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"disqusTitle": "Proposition 29: First Cigarette Tax Increase in 13 Years. Yes or No?",
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"content": "\u003cp>\u003cstrong>By Sarah Varney\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_5939\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Cigarette_Ferran-Jorda_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-5939\" title=\"(Ferran Jorda: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Cigarette_Ferran-Jorda_Flickr-300x225.jpg\" alt=\"(Ferran Jorda: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Ferran Jorda: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>California voters are schizophrenic when it comes to regulating smoking. Polls show broad support for bans on smoking on sidewalks and public parks. Some cities have even outlawed smoking in apartment buildings.\u003c/p>\n\u003cp>But in 2006, the state's voters rejected a ballot measure to hike cigarette taxes. While California was once the most aggressive state in taxing cigarettes, the tax rate here is lower than that of 32 other states. At 87 cents a pack, California's cigarette taxes are 60 cents lower than the national average.\u003c/p>\n\u003cp>Proposition 29 -- on the ballot June 5 -- would change that. It would raise the tax on cigarettes to almost $2 a pack.\u003c/p>\n\u003cp>\u003ca title=\"http://www.lung.org/associations/states/california/about-us/leadership-staff-team.html\" href=\"http://www.lung.org/associations/states/california/about-us/leadership-staff-team.html\" target=\"_blank\">Jane Warner\u003c/a>, president of the American Lung Association of California, hopes voters will be game to raise tobacco taxes when they decide the fate of Prop 29. \"We've made this initiative very simple,\" she says. \"It was written by the American Lung Association, the American Cancer Society and the American Heart Association. It is very simple, very clear -- to save lives.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The \u003ca title=\"http://www.cdc.gov/media/mmwrnews/2012/0329.html#1\" href=\"http://www.cdc.gov/media/mmwrnews/2012/0329.html#1\" target=\"_blank\">Centers for Disease Control has found\u003c/a> increasing the price of cigarettes reduces demand. Teenagers are especially sensitive to price, so if the tax is approved, fewer of them would pick up the habit. Right now about 12 percent of Californians smoke. That rate could drop significantly if Prop 29 is approved.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>There's also a financial bonus. The state’s \u003ca title=\"http://www.lao.ca.gov/ballot/2012/29_05_2012.pdf\" href=\"http://www.lao.ca.gov/ballot/2012/29_05_2012.pdf\" target=\"_blank\">Legislative Analyst Office\u003c/a> estimates the measure will provide more than $700 million dollars annually in revenue.\u003c/p>\n\u003cp>Some of the money will go to anti-smoking programs and enforcing tobacco laws. But the bulk of it will fund medical research on cancer and other tobacco-related illnesses. Warner says that’s only fair.\u003c/p>\n\u003cp>\"Those of us who don’t smoke in California, we’re paying the bill,\" Warner added. \"We’re paying billions of dollars in health care costs because of smoking and it is preventable.\"\u003c/p>\n\u003cp>If fewer people smoke, tobacco companies will lose money, and they’re spending mightily to stop Proposition 29. Phillip Morris, R.J. Reynolds, and others have, so far, poured $40 million into defeating the June ballot measure, more than five times their opponents.\u003c/p>\n\u003cp>Tobacco companies, though, are keeping a low profile. An R.J. Reynolds spokesman referred media calls to a coalition of \u003ca title=\"http://www.noon29.com/\" href=\"http://www.noon29.com/\" target=\"_blank\">anti-tax groups\u003c/a> which are the campaign’s public face. \u003ca title=\"http://cagop.org/boradofdirectorsinner.asp?z=5A5F\" href=\"http://cagop.org/boradofdirectorsinner.asp?z=5A5F\" target=\"_blank\">Tom Del Beccaro\u003c/a> chairman of the California Republican Party, says Californians can’t afford a higher tax burden than they already have. \"I’m fond of saying, If you can’t afford the mortgage, you shouldn’t be doing any additions to the house. This is an addition.\"\u003c/p>\n\u003cp>He says the funds dedicated to medical research would create a new state bureaucracy at a time when California can’t manage its current slate of programs.\u003c/p>\n\u003cp>\"Any new government program,\" Del Beccaro says, \"where you are taking money out of people’s pockets is only going to drag California down further. So quite apart from the specific issue, Californians can’t afford this.\"\u003c/p>\n\u003cp>\u003ca title=\"http://newamerica.net/user/94\" href=\"http://newamerica.net/user/94\" target=\"_blank\">Joe Mathews\u003c/a> is a fellow at the New America Foundation and an expert on California's initiative process. \"This is kind of the vanilla ice cream with chocolate on top that should pass by natural rights, but may not.\" The problem, he says, is the idea of having \"gold-plated\" programs while gutting core health programs is problematic for some voters.\u003c/p>\n\u003cp>\"I think that’s an argument that may have some traction politically,\" Matthews adds. \"It’s certainly an argument that has lot of merit policy wise.\"\u003c/p>\n\u003cp>Health groups say they’ve tried to raise the cigarette tax through the state legislature nearly three dozen times and have offered to put much of the money into the state’s general fund. Those efforts, the groups say, could never overcome Republican opposition to raising taxes, even one targeted at smokers.\u003c/p>\n\u003cp>The library at the University of California, San Francisco houses previously secret tobacco company documents made public as part of a historic industry settlement. There, professor of medicine and tobacco researcher \u003ca title=\"http://cancer.ucsf.edu/people/glantz_stanton.php\" href=\"http://cancer.ucsf.edu/people/glantz_stanton.php\" target=\"_blank\">Stan Glantz\u003c/a> points to a series of state-sponsored anti-smoking ads that parody the well-known Marlboro Cowboy.\u003c/p>\n\u003cp>\"One is a cowboy looking at his horse saying, 'Chemotherapy scares me Scout,'\" he described. \"Another one is two cowboys riding off into the sunset saying, 'I miss my lung Bob.'\"\u003c/p>\n\u003cp>During the 1990s, billboards like these blanketed the state. Now Glantz says, the cigarette tax has remained the same since 1999 but the cost of advertising has gone up. So ads like the cancer-stricken cowboys are rare.\u003c/p>\n\u003cp>\"When you're running a tobacco control program, especially a media campaign, if you have the world’s best ads and not enough money for people to see them, they don’t work.\"\u003c/p>\n\u003cp>With tens of millions of dollars going into the fight over the tobacco tax measure, it’s unlikely any California voter could avoid ads this election season.\u003c/p>\n\u003cp>\u003cstrong>Learn More \u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\u003c/strong>To see how California's cigarette rates compare to other states, visit KQED's \u003ca title=\"http://blogs.kqed.org/lowdown/2012/05/18/prop-29-should-smoking-in-california-be-more-expensive/\" href=\"http://blogs.kqed.org/lowdown/2012/05/18/prop-29-should-smoking-in-california-be-more-expensive/\" target=\"_blank\">The Lowdown.\u003c/a> The blog has non-partisan links to voter information, too.\u003c/p>\n\n",
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"excerpt": "California voters are schizophrenic when it comes to regulating smoking. Polls show broad support for bans on smoking on sidewalks and public parks. Some cities have even outlawed smoking in apartment buildings.\n\nBut in 2006, the state's voters rejected a ballot measure to hike cigarette taxes. While California was once the most aggressive state in taxing cigarettes, the tax rate here is lower than that of 32 other states. At 87 cents a pack, California's cigarette taxes are 60 cents lower than the national average.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The \u003ca title=\"http://www.cdc.gov/media/mmwrnews/2012/0329.html#1\" href=\"http://www.cdc.gov/media/mmwrnews/2012/0329.html#1\" target=\"_blank\">Centers for Disease Control has found\u003c/a> increasing the price of cigarettes reduces demand. Teenagers are especially sensitive to price, so if the tax is approved, fewer of them would pick up the habit. Right now about 12 percent of Californians smoke. That rate could drop significantly if Prop 29 is approved.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>There's also a financial bonus. The state’s \u003ca title=\"http://www.lao.ca.gov/ballot/2012/29_05_2012.pdf\" href=\"http://www.lao.ca.gov/ballot/2012/29_05_2012.pdf\" target=\"_blank\">Legislative Analyst Office\u003c/a> estimates the measure will provide more than $700 million dollars annually in revenue.\u003c/p>\n\u003cp>Some of the money will go to anti-smoking programs and enforcing tobacco laws. But the bulk of it will fund medical research on cancer and other tobacco-related illnesses. Warner says that’s only fair.\u003c/p>\n\u003cp>\"Those of us who don’t smoke in California, we’re paying the bill,\" Warner added. \"We’re paying billions of dollars in health care costs because of smoking and it is preventable.\"\u003c/p>\n\u003cp>If fewer people smoke, tobacco companies will lose money, and they’re spending mightily to stop Proposition 29. Phillip Morris, R.J. Reynolds, and others have, so far, poured $40 million into defeating the June ballot measure, more than five times their opponents.\u003c/p>\n\u003cp>Tobacco companies, though, are keeping a low profile. An R.J. Reynolds spokesman referred media calls to a coalition of \u003ca title=\"http://www.noon29.com/\" href=\"http://www.noon29.com/\" target=\"_blank\">anti-tax groups\u003c/a> which are the campaign’s public face. \u003ca title=\"http://cagop.org/boradofdirectorsinner.asp?z=5A5F\" href=\"http://cagop.org/boradofdirectorsinner.asp?z=5A5F\" target=\"_blank\">Tom Del Beccaro\u003c/a> chairman of the California Republican Party, says Californians can’t afford a higher tax burden than they already have. \"I’m fond of saying, If you can’t afford the mortgage, you shouldn’t be doing any additions to the house. This is an addition.\"\u003c/p>\n\u003cp>He says the funds dedicated to medical research would create a new state bureaucracy at a time when California can’t manage its current slate of programs.\u003c/p>\n\u003cp>\"Any new government program,\" Del Beccaro says, \"where you are taking money out of people’s pockets is only going to drag California down further. So quite apart from the specific issue, Californians can’t afford this.\"\u003c/p>\n\u003cp>\u003ca title=\"http://newamerica.net/user/94\" href=\"http://newamerica.net/user/94\" target=\"_blank\">Joe Mathews\u003c/a> is a fellow at the New America Foundation and an expert on California's initiative process. \"This is kind of the vanilla ice cream with chocolate on top that should pass by natural rights, but may not.\" The problem, he says, is the idea of having \"gold-plated\" programs while gutting core health programs is problematic for some voters.\u003c/p>\n\u003cp>\"I think that’s an argument that may have some traction politically,\" Matthews adds. \"It’s certainly an argument that has lot of merit policy wise.\"\u003c/p>\n\u003cp>Health groups say they’ve tried to raise the cigarette tax through the state legislature nearly three dozen times and have offered to put much of the money into the state’s general fund. Those efforts, the groups say, could never overcome Republican opposition to raising taxes, even one targeted at smokers.\u003c/p>\n\u003cp>The library at the University of California, San Francisco houses previously secret tobacco company documents made public as part of a historic industry settlement. There, professor of medicine and tobacco researcher \u003ca title=\"http://cancer.ucsf.edu/people/glantz_stanton.php\" href=\"http://cancer.ucsf.edu/people/glantz_stanton.php\" target=\"_blank\">Stan Glantz\u003c/a> points to a series of state-sponsored anti-smoking ads that parody the well-known Marlboro Cowboy.\u003c/p>\n\u003cp>\"One is a cowboy looking at his horse saying, 'Chemotherapy scares me Scout,'\" he described. \"Another one is two cowboys riding off into the sunset saying, 'I miss my lung Bob.'\"\u003c/p>\n\u003cp>During the 1990s, billboards like these blanketed the state. Now Glantz says, the cigarette tax has remained the same since 1999 but the cost of advertising has gone up. So ads like the cancer-stricken cowboys are rare.\u003c/p>\n\u003cp>\"When you're running a tobacco control program, especially a media campaign, if you have the world’s best ads and not enough money for people to see them, they don’t work.\"\u003c/p>\n\u003cp>With tens of millions of dollars going into the fight over the tobacco tax measure, it’s unlikely any California voter could avoid ads this election season.\u003c/p>\n\u003cp>\u003cstrong>Learn More \u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\u003c/strong>To see how California's cigarette rates compare to other states, visit KQED's \u003ca title=\"http://blogs.kqed.org/lowdown/2012/05/18/prop-29-should-smoking-in-california-be-more-expensive/\" href=\"http://blogs.kqed.org/lowdown/2012/05/18/prop-29-should-smoking-in-california-be-more-expensive/\" target=\"_blank\">The Lowdown.\u003c/a> The blog has non-partisan links to voter information, too.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Candy is Bad for Kids ... Because It Might Be Laced with Lead",
"title": "Candy is Bad for Kids ... Because It Might Be Laced with Lead",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_5876\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Screen-Shot-2012-05-17-at-2.30.27-PM.png\">\u003cimg class=\"size-medium wp-image-5876\" title='Yes, a candy named \"Toxic Waste\" was recalled. (Image: California Department of Public Health)' src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Screen-Shot-2012-05-17-at-2.30.27-PM-300x272.png\" alt=\"\" width=\"300\" height=\"272\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Yes, a candy named \"Toxic Waste\" was recalled. (Image: California Department of Public Health)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Lyssa Rome\u003c/strong>\u003c/p>\n\u003cp>Just like that, the number of children at risk for lead poisoning jumped five-fold yesterday as the Centers for Disease Control announced that it cut its threshold for lead poisoning diagnosis in half. The new diagnosis will occur at five micrograms per deciliter of blood. The former threshold was 10.\u003c/p>\n\u003cp>Health advocates have worked to alert the public to the risks of lead in paint, toys and even jewelry. But lead can also be found in – of all things tempting to children – \u003cem>candy\u003c/em>. Candy with high levels of lead may not taste unusual. In fact, some kinds of lead even taste sweet.\u003c/p>\n\u003cp>Lead is a major environmental health risk. It affects almost every system in the body, including the brain and other organs, but the symptoms aren’t always obvious. For children, exposure to even minute quantities of lead can cause long-term\u003cstrong> \u003c/strong>developmental problems, including lower IQ, and the damage may not be reversible.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“It is not entirely clear where the lead in many of the products is coming from.”\u003c/aside>\n\u003cp>\u003ca title=\"http://www.cdph.ca.gov/Pages/DEFAULT.aspx\" href=\"http://www.cdph.ca.gov/Pages/DEFAULT.aspx\" target=\"_blank\">California’s Department of Public Health \u003c/a>began testing candy for lead in 2007 and has done 5,700 tests since. Over the years, it has \u003ca title=\"http://www.cdph.ca.gov/data/Documents/fdbLiCLiC07.pdf\" href=\"http://www.cdph.ca.gov/data/Documents/fdbLiCLiC07.pdf\" target=\"_blank\">issued warnings\u003c/a> [PDF] not to eat 188 different sweets.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Most of those candies are imported, mainly from four countries: Mexico, Malaysia, China and India. That’s where the candies come from, but what about the lead itself?\u003c!--more-->\u003c/p>\n\u003cp>“It is not entirely clear where the lead in many of the products is coming from,” says Patrick Kennelly, the chief of the \u003ca title=\"http://www.cdph.ca.gov/programs/Pages/FDB%20Food%20Safety%20Program.aspx\" href=\"http://www.cdph.ca.gov/programs/Pages/FDB%20Food%20Safety%20Program.aspx\" target=\"_blank\">California Department of Public Health’s Food Safety Section\u003c/a>. “But products containing tamarind or mined sources of salt from certain regions of the world may have a higher likelihood of having elevated levels of lead.”\u003c/p>\n\u003cp>Candies with chili powder may also have high lead levels, according to the \u003ca title=\"http://www.fda.gov/food/foodsafety/foodcontaminantsadulteration/metals/lead/ucm172050.htm#lead\" href=\"http://www.fda.gov/food/foodsafety/foodcontaminantsadulteration/metals/lead/ucm172050.htm#lead\" target=\"_blank\">Food and Drug Administration\u003c/a>. One source of lead could be contaminated dirt in the fields where the peppers are grown. If the peppers are not thoroughly washed, the lead remains. Drying and processing the spice might also introduce high concentrations of lead. Other potential sources of lead in candy include the machinery used in the manufacturing process, candy packaging, and ink on wrappers.\u003c/p>\n\u003cp>In the first four months of 2012, the Department of Public Health has issued advisories about Vagabundo brand lollipops from Mexico and nine different types of sesame candies from India and Pakistan.\u003c/p>\n\u003cp>A little over a year ago, the department recalled the \u003ca title=\"http://www.cdph.ca.gov/Pages/NR11-009.aspx\" href=\"http://www.cdph.ca.gov/Pages/NR11-009.aspx\" target=\"_blank\">Toxic Sludge brand’s Nuclear Waste Chew Bars\u003c/a>. Some of the candies had more than twice the acceptable amount of lead in them.\u003c/p>\n\u003cp>Public health officials worry about even small amounts of lead because, according to Kennelly, “There is no known safe blood lead level.” High levels of lead in the blood are especially dangerous for infants, children under the age of six, and pregnant women and their fetuses.\u003c/p>\n\u003cp>According to the DPH, in 2010, the most recent year for which data is available, nearly 2,300 California children tested positive for lead levels high enough to cause harm. With the new lead standards announced yesterday nearly 25,000 kids in California may have lead poisoning.\u003c/p>\n\u003cp>In 2005, the Orange County Register uncovered the problem of lead in Mexican candies in its investigative series \u003ca title=\"http://www2.ocregister.com/investigations/2004/lead/\" href=\"http://www2.ocregister.com/investigations/2004/lead/\" target=\"_blank\">Toxic Treats\u003c/a>. The Register profiled Javier Bonilla of La Habra. He tested positive for lead poisoning and the source was tamarind candies that came in clay pots. His mother, Gloria Bonilla, told the Register, \"If I had known, I wouldn't have given them to him.\"\u003c/p>\n\u003cp>Maria Perez of Sacramento, whose son’s blood levels were three times the CDC’s threshold at the time, told the Register, “If the candy has lead, they should make sure it doesn't come here. ... What else has to be done?\"\u003c/p>\n\u003cp>After the series ran, the state legislature \u003ca title=\"http://www.cdph.ca.gov/services/Documents/fdb%20LiC%20AB121%20Ch%20707%202005.pdf\" href=\"http://www.cdph.ca.gov/services/Documents/fdb%20LiC%20AB121%20Ch%20707%202005.pdf\" target=\"_blank\">passed a law \u003c/a>directing the DPH to regularly test candy for lead.\u003c/p>\n\u003cp>As part of its \u003ca title=\"http://www.cdph.ca.gov/programs/Pages/FDB%20Lead%20In%20Candy%20Program.aspx\" href=\"http://www.cdph.ca.gov/programs/Pages/FDB%20Lead%20In%20Candy%20Program.aspx\" target=\"_blank\">Lead in Candy\u003c/a> program, the DPH collects a wide range of candies from store shelves and tests them for lead. To prevent candies with high lead levels from reaching consumers, the DPH works with manufacturers on voluntary recalls and distributes health alerts to the public and local health departments. Store owners who knowingly sell candy laced with lead face fines of up to $500 per violation.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>As the recent recalls have shown, “the problem still exists,” says Kennelly. “But the level of lead contamination CDPH finds in candies appears to have reduced slightly over the years.”\u003c/p>\n\n",
