window.__IS_SSR__=true
window.__INITIAL_STATE__={
"attachmentsReducer": {
"audio_0": {
"type": "attachments",
"id": "audio_0",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background0.jpg"
}
}
},
"audio_1": {
"type": "attachments",
"id": "audio_1",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background1.jpg"
}
}
},
"audio_2": {
"type": "attachments",
"id": "audio_2",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background2.jpg"
}
}
},
"audio_3": {
"type": "attachments",
"id": "audio_3",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background3.jpg"
}
}
},
"audio_4": {
"type": "attachments",
"id": "audio_4",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background4.jpg"
}
}
},
"placeholder": {
"type": "attachments",
"id": "placeholder",
"imgSizes": {
"thumbnail": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-160x107.jpg",
"width": 160,
"height": 107,
"mimeType": "image/jpeg"
},
"medium": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-800x533.jpg",
"width": 800,
"height": 533,
"mimeType": "image/jpeg"
},
"medium_large": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-768x512.jpg",
"width": 768,
"height": 512,
"mimeType": "image/jpeg"
},
"large": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1020x680.jpg",
"width": 1020,
"height": 680,
"mimeType": "image/jpeg"
},
"1536x1536": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1536x1024.jpg",
"width": 1536,
"height": 1024,
"mimeType": "image/jpeg"
},
"fd-lrg": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1536x1024.jpg",
"width": 1536,
"height": 1024,
"mimeType": "image/jpeg"
},
"fd-med": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1020x680.jpg",
"width": 1020,
"height": 680,
"mimeType": "image/jpeg"
},
"fd-sm": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-800x533.jpg",
"width": 800,
"height": 533,
"mimeType": "image/jpeg"
},
"post-thumbnail": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-672x372.jpg",
"width": 672,
"height": 372,
"mimeType": "image/jpeg"
},
"twentyfourteen-full-width": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1038x576.jpg",
"width": 1038,
"height": 576,
"mimeType": "image/jpeg"
},
"xxsmall": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-160x107.jpg",
"width": 160,
"height": 107,
"mimeType": "image/jpeg"
},
"xsmall": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-672x372.jpg",
"width": 672,
"height": 372,
"mimeType": "image/jpeg"
},
"small": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-672x372.jpg",
"width": 672,
"height": 372,
"mimeType": "image/jpeg"
},
"xlarge": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1020x680.jpg",
"width": 1020,
"height": 680,
"mimeType": "image/jpeg"
},
"full-width": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1920x1280.jpg",
"width": 1920,
"height": 1280,
"mimeType": "image/jpeg"
},
"guest-author-32": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 32,
"height": 32,
"mimeType": "image/jpeg"
},
"guest-author-50": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 50,
"height": 50,
"mimeType": "image/jpeg"
},
"guest-author-64": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 64,
"height": 64,
"mimeType": "image/jpeg"
},
"guest-author-96": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 96,
"height": 96,
"mimeType": "image/jpeg"
},
"guest-author-128": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 128,
"height": 128,
"mimeType": "image/jpeg"
},
"detail": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 160,
"height": 160,
"mimeType": "image/jpeg"
},
"kqedFullSize": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1.jpg",
"width": 2000,
"height": 1333
}
}
},
"stateofhealth_2642": {
"type": "attachments",
"id": "stateofhealth_2642",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "2642",
"found": true
},
"parent": 2611,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/EversonFamily-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/EversonFamily-400x300.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 300
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/EversonFamily-320x240.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 240
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/EversonFamily-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/EversonFamily-e1465862064541.jpg",
"width": 1920,
"height": 1440
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/EversonFamily-1440x1080.jpg",
"width": 1440,
"mimeType": "image/jpeg",
"height": 1080
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/EversonFamily-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/EversonFamily-800x600.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 600
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/EversonFamily-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/EversonFamily-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/EversonFamily-1180x885.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 885
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/EversonFamily-768x576.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 576
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/EversonFamily-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/EversonFamily-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1327712827,
"modified": 1465862109,
"caption": "Eric and Cindy Everson on vacation with their sons. ",
"description": "Eric and Cindy Everson on vacation with their sons. (Photo: Everson Family)",
"title": "Eric and Cindy Everson on vacation with their sons. (Photo: Everson Family)",
"credit": "Courtesy Everson Family",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_2526": {
"type": "attachments",
"id": "stateofhealth_2526",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "2526",
"found": true
},
"parent": 2519,
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Obama_StateOfUnion_01242012.jpg",
"width": 300,
"height": 199
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Obama_StateOfUnion_01242012-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Obama_StateOfUnion_01242012-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Obama_StateOfUnion_01242012-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Obama_StateOfUnion_01242012-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Obama_StateOfUnion_01242012-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1327511984,
"modified": 1327511984,
"caption": "(Official White House Photo: Pete Souza)",
"description": "(Official White House Photo: Pete Souza)",
"title": "(Official White House Photo: Pete Souza)",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_2298": {
"type": "attachments",
"id": "stateofhealth_2298",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "2298",
"found": true
},
"parent": 2278,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Obesity_Malingering_Flickr-844x576.jpg",
"width": 844,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Obesity_Malingering_Flickr-400x455.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 455
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Obesity_Malingering_Flickr-320x364.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 364
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Obesity_Malingering_Flickr-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Obesity_Malingering_Flickr.jpg",
"width": 844,
"height": 961
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Obesity_Malingering_Flickr-768x874.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 874
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Obesity_Malingering_Flickr-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Obesity_Malingering_Flickr-800x911.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 911
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Obesity_Malingering_Flickr-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Obesity_Malingering_Flickr-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Obesity_Malingering_Flickr-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Obesity_Malingering_Flickr-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1326839951,
"modified": 1326839951,
"caption": "(Malingering: Flickr)",
"description": "(Malingering: Flickr)",
"title": "(Malingering: Flickr)",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_2156": {
"type": "attachments",
"id": "stateofhealth_2156",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "2156",
"found": true
},
"parent": 2138,
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Parsimonious_Square.png",
"width": 86,
"height": 86
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Parsimonious_Square-64x64.png",
"width": 64,
"mimeType": "image/png",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Parsimonious_Square-75x75.png",
"width": 75,
"mimeType": "image/png",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/Parsimonious_Square-32x32.png",
"width": 32,
"mimeType": "image/png",
"height": 32
}
},
"publishDate": 1326730740,
"modified": 1326730740,
"caption": null,
"description": null,
"title": "Parsimonious_Square",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_2031": {
"type": "attachments",
"id": "stateofhealth_2031",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "2031",
"found": true
},
"parent": 2030,
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/queststrawberries248x140.jpg",
"width": 248,
"height": 140
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/queststrawberries248x140-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/queststrawberries248x140-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/queststrawberries248x140-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/queststrawberries248x140-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/queststrawberries248x140-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1326400458,
"modified": 1326400458,
"caption": null,
"description": null,
"title": "queststrawberries248x140",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_1989": {
"type": "attachments",
"id": "stateofhealth_1989",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "1989",
"found": true
},
"parent": 1988,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/eprognosis_org2-1012x576.jpg",
"width": 1012,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/eprognosis_org2-400x489.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 489
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/eprognosis_org2-320x391.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 391
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/eprognosis_org2-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/eprognosis_org2.jpg",
"width": 1012,
"height": 1238
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/eprognosis_org2-768x940.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 940
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/eprognosis_org2-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/eprognosis_org2-800x979.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 979
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/eprognosis_org2-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/eprognosis_org2-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/eprognosis_org2-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/01/eprognosis_org2-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1326323448,
"modified": 1326323448,
"caption": "www.eprognosis.org",
"description": "www.eprognosis.org",
"title": "www.eprognosis.org",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
}
},
"audioPlayerReducer": {
"postId": "stream_live",
"isPaused": true,
"isPlaying": false,
"pfsActive": false,
"pledgeModalIsOpen": true,
"playerDrawerIsOpen": false,
"liveAudioPlayStartedAt": 0,
"liveAudioPlayContext": ""
},
"authorsReducer": {
"lisaaliferis": {
"type": "authors",
"id": "240",
"meta": {
"index": "authors_1716337520",
"id": "240",
"found": true
},
"name": "Lisa Aliferis",
"firstName": "Lisa",
"lastName": "Aliferis",
"slug": "lisaaliferis",
"email": "laliferis@kqed.org",
"display_author_email": false,
"staff_mastheads": [],
"title": "KQED Contributor",
"bio": "Lisa Aliferis is the founding editor of KQED's \u003cem>State of Health\u003c/em> blog. Since 2011, she's been writing and editing stories for the site. Before taking up blogging, she toiled for many years (more than we can count) producing health stories for television, including\u003cem> Dateline NBC\u003c/em> and San Francisco's CBS affiliate, KPIX-TV. She also wrote up a \u003ca title=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\">handy guide to the Affordable Care Act\u003c/a>, especially for Californians. Her work has been honored for many awards. Most recently she was a finalist for \"Best Topical Reporting\" from the Online News Association. You can follow her on Twitter: \u003ca title=\"https://twitter.com/laliferis\" href=\"https://twitter.com/laliferis\">@laliferis\u003c/a>",
"avatar": "https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=mm&r=g",
"twitter": "laliferis",
"facebook": null,
"instagram": null,
"linkedin": null,
"sites": [
{
"site": "news",
"roles": [
"subscriber"
]
},
{
"site": "futureofyou",
"roles": [
"subscriber"
]
},
{
"site": "stateofhealth",
"roles": [
"subscriber"
]
},
{
"site": "science",
"roles": [
"subscriber"
]
},
{
"site": "food",
"roles": []
}
],
"headData": {
"title": "Lisa Aliferis | KQED",
"description": "KQED Contributor",
"ogImgSrc": "https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=mm&r=g",
"twImgSrc": "https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=mm&r=g"
},
"isLoading": false,
"link": "/author/lisaaliferis"
}
},
"pagesReducer": {
"stateofhealth_category_policy": {
"type": "terms",
"id": "stateofhealth_14",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "14",
"score": 12.672535
},
"featImg": null,
"name": "Policy",
"description": "Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed",
"title": "Policy Archives | KQED Arts",
"ogDescription": null
},
"ttid": 14,
"slug": "policy",
"isLoading": false,
"title": "Policy",
"pageMeta": {
"site": "stateofhealth",
"WpPageTemplate": "page-topic-editorial",
"currentPage": 66
},
"blocks": [
{
"blockName": "kqed/company-paragraph",
"content": "Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed"
},
{
"blockName": "kqed/post-list",
"attrs": {
"layout": "cardArticle2",
"query": "posts/stateofhealth?category=policy",
"seeMore": false,
"paginated": true,
"page": 66
}
},
{
"blockName": "kqed/ad"
}
]
}
},
"pfsSessionReducer": {},
"postsReducer": {
"stream_live": {
"type": "live",
"id": "stream_live",
"audioUrl": "https://hls.kqed.org/hls/kqed_app/playlist.m3u8",
"title": "Live Stream",
"excerpt": "Live Stream information currently unavailable.",
"link": "/radio",
"featImg": "",
"label": {
"name": "KQED Live",
"link": "/"
}
},
"stream_kqedNewscast": {
"type": "posts",
"id": "stream_kqedNewscast",
"audioUrl": "https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1",
"title": "KQED Newscast",
"featImg": "",
"label": {
"name": "88.5 FM",
"link": "/"
}
},
"stateofhealth_2611": {
"type": "posts",
"id": "stateofhealth_2611",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "2611",
"score": null,
"sort": [
1327713539000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1327713539,
"format": "aside",
"disqusTitle": "Parenting the Child with Autism",
"title": "Parenting the Child with Autism",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>The emotions of new parents can run the gamut. They're in uncharted water. Even people who have spent a great deal of time around children will likely tell you that having their own is a new experience. For Eric and Cindy Everson, it was no different. They had been around children, but when they had their son, Shane, the world changed. \"We were new parents,\" Eric says. \"We didn't know what to expect.\"\u003c/p>\n\u003cp>Still, they did recognize when Shane started missing milestones. He was late to crawl. Then he was late walking, and they had him evaluated. When Shane started walking shortly after the evaluation, Eric and Cindy hoped all was well. But they were seeing other issues as well. Shane was not not babbling or making any noises, a key marker for learning language. He was not responding when his parents called his name. Finally the formal diagnosis came. Shane had \u003ca title=\"http://www.ninds.nih.gov/disorders/autism/detail_autism.htm\" href=\"http://www.ninds.nih.gov/disorders/autism/detail_autism.htm\" target=\"_blank\">autism\u003c/a>, a neurodevelopment disorder. The communication problems their son had, the repetitive behavior they had seen, the problems with social interaction -- these are all hallmarks of autism.\u003c/p>\n\u003cp>\"We were devastated to think that our child was developmentally disabled, there was no cure,\" Cindy Everson said. \"What's his future going to look like? Will he talk? Will he walk? Will he do anything that typical kids do? ... You start living first in denial, then you have to move forward and you have to research the best types of services and therapies. It's overwhelming.\"\u003c/p>\n\u003cp>When Shane was 3, his brother, Joe, was born. By the time Joe was 20 months, he, too, was diagnosed with autism.\u003ca title=\"http://pediatrics.aappublications.org/content/128/3/e488.full\" href=\"http://pediatrics.aappublications.org/content/128/3/e488.full\" target=\"_blank\"> Recent research\u003c/a> shows that having a child with autism increases the next child's risk by almost 20 percent. At the time Joe was born, the estimates had been three to ten percent. There is no prenatal test to detect autism.\u003c/p>\n\u003cp>From the time their older son was diagnosed, Eric and Cindy entered a world of intense advocacy and managing all types of therapy for both their sons. \"We've had a lot of people and tutors and different people going in and out of the house,\" Eric explained. \"We've had them in speech therapy, occupational therapy, different types of therapies and training. Cindy was kind of like the program manager.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Joe has moderate autism and, Cindy says, is definitely \"more exhausting.\" When he was younger, he would run off down the street. One time he got out of the house in the early morning hours. A neighbor called to alert them at 5am. The Eversons put key locks on all the doors after that. Shane has mild autism, and as a young boy had problems with speech and sensory issues. Like many children with autism, he was obsessed with routine. He would want his parents to take specific routes when coming home in the car. If not, he would start screaming.\u003c/p>\n\u003cp>Erica Frieze is a clinical psychologist at the \u003ca title=\"http://www.ucdmc.ucdavis.edu/mindinstitute/\" href=\"http://www.ucdmc.ucdavis.edu/mindinstitute/\" target=\"_blank\">UC Davis MIND Institute\u003c/a>. She says the obsession with routine is very common in children with autism. \"Kids with autism like sameness,\" she said, \"and they like to follow rules. So when those rules are changed, it's difficult for them.\" When kids act out, she says, parents have to maintain consistency.\u003c/p>\n\u003cp>\u003cstrong>Resources Available\u003c/strong>\u003c/p>\n\u003cp>In California, parents are eligible for services for their children at one of \u003ca title=\"http://www.dds.ca.gov/RC/RCList.cfm\" href=\"http://www.dds.ca.gov/RC/RCList.cfm\" target=\"_blank\">21 regional centers\u003c/a> run by the state's Department of Developmental Services. Autistic children typically need everything from speech therapy to occupation therapy, help with behavior, early education and the list goes on. Children receive services at these centers until they are 3-years-old. At that point, the child transitions to the local school district and its special education programs. Eric and Cindy say they were fortunate to be able to supplement state programs with therapists they hired privately. In addition, they have a strong support network of family and friends.\u003c/p>\n\u003cp>Shannon Rosa also credits a strong network of family and friends in supporting her and her husband as they raise their autistic son Leo, 11. But when Leo was diagnosed at age 2, they initially felt alone. They didn't know anyone with an autistic child. At that time, there was no central place to go for comprehensive information, Rosa says.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"I see my son as a happy child who needs support in a lot of day to day activities. I want people to try to accept him on his own terms.\"\u003c/aside>\n\u003cp>Rosa had a career as an independent writer and editor before Leo was born. Since he was diagnosed, she has trained her skills on autism, writing widely on the subject in numerous publications and blogs. In 2010, she co-founded \u003ca title=\"http://thinkingautismguide.blogspot.com/p/mission-statement.html\" href=\"http://thinkingautismguide.blogspot.com/p/mission-statement.html\" target=\"_blank\">The Thinking Person's Guide to Autism\u003c/a> website. She was senior editor of \u003ca title=\"http://thinkingautismguide.blogspot.com/p/our-book.html\" href=\"http://thinkingautismguide.blogspot.com/p/our-book.html\" target=\"_blank\">a book\u003c/a> of the same title, published just last month. It has 54 contributors, from parents to professionals to people with autism. The editors wanted to compile the latest information they could find about the condition. \"The other thing that was really missing was an understanding of what life could be like in the future for anyone with autism,\" Rosa says. \"We have a section in there with essays by people with autism so parents can have a glimpse of the future.\" (She adds that the book was an \"all-volunteer project\" and that all profits from sale are going to two autism non-profits.)\u003c/p>\n\u003cp>\u003cstrong>No Pity\u003c/strong>\u003c/p>\n\u003cp>That glimpse of the future is especially close to Rosa's heart. She criticizes the media for conditioning people \"to fear autism as the worst possible thing that can happen to us.\" Instead, she encourages parents of autistic children to work on understanding them, and helping them to develop as fully as possible. \"I see my son as a happy child who needs support in a lot of day to day activities. He needs one to one supervision, but, within that, I want people to try to accept him on his own terms,\" she says. \"Pity is of no use for us. What does pity do for us? Nothing. ... Pity closes off opportunities. Patronizing closes off opportunities. As parents, it's a responsibility to have our child be the best they can be.\"\u003c/p>\n\u003cp>And helping children be the best they can be involves fighting for services, she says. \"I know people who have gone to the mat with the regional centers and have had to be savvy, fearless and tenacious to get that funding.\" Rosa described learning to advocate for one's child as \"another education\" parents need to embark on. Early intervention is critical, she says.\u003c/p>\n\u003cp>Back at the Everson home, Shane is now 15. His brother Joe is 12. Those early years of therapy have helped both boys tremendously, their parents say. Shane, who didn't talk at all until he was 4, now won't stop talking. He has a cell phone and attends some mainstream classes at his school. Joe has more significant language difficulties. His parents think it is unlikely he will ever be able to live on his own. \"It's interesting raising two autistic kids with such different needs,\" Cindy Everson says. \"All children have potential to reach; as parents we help them reach their potential. We're doing that with our kids. We have two kids with autism that are affected differently and we try to do our best every day to help them reach their potential.\"\u003c/p>\n\u003cp>From those first weeks of devastation and denial after Shane's diagnosis, Eric and Cindy, have formed a rich family life. \"We had to really come to that point of acceptance to let us really be able to accept the fact that our family is a different family, but that's OK. Our kids have brought us so much joy,\" Cindy says. \"I feel like my character is stronger because of all the things they've taught me. You see progress and it becomes what you do. We have an awesome time with our kids.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cstrong>\u003ca title=\"http://www.californiareport.org/\" href=\"http://www.californiareport.org/\" target=\"_blank\">Learn More: The California Report special half-hour on many aspects of parenting.\u003c/a>\u003c/strong>\u003c/p>\n\n",
"disqusIdentifier": "2611 http://blogs.kqed.org/stateofhealth/?p=2611",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/01/27/parenting-an-autistic-child/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 1355,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 19
},
"modified": 1465862365,
