high through January, according to the company. In particular, Talkspace has seen a steady increase in requests from minorities, including Muslim-Americans, African-Americans, Jews, gays and lesbians.\u003c/p>\n\u003cp>“In my 28 years in practice, I’ve never seen anything like this level of stress,” said Nancy Molitor, a psychologist in the Chicago suburbs. She says the vast majority of her patients — from millennials to those in their 80s — are bringing up politics in their therapy sessions. “What we’re seeing now after the inauguration is a huge uptick in anxiety.”\u003c/p>\n\u003cp>Many of her patients say they are having trouble sleeping and focusing at work or are fighting more with family members, she said.\u003c/p>\n\u003cp>“I have people who’ve told me they’re in mourning, that they’ve lost their libido,” Molitor said. “I have people saying the anxiety is causing them to be so distracted that they’re blowing through stop signs or getting into fender benders.”\u003c/p>\n\u003cp>The anxiety appears to be widespread. Fifty-seven percent of Americans report that the current political climate is a very or somewhat significant source of stress, and 40 percent say the same about the outcome of the election, according to an online survey of 1,019 adults conducted by the American Psychological Association after the inauguration. Between August 2016 and January 2017, the overall average stress level increased significantly for the first time since the Stress in America survey began 10 years ago.\u003c/p>\n\u003cp>And it’s not Democrats: a quarter of Republicans report that the outcome of election is a significant source of stress for them.\u003c/p>\n\u003cp>“I’m seeing lot of anxiety and anger on both sides,” says Elaine DuCharme, a psychologist in Glastonbury, Conn. “People who are Republicans are afraid to tell anyone. They’re afraid that everybody thinks that every Republican thinks exactly as Trump does, and support every single thing he does.”\u003c/p>\n\u003cp>She says some of her patients are particularly concerned about maintaining civil relationships with friends and loved ones who have different political opinions. “People are walking on eggshells,” DuCharme said.\u003c/p>\n\u003cp>Karri King, 56, who lives in Buckeye, Ariz., and voted for Trump, says her experiences on social media have left her feeling sad and hopeless. “There’s so much negative from all these stupid Facebook posts acting like the world is going to end. And it’s false. And I can’t do a thing about it.”\u003c/p>\n\u003cp>King said she’s tried to engage civilly with people online who disagree with her, but “every time [Republicans] turn around, we’re bashed.”\u003c/p>\n\u003cp>When you say “a bunch of idiots” voted Trump in, “you’re talking about half of all Americans! We were hopeful at first, and now we’re angry and tired of being blamed,” said King. “Nobody wants to listen anymore, and that’s where my sadness comes from.”\u003c/p>\n\u003cp>Of course, in some parts of the country, especially those that are overwhelmingly Republican and outside big cities, people seem relieved if not uplifted by the new president’s flurry of executive orders and appointments.\u003c/p>\n\u003cp>Kristin Addison-Brown, a psychologist in rural Jonesboro, Ark., says before the election, some of her patients were voicing concerns about a possible Clinton victory. But since then, “it’s pretty much been crickets for my patients. They got their guy, so they’re not stressed anymore.”\u003c/p>\n\u003cp>Nancy Cottle, a Trump supporter in Mesa, Ariz., has been riding high since the election. “We got to go to the inauguration, and, oh, it was a wonderful experience! We got to go to the Trump hotel and have breakfast and then lunch there, and it was just great. The inauguration itself was very inspiring.”\u003c/p>\n\u003cp>Cottle, 64, has been struggling to understand the public outcry about Trump. “It’s like the sky is falling ― but a lot of that is just drama,” she said. “I feel encouraged, I feel hopeful. I can’t wait to wake up and see what the day’s going to bring and what else is going to happen.”\u003c/p>\n\u003cp>That same daily dose of news ― and the uncertainty of what will happen next ― rattles many Trump opponents. But, like Pfingsten, they can’t seem to quit their news consumption cold turkey.\u003c/p>\n\u003cp>“Part of the brain wants to know what’s going on, and you’re drawn to watching CNN or reading the news. And then the other part of you is saying no, no, this isn’t good for me!” says Molitor, the Chicago psychologist. “It’s unfortunately like driving by a car accident ― they know it’s not good for them [to gawk], but it’s hard to stop.”\u003c/p>\n\u003cp>Molitor recommends patients stay engaged but limit the time they spend on Facebook or watching the news. Focus instead on other things you enjoy, she advises ― calling a friend, taking a walk or reading a book.\u003c/p>\n\u003cp>“I never read the Harry Potter books, so I’m reading Harry Potter,” says Matthew Leal, a 34-year-old San Francisco resident who found himself sinking into a depression after the election. “Someone could see this and say I’m being totally escapist right now, but I feel like it’s kind of what I need.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story was produced by KQED partner Kaiser Health News, an editorially independent program of the Kaiser Family Foundation.\u003cbr>\n\u003c/em>\u003c/p>\n\n",