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"excerpt": "Just like that, the number of children at risk for lead poisoning jumped five-fold yesterday as the Centers for Disease Control announced that it cut its threshold for lead poisoning diagnosis in half. The new diagnosis will occur at five micrograms per deciliter of blood. The former threshold was 10.\r\n\r\nHealth advocates have worked to alert the public to the risks of lead in paint, toys and even jewelry. But lead can also be found in – of all things tempting to children – candy. Candy with high levels of lead may not taste unusual. In fact, some kinds of lead even taste sweet.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5876\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Screen-Shot-2012-05-17-at-2.30.27-PM.png\">\u003cimg class=\"size-medium wp-image-5876\" title='Yes, a candy named \"Toxic Waste\" was recalled. (Image: California Department of Public Health)' src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Screen-Shot-2012-05-17-at-2.30.27-PM-300x272.png\" alt=\"\" width=\"300\" height=\"272\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Yes, a candy named \"Toxic Waste\" was recalled. (Image: California Department of Public Health)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Lyssa Rome\u003c/strong>\u003c/p>\n\u003cp>Just like that, the number of children at risk for lead poisoning jumped five-fold yesterday as the Centers for Disease Control announced that it cut its threshold for lead poisoning diagnosis in half. The new diagnosis will occur at five micrograms per deciliter of blood. The former threshold was 10.\u003c/p>\n\u003cp>Health advocates have worked to alert the public to the risks of lead in paint, toys and even jewelry. But lead can also be found in – of all things tempting to children – \u003cem>candy\u003c/em>. Candy with high levels of lead may not taste unusual. In fact, some kinds of lead even taste sweet.\u003c/p>\n\u003cp>Lead is a major environmental health risk. It affects almost every system in the body, including the brain and other organs, but the symptoms aren’t always obvious. For children, exposure to even minute quantities of lead can cause long-term\u003cstrong> \u003c/strong>developmental problems, including lower IQ, and the damage may not be reversible.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“It is not entirely clear where the lead in many of the products is coming from.”\u003c/aside>\n\u003cp>\u003ca title=\"http://www.cdph.ca.gov/Pages/DEFAULT.aspx\" href=\"http://www.cdph.ca.gov/Pages/DEFAULT.aspx\" target=\"_blank\">California’s Department of Public Health \u003c/a>began testing candy for lead in 2007 and has done 5,700 tests since. Over the years, it has \u003ca title=\"http://www.cdph.ca.gov/data/Documents/fdbLiCLiC07.pdf\" href=\"http://www.cdph.ca.gov/data/Documents/fdbLiCLiC07.pdf\" target=\"_blank\">issued warnings\u003c/a> [PDF] not to eat 188 different sweets.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Most of those candies are imported, mainly from four countries: Mexico, Malaysia, China and India. That’s where the candies come from, but what about the lead itself?\u003c!--more-->\u003c/p>\n\u003cp>“It is not entirely clear where the lead in many of the products is coming from,” says Patrick Kennelly, the chief of the \u003ca title=\"http://www.cdph.ca.gov/programs/Pages/FDB%20Food%20Safety%20Program.aspx\" href=\"http://www.cdph.ca.gov/programs/Pages/FDB%20Food%20Safety%20Program.aspx\" target=\"_blank\">California Department of Public Health’s Food Safety Section\u003c/a>. “But products containing tamarind or mined sources of salt from certain regions of the world may have a higher likelihood of having elevated levels of lead.”\u003c/p>\n\u003cp>Candies with chili powder may also have high lead levels, according to the \u003ca title=\"http://www.fda.gov/food/foodsafety/foodcontaminantsadulteration/metals/lead/ucm172050.htm#lead\" href=\"http://www.fda.gov/food/foodsafety/foodcontaminantsadulteration/metals/lead/ucm172050.htm#lead\" target=\"_blank\">Food and Drug Administration\u003c/a>. One source of lead could be contaminated dirt in the fields where the peppers are grown. If the peppers are not thoroughly washed, the lead remains. Drying and processing the spice might also introduce high concentrations of lead. Other potential sources of lead in candy include the machinery used in the manufacturing process, candy packaging, and ink on wrappers.\u003c/p>\n\u003cp>In the first four months of 2012, the Department of Public Health has issued advisories about Vagabundo brand lollipops from Mexico and nine different types of sesame candies from India and Pakistan.\u003c/p>\n\u003cp>A little over a year ago, the department recalled the \u003ca title=\"http://www.cdph.ca.gov/Pages/NR11-009.aspx\" href=\"http://www.cdph.ca.gov/Pages/NR11-009.aspx\" target=\"_blank\">Toxic Sludge brand’s Nuclear Waste Chew Bars\u003c/a>. Some of the candies had more than twice the acceptable amount of lead in them.\u003c/p>\n\u003cp>Public health officials worry about even small amounts of lead because, according to Kennelly, “There is no known safe blood lead level.” High levels of lead in the blood are especially dangerous for infants, children under the age of six, and pregnant women and their fetuses.\u003c/p>\n\u003cp>According to the DPH, in 2010, the most recent year for which data is available, nearly 2,300 California children tested positive for lead levels high enough to cause harm. With the new lead standards announced yesterday nearly 25,000 kids in California may have lead poisoning.\u003c/p>\n\u003cp>In 2005, the Orange County Register uncovered the problem of lead in Mexican candies in its investigative series \u003ca title=\"http://www2.ocregister.com/investigations/2004/lead/\" href=\"http://www2.ocregister.com/investigations/2004/lead/\" target=\"_blank\">Toxic Treats\u003c/a>. The Register profiled Javier Bonilla of La Habra. He tested positive for lead poisoning and the source was tamarind candies that came in clay pots. His mother, Gloria Bonilla, told the Register, \"If I had known, I wouldn't have given them to him.\"\u003c/p>\n\u003cp>Maria Perez of Sacramento, whose son’s blood levels were three times the CDC’s threshold at the time, told the Register, “If the candy has lead, they should make sure it doesn't come here. ... What else has to be done?\"\u003c/p>\n\u003cp>After the series ran, the state legislature \u003ca title=\"http://www.cdph.ca.gov/services/Documents/fdb%20LiC%20AB121%20Ch%20707%202005.pdf\" href=\"http://www.cdph.ca.gov/services/Documents/fdb%20LiC%20AB121%20Ch%20707%202005.pdf\" target=\"_blank\">passed a law \u003c/a>directing the DPH to regularly test candy for lead.\u003c/p>\n\u003cp>As part of its \u003ca title=\"http://www.cdph.ca.gov/programs/Pages/FDB%20Lead%20In%20Candy%20Program.aspx\" href=\"http://www.cdph.ca.gov/programs/Pages/FDB%20Lead%20In%20Candy%20Program.aspx\" target=\"_blank\">Lead in Candy\u003c/a> program, the DPH collects a wide range of candies from store shelves and tests them for lead. To prevent candies with high lead levels from reaching consumers, the DPH works with manufacturers on voluntary recalls and distributes health alerts to the public and local health departments. Store owners who knowingly sell candy laced with lead face fines of up to $500 per violation.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>As the recent recalls have shown, “the problem still exists,” says Kennelly. “But the level of lead contamination CDPH finds in candies appears to have reduced slightly over the years.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Bridge to Health Reform \"Undoable\" in San Luis Obsipo",
"title": "Bridge to Health Reform \"Undoable\" in San Luis Obsipo",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>By \u003ca title=\"http://centerforhealthreporting.org/blogs/john-gonzales\" href=\"http://centerforhealthreporting.org/blogs/john-gonzales\" target=\"_blank\">John Gonzales\u003c/a>, \u003ca title=\"http://centerforhealthreporting.org/blog/bridge-health-reform-“undoable”-san-luis-obispo881\" href=\"http://centerforhealthreporting.org/blog/bridge-health-reform-%E2%80%9Cundoable%E2%80%9D-san-luis-obispo881\" target=\"_blank\">Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_5861\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SanLuisObispo_SteveWilson_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-5861\" title=\"San Luis Obispo County. (Steve Wilson: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SanLuisObispo_SteveWilson_Flickr-300x199.jpg\" alt=\"San Luis Obispo County. (Steve Wilson: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Luis Obispo County. (Steve Wilson: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>California's \u003ca title=\"http://www.kff.org/medicaid/8197.cfm\" href=\"http://www.kff.org/medicaid/8197.cfm\" target=\"_blank\">\"Bridge to Reform\u003c/a>\" program is intended to do exactly that: provide a bridge to the 2014 roll-out of the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act\u003c/a>. Right now, 47 of California's 58 counties have already provided health care to more than 335,000 people. San Luis Obispo is a case study in one county that is not participating.\u003c/p>\n\u003cp>We have reported on the Bridge to Reform, also known as the Low Income Health Program, since its early phases. I was the reporter on our \u003ca title=\"http://centerforhealthreporting.org/article/bridge-health-care-reform-strained-kern\" href=\"http://centerforhealthreporting.org/article/bridge-health-care-reform-strained-kern\" target=\"_blank\">first piece\u003c/a>, which looked at Kern County’s efforts to build the bridge.\u003ca title=\"http://centerforhealthreporting.org/project/health-reform-redwood-country\" href=\"http://centerforhealthreporting.org/project/health-reform-redwood-country\" target=\"_blank\"> A follow-up\u003c/a> examined the challenges of implementing the program in the far corners of Humboldt and Del Norte counties.\u003c/p>\n\u003cp>In San Luis Obispo, \u003ca title=\"http://www.slocounty.ca.gov/page8402.aspx\" href=\"http://www.slocounty.ca.gov/page8402.aspx\" target=\"_blank\">Health Agency Director Jeff Hamm\u003c/a> said he made the decision to withdraw from participation reluctantly. For years, the county has slashed its health budget and outsourced its medical safety net.\u003c/p>\n\u003cp>It reached the point, Hamm said, of not having the start-up funds, or medical infrastructure, needed to implement the Bridge to Reform.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We understood it would be good for a lot of people. We didn’t have the money,” said Hamm, whose county joins Fresno as a non-participant. “It was a big paradigm shift, a really big shift in terms of infrastructure, requirements for data collection, and processing. ... We’re talking a 150-page contract with the State of California. ... It became undoable for us.”\u003c!--more-->\u003c/p>\n\u003cp>It’s an interesting perspective, particularly as nine other counties and the Rural Indian Health Board work to meet requirements of that 150-page contract so they can participate. The program offers the much-ballyhooed “free money” from the federal government -- in this case a 50 percent match on money a county spends providing health care.\u003c/p>\n\u003cp>Anthony Wright, executive director of Health Access California, which advocates for expanded health coverage, found it hard to buy Hamm’s position. “There are obstacles, from resources, to politics, to bureaucratic inertia,” said Wright. “But this is just too good a deal to pass up.”\u003c/p>\n\u003cp>The idea is for counties to implement the Bridge to Reform ahead of a huge expansion in federally funded Medi-Cal coverage scheduled for 2014. The feds will pick up 90 percent of the cost as part of the Affordable Care Act. It could ultimately provide 1.9 million Californians health benefits they didn’t have before.\u003c/p>\n\u003cp>Wright admits that his perspective about the Bridget to Reform is shaped by his belief that the larger Medi-Cal expansion will indeed become reality in 2014. \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/03/28/court-considers-whether-entire-health-care-law-should-be-struck-down/\" href=\"http://ww2.kqed.org/stateofhealth/2012/03/28/court-considers-whether-entire-health-care-law-should-be-struck-down/\" target=\"_blank\">The Supreme Court, of course, could chart a new course\u003c/a>. Its ruling on health reform is expected in late June.\u003c/p>\n\u003cp>Court-watchers initially thought the Medicaid expansion would be upheld by the Supreme Court. \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/03/28/the-medicaid-expansion-in-california-analysis-reaction/\" href=\"http://ww2.kqed.org/stateofhealth/2012/03/28/the-medicaid-expansion-in-california-analysis-reaction/\" target=\"_blank\">But after oral arguments in March\u003c/a>, no one can read the judicial tea leaves. While we're waiting for the court's decision, it’s tough to decide if a county should, or should not, take the plunge and help build the Bridge to Reform.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But there is something very measureable in the 337,282 Californians already receiving coverage though the program.\u003c/p>\n\n",