"excerpt": "The emotions of new parents can run the gamut. They're in uncharted water. Even people who have spent a great deal of time around children will likely tell you that having their own is a new experience. For Eric and Cindy Everson, it was no different. They had been around children, but when they had their son, Shane, the world changed. \"We were new parents,\" Eric says, \"we didn't know what to expect.\"\r\nStill, they did recognize when Shane started missing milestones. He was late to crawl. Then he was late walking and they had him evaluated.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "The emotions of new parents can run the gamut. They're in uncharted water. Even people who have spent a great deal of time around children will likely tell you that having their own is a new experience. For Eric and Cindy Everson, it was no different. They had been around children, but when they had their son, Shane, the world changed. "We were new parents," Eric says, "we didn't know what to expect."\r\nStill, they did recognize when Shane started missing milestones. He was late to crawl. Then he was late walking and they had him evaluated.",
"title": "Parenting the Child with Autism | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Parenting the Child with Autism",
"datePublished": "2012-01-27T17:18:59-08:00",
"dateModified": "2016-06-13T16:59:25-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "parenting-an-autistic-child",
"status": "publish",
"path": "/stateofhealth/2611/parenting-an-autistic-child",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The emotions of new parents can run the gamut. They're in uncharted water. Even people who have spent a great deal of time around children will likely tell you that having their own is a new experience. For Eric and Cindy Everson, it was no different. They had been around children, but when they had their son, Shane, the world changed. \"We were new parents,\" Eric says. \"We didn't know what to expect.\"\u003c/p>\n\u003cp>Still, they did recognize when Shane started missing milestones. He was late to crawl. Then he was late walking, and they had him evaluated. When Shane started walking shortly after the evaluation, Eric and Cindy hoped all was well. But they were seeing other issues as well. Shane was not not babbling or making any noises, a key marker for learning language. He was not responding when his parents called his name. Finally the formal diagnosis came. Shane had \u003ca title=\"http://www.ninds.nih.gov/disorders/autism/detail_autism.htm\" href=\"http://www.ninds.nih.gov/disorders/autism/detail_autism.htm\" target=\"_blank\">autism\u003c/a>, a neurodevelopment disorder. The communication problems their son had, the repetitive behavior they had seen, the problems with social interaction -- these are all hallmarks of autism.\u003c/p>\n\u003cp>\"We were devastated to think that our child was developmentally disabled, there was no cure,\" Cindy Everson said. \"What's his future going to look like? Will he talk? Will he walk? Will he do anything that typical kids do? ... You start living first in denial, then you have to move forward and you have to research the best types of services and therapies. It's overwhelming.\"\u003c/p>\n\u003cp>When Shane was 3, his brother, Joe, was born. By the time Joe was 20 months, he, too, was diagnosed with autism.\u003ca title=\"http://pediatrics.aappublications.org/content/128/3/e488.full\" href=\"http://pediatrics.aappublications.org/content/128/3/e488.full\" target=\"_blank\"> Recent research\u003c/a> shows that having a child with autism increases the next child's risk by almost 20 percent. At the time Joe was born, the estimates had been three to ten percent. There is no prenatal test to detect autism.\u003c/p>\n\u003cp>From the time their older son was diagnosed, Eric and Cindy entered a world of intense advocacy and managing all types of therapy for both their sons. \"We've had a lot of people and tutors and different people going in and out of the house,\" Eric explained. \"We've had them in speech therapy, occupational therapy, different types of therapies and training. Cindy was kind of like the program manager.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Joe has moderate autism and, Cindy says, is definitely \"more exhausting.\" When he was younger, he would run off down the street. One time he got out of the house in the early morning hours. A neighbor called to alert them at 5am. The Eversons put key locks on all the doors after that. Shane has mild autism, and as a young boy had problems with speech and sensory issues. Like many children with autism, he was obsessed with routine. He would want his parents to take specific routes when coming home in the car. If not, he would start screaming.\u003c/p>\n\u003cp>Erica Frieze is a clinical psychologist at the \u003ca title=\"http://www.ucdmc.ucdavis.edu/mindinstitute/\" href=\"http://www.ucdmc.ucdavis.edu/mindinstitute/\" target=\"_blank\">UC Davis MIND Institute\u003c/a>. She says the obsession with routine is very common in children with autism. \"Kids with autism like sameness,\" she said, \"and they like to follow rules. So when those rules are changed, it's difficult for them.\" When kids act out, she says, parents have to maintain consistency.\u003c/p>\n\u003cp>\u003cstrong>Resources Available\u003c/strong>\u003c/p>\n\u003cp>In California, parents are eligible for services for their children at one of \u003ca title=\"http://www.dds.ca.gov/RC/RCList.cfm\" href=\"http://www.dds.ca.gov/RC/RCList.cfm\" target=\"_blank\">21 regional centers\u003c/a> run by the state's Department of Developmental Services. Autistic children typically need everything from speech therapy to occupation therapy, help with behavior, early education and the list goes on. Children receive services at these centers until they are 3-years-old. At that point, the child transitions to the local school district and its special education programs. Eric and Cindy say they were fortunate to be able to supplement state programs with therapists they hired privately. In addition, they have a strong support network of family and friends.\u003c/p>\n\u003cp>Shannon Rosa also credits a strong network of family and friends in supporting her and her husband as they raise their autistic son Leo, 11. But when Leo was diagnosed at age 2, they initially felt alone. They didn't know anyone with an autistic child. At that time, there was no central place to go for comprehensive information, Rosa says.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"I see my son as a happy child who needs support in a lot of day to day activities. I want people to try to accept him on his own terms.\"\u003c/aside>\n\u003cp>Rosa had a career as an independent writer and editor before Leo was born. Since he was diagnosed, she has trained her skills on autism, writing widely on the subject in numerous publications and blogs. In 2010, she co-founded \u003ca title=\"http://thinkingautismguide.blogspot.com/p/mission-statement.html\" href=\"http://thinkingautismguide.blogspot.com/p/mission-statement.html\" target=\"_blank\">The Thinking Person's Guide to Autism\u003c/a> website. She was senior editor of \u003ca title=\"http://thinkingautismguide.blogspot.com/p/our-book.html\" href=\"http://thinkingautismguide.blogspot.com/p/our-book.html\" target=\"_blank\">a book\u003c/a> of the same title, published just last month. It has 54 contributors, from parents to professionals to people with autism. The editors wanted to compile the latest information they could find about the condition. \"The other thing that was really missing was an understanding of what life could be like in the future for anyone with autism,\" Rosa says. \"We have a section in there with essays by people with autism so parents can have a glimpse of the future.\" (She adds that the book was an \"all-volunteer project\" and that all profits from sale are going to two autism non-profits.)\u003c/p>\n\u003cp>\u003cstrong>No Pity\u003c/strong>\u003c/p>\n\u003cp>That glimpse of the future is especially close to Rosa's heart. She criticizes the media for conditioning people \"to fear autism as the worst possible thing that can happen to us.\" Instead, she encourages parents of autistic children to work on understanding them, and helping them to develop as fully as possible. \"I see my son as a happy child who needs support in a lot of day to day activities. He needs one to one supervision, but, within that, I want people to try to accept him on his own terms,\" she says. \"Pity is of no use for us. What does pity do for us? Nothing. ... Pity closes off opportunities. Patronizing closes off opportunities. As parents, it's a responsibility to have our child be the best they can be.\"\u003c/p>\n\u003cp>And helping children be the best they can be involves fighting for services, she says. \"I know people who have gone to the mat with the regional centers and have had to be savvy, fearless and tenacious to get that funding.\" Rosa described learning to advocate for one's child as \"another education\" parents need to embark on. Early intervention is critical, she says.\u003c/p>\n\u003cp>Back at the Everson home, Shane is now 15. His brother Joe is 12. Those early years of therapy have helped both boys tremendously, their parents say. Shane, who didn't talk at all until he was 4, now won't stop talking. He has a cell phone and attends some mainstream classes at his school. Joe has more significant language difficulties. His parents think it is unlikely he will ever be able to live on his own. \"It's interesting raising two autistic kids with such different needs,\" Cindy Everson says. \"All children have potential to reach; as parents we help them reach their potential. We're doing that with our kids. We have two kids with autism that are affected differently and we try to do our best every day to help them reach their potential.\"\u003c/p>\n\u003cp>From those first weeks of devastation and denial after Shane's diagnosis, Eric and Cindy, have formed a rich family life. \"We had to really come to that point of acceptance to let us really be able to accept the fact that our family is a different family, but that's OK. Our kids have brought us so much joy,\" Cindy says. \"I feel like my character is stronger because of all the things they've taught me. You see progress and it becomes what you do. We have an awesome time with our kids.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "floatright"
},
"numeric": [
"floatright"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\u003ca title=\"http://www.californiareport.org/\" href=\"http://www.californiareport.org/\" target=\"_blank\">Learn More: The California Report special half-hour on many aspects of parenting.\u003c/a>\u003c/strong>\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/2611/parenting-an-autistic-child",
"authors": [
"240"
],
"categories": [
"stateofhealth_12",
"stateofhealth_14"
],
"tags": [
"stateofhealth_155",
"stateofhealth_93"
],
"featImg": "stateofhealth_2642",
"label": "stateofhealth"
},
"stateofhealth_2586": {
"type": "posts",
"id": "stateofhealth_2586",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "2586",
"score": null,
"sort": [
1327709539000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1327709539,
"format": "aside",
"disqusTitle": "Work-Life Balance: Tips and Empathy",
"title": "Work-Life Balance: Tips and Empathy",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cstrong>By Rachel Dornhelm\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_2600\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/RachelFamily.jpg\">\u003cimg class=\"size-medium wp-image-2600 \" title=\"Karen Witham reads to her children, giving her husband a chance to recharge.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/RachelFamily-e1327698035255-300x284.jpg\" alt=\"Karen Witham reads to her children, giving her husband a chance to recharge.\" width=\"300\" height=\"284\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Karen Witham reads to her children, giving her husband a chance to recharge.\u003c/figcaption>\u003c/figure>\n\u003cp>A friend once told me conspiratorially that there is no such thing as work-life balance. “It’s more like a work-life see-saw,” she said. “If one thing is up, the other is down.”\u003c/p>\n\u003cp>I talked to many parents about their efforts to integrate their work and family lives \u003ca title=\"http://www.californiareport.org/archive/R201201271630/e\" href=\"http://www.californiareport.org/archive/R201201271630/e\" target=\"_blank\">for this story\u003c/a> that ran on KQED’s The California Report. Despite the incredible variation, one theme emerged. Often, the details of peoples’ stories – working full-time, part-time, odd hours, being a single parent – made people feel like their situation was so specific they were reinventing it all. The isolation makes it worse.\u003c/p>\n\u003cp>Some families are trying to change this. The Witham-Price family I profiled in my story set a goal of actively seeking out community and took action by joining a cooperative preschool and a Unitarian Universalist church.\u003c!--more-->\u003c/p>\n\u003cp>As the mother of 5-year-old twins, the process of talking to people openly about how they struggle with the same challenges was a relief. I’ve put together tips from the collective wisdom below. I urge you to add yours.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But, first, while the radio story focused on what happens in the home, it’s important to note that there’s much more to achieving work-life balance. Many groups, such as \u003ca title=\"http://www.momsrising.org/\" href=\"http://www.momsrising.org/\" target=\"_blank\">MomsRising\u003c/a> and the \u003ca href=\"http://www.working-families.org/\" target=\"_blank\">Labor Project for Working Families\u003c/a>, are working on getting policies in place that would make workplaces more family friendly.\u003c/p>\n\u003cp>Other groups are focused on changing workplaces from the inside to allow for more flexible work arrangements. The \u003ca href=\"http://www.nytimes.com/2011/01/08/business/08perks.html?pagewanted=all\" target=\"_blank\">accounting industry has gotten attention\u003c/a> for its flex policies recently and every year \u003ca href=\"http://www.workingmother.com/best-companies\" target=\"_blank\">Working Mother magazine releases its lists\u003c/a> of the best workplaces.\u003c/p>\n\u003cp>But \u003ca href=\"http://www.uchastings.edu/faculty-administration/faculty/williams/\" target=\"_blank\">law professor Joan Williams\u003c/a> of U.C. Hastings \u003ca href=\"http://www.worklifelaw.org/\" target=\"_blank\">Center for WorkLife Law\u003c/a> says the latest research suggests it’s not just about having the policy spelled out. It’s also vital there is no stigma attached to taking advantage of the policy. No sidelong glances at someone leaving early, or grumbles about people working from home. And that can require a whole culture change, with focused trainings for employees.\u003c/p>\n\u003cp>Williams also points out the distinctions between the challenges facing salaried workers and hourly workers. \u003ca href=\"http://www.worklifelaw.org/pubs/ImprovingWork-LifeFit.pdf\" target=\"_blank\">Hourly workers are increasingly faced with Just In Time scheduling\u003c/a> [PDF], meaning employers change their hours on a weekly basis. This can wreak havoc on child care and work-family balance.\u003c/p>\n\u003cp>There’s no question lots of structural work needs to be done, but what changes can you make in your home? Christine Carter, sociologist and author of \u003ca title=\"http://greatergood.berkeley.edu/raising_happiness/\" href=\"http://greatergood.berkeley.edu/raising_happiness/\" target=\"_blank\">Raising Happiness\u003c/a>, says start by zeroing in on the problem spots and bad routines. Then, start small. Being good at The Juggle is not innate to anyone. It’s a matter of building skills, “So maybe this month you’re working on the skill of motivating your kids or the skill of building bigger community,\" Carter says.\u003c/p>\n\u003cp>After talking to her, I made this my \"Month of the Cleaner House.\" I've been getting up a few minutes earlier to unload the dishwasher first thing. I put a comb back in its place rather than throwing it on the clutter pile in the kitchen. So far, so good.\u003c/p>\n\u003cp>Carter, a single mom to a 9 and 11 year old, also suggests setting strict technology boundaries. “I don’t check email after 9 PM and no smart phones are allowed in the dining room or living room, ever,\" she insisted.\u003c/p>\n\u003cp>Here are more ideas from parents in the thick of it:\u003c/p>\n\u003cul>\n\u003cli>Don’t hesitate to ASK at work for what you need. For example, tell your colleagues or boss, “I can no longer come to the Thursday late afternoon staff meeting but will join by phone.” If you state your needs clearly, you might be surprised.\u003c/li>\n\u003cli>If two parents are both working full time consider taking turns being the primary on-call parent, e.g. the one who always goes to doctors' appointments, sports games, etc to allow the other to focus on career. Either switch every year or every 5 years.\u003c/li>\n\u003cli>Let go of some things. If you delegate something, like food, to your partner appreciate that they’re doing it and don’t second guess the way they’re handling it.\u003c/li>\n\u003cli>Get together with a friend on a weekday evening to cook two dishes that can last for a few days’ dinners or lunches. It addresses both the isolation and gets food on the table. Or exercise together.\u003c/li>\n\u003cli>If you’re in a position of authority at work, jump at the chance to codify family-friendly policies so expectations for all employees are clear.\u003c/li>\n\u003cli>Take turns with your spouse each morning (Monday-Friday) getting your kids ready. That could open up solo time for the other parent to exercise, work or engage in a hobby. If mornings won't work for your family, try evenings.\u003c/li>\n\u003c/ul>\n\u003cp>Balancing work and family is a huge subject that takes the proverbial village. Tips and experiences are welcome, and so is humor. One parent observed, “I know I have achieved work-life balance when I feel equally guilty at home and at work.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\u003ca title=\"http://www.californiareport.org/\" href=\"http://www.californiareport.org/\" target=\"_blank\">Learn More: The California Report special half-hour on parenting. \u003c/a>\u003c/strong>\u003c/p>\n\n",
"disqusIdentifier": "2586 http://blogs.kqed.org/stateofhealth/?p=2586",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/01/27/work-life-balance-tips-and-empathy/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 926,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 17
},
"modified": 1327796239,
"excerpt": "A friend once told me conspiratorially that there is no such thing as work-life balance. “It’s more like a work-life see-saw,” she said. “If one thing is up, the other is down.”\r\n",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "A friend once told me conspiratorially that there is no such thing as work-life balance. “It’s more like a work-life see-saw,” she said. “If one thing is up, the other is down.”\r\n",
"title": "Work-Life Balance: Tips and Empathy | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Work-Life Balance: Tips and Empathy",
"datePublished": "2012-01-27T16:12:19-08:00",
"dateModified": "2012-01-28T16:17:19-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "work-life-balance-tips-and-empathy",
"status": "publish",
"path": "/stateofhealth/2586/work-life-balance-tips-and-empathy",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Rachel Dornhelm\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_2600\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/RachelFamily.jpg\">\u003cimg class=\"size-medium wp-image-2600 \" title=\"Karen Witham reads to her children, giving her husband a chance to recharge.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/RachelFamily-e1327698035255-300x284.jpg\" alt=\"Karen Witham reads to her children, giving her husband a chance to recharge.\" width=\"300\" height=\"284\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Karen Witham reads to her children, giving her husband a chance to recharge.\u003c/figcaption>\u003c/figure>\n\u003cp>A friend once told me conspiratorially that there is no such thing as work-life balance. “It’s more like a work-life see-saw,” she said. “If one thing is up, the other is down.”\u003c/p>\n\u003cp>I talked to many parents about their efforts to integrate their work and family lives \u003ca title=\"http://www.californiareport.org/archive/R201201271630/e\" href=\"http://www.californiareport.org/archive/R201201271630/e\" target=\"_blank\">for this story\u003c/a> that ran on KQED’s The California Report. Despite the incredible variation, one theme emerged. Often, the details of peoples’ stories – working full-time, part-time, odd hours, being a single parent – made people feel like their situation was so specific they were reinventing it all. The isolation makes it worse.\u003c/p>\n\u003cp>Some families are trying to change this. The Witham-Price family I profiled in my story set a goal of actively seeking out community and took action by joining a cooperative preschool and a Unitarian Universalist church.\u003c!--more-->\u003c/p>\n\u003cp>As the mother of 5-year-old twins, the process of talking to people openly about how they struggle with the same challenges was a relief. I’ve put together tips from the collective wisdom below. I urge you to add yours.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But, first, while the radio story focused on what happens in the home, it’s important to note that there’s much more to achieving work-life balance. Many groups, such as \u003ca title=\"http://www.momsrising.org/\" href=\"http://www.momsrising.org/\" target=\"_blank\">MomsRising\u003c/a> and the \u003ca href=\"http://www.working-families.org/\" target=\"_blank\">Labor Project for Working Families\u003c/a>, are working on getting policies in place that would make workplaces more family friendly.\u003c/p>\n\u003cp>Other groups are focused on changing workplaces from the inside to allow for more flexible work arrangements. The \u003ca href=\"http://www.nytimes.com/2011/01/08/business/08perks.html?pagewanted=all\" target=\"_blank\">accounting industry has gotten attention\u003c/a> for its flex policies recently and every year \u003ca href=\"http://www.workingmother.com/best-companies\" target=\"_blank\">Working Mother magazine releases its lists\u003c/a> of the best workplaces.\u003c/p>\n\u003cp>But \u003ca href=\"http://www.uchastings.edu/faculty-administration/faculty/williams/\" target=\"_blank\">law professor Joan Williams\u003c/a> of U.C. Hastings \u003ca href=\"http://www.worklifelaw.org/\" target=\"_blank\">Center for WorkLife Law\u003c/a> says the latest research suggests it’s not just about having the policy spelled out. It’s also vital there is no stigma attached to taking advantage of the policy. No sidelong glances at someone leaving early, or grumbles about people working from home. And that can require a whole culture change, with focused trainings for employees.\u003c/p>\n\u003cp>Williams also points out the distinctions between the challenges facing salaried workers and hourly workers. \u003ca href=\"http://www.worklifelaw.org/pubs/ImprovingWork-LifeFit.pdf\" target=\"_blank\">Hourly workers are increasingly faced with Just In Time scheduling\u003c/a> [PDF], meaning employers change their hours on a weekly basis. This can wreak havoc on child care and work-family balance.\u003c/p>\n\u003cp>There’s no question lots of structural work needs to be done, but what changes can you make in your home? Christine Carter, sociologist and author of \u003ca title=\"http://greatergood.berkeley.edu/raising_happiness/\" href=\"http://greatergood.berkeley.edu/raising_happiness/\" target=\"_blank\">Raising Happiness\u003c/a>, says start by zeroing in on the problem spots and bad routines. Then, start small. Being good at The Juggle is not innate to anyone. It’s a matter of building skills, “So maybe this month you’re working on the skill of motivating your kids or the skill of building bigger community,\" Carter says.\u003c/p>\n\u003cp>After talking to her, I made this my \"Month of the Cleaner House.\" I've been getting up a few minutes earlier to unload the dishwasher first thing. I put a comb back in its place rather than throwing it on the clutter pile in the kitchen. So far, so good.\u003c/p>\n\u003cp>Carter, a single mom to a 9 and 11 year old, also suggests setting strict technology boundaries. “I don’t check email after 9 PM and no smart phones are allowed in the dining room or living room, ever,\" she insisted.\u003c/p>\n\u003cp>Here are more ideas from parents in the thick of it:\u003c/p>\n\u003cul>\n\u003cli>Don’t hesitate to ASK at work for what you need. For example, tell your colleagues or boss, “I can no longer come to the Thursday late afternoon staff meeting but will join by phone.” If you state your needs clearly, you might be surprised.\u003c/li>\n\u003cli>If two parents are both working full time consider taking turns being the primary on-call parent, e.g. the one who always goes to doctors' appointments, sports games, etc to allow the other to focus on career. Either switch every year or every 5 years.\u003c/li>\n\u003cli>Let go of some things. If you delegate something, like food, to your partner appreciate that they’re doing it and don’t second guess the way they’re handling it.\u003c/li>\n\u003cli>Get together with a friend on a weekday evening to cook two dishes that can last for a few days’ dinners or lunches. It addresses both the isolation and gets food on the table. Or exercise together.\u003c/li>\n\u003cli>If you’re in a position of authority at work, jump at the chance to codify family-friendly policies so expectations for all employees are clear.\u003c/li>\n\u003cli>Take turns with your spouse each morning (Monday-Friday) getting your kids ready. That could open up solo time for the other parent to exercise, work or engage in a hobby. If mornings won't work for your family, try evenings.\u003c/li>\n\u003c/ul>\n\u003cp>Balancing work and family is a huge subject that takes the proverbial village. Tips and experiences are welcome, and so is humor. One parent observed, “I know I have achieved work-life balance when I feel equally guilty at home and at work.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\u003ca title=\"http://www.californiareport.org/\" href=\"http://www.californiareport.org/\" target=\"_blank\">Learn More: The California Report special half-hour on parenting. \u003c/a>\u003c/strong>\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/2586/work-life-balance-tips-and-empathy",