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"excerpt": "Trump opponents — and even some supporters — say the election and tumultuous early days of the new administration have left them anxious, angry and afraid of Facebook.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Wally Pfingsten has always been a news junkie. But since President Donald Trump was elected, he’s been so anxious about the political tumult that even just having the TV news on in the background at home is unbearable.\u003c/p>\n\u003cp>“It’s been crippling,” said the 35-year-old San Mateo resident and political moderate who has supported both Democratic and Republican candidates in the past. “I feel angry, really, really angry, far more angry than I expected to be.”\u003c/p>\n\u003cp>He’s tried hard to quell his anxiety. First, he shut down his Facebook page to limit his exposure to the daily soaking of news from Washington. But not knowing the goings-on made him anxious, too. He found himself sneaking onto the Facebook account he made for his dog. “I felt like I was cheating,” he said.\u003c/p>\n\u003cp>Pfingsten is not alone in his politics-induced anxiety — it’s so common it’s been given an unofficial name: Post-Election Stress Disorder. Mental health professionals around the country, especially those working in Democratic strongholds, report a stream of patients coming in with anxiety and depression related to — or worsened by — the blast of daily news on the new administration.\u003c/p>\n\u003cp>In the past, therapists say it’s been fairly uncommon for patients to bring up politics on the couch. “It is big money to talk about politics with me ― that is not what we do!” said Maria Lymberis, a psychiatrist in Santa Monica.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But that was before “fake news,” “alternative facts,” “repeal and replace,” contested confirmations, travel bans, protests and suits over travel bans, suspicions about Russian influence and the departures of the acting attorney general and the new national security adviser. Among other things.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/312550437&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/312550437'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Requests for therapy appointments to Talkspace, an online therapy portal based in New York City, tripled immediately following the election and have remained high through January, according to the company. In particular, Talkspace has seen a steady increase in requests from minorities, including Muslim-Americans, African-Americans, Jews, gays and lesbians.\u003c/p>\n\u003cp>“In my 28 years in practice, I’ve never seen anything like this level of stress,” said Nancy Molitor, a psychologist in the Chicago suburbs. She says the vast majority of her patients — from millennials to those in their 80s — are bringing up politics in their therapy sessions. “What we’re seeing now after the inauguration is a huge uptick in anxiety.”\u003c/p>\n\u003cp>Many of her patients say they are having trouble sleeping and focusing at work or are fighting more with family members, she said.\u003c/p>\n\u003cp>“I have people who’ve told me they’re in mourning, that they’ve lost their libido,” Molitor said. “I have people saying the anxiety is causing them to be so distracted that they’re blowing through stop signs or getting into fender benders.”\u003c/p>\n\u003cp>The anxiety appears to be widespread. Fifty-seven percent of Americans report that the current political climate is a very or somewhat significant source of stress, and 40 percent say the same about the outcome of the election, according to an online survey of 1,019 adults conducted by the American Psychological Association after the inauguration. Between August 2016 and January 2017, the overall average stress level increased significantly for the first time since the Stress in America survey began 10 years ago.\u003c/p>\n\u003cp>And it’s not Democrats: a quarter of Republicans report that the outcome of election is a significant source of stress for them.\u003c/p>\n\u003cp>“I’m seeing lot of anxiety and anger on both sides,” says Elaine DuCharme, a psychologist in Glastonbury, Conn. “People who are Republicans are afraid to tell anyone. They’re afraid that everybody thinks that every Republican thinks exactly as Trump does, and support every single thing he does.”