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"description": "By John Gonzales, Center for Health Reporting California's "Bridge to Reform" program is intended to do exactly that: provide a bridge to the 2014 roll-out of the Affordable Care Act. Right now, 47 of California's 58 counties have already provided health care to more than 335,000 people. San Luis Obispo is a case study in",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By \u003ca title=\"http://centerforhealthreporting.org/blogs/john-gonzales\" href=\"http://centerforhealthreporting.org/blogs/john-gonzales\" target=\"_blank\">John Gonzales\u003c/a>, \u003ca title=\"http://centerforhealthreporting.org/blog/bridge-health-reform-“undoable”-san-luis-obispo881\" href=\"http://centerforhealthreporting.org/blog/bridge-health-reform-%E2%80%9Cundoable%E2%80%9D-san-luis-obispo881\" target=\"_blank\">Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_5861\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SanLuisObispo_SteveWilson_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-5861\" title=\"San Luis Obispo County. (Steve Wilson: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SanLuisObispo_SteveWilson_Flickr-300x199.jpg\" alt=\"San Luis Obispo County. (Steve Wilson: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Luis Obispo County. (Steve Wilson: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>California's \u003ca title=\"http://www.kff.org/medicaid/8197.cfm\" href=\"http://www.kff.org/medicaid/8197.cfm\" target=\"_blank\">\"Bridge to Reform\u003c/a>\" program is intended to do exactly that: provide a bridge to the 2014 roll-out of the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act\u003c/a>. Right now, 47 of California's 58 counties have already provided health care to more than 335,000 people. San Luis Obispo is a case study in one county that is not participating.\u003c/p>\n\u003cp>We have reported on the Bridge to Reform, also known as the Low Income Health Program, since its early phases. I was the reporter on our \u003ca title=\"http://centerforhealthreporting.org/article/bridge-health-care-reform-strained-kern\" href=\"http://centerforhealthreporting.org/article/bridge-health-care-reform-strained-kern\" target=\"_blank\">first piece\u003c/a>, which looked at Kern County’s efforts to build the bridge.\u003ca title=\"http://centerforhealthreporting.org/project/health-reform-redwood-country\" href=\"http://centerforhealthreporting.org/project/health-reform-redwood-country\" target=\"_blank\"> A follow-up\u003c/a> examined the challenges of implementing the program in the far corners of Humboldt and Del Norte counties.\u003c/p>\n\u003cp>In San Luis Obispo, \u003ca title=\"http://www.slocounty.ca.gov/page8402.aspx\" href=\"http://www.slocounty.ca.gov/page8402.aspx\" target=\"_blank\">Health Agency Director Jeff Hamm\u003c/a> said he made the decision to withdraw from participation reluctantly. For years, the county has slashed its health budget and outsourced its medical safety net.\u003c/p>\n\u003cp>It reached the point, Hamm said, of not having the start-up funds, or medical infrastructure, needed to implement the Bridge to Reform.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We understood it would be good for a lot of people. We didn’t have the money,” said Hamm, whose county joins Fresno as a non-participant. “It was a big paradigm shift, a really big shift in terms of infrastructure, requirements for data collection, and processing. ... We’re talking a 150-page contract with the State of California. ... It became undoable for us.”\u003c!--more-->\u003c/p>\n\u003cp>It’s an interesting perspective, particularly as nine other counties and the Rural Indian Health Board work to meet requirements of that 150-page contract so they can participate. The program offers the much-ballyhooed “free money” from the federal government -- in this case a 50 percent match on money a county spends providing health care.\u003c/p>\n\u003cp>Anthony Wright, executive director of Health Access California, which advocates for expanded health coverage, found it hard to buy Hamm’s position. “There are obstacles, from resources, to politics, to bureaucratic inertia,” said Wright. “But this is just too good a deal to pass up.”\u003c/p>\n\u003cp>The idea is for counties to implement the Bridge to Reform ahead of a huge expansion in federally funded Medi-Cal coverage scheduled for 2014. The feds will pick up 90 percent of the cost as part of the Affordable Care Act. It could ultimately provide 1.9 million Californians health benefits they didn’t have before.\u003c/p>\n\u003cp>Wright admits that his perspective about the Bridget to Reform is shaped by his belief that the larger Medi-Cal expansion will indeed become reality in 2014. \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/03/28/court-considers-whether-entire-health-care-law-should-be-struck-down/\" href=\"http://ww2.kqed.org/stateofhealth/2012/03/28/court-considers-whether-entire-health-care-law-should-be-struck-down/\" target=\"_blank\">The Supreme Court, of course, could chart a new course\u003c/a>. Its ruling on health reform is expected in late June.\u003c/p>\n\u003cp>Court-watchers initially thought the Medicaid expansion would be upheld by the Supreme Court. \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/03/28/the-medicaid-expansion-in-california-analysis-reaction/\" href=\"http://ww2.kqed.org/stateofhealth/2012/03/28/the-medicaid-expansion-in-california-analysis-reaction/\" target=\"_blank\">But after oral arguments in March\u003c/a>, no one can read the judicial tea leaves. While we're waiting for the court's decision, it’s tough to decide if a county should, or should not, take the plunge and help build the Bridge to Reform.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But there is something very measureable in the 337,282 Californians already receiving coverage though the program.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Richmond Voters Will Decide on \"Soda Tax\"",
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"content": "\u003cfigure id=\"attachment_5842\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SodaForSale_RexSorgatz_Flickr_05162012.jpg\">\u003cimg class=\"size-medium wp-image-5842\" title=\"(Rex Sorgatz: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SodaForSale_RexSorgatz_Flickr_05162012-300x225.jpg\" alt=\"(Rex Sorgatz: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Rex Sorgatz: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The people of Richmond will decide in November whether businesses should have to pay a fee for every ounce of sugar-sweetened drinks they sell. In other words, a soda tax is on the ballot November 6th. If voters approve the measure, Richmond would be the first city in California to impose such a fee.\u003c/p>\n\u003cp>\"The city of Richmond has the opportunity to make history,\" Harold Goldstein of the \u003ca title=\"http://www.publichealthadvocacy.org/\" href=\"http://www.publichealthadvocacy.org/\" target=\"_blank\">California Center for Public Health Advocacy\u003c/a> told me today, adding that the campaign will be closely watched nationally. \"Cities and states will be watching this across the country. ... They too want to put a small tax on sugary drinks and use those funds to mitigate the harmful effects that all these sugary drinks are causing.\"\u003c/p>\n\u003cp>Debate stretched more than four hours at last night's City Council meeting to determine whether to put two related measures on the ballot. In addition to the penny-per-ounce business license fee, a second measure asks voters if they wish the money to be directed to obesity prevention programs. The measure is an advisory one. If voters approve the new fee, the money it generates goes into the general fund. Richmond's finance director estimates the fee will generate from $4 million to $8 million for city coffers.\u003c!--more-->\u003c/p>\n\u003cp>People on both sides turned out in droves. Many people spoke of deep concern about children's health. About one-third of children in Richmond are obese, according to \u003ca title=\"http://cchealth.org/topics/nutrition/pdf/ssb_report_richmond.pdf\" href=\"http://cchealth.org/topics/nutrition/pdf/ssb_report_richmond.pdf\" target=\"_blank\">a report\u003c/a> by the Contra Costa Health Services (CCHS). Tracey Rattray, \u003ca title=\"http://cchealth.org/groups/prevention/\" href=\"http://cchealth.org/groups/prevention/\" target=\"_blank\">Director of Community Wellness for CCHS \u003c/a>attended last night's meeting. \"Sugar sweetened beverages are making us fat,\" she told me today in an interview, \"and we know that sugar-sweetened beverages are leading cause of empty calories in teenagers' diets.\"\u003c/p>\n\u003cp>Others worried that the fee could threaten Richmond businesses. Many speakers pointed out that people could easily shop in neighboring cities. Bob Achermann is executive director of the \u003ca title=\"http://www.ameribev.org/about-aba/other-associations/state-associations/index.aspx\" href=\"http://www.ameribev.org/about-aba/other-associations/state-associations/index.aspx\" target=\"_blank\">California/Nevada Soft Drink Association\u003c/a>. \"It's a substantial tax, and it will have a dramatic impact on businesses in the Richmond area,\" he told me in an interview. \"It will drive people to buy their beverages outside of Richmond and possibly loss of purchases in other areas. It's $3 per case and that's what people will be looking at price-wise.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But Harold Goldstein believes people will continue to buy locally, but will switch to diet beverages or juice instead of their sugary counterparts. \"People are still going to be thirsty,\" he says, \"They're still going to be buying those products in their neighborhoods. They're not going to drive 20 miles to buy some thing. It's all a charade the beverage industry is using to try to scare people.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>City Council member Jeff Ritterman is a co-sponsor of the bill and acknowledged the campaign will be tough one, noting that last night's debate highlighted a \"real strain\" small grocers are feeling. He promised a public education campaign about the harmful effects of sugary drinks. \"That's our strong suit, is our ability to do grassroots organizing. We're deeply rooted in this community,\" he says. \"Those who are funding the opposition are coming from the outside and that works against them, but they have a lot of resources. Money doesn't talk, it swears.\"\u003c/p>\n\n",
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"excerpt": "The people of Richmond will decide in November whether businesses should have to pay a fee for every ounce of sugar-sweetened drinks they sell. In other words, a soda tax is on the ballot November 6th. If voters approve the measure, Richmond would be the first city in California to impose such a fee.\r\n\r\n\"The city of Richmond has the opportunity to make history,\" Harold Goldstein of the California Center for Public Health Advocacy told me today, adding that the campaign will be closely watched nationally. \"Cities and states will be watching this across the country. ... They too want to put a small tax on sugary drinks and use those funds to mitigate the harmful effects that all these sugary drinks are causing.\"",
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"description": "The people of Richmond will decide in November whether businesses should have to pay a fee for every ounce of sugar-sweetened drinks they sell. In other words, a soda tax is on the ballot November 6th. If voters approve the measure, Richmond would be the first city in California to impose such a fee.\r\n\r\n"The city of Richmond has the opportunity to make history," Harold Goldstein of the California Center for Public Health Advocacy told me today, adding that the campaign will be closely watched nationally. "Cities and states will be watching this across the country. ... They too want to put a small tax on sugary drinks and use those funds to mitigate the harmful effects that all these sugary drinks are causing."",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5842\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SodaForSale_RexSorgatz_Flickr_05162012.jpg\">\u003cimg class=\"size-medium wp-image-5842\" title=\"(Rex Sorgatz: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SodaForSale_RexSorgatz_Flickr_05162012-300x225.jpg\" alt=\"(Rex Sorgatz: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Rex Sorgatz: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The people of Richmond will decide in November whether businesses should have to pay a fee for every ounce of sugar-sweetened drinks they sell. In other words, a soda tax is on the ballot November 6th. If voters approve the measure, Richmond would be the first city in California to impose such a fee.\u003c/p>\n\u003cp>\"The city of Richmond has the opportunity to make history,\" Harold Goldstein of the \u003ca title=\"http://www.publichealthadvocacy.org/\" href=\"http://www.publichealthadvocacy.org/\" target=\"_blank\">California Center for Public Health Advocacy\u003c/a> told me today, adding that the campaign will be closely watched nationally. \"Cities and states will be watching this across the country. ... They too want to put a small tax on sugary drinks and use those funds to mitigate the harmful effects that all these sugary drinks are causing.\"\u003c/p>\n\u003cp>Debate stretched more than four hours at last night's City Council meeting to determine whether to put two related measures on the ballot. In addition to the penny-per-ounce business license fee, a second measure asks voters if they wish the money to be directed to obesity prevention programs. The measure is an advisory one. If voters approve the new fee, the money it generates goes into the general fund. Richmond's finance director estimates the fee will generate from $4 million to $8 million for city coffers.\u003c!--more-->\u003c/p>\n\u003cp>People on both sides turned out in droves. Many people spoke of deep concern about children's health. About one-third of children in Richmond are obese, according to \u003ca title=\"http://cchealth.org/topics/nutrition/pdf/ssb_report_richmond.pdf\" href=\"http://cchealth.org/topics/nutrition/pdf/ssb_report_richmond.pdf\" target=\"_blank\">a report\u003c/a> by the Contra Costa Health Services (CCHS). Tracey Rattray, \u003ca title=\"http://cchealth.org/groups/prevention/\" href=\"http://cchealth.org/groups/prevention/\" target=\"_blank\">Director of Community Wellness for CCHS \u003c/a>attended last night's meeting. \"Sugar sweetened beverages are making us fat,\" she told me today in an interview, \"and we know that sugar-sweetened beverages are leading cause of empty calories in teenagers' diets.\"\u003c/p>\n\u003cp>Others worried that the fee could threaten Richmond businesses. Many speakers pointed out that people could easily shop in neighboring cities. Bob Achermann is executive director of the \u003ca title=\"http://www.ameribev.org/about-aba/other-associations/state-associations/index.aspx\" href=\"http://www.ameribev.org/about-aba/other-associations/state-associations/index.aspx\" target=\"_blank\">California/Nevada Soft Drink Association\u003c/a>. \"It's a substantial tax, and it will have a dramatic impact on businesses in the Richmond area,\" he told me in an interview. \"It will drive people to buy their beverages outside of Richmond and possibly loss of purchases in other areas. It's $3 per case and that's what people will be looking at price-wise.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But Harold Goldstein believes people will continue to buy locally, but will switch to diet beverages or juice instead of their sugary counterparts. \"People are still going to be thirsty,\" he says, \"They're still going to be buying those products in their neighborhoods. They're not going to drive 20 miles to buy some thing. It's all a charade the beverage industry is using to try to scare people.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>City Council member Jeff Ritterman is a co-sponsor of the bill and acknowledged the campaign will be tough one, noting that last night's debate highlighted a \"real strain\" small grocers are feeling. He promised a public education campaign about the harmful effects of sugary drinks. \"That's our strong suit, is our ability to do grassroots organizing. We're deeply rooted in this community,\" he says. \"Those who are funding the opposition are coming from the outside and that works against them, but they have a lot of resources. Money doesn't talk, it swears.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_5798\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/JerryBrownPensionOverhaul102811.jpg\">\u003cimg class=\"size-medium wp-image-5798\" title=\"(Max Whittaker: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/JerryBrownPensionOverhaul102811-300x200.jpg\" alt=\"(Max Whittaker: Getty Images)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Max Whittaker: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Governor Jerry Brown released his \u003ca title=\"http://www.kqed.org/news/story/2012/05/14/93966/gov_brown_revises_budget_proposal?category=politics\" href=\"http://www.kqed.org/news/story/2012/05/14/93966/gov_brown_revises_budget_proposal?category=politics\" target=\"_blank\">revised budget\u003c/a> this morning and the cuts to health and human services are significant. Since the economy soured in 2007, state cuts to health and services programs have exceeded $15 billion .\u003c/p>\n\u003cp>Today the governor announced:\u003c/p>\n\u003cul>\n\u003cli>An additional $400 million in cuts to Medi-Cal, mostly to hospitals and nursing homes\u003c/li>\n\u003cli>Reductions to the \"Healthy Families\" program which covers children, effecting their access to health care. Potential savings are $48 million\u003c/li>\n\u003cli>Reducing In-Home Support Services hours by seven percent for a savings of $99 million\u003c/li>\n\u003c/ul>\n\u003cdiv>Anthony Wright of \u003ca title=\"http://www.health-access.org/\" href=\"http://www.health-access.org/\" target=\"_blank\">Health Access\u003c/a>, a statewide advocacy group said these cuts would effect virtually all Californians. \"These ugly cuts are a body blow to the health system on which we all rely,\" Wright said in a statement. \"These are the wrong cuts at the wrong time, during an economic downturn when Californians need this help the most, and when we need to get ready for health reform to maximize the benefit for our families and our state.\"\n\u003cp>In a conference call with reporters today, Secretary of Health and Human Services \u003ca title=\"http://www.chhs.ca.gov/Documents/SecretaryDooleyBioPDF.pdf\" href=\"http://www.chhs.ca.gov/Documents/SecretaryDooleyBioPDF.pdf\" target=\"_blank\">Diana Dooley\u003c/a> said the cuts to her agency were inevitable. \"The problem we have and always have in health and human services is this is where most of the spending is. The spending is in education and health and human services to a very large degree, and the only place you can cut back are the places where you are spending.\"\u003c/p>\n\u003cp>The governor's revised budget depends on voters passing his tax increase proposals expected to land on the November ballot. A poll last month by the Public Policy Institute of California showed 54 percent support for the governor's plans -- but tax increases require a two-thirds majority to pass. If his tax proposals do not pass, more cuts will be necessary to balance the state's budget.\u003c/p>\n\u003c/div>\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "Governor Jerry Brown released his revised budget this morning and the cuts to health and human services are significant. Since the economy soured in 2007, state cuts to health and services programs have exceeded $15 billion .\r\n\r\nToday the governor announced:\r\n\r\nAn additional $400 million in cuts to Medi-Cal, mostly to hospitals and nursing homes\r\nReductions to the \"Healthy Families\" program which covers children, effecting their access to health care. Potential savings are $48 million",
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"disqusTitle": "FDA Panel Approves First Drug to Prevent HIV Infection",