"authors": [
"240"
],
"categories": [
"stateofhealth_12",
"stateofhealth_14"
],
"tags": [
"stateofhealth_93"
],
"label": "stateofhealth"
},
"stateofhealth_2534": {
"type": "posts",
"id": "stateofhealth_2534",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "2534",
"score": null,
"sort": [
1327526046000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1327526046,
"format": "aside",
"disqusTitle": "No Whooping Cough Deaths Last Year in California",
"title": "No Whooping Cough Deaths Last Year in California",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_2539\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/WhoopingCoughVaccination071511.jpg\">\u003cimg class=\"size-medium wp-image-2539 \" title=\"Pharmacist administers whooping cough vaccine. (Robyn Beck/AFP/Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/WhoopingCoughVaccination071511-300x199.jpg\" alt=\"Pharmacist administers whooping cough vaccine. (Robyn Beck/AFP/Getty Images)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Pharmacist administers whooping cough vaccine. (Robyn Beck/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>You know public health is working when nothing bad happens. Last year, for the first time in 20 years, California had no deaths from whooping cough, a highly contagious illness also called pertussis.\u003c/p>\n\u003cp>The \u003ca title=\"http://www.cdph.ca.gov/Pages/DEFAULT.aspx\" href=\"http://www.cdph.ca.gov/Pages/DEFAULT.aspx\" target=\"_blank\">California Department of Public Health\u003c/a> credits a statewide vaccination effort which followed a 2010 outbreak when 9,000 Californians were diagnosed and nine infants died. In 2011, in addition to no deaths, the number of cases of the illness dropped to 3,000.\u003c/p>\n\u003cp>As the \u003ca title=\"http://www.latimes.com/news/local/la-me-whooping-cough-20120125,0,5035953.story\" href=\"http://www.latimes.com/news/local/la-me-whooping-cough-20120125,0,5035953.story\" target=\"_blank\">Los Angeles Times reports\u003c/a>:\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>\"Controlling an outbreak is huge,\" said Dr. Gil Chavez, deputy director of infectious diseases for the state. \"It really happens in a partnership.\"\u003c/p>\n\u003cp>The state worked closely with doctors, hospitals, schools and clinics to get more people vaccinated and to get pertussis identified and treated earlier, Chavez said.\u003c/p>\n\u003cp>Pertussis is a bacterial disease that infects the \u003ca href=\"http://www.latimes.com/topic/health/human-body/respiratory-system-HHA000045.topic\">respiratory system\u003c/a>. Children and adults may have severe \u003ca href=\"http://www.latimes.com/topic/health/symptoms/coughing-HEISY000015.topic\">coughing\u003c/a> with a whooping sound at the end of a spasm. Infants may have a runny nose and a cough without the whoop sound.\u003c/p>\n\u003cp>Chavez said that the deaths can also be prevented if cases are identified and treated quickly, usually with antibiotics. \"To have gone through a year like 2011 with 3,000 cases and having no fatalities is pretty remarkable,\" he said.\u003c/p>\u003c/blockquote>\n\u003cp>Immunity from pertussis vaccines can fade over time so booster shots are needed. A new state law requires students in 7th - 12th grades to get a \"DTaP\" booster shot, which protects against diphtheria, tetanus and pertussis.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
"disqusIdentifier": "2534 http://blogs.kqed.org/stateofhealth/?p=2534",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/01/25/no-whooping-cough-deaths-last-year-in-california/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 260,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 10
},
"modified": 1344034947,
"excerpt": "For the first time in 20 years, California had no deaths from whooping cough, a highly contagious illness also called pertussis.\r\n\r\nThe California Department of Public Health credits a statewide vaccination effort which followed a 2009 outbreak when 9,000 Californians were diagnosed and ten infants died. In 2011, in addition to no deaths, the number of cases of the illness dropped to 3,000.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "For the first time in 20 years, California had no deaths from whooping cough, a highly contagious illness also called pertussis.\r\n\r\nThe California Department of Public Health credits a statewide vaccination effort which followed a 2009 outbreak when 9,000 Californians were diagnosed and ten infants died. In 2011, in addition to no deaths, the number of cases of the illness dropped to 3,000.",
"title": "No Whooping Cough Deaths Last Year in California | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "No Whooping Cough Deaths Last Year in California",
"datePublished": "2012-01-25T13:14:06-08:00",
"dateModified": "2012-08-03T16:02:27-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "no-whooping-cough-deaths-last-year-in-california",
"status": "publish",
"path": "/stateofhealth/2534/no-whooping-cough-deaths-last-year-in-california",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_2539\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/WhoopingCoughVaccination071511.jpg\">\u003cimg class=\"size-medium wp-image-2539 \" title=\"Pharmacist administers whooping cough vaccine. (Robyn Beck/AFP/Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/WhoopingCoughVaccination071511-300x199.jpg\" alt=\"Pharmacist administers whooping cough vaccine. (Robyn Beck/AFP/Getty Images)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Pharmacist administers whooping cough vaccine. (Robyn Beck/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>You know public health is working when nothing bad happens. Last year, for the first time in 20 years, California had no deaths from whooping cough, a highly contagious illness also called pertussis.\u003c/p>\n\u003cp>The \u003ca title=\"http://www.cdph.ca.gov/Pages/DEFAULT.aspx\" href=\"http://www.cdph.ca.gov/Pages/DEFAULT.aspx\" target=\"_blank\">California Department of Public Health\u003c/a> credits a statewide vaccination effort which followed a 2010 outbreak when 9,000 Californians were diagnosed and nine infants died. In 2011, in addition to no deaths, the number of cases of the illness dropped to 3,000.\u003c/p>\n\u003cp>As the \u003ca title=\"http://www.latimes.com/news/local/la-me-whooping-cough-20120125,0,5035953.story\" href=\"http://www.latimes.com/news/local/la-me-whooping-cough-20120125,0,5035953.story\" target=\"_blank\">Los Angeles Times reports\u003c/a>:\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>\"Controlling an outbreak is huge,\" said Dr. Gil Chavez, deputy director of infectious diseases for the state. \"It really happens in a partnership.\"\u003c/p>\n\u003cp>The state worked closely with doctors, hospitals, schools and clinics to get more people vaccinated and to get pertussis identified and treated earlier, Chavez said.\u003c/p>\n\u003cp>Pertussis is a bacterial disease that infects the \u003ca href=\"http://www.latimes.com/topic/health/human-body/respiratory-system-HHA000045.topic\">respiratory system\u003c/a>. Children and adults may have severe \u003ca href=\"http://www.latimes.com/topic/health/symptoms/coughing-HEISY000015.topic\">coughing\u003c/a> with a whooping sound at the end of a spasm. Infants may have a runny nose and a cough without the whoop sound.\u003c/p>\n\u003cp>Chavez said that the deaths can also be prevented if cases are identified and treated quickly, usually with antibiotics. \"To have gone through a year like 2011 with 3,000 cases and having no fatalities is pretty remarkable,\" he said.\u003c/p>\u003c/blockquote>\n\u003cp>Immunity from pertussis vaccines can fade over time so booster shots are needed. A new state law requires students in 7th - 12th grades to get a \"DTaP\" booster shot, which protects against diphtheria, tetanus and pertussis.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/2534/no-whooping-cough-deaths-last-year-in-california",
"authors": [
"240"
],
"categories": [
"stateofhealth_14"
],
"tags": [
"stateofhealth_31",
"stateofhealth_152"
],
"label": "stateofhealth"
},
"stateofhealth_2519": {
"type": "posts",
"id": "stateofhealth_2519",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "2519",
"score": null,
"sort": [
1327512154000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1327512154,
"format": "aside",
"disqusTitle": "State of the Union: The President on Health Care",
"title": "State of the Union: The President on Health Care",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cobject id=\"flashObj\" width=\"486\" height=\"412\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashVars\" value=\"videoId=1413682701001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\">\u003cparam name=\"base\" value=\"http://admin.brightcove.com\">\u003cparam name=\"seamlesstabbing\" value=\"false\">\u003cparam name=\"allowFullScreen\" value=\"true\">\u003cparam name=\"swLiveConnect\" value=\"true\">\u003cparam name=\"allowScriptAccess\" value=\"always\">\u003cparam name=\"src\" value=\"http://c.brightcove.com/services/viewer/federated_f9?isVid=1\">\u003cparam name=\"flashvars\" value=\"videoId=1413682701001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\">\u003cparam name=\"allowfullscreen\" value=\"true\">\u003cparam name=\"allowscriptaccess\" value=\"always\">\u003cparam name=\"pluginspage\" value=\"http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash\">\u003cparam name=\"swliveconnect\" value=\"true\">\u003cembed width=\"486\" height=\"412\" type=\"application/x-shockwave-flash\" src=\"http://c.brightcove.com/services/viewer/federated_f9?isVid=1\" flashvars=\"videoId=1413682701001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\" base=\"http://admin.brightcove.com\" allowfullscreen=\"true\" allowscriptaccess=\"always\" pluginspage=\"http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>\u003cem>From \u003cstrong>\u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/January/24/state-of-the-union-excerpts.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/January/24/state-of-the-union-excerpts.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/strong>: In his State of the Union speech, President Barack Obama made just one explicit mention of the 2010 health law. Here is a transcript of the few parts of his speech that mentioned health care issues:\u003c/em>\u003c/p>\n\u003cp>Innovation also demands basic research. Today, the discoveries taking place in our federally-financed labs and universities could lead to new treatments that kill cancer cells but leave healthy ones untouched. ...\u003c/p>\n\u003cp>I will not go back to the days when health insurance companies had unchecked power to cancel your policy, deny your coverage, or charge women differently than men. ...\u003c!--more-->\u003c/p>\n\u003cp>Do we want to keep these tax cuts for the wealthiest Americans? Or do we want to keep our investments in everything else – like education and medical research; a strong military and care for our veterans? Because if we’re serious about paying down our debt, we can’t do both. The American people know what the right choice is. So do I. As I told the Speaker this summer, I’m prepared to make more reforms that rein in the long term costs of Medicare and Medicaid, and strengthen Social Security, so long as those programs remain a guarantee of security for seniors. ...\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>I recognize that people watching tonight have differing views about taxes and debt; energy and health care. But no matter what party they belong to, I bet most Americans are thinking the same thing right about now: Nothing will get done this year, or next year, or maybe even the year after that, because Washington is broken. ...\u003c/p>\n\u003cp>I’m a Democrat. But I believe what Republican Abraham Lincoln believed: That government should do for people only what they cannot do better by themselves, and no more. That’s ... That’s why we’re getting rid of regulations that don’t work. That’s why our health care law relies on a reformed private market, not a government program. ...\u003c/p>\n\u003cp>Above all, our freedom endures because of the men and women in uniform who defend it. As they come home, we must serve them as well as they served us. That includes giving them the care and benefits they have earned – which is why we’ve increased annual VA spending every year I’ve been president.\u003c/p>\n\u003cp>--------------------------------------------------------------\u003c/p>\n\u003cp>\u003cem>Indiana Gov. Mitch Daniels delivered the Republican response. Here are excerpts of his remarks:\u003c/em>\u003c/p>\n\u003cp>[We] must unite to save the safety net. Medicare and Social Security have served us well, and that must continue. But after half and three quarters of a century respectively, it's not surprising that they need some repairs. We can preserve them unchanged and untouched for those now in or near retirement, but we must fashion a new, affordable safety net so future Americans are protected, too.\u003c/p>\n\u003cp>Decades ago, for instance, we could afford to send millionaires pension checks and pay medical bills for even the wealthiest among us. Now, we can't, so the dollars we have should be devoted to those who need them most.\u003c/p>\n\u003cp>The mortal enemies of Social Security and Medicare are those who, in contempt of the plain arithmetic, continue to mislead Americans that we should change nothing. Listening to them much longer will mean that these proud programs implode, and take the American economy with them. ...\u003c/p>\n\u003cp>It's not fair and it's not true for the President to attack Republicans in Congress as obstacles on these questions. They and they alone have passed bills to reduce borrowing, reform entitlements, and encourage new job creation, only to be shot down time and time again by the President and his Democratic Senate allies.\u003c/p>\n\u003cp>This year, it falls to Republicans to level with our fellow citizens about this reality: if we fail to act to grow the private sector and save the safety net, nothing else will matter much. ...\u003c/p>\n\u003cp>In word and deed, the President and his allies tell us that we just cannot handle ourselves in this complex, perilous world without their benevolent protection. Left to ourselves, we might pick the wrong health insurance, the wrong mortgage, the wrong school for our kids; why, unless they stop us, we might pick the wrong light bulb!\u003c/p>\n\u003cp>\u003cstrong>This post has been updated with this additional coverage:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Read More-- \u003ca title=\"http://www.kaiserhealthnews.org/Multimedia/2012/January/012612-health-on-the-hill.aspx\" href=\"http://www.kaiserhealthnews.org/Multimedia/2012/January/012612-health-on-the-hill.aspx\" target=\"_blank\">Kaiser Health News analysis\u003c/a> of the President's limited discussion of health care in the State of the Union address.\u003c/p>\n\n",
"disqusIdentifier": "2519 http://blogs.kqed.org/stateofhealth/?p=2519",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/01/25/state-of-the-union-the-president-on-health-care/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 744,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 20
},
"modified": 1327526443,
"excerpt": "From Kaiser Health News: In his State of the Union speech, President Barack Obama made just one explicit mention of the 2010 health law. Here is a transcript of the few parts of his speech that mentioned health care issues:\r\n\r\nInnovation also demands basic research. Today, the discoveries taking place in our federally-financed labs and universities could lead to new treatments that kill cancer cells but leave healthy ones untouched. ...",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "From Kaiser Health News: In his State of the Union speech, President Barack Obama made just one explicit mention of the 2010 health law. Here is a transcript of the few parts of his speech that mentioned health care issues:\r\n\r\nInnovation also demands basic research. Today, the discoveries taking place in our federally-financed labs and universities could lead to new treatments that kill cancer cells but leave healthy ones untouched. ...",
"title": "State of the Union: The President on Health Care | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "State of the Union: The President on Health Care",
"datePublished": "2012-01-25T09:22:34-08:00",
"dateModified": "2012-01-25T13:20:43-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "state-of-the-union-the-president-on-health-care",
"status": "publish",
"path": "/stateofhealth/2519/state-of-the-union-the-president-on-health-care",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cobject id=\"flashObj\" width=\"486\" height=\"412\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashVars\" value=\"videoId=1413682701001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\">\u003cparam name=\"base\" value=\"http://admin.brightcove.com\">\u003cparam name=\"seamlesstabbing\" value=\"false\">\u003cparam name=\"allowFullScreen\" value=\"true\">\u003cparam name=\"swLiveConnect\" value=\"true\">\u003cparam name=\"allowScriptAccess\" value=\"always\">\u003cparam name=\"src\" value=\"http://c.brightcove.com/services/viewer/federated_f9?isVid=1\">\u003cparam name=\"flashvars\" value=\"videoId=1413682701001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\">\u003cparam name=\"allowfullscreen\" value=\"true\">\u003cparam name=\"allowscriptaccess\" value=\"always\">\u003cparam name=\"pluginspage\" value=\"http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash\">\u003cparam name=\"swliveconnect\" value=\"true\">\u003cembed width=\"486\" height=\"412\" type=\"application/x-shockwave-flash\" src=\"http://c.brightcove.com/services/viewer/federated_f9?isVid=1\" flashvars=\"videoId=1413682701001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\" base=\"http://admin.brightcove.com\" allowfullscreen=\"true\" allowscriptaccess=\"always\" pluginspage=\"http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>\u003cem>From \u003cstrong>\u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/January/24/state-of-the-union-excerpts.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/January/24/state-of-the-union-excerpts.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/strong>: In his State of the Union speech, President Barack Obama made just one explicit mention of the 2010 health law. Here is a transcript of the few parts of his speech that mentioned health care issues:\u003c/em>\u003c/p>\n\u003cp>Innovation also demands basic research. Today, the discoveries taking place in our federally-financed labs and universities could lead to new treatments that kill cancer cells but leave healthy ones untouched. ...\u003c/p>\n\u003cp>I will not go back to the days when health insurance companies had unchecked power to cancel your policy, deny your coverage, or charge women differently than men. ...\u003c!--more-->\u003c/p>\n\u003cp>Do we want to keep these tax cuts for the wealthiest Americans? Or do we want to keep our investments in everything else – like education and medical research; a strong military and care for our veterans? Because if we’re serious about paying down our debt, we can’t do both. The American people know what the right choice is. So do I. As I told the Speaker this summer, I’m prepared to make more reforms that rein in the long term costs of Medicare and Medicaid, and strengthen Social Security, so long as those programs remain a guarantee of security for seniors. ...\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>I recognize that people watching tonight have differing views about taxes and debt; energy and health care. But no matter what party they belong to, I bet most Americans are thinking the same thing right about now: Nothing will get done this year, or next year, or maybe even the year after that, because Washington is broken. ...\u003c/p>\n\u003cp>I’m a Democrat. But I believe what Republican Abraham Lincoln believed: That government should do for people only what they cannot do better by themselves, and no more. That’s ... That’s why we’re getting rid of regulations that don’t work. That’s why our health care law relies on a reformed private market, not a government program. ...\u003c/p>\n\u003cp>Above all, our freedom endures because of the men and women in uniform who defend it. As they come home, we must serve them as well as they served us. That includes giving them the care and benefits they have earned – which is why we’ve increased annual VA spending every year I’ve been president.\u003c/p>\n\u003cp>--------------------------------------------------------------\u003c/p>\n\u003cp>\u003cem>Indiana Gov. Mitch Daniels delivered the Republican response. Here are excerpts of his remarks:\u003c/em>\u003c/p>\n\u003cp>[We] must unite to save the safety net. Medicare and Social Security have served us well, and that must continue. But after half and three quarters of a century respectively, it's not surprising that they need some repairs. We can preserve them unchanged and untouched for those now in or near retirement, but we must fashion a new, affordable safety net so future Americans are protected, too.\u003c/p>\n\u003cp>Decades ago, for instance, we could afford to send millionaires pension checks and pay medical bills for even the wealthiest among us. Now, we can't, so the dollars we have should be devoted to those who need them most.\u003c/p>\n\u003cp>The mortal enemies of Social Security and Medicare are those who, in contempt of the plain arithmetic, continue to mislead Americans that we should change nothing. Listening to them much longer will mean that these proud programs implode, and take the American economy with them. ...\u003c/p>\n\u003cp>It's not fair and it's not true for the President to attack Republicans in Congress as obstacles on these questions. They and they alone have passed bills to reduce borrowing, reform entitlements, and encourage new job creation, only to be shot down time and time again by the President and his Democratic Senate allies.\u003c/p>\n\u003cp>This year, it falls to Republicans to level with our fellow citizens about this reality: if we fail to act to grow the private sector and save the safety net, nothing else will matter much. ...\u003c/p>\n\u003cp>In word and deed, the President and his allies tell us that we just cannot handle ourselves in this complex, perilous world without their benevolent protection. Left to ourselves, we might pick the wrong health insurance, the wrong mortgage, the wrong school for our kids; why, unless they stop us, we might pick the wrong light bulb!\u003c/p>\n\u003cp>\u003cstrong>This post has been updated with this additional coverage:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Read More-- \u003ca title=\"http://www.kaiserhealthnews.org/Multimedia/2012/January/012612-health-on-the-hill.aspx\" href=\"http://www.kaiserhealthnews.org/Multimedia/2012/January/012612-health-on-the-hill.aspx\" target=\"_blank\">Kaiser Health News analysis\u003c/a> of the President's limited discussion of health care in the State of the Union address.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/2519/state-of-the-union-the-president-on-health-care",
"authors": [
"240"
],
"categories": [
"stateofhealth_14"
],
"tags": [
"stateofhealth_41"
],
"featImg": "stateofhealth_2526",
"label": "stateofhealth"
},
"stateofhealth_2391": {
"type": "posts",
"id": "stateofhealth_2391",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "2391",
"score": null,
"sort": [