\u003c/p>\n\u003cp>She says some of her patients are particularly concerned about maintaining civil relationships with friends and loved ones who have different political opinions. “People are walking on eggshells,” DuCharme said.\u003c/p>\n\u003cp>Karri King, 56, who lives in Buckeye, Ariz., and voted for Trump, says her experiences on social media have left her feeling sad and hopeless. “There’s so much negative from all these stupid Facebook posts acting like the world is going to end. And it’s false. And I can’t do a thing about it.”\u003c/p>\n\u003cp>King said she’s tried to engage civilly with people online who disagree with her, but “every time [Republicans] turn around, we’re bashed.”\u003c/p>\n\u003cp>When you say “a bunch of idiots” voted Trump in, “you’re talking about half of all Americans! We were hopeful at first, and now we’re angry and tired of being blamed,” said King. “Nobody wants to listen anymore, and that’s where my sadness comes from.”\u003c/p>\n\u003cp>Of course, in some parts of the country, especially those that are overwhelmingly Republican and outside big cities, people seem relieved if not uplifted by the new president’s flurry of executive orders and appointments.\u003c/p>\n\u003cp>Kristin Addison-Brown, a psychologist in rural Jonesboro, Ark., says before the election, some of her patients were voicing concerns about a possible Clinton victory. But since then, “it’s pretty much been crickets for my patients. They got their guy, so they’re not stressed anymore.”\u003c/p>\n\u003cp>Nancy Cottle, a Trump supporter in Mesa, Ariz., has been riding high since the election. “We got to go to the inauguration, and, oh, it was a wonderful experience! We got to go to the Trump hotel and have breakfast and then lunch there, and it was just great. The inauguration itself was very inspiring.”\u003c/p>\n\u003cp>Cottle, 64, has been struggling to understand the public outcry about Trump. “It’s like the sky is falling ― but a lot of that is just drama,” she said. “I feel encouraged, I feel hopeful. I can’t wait to wake up and see what the day’s going to bring and what else is going to happen.”\u003c/p>\n\u003cp>That same daily dose of news ― and the uncertainty of what will happen next ― rattles many Trump opponents. But, like Pfingsten, they can’t seem to quit their news consumption cold turkey.\u003c/p>\n\u003cp>“Part of the brain wants to know what’s going on, and you’re drawn to watching CNN or reading the news. And then the other part of you is saying no, no, this isn’t good for me!” says Molitor, the Chicago psychologist. “It’s unfortunately like driving by a car accident ― they know it’s not good for them [to gawk], but it’s hard to stop.”\u003c/p>\n\u003cp>Molitor recommends patients stay engaged but limit the time they spend on Facebook or watching the news. Focus instead on other things you enjoy, she advises ― calling a friend, taking a walk or reading a book.\u003c/p>\n\u003cp>“I never read the Harry Potter books, so I’m reading Harry Potter,” says Matthew Leal, a 34-year-old San Francisco resident who found himself sinking into a depression after the election. “Someone could see this and say I’m being totally escapist right now, but I feel like it’s kind of what I need.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by KQED partner Kaiser Health News, an editorially independent program of the Kaiser Family Foundation.\u003cbr>\n\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>In her office in Zuckerberg San Francisco General Hospital, Dr. Alice Chen pulled down a blue box she keeps on top of a file cabinet. She set it on her lap and leafed through a stack of thank-you notes, until she found one from a former patient that she wanted to read aloud.\u003c/p>\n\u003cp>\"I feel enormously fortunate to have been granted such a willing and able team to support me during such a tough period,\" she read.\u003c/p>\n\u003cp>The grateful patient who wrote those words was uninsured, but was still able to get some treatment at Zuckerberg at the time. That's because Zuckerberg — and other taxpayer-funded hospitals across California —formed the medical safety net of last resort for 17 million uninsured Californians before 2014. That was the year the Affordable Care Act kicked into gear, which helped California lower that uninsured rate down to 7 percent.\u003c/p>\n\u003cp>Like many Californians in the health industry, Chen is struggling to understand the implications of the Republican health care bill, introduced last week in Congress and followed this week by sobering analyses of its effects: one from the national \u003ca href=\"https://www.cbo.gov/publication/52486\" target=\"_blank\">Congressional Budget Office\u003c/a> (CBO) and another from \u003ca href=\"http://hbex.coveredca.com/pdfs/Preliminary_Analysis_of_AHCA.pdf\" target=\"_blank\">Covered California\u003c/a>, the state's health care marketplace.