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"content": "\u003cfigure id=\"attachment_5765\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages.jpg\">\u003cimg class=\"size-medium wp-image-5765\" title=\"The FDA panel approved Truvada, an antiretroviral drug for use by healthy people to prevent HIV infection. (Justin Sullivan: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages-300x206.jpg\" alt=\"The FDA panel approved Truvada, an antiretroviral drug for use by healthy people to prevent HIV infection. (Justin Sullivan: Getty Images)\" width=\"300\" height=\"206\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The FDA panel approved Truvada, an antiretroviral drug for use by healthy people to prevent HIV infection. (Justin Sullivan: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>From AP:\u003c/p>\n\u003cblockquote>\u003cp>A panel of federal health advisers has endorsed the first drug shown to prevent HIV infection in healthy people, clearing the way for a potentially landmark approval in the 30-year-old effort against the virus that causes AIDS.\u003c/p>\n\u003cp>In a series of votes, the Food and Drug Administration advisory panel recommended approval of the daily pill Truvada for healthy people who are at high risk of contracting HIV, including gay and bisexual men and heterosexual couples with one HIV-infected person. The FDA is not required to follow the panel's advice, though it usually does. A final decision is expected by June 15.\u003c/p>\n\u003cp>Drugmaker Gilead Sciences Inc., of Foster City, already markets Truvada as a treatment for people who are infected with HIV.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->Last July, KQED's News Fix editor Jon Brooks interviewed \u003ca title=\"http://hivinsite.ucsf.edu/InSite?page=ab-01-01-02\" href=\"http://hivinsite.ucsf.edu/InSite?page=ab-01-01-02\" target=\"_blank\">Dr. Paul Volberding\u003c/a>, co-director of the Center for AIDS Research at the University of California, San Francisco, about the research into Truvada up to that time. Volberding said results showed \"the kind of effect we might expect from a very good vaccine.\" They also discussed what populations might consider using Truvada as a prophylactic and whether giving healthy people a preventative drug might induce them to engage in riskier sexual activity.\u003c/p>\n\u003cp>\u003ca title=\"http://ww2.kqed.org/news/2011/07/15/interview-new-studies-show-anti-hiv-drug-prevents-transmission/\" href=\"http://ww2.kqed.org/news/2011/07/15/interview-new-studies-show-anti-hiv-drug-prevents-transmission/\" target=\"_blank\">You can read or listen to the interview here.\u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5765\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages.jpg\">\u003cimg class=\"size-medium wp-image-5765\" title=\"The FDA panel approved Truvada, an antiretroviral drug for use by healthy people to prevent HIV infection. (Justin Sullivan: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages-300x206.jpg\" alt=\"The FDA panel approved Truvada, an antiretroviral drug for use by healthy people to prevent HIV infection. (Justin Sullivan: Getty Images)\" width=\"300\" height=\"206\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The FDA panel approved Truvada, an antiretroviral drug for use by healthy people to prevent HIV infection. (Justin Sullivan: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>From AP:\u003c/p>\n\u003cblockquote>\u003cp>A panel of federal health advisers has endorsed the first drug shown to prevent HIV infection in healthy people, clearing the way for a potentially landmark approval in the 30-year-old effort against the virus that causes AIDS.\u003c/p>\n\u003cp>In a series of votes, the Food and Drug Administration advisory panel recommended approval of the daily pill Truvada for healthy people who are at high risk of contracting HIV, including gay and bisexual men and heterosexual couples with one HIV-infected person. The FDA is not required to follow the panel's advice, though it usually does. A final decision is expected by June 15.\u003c/p>\n\u003cp>Drugmaker Gilead Sciences Inc., of Foster City, already markets Truvada as a treatment for people who are infected with HIV.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->Last July, KQED's News Fix editor Jon Brooks interviewed \u003ca title=\"http://hivinsite.ucsf.edu/InSite?page=ab-01-01-02\" href=\"http://hivinsite.ucsf.edu/InSite?page=ab-01-01-02\" target=\"_blank\">Dr. Paul Volberding\u003c/a>, co-director of the Center for AIDS Research at the University of California, San Francisco, about the research into Truvada up to that time. Volberding said results showed \"the kind of effect we might expect from a very good vaccine.\" They also discussed what populations might consider using Truvada as a prophylactic and whether giving healthy people a preventative drug might induce them to engage in riskier sexual activity.\u003c/p>\n\u003cp>\u003ca title=\"http://ww2.kqed.org/news/2011/07/15/interview-new-studies-show-anti-hiv-drug-prevents-transmission/\" href=\"http://ww2.kqed.org/news/2011/07/15/interview-new-studies-show-anti-hiv-drug-prevents-transmission/\" target=\"_blank\">You can read or listen to the interview here.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Advocacy Group Says State (Mostly) Doing A Good Job ...",
"title": "Advocacy Group Says State (Mostly) Doing A Good Job ...",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_5696\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Phone_LisaAliferis-e1336600927960.jpg\">\u003cimg class=\"size-medium wp-image-5696\" title=\"State health agencies' call centers are doing a pretty good job, according to survey. \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Phone_LisaAliferis-e1336600927960-300x225.jpg\" alt=\"State health agencies' call centers are doing a pretty good job, according to survey.\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">State health agencies' call centers are doing a pretty good job, according to survey.\u003c/figcaption>\u003c/figure>\n\u003cp>That's a headline that gets your attention, right? It's somewhat unusual for an advocacy group to praise state agencies. But you see the ellipsis ... the complete story is more like this: The advocacy group \u003ca title=\"http://www.health-access.org/\" href=\"http://www.health-access.org/\" target=\"_blank\">Health Access\u003c/a> says four state health agencies are -- mostly -- doing a good job in customer service. It's still intriguing.\u003c/p>\n\u003cp>Health Access conducted a survey with an eye toward 2014 when the federal health care overhaul rolls out. Potentially millions of people will access health insurance for the first time and state health agencies are likely to be swamped with calls.\u003c/p>\n\u003cp>Health Access says they wanted to establish a baseline of where the state is now. It used a \"mystery calling\" approach. A dozen people posing as consumers made more than 200 calls to four state agencies and asked common consumer questions, such as: \"How do I sign up for Medi-Cal?\" or \"My doctor referred me to a specialist, but I have to wait a long time. Can you help me?\"\u003c!--more-->\u003c/p>\n\u003cp>The shoppers scored the calls according to how rapidly the calls were answered and how quickly they were transferred to a live person. And, as noted, \u003ca title=\"http://www.health-access.org/files/advocating/HAF.ConsumerAssistanceSurvey.pdf\" href=\"http://www.health-access.org/files/advocating/HAF.ConsumerAssistanceSurvey.pdf\" target=\"_blank\">the results\u003c/a> were pretty good.\u003c/p>\n\u003cp>\"When wondering how to sign up for coverage or frustrated when dealing with an insurer, Californians should know that they can and will get help they need form key state agencies,\" said Anthony Wright, Health Access California's Executive Director in a call with reporters. \"Surveyors mostly got the help they needed and in a timely and accurate manner.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Again, there's that \u003cem>\"\u003c/em>mostly.\" More on that in a moment.\u003c/p>\n\u003cp>Fifty calls were made to each of four agencies: the \u003ca title=\"http://www.dmhc.ca.gov/\" href=\"http://www.dmhc.ca.gov/\" target=\"_blank\">Department of Managed Health Care\u003c/a>; the\u003ca title=\"http://www.insurance.ca.gov/\" href=\"http://www.insurance.ca.gov/\" target=\"_blank\"> Department of Insurance\u003c/a>; the \u003ca title=\"http://www.dhcs.ca.gov/Pages/default.aspx\" href=\"http://www.dhcs.ca.gov/Pages/default.aspx\" target=\"_blank\">Department of Health Care Services \u003c/a>(which oversees Medi-Cal) and at the \u003ca title=\"http://www.mrmib.ca.gov/\" href=\"http://www.mrmib.ca.gov/\" target=\"_blank\">Managed Risk Medical Insurance Board\u003c/a> (which runs the Healthy Families program, among others).\u003c/p>\n\u003cp>Health Access says this survey was not a scientific sample, but gives a snapshot of successes and challenges. For starters, there are no established standards that these call centers must meet. So Health Access used Medicare and Social Security times for call response and transfer to a live person.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Highlights from the survey include:\u003c/p>\n\u003cul>\n\u003cli>The four agencies averaged 10 seconds to respond to a call\u003c/li>\n\u003cli>Average wait time to reach a live person was less than five minutes, although most agencies averaged 2:20 minutes\u003c/li>\n\u003cli>As for customer service (knowledge, promptness, accuracy) Health Access evaluators ranked the agencies an average of 3.7 on a scale of 1 to 5, with the best department scoring 4.3\u003c/li>\n\u003c/ul>\n\u003cdiv>\n\u003cp>The Department of Managed Health Care (DMHC) had a slightly longer response time -- 15 seconds versus the 10 desired -- but tied for first on overall customer service.\u003c/p>\n\u003cp>In a statement today, DMHC director Brent Barnhart said, \"The DMHC's top priority is to help Californians struggling with their health plan and is honored to be recognized for providing world class customer service. Health Access' report is timely given the fundamental reshaping of our health care delivery system currently underway and provides specific ways each agency can further improve its call centers operations.\"\u003c/p>\n\u003cp>The Department of Health Care Services (DHCS) which runs Medi-Cal had total wait times much longer than the other agencies reviewed. Forty-four percent of callers never reached a live person.\u003c/p>\n\u003cp>Len Finocchio, Associate Director of DHCS, didn't shy away from the challenges. \"We take this all very seriously,\" he said, \"as to where we can make improvements, taking in into context all the other work we’re doing in the implementation of the \u003ca title=\"http://www.healthcare.gov/law/full/\" href=\"http://www.healthcare.gov/law/full/\" target=\"_blank\">Affordable Care Act\u003c/a>.\"\u003c/p>\n\u003cp>To improve call center operations, Health Access recommends strategies that sound administrative but are nonetheless important: setting strong standards and tracking whether they are met -- something that doesn't exist now; regular evaluations; and dedication to \"world class\" customer service.\u003c/p>\n\u003cp>But then Health Access addresses some more basic challenges. First, even the designers of the survey -- sophisticated internet users who are also intimately familiar with the state health system had trouble just finding the right phone number to call. Health Access recommends prominent placement of the phone number on agency websites. \"The world's greatest call center will be of no use if you can't find the phone number,\" says Linda Leu, co-author of the study.\u003c/p>\n\u003cp>Health Access also recommends the agencies improve access for people with limited English skills. Communities of color will likely make up a significant percentage of those obtaining insurance via the federal overhaul. Agencies need a \"thoughtful and accessible\" approach to language access.\u003c/p>\n\u003cp>\"We think this is really important that in order for Californians to get the care and coverage they need, they need to know about their options, they need the help to get the health care they need,\" says Anthony Wright. \"We have a lot of good ingredients in our consumers assistance capacity right now. We think we need to bring it all together to be ready for the crush of calls leading up to 2014.\"\u003c/p>\n\u003cp>\u003cem>This post was updated to reflect that the Department of Health Care Services oversees Medi-Cal.\u003c/em>\u003c/p>\n\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5696\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Phone_LisaAliferis-e1336600927960.jpg\">\u003cimg class=\"size-medium wp-image-5696\" title=\"State health agencies' call centers are doing a pretty good job, according to survey. \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Phone_LisaAliferis-e1336600927960-300x225.jpg\" alt=\"State health agencies' call centers are doing a pretty good job, according to survey.\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">State health agencies' call centers are doing a pretty good job, according to survey.\u003c/figcaption>\u003c/figure>\n\u003cp>That's a headline that gets your attention, right? It's somewhat unusual for an advocacy group to praise state agencies. But you see the ellipsis ... the complete story is more like this: The advocacy group \u003ca title=\"http://www.health-access.org/\" href=\"http://www.health-access.org/\" target=\"_blank\">Health Access\u003c/a> says four state health agencies are -- mostly -- doing a good job in customer service. It's still intriguing.\u003c/p>\n\u003cp>Health Access conducted a survey with an eye toward 2014 when the federal health care overhaul rolls out. Potentially millions of people will access health insurance for the first time and state health agencies are likely to be swamped with calls.\u003c/p>\n\u003cp>Health Access says they wanted to establish a baseline of where the state is now. It used a \"mystery calling\" approach. A dozen people posing as consumers made more than 200 calls to four state agencies and asked common consumer questions, such as: \"How do I sign up for Medi-Cal?\" or \"My doctor referred me to a specialist, but I have to wait a long time. Can you help me?\"\u003c!--more-->\u003c/p>\n\u003cp>The shoppers scored the calls according to how rapidly the calls were answered and how quickly they were transferred to a live person. And, as noted, \u003ca title=\"http://www.health-access.org/files/advocating/HAF.ConsumerAssistanceSurvey.pdf\" href=\"http://www.health-access.org/files/advocating/HAF.ConsumerAssistanceSurvey.pdf\" target=\"_blank\">the results\u003c/a> were pretty good.\u003c/p>\n\u003cp>\"When wondering how to sign up for coverage or frustrated when dealing with an insurer, Californians should know that they can and will get help they need form key state agencies,\" said Anthony Wright, Health Access California's Executive Director in a call with reporters. \"Surveyors mostly got the help they needed and in a timely and accurate manner.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Again, there's that \u003cem>\"\u003c/em>mostly.\" More on that in a moment.\u003c/p>\n\u003cp>Fifty calls were made to each of four agencies: the \u003ca title=\"http://www.dmhc.ca.gov/\" href=\"http://www.dmhc.ca.gov/\" target=\"_blank\">Department of Managed Health Care\u003c/a>; the\u003ca title=\"http://www.insurance.ca.gov/\" href=\"http://www.insurance.ca.gov/\" target=\"_blank\"> Department of Insurance\u003c/a>; the \u003ca title=\"http://www.dhcs.ca.gov/Pages/default.aspx\" href=\"http://www.dhcs.ca.gov/Pages/default.aspx\" target=\"_blank\">Department of Health Care Services \u003c/a>(which oversees Medi-Cal) and at the \u003ca title=\"http://www.mrmib.ca.gov/\" href=\"http://www.mrmib.ca.gov/\" target=\"_blank\">Managed Risk Medical Insurance Board\u003c/a> (which runs the Healthy Families program, among others).\u003c/p>\n\u003cp>Health Access says this survey was not a scientific sample, but gives a snapshot of successes and challenges. For starters, there are no established standards that these call centers must meet. So Health Access used Medicare and Social Security times for call response and transfer to a live person.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Highlights from the survey include:\u003c/p>\n\u003cul>\n\u003cli>The four agencies averaged 10 seconds to respond to a call\u003c/li>\n\u003cli>Average wait time to reach a live person was less than five minutes, although most agencies averaged 2:20 minutes\u003c/li>\n\u003cli>As for customer service (knowledge, promptness, accuracy) Health Access evaluators ranked the agencies an average of 3.7 on a scale of 1 to 5, with the best department scoring 4.3\u003c/li>\n\u003c/ul>\n\u003cdiv>\n\u003cp>The Department of Managed Health Care (DMHC) had a slightly longer response time -- 15 seconds versus the 10 desired -- but tied for first on overall customer service.\u003c/p>\n\u003cp>In a statement today, DMHC director Brent Barnhart said, \"The DMHC's top priority is to help Californians struggling with their health plan and is honored to be recognized for providing world class customer service. Health Access' report is timely given the fundamental reshaping of our health care delivery system currently underway and provides specific ways each agency can further improve its call centers operations.\"\u003c/p>\n\u003cp>The Department of Health Care Services (DHCS) which runs Medi-Cal had total wait times much longer than the other agencies reviewed. Forty-four percent of callers never reached a live person.\u003c/p>\n\u003cp>Len Finocchio, Associate Director of DHCS, didn't shy away from the challenges. \"We take this all very seriously,\" he said, \"as to where we can make improvements, taking in into context all the other work we’re doing in the implementation of the \u003ca title=\"http://www.healthcare.gov/law/full/\" href=\"http://www.healthcare.gov/law/full/\" target=\"_blank\">Affordable Care Act\u003c/a>.\"\u003c/p>\n\u003cp>To improve call center operations, Health Access recommends strategies that sound administrative but are nonetheless important: setting strong standards and tracking whether they are met -- something that doesn't exist now; regular evaluations; and dedication to \"world class\" customer service.\u003c/p>\n\u003cp>But then Health Access addresses some more basic challenges. First, even the designers of the survey -- sophisticated internet users who are also intimately familiar with the state health system had trouble just finding the right phone number to call. Health Access recommends prominent placement of the phone number on agency websites. \"The world's greatest call center will be of no use if you can't find the phone number,\" says Linda Leu, co-author of the study.\u003c/p>\n\u003cp>Health Access also recommends the agencies improve access for people with limited English skills. Communities of color will likely make up a significant percentage of those obtaining insurance via the federal overhaul. Agencies need a \"thoughtful and accessible\" approach to language access.\u003c/p>\n\u003cp>\"We think this is really important that in order for Californians to get the care and coverage they need, they need to know about their options, they need the help to get the health care they need,\" says Anthony Wright. \"We have a lot of good ingredients in our consumers assistance capacity right now. We think we need to bring it all together to be ready for the crush of calls leading up to 2014.\"\u003c/p>\n\u003cp>\u003cem>This post was updated to reflect that the Department of Health Care Services oversees Medi-Cal.\u003c/em>\u003c/p>\n\u003c/div>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Federal Court Dismisses Veterans' Suit over Mental Health Care",