1327022090000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1327022090,
"format": "aside",
"disqusTitle": "Quick Read: Diesel Truck Pollution in West Oakland Plummets",
"title": "Quick Read: Diesel Truck Pollution in West Oakland Plummets",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_2398\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/deisel-trucks-west-oakland.jpg\">\u003cimg class=\"size-medium wp-image-2398\" title=\"Diesel trucks in West Oakland. (Photo: Xan West)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/deisel-trucks-west-oakland-300x225.jpg\" alt=\"Diesel trucks in West Oakland. (Photo: Xan West)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Diesel trucks in West Oakland. (Photo: Xan West)\u003c/figcaption>\u003c/figure>\n\u003cp>West Oakland residents have long been plagued by polluted air that comes from living near a huge port and three freeways. Rates of asthma and other illnesses are high. In early 2010, the Port of Oakland implemented a program to replace and retrofit the diesel trucks that rumble in and out of the neighborhood to comply with new state laws to reduce pollution.\u003c/p>\n\u003cp>Researchers at U.C. Berkeley measured emissions before the program started and again in mid-2010, just months after it went into effect.\u003c/p>\n\u003cp>The researchers found a dramatic change, just in those few months. The \u003ca title=\"http://its.berkeley.edu/btl/2012/winter/harley\" href=\"http://its.berkeley.edu/btl/2012/winter/harley\" target=\"_blank\">Berkeley Transportation Letter\u003c/a> reports that \"after the first phase of the emission control program took effect in early 2010, black smoke emissions were reduced by about half. NO\u003csub>x\u003c/sub> emissions also dropped by 40 percent.\" NO\u003csub>x \u003c/sub>(nitrogen oxide) is a key contributor to smog.\u003c/p>\n\u003cp>Read the entire story \u003ca title=\"http://its.berkeley.edu/btl/2012/winter/harley\" href=\"http://its.berkeley.edu/btl/2012/winter/harley\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
"disqusIdentifier": "2391 http://blogs.kqed.org/stateofhealth/?p=2391",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/01/19/quick-read-diesel-truck-pollution-in-west-oakland-plummets/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 162,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 6
},
"modified": 1384889258,
"excerpt": "West Oakland residents have long been plagued by polluted air that comes from living near a huge port and three freeways. Rates of asthma and other illnesses are high. In early 2010, the Port of Oakland implemented a program to replace and retrofit the diesel trucks that rumble in and out of the neighborhood to comply with new state laws to reduce pollution.\r\n\r\nResearchers at U.C. Berkeley measured emissions before the program started and again in mid-2010, just months after it went into effect.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "West Oakland residents have long been plagued by polluted air that comes from living near a huge port and three freeways. Rates of asthma and other illnesses are high. In early 2010, the Port of Oakland implemented a program to replace and retrofit the diesel trucks that rumble in and out of the neighborhood to comply with new state laws to reduce pollution.\r\n\r\nResearchers at U.C. Berkeley measured emissions before the program started and again in mid-2010, just months after it went into effect.",
"title": "Quick Read: Diesel Truck Pollution in West Oakland Plummets | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Quick Read: Diesel Truck Pollution in West Oakland Plummets",
"datePublished": "2012-01-19T17:14:50-08:00",
"dateModified": "2013-11-19T11:27:38-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "quick-read-diesel-truck-pollution-in-west-oakland-plummets",
"status": "publish",
"path": "/stateofhealth/2391/quick-read-diesel-truck-pollution-in-west-oakland-plummets",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_2398\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/deisel-trucks-west-oakland.jpg\">\u003cimg class=\"size-medium wp-image-2398\" title=\"Diesel trucks in West Oakland. (Photo: Xan West)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/deisel-trucks-west-oakland-300x225.jpg\" alt=\"Diesel trucks in West Oakland. (Photo: Xan West)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Diesel trucks in West Oakland. (Photo: Xan West)\u003c/figcaption>\u003c/figure>\n\u003cp>West Oakland residents have long been plagued by polluted air that comes from living near a huge port and three freeways. Rates of asthma and other illnesses are high. In early 2010, the Port of Oakland implemented a program to replace and retrofit the diesel trucks that rumble in and out of the neighborhood to comply with new state laws to reduce pollution.\u003c/p>\n\u003cp>Researchers at U.C. Berkeley measured emissions before the program started and again in mid-2010, just months after it went into effect.\u003c/p>\n\u003cp>The researchers found a dramatic change, just in those few months. The \u003ca title=\"http://its.berkeley.edu/btl/2012/winter/harley\" href=\"http://its.berkeley.edu/btl/2012/winter/harley\" target=\"_blank\">Berkeley Transportation Letter\u003c/a> reports that \"after the first phase of the emission control program took effect in early 2010, black smoke emissions were reduced by about half. NO\u003csub>x\u003c/sub> emissions also dropped by 40 percent.\" NO\u003csub>x \u003c/sub>(nitrogen oxide) is a key contributor to smog.\u003c/p>\n\u003cp>Read the entire story \u003ca title=\"http://its.berkeley.edu/btl/2012/winter/harley\" href=\"http://its.berkeley.edu/btl/2012/winter/harley\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/2391/quick-read-diesel-truck-pollution-in-west-oakland-plummets",
"authors": [
"240"
],
"categories": [
"stateofhealth_11",
"stateofhealth_14"
],
"tags": [
"stateofhealth_21"
],
"label": "stateofhealth"
},
"stateofhealth_2312": {
"type": "posts",
"id": "stateofhealth_2312",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "2312",
"score": null,
"sort": [
1326932571000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1326932571,
"format": "aside",
"disqusTitle": "A Painful America",
"title": "A Painful America",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_2324\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Man-in-pain.jpg\">\u003cimg class=\"size-medium wp-image-2324 \" title=\"(Photo: Paul Bradbury)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Man-in-pain-300x213.jpg\" alt=\"(Photo: Paul Bradbury)\" width=\"300\" height=\"213\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Photo: Paul Bradbury)\u003c/figcaption>\u003c/figure>\n\u003cp>The numbers are staggering. One hundred and sixteen million Americans experience pain that can last from weeks to years. Costs of treatment and lost wages total between $560 and $635 billion each year. Yet treatment does not always relieve a patient's suffering.\u003c/p>\n\u003cp>In a \u003ca title=\"http://www.nejm.org/doi/full/10.1056/NEJMp1109084?query=featured_home\" href=\"http://www.nejm.org/doi/full/10.1056/NEJMp1109084?query=featured_home\" target=\"_blank\">Perspective\u003c/a> published today in the New England Journal of Medicine, researchers outline how significant the problem of pain is in the U.S. and suggest approaches for more effective therapy. The piece recaps last year's Institute of Medicine Report, \u003ca title=\"http://iom.edu/~/media/Files/Report%20Files/2011/Relieving-Pain-in-America-A-Blueprint-for-Transforming-Prevention-Care-Education-Research/Pain%20Research%202011%20Report%20Brief.pdf\" href=\"http://iom.edu/~/media/Files/Report%20Files/2011/Relieving-Pain-in-America-A-Blueprint-for-Transforming-Prevention-Care-Education-Research/Pain%20Research%202011%20Report%20Brief.pdf\" target=\"_blank\">Relieving Pain in America\u003c/a>.\u003c/p>\n\u003cp>The writers say that undertreated acute and chronic pain is a \"significant overlooked problem.\" \u003ca title=\"http://med.stanford.edu/profiles/Philip_Pizzo/\" href=\"http://med.stanford.edu/profiles/Philip_Pizzo/\" target=\"_blank\">Dr. Phil Pizzo\u003c/a>, Dean of Stanford's Medical School, is co-author of today's Perspective and led the IOM committee that reviewed the issue last year. In an interview, he described that both patients and doctors have differing approaches to pain and how to manage it. Some patients feel they need to tough it out. Others need someone to listen and work with them. Doctors may be either caring or judgmental about a patient's pain.\u003c!--more-->\u003c/p>\n\u003cp>Pizzo argues for a \"cultural transformation, the need for us to enter in a caring dialogue with an open mind and receptivity and willingness to listen to the individual, spend time understanding and engaging in everything from self-help to directed help.\"\u003c/p>\n\u003cp>A key component of the cultural transformation is education, he says. It's startling, but medical schools don't actually teach their students much about treating pain. Today's Perspective reports that half of all primary care doctors feel only \"somewhat prepared\" to help their patients with pain and about one-fourth of doctors feel \"somewhat\" or \"very unprepared.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But the solution, Pizzo says, is not more specialists. Currently, there are about 4,000 pain specialists and they are mostly located in metropolitan areas. \"We'll never have enough pain specialists to really handle the magnitude of the problem across the United Sates and therefore we really need to work with state and regional communities, with schools and hospitals, to better educate the community of physicians on the front lines of care.\"\u003c/p>\n\u003cp>\u003ca title=\"http://nurseweb.ucsf.edu/www/ffmiask.htm\" href=\"http://nurseweb.ucsf.edu/www/ffmiask.htm\" target=\"_blank\">Christine Miaskowski\u003c/a> is an Associate Dean at the UCSF School of Nursing who specializes in research in unrelieved pain. She was not involved in today's report. \"The field has evolved from thinking of pain as a symptom,\" she said, \"to thinking of pain, particularly chronic pain, that needs to be managed as a medical condition. Just like we manage heart disease and we manage diabetes, we have to manage chronic pain.\"\u003c/p>\n\u003cp>She said the report does an \"impressive\" job in combining calls for both clinician education and public education. Barriers persist in the patient's mind to seeking adequate treatment for pain. Miaskowski described elderly patients who avoid treatment because they think pain is a normal part of aging or because they fear it will cost too much money to do a full work up to determine the cause of the pain.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>When writing the original report last year, the Institute of Medicine instructed the panel of researchers not to delve deeply into the question of opioid pain relievers and the climbing rates of abuse and deaths by overdose. Both Pizzo and Miaskowski argued for the appropriate management of these drugs, so that patients with either acute or chronic pain do not suffer.\u003c/p>\n\n",
"disqusIdentifier": "2312 http://blogs.kqed.org/stateofhealth/?p=2312",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/01/18/a-painful-america/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 563,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 11
},
"modified": 1326997867,
"excerpt": "The numbers are staggering. 116 million Americans experience pain that can last from weeks to years. Costs of treatment and lost wages total between $560 and $635 billion each year. Yet that treatment does not always relieve a patient's suffering.\r\n\r\nIn a Perspective published today in the New England Journal of Medicine, researchers outline how significant the problem of pain is in the U.S. and suggest approaches for more effective treatment. The piece recaps last year's Institute of Medicine Report, Relieving Pain in America.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "The numbers are staggering. 116 million Americans experience pain that can last from weeks to years. Costs of treatment and lost wages total between $560 and $635 billion each year. Yet that treatment does not always relieve a patient's suffering.\r\n\r\nIn a Perspective published today in the New England Journal of Medicine, researchers outline how significant the problem of pain is in the U.S. and suggest approaches for more effective treatment. The piece recaps last year's Institute of Medicine Report, Relieving Pain in America.",
"title": "A Painful America | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "A Painful America",
"datePublished": "2012-01-18T16:22:51-08:00",
"dateModified": "2012-01-19T10:31:07-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "a-painful-america",
"status": "publish",
"path": "/stateofhealth/2312/a-painful-america",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_2324\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Man-in-pain.jpg\">\u003cimg class=\"size-medium wp-image-2324 \" title=\"(Photo: Paul Bradbury)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Man-in-pain-300x213.jpg\" alt=\"(Photo: Paul Bradbury)\" width=\"300\" height=\"213\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Photo: Paul Bradbury)\u003c/figcaption>\u003c/figure>\n\u003cp>The numbers are staggering. One hundred and sixteen million Americans experience pain that can last from weeks to years. Costs of treatment and lost wages total between $560 and $635 billion each year. Yet treatment does not always relieve a patient's suffering.\u003c/p>\n\u003cp>In a \u003ca title=\"http://www.nejm.org/doi/full/10.1056/NEJMp1109084?query=featured_home\" href=\"http://www.nejm.org/doi/full/10.1056/NEJMp1109084?query=featured_home\" target=\"_blank\">Perspective\u003c/a> published today in the New England Journal of Medicine, researchers outline how significant the problem of pain is in the U.S. and suggest approaches for more effective therapy. The piece recaps last year's Institute of Medicine Report, \u003ca title=\"http://iom.edu/~/media/Files/Report%20Files/2011/Relieving-Pain-in-America-A-Blueprint-for-Transforming-Prevention-Care-Education-Research/Pain%20Research%202011%20Report%20Brief.pdf\" href=\"http://iom.edu/~/media/Files/Report%20Files/2011/Relieving-Pain-in-America-A-Blueprint-for-Transforming-Prevention-Care-Education-Research/Pain%20Research%202011%20Report%20Brief.pdf\" target=\"_blank\">Relieving Pain in America\u003c/a>.\u003c/p>\n\u003cp>The writers say that undertreated acute and chronic pain is a \"significant overlooked problem.\" \u003ca title=\"http://med.stanford.edu/profiles/Philip_Pizzo/\" href=\"http://med.stanford.edu/profiles/Philip_Pizzo/\" target=\"_blank\">Dr. Phil Pizzo\u003c/a>, Dean of Stanford's Medical School, is co-author of today's Perspective and led the IOM committee that reviewed the issue last year. In an interview, he described that both patients and doctors have differing approaches to pain and how to manage it. Some patients feel they need to tough it out. Others need someone to listen and work with them. Doctors may be either caring or judgmental about a patient's pain.\u003c!--more-->\u003c/p>\n\u003cp>Pizzo argues for a \"cultural transformation, the need for us to enter in a caring dialogue with an open mind and receptivity and willingness to listen to the individual, spend time understanding and engaging in everything from self-help to directed help.\"\u003c/p>\n\u003cp>A key component of the cultural transformation is education, he says. It's startling, but medical schools don't actually teach their students much about treating pain. Today's Perspective reports that half of all primary care doctors feel only \"somewhat prepared\" to help their patients with pain and about one-fourth of doctors feel \"somewhat\" or \"very unprepared.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But the solution, Pizzo says, is not more specialists. Currently, there are about 4,000 pain specialists and they are mostly located in metropolitan areas. \"We'll never have enough pain specialists to really handle the magnitude of the problem across the United Sates and therefore we really need to work with state and regional communities, with schools and hospitals, to better educate the community of physicians on the front lines of care.\"\u003c/p>\n\u003cp>\u003ca title=\"http://nurseweb.ucsf.edu/www/ffmiask.htm\" href=\"http://nurseweb.ucsf.edu/www/ffmiask.htm\" target=\"_blank\">Christine Miaskowski\u003c/a> is an Associate Dean at the UCSF School of Nursing who specializes in research in unrelieved pain. She was not involved in today's report. \"The field has evolved from thinking of pain as a symptom,\" she said, \"to thinking of pain, particularly chronic pain, that needs to be managed as a medical condition. Just like we manage heart disease and we manage diabetes, we have to manage chronic pain.\"\u003c/p>\n\u003cp>She said the report does an \"impressive\" job in combining calls for both clinician education and public education. Barriers persist in the patient's mind to seeking adequate treatment for pain. Miaskowski described elderly patients who avoid treatment because they think pain is a normal part of aging or because they fear it will cost too much money to do a full work up to determine the cause of the pain.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>When writing the original report last year, the Institute of Medicine instructed the panel of researchers not to delve deeply into the question of opioid pain relievers and the climbing rates of abuse and deaths by overdose. Both Pizzo and Miaskowski argued for the appropriate management of these drugs, so that patients with either acute or chronic pain do not suffer.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/2312/a-painful-america",
"authors": [
"240"
],
"categories": [
"stateofhealth_14"
],
"tags": [
"stateofhealth_141"
],
"label": "stateofhealth"
},
"stateofhealth_2278": {
"type": "posts",
"id": "stateofhealth_2278",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "2278",
"score": null,
"sort": [
1326840331000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1326840331,
"format": "aside",
"disqusTitle": "Obesity Epidemic May Be Leveling Off",
"title": "Obesity Epidemic May Be Leveling Off",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_2298\" class=\"wp-caption alignleft\" style=\"max-width: 263px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Obesity_Malingering_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-2298\" title=\"(Malingering: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Obesity_Malingering_Flickr-300x341.jpg\" alt=\"(Malingering: Flickr)\" width=\"263\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Malingering: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>For the first time since the numbers were crunched in 1980, the U.S. obesity epidemic seems to have reached a plateau. Americans got heavier and heavier through the 1980s and 1990s, but starting in the early 2000s, the steep increases seemed to slow.\u003c/p>\n\u003cp>Two studies,\u003ca title=\"http://jama.ama-assn.org/content/early/2012/01/11/jama.2012.39.full\" href=\"http://jama.ama-assn.org/content/early/2012/01/11/jama.2012.39.full\" target=\"_blank\"> one in adults\u003c/a> and \u003ca title=\"http://jama.ama-assn.org/content/early/2012/01/11/jama.2012.40.full\" href=\"http://jama.ama-assn.org/content/early/2012/01/11/jama.2012.40.full\" target=\"_blank\">one in children\u003c/a>, were published online today by the Journal of the American Medical Association. Researchers looked at data from the \u003ca title=\"http://www.cdc.gov/nchs/nhanes.htm\" href=\"http://www.cdc.gov/nchs/nhanes.htm\" target=\"_blank\">National Health and Nutrition Examination Survey\u003c/a> from 2009-2010. They found no change from the prior survey, the second period of no change in the last 10 years.\u003c/p>\n\u003cp>\u003ca title=\"For the first time since the numbers were crunched in 1980, the U.S. obesity epidemic seems to have reached a plateau. Americans got heavier and heavier through the 1980s and 1990s, but starting in the early 2000s, the steep increases seemed to slow. Two studies, one in adults and one in children, were published online today by the Journal of the American Medical Association. Researchers looked at data from the National Health and Nutrition Examination Survey from 2009-2010. They found no change from the prior survey, the second period of no change in the last 10 years.\" href=\"For%20the%20first%20time%20since%20the%20numbers%20were%20crunched%20in%201980,%20the%20U.S.%20obesity%20epidemic%20seems%20to%20have%20reached%20a%20plateau.%20Americans%20got%20heavier%20and%20heavier%20through%20the%201980s%20and%201990s,%20but%20starting%20in%20the%20early%202000s,%20the%20steep%20increases%20seemed%20to%20slow.%20%20Two%20studies,%20one%20in%20adults%20and%20one%20in%20children,%20were%20published%20online%20today%20by%20the%20Journal%20of%20the%20American%20Medical%20Association.%20Researchers%20looked%20at%20data%20from%20the%20National%20Health%20and%20Nutrition%20Examination%20Survey%20from%202009-2010.%20They%20found%20no%20change%20from%20the%20prior%20survey,%20the%20second%20period%20of%20no%20change%20in%20the%20last%2010%20years.\" target=\"_blank\">Pat Crawford\u003c/a>, Director of the Center for Weight and Health at U.C. Berkeley called the studies \"cautious good news. ... I am thrilled with the plateauing and I am encouraged. I think the biggest risk is that people relax and think we don't have an obesity issue any more.\" Today about one-third of American men and women, and about one in six children and teens are obese.\u003c!--more-->\u003c/p>\n\u003cp>While the researchers would not say why they thought the rate of obesity was leveling off, Crawford attributed the change to many factors, from public education, worksite wellness campaigns, social marketing campaigns and even the move to ban soda machines from schools. In 2005, California became the first state to ban soda and certain kinds of less nutritious foods from being sold in all K-12 schools, a change which many states have followed in the years since.\u003c/p>\n\u003cp>\"We're beginning to inch toward some substantive societal changes,\" Crawford said, \"the same kind of changes we saw with the early tobacco movement. It's not that we don't know what causes obesity. It was the same thing with tobacco. We had lots of information that tobacco caused cancer, but we had to move forward on multiple fronts, the education alone was not enough.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>What's critical, she said, is that the increase seems to have stopped. \"If we build on the momentum and we keep linking all these activities together, we'll continue to gain ground and that will have widespread implications.\"\u003c/p>\n\n",
"disqusIdentifier": "2278 http://blogs.kqed.org/stateofhealth/?p=2278",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/01/17/obesity-epidemic-may-be-leveling-off/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 356,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 8
},
"modified": 1327022133,
"excerpt": "For the first time since the numbers were crunched in 1980, the U.S. obesity epidemic seems to have reached a plateau. Americans got heavier and heavier through the 1980s and 1990s, but starting in the early 2000s, the steep increases seemed to slow.\r\n\r\nTwo studies, one in adults and one in children, were published online today by the Journal of the American Medical Association. Researchers looked at data from the National Health and Nutrition Examination Survey from 2009-2010. They found no change from the prior survey, the second period of no change in the last 10 years.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "For the first time since the numbers were crunched in 1980, the U.S. obesity epidemic seems to have reached a plateau. Americans got heavier and heavier through the 1980s and 1990s, but starting in the early 2000s, the steep increases seemed to slow.\r\n\r\nTwo studies, one in adults and one in children, were published online today by the Journal of the American Medical Association. Researchers looked at data from the National Health and Nutrition Examination Survey from 2009-2010. They found no change from the prior survey, the second period of no change in the last 10 years.",
"title": "Obesity Epidemic May Be Leveling Off | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Obesity Epidemic May Be Leveling Off",
"datePublished": "2012-01-17T14:45:31-08:00",
"dateModified": "2012-01-19T17:15:33-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "obesity-epidemic-may-be-leveling-off",
"status": "publish",