\u003c/p>\n\u003cp>Covered California Executive Director Peter V. Lee expressed immediate concern.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"We are deeply troubled by the CBO's finding that the amount of support provided for consumers to buy health insurance in 2020, under proposed legislation would be only 60 percent of what is provided under current law,\" Lee said in a press release.\u003c/p>\n\u003cp>Before the Affordable Care Act, 40 percent of patients at Zuckerberg San Francisco General were uninsured. Now it's down to 3 percent, according to hospital CEO Susan Ehrlich.\u003c/p>\n\u003cp>Many of the people who now have coverage are similar to the young woman who wrote the letter to Chen: They got insurance through the Affordable Care Act's expansion of Medi-Cal to 3.7 million additional Californians. The Republican bill jeopardizes that funding.\u003c/p>\n\u003cp>\"There’s a whole invisible group of people out there who really want insurance, want to pay their dues, but can’t afford it unless we structure the system right,\" Chen said.\u003c/p>\n\u003cp>Federico Reyes is a good example. He's a regular patient at Chen's clinic at the hospital. Among other things, he goes there to manage health issues related to having a leg amputated years ago.\u003c/p>\n\u003cp>When he lost his leg, Reyes was uninsured. He had necrotizing fasciitis, a bacterial infection that spreads quickly and kills the body's soft tissue. He said he went to another hospital but didn't receive adequate treatment because he lacked insurance. He later ended up in the emergency room at Zuckerberg S.F. General, where they amputated the leg. To this day, Reyes believes that if he had been covered at the time, the outcome of his infection would have been different.\u003c/p>\n\u003cp>Reyes is concerned about the Republican health bill, called the American Health Care Act (AHCA). He fears it will leave members of his community without proper health insurance.\u003c/p>\n\u003cp>\"All the people that got health care —and I'm speaking mostly for us poor people — it's like taking the carpet right from under our feet,\" he said. \"You hand us a piece of meat, and then you take it away from us.\"\u003c/p>\n\u003cp>Beyond concerns for patients, hospital staff members are worried about funding. Provisions of the Affordable Care Act \u003ca href=\"http://caph.org/wp-content/uploads/2017/02/sfhn-aca-final-profile.pdf\" target=\"_blank\">added\u003c/a> $125 million in revenue to the annual budget of the hospital and an affiliated network of neighborhood clinics.\u003c/p>\n\u003cp>\"If Medi-Cal expansion is capped, then some of our patients will not be insured,\" said nurse Philippa Doyle. Medi-Cal expansion provided coverage for more Californians than those traditionally included in the Medi-Cal pool. \"Because we treat everybody, then our reimbursement will go down significantly, and we won’t be able to provide resources that we are currently.\"\u003c/p>\n\u003cp>For Doyle, \"resources\" are not an abstraction. That money pays for more nurses, medical assistants and clerks to help with work flow.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Under the AHCA, public hospitals like San Francisco General are expected to lose tens of millions of dollars in government support every year.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In her office in Zuckerberg San Francisco General Hospital, Dr. Alice Chen pulled down a blue box she keeps on top of a file cabinet. She set it on her lap and leafed through a stack of thank-you notes, until she found one from a former patient that she wanted to read aloud.\u003c/p>\n\u003cp>\"I feel enormously fortunate to have been granted such a willing and able team to support me during such a tough period,\" she read.\u003c/p>\n\u003cp>The grateful patient who wrote those words was uninsured, but was still able to get some treatment at Zuckerberg at the time. That's because Zuckerberg — and other taxpayer-funded hospitals across California —formed the medical safety net of last resort for 17 million uninsured Californians before 2014. That was the year the Affordable Care Act kicked into gear, which helped California lower that uninsured rate down to 7 percent.\u003c/p>\n\u003cp>Like many Californians in the health industry, Chen is struggling to understand the implications of the Republican health care bill, introduced last week in Congress and followed this week by sobering analyses of its effects: one from the national \u003ca href=\"https://www.cbo.gov/publication/52486\" target=\"_blank\">Congressional Budget Office\u003c/a> (CBO) and another from \u003ca href=\"http://hbex.coveredca.com/pdfs/Preliminary_Analysis_of_AHCA.pdf\" target=\"_blank\">Covered California\u003c/a>, the state's health care marketplace.