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"content": "\u003cfigure id=\"attachment_5674\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SoldiersonPatrolinIraq_USArmy_Flickr.jpg\">\u003cimg class=\"size-large wp-image-5674\" title=\"Soldiers on patrol in Iraq. (Photo: U.S. Army)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SoldiersonPatrolinIraq_USArmy_Flickr-620x434.jpg\" alt=\"Soldiers on patrol in Iraq. (Photo: U.S. Army)\" width=\"620\" height=\"434\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Soldiers on patrol in Iraq. (Photo: U.S. Army)\u003c/figcaption>\u003c/figure>\n\u003cp>In a \u003ca title=\"http://www.ca9.uscourts.gov/datastore/opinions/2012/05/07/08-16728.pdf\" href=\"http://www.ca9.uscourts.gov/datastore/opinions/2012/05/07/08-16728.pdf\" target=\"_blank\">final decision\u003c/a> five years in the making, a federal appeals court in San Francisco ruled Monday that the courts lack jurisdiction to order changes in the way the Veterans Administration handles mental health claims.\u003c/p>\n\u003cp>As the \u003ca title=\"http://www.sfgate.com/cgi-bin/article.cgi?f=/c/a/2012/05/08/MN7K1OEJ78.DTL\" href=\"http://www.sfgate.com/cgi-bin/article.cgi?f=/c/a/2012/05/08/MN7K1OEJ78.DTL\" target=\"_blank\">San Francisco Chronicle reports\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Two veterans groups said in a 2007 lawsuit that the VA had made mental health care virtually unavailable to thousands of discharged soldiers through perfunctory exams, long waits for referrals and treatment, and a prolonged medical benefits process in which vets can't hire lawyers.\u003c/p>\n\u003cp>At a trial in 2008, Department of Veterans Affairs documents showed that the system took an average of 4.4 years to review veterans' health care claims, that more than 1,400 veterans who had been denied coverage died in one six-month period while their appeals were pending, and that 18 veterans per day were committing suicide, much higher than the rate among the general population.\u003c!--more-->\u003c/p>\u003c/blockquote>\n\u003cp>The District Court which heard the case in 2008 ruled that the legal remedies to the veterans' complaints lay with Congress or the Department of Veterans Affairs -- and not the courts. Last year a three judge panel overturned the District Court ruling. The Obama Administration requested the full Ninth Circuit Court consider the question, and yesterday's decision confirmed the original District Court finding.\u003c/p>\n\u003cp>In a press release today, veterans groups expressed frustration with the decision:\u003c/p>\n\u003cblockquote>\u003cp>Sandy Cook, the Vice-Chair for \u003ca title=\"http://www.veteransunitedfortruth.org/\" href=\"http://www.veteransunitedfortruth.org/\" target=\"_blank\">Plaintiff Veterans United for Truth\u003c/a> (VUFT), remarked: \"The message that this decision sends to the VA is that it can continue its unconstitutional practices unchecked by the power of the Courts. It would not be an exaggeration to call it a carte blanche approval for the VA to continue to mishandle, mistreat, and stiff our veterans.\"\u003c/p>\n\u003cp>Bob Handy, the President of VUFT, added: \"I should never underestimate the ability of our Courts to weave some rationale that leaves veterans out in the cold or on the street, homeless and destitute, without any recourse. It is no wonder that the suicide rate is so high.\"\u003c/p>\n\u003cp>[\u003ca title=\"http://veteransforcommonsense.org/\" href=\"http://veteransforcommonsense.org/\" target=\"_blank\">Veterans for Common Sense\u003c/a>] Executive Director, Patrick Bellon, said “I was always taught our Constitution trumps statutes and that our Courts were our last bastions to preserve our liberties; today, that promise has proved hollow, and all I hear is the continuing echoes of men and woman in distress. We should all feel their pain. This day will be remembered as the day our country turned its back on our veterans. VCS vows to fight this heartbreaking decision all the way to the end, because 18 of our veterans commit suicide every day.”\u003c/p>\u003c/blockquote>\n\u003cp>In April the VA\u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/04/20/va-adds-mental-health-clinicians/\" href=\"http://ww2.kqed.org/stateofhealth/2012/04/20/va-adds-mental-health-clinicians/\" target=\"_blank\"> announced plans\u003c/a> to add 1,600 mental health clinicians to veterans hospitals across the country to help meet the growing need for mental health care, especially among veterans returning from service in Iraq and Afghanistan.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The week after the VA's announcement, its own Inspector General issued a \u003ca title=\"http://www.va.gov/oig/pubs/VAOIG-12-00900-168.pdf\" href=\"http://www.va.gov/oig/pubs/VAOIG-12-00900-168.pdf\" target=\"_blank\">lengthy report\u003c/a> finding that too many veterans were waiting too long for mental health care. Worse, the report found that the VA did not have a \"reliable and accurate method of determining whether they are providing patients timely access to mental health services.\" The Inspector General found just over half of new patients waited 50 days to be evaluated. VA rules require a full mental health evaluation for new patients in 14 days. About a third of patients then had longer than required waits to begin treatment.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Writing for the majority in yesterday's 10-1 decision, \u003ca title=\"http://law.unlv.edu/faculty/jay-bybee.html\" href=\"http://law.unlv.edu/faculty/jay-bybee.html\" target=\"_blank\">Judge Jay Bybee\u003c/a> acknowledged the merits of the veterans' case:\u003c/p>\n\u003cblockquote>\u003cp>VCS’s complaint sounds a plaintive cry for help, but it has been misdirected to us. As much as we may wish for expeditious improvement in the way the VA handles mental health care and service-related disability compensation, we cannot exceed our jurisdiction to accomplish it. ... Such responsibilities are left to Congress and the Executive.\u003c/p>\u003c/blockquote>\n\n",
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"excerpt": "In a final decision five years in the making, a federal appeals court in San Francisco ruled Monday that the courts lack jurisdiction to order changes in the way the Veterans Administration handles mental health claims.\r\n\r\nAs the San Francisco Chronicle reports:\r\n\r\nTwo veterans groups said in a 2007 lawsuit that the VA had made mental health care virtually unavailable to thousands of discharged soldiers through perfunctory exams, long waits for referrals and treatment, and a prolonged medical benefits process in which vets can't hire lawyers.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5674\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SoldiersonPatrolinIraq_USArmy_Flickr.jpg\">\u003cimg class=\"size-large wp-image-5674\" title=\"Soldiers on patrol in Iraq. (Photo: U.S. Army)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SoldiersonPatrolinIraq_USArmy_Flickr-620x434.jpg\" alt=\"Soldiers on patrol in Iraq. (Photo: U.S. Army)\" width=\"620\" height=\"434\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Soldiers on patrol in Iraq. (Photo: U.S. Army)\u003c/figcaption>\u003c/figure>\n\u003cp>In a \u003ca title=\"http://www.ca9.uscourts.gov/datastore/opinions/2012/05/07/08-16728.pdf\" href=\"http://www.ca9.uscourts.gov/datastore/opinions/2012/05/07/08-16728.pdf\" target=\"_blank\">final decision\u003c/a> five years in the making, a federal appeals court in San Francisco ruled Monday that the courts lack jurisdiction to order changes in the way the Veterans Administration handles mental health claims.\u003c/p>\n\u003cp>As the \u003ca title=\"http://www.sfgate.com/cgi-bin/article.cgi?f=/c/a/2012/05/08/MN7K1OEJ78.DTL\" href=\"http://www.sfgate.com/cgi-bin/article.cgi?f=/c/a/2012/05/08/MN7K1OEJ78.DTL\" target=\"_blank\">San Francisco Chronicle reports\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Two veterans groups said in a 2007 lawsuit that the VA had made mental health care virtually unavailable to thousands of discharged soldiers through perfunctory exams, long waits for referrals and treatment, and a prolonged medical benefits process in which vets can't hire lawyers.\u003c/p>\n\u003cp>At a trial in 2008, Department of Veterans Affairs documents showed that the system took an average of 4.4 years to review veterans' health care claims, that more than 1,400 veterans who had been denied coverage died in one six-month period while their appeals were pending, and that 18 veterans per day were committing suicide, much higher than the rate among the general population.\u003c!--more-->\u003c/p>\u003c/blockquote>\n\u003cp>The District Court which heard the case in 2008 ruled that the legal remedies to the veterans' complaints lay with Congress or the Department of Veterans Affairs -- and not the courts. Last year a three judge panel overturned the District Court ruling. The Obama Administration requested the full Ninth Circuit Court consider the question, and yesterday's decision confirmed the original District Court finding.\u003c/p>\n\u003cp>In a press release today, veterans groups expressed frustration with the decision:\u003c/p>\n\u003cblockquote>\u003cp>Sandy Cook, the Vice-Chair for \u003ca title=\"http://www.veteransunitedfortruth.org/\" href=\"http://www.veteransunitedfortruth.org/\" target=\"_blank\">Plaintiff Veterans United for Truth\u003c/a> (VUFT), remarked: \"The message that this decision sends to the VA is that it can continue its unconstitutional practices unchecked by the power of the Courts. It would not be an exaggeration to call it a carte blanche approval for the VA to continue to mishandle, mistreat, and stiff our veterans.\"\u003c/p>\n\u003cp>Bob Handy, the President of VUFT, added: \"I should never underestimate the ability of our Courts to weave some rationale that leaves veterans out in the cold or on the street, homeless and destitute, without any recourse. It is no wonder that the suicide rate is so high.\"\u003c/p>\n\u003cp>[\u003ca title=\"http://veteransforcommonsense.org/\" href=\"http://veteransforcommonsense.org/\" target=\"_blank\">Veterans for Common Sense\u003c/a>] Executive Director, Patrick Bellon, said “I was always taught our Constitution trumps statutes and that our Courts were our last bastions to preserve our liberties; today, that promise has proved hollow, and all I hear is the continuing echoes of men and woman in distress. We should all feel their pain. This day will be remembered as the day our country turned its back on our veterans. VCS vows to fight this heartbreaking decision all the way to the end, because 18 of our veterans commit suicide every day.”\u003c/p>\u003c/blockquote>\n\u003cp>In April the VA\u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/04/20/va-adds-mental-health-clinicians/\" href=\"http://ww2.kqed.org/stateofhealth/2012/04/20/va-adds-mental-health-clinicians/\" target=\"_blank\"> announced plans\u003c/a> to add 1,600 mental health clinicians to veterans hospitals across the country to help meet the growing need for mental health care, especially among veterans returning from service in Iraq and Afghanistan.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The week after the VA's announcement, its own Inspector General issued a \u003ca title=\"http://www.va.gov/oig/pubs/VAOIG-12-00900-168.pdf\" href=\"http://www.va.gov/oig/pubs/VAOIG-12-00900-168.pdf\" target=\"_blank\">lengthy report\u003c/a> finding that too many veterans were waiting too long for mental health care. Worse, the report found that the VA did not have a \"reliable and accurate method of determining whether they are providing patients timely access to mental health services.\" The Inspector General found just over half of new patients waited 50 days to be evaluated. VA rules require a full mental health evaluation for new patients in 14 days. About a third of patients then had longer than required waits to begin treatment.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Writing for the majority in yesterday's 10-1 decision, \u003ca title=\"http://law.unlv.edu/faculty/jay-bybee.html\" href=\"http://law.unlv.edu/faculty/jay-bybee.html\" target=\"_blank\">Judge Jay Bybee\u003c/a> acknowledged the merits of the veterans' case:\u003c/p>\n\u003cblockquote>\u003cp>VCS’s complaint sounds a plaintive cry for help, but it has been misdirected to us. As much as we may wish for expeditious improvement in the way the VA handles mental health care and service-related disability compensation, we cannot exceed our jurisdiction to accomplish it. ... Such responsibilities are left to Congress and the Executive.\u003c/p>\u003c/blockquote>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Lessons Learned from the War on Smoking, Applied to Obesity",
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"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_5650\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012.jpg\">\u003cimg class=\"size-medium wp-image-5650\" title=\"Could a public campaign against obesity help people in the same way anti-smoking campaigns have? (Dave Whelan: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012-300x214.jpg\" alt=\"Could a public campaign against obesity help people in the same way anti-smoking campaigns have? (Dave Whelan: Flickr)\" width=\"300\" height=\"214\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Could a public campaign against obesity help people in the same way anti-smoking campaigns have? (Dave Whelan: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Expect to hear a lot about obesity prevention in the coming days. A \u003ca title=\"http://theweightofthenation.hbo.com/themes/what-is-obesity\" href=\"http://theweightofthenation.hbo.com/themes/what-is-obesity\" target=\"_blank\">four-part HBO documentary\u003c/a> about the obesity crisis debuts next week. Today, the Centers for Disease Control opened \u003ca title=\"http://www.weightofthenation.org/\" href=\"http://www.weightofthenation.org/\" target=\"_blank\">a major conference\u003c/a> examining strategies to help Americans with this significant health challenge. At a \u003ca title=\"http://www.ajpmonline.org/webfiles/images/journals/amepre/AMEPRE_33853-stamped2.pdf\" href=\"http://www.ajpmonline.org/webfiles/images/journals/amepre/AMEPRE_33853-stamped2.pdf\" target=\"_blank\">report\u003c/a> released this morning, researchers said obesity prevalence will increase about 33 percent in the next 20 years -- climbing from one-third of Americans affected now to a 42 percent rate by 2030.\u003c/p>\n\u003cp>And believe it or not 42 percent is good news -- that's down from the 50 percent estimated in prior years.\u003c/p>\n\u003cp>Despite first lady Michelle Obama's \u003ca title=\"http://www.letsmove.gov/\" href=\"http://www.letsmove.gov/\" target=\"_blank\">Let's Move\u003c/a> campaign and its greater attention on childhood obesity, many public health leaders are frustrated with slow progress and say more must be done. They call for a different approach, using strategies similar to those used in the anti-tobacco movement. It was only after anti-tobacco advocates embraced community-based activism that smoking rates began to drop from a high of 42 percent in the mid-1960s to just over 19 percent today, they say.\u003c!--more-->\u003c/p>\n\u003cp>Instead of approaching obesity as a personal issue, it needs to be redefined as a community challenge that calls for collective action and wide-ranging policy changes such as more informative food labels, limits on marketing to children, and taxes on unhealthy products, some public health experts argue.\u003c/p>\n\u003cp>Kaiser Health News published \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/May/07/health-affairs-care-increasingly-out-of-reach-for-millions.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/May/07/health-affairs-care-increasingly-out-of-reach-for-millions.aspx\" target=\"_blank\">a lengthy piece\u003c/a> examining the strategies and hurdles in adopting such action. State of Health excerpts from the article's eight points:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Children are central\u003c/strong>. The vast majority of people who use tobacco take up the habit as teenagers, and one-third of kids who smoke daily will eventually die prematurely of tobacco-related illnesses, according to the Campaign for Tobacco Free Kids.\u003c/p>\n\u003cp>The health impact of obesity is similar: seriously overweight children are at greater risk of developing a multitude of health problems that can continue through adulthood, including diabetes, liver disease, heart disease, joint problems and asthma, and are more likely to become obese adults, a wide body of research has demonstrated.\u003c/p>\n\u003cp>Preventing harm to young people is a central goal of both anti-tobacco and anti-obesity campaigns.\u003c/p>\n\u003cp>\u003cstrong>Changing social norms is the goal\u003c/strong>. \u003ca href=\"http://whsc.emory.edu/home/about/leadership/bio-jeffrey-koplan.html\" target=\"_blank\">Dr. Jeffrey Koplan\u003c/a>, former head of the CDC and vice president for global health at Emory University in Atlanta, remembers smoking a pipe while writing up patient notes at a prestigious New York hospital in the 1970s. (He gave up the habit more than 30 years ago.)