"path": "/stateofhealth/2278/obesity-epidemic-may-be-leveling-off",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_2298\" class=\"wp-caption alignleft\" style=\"max-width: 263px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Obesity_Malingering_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-2298\" title=\"(Malingering: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Obesity_Malingering_Flickr-300x341.jpg\" alt=\"(Malingering: Flickr)\" width=\"263\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Malingering: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>For the first time since the numbers were crunched in 1980, the U.S. obesity epidemic seems to have reached a plateau. Americans got heavier and heavier through the 1980s and 1990s, but starting in the early 2000s, the steep increases seemed to slow.\u003c/p>\n\u003cp>Two studies,\u003ca title=\"http://jama.ama-assn.org/content/early/2012/01/11/jama.2012.39.full\" href=\"http://jama.ama-assn.org/content/early/2012/01/11/jama.2012.39.full\" target=\"_blank\"> one in adults\u003c/a> and \u003ca title=\"http://jama.ama-assn.org/content/early/2012/01/11/jama.2012.40.full\" href=\"http://jama.ama-assn.org/content/early/2012/01/11/jama.2012.40.full\" target=\"_blank\">one in children\u003c/a>, were published online today by the Journal of the American Medical Association. Researchers looked at data from the \u003ca title=\"http://www.cdc.gov/nchs/nhanes.htm\" href=\"http://www.cdc.gov/nchs/nhanes.htm\" target=\"_blank\">National Health and Nutrition Examination Survey\u003c/a> from 2009-2010. They found no change from the prior survey, the second period of no change in the last 10 years.\u003c/p>\n\u003cp>\u003ca title=\"For the first time since the numbers were crunched in 1980, the U.S. obesity epidemic seems to have reached a plateau. Americans got heavier and heavier through the 1980s and 1990s, but starting in the early 2000s, the steep increases seemed to slow. Two studies, one in adults and one in children, were published online today by the Journal of the American Medical Association. Researchers looked at data from the National Health and Nutrition Examination Survey from 2009-2010. They found no change from the prior survey, the second period of no change in the last 10 years.\" href=\"For%20the%20first%20time%20since%20the%20numbers%20were%20crunched%20in%201980,%20the%20U.S.%20obesity%20epidemic%20seems%20to%20have%20reached%20a%20plateau.%20Americans%20got%20heavier%20and%20heavier%20through%20the%201980s%20and%201990s,%20but%20starting%20in%20the%20early%202000s,%20the%20steep%20increases%20seemed%20to%20slow.%20%20Two%20studies,%20one%20in%20adults%20and%20one%20in%20children,%20were%20published%20online%20today%20by%20the%20Journal%20of%20the%20American%20Medical%20Association.%20Researchers%20looked%20at%20data%20from%20the%20National%20Health%20and%20Nutrition%20Examination%20Survey%20from%202009-2010.%20They%20found%20no%20change%20from%20the%20prior%20survey,%20the%20second%20period%20of%20no%20change%20in%20the%20last%2010%20years.\" target=\"_blank\">Pat Crawford\u003c/a>, Director of the Center for Weight and Health at U.C. Berkeley called the studies \"cautious good news. ... I am thrilled with the plateauing and I am encouraged. I think the biggest risk is that people relax and think we don't have an obesity issue any more.\" Today about one-third of American men and women, and about one in six children and teens are obese.\u003c!--more-->\u003c/p>\n\u003cp>While the researchers would not say why they thought the rate of obesity was leveling off, Crawford attributed the change to many factors, from public education, worksite wellness campaigns, social marketing campaigns and even the move to ban soda machines from schools. In 2005, California became the first state to ban soda and certain kinds of less nutritious foods from being sold in all K-12 schools, a change which many states have followed in the years since.\u003c/p>\n\u003cp>\"We're beginning to inch toward some substantive societal changes,\" Crawford said, \"the same kind of changes we saw with the early tobacco movement. It's not that we don't know what causes obesity. It was the same thing with tobacco. We had lots of information that tobacco caused cancer, but we had to move forward on multiple fronts, the education alone was not enough.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>What's critical, she said, is that the increase seems to have stopped. \"If we build on the momentum and we keep linking all these activities together, we'll continue to gain ground and that will have widespread implications.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/2278/obesity-epidemic-may-be-leveling-off",
"authors": [
"240"
],
"categories": [
"stateofhealth_14"
],
"tags": [
"stateofhealth_2520",
"stateofhealth_117"
],
"featImg": "stateofhealth_2298",
"label": "stateofhealth"
},
"stateofhealth_2262": {
"type": "posts",
"id": "stateofhealth_2262",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "2262",
"score": null,
"sort": [
1326838544000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1326838544,
"format": "aside",
"disqusTitle": "Who Gets an Organ Transplant?",
"title": "Who Gets an Organ Transplant?",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_2290\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/OrganDonationCard_Magnus_D_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-2290\" title=\"(Magnus D: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/OrganDonationCard_Magnus_D_Flickr-300x199.jpg\" alt=\"(Magnus D: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Magnus D: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>January 18, 2012: This post has been updated to reflect the family will meet with the hospital.\u003c/strong>\u003c/p>\n\u003cp>The story of a three-year-old girl, Amelia Rivera, who was apparently denied a kidney transplant last week at \u003ca title=\"http://www.chop.edu/\" href=\"http://www.chop.edu/\" target=\"_blank\">Children's Hospital of Philadelphia\u003c/a> (CHOP) has sparked outrage and debate. Amelia's mother, Chrissy, asserts that a CHOP doctor said Amelia was being denied because she is \"mentally retarded.\"\u003c/p>\n\u003cp>Amelia suffers from a rare genetic defect, \u003ca title=\"http://ghr.nlm.nih.gov/condition/wolf-hirschhorn-syndrome\" href=\"http://ghr.nlm.nih.gov/condition/wolf-hirschhorn-syndrome\" target=\"_blank\">Wolf-Hirschhorn syndrome\u003c/a>, which results in severe developmental delays, a characteristic facial appearance, intellectual disability and seizures.\u003c!--more-->\u003c/p>\n\u003cp>Amelia's mother, Chrissy, detailed the exchange with the doctor in \u003ca title=\"http://www.wolfhirschhorn.org/2012/01/amelia/brick-walls/\" href=\"http://www.wolfhirschhorn.org/2012/01/amelia/brick-walls/\" target=\"_blank\">a blog post\u003c/a> published last Thursday. She said the doctor started the meeting by placing two sheets of paper on the table in the conference room, in front of Chrissy and her husband, Joe:\u003c/p>\n\u003cblockquote>\u003cp>I can’t take my eyes off the paper. I am afraid to look over at Joe because I suddenly know where the conversation is headed. In the middle of both papers, he highlighted in pink two phrases. Paper number one has the words, “Mentally Retarded” in cotton candy pink right under Hepatitis C. Paper number two has the phrase, “Brain Damage” in the same pink right under HIV. I remind myself to focus and look back at the doctor. I am still smiling.\u003c/p>\n\u003cp>He says about three more sentences when something sparks in my brain. First it is hazy, foggy, like I am swimming under water. I actually shake my head a little to clear it. And then my brain focuses on what he just said.\u003c/p>\n\u003cp>I put my hand up. “Stop talking for a minute. Did you just say that Amelia shouldn’t have the transplant done because she is mentally retarded. I am confused. Did you really just say that?” ...\u003c/p>\n\u003cp>I point to the paper and he lets me rant a minute. I can’t stop pointing to the paper. “This phrase. This word. This is why she can’t have the transplant done.”\u003c/p>\n\u003cp>“Yes.”\u003c/p>\n\u003cp>I begin to shake. My whole body trembles and he begins to tell me how she will never be able to get on the waiting list because she is mentally retarded.\"\u003c/p>\u003c/blockquote>\n\u003cp>Amelia's case raises all kinds of questions, raised thoughtfully and pointedly, by Lisa Belkin in \u003ca title=\"http://www.huffingtonpost.com/lisa-belkin/denying-transplant_b_1207630.html?ref=parents\" href=\"http://www.huffingtonpost.com/lisa-belkin/denying-transplant_b_1207630.html?ref=parents\" target=\"_blank\">the Huffington Post\u003c/a>. Belkin was a medical reporter at the\u003ca title=\"http://www.nytimes.com/\" href=\"http://www.nytimes.com/\" target=\"_blank\"> New York Times\u003c/a> for many years and wrote a book about ethics decisions at hospitals. She believes the doctor's refusal to put Amelia on a waiting list is about more than mental retardation. As Belkin writes:\u003c/p>\n\u003cblockquote>\u003cp>She is being denied a donor transplant because she has a cascading syndrome that will shorten and limit her life, meaning that kidney will not \"save\" her in the way that it might someone who starts out healthier. In cold clinical terms this means that everything it takes to undergo a transplant -- the medications, the repeated biopsy procedures afterwards, the constant monitoring and machinery -- are difficult and sometimes impossible compared with a child who is less impaired. The less mobile a patient is, the far greater the likelihood that she will develop an infection, or pneumonia, or a host of other complications that make it probable that the transplant will eventually fail. Which, in those same cold clinical terms, would make it a waste of an organ.\u003c/p>\n\u003cp>In a world with unlimited organs it would be reprehensible to deny anyone a transplant because of her limited lifespan, her limited understanding, or her inability to go on to lead a life as full as some other child might. But organs are \u003cem>not\u003c/em> unlimited, and there is no way around these choices. It is a most imperfect and wrenching system. It is inexact and capricious. It brings me to tears as I write about it. But it is the best way we have at the moment.\u003c/p>\u003c/blockquote>\n\u003cp>But then we get to the most perplexing point of all. The Riveras say they were not asking for Amelia to be put on a donor list. In her post, Chrissy says both she and Joe wanted to see if either of them could be a suitable donor, called a \"living designated donor.\" (People have two kidneys, but in most cases, need only one to survive). If neither of them matched, they planned to ask their \"large family\" to donate. And still the doctor said no.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Again, from Chrissy's post:\u003c/p>\n\u003cblockquote>\u003cp>The social worker decides to join the conversation. “Well, you know a transplant is not forever. She will need another one in twelve years. And then what? And do you have any idea of the medications she will need to take to keep her healthy?”\u003c/p>\n\u003cp>I speak through gritted together. “YES, I HAVE DONE ALL MY RESEARCH.”\u003c/p>\n\u003cp>She smirks a little. “Well, what happens when she is thirty and neither of you are around to take care of her. What happens to her then? Who will make sure she takes her medications then?”\u003c/p>\n\u003cp>In a voice that mimics hers, I snort, “Well, what happens if you die tomorrow? Who will take care of your children? Your responsibilities at work?” She breathes in and her eyes widens. “Right!” I throw at her. “Neither of us can predict the future and we shouldn’t try. But if Amelia does not have this transplant she has no future!”\u003c/p>\u003c/blockquote>\n\u003cp>Here's where Amelia's story went viral. Sunday Stilwell, the mother of two autistic boys, read Chrissy's post and \u003ca title=\"http://www.change.org/petitions/director-of-public-relations-allow-the-kidney-transplant-amelia-rivera-needs-to-survive\" href=\"http://www.change.org/petitions/director-of-public-relations-allow-the-kidney-transplant-amelia-rivera-needs-to-survive\" target=\"_blank\">launched a campaign\u003c/a> at Change.org to convince CHOP to change its decision. As of this morning, more than 21,000 people have signed it.\u003c/p>\n\u003cp>CHOP now has a statement on its \u003ca title=\"https://www.facebook.com/ChildrensHospitalofPhiladelphia\" href=\"https://www.facebook.com/ChildrensHospitalofPhiladelphia\" target=\"_blank\">Facebook\u003c/a> page, reading in part:\u003c/p>\n\u003cblockquote>\u003cp>The Children's Hospital of Philadelphia does not disqualify potential transplant candidates on the basis of intellectual abilities. We have transplanted many children with a wide range of disabilities, including physical and intellectual disabilities. We at CHOP are deeply committed to providing the best possible medical care to all children, including those with any form of disability.\u003c/p>\u003c/blockquote>\n\u003cp>Lisa Belkin reports Chrissy said CHOP has changed its mind and Amelia is now approved for transplant with a living designated donor.\u003c/p>\n\u003cp>\u003cstrong>UPDATE: The above fact is in error. Chrissy Rivera says the hospital has agreed to a future meeting to discuss the transplant. But at this time, the transplant has not been approved.\u003c/strong>\u003c/p>\n\u003cp>If you've read to this point, and you're angry at CHOP about its actions, I side with Lisa Belkin, who argues that your anger is misdirected:\u003c/p>\n\u003cblockquote>\u003cp>The anger should be directed at a system where, of the 12,000 people who died last year and met the criteria to be donors -- 12,000 people whose hearts and lungs and livers and kidneys could have gone on to save many times that number of lives... only half of those potential lifesavers were registered as donors. The rest of the organs went to waste.\u003c/p>\n\u003cp>So be angry. And then go sign your organ donor card.\u003c/p>\u003c/blockquote>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Learn more:\u003cbr>\nKQED produced a\u003ca title=\"http://www.californiareport.org/archive/R201003182000/\" href=\"http://www.californiareport.org/archive/R201003182000/\" target=\"_blank\"> one-hour program\u003c/a> about organ donation in 2010.\u003c/p>\n\n",
"disqusIdentifier": "2262 http://blogs.kqed.org/stateofhealth/?p=2262",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/01/17/who-gets-an-organ-transplant/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 1215,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 30
},
"modified": 1326932278,
"excerpt": "The story of a three-year-old girl, Amelia Rivera, who was apparently denied a kidney transplant last week at Children's Hospital of Philadelphia has sparked outrage and debate. Amelia's mother, Chrissy, asserts that a CHOP doctor said Amelia was being denied because she is \"mentally retarded.\"\r\n\r\nAmelia suffers from a rare genetic defect, Wolf-Hirschhorn syndrome, which results in severe developmental delay, a characteristic facial appearance, intellectual disability and seizures.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "The story of a three-year-old girl, Amelia Rivera, who was apparently denied a kidney transplant last week at Children's Hospital of Philadelphia has sparked outrage and debate. Amelia's mother, Chrissy, asserts that a CHOP doctor said Amelia was being denied because she is "mentally retarded."\r\n\r\nAmelia suffers from a rare genetic defect, Wolf-Hirschhorn syndrome, which results in severe developmental delay, a characteristic facial appearance, intellectual disability and seizures.",
"title": "Who Gets an Organ Transplant? | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Who Gets an Organ Transplant?",
"datePublished": "2012-01-17T14:15:44-08:00",
"dateModified": "2012-01-18T16:17:58-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "who-gets-an-organ-transplant",
"status": "publish",
"path": "/stateofhealth/2262/who-gets-an-organ-transplant",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_2290\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/OrganDonationCard_Magnus_D_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-2290\" title=\"(Magnus D: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/OrganDonationCard_Magnus_D_Flickr-300x199.jpg\" alt=\"(Magnus D: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Magnus D: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>January 18, 2012: This post has been updated to reflect the family will meet with the hospital.\u003c/strong>\u003c/p>\n\u003cp>The story of a three-year-old girl, Amelia Rivera, who was apparently denied a kidney transplant last week at \u003ca title=\"http://www.chop.edu/\" href=\"http://www.chop.edu/\" target=\"_blank\">Children's Hospital of Philadelphia\u003c/a> (CHOP) has sparked outrage and debate. Amelia's mother, Chrissy, asserts that a CHOP doctor said Amelia was being denied because she is \"mentally retarded.\"\u003c/p>\n\u003cp>Amelia suffers from a rare genetic defect, \u003ca title=\"http://ghr.nlm.nih.gov/condition/wolf-hirschhorn-syndrome\" href=\"http://ghr.nlm.nih.gov/condition/wolf-hirschhorn-syndrome\" target=\"_blank\">Wolf-Hirschhorn syndrome\u003c/a>, which results in severe developmental delays, a characteristic facial appearance, intellectual disability and seizures.\u003c!--more-->\u003c/p>\n\u003cp>Amelia's mother, Chrissy, detailed the exchange with the doctor in \u003ca title=\"http://www.wolfhirschhorn.org/2012/01/amelia/brick-walls/\" href=\"http://www.wolfhirschhorn.org/2012/01/amelia/brick-walls/\" target=\"_blank\">a blog post\u003c/a> published last Thursday. She said the doctor started the meeting by placing two sheets of paper on the table in the conference room, in front of Chrissy and her husband, Joe:\u003c/p>\n\u003cblockquote>\u003cp>I can’t take my eyes off the paper. I am afraid to look over at Joe because I suddenly know where the conversation is headed. In the middle of both papers, he highlighted in pink two phrases. Paper number one has the words, “Mentally Retarded” in cotton candy pink right under Hepatitis C. Paper number two has the phrase, “Brain Damage” in the same pink right under HIV. I remind myself to focus and look back at the doctor. I am still smiling.\u003c/p>\n\u003cp>He says about three more sentences when something sparks in my brain. First it is hazy, foggy, like I am swimming under water. I actually shake my head a little to clear it. And then my brain focuses on what he just said.\u003c/p>\n\u003cp>I put my hand up. “Stop talking for a minute. Did you just say that Amelia shouldn’t have the transplant done because she is mentally retarded. I am confused. Did you really just say that?” ...\u003c/p>\n\u003cp>I point to the paper and he lets me rant a minute. I can’t stop pointing to the paper. “This phrase. This word. This is why she can’t have the transplant done.”\u003c/p>\n\u003cp>“Yes.”\u003c/p>\n\u003cp>I begin to shake. My whole body trembles and he begins to tell me how she will never be able to get on the waiting list because she is mentally retarded.\"\u003c/p>\u003c/blockquote>\n\u003cp>Amelia's case raises all kinds of questions, raised thoughtfully and pointedly, by Lisa Belkin in \u003ca title=\"http://www.huffingtonpost.com/lisa-belkin/denying-transplant_b_1207630.html?ref=parents\" href=\"http://www.huffingtonpost.com/lisa-belkin/denying-transplant_b_1207630.html?ref=parents\" target=\"_blank\">the Huffington Post\u003c/a>. Belkin was a medical reporter at the\u003ca title=\"http://www.nytimes.com/\" href=\"http://www.nytimes.com/\" target=\"_blank\"> New York Times\u003c/a> for many years and wrote a book about ethics decisions at hospitals. She believes the doctor's refusal to put Amelia on a waiting list is about more than mental retardation. As Belkin writes:\u003c/p>\n\u003cblockquote>\u003cp>She is being denied a donor transplant because she has a cascading syndrome that will shorten and limit her life, meaning that kidney will not \"save\" her in the way that it might someone who starts out healthier. In cold clinical terms this means that everything it takes to undergo a transplant -- the medications, the repeated biopsy procedures afterwards, the constant monitoring and machinery -- are difficult and sometimes impossible compared with a child who is less impaired. The less mobile a patient is, the far greater the likelihood that she will develop an infection, or pneumonia, or a host of other complications that make it probable that the transplant will eventually fail. Which, in those same cold clinical terms, would make it a waste of an organ.\u003c/p>\n\u003cp>In a world with unlimited organs it would be reprehensible to deny anyone a transplant because of her limited lifespan, her limited understanding, or her inability to go on to lead a life as full as some other child might. But organs are \u003cem>not\u003c/em> unlimited, and there is no way around these choices. It is a most imperfect and wrenching system. It is inexact and capricious. It brings me to tears as I write about it. But it is the best way we have at the moment.\u003c/p>\u003c/blockquote>\n\u003cp>But then we get to the most perplexing point of all. The Riveras say they were not asking for Amelia to be put on a donor list. In her post, Chrissy says both she and Joe wanted to see if either of them could be a suitable donor, called a \"living designated donor.\" (People have two kidneys, but in most cases, need only one to survive). If neither of them matched, they planned to ask their \"large family\" to donate. And still the doctor said no.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Again, from Chrissy's post:\u003c/p>\n\u003cblockquote>\u003cp>The social worker decides to join the conversation. “Well, you know a transplant is not forever. She will need another one in twelve years. And then what? And do you have any idea of the medications she will need to take to keep her healthy?”\u003c/p>\n\u003cp>I speak through gritted together. “YES, I HAVE DONE ALL MY RESEARCH.”\u003c/p>\n\u003cp>She smirks a little. “Well, what happens when she is thirty and neither of you are around to take care of her. What happens to her then? Who will make sure she takes her medications then?”\u003c/p>\n\u003cp>In a voice that mimics hers, I snort, “Well, what happens if you die tomorrow? Who will take care of your children? Your responsibilities at work?” She breathes in and her eyes widens. “Right!” I throw at her. “Neither of us can predict the future and we shouldn’t try. But if Amelia does not have this transplant she has no future!”\u003c/p>\u003c/blockquote>\n\u003cp>Here's where Amelia's story went viral. Sunday Stilwell, the mother of two autistic boys, read Chrissy's post and \u003ca title=\"http://www.change.org/petitions/director-of-public-relations-allow-the-kidney-transplant-amelia-rivera-needs-to-survive\" href=\"http://www.change.org/petitions/director-of-public-relations-allow-the-kidney-transplant-amelia-rivera-needs-to-survive\" target=\"_blank\">launched a campaign\u003c/a> at Change.org to convince CHOP to change its decision. As of this morning, more than 21,000 people have signed it.\u003c/p>\n\u003cp>CHOP now has a statement on its \u003ca title=\"https://www.facebook.com/ChildrensHospitalofPhiladelphia\" href=\"https://www.facebook.com/ChildrensHospitalofPhiladelphia\" target=\"_blank\">Facebook\u003c/a> page, reading in part:\u003c/p>\n\u003cblockquote>\u003cp>The Children's Hospital of Philadelphia does not disqualify potential transplant candidates on the basis of intellectual abilities. We have transplanted many children with a wide range of disabilities, including physical and intellectual disabilities. We at CHOP are deeply committed to providing the best possible medical care to all children, including those with any form of disability.\u003c/p>\u003c/blockquote>\n\u003cp>Lisa Belkin reports Chrissy said CHOP has changed its mind and Amelia is now approved for transplant with a living designated donor.\u003c/p>\n\u003cp>\u003cstrong>UPDATE: The above fact is in error. Chrissy Rivera says the hospital has agreed to a future meeting to discuss the transplant. But at this time, the transplant has not been approved.\u003c/strong>\u003c/p>\n\u003cp>If you've read to this point, and you're angry at CHOP about its actions, I side with Lisa Belkin, who argues that your anger is misdirected:\u003c/p>\n\u003cblockquote>\u003cp>The anger should be directed at a system where, of the 12,000 people who died last year and met the criteria to be donors -- 12,000 people whose hearts and lungs and livers and kidneys could have gone on to save many times that number of lives... only half of those potential lifesavers were registered as donors. The rest of the organs went to waste.\u003c/p>\n\u003cp>So be angry. And then go sign your organ donor card.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "floatright"
},
"numeric": [
"floatright"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Learn more:\u003cbr>\nKQED produced a\u003ca title=\"http://www.californiareport.org/archive/R201003182000/\" href=\"http://www.californiareport.org/archive/R201003182000/\" target=\"_blank\"> one-hour program\u003c/a> about organ donation in 2010.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/2262/who-gets-an-organ-transplant",