\u003c/p>\n\u003cp>Covered California Executive Director Peter V. Lee expressed immediate concern.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We are deeply troubled by the CBO's finding that the amount of support provided for consumers to buy health insurance in 2020, under proposed legislation would be only 60 percent of what is provided under current law,\" Lee said in a press release.\u003c/p>\n\u003cp>Before the Affordable Care Act, 40 percent of patients at Zuckerberg San Francisco General were uninsured. Now it's down to 3 percent, according to hospital CEO Susan Ehrlich.\u003c/p>\n\u003cp>Many of the people who now have coverage are similar to the young woman who wrote the letter to Chen: They got insurance through the Affordable Care Act's expansion of Medi-Cal to 3.7 million additional Californians. The Republican bill jeopardizes that funding.\u003c/p>\n\u003cp>\"There’s a whole invisible group of people out there who really want insurance, want to pay their dues, but can’t afford it unless we structure the system right,\" Chen said.\u003c/p>\n\u003cp>Federico Reyes is a good example. He's a regular patient at Chen's clinic at the hospital. Among other things, he goes there to manage health issues related to having a leg amputated years ago.\u003c/p>\n\u003cp>When he lost his leg, Reyes was uninsured. He had necrotizing fasciitis, a bacterial infection that spreads quickly and kills the body's soft tissue. He said he went to another hospital but didn't receive adequate treatment because he lacked insurance. He later ended up in the emergency room at Zuckerberg S.F. General, where they amputated the leg. To this day, Reyes believes that if he had been covered at the time, the outcome of his infection would have been different.\u003c/p>\n\u003cp>Reyes is concerned about the Republican health bill, called the American Health Care Act (AHCA). He fears it will leave members of his community without proper health insurance.\u003c/p>\n\u003cp>\"All the people that got health care —and I'm speaking mostly for us poor people — it's like taking the carpet right from under our feet,\" he said. \"You hand us a piece of meat, and then you take it away from us.\"\u003c/p>\n\u003cp>Beyond concerns for patients, hospital staff members are worried about funding. Provisions of the Affordable Care Act \u003ca href=\"http://caph.org/wp-content/uploads/2017/02/sfhn-aca-final-profile.pdf\" target=\"_blank\">added\u003c/a> $125 million in revenue to the annual budget of the hospital and an affiliated network of neighborhood clinics.\u003c/p>\n\u003cp>\"If Medi-Cal expansion is capped, then some of our patients will not be insured,\" said nurse Philippa Doyle. Medi-Cal expansion provided coverage for more Californians than those traditionally included in the Medi-Cal pool. \"Because we treat everybody, then our reimbursement will go down significantly, and we won’t be able to provide resources that we are currently.\"\u003c/p>\n\u003cp>For Doyle, \"resources\" are not an abstraction. That money pays for more nurses, medical assistants and clerks to help with work flow.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Under the AHCA, public hospitals like San Francisco General are expected to lose tens of millions of dollars in government support every year.\u003c/p>\n\n\u003c/div>\u003c/p>",
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}
},
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"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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"officialWebsiteLink": "/californiareportmagazine",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
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"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"order": 1
},
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"officialWebsiteLink": "http://freakonomics.com/",
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"meta": {
"site": "radio",
"source": "WNYC"
},
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"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
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"id": "fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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},
"hidden-brain": {
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
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"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
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},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
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"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
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