\u003c/p>\n\u003cp>Today, that would be inconceivable: Smoking rates have been cut by more than half, intolerance of smoking in public places is widespread and anti-smoking policies are in place at hospitals, workplaces, and venues across the country.\u003c/p>\n\u003cp>Koplan is convinced the same shift in social norms is called for -- and achievable -- when it comes to childhood obesity. \"Our (eating and physical activity) tastes, our preferences and our behaviors are learned and can be changed,\" he said. It isn’t going to be easy and it isn’t going to be fast, but \"we’re dealing with a population that would like to be thinner and that works in our favor,\" he said.\u003c/p>\n\u003cp>\u003cstrong>We can’t just say no to food\u003c/strong>. \"Tobacco we can get rid of entirely. ... But we have to eat to live and make terms with food as the enemy,\" said Dr. David Katz, director of \u003ca href=\"http://www.yalegriffinprc.org/\" target=\"_blank\">Yale University’s Prevention Research Center\u003c/a>.\u003c/p>\n\u003cp>That makes curbing childhood obesity a much more complicated issue than tobacco use, Katz and other experts agree. The message to kids and their families can’t be \"stop, don’t do this,\" which is clear and easy to understand. Instead it has to be \"make good choices, do this in moderation, set boundaries,\" a message that is considerably more difficult to convey.\u003c/p>\n\u003cp>\u003cstrong>There is no second-hand smoke equivalent\u003c/strong>. The American public was alarmed when it learned that the cigarette smoke non-smokers breathed in airplanes, bars and restaurants was dangerous.\u003c/p>\n\u003cp>\"The notion that my behavior as a smoker can have an effect on you and can make you sick was critically important in accelerating people’s intolerance of smoking and their willingness to see the government take action,\" said \u003ca href=\"http://publichealth.gsu.edu/722.html\" target=\"_blank\">Michael Eriksen\u003c/a>, director of the Institute of Public Health at Georgia State University.\u003c/p>\n\u003cp>There is no equivalent in the fight against obesity. \"Your being obese does not affect me in the same direct way,\" Eriksen said.\u003c/p>\n\u003cp>\u003cstrong>The role of industry is less clear\u003c/strong>. In the anti-tobacco fight, tobacco companies were painted as an enemy willing to lie and manipulate the American public for the sake of profits. In turn, the demonization of Big Tobacco -- made possible by bitterly fought lawsuits and the release of thousands of company documents -- cultivated a common sense of threat.\u003c/p>\n\u003cp>By contrast, public health advocates aren’t willing to turn food and beverage into enemies in the fight against obesity.\u003c/p>\n\u003cp>\"With obesity (as compared to tobacco), there’s a much more nuanced relationship with industry,\" said \u003ca href=\"http://www.rwjf.org/about/staffbio.jsp?id=980\" target=\"_blank\">Dr. James S. Marks\u003c/a>, director of the health group at the Robert Wood Johnson Foundation. Food and beverage manufacturers, restaurants, and grocery stores all have a vital role to play in making healthier food more widely available, he noted.\u003c/p>\n\u003cp>\"We can’t regulate our way out of this,\" said \u003ca href=\"http://healthyamericans.org/pages/?id=67\" target=\"_blank\">Jeff Levi\u003c/a>, executive director of the Trust for America’s Health. \"We need to work with industry cooperatively to help change consumers’ tastes and habits.\"\u003c/p>\n\u003cp>Others are much less certain that the food and beverage industry can be trusted to be helpful partners.\u003c/p>\n\u003cp>\"Some companies are making huge profits off obesity,\" said \u003ca href=\"http://www.urban.org/bio/StanDorn.html\" target=\"_blank\">Stan Dorn\u003c/a>, a senior fellow at the Urban Institute, a public policy research center in Washington, D.C., \"and I worry that people who are focused on anti-obesity strategies aren’t being tough enough on them.\"\u003c/p>\n\u003cp>\u003cstrong>Learn More from KQED's Quest:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cembed src=\"//ww2.kqed.org/quest/wp-content/uploads/sites/35/jw-player-plugin-for-wordpress/player/player.swf\" height=\"360\" width=\"640\" allowscriptaccess=\"always\" allowfullscreen=\"true\" flashvars=\"&bandwidth=2841&controlbar=over&dock=false&file=602a_kidsheart.flv&image=http%3A%2F%2Fscience.kqed.org%2Fquest%2Ffiles%2F2012%2F04%2F602A_Mariah_Mitchell_smells_mint_12-7-11_GQ_resized.jpg&gapro.accountid=UA-1538528-1&gapro.height=360&gapro.pluginmode=FLASH&gapro.trackpercentage=true&gapro.trackstarts=true&gapro.tracktime=true&gapro.visible=true&gapro.width=640&gapro.x=0&gapro.y=0&plugins=gapro-1&skin=http%3A%2F%2Fscience.kqed.org%2Fquest%2Fwp-content%2Fplugins%2Fjw-player-plugin-for-wordpress%2Fskins%2Fglow.zip&streamer=rtmp%3A%2F%2Fkqed-flash02.streamguys.us%2Fquest%2F&viral.allowmenu=true&viral.bgcolor=0x333333&viral.fgcolor=0xffffff&viral.functions=embed&viral.matchplayercolors=true&viral.oncomplete=false&viral.pluginmode=FLASH\">\u003c/embed>\u003c/p>\n\n",
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"excerpt": "Expect to hear a lot about obesity prevention in the coming days. A four-part HBO documentary about the obesity crisis debuts next week. Today, the Centers for Disease Control opened a major conference examining strategies to help Americans with this significant health challenge. At a report released this morning, researchers said obesity prevalence will increase about 33 percent in the next 20 years -- climbing from one-third of Americans affected now to a 42 percent rate by 2030.\r\n\r\nAnd believe it or not 42 percent is good news -- that's down from the 50 percent estimated in prior years.",
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"description": "Expect to hear a lot about obesity prevention in the coming days. A four-part HBO documentary about the obesity crisis debuts next week. Today, the Centers for Disease Control opened a major conference examining strategies to help Americans with this significant health challenge. At a report released this morning, researchers said obesity prevalence will increase about 33 percent in the next 20 years -- climbing from one-third of Americans affected now to a 42 percent rate by 2030.\r\n\r\nAnd believe it or not 42 percent is good news -- that's down from the 50 percent estimated in prior years.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5650\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012.jpg\">\u003cimg class=\"size-medium wp-image-5650\" title=\"Could a public campaign against obesity help people in the same way anti-smoking campaigns have? (Dave Whelan: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012-300x214.jpg\" alt=\"Could a public campaign against obesity help people in the same way anti-smoking campaigns have? (Dave Whelan: Flickr)\" width=\"300\" height=\"214\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Could a public campaign against obesity help people in the same way anti-smoking campaigns have? (Dave Whelan: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Expect to hear a lot about obesity prevention in the coming days. A \u003ca title=\"http://theweightofthenation.hbo.com/themes/what-is-obesity\" href=\"http://theweightofthenation.hbo.com/themes/what-is-obesity\" target=\"_blank\">four-part HBO documentary\u003c/a> about the obesity crisis debuts next week. Today, the Centers for Disease Control opened \u003ca title=\"http://www.weightofthenation.org/\" href=\"http://www.weightofthenation.org/\" target=\"_blank\">a major conference\u003c/a> examining strategies to help Americans with this significant health challenge. At a \u003ca title=\"http://www.ajpmonline.org/webfiles/images/journals/amepre/AMEPRE_33853-stamped2.pdf\" href=\"http://www.ajpmonline.org/webfiles/images/journals/amepre/AMEPRE_33853-stamped2.pdf\" target=\"_blank\">report\u003c/a> released this morning, researchers said obesity prevalence will increase about 33 percent in the next 20 years -- climbing from one-third of Americans affected now to a 42 percent rate by 2030.\u003c/p>\n\u003cp>And believe it or not 42 percent is good news -- that's down from the 50 percent estimated in prior years.\u003c/p>\n\u003cp>Despite first lady Michelle Obama's \u003ca title=\"http://www.letsmove.gov/\" href=\"http://www.letsmove.gov/\" target=\"_blank\">Let's Move\u003c/a> campaign and its greater attention on childhood obesity, many public health leaders are frustrated with slow progress and say more must be done. They call for a different approach, using strategies similar to those used in the anti-tobacco movement. It was only after anti-tobacco advocates embraced community-based activism that smoking rates began to drop from a high of 42 percent in the mid-1960s to just over 19 percent today, they say.\u003c!--more-->\u003c/p>\n\u003cp>Instead of approaching obesity as a personal issue, it needs to be redefined as a community challenge that calls for collective action and wide-ranging policy changes such as more informative food labels, limits on marketing to children, and taxes on unhealthy products, some public health experts argue.\u003c/p>\n\u003cp>Kaiser Health News published \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/May/07/health-affairs-care-increasingly-out-of-reach-for-millions.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/May/07/health-affairs-care-increasingly-out-of-reach-for-millions.aspx\" target=\"_blank\">a lengthy piece\u003c/a> examining the strategies and hurdles in adopting such action. State of Health excerpts from the article's eight points:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Children are central\u003c/strong>. The vast majority of people who use tobacco take up the habit as teenagers, and one-third of kids who smoke daily will eventually die prematurely of tobacco-related illnesses, according to the Campaign for Tobacco Free Kids.\u003c/p>\n\u003cp>The health impact of obesity is similar: seriously overweight children are at greater risk of developing a multitude of health problems that can continue through adulthood, including diabetes, liver disease, heart disease, joint problems and asthma, and are more likely to become obese adults, a wide body of research has demonstrated.\u003c/p>\n\u003cp>Preventing harm to young people is a central goal of both anti-tobacco and anti-obesity campaigns.\u003c/p>\n\u003cp>\u003cstrong>Changing social norms is the goal\u003c/strong>. \u003ca href=\"http://whsc.emory.edu/home/about/leadership/bio-jeffrey-koplan.html\" target=\"_blank\">Dr. Jeffrey Koplan\u003c/a>, former head of the CDC and vice president for global health at Emory University in Atlanta, remembers smoking a pipe while writing up patient notes at a prestigious New York hospital in the 1970s. (He gave up the habit more than 30 years ago.)\u003c/p>\n\u003cp>Today, that would be inconceivable: Smoking rates have been cut by more than half, intolerance of smoking in public places is widespread and anti-smoking policies are in place at hospitals, workplaces, and venues across the country.\u003c/p>\n\u003cp>Koplan is convinced the same shift in social norms is called for -- and achievable -- when it comes to childhood obesity. \"Our (eating and physical activity) tastes, our preferences and our behaviors are learned and can be changed,\" he said. It isn’t going to be easy and it isn’t going to be fast, but \"we’re dealing with a population that would like to be thinner and that works in our favor,\" he said.\u003c/p>\n\u003cp>\u003cstrong>We can’t just say no to food\u003c/strong>. \"Tobacco we can get rid of entirely. ... But we have to eat to live and make terms with food as the enemy,\" said Dr. David Katz, director of \u003ca href=\"http://www.yalegriffinprc.org/\" target=\"_blank\">Yale University’s Prevention Research Center\u003c/a>.\u003c/p>\n\u003cp>That makes curbing childhood obesity a much more complicated issue than tobacco use, Katz and other experts agree. The message to kids and their families can’t be \"stop, don’t do this,\" which is clear and easy to understand. Instead it has to be \"make good choices, do this in moderation, set boundaries,\" a message that is considerably more difficult to convey.\u003c/p>\n\u003cp>\u003cstrong>There is no second-hand smoke equivalent\u003c/strong>. The American public was alarmed when it learned that the cigarette smoke non-smokers breathed in airplanes, bars and restaurants was dangerous.\u003c/p>\n\u003cp>\"The notion that my behavior as a smoker can have an effect on you and can make you sick was critically important in accelerating people’s intolerance of smoking and their willingness to see the government take action,\" said \u003ca href=\"http://publichealth.gsu.edu/722.html\" target=\"_blank\">Michael Eriksen\u003c/a>, director of the Institute of Public Health at Georgia State University.\u003c/p>\n\u003cp>There is no equivalent in the fight against obesity. \"Your being obese does not affect me in the same direct way,\" Eriksen said.\u003c/p>\n\u003cp>\u003cstrong>The role of industry is less clear\u003c/strong>. In the anti-tobacco fight, tobacco companies were painted as an enemy willing to lie and manipulate the American public for the sake of profits. In turn, the demonization of Big Tobacco -- made possible by bitterly fought lawsuits and the release of thousands of company documents -- cultivated a common sense of threat.\u003c/p>\n\u003cp>By contrast, public health advocates aren’t willing to turn food and beverage into enemies in the fight against obesity.\u003c/p>\n\u003cp>\"With obesity (as compared to tobacco), there’s a much more nuanced relationship with industry,\" said \u003ca href=\"http://www.rwjf.org/about/staffbio.jsp?id=980\" target=\"_blank\">Dr. James S. Marks\u003c/a>, director of the health group at the Robert Wood Johnson Foundation. Food and beverage manufacturers, restaurants, and grocery stores all have a vital role to play in making healthier food more widely available, he noted.\u003c/p>\n\u003cp>\"We can’t regulate our way out of this,\" said \u003ca href=\"http://healthyamericans.org/pages/?id=67\" target=\"_blank\">Jeff Levi\u003c/a>, executive director of the Trust for America’s Health. \"We need to work with industry cooperatively to help change consumers’ tastes and habits.\"\u003c/p>\n\u003cp>Others are much less certain that the food and beverage industry can be trusted to be helpful partners.\u003c/p>\n\u003cp>\"Some companies are making huge profits off obesity,\" said \u003ca href=\"http://www.urban.org/bio/StanDorn.html\" target=\"_blank\">Stan Dorn\u003c/a>, a senior fellow at the Urban Institute, a public policy research center in Washington, D.C., \"and I worry that people who are focused on anti-obesity strategies aren’t being tough enough on them.\"\u003c/p>\n\u003cp>\u003cstrong>Learn More from KQED's Quest:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cembed src=\"//ww2.kqed.org/quest/wp-content/uploads/sites/35/jw-player-plugin-for-wordpress/player/player.swf\" height=\"360\" width=\"640\" allowscriptaccess=\"always\" allowfullscreen=\"true\" flashvars=\"&bandwidth=2841&controlbar=over&dock=false&file=602a_kidsheart.flv&image=http%3A%2F%2Fscience.kqed.org%2Fquest%2Ffiles%2F2012%2F04%2F602A_Mariah_Mitchell_smells_mint_12-7-11_GQ_resized.jpg&gapro.accountid=UA-1538528-1&gapro.height=360&gapro.pluginmode=FLASH&gapro.trackpercentage=true&gapro.trackstarts=true&gapro.tracktime=true&gapro.visible=true&gapro.width=640&gapro.x=0&gapro.y=0&plugins=gapro-1&skin=http%3A%2F%2Fscience.kqed.org%2Fquest%2Fwp-content%2Fplugins%2Fjw-player-plugin-for-wordpress%2Fskins%2Fglow.zip&streamer=rtmp%3A%2F%2Fkqed-flash02.streamguys.us%2Fquest%2F&viral.allowmenu=true&viral.bgcolor=0x333333&viral.fgcolor=0xffffff&viral.functions=embed&viral.matchplayercolors=true&viral.oncomplete=false&viral.pluginmode=FLASH\">\u003c/embed>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "High-Deductible Health Plans: Health Access or High Risk?",