"authors": [
"240"
],
"categories": [
"stateofhealth_14"
],
"label": "stateofhealth"
},
"stateofhealth_2138": {
"type": "posts",
"id": "stateofhealth_2138",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "2138",
"score": null,
"sort": [
1326731364000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1326731364,
"format": "aside",
"disqusTitle": "Do No Harm -- And Keep An Eye On Costs",
"title": "Do No Harm -- And Keep An Eye On Costs",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cstrong>By \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/January/11/parsimonious-care.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/January/11/parsimonious-care.aspx\" target=\"_blank\">Kaiser Health News\u003c/a> staff writers\u003c/strong>\u003c/p>\n\u003cp>\u003ca title=\"http://www.acponline.org/\" href=\"http://www.acponline.org/\" target=\"_blank\">The American College of Physicians\u003c/a> startled and astonished the medical establishment when it released an \u003ca title=\"http://www.annals.org/content/156/1_Part_2/73.full.pdf+html\" href=\"http://www.annals.org/content/156/1_Part_2/73.full.pdf+html\" target=\"_blank\">updated ethics manual\u003c/a> calling for doctors to provide \"parsimonious care\" – in other words, \"to practice effective and efficient health care and to use health care resources responsibly.\"\u003c/p>\n\u003cfigure id=\"attachment_2144\" class=\"wp-caption aligncenter\" style=\"max-width: 512px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Parsimonious.jpg\">\u003cimg class=\"size-full wp-image-2144\" title=\"(Image: Kaiser Health News)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Parsimonious.jpg\" alt=\"(Image: Kaiser Health News)\" width=\"512\" height=\"150\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/01/Parsimonious.jpg 512w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/Parsimonious-400x117.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/Parsimonious-320x94.jpg 320w\" sizes=\"(max-width: 512px) 100vw, 512px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Image: Kaiser Health News)\u003c/figcaption>\u003c/figure>\n\u003cp>This recommendation, included in the January 3, Annals of Internal Medicine special supplement, drew immediate reaction – and not just because of its use of the infrequently heard \"parsimonious.\" It's been viewed as a definitive statement of medical ethics directed at the organization's 132,000 members – physicians who practice internal medicine and its \u003ca title=\"http://www.acponline.org/patients_families/about_internal_medicine/subspecialties/\" href=\"http://www.acponline.org/patients_families/about_internal_medicine/subspecialties/\" target=\"_blank\">related specialties\u003c/a>, among them cardiology and oncology, that often involve expensive procedures. And, the guidance comes at a time when health care costs are central to the national policy debate.\u003c!--more-->Lois Snyder, director of ACP's Center for Ethics and Professionalism, says the focus on practicing efficient medicine is not new – it's been a part of the ethics manual since its first edition in 1984 and the word \"parsimonious\" first appeared in the \u003ca title=\"http://www.annals.org/content/128/7/576.full\" href=\"http://www.annals.org/content/128/7/576.full\" target=\"_blank\">manual's fourth edition\u003c/a>. \"We're pleased its getting attention now,\" she said.\u003c/p>\n\u003cp>So why all the buzz? \"I think the atmosphere is different this time around,\" said Snyder. \"People are more conscious of these issues.\"\u003c/p>\n\u003cp>For instance, in an \u003ca title=\"http://www.annals.org/content/156/1_Part_1/56.full.pdf+html\" href=\"http://www.annals.org/content/156/1_Part_1/56.full.pdf+html\" target=\"_blank\">accompanying editorial\u003c/a>, \u003ca title=\"http://www.bioethics.nih.gov/people/emanuel-bio.shtml\" href=\"http://www.bioethics.nih.gov/people/emanuel-bio.shtml\" target=\"_blank\">Dr. Ezekiel Emanuel \u003c/a> described the manual as \"truly remarkable\" because, in very certain terms, it represents an important shift by \"advocating the principle of cost-effectiveness.\" Emanuel, previously a health policy advisor to the White House Office of Management and Budget, now is at the University of Pennsylvania.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Still, behind the ACP's ethical statement, there lies a difficult matrix of practical concerns. Some worry that this type of cost consideration ultimately hampers patient care. Others point to aspects of the health care system – ranging from the way physicians are trained to the lack of information and awareness they have about the costs of treatments and procedures – that interfere with their ability to undertake this kind of stewardship.\u003c/p>\n\u003cp>\u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/January/11/parsimonious-care.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/January/11/parsimonious-care.aspx\" target=\"_blank\">Kaiser Health News\u003c/a> talked with physicians and health policy experts about this notion of \"parsimonious care.\" Their edited comments follow.\u003c/p>\n\u003cp>\u003cstrong>Dr. Glen Stream\u003c/strong>\u003cbr>\n\u003cem>President, American Academy of Family Physicians\u003c/em>\u003c/p>\n\u003cp>I applaud the American College of Physicians. I do believe that physicians have an ethical responsibility to be good stewards of what are always going to be, in one way or another, limited medical resources.\u003c/p>\n\u003cp>We as a country have for a long time operated our healthcare system without that awareness and we’re getting to the point where our health care system literally costs more than we can afford. The other aspect is that we as a country have always thought that more was better – more medical treatment, more testing, more whatever it might be, but there's a very strong body of medical evidence that over testing and over treatment can actually negatively impact people’s health. I think that being cost conscious is always going to improve patient outcomes. It's just embedded in how people practice. I know that physicians sometimes have difficulty reconciling that societal, ethical responsibility with the patient in the examination room, but I think that over time we will definitely see that those two are aligned.\u003c/p>\n\u003cp>\u003cstrong>Peter J. Neumann\u003c/strong>\u003cbr>\n\u003cem>Director of the Center for the Evaluation of Value and Risk in Health at Tufts Medical Center; and professor, Tufts University School of Medicine\u003c/em>\u003c/p>\n\u003cp>On balance, it's a good thing. We’re confronting cost issues, whether we say so or not, and I think that saying so and trying to come to terms with it and giving some guidance on it is better than not. These are not easy issues, of course. Things like this tend to add to a much larger debate on practice, curriculum and training. Change goes slowly and gradually but I think that this type of event helps that process.\u003c/p>\n\u003cp>\u003cstrong>Daniel Callahan\u003c/strong>\u003cbr>\n\u003cem>President Emeritus, the Hastings Center, a nonpartisan bioethics research institute\u003c/em>\u003c/p>\n\u003cp>Just by mentioning the importance of cost-effectiveness, the policy breaks important new ground. The cost problem is getting worse all the time. We’ve got to find a way to break that logjam.\u003c/p>\n\u003cp>I would hope Congress would find a way to rethink the issue. There's a very powerful tradition against taking costs into account. Medicare is the first place that's got to be done. We need a lively and professional discussion that avoids making it purely political. I’ve been writing about rationing for some 20 years. However, I've been told many times that you can’t use that word in Washington – neither Democrats nor Republicans want to get near it.\u003c/p>\n\u003cp>\u003cstrong>Susan M. Wolf\u003c/strong>\u003cbr>\n\u003cem>McKnight presidential professor of law, medicine & public policy, University of Minnesota\u003c/em>\u003c/p>\n\u003cp>The manual appropriately recognizes that part of providing good care is providing effective care and efficient care that's evidence-based. But I do have concerns about the statement in the manual that the physicians should consider data on cost-effectiveness, because the manual doesn’t really explore what that means. Cost-effectiveness analysis is complex, and what is cost-effective on an aggregate basis may not be what is best or even cost-effective for this patient. So to say that physicians should consider data on cost-effectiveness, doesn’t really give enough guidance in my view.\u003c/p>\n\u003cp>I'm also concerned that the manual discusses insurers’ ethical obligations without explaining the source and nature of those obligations. When the manual says that insurers have no obligation to underwrite treatment approaches that are relatively cost-ineffective, the manual again raises more questions than it answers. When insurers underwrite, they're underwriting not just for an aggregate patient population but for a range of individuals, and should consider whether a treatment may be justified in certain cases. Physicians should consider this too.\u003c/p>\n\u003cp>\u003cstrong>Rep. Jim McDermott, D- Wash.\u003c/strong>\u003cbr>\n\u003cem>Member of Congress; psychiatrist\u003c/em>\u003c/p>\n\u003cp>This ... is a very hopeful sign, because using resources thoughtfully and efficiently is essential to good care. It is time to acknowledge that routinely piling on every procedure, drug and medical device that our medical complex has developed is often damaging to patients – both to their health and to their finances. Our national dialogue about constraining health costs has tended to focus on our ability to meet our commitments in Medicare and other programs. But millions of Americans are underinsured and uninsured, and must pay their medical bills out of pocket – these expenses can mount so quickly that a patient must either forego care or face crushing medical bills. Encouraging efficient use of resources is not merely a matter of protecting the taxpayers and other large payers, it also can prevent driving households into medical bankruptcy.\u003c/p>\n\u003cp>\u003cstrong>Dr. Allen Lichter\u003c/strong>\u003cbr>\n\u003cem>CEO, American Society of Clinical Oncology\u003c/em>\u003c/p>\n\u003cp>We want to remove the stigma that is often associated with considering what treatment is going to cost. Most of us were schooled to say \"We do everything we can and cost is no object.\" That was a lot easier to say 30 and 40 years ago when that care didn’t cost as much. We now recognize that cost is a critical factor in health care and in oncology care.\u003c/p>\n\u003cp>About 40 percent of cancer patients report exhausting most, if not all, of their savings as they go through cancer treatment. Cancer is a leading cause of bankruptcy in this country. It is just no longer appropriate for us to say that costs are inconsequential and should not be considered. This is part of the doctor-patient relationship; this does not interfere with it. Costs are quite substantial. Bringing that information in as part of the discussion is as important as the physical or emotional side-effects.\u003c/p>\n\u003cp>\u003cstrong>Jessie Gruman\u003c/strong>\u003cbr>\n\u003cem>President and founder, Center for Advancing Health, a nonprofit organization that conducts research and seeks to increase public engagement in health and health care\u003c/em>\u003c/p>\n\u003cp>I think it's a positive sign. The cost of care is increasingly important to all of us. It’s such a patronizing notion to think that we don't already consider the cost of medical intervention, or that we shouldn’t have the choice to consider the cost of medical care. We've been hampered by a history of not talking about the cost of care and by not having information about cost.\u003c/p>\n\u003cp>\u003cstrong>Rep. Michael C. Burgess, R-Texas\u003c/strong>\u003cbr>\n\u003cem>Member of Congress; physician\u003c/em>\u003c/p>\n\u003cp>It’s really the word “parsimonious.” If there’s a problem in their statement, that’s it. Of course we need to be efficient, of course we need to be conscientious. The word itself carries a connotation that is going to give people pause if it’s a precursor to rationing.\u003c/p>\n\u003cp>\u003cstrong>Dr. Don Goldmann\u003c/strong>\u003cbr>\n\u003cem>Senior vice president, Institute for Healthcare Improvement, an independent, nonprofit organization; and professor, Harvard Medical School\u003c/em>\u003c/p>\n\u003cp>I use the word parsimonious all the time – just to get that off the table. I think it’s a very good word for describing a sensible, non-wasteful approach to anything.\u003c/p>\n\u003cp>It’s not really a big change in direction. Most clinical practice guidelines used by medical professionals are framed either explicitly or implicitly with some idea about the cost effectiveness of various alternatives. That said, most providers on the front line have not traditionally had a mechanism to evaluate and compare the cost and effectiveness of various treatments.\u003c/p>\n\u003cp>The true cost and effectiveness of a given treatment should be made available and utilized by clinicians as part of their decision making process. What I would love to see is increased pressure on the health care industry to be transparent about the true cost of what they’re making available to their providers and not make it so obscure that you can’t figure it out.\u003c/p>\n\u003cp>\u003cstrong>Dr. Diane Meier\u003c/strong>\u003cbr>\n\u003cem>Director, Center to Advance Palliative Care; and professor of geriatrics and internal medicine, Mount Sinai School of Medicine\u003c/em>\u003c/p>\n\u003cp>It recognizes that physicians have a role in helping the public understand the limits of modern medicine. My concern with telling doctors to be more “parsimonious” is that it doesn’t provide physicians and other clinicians with the supports they need to do that, which are systems issues. For instance, physicians need protections from lawsuits. Many policy makers say that tort reform wouldn’t have much impact on health care spending but unless physicians are protected from this very remunerated medical legal lawsuit industry, they are going to keep on making decisions that have nothing to do with parsimony.\u003c/p>\n\u003cp>The second thing is that physicians never get any training or very rarely get any training in how to educate patients and families about benefits and burdens in health care and how to help patients and families understand probabilities and risk. What physicians are currently trained in is how to do procedures, tests, interventions, and quite frankly, many of us think that is the only way we have to signal our care for our patients. Doctors need to be taught other ways to signal caring and I think we ignore those aspects of doctoring at our peril as our health care budget demonstrates.\u003c/p>\n\u003cp>\u003cstrong>Dr. Otis Webb Brawley\u003c/strong>\u003cbr>\n\u003cem>Chief medical officer, American Cancer Society\u003c/em>\u003c/p>\n\u003cp>I hear the political pundits, many of whom don't understand medicine, and even some people in medicine … they talk about the rationing of medicine. What we really need to have is a conversation about the rational use of medicine. When I say rational, we need to think about cost and likelihood of effectiveness, this does not mean that some very expensive [care] should be rejected, but means costly [care] that’s not likely to help the patent should be rejected.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[Teaching cost concern to medical school students] has been done, but it has not been as widespread as it should be. It’s starting to become more and more an issue, and it’s starting to get on a lot more curricula at medical schools.\u003c/p>\n\n",
"disqusIdentifier": "2138 http://blogs.kqed.org/stateofhealth/?p=2138",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/01/16/do-no-harm-and-keep-an-eye-on-costs/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 2033,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 39
},
"modified": 1371246922,
"excerpt": "The American College of Physicians startled and astonished the medical establishment when it released an updated ethics manual calling for doctors to provide \"parsimonious care\" – in other words, \"to practice effective and efficient health care and to use health care resources responsibly.\"\r\n\r\nThis recommendation, included in the Jan. 3 Annals of Internal Medicine special supplement, drew immediate reaction – and not just because of its use of the infrequently heard \"parsimonious.\" It's been viewed as a definitive statement of medical ethics directed at the organization's 132,000 members – physicians who practice internal medicine and its related specialties, among them cardiology and oncology, that often involve expensive procedures. And, the guidance comes at a time when health care costs are central to the national policy debate.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "The American College of Physicians startled and astonished the medical establishment when it released an updated ethics manual calling for doctors to provide "parsimonious care" – in other words, "to practice effective and efficient health care and to use health care resources responsibly."\r\n\r\nThis recommendation, included in the Jan. 3 Annals of Internal Medicine special supplement, drew immediate reaction – and not just because of its use of the infrequently heard "parsimonious." It's been viewed as a definitive statement of medical ethics directed at the organization's 132,000 members – physicians who practice internal medicine and its related specialties, among them cardiology and oncology, that often involve expensive procedures. And, the guidance comes at a time when health care costs are central to the national policy debate.",
"title": "Do No Harm -- And Keep An Eye On Costs | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Do No Harm -- And Keep An Eye On Costs",
"datePublished": "2012-01-16T08:29:24-08:00",
"dateModified": "2013-06-14T14:55:22-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "do-no-harm-and-keep-an-eye-on-costs",
"status": "publish",
"path": "/stateofhealth/2138/do-no-harm-and-keep-an-eye-on-costs",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/January/11/parsimonious-care.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/January/11/parsimonious-care.aspx\" target=\"_blank\">Kaiser Health News\u003c/a> staff writers\u003c/strong>\u003c/p>\n\u003cp>\u003ca title=\"http://www.acponline.org/\" href=\"http://www.acponline.org/\" target=\"_blank\">The American College of Physicians\u003c/a> startled and astonished the medical establishment when it released an \u003ca title=\"http://www.annals.org/content/156/1_Part_2/73.full.pdf+html\" href=\"http://www.annals.org/content/156/1_Part_2/73.full.pdf+html\" target=\"_blank\">updated ethics manual\u003c/a> calling for doctors to provide \"parsimonious care\" – in other words, \"to practice effective and efficient health care and to use health care resources responsibly.\"\u003c/p>\n\u003cfigure id=\"attachment_2144\" class=\"wp-caption aligncenter\" style=\"max-width: 512px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Parsimonious.jpg\">\u003cimg class=\"size-full wp-image-2144\" title=\"(Image: Kaiser Health News)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Parsimonious.jpg\" alt=\"(Image: Kaiser Health News)\" width=\"512\" height=\"150\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/01/Parsimonious.jpg 512w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/Parsimonious-400x117.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/Parsimonious-320x94.jpg 320w\" sizes=\"(max-width: 512px) 100vw, 512px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Image: Kaiser Health News)\u003c/figcaption>\u003c/figure>\n\u003cp>This recommendation, included in the January 3, Annals of Internal Medicine special supplement, drew immediate reaction – and not just because of its use of the infrequently heard \"parsimonious.\" It's been viewed as a definitive statement of medical ethics directed at the organization's 132,000 members – physicians who practice internal medicine and its \u003ca title=\"http://www.acponline.org/patients_families/about_internal_medicine/subspecialties/\" href=\"http://www.acponline.org/patients_families/about_internal_medicine/subspecialties/\" target=\"_blank\">related specialties\u003c/a>, among them cardiology and oncology, that often involve expensive procedures. And, the guidance comes at a time when health care costs are central to the national policy debate.\u003c!--more-->Lois Snyder, director of ACP's Center for Ethics and Professionalism, says the focus on practicing efficient medicine is not new – it's been a part of the ethics manual since its first edition in 1984 and the word \"parsimonious\" first appeared in the \u003ca title=\"http://www.annals.org/content/128/7/576.full\" href=\"http://www.annals.org/content/128/7/576.full\" target=\"_blank\">manual's fourth edition\u003c/a>. \"We're pleased its getting attention now,\" she said.\u003c/p>\n\u003cp>So why all the buzz? \"I think the atmosphere is different this time around,\" said Snyder. \"People are more conscious of these issues.\"\u003c/p>\n\u003cp>For instance, in an \u003ca title=\"http://www.annals.org/content/156/1_Part_1/56.full.pdf+html\" href=\"http://www.annals.org/content/156/1_Part_1/56.full.pdf+html\" target=\"_blank\">accompanying editorial\u003c/a>, \u003ca title=\"http://www.bioethics.nih.gov/people/emanuel-bio.shtml\" href=\"http://www.bioethics.nih.gov/people/emanuel-bio.shtml\" target=\"_blank\">Dr. Ezekiel Emanuel \u003c/a> described the manual as \"truly remarkable\" because, in very certain terms, it represents an important shift by \"advocating the principle of cost-effectiveness.\" Emanuel, previously a health policy advisor to the White House Office of Management and Budget, now is at the University of Pennsylvania.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Still, behind the ACP's ethical statement, there lies a difficult matrix of practical concerns. Some worry that this type of cost consideration ultimately hampers patient care. Others point to aspects of the health care system – ranging from the way physicians are trained to the lack of information and awareness they have about the costs of treatments and procedures – that interfere with their ability to undertake this kind of stewardship.\u003c/p>\n\u003cp>\u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/January/11/parsimonious-care.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/January/11/parsimonious-care.aspx\" target=\"_blank\">Kaiser Health News\u003c/a> talked with physicians and health policy experts about this notion of \"parsimonious care.\" Their edited comments follow.\u003c/p>\n\u003cp>\u003cstrong>Dr. Glen Stream\u003c/strong>\u003cbr>\n\u003cem>President, American Academy of Family Physicians\u003c/em>\u003c/p>\n\u003cp>I applaud the American College of Physicians. I do believe that physicians have an ethical responsibility to be good stewards of what are always going to be, in one way or another, limited medical resources.\u003c/p>\n\u003cp>We as a country have for a long time operated our healthcare system without that awareness and we’re getting to the point where our health care system literally costs more than we can afford. The other aspect is that we as a country have always thought that more was better – more medical treatment, more testing, more whatever it might be, but there's a very strong body of medical evidence that over testing and over treatment can actually negatively impact people’s health. I think that being cost conscious is always going to improve patient outcomes. It's just embedded in how people practice. I know that physicians sometimes have difficulty reconciling that societal, ethical responsibility with the patient in the examination room, but I think that over time we will definitely see that those two are aligned.\u003c/p>\n\u003cp>\u003cstrong>Peter J. Neumann\u003c/strong>\u003cbr>\n\u003cem>Director of the Center for the Evaluation of Value and Risk in Health at Tufts Medical Center; and professor, Tufts University School of Medicine\u003c/em>\u003c/p>\n\u003cp>On balance, it's a good thing. We’re confronting cost issues, whether we say so or not, and I think that saying so and trying to come to terms with it and giving some guidance on it is better than not. These are not easy issues, of course. Things like this tend to add to a much larger debate on practice, curriculum and training. Change goes slowly and gradually but I think that this type of event helps that process.\u003c/p>\n\u003cp>\u003cstrong>Daniel Callahan\u003c/strong>\u003cbr>\n\u003cem>President Emeritus, the Hastings Center, a nonpartisan bioethics research institute\u003c/em>\u003c/p>\n\u003cp>Just by mentioning the importance of cost-effectiveness, the policy breaks important new ground. The cost problem is getting worse all the time. We’ve got to find a way to break that logjam.\u003c/p>\n\u003cp>I would hope Congress would find a way to rethink the issue. There's a very powerful tradition against taking costs into account. Medicare is the first place that's got to be done. We need a lively and professional discussion that avoids making it purely political. I’ve been writing about rationing for some 20 years. However, I've been told many times that you can’t use that word in Washington – neither Democrats nor Republicans want to get near it.\u003c/p>\n\u003cp>\u003cstrong>Susan M. Wolf\u003c/strong>\u003cbr>\n\u003cem>McKnight presidential professor of law, medicine & public policy, University of Minnesota\u003c/em>\u003c/p>\n\u003cp>The manual appropriately recognizes that part of providing good care is providing effective care and efficient care that's evidence-based. But I do have concerns about the statement in the manual that the physicians should consider data on cost-effectiveness, because the manual doesn’t really explore what that means. Cost-effectiveness analysis is complex, and what is cost-effective on an aggregate basis may not be what is best or even cost-effective for this patient. So to say that physicians should consider data on cost-effectiveness, doesn’t really give enough guidance in my view.\u003c/p>\n\u003cp>I'm also concerned that the manual discusses insurers’ ethical obligations without explaining the source and nature of those obligations. When the manual says that insurers have no obligation to underwrite treatment approaches that are relatively cost-ineffective, the manual again raises more questions than it answers. When insurers underwrite, they're underwriting not just for an aggregate patient population but for a range of individuals, and should consider whether a treatment may be justified in certain cases. Physicians should consider this too.\u003c/p>\n\u003cp>\u003cstrong>Rep. Jim McDermott, D- Wash.\u003c/strong>\u003cbr>\n\u003cem>Member of Congress; psychiatrist\u003c/em>\u003c/p>\n\u003cp>This ... is a very hopeful sign, because using resources thoughtfully and efficiently is essential to good care. It is time to acknowledge that routinely piling on every procedure, drug and medical device that our medical complex has developed is often damaging to patients – both to their health and to their finances. Our national dialogue about constraining health costs has tended to focus on our ability to meet our commitments in Medicare and other programs. But millions of Americans are underinsured and uninsured, and must pay their medical bills out of pocket – these expenses can mount so quickly that a patient must either forego care or face crushing medical bills. Encouraging efficient use of resources is not merely a matter of protecting the taxpayers and other large payers, it also can prevent driving households into medical bankruptcy.\u003c/p>\n\u003cp>\u003cstrong>Dr. Allen Lichter\u003c/strong>\u003cbr>\n\u003cem>CEO, American Society of Clinical Oncology\u003c/em>\u003c/p>\n\u003cp>We want to remove the stigma that is often associated with considering what treatment is going to cost. Most of us were schooled to say \"We do everything we can and cost is no object.\" That was a lot easier to say 30 and 40 years ago when that care didn’t cost as much. We now recognize that cost is a critical factor in health care and in oncology care.\u003c/p>\n\u003cp>About 40 percent of cancer patients report exhausting most, if not all, of their savings as they go through cancer treatment. Cancer is a leading cause of bankruptcy in this country. It is just no longer appropriate for us to say that costs are inconsequential and should not be considered. This is part of the doctor-patient relationship; this does not interfere with it. Costs are quite substantial. Bringing that information in as part of the discussion is as important as the physical or emotional side-effects.\u003c/p>\n\u003cp>\u003cstrong>Jessie Gruman\u003c/strong>\u003cbr>\n\u003cem>President and founder, Center for Advancing Health, a nonprofit organization that conducts research and seeks to increase public engagement in health and health care\u003c/em>\u003c/p>\n\u003cp>I think it's a positive sign. The cost of care is increasingly important to all of us. It’s such a patronizing notion to think that we don't already consider the cost of medical intervention, or that we shouldn’t have the choice to consider the cost of medical care. We've been hampered by a history of not talking about the cost of care and by not having information about cost.\u003c/p>\n\u003cp>\u003cstrong>Rep. Michael C. Burgess, R-Texas\u003c/strong>\u003cbr>\n\u003cem>Member of Congress; physician\u003c/em>\u003c/p>\n\u003cp>It’s really the word “parsimonious.” If there’s a problem in their statement, that’s it. Of course we need to be efficient, of course we need to be conscientious. The word itself carries a connotation that is going to give people pause if it’s a precursor to rationing.\u003c/p>\n\u003cp>\u003cstrong>Dr. Don Goldmann\u003c/strong>\u003cbr>\n\u003cem>Senior vice president, Institute for Healthcare Improvement, an independent, nonprofit organization; and professor, Harvard Medical School\u003c/em>\u003c/p>\n\u003cp>I use the word parsimonious all the time – just to get that off the table. I think it’s a very good word for describing a sensible, non-wasteful approach to anything.\u003c/p>\n\u003cp>It’s not really a big change in direction. Most clinical practice guidelines used by medical professionals are framed either explicitly or implicitly with some idea about the cost effectiveness of various alternatives. That said, most providers on the front line have not traditionally had a mechanism to evaluate and compare the cost and effectiveness of various treatments.\u003c/p>\n\u003cp>The true cost and effectiveness of a given treatment should be made available and utilized by clinicians as part of their decision making process. What I would love to see is increased pressure on the health care industry to be transparent about the true cost of what they’re making available to their providers and not make it so obscure that you can’t figure it out.\u003c/p>\n\u003cp>\u003cstrong>Dr. Diane Meier\u003c/strong>\u003cbr>\n\u003cem>Director, Center to Advance Palliative Care; and professor of geriatrics and internal medicine, Mount Sinai School of Medicine\u003c/em>\u003c/p>\n\u003cp>It recognizes that physicians have a role in helping the public understand the limits of modern medicine. My concern with telling doctors to be more “parsimonious” is that it doesn’t provide physicians and other clinicians with the supports they need to do that, which are systems issues. For instance, physicians need protections from lawsuits. Many policy makers say that tort reform wouldn’t have much impact on health care spending but unless physicians are protected from this very remunerated medical legal lawsuit industry, they are going to keep on making decisions that have nothing to do with parsimony.\u003c/p>\n\u003cp>The second thing is that physicians never get any training or very rarely get any training in how to educate patients and families about benefits and burdens in health care and how to help patients and families understand probabilities and risk. What physicians are currently trained in is how to do procedures, tests, interventions, and quite frankly, many of us think that is the only way we have to signal our care for our patients. Doctors need to be taught other ways to signal caring and I think we ignore those aspects of doctoring at our peril as our health care budget demonstrates.\u003c/p>\n\u003cp>\u003cstrong>Dr. Otis Webb Brawley\u003c/strong>\u003cbr>\n\u003cem>Chief medical officer, American Cancer Society\u003c/em>\u003c/p>\n\u003cp>I hear the political pundits, many of whom don't understand medicine, and even some people in medicine … they talk about the rationing of medicine. What we really need to have is a conversation about the rational use of medicine. When I say rational, we need to think about cost and likelihood of effectiveness, this does not mean that some very expensive [care] should be rejected, but means costly [care] that’s not likely to help the patent should be rejected.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "floatright"
},
"numeric": [
"floatright"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>[Teaching cost concern to medical school students] has been done, but it has not been as widespread as it should be. It’s starting to become more and more an issue, and it’s starting to get on a lot more curricula at medical schools.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/2138/do-no-harm-and-keep-an-eye-on-costs",
"authors": [
"240"
],
"categories": [
"stateofhealth_14"
],
"featImg": "stateofhealth_2156",
"label": "stateofhealth"
},
"stateofhealth_2030": {
"type": "posts",
"id": "stateofhealth_2030",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "2030",
"score": null,
"sort": [
1326400568000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1326400568,
"format": "aside",
"disqusTitle": "Methyl Iodide Trial in Oakland",
"title": "Methyl Iodide Trial in Oakland",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cstrong>Update 2:30pm\u003c/strong>: The hearing has ended. Amy Standen's final tweet:\u003c/p>\n\u003cblockquote>\u003cp>\u003ca href=\"http://search.twitter.com/search?q=%23Judge\" target=\"_blank\">#Judge\u003c/a> sends state attys off with homework: Convince me that you looked at alternatives to\u003ca href=\"http://search.twitter.com/search?q=%23methyliodide\" target=\"_blank\">#methyliodide\u003c/a>. Enviros feeling optimistic.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>Original Post:\u003c/strong>\u003c/p>\n\u003cp>KQED's News Fix blog is following today's trial on Methyl Iodide, the fumigant approved in 2010 for use in strawberries, despite the concerns of scientists at the California Department of Pesticide Regulation itself. KQED reporter Amy Standen is tweeting live from the courthouse.\u003c/p>\n\u003cp>Get the background and live tweets \u003ca title=\"http://ww2.kqed.org/news/2012/01/12/lack-of-court-transcript-issue-at-methyl-iodide-trial/\" href=\"http://ww2.kqed.org/news/2012/01/12/lack-of-court-transcript-issue-at-methyl-iodide-trial/\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
"disqusIdentifier": "2030 http://blogs.kqed.org/stateofhealth/?p=2030",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/01/12/methyl-iodide-trial-going-on-now-in-oakland-live-tweets/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 91,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 7
},
"modified": 1326408128,
"excerpt": "KQED's News Fix blog is following today's trial on Methyl Iodide, the fumigant approved in 2010 for use in strawberries, despite the concerns of scientists at the California Department of Pesticide Regulation itself. KQED reporter Amy Standen is tweeting live from the courthouse.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "KQED's News Fix blog is following today's trial on Methyl Iodide, the fumigant approved in 2010 for use in strawberries, despite the concerns of scientists at the California Department of Pesticide Regulation itself. KQED reporter Amy Standen is tweeting live from the courthouse.",
"title": "Methyl Iodide Trial in Oakland | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Methyl Iodide Trial in Oakland",
"datePublished": "2012-01-12T12:36:08-08:00",
"dateModified": "2012-01-12T14:42:08-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "methyl-iodide-trial-going-on-now-in-oakland-live-tweets",
"status": "publish",
"path": "/stateofhealth/2030/methyl-iodide-trial-going-on-now-in-oakland-live-tweets",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update 2:30pm\u003c/strong>: The hearing has ended. Amy Standen's final tweet:\u003c/p>\n\u003cblockquote>\u003cp>\u003ca href=\"http://search.twitter.com/search?q=%23Judge\" target=\"_blank\">#Judge\u003c/a> sends state attys off with homework: Convince me that you looked at alternatives to\u003ca href=\"http://search.twitter.com/search?q=%23methyliodide\" target=\"_blank\">#methyliodide\u003c/a>. Enviros feeling optimistic.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>Original Post:\u003c/strong>\u003c/p>\n\u003cp>KQED's News Fix blog is following today's trial on Methyl Iodide, the fumigant approved in 2010 for use in strawberries, despite the concerns of scientists at the California Department of Pesticide Regulation itself. KQED reporter Amy Standen is tweeting live from the courthouse.\u003c/p>\n\u003cp>Get the background and live tweets \u003ca title=\"http://ww2.kqed.org/news/2012/01/12/lack-of-court-transcript-issue-at-methyl-iodide-trial/\" href=\"http://ww2.kqed.org/news/2012/01/12/lack-of-court-transcript-issue-at-methyl-iodide-trial/\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/2030/methyl-iodide-trial-going-on-now-in-oakland-live-tweets",
"authors": [
"240"
],
"categories": [
"stateofhealth_14"
],
"featImg": "stateofhealth_2031",
"label": "stateofhealth"
},
"stateofhealth_1988": {
"type": "posts",
"id": "stateofhealth_1988",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "1988",
"score": null,
"sort": [
1326329302000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1326329302,
"format": "aside",
"disqusTitle": "Predicting Prognosis",
"title": "Predicting Prognosis",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>In yesterday's post about \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/01/10/diagnosis-treatment-and-maybe-a-prognosis/\" href=\"http://ww2.kqed.org/stateofhealth/2012/01/10/diagnosis-treatment-and-maybe-a-prognosis/\" target=\"_blank\">prognostic indexes reviewed in JAMA\u003c/a>, I mentioned in passing that researchers had put all the 16 existing indicators into one online resource, \u003ca title=\"www.eprognosis.org\" href=\"www.eprognosis.org\" target=\"_blank\">eprognosis.org\u003c/a>. While it's intended for doctors, it's freely available to anyone.\u003c/p>\n\u003cp>Paula Span, editor of the \u003ca title=\"www.nytimes.com\" href=\"www.nytimes.com\" target=\"_blank\">New York Times\u003c/a>' terrific \u003ca title=\"http://newoldage.blogs.nytimes.com/2012/01/10/how-long-until-the-end/#postComment\" href=\"http://newoldage.blogs.nytimes.com/2012/01/10/how-long-until-the-end/#postComment\" target=\"_blank\">New Old Age \u003c/a>blog didn't hold back. She pointed her readers directly to eprognosis.org. In the comments section, some of the readers said they were happy to have this tool, some found it distasteful, and several others said they couldn't figure out how to use it.\u003c/p>\n\u003cp>I, too, initially had found it confusing. But since there seems to be a lot of interest, here's a quick explainer.\u003c/p>\n\u003cp>First, a screen grab of the site's home page:\u003c/p>\n\u003cfigure id=\"attachment_1989\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/eprognosis_org2.jpg\">\u003cimg class=\"size-large wp-image-1989\" title=\"www.eprognosis.org\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/eprognosis_org2-620x758.jpg\" alt=\"www.eprognosis.org\" width=\"620\" height=\"758\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">www.eprognosis.org\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c!--more-->Each of those 16 blue bubbles is a separate index. Now, look in the upper right corner, \"settings filter.\" Select the setting that matches your situation. (You will have to go to the website, I unfortunately can't capture interactivity here).\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Are you hospitalized (\"Inpatient\")? Or living at home? (\"Community\"). Select only one. Then some of the blue bubbles will disappear. Only the indexes which were designed for people in the hospital or people living at home, depending on what you chose, will remain.\u003c/p>\n\u003cp>Next select just one of the blue bubbles. A series of questions will appear. Every index first asks if you are a healthcare professional. You must select \"yes\" to fill out the index. The site does not require any validation.\u003c/p>\n\u003cp>For the purpose of this exercise, I selected age 80-84, male, and then answered \"no\" for every question.\u003c/p>\n\u003cfigure id=\"attachment_2007\" class=\"wp-caption aligncenter\" style=\"max-width: 554px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Screen-Shot-2012-01-11-at-3.58.03-PM.png\">\u003cimg class=\"size-full wp-image-2007\" title=\"(www.eprognosis.org)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Screen-Shot-2012-01-11-at-3.58.03-PM.png\" alt=\"(www.eprognosis.org)\" width=\"554\" height=\"527\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/01/Screen-Shot-2012-01-11-at-3.58.03-PM.png 554w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/Screen-Shot-2012-01-11-at-3.58.03-PM-400x381.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/Screen-Shot-2012-01-11-at-3.58.03-PM-320x304.png 320w\" sizes=\"(max-width: 554px) 100vw, 554px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(www.eprognosis.org)\u003c/figcaption>\u003c/figure>\n\u003cp>From here you will get an estimated risk of mortality over the next three or five or ten years, depending on the index you have chosen.\u003c/p>\n\u003cp>There's a big caveat here. Remember that the researchers said all of these 16 indexes were imperfect, in one way or another. They stress that this site should only be used as one tool. In fact, at the top right of the eprognosis.org home page are three \"usefulness\" bubbles. The researchers who created this site are asking doctors to let them know how useful the index is at the time they use it. With more information about usefulness, the indexes can, hopefully, be improved. For now, as people use it, the bubbles will get larger or smaller, depending on whether doctors found it useful or not.\u003c/p>\n\u003cp>Again, the goal is improved decision-making in elderly patients. These indexes are not crystal balls. That's where the \"usefulness\" comes in. Did the index help guide decision-making in an effective way?\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Back at the \u003cem>New Old Age\u003c/em> blog, some of the readers who were able to use the tool thought the information could have helped them make better medical decisions, like this person:\u003c/p>\n\u003cblockquote>\u003cp>I do think that this is highly useful -- for instance, when my mother in law had a catastrophic stroke at the age of 82 it might have been nice to know that all the hyper rigorous efforts that were then being made to control her diabetes were likely too little too late, and it would have been okay to let her enjoy a more varied diet without feeling like we were killing her.\u003c/p>\u003c/blockquote>\n\n",
"disqusIdentifier": "1988 http://blogs.kqed.org/stateofhealth/?p=1988",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/01/11/predicting-prognosis/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 558,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 15
},
"modified": 1326329302,
"excerpt": "In yesterday's post about prognostic indexes reviewed in JAMA, I mentioned in passing that researchers had put all the 16 existing indicators into one online resource, eprognosis.org. While it's intended for doctors, it's freely available to anyone.\r\n\r\nToday, Paula Span, editor of the terrific New Old Age blog at the New York Times pointed her readers directly to eprognosis.org. In the comments section, some of the readers said they were happy to have this tool, some found it distasteful, and several others said they couldn't figure out how to use it.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "In yesterday's post about prognostic indexes reviewed in JAMA, I mentioned in passing that researchers had put all the 16 existing indicators into one online resource, eprognosis.org. While it's intended for doctors, it's freely available to anyone.\r\n\r\nToday, Paula Span, editor of the terrific New Old Age blog at the New York Times pointed her readers directly to eprognosis.org. In the comments section, some of the readers said they were happy to have this tool, some found it distasteful, and several others said they couldn't figure out how to use it.",
"title": "Predicting Prognosis | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Predicting Prognosis",
"datePublished": "2012-01-11T16:48:22-08:00",
"dateModified": "2012-01-11T16:48:22-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "predicting-prognosis",
"status": "publish",
"path": "/stateofhealth/1988/predicting-prognosis",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In yesterday's post about \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/01/10/diagnosis-treatment-and-maybe-a-prognosis/\" href=\"http://ww2.kqed.org/stateofhealth/2012/01/10/diagnosis-treatment-and-maybe-a-prognosis/\" target=\"_blank\">prognostic indexes reviewed in JAMA\u003c/a>, I mentioned in passing that researchers had put all the 16 existing indicators into one online resource, \u003ca title=\"www.eprognosis.org\" href=\"www.eprognosis.org\" target=\"_blank\">eprognosis.org\u003c/a>. While it's intended for doctors, it's freely available to anyone.\u003c/p>\n\u003cp>Paula Span, editor of the \u003ca title=\"www.nytimes.com\" href=\"www.nytimes.com\" target=\"_blank\">New York Times\u003c/a>' terrific \u003ca title=\"http://newoldage.blogs.nytimes.com/2012/01/10/how-long-until-the-end/#postComment\" href=\"http://newoldage.blogs.nytimes.com/2012/01/10/how-long-until-the-end/#postComment\" target=\"_blank\">New Old Age \u003c/a>blog didn't hold back. She pointed her readers directly to eprognosis.org. In the comments section, some of the readers said they were happy to have this tool, some found it distasteful, and several others said they couldn't figure out how to use it.\u003c/p>\n\u003cp>I, too, initially had found it confusing. But since there seems to be a lot of interest, here's a quick explainer.\u003c/p>\n\u003cp>First, a screen grab of the site's home page:\u003c/p>\n\u003cfigure id=\"attachment_1989\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/eprognosis_org2.jpg\">\u003cimg class=\"size-large wp-image-1989\" title=\"www.eprognosis.org\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/eprognosis_org2-620x758.jpg\" alt=\"www.eprognosis.org\" width=\"620\" height=\"758\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">www.eprognosis.org\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c!--more-->Each of those 16 blue bubbles is a separate index. Now, look in the upper right corner, \"settings filter.\" Select the setting that matches your situation. (You will have to go to the website, I unfortunately can't capture interactivity here).\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Are you hospitalized (\"Inpatient\")? Or living at home? (\"Community\"). Select only one. Then some of the blue bubbles will disappear. Only the indexes which were designed for people in the hospital or people living at home, depending on what you chose, will remain.\u003c/p>\n\u003cp>Next select just one of the blue bubbles. A series of questions will appear. Every index first asks if you are a healthcare professional. You must select \"yes\" to fill out the index. The site does not require any validation.\u003c/p>\n\u003cp>For the purpose of this exercise, I selected age 80-84, male, and then answered \"no\" for every question.\u003c/p>\n\u003cfigure id=\"attachment_2007\" class=\"wp-caption aligncenter\" style=\"max-width: 554px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Screen-Shot-2012-01-11-at-3.58.03-PM.png\">\u003cimg class=\"size-full wp-image-2007\" title=\"(www.eprognosis.org)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Screen-Shot-2012-01-11-at-3.58.03-PM.png\" alt=\"(www.eprognosis.org)\" width=\"554\" height=\"527\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/01/Screen-Shot-2012-01-11-at-3.58.03-PM.png 554w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/Screen-Shot-2012-01-11-at-3.58.03-PM-400x381.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/Screen-Shot-2012-01-11-at-3.58.03-PM-320x304.png 320w\" sizes=\"(max-width: 554px) 100vw, 554px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(www.eprognosis.org)\u003c/figcaption>\u003c/figure>\n\u003cp>From here you will get an estimated risk of mortality over the next three or five or ten years, depending on the index you have chosen.\u003c/p>\n\u003cp>There's a big caveat here. Remember that the researchers said all of these 16 indexes were imperfect, in one way or another. They stress that this site should only be used as one tool. In fact, at the top right of the eprognosis.org home page are three \"usefulness\" bubbles. The researchers who created this site are asking doctors to let them know how useful the index is at the time they use it. With more information about usefulness, the indexes can, hopefully, be improved. For now, as people use it, the bubbles will get larger or smaller, depending on whether doctors found it useful or not.\u003c/p>\n\u003cp>Again, the goal is improved decision-making in elderly patients. These indexes are not crystal balls. That's where the \"usefulness\" comes in. Did the index help guide decision-making in an effective way?\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Back at the \u003cem>New Old Age\u003c/em> blog, some of the readers who were able to use the tool thought the information could have helped them make better medical decisions, like this person:\u003c/p>\n\u003cblockquote>\u003cp>I do think that this is highly useful -- for instance, when my mother in law had a catastrophic stroke at the age of 82 it might have been nice to know that all the hyper rigorous efforts that were then being made to control her diabetes were likely too little too late, and it would have been okay to let her enjoy a more varied diet without feeling like we were killing her.\u003c/p>\u003c/blockquote>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/1988/predicting-prognosis",