"title": "High-Deductible Health Plans: Health Access or High Risk?",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_5624\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/PIggyBankStethoscope_05042012.jpg\">\u003cimg class=\"size-medium wp-image-5624 \" title=\"Check the health of your savings account when you sign up for a high-deductible health plan. (401k_Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/PIggyBankStethoscope_05042012-300x295.jpg\" alt=\"Check the health of your savings account when you sign up for a high-deductible health plan. (401k_Flickr)\" width=\"300\" height=\"295\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Check the health of your savings account when you sign up for a high-deductible health plan. (401k: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Health care costs are skyrocketing and premiums along with them forcing some employers -- especially small businesses -- to drop coverage altogether. But others are moving to \"high-deductible health plans.\" Five times as many businesses offer high deductible health plans as in 2005, according to the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>But how do these plans play out for employers -- and workers themselves?\u003c/p>\n\u003cp>Kelley Weiss of the \u003ca title=\"http://centerforhealthreporting.org/article/more-small-businesses-try-high-deductible-health-plans874\" href=\"http://centerforhealthreporting.org/article/more-small-businesses-try-high-deductible-health-plans874\" target=\"_blank\">Center for Health Reporting\u003c/a> found unpleasant surprises for both owners and employees. Six years ago, Casey Coonerty-Protti took over her family's business --\u003ca title=\"http://www.bookshopsantacruz.com/\" href=\"http://www.bookshopsantacruz.com/\" target=\"_blank\"> Bookshop Santa Cruz\u003c/a> -- a 46 year institution in the heart of downtown. Between the lagging economy and pressure from online books, maintaining a bookstore is not easy. Protti has struggled to continue to offer health insurance. When she started, her company offered a $2,000 deductible, but she's had to steadily increase the amount of the deductible to $5,000.\u003c/p>\n\u003cp>From Weiss' report:\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>“So we’re putting in high-deductible plans and we’re saving absolutely nothing from it,” Protti says. “We’re actually increasing our costs to provide a lesser service.”\u003c/p>\n\u003cp>Another small business owner has a different perspective on high-deductible health plans. Anne Lesemann is the co-owner of \u003ca href=\"http://www.campbowwow.com/hb/us/ca/rosevillehb/\" target=\"_blank\">Home Buddies\u003c/a>, a pet care service in the Sacramento area.\u003c/p>\n\u003cp>She says her company will spend less than $4,000 this year to cover insurance for herself, the other owner and one employee. For her business, she says, that’s not too bad. But when she thinks of it like a patient, she admits the $5,000 deductible doesn’t look so good.\u003c/p>\n\u003cp>“The high deductible plans were marketed as something that would make me a savvy consumer about health care. But that hasn’t occurred,” Lesemann says.\u003c/p>\n\u003cp>Even though she knows better, Lesemann has been delaying going to the doctor because she doesn’t trust what’s covered and what’s not. Lesemann learned this over the years by having a variety of high-deductible health plans. One time she says she got a bill for a $1,000 after having a colonoscopy screening that she thought was a free preventative service.\u003c/p>\n\u003cp>Confusion over coverage and delaying care is pretty standard with high-deductible health plans, says \u003ca href=\"http://www.healthpolicy.ucla.edu/Bio.aspx?staffID=152\" target=\"_blank\">Dylan Roby of the UCLA Center for Health Policy Research\u003c/a>. From a cost perspective, when people don’t go to the doctor he says no one has to pay for it. For cash-strapped companies in California saving money is an attractive option.\u003c/p>\u003c/blockquote>\n\u003cdiv>Roby also warns that consumers should look deeper than the amount of the deductible itself when considering the true cost of a high deductible health plan. Even after the deductible is paid, consumers are still on the hook for co-insurance -- which can be 20 percent of lab tests or imaging like MRIs or x-rays.People with high-deductible plans can set aside pre-tax money in h\u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/11/04/faqs-of-health-savings-accounts/\" href=\"http://ww2.kqed.org/stateofhealth/2011/11/04/faqs-of-health-savings-accounts/\" target=\"_blank\">ealth savings accounts\u003c/a>, but only about a third of people have set these up, says Roby.\n\u003cp>\u003cstrong>Learn More:\u003c/strong>\u003c/p>\n\u003cdiv>Weiss wrote a companion blog post with \u003ca title=\"http://centerforhealthreporting.org/blog/consumers-guide-high-deductible-health-plans875\" href=\"http://centerforhealthreporting.org/blog/consumers-guide-high-deductible-health-plans875\" target=\"_blank\">consumer tips\u003c/a>for high-deductible health plans.Weiss' story first aired on The California Report. 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"excerpt": "Health care costs are skyrocketing and premiums along with them forcing some employers -- especially small businesses -- to drop coverage altogether. But others are moving to \"high deductible health plans.\" Five times as many businesses offer high deductible health plans as in 2005, according to the UCLA Center for Health Policy Research.\r\n\r\nBut how do these plans play out for employers -- and workers themselves?",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5624\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/PIggyBankStethoscope_05042012.jpg\">\u003cimg class=\"size-medium wp-image-5624 \" title=\"Check the health of your savings account when you sign up for a high-deductible health plan. (401k_Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/PIggyBankStethoscope_05042012-300x295.jpg\" alt=\"Check the health of your savings account when you sign up for a high-deductible health plan. (401k_Flickr)\" width=\"300\" height=\"295\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Check the health of your savings account when you sign up for a high-deductible health plan. (401k: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Health care costs are skyrocketing and premiums along with them forcing some employers -- especially small businesses -- to drop coverage altogether. But others are moving to \"high-deductible health plans.\" Five times as many businesses offer high deductible health plans as in 2005, according to the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>But how do these plans play out for employers -- and workers themselves?\u003c/p>\n\u003cp>Kelley Weiss of the \u003ca title=\"http://centerforhealthreporting.org/article/more-small-businesses-try-high-deductible-health-plans874\" href=\"http://centerforhealthreporting.org/article/more-small-businesses-try-high-deductible-health-plans874\" target=\"_blank\">Center for Health Reporting\u003c/a> found unpleasant surprises for both owners and employees. Six years ago, Casey Coonerty-Protti took over her family's business --\u003ca title=\"http://www.bookshopsantacruz.com/\" href=\"http://www.bookshopsantacruz.com/\" target=\"_blank\"> Bookshop Santa Cruz\u003c/a> -- a 46 year institution in the heart of downtown. Between the lagging economy and pressure from online books, maintaining a bookstore is not easy. Protti has struggled to continue to offer health insurance. When she started, her company offered a $2,000 deductible, but she's had to steadily increase the amount of the deductible to $5,000.\u003c/p>\n\u003cp>From Weiss' report:\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>“So we’re putting in high-deductible plans and we’re saving absolutely nothing from it,” Protti says. “We’re actually increasing our costs to provide a lesser service.”\u003c/p>\n\u003cp>Another small business owner has a different perspective on high-deductible health plans. Anne Lesemann is the co-owner of \u003ca href=\"http://www.campbowwow.com/hb/us/ca/rosevillehb/\" target=\"_blank\">Home Buddies\u003c/a>, a pet care service in the Sacramento area.\u003c/p>\n\u003cp>She says her company will spend less than $4,000 this year to cover insurance for herself, the other owner and one employee. For her business, she says, that’s not too bad. But when she thinks of it like a patient, she admits the $5,000 deductible doesn’t look so good.\u003c/p>\n\u003cp>“The high deductible plans were marketed as something that would make me a savvy consumer about health care. But that hasn’t occurred,” Lesemann says.\u003c/p>\n\u003cp>Even though she knows better, Lesemann has been delaying going to the doctor because she doesn’t trust what’s covered and what’s not. Lesemann learned this over the years by having a variety of high-deductible health plans. One time she says she got a bill for a $1,000 after having a colonoscopy screening that she thought was a free preventative service.\u003c/p>\n\u003cp>Confusion over coverage and delaying care is pretty standard with high-deductible health plans, says \u003ca href=\"http://www.healthpolicy.ucla.edu/Bio.aspx?staffID=152\" target=\"_blank\">Dylan Roby of the UCLA Center for Health Policy Research\u003c/a>. From a cost perspective, when people don’t go to the doctor he says no one has to pay for it. For cash-strapped companies in California saving money is an attractive option.\u003c/p>\u003c/blockquote>\n\u003cdiv>Roby also warns that consumers should look deeper than the amount of the deductible itself when considering the true cost of a high deductible health plan. Even after the deductible is paid, consumers are still on the hook for co-insurance -- which can be 20 percent of lab tests or imaging like MRIs or x-rays.People with high-deductible plans can set aside pre-tax money in h\u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/11/04/faqs-of-health-savings-accounts/\" href=\"http://ww2.kqed.org/stateofhealth/2011/11/04/faqs-of-health-savings-accounts/\" target=\"_blank\">ealth savings accounts\u003c/a>, but only about a third of people have set these up, says Roby.\n\u003cp>\u003cstrong>Learn More:\u003c/strong>\u003c/p>\n\u003cdiv>Weiss wrote a companion blog post with \u003ca title=\"http://centerforhealthreporting.org/blog/consumers-guide-high-deductible-health-plans875\" href=\"http://centerforhealthreporting.org/blog/consumers-guide-high-deductible-health-plans875\" target=\"_blank\">consumer tips\u003c/a>for high-deductible health plans.Weiss' story first aired on The California Report. 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"content": "\u003cfigure id=\"attachment_5581\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/ambulance_ChrisWong_Flickr_05022012.jpg\">\u003cimg class=\"size-large wp-image-5581\" title=\"(Chris Wong: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/ambulance_ChrisWong_Flickr_05022012-620x465.jpg\" alt=\"(Chris Wong: Flickr)\" width=\"620\" height=\"465\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Chris Wong: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>During a heart attack time is muscle. The faster the blockage can be opened, the more likely it is that permanent heart damage can be reduced or avoided. \u003ca title=\"http://science.kqed.org/quest/video/rushing-to-save-heart-attack-patients/\" href=\"http://science.kqed.org/quest/video/rushing-to-save-heart-attack-patients/\" target=\"_blank\">KQED's Quest\u003c/a> reports on a national campaign to reduce the amount of time it takes for a patient to get from the door of the hospital to the operating table.\u003c/p>\n\u003cp>Minutes are shaved off at every step of a patient's transport. Paramedics diagnose heart attacks in the field. They alert the hospital which puts a cardiac team on standby. Then when paramedics arrive at the hospital, they bypass the emergency department and go straight to a catheterization lab where doctors can start working to open blocked vessels right away.\u003c!--more-->\u003c/p>\n\u003cp>As Quest reports:\u003c/p>\n\u003cblockquote>\u003cp>At John Muir Medical Center in Concord, door-to-balloon time is usually under an hour, compared to the campaign’s national target of 90 minutes, said nurse Pam Lavering, coordinator for the hospital’s chest pain centers in Concord and Walnut Creek. In 2007, the hospital’s Concord campus averaged 94-minute door-to-balloon times. In the first quarter of 2012, the average was 48 minutes, said Lavering.\u003c/p>\u003c/blockquote>\n\u003cp>In a study published \u003ca title=\"http://www.theheart.org/article/1266705.do\" href=\"http://www.theheart.org/article/1266705.do\" target=\"_blank\">last year\u003c/a>, researchers analyzed 900 hospitals across the country and found those hospitals reduced their times from a median of 96 minutes in 2006 to 64 minutes in 2010. Significantly, in 2005, the groups with the worst times were in African Americans and women. Those two groups had the biggest declines in times.\u003c/p>\n\u003cp>We hear a lot about coordination of care in medicine. These kinds of targeted improvements across all levels of treatment show how care can be improved.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Watch Quest's story:\u003cbr>\n\u003cobject width=\"640\" height=\"360\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"src\" value=\"http://science.kqed.org/quest/files/jw-player-plugin-for-wordpress/player/player.swf\">\u003cparam name=\"allowscriptaccess\" value=\"always\">\u003cparam name=\"allowfullscreen\" value=\"true\">\u003cparam name=\"flashvars\" value=\"&bandwidth=2841&controlbar=over&dock=false&file=602i_heartattack.flv&image=http%3A%2F%2Fscience.kqed.org%2Fquest%2Ffiles%2F2012%2F04%2F602i_Angiogram_16_12-28-11_GQ_NICE_resized.jpg&gapro.accountid=UA-1538528-1&gapro.height=360&gapro.pluginmode=FLASH&gapro.trackpercentage=true&gapro.trackstarts=true&gapro.tracktime=true&gapro.visible=true&gapro.width=640&gapro.x=0&gapro.y=0&plugins=gapro-1&skin=http%3A%2F%2Fscience.kqed.org%2Fquest%2Fwp-content%2Fplugins%2Fjw-player-plugin-for-wordpress%2Fskins%2Fglow.zip&streamer=rtmp%3A%2F%2Fkqed-flash02.streamguys.us%2Fquest%2F&viral.allowmenu=true&viral.bgcolor=0x333333&viral.fgcolor=0xffffff&viral.functions=embed&viral.matchplayercolors=true&viral.oncomplete=false&viral.pluginmode=FLASH\">\u003cembed width=\"640\" height=\"360\" type=\"application/x-shockwave-flash\" src=\"http://science.kqed.org/quest/files/jw-player-plugin-for-wordpress/player/player.swf\" allowscriptaccess=\"always\" allowfullscreen=\"true\" flashvars=\"&bandwidth=2841&controlbar=over&dock=false&file=602i_heartattack.flv&image=http%3A%2F%2Fscience.kqed.org%2Fquest%2Ffiles%2F2012%2F04%2F602i_Angiogram_16_12-28-11_GQ_NICE_resized.jpg&gapro.accountid=UA-1538528-1&gapro.height=360&gapro.pluginmode=FLASH&gapro.trackpercentage=true&gapro.trackstarts=true&gapro.tracktime=true&gapro.visible=true&gapro.width=640&gapro.x=0&gapro.y=0&plugins=gapro-1&skin=http%3A%2F%2Fscience.kqed.org%2Fquest%2Fwp-content%2Fplugins%2Fjw-player-plugin-for-wordpress%2Fskins%2Fglow.zip&streamer=rtmp%3A%2F%2Fkqed-flash02.streamguys.us%2Fquest%2F&viral.allowmenu=true&viral.bgcolor=0x333333&viral.fgcolor=0xffffff&viral.functions=embed&viral.matchplayercolors=true&viral.oncomplete=false&viral.pluginmode=FLASH\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "During a heart attack time is muscle. The faster the blockage can be opened, the more likely it is that permanent heart damage can be reduced or avoided. KQED's Quest reports on a national campaign to reduce the amount of time it takes for a patient to get from the door of the hospital to the operating table.\r\n\r\nMinutes are shaved off at every step of a patient's transport. Paramedics diagnose heart attacks in the field. They alert the hospital which puts a cardiac team on standby. Then when paramedics arrive at the hospital, they bypass the emergency department and go straight to a catheterization lab where doctors can start working to open blocked vessels right away.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5581\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/ambulance_ChrisWong_Flickr_05022012.jpg\">\u003cimg class=\"size-large wp-image-5581\" title=\"(Chris Wong: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/ambulance_ChrisWong_Flickr_05022012-620x465.jpg\" alt=\"(Chris Wong: Flickr)\" width=\"620\" height=\"465\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Chris Wong: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>During a heart attack time is muscle. The faster the blockage can be opened, the more likely it is that permanent heart damage can be reduced or avoided. \u003ca title=\"http://science.kqed.org/quest/video/rushing-to-save-heart-attack-patients/\" href=\"http://science.kqed.org/quest/video/rushing-to-save-heart-attack-patients/\" target=\"_blank\">KQED's Quest\u003c/a> reports on a national campaign to reduce the amount of time it takes for a patient to get from the door of the hospital to the operating table.\u003c/p>\n\u003cp>Minutes are shaved off at every step of a patient's transport. Paramedics diagnose heart attacks in the field. They alert the hospital which puts a cardiac team on standby. Then when paramedics arrive at the hospital, they bypass the emergency department and go straight to a catheterization lab where doctors can start working to open blocked vessels right away.\u003c!--more-->\u003c/p>\n\u003cp>As Quest reports:\u003c/p>\n\u003cblockquote>\u003cp>At John Muir Medical Center in Concord, door-to-balloon time is usually under an hour, compared to the campaign’s national target of 90 minutes, said nurse Pam Lavering, coordinator for the hospital’s chest pain centers in Concord and Walnut Creek. In 2007, the hospital’s Concord campus averaged 94-minute door-to-balloon times. In the first quarter of 2012, the average was 48 minutes, said Lavering.\u003c/p>\u003c/blockquote>\n\u003cp>In a study published \u003ca title=\"http://www.theheart.org/article/1266705.do\" href=\"http://www.theheart.org/article/1266705.do\" target=\"_blank\">last year\u003c/a>, researchers analyzed 900 hospitals across the country and found those hospitals reduced their times from a median of 96 minutes in 2006 to 64 minutes in 2010. Significantly, in 2005, the groups with the worst times were in African Americans and women. Those two groups had the biggest declines in times.\u003c/p>\n\u003cp>We hear a lot about coordination of care in medicine. These kinds of targeted improvements across all levels of treatment show how care can be improved.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cfigure id=\"attachment_5472\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/CalPERS_DoctorPatient_Vic_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-5472\" title=\"(Vic: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/CalPERS_DoctorPatient_Vic_Flickr-300x200.jpg\" alt=\"(Vic: Flickr)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Vic: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>No one seems to have a problem with shopping for the best price when it comes to a new computer or a car. But there's something about shopping for health care prices that seems \u003cem>different. \u003c/em>It's also a lot harder. Prices aren't transparent. The L.A. Times \u003ca title=\"http://articles.latimes.com/2012/apr/15/business/la-fi-adv-medical-prices-20120415\" href=\"http://articles.latimes.com/2012/apr/15/business/la-fi-adv-medical-prices-20120415\" target=\"_blank\">reported\u003c/a> earlier this month on the challenges individual patients can have in trying to find the best price.\u003c/p>\n\u003cp>At the same time, consumers have become more concerned about cost. According to the Kaiser Family Foundation, premiums for family coverage have more than \u003ca title=\"http://ehbs.kff.org/pdf/8226.pdf\" href=\"http://ehbs.kff.org/pdf/8226.pdf\" target=\"_blank\">doubled in the last ten years\u003c/a> -- 113 percent -- and the share the worker pays of the premium is up even more -- 131 percent.\u003c/p>\n\u003cp>The cost of health care has been going up, faster than the rate of inflation. The federal health care overhaul takes aim at this problem and seeks to \u003ca title=\"http://www.healthcare.gov/compare/partnership-for-patients/index.html\" href=\"http://www.healthcare.gov/compare/partnership-for-patients/index.html\" target=\"_blank\">lower cost and improve quality \u003c/a>of care at the same time. One program gaining traction is through focusing insurance design on value. For example, some plans \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/April/02/employers-financial-rewards-penalties-health-tests.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/April/02/employers-financial-rewards-penalties-health-tests.aspx\" target=\"_blank\">reward healthy behaviors\u003c/a>, such as quitting smoking or exercising regularly.\u003c!--more-->\u003c/p>\n\u003cp>The \u003ca title=\"http://www.calpers.ca.gov/\" href=\"http://www.calpers.ca.gov/\" target=\"_blank\">California Public Employees' Retirement System\u003c/a>-- or CalPERS -- is trying a different approach, one that looks at charges for a specific procedure across its entire population. And CalPERS has a big population of beneficiaries. It covers 1.6 million employees, retirees and their families. In 2008 CalPERS conducted an analysis of its claims database and learned it was paying $55 million a year in knee and hip replacements.\u003c/p>\n\u003cp>Now, you might not think there would be much difference in the price for getting a knee or hip replacement across the state. But think again. CalPERS asked Anthem Blue Cross -- which manages its PPO plans -- to examine the range of prices for these operations in California.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Anthem came back with the startling information that CalPERS was paying $15,000 on the low end to $110,000 on the high end, a more than seven-fold difference from lowest to highest.\u003c/p>\n\u003cp>\"So we started asking ourselves,\" Kathy Donneson, Chief of the CalPERS Heatlhy Plan Administration Division told me, \"what are we getting from the $110,000 surgery that we couldn't get from the $15,000 surgery?\"\u003c/p>\n\u003cp>That's when CalPERS turned to what's called a \"value based purchasing\" approach for elective hip and knee replacements, starting with its non-Medicare population. CalPERS set a threshold price of $30,000 for the hospitalization and device charges for these operations. That $30,000 is slightly higher than the average price CalPERS had been paying for a hip or knee replacement. Anthem identified 46 hospitals across the state which would do these operations at the threshold price.\u003c/p>\n\u003cp>Of course, it's easy to shop on price, but what about quality? Donneson says Anthem used a \"quality scorecard\" to select only institutions which could deliver a high level of quality. When the program launched in early 2011, Anthem's list included UC San Francisco and Stanford.\u003c/p>\n\u003cp>On January 1st of this year, Blue Shield started a similar program with CalPERS. Blue Shield has a process for awarding a \"\u003ca title=\"http://www.bcbs.com/why-bcbs/blue-distinction/\" href=\"http://www.bcbs.com/why-bcbs/blue-distinction/\" target=\"_blank\">Blue Distinction\u003c/a>\" designation to hospitals that deliver \"quality healthcare.\" In order to earn the designation, \u003ca title=\"http://www.bcbs.com/why-bcbs/blue-distinction/blue-distinction-overview.html\" href=\"http://www.bcbs.com/why-bcbs/blue-distinction/blue-distinction-overview.html\" target=\"_blank\">hospitals must show \u003c/a>they have lower complication rates or hospital readmission rates, among other criteria.\u003c/p>\n\u003cp>\"The bottom line is that this is the kind of healthy competition that has not existed to a great extent in health care before,\" Bill Kramer of the \u003ca title=\"http://www.pbgh.org/index.php\" href=\"http://www.pbgh.org/index.php\" target=\"_blank\">Pacific Business Group on Health\u003c/a> told me. PBGH is a group of large employers working to improve health care quality and reduce cost.\u003c/p>\n\u003cp>CalPERS patients who choose one of these \"threshold price\" hospitals will pay only the deductible and copay for their hip or knee replacement. But if they choose a different hospital, they will have to pay whatever the differential is, out of pocket. If there's no hospital on the list within 50 miles of the patient's home, the patient is reimbursed for travel. But CalPERS wants to help its members avoid travel. \"We do want enough centers so there isn't a long distance to travel,\" said Donneson. \"That's why I'm working with both Anthem and Blue Shield to increase the hospitals on the list.\"\u003c/p>\n\u003cp>When CalPERS started the project, it was hoping for 16% savings. Donneson says a UC Berkeley team of health economists is working on an analysis of the 2011 claims which should be complete in June. Then CalPERS should know if their new approach is saving money.\u003c/p>\n\u003cp>In the meantime, we do know this: in the first half of 2011, Anthem Blue Cross received 246 claims for hip or knee replacement. A full 70 percent of those claims were below the $30,000 threshold price. The average price for operations done at hospitals on Anthem's list was $18,000 while the average cost for operations at hospitals not on the list was $34,000. And no one went to the hospital that charged $110,000, says Donneson. At the beginning of this year, CalPERS expanded its threshold pricing project to colonoscopy, arthroscopy and cataract surgery. The organization has no plans to add any other procedures next year. Just looking at cataract surgery -- the range for that procedure across the state was $1,600 to $8,000.\u003c/p>\n\u003cp>\"The future is here,\" says Kramer. \"We know some of the things that work, but it's not taken to scale yet. Pilots that work and spread them more quickly and more broadly -- that's the kind of thing that will drive system change and bring our costs down.\"\u003c/p>\n\u003cp>\u003cem>Editor's Note: Friday's \"The California Report Magazine\" devotes its 30-minute program to health care costs. It includes an examination of premium costs at Kaiser Permanente, catastrophic health care plans and an innovative home hospice alternative in San Diego. You can listen here:\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201204271630.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201204271630.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "No one seems to have a problem with shopping for the best price when it comes to a new computer or a car. But there's something about shopping for health care prices that seems different. It's also a lot harder. Prices aren't transparent. The L.A. Times reported earlier this month on the challenges individual patients can have in trying to find the best price.\r\n\r\nAt the same time, consumers have become more concerned about cost. According to the Kaiser Family Foundation, premiums for family coverage have more than doubled in the last ten years -- 113 percent -- and the share the worker pays of the premium is up even more -- 131 percent. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5472\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/CalPERS_DoctorPatient_Vic_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-5472\" title=\"(Vic: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/CalPERS_DoctorPatient_Vic_Flickr-300x200.jpg\" alt=\"(Vic: Flickr)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Vic: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>No one seems to have a problem with shopping for the best price when it comes to a new computer or a car. But there's something about shopping for health care prices that seems \u003cem>different. \u003c/em>It's also a lot harder. Prices aren't transparent. The L.A. Times \u003ca title=\"http://articles.latimes.com/2012/apr/15/business/la-fi-adv-medical-prices-20120415\" href=\"http://articles.latimes.com/2012/apr/15/business/la-fi-adv-medical-prices-20120415\" target=\"_blank\">reported\u003c/a> earlier this month on the challenges individual patients can have in trying to find the best price.\u003c/p>\n\u003cp>At the same time, consumers have become more concerned about cost. According to the Kaiser Family Foundation, premiums for family coverage have more than \u003ca title=\"http://ehbs.kff.org/pdf/8226.pdf\" href=\"http://ehbs.kff.org/pdf/8226.pdf\" target=\"_blank\">doubled in the last ten years\u003c/a> -- 113 percent -- and the share the worker pays of the premium is up even more -- 131 percent.\u003c/p>\n\u003cp>The cost of health care has been going up, faster than the rate of inflation. The federal health care overhaul takes aim at this problem and seeks to \u003ca title=\"http://www.healthcare.gov/compare/partnership-for-patients/index.html\" href=\"http://www.healthcare.gov/compare/partnership-for-patients/index.html\" target=\"_blank\">lower cost and improve quality \u003c/a>of care at the same time. One program gaining traction is through focusing insurance design on value. For example, some plans \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/April/02/employers-financial-rewards-penalties-health-tests.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/April/02/employers-financial-rewards-penalties-health-tests.aspx\" target=\"_blank\">reward healthy behaviors\u003c/a>, such as quitting smoking or exercising regularly.\u003c!--more-->\u003c/p>\n\u003cp>The \u003ca title=\"http://www.calpers.ca.gov/\" href=\"http://www.calpers.ca.gov/\" target=\"_blank\">California Public Employees' Retirement System\u003c/a>-- or CalPERS -- is trying a different approach, one that looks at charges for a specific procedure across its entire population. And CalPERS has a big population of beneficiaries. It covers 1.6 million employees, retirees and their families. In 2008 CalPERS conducted an analysis of its claims database and learned it was paying $55 million a year in knee and hip replacements.\u003c/p>\n\u003cp>Now, you might not think there would be much difference in the price for getting a knee or hip replacement across the state. But think again. CalPERS asked Anthem Blue Cross -- which manages its PPO plans -- to examine the range of prices for these operations in California.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Anthem came back with the startling information that CalPERS was paying $15,000 on the low end to $110,000 on the high end, a more than seven-fold difference from lowest to highest.\u003c/p>\n\u003cp>\"So we started asking ourselves,\" Kathy Donneson, Chief of the CalPERS Heatlhy Plan Administration Division told me, \"what are we getting from the $110,000 surgery that we couldn't get from the $15,000 surgery?\"\u003c/p>\n\u003cp>That's when CalPERS turned to what's called a \"value based purchasing\" approach for elective hip and knee replacements, starting with its non-Medicare population. CalPERS set a threshold price of $30,000 for the hospitalization and device charges for these operations. That $30,000 is slightly higher than the average price CalPERS had been paying for a hip or knee replacement. Anthem identified 46 hospitals across the state which would do these operations at the threshold price.\u003c/p>\n\u003cp>Of course, it's easy to shop on price, but what about quality? Donneson says Anthem used a \"quality scorecard\" to select only institutions which could deliver a high level of quality. When the program launched in early 2011, Anthem's list included UC San Francisco and Stanford.\u003c/p>\n\u003cp>On January 1st of this year, Blue Shield started a similar program with CalPERS. Blue Shield has a process for awarding a \"\u003ca title=\"http://www.bcbs.com/why-bcbs/blue-distinction/\" href=\"http://www.bcbs.com/why-bcbs/blue-distinction/\" target=\"_blank\">Blue Distinction\u003c/a>\" designation to hospitals that deliver \"quality healthcare.\" In order to earn the designation, \u003ca title=\"http://www.bcbs.com/why-bcbs/blue-distinction/blue-distinction-overview.html\" href=\"http://www.bcbs.com/why-bcbs/blue-distinction/blue-distinction-overview.html\" target=\"_blank\">hospitals must show \u003c/a>they have lower complication rates or hospital readmission rates, among other criteria.\u003c/p>\n\u003cp>\"The bottom line is that this is the kind of healthy competition that has not existed to a great extent in health care before,\" Bill Kramer of the \u003ca title=\"http://www.pbgh.org/index.php\" href=\"http://www.pbgh.org/index.php\" target=\"_blank\">Pacific Business Group on Health\u003c/a> told me. PBGH is a group of large employers working to improve health care quality and reduce cost.\u003c/p>\n\u003cp>CalPERS patients who choose one of these \"threshold price\" hospitals will pay only the deductible and copay for their hip or knee replacement. But if they choose a different hospital, they will have to pay whatever the differential is, out of pocket. If there's no hospital on the list within 50 miles of the patient's home, the patient is reimbursed for travel. But CalPERS wants to help its members avoid travel. \"We do want enough centers so there isn't a long distance to travel,\" said Donneson. \"That's why I'm working with both Anthem and Blue Shield to increase the hospitals on the list.\"\u003c/p>\n\u003cp>When CalPERS started the project, it was hoping for 16% savings. Donneson says a UC Berkeley team of health economists is working on an analysis of the 2011 claims which should be complete in June. Then CalPERS should know if their new approach is saving money.\u003c/p>\n\u003cp>In the meantime, we do know this: in the first half of 2011, Anthem Blue Cross received 246 claims for hip or knee replacement. A full 70 percent of those claims were below the $30,000 threshold price. The average price for operations done at hospitals on Anthem's list was $18,000 while the average cost for operations at hospitals not on the list was $34,000. And no one went to the hospital that charged $110,000, says Donneson. At the beginning of this year, CalPERS expanded its threshold pricing project to colonoscopy, arthroscopy and cataract surgery. The organization has no plans to add any other procedures next year. Just looking at cataract surgery -- the range for that procedure across the state was $1,600 to $8,000.\u003c/p>\n\u003cp>\"The future is here,\" says Kramer. \"We know some of the things that work, but it's not taken to scale yet. Pilots that work and spread them more quickly and more broadly -- that's the kind of thing that will drive system change and bring our costs down.\"\u003c/p>\n\u003cp>\u003cem>Editor's Note: Friday's \"The California Report Magazine\" devotes its 30-minute program to health care costs. It includes an examination of premium costs at Kaiser Permanente, catastrophic health care plans and an innovative home hospice alternative in San Diego. 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}
},
"baycurious": {
"id": "baycurious",
"title": "Bay Curious",
"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/news/series/baycurious",
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"order": 3
},
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"npr": "https://www.npr.org/podcasts/500557090/bay-curious",
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}
},
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"id": "bbc-world-service",
"title": "BBC World Service",
"info": "The day's top stories from BBC News compiled twice daily in the week, once at weekends.",
"airtime": "MON-FRI 9pm-10pm, TUE-FRI 1am-2am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "BBC World Service"
},
"link": "/radio/program/bbc-world-service",
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"apple": "https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2",
"tuneIn": "https://tunein.com/radio/BBC-World-Service-p455581/",
"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/californiareport",
"meta": {
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"source": "kqed",
"order": 8
},
"link": "/californiareport",
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"amazon": "https://music.amazon.com/podcasts/26099305-72af-4542-9dde-ac1807fe36d5/kqed-s-the-california-report",
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}
},
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"id": "californiareportmagazine",
"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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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",
"officialWebsiteLink": "https://www.cityarts.net/",
"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
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"officialWebsiteLink": "/podcasts/closealltabs",
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"source": "kqed",
"order": 1
},
"link": "/podcasts/closealltabs",
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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": {
"site": "radio",
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},
"link": "/radio/program/code-switch-life-kit",
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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": {
"site": "news",
"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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"meta": {
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"source": "kqed",
"order": 9
},
"link": "/forum",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"freakonomics-radio": {
"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
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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",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"link": "/radio/program/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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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"here-and-now": {
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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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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
"site": "news",
"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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"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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},
"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": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
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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"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
"site": "news",
"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
"spotify": "https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"
}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
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