"authors": [
"240"
],
"categories": [
"stateofhealth_14"
],
"featImg": "stateofhealth_1989",
"label": "stateofhealth"
},
"stateofhealth_2014": {
"type": "posts",
"id": "stateofhealth_2014",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "2014",
"score": null,
"sort": [
1326329155000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1326329155,
"format": "aside",
"disqusTitle": "Quick Read: All UC Campuses to be Smoke-Free",
"title": "Quick Read: All UC Campuses to be Smoke-Free",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>“As a national leader in healthcare and environmental practices, the University of California is ready to demonstrate leadership in reducing tobacco use and exposure to secondhand smoke,” Yudof said in the letter. “Offering a smoke-free environment will contribute positively to the health and well-being of all UC students, faculty, staff, and our patients and visitors.\"\u003c/p>\n\u003cp>U.C. Berkeley's \u003ca title=\"http://www.dailycal.org/2012/01/11/all-uc-campuses-will-become-smoke-free/\" href=\"http://www.dailycal.org/2012/01/11/all-uc-campuses-will-become-smoke-free/\" target=\"_blank\">The Daily Californian \u003c/a>has the full report.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
"disqusIdentifier": "2014 http://blogs.kqed.org/stateofhealth/?p=2014",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/01/11/quick-read-all-uc-campuses-to-be-smoke-free/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 74,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 4
},
"modified": 1328214976,
"excerpt": "“As a national leader in healthcare and environmental practices, the University of California is ready to demonstrate leadership in reducing tobacco use and exposure to secondhand smoke,” Yudof said in the letter. “Offering a smoke-free environment will contribute positively to the health and well-being of all UC students, faculty, staff, and our patients and visitors.\"",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "“As a national leader in healthcare and environmental practices, the University of California is ready to demonstrate leadership in reducing tobacco use and exposure to secondhand smoke,” Yudof said in the letter. “Offering a smoke-free environment will contribute positively to the health and well-being of all UC students, faculty, staff, and our patients and visitors."",
"title": "Quick Read: All UC Campuses to be Smoke-Free | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Quick Read: All UC Campuses to be Smoke-Free",
"datePublished": "2012-01-11T16:45:55-08:00",
"dateModified": "2012-02-02T12:36:16-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "quick-read-all-uc-campuses-to-be-smoke-free",
"status": "publish",
"path": "/stateofhealth/2014/quick-read-all-uc-campuses-to-be-smoke-free",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>“As a national leader in healthcare and environmental practices, the University of California is ready to demonstrate leadership in reducing tobacco use and exposure to secondhand smoke,” Yudof said in the letter. “Offering a smoke-free environment will contribute positively to the health and well-being of all UC students, faculty, staff, and our patients and visitors.\"\u003c/p>\n\u003cp>U.C. Berkeley's \u003ca title=\"http://www.dailycal.org/2012/01/11/all-uc-campuses-will-become-smoke-free/\" href=\"http://www.dailycal.org/2012/01/11/all-uc-campuses-will-become-smoke-free/\" target=\"_blank\">The Daily Californian \u003c/a>has the full report.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/2014/quick-read-all-uc-campuses-to-be-smoke-free",
"authors": [
"240"
],
"categories": [
"stateofhealth_14"
],
"tags": [
"stateofhealth_127"
],
"label": "stateofhealth"
}
},
"podcastsReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": false,
"podcasts": {}
},
"radioProgramsReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": false,
"radioPrograms": {}
},
"radioSearchSegmentsReducer": {},
"programsReducer": {
"all-things-considered": {
"id": "all-things-considered",
"title": "All Things Considered",
"info": "Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.",
"airtime": "MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/all-things-considered/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/all-things-considered"
},
"american-suburb-podcast": {
"id": "american-suburb-podcast",
"title": "American Suburb: The Podcast",
"tagline": "The flip side of gentrification, told through one town",
"info": "Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg",
"officialWebsiteLink": "/news/series/american-suburb-podcast",
"meta": {
"site": "news",
"source": "kqed",
"order": 19
},
"link": "/news/series/american-suburb-podcast/",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/RBrW",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328",
"tuneIn": "https://tunein.com/radio/American-Suburb-p1086805/",
"rss": "https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"
}
},
"baycurious": {
"id": "baycurious",
"title": "Bay Curious",
"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Bay Curious",
"officialWebsiteLink": "/news/series/baycurious",
"meta": {
"site": "news",
"source": "kqed",
"order": 3
},
"link": "/podcasts/baycurious",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/bay-curious/id1172473406",
"npr": "https://www.npr.org/podcasts/500557090/bay-curious",
"rss": "https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast",
"amazon": "https://music.amazon.com/podcasts/9a90d476-aa04-455d-9a4c-0871ed6216d4/bay-curious",
"stitcher": "https://www.stitcher.com/podcast/kqed/bay-curious",
"spotify": "https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"
}
},
"bbc-world-service": {
"id": "bbc-world-service",
"title": "BBC World Service",
"info": "The day's top stories from BBC News compiled twice daily in the week, once at weekends.",
"airtime": "MON-FRI 9pm-10pm, TUE-FRI 1am-2am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.bbc.co.uk/sounds/play/live:bbc_world_service",
"meta": {
"site": "news",
"source": "BBC World Service"
},
"link": "/radio/program/bbc-world-service",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2",
"tuneIn": "https://tunein.com/radio/BBC-World-Service-p455581/",
"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The California Report",
"officialWebsiteLink": "/californiareport",
"meta": {
"site": "news",
"source": "kqed",
"order": 8
},
"link": "/californiareport",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/kqeds-the-california-report/id79681292",
"amazon": "https://music.amazon.com/podcasts/26099305-72af-4542-9dde-ac1807fe36d5/kqed-s-the-california-report",
"npr": "https://www.npr.org/podcasts/432285393/the-california-report",
"stitcher": "https://www.stitcher.com/podcast/kqedfm-kqeds-the-california-report-podcast-8838",
"rss": "https://ww2.kqed.org/news/tag/tcram/feed/podcast"
}
},
"californiareportmagazine": {
"id": "californiareportmagazine",
"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Magazine-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The California Report Magazine",
"officialWebsiteLink": "/californiareportmagazine",
"meta": {
"site": "news",
"source": "kqed",
"order": 10
},
"link": "/californiareportmagazine",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-california-report-magazine/id1314750545",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
"npr": "https://www.npr.org/podcasts/564733126/the-california-report-magazine",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-california-report-magazine",
"rss": "https://ww2.kqed.org/news/tag/tcrmag/feed/podcast"
}
},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
"officialWebsiteLink": "https://www.cityarts.net/",
"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
"title": "Close All Tabs",
"tagline": "Your irreverent guide to the trends redefining our world",
"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/02/CAT_2_Tile-scaled.jpg",
"imageAlt": "KQED Close All Tabs",
"officialWebsiteLink": "/podcasts/closealltabs",
"meta": {
"site": "news",
"source": "kqed",
"order": 1
},
"link": "/podcasts/closealltabs",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/close-all-tabs/id214663465",
"rss": "https://feeds.megaphone.fm/KQINC6993880386",
"amazon": "https://music.amazon.com/podcasts/92d9d4ac-67a3-4eed-b10a-fb45d45b1ef2/close-all-tabs",
"spotify": "https://open.spotify.com/show/6LAJFHnGK1pYXYzv6SIol6?si=deb0cae19813417c"
}
},
"code-switch-life-kit": {
"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
"airtime": "SUN 9pm-10pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/code-switch-life-kit",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
"spotify": "https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV",
"rss": "https://feeds.npr.org/510312/podcast.xml"
}
},
"commonwealth-club": {
"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.commonwealthclub.org/podcasts",
"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2",
"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
"tuneIn": "https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"
}
},
"forum": {
"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
"officialWebsiteLink": "/forum",
"meta": {
"site": "news",
"source": "kqed",
"order": 9
},
"link": "/forum",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
"npr": "https://www.npr.org/podcasts/432307980/forum",
"stitcher": "https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast",
"rss": "https://feeds.megaphone.fm/KQINC9557381633"
}
},
"freakonomics-radio": {
"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/4s8b",
"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
}
},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
"airtime": "MON-FRI 7pm-8pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Fresh-Air-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/fresh-air/",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/fresh-air",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/4s8b",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Fresh-Air-p17/",
"rss": "https://feeds.npr.org/381444908/podcast.xml"
}
},
"here-and-now": {
"id": "here-and-now",
"title": "Here & Now",
"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
"airtime": "MON-THU 11am-12pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Here-And-Now-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "http://www.wbur.org/hereandnow",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/here-and-now",
"subsdcribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=426698661",
"tuneIn": "https://tunein.com/radio/Here--Now-p211/",
"rss": "https://feeds.npr.org/510051/podcast.xml"
}
},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/hiddenbrain.jpg",
"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
"site": "news",
"source": "NPR"
},
"link": "/radio/program/hidden-brain",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/hidden-brain/id1028908750?mt=2",
"tuneIn": "https://tunein.com/podcasts/Science-Podcasts/Hidden-Brain-p787503/",
"rss": "https://feeds.npr.org/510308/podcast.xml"
}
},
"how-i-built-this": {
"id": "how-i-built-this",
"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/how-i-built-this",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
"tuneIn": "https://tunein.com/podcasts/Arts--Culture-Podcasts/How-I-Built-This-p910896/",
"rss": "https://feeds.npr.org/510313/podcast.xml"
}
},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
"imageAlt": "KQED Hyphenación",
"officialWebsiteLink": "/podcasts/hyphenacion",
"meta": {
"site": "news",
"source": "kqed",
"order": 15
},
"link": "/podcasts/hyphenacion",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/hyphenaci%C3%B3n/id1191591838",
"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
"youtube": "https://www.youtube.com/c/kqedarts",
"amazon": "https://music.amazon.com/podcasts/6c3dd23c-93fb-4aab-97ba-1725fa6315f1/hyphenaci%C3%B3n",
"rss": "https://feeds.megaphone.fm/KQINC2275451163"
}
},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Political Mind of Jerry Brown",
"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
"site": "news",
"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
"subscribe": {
"npr": "https://www.npr.org/podcasts/790253322/the-political-mind-of-jerry-brown",
"apple": "https://itunes.apple.com/us/podcast/id1492194549",
"rss": "https://ww2.kqed.org/news/series/jerrybrown/feed/podcast/",
"tuneIn": "http://tun.in/pjGcK",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-political-mind-of-jerry-brown",
"spotify": "https://open.spotify.com/show/54C1dmuyFyKMFttY6X2j6r?si=K8SgRCoISNK6ZbjpXrX5-w",
"amazon": "https://music.amazon.com/podcasts/44420f75-3b0e-4301-ab3b-16da6b09e543/the-political-mind-of-jerry-brown"
}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/xtTd",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Latino-USA-p621/",
"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
"subscribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201853034&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/APM-Marketplace-p88/",
"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
"site": "news",
"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
"spotify": "https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"
}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
"npr": "https://rpb3r.app.goo.gl/onourwatch",
"spotify": "https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x",
"tuneIn": "https://tunein.com/radio/On-Our-Watch-p1436229/",
"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
"site": "news",
"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
"meta": {
"site": "news",
"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
"meta": {
"site": "radio",
"source": "kqed",
"order": 14
},
"link": "/perspectives",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/id73801135",
"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"
}
},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
"officialWebsiteLink": "https://www.npr.org/sections/money/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/M4f5",
"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
"tuneIn": "https://tunein.com/podcasts/Business--Economics-Podcasts/Planet-Money-p164680/",
"rss": "https://feeds.npr.org/510289/podcast.xml"
}
},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Political Breakdown",
"officialWebsiteLink": "/podcasts/politicalbreakdown",
"meta": {
"site": "radio",
"source": "kqed",
"order": 5
},
"link": "/podcasts/politicalbreakdown",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/political-breakdown/id1327641087",
"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
"npr": "https://www.npr.org/podcasts/572155894/political-breakdown",
"stitcher": "https://www.stitcher.com/podcast/kqed/political-breakdown",
"spotify": "https://open.spotify.com/show/07RVyIjIdk2WDuVehvBMoN",
"rss": "https://ww2.kqed.org/news/tag/political-breakdown/feed/podcast"
}
},
"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
"meta": {
"site": "news",
"source": "Possible"
},
"link": "/radio/program/possible",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/possible/id1677184070",
"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
}
},
"pri-the-world": {
"id": "pri-the-world",
"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pri.org/programs/the-world",
"meta": {
"site": "news",
"source": "PRI"
},
"link": "/radio/program/pri-the-world",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pris-the-world-latest-edition/id278196007?mt=2",
"tuneIn": "https://tunein.com/podcasts/News--Politics-Podcasts/PRIs-The-World-p24/",
"rss": "http://feeds.feedburner.com/pri/theworld"
}
},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
"airtime": "SUN 12am-1am, SAT 2pm-3pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/radiolab1400.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/radiolab/",
"meta": {
"site": "science",
"source": "WNYC"
},
"link": "/radio/program/radiolab",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/radiolab/id152249110?mt=2",
"tuneIn": "https://tunein.com/radio/RadioLab-p68032/",
"rss": "https://feeds.wnyc.org/radiolab"
}
},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
"airtime": "SAT 4pm-5pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/reveal300px.png",
"officialWebsiteLink": "https://www.revealnews.org/episodes/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/reveal",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/reveal/id886009669",
"tuneIn": "https://tunein.com/radio/Reveal-p679597/",
"rss": "http://feeds.revealradio.org/revealpodcast"
}
},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Rightnowish-Podcast-Tile-500x500-1.jpg",
"imageAlt": "KQED Rightnowish with Pendarvis Harshaw",
"officialWebsiteLink": "/podcasts/rightnowish",
"meta": {
"site": "arts",
"source": "kqed",
"order": 16
},
"link": "/podcasts/rightnowish",
"subscribe": {
"npr": "https://www.npr.org/podcasts/721590300/rightnowish",
"rss": "https://ww2.kqed.org/arts/programs/rightnowish/feed/podcast",
"apple": "https://podcasts.apple.com/us/podcast/rightnowish/id1482187648",
"stitcher": "https://www.stitcher.com/podcast/kqed/rightnowish",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMxMjU5MTY3NDc4",
"spotify": "https://open.spotify.com/show/7kEJuafTzTVan7B78ttz1I"
}
},
"science-friday": {
"id": "science-friday",
"title": "Science Friday",
"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
"airtime": "FRI 11am-1pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Science-Friday-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/science-friday",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/science-friday",
"subscribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=73329284&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Science-Friday-p394/",
"rss": "http://feeds.wnyc.org/science-friday"
}
},
"snap-judgment": {
"id": "snap-judgment",
"title": "Snap Judgment",
"tagline": "Real stories with killer beats",
"info": "The Snap Judgment radio show and podcast mixes real stories with killer beats to produce cinematic, dramatic radio. Snap's musical brand of storytelling dares listeners to see the world through the eyes of another. This is storytelling... with a BEAT!! Snap first aired on public radio stations nationwide in July 2010. Today, Snap Judgment airs on over 450 public radio stations and is brought to the airwaves by KQED & PRX.",
"airtime": "SAT 1pm-2pm, 9pm-10pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/05/Snap-Judgment-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Snap Judgment",
"officialWebsiteLink": "https://snapjudgment.org",
"meta": {
"site": "arts",
"source": "kqed",
"order": 4
},
"link": "https://snapjudgment.org",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/snap-judgment/id283657561",
"npr": "https://www.npr.org/podcasts/449018144/snap-judgment",
"stitcher": "https://www.pandora.com/podcast/snap-judgment/PC:241?source=stitcher-sunset",
"spotify": "https://open.spotify.com/show/3Cct7ZWmxHNAtLgBTqjC5v",
"rss": "https://snap.feed.snapjudgment.org/"
}
},
"soldout": {
"id": "soldout",
"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
"info": "Sold Out: Rethinking Housing in America",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Sold-Out-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Sold Out: Rethinking Housing in America",
"officialWebsiteLink": "/podcasts/soldout",
"meta": {
"site": "news",
"source": "kqed",
"order": 13
},
"link": "/podcasts/soldout",
"subscribe": {
"npr": "https://www.npr.org/podcasts/911586047/s-o-l-d-o-u-t-a-new-future-for-housing",
"apple": "https://podcasts.apple.com/us/podcast/introducing-sold-out-rethinking-housing-in-america/id1531354937",
"rss": "https://feeds.megaphone.fm/soldout",
"spotify": "https://open.spotify.com/show/38dTBSk2ISFoPiyYNoKn1X",
"stitcher": "https://www.stitcher.com/podcast/kqed/sold-out-rethinking-housing-in-america",
"tunein": "https://tunein.com/radio/SOLD-OUT-Rethinking-Housing-in-America-p1365871/"
}
},
"spooked": {
"id": "spooked",
"title": "Spooked",
"tagline": "True-life supernatural stories",
"info": "",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/10/Spooked-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Spooked",
"officialWebsiteLink": "https://spookedpodcast.org/",
"meta": {
"site": "news",
"source": "kqed",
"order": 7
},
"link": "https://spookedpodcast.org/",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/spooked/id1279361017",
"npr": "https://www.npr.org/podcasts/549547848/snap-judgment-presents-spooked",
"spotify": "https://open.spotify.com/show/76571Rfl3m7PLJQZKQIGCT",
"rss": "https://feeds.simplecast.com/TBotaapn"
}
},
"tech-nation": {
"id": "tech-nation",
"title": "Tech Nation Radio Podcast",
"info": "Tech Nation is a weekly public radio program, hosted by Dr. Moira Gunn. Founded in 1993, it has grown from a simple interview show to a multi-faceted production, featuring conversations with noted technology and science leaders, and a weekly science and technology-related commentary.",
"airtime": "FRI 10pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Tech-Nation-Radio-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "http://technation.podomatic.com/",
"meta": {
"site": "science",
"source": "Tech Nation Media"
},
"link": "/radio/program/tech-nation",
"subscribe": {
"rss": "https://technation.podomatic.com/rss2.xml"
}
},
"ted-radio-hour": {
"id": "ted-radio-hour",
"title": "TED Radio Hour",
"info": "The TED Radio Hour is a journey through fascinating ideas, astonishing inventions, fresh approaches to old problems, and new ways to think and create.",
"airtime": "SUN 3pm-4pm, SAT 10pm-11pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/tedRadioHour.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/ted-radio-hour/?showDate=2018-06-22",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/ted-radio-hour",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/8vsS",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=523121474&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/TED-Radio-Hour-p418021/",
"rss": "https://feeds.npr.org/510298/podcast.xml"
}
},
"thebay": {
"id": "thebay",
"title": "The Bay",
"tagline": "Local news to keep you rooted",
"info": "Host Devin Katayama walks you through the biggest story of the day with reporters and newsmakers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Bay-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Bay",
"officialWebsiteLink": "/podcasts/thebay",
"meta": {
"site": "radio",
"source": "kqed",
"order": 2
},
"link": "/podcasts/thebay",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-bay/id1350043452",
"amazon": "https://music.amazon.com/podcasts/d800ea4c-7a2c-42f2-b861-edaf78a5db0b/the-bay",
"npr": "https://www.npr.org/podcasts/586725995/the-bay",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-bay",
"spotify": "https://open.spotify.com/show/4BIKBKIujizLHlIlBNaAqQ",
"rss": "https://feeds.megaphone.fm/KQINC8259786327"
}
},
"thelatest": {
"id": "thelatest",
"title": "The Latest",
"tagline": "Trusted local news in real time",
"info": "",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/05/The-Latest-2025-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Latest",
"officialWebsiteLink": "/thelatest",
"meta": {
"site": "news",
"source": "kqed",
"order": 6
},
"link": "/thelatest",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-latest-from-kqed/id1197721799",
"npr": "https://www.npr.org/podcasts/1257949365/the-latest-from-k-q-e-d",
"spotify": "https://open.spotify.com/show/5KIIXMgM9GTi5AepwOYvIZ?si=bd3053fec7244dba",
"rss": "https://feeds.megaphone.fm/KQINC9137121918"
}
},
"theleap": {
"id": "theleap",
"title": "The Leap",
"tagline": "What if you closed your eyes, and jumped?",
"info": "Stories about people making dramatic, risky changes, told by award-winning public radio reporter Judy Campbell.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Leap-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Leap",
"officialWebsiteLink": "/podcasts/theleap",
"meta": {
"site": "news",
"source": "kqed",
"order": 17
},
"link": "/podcasts/theleap",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-leap/id1046668171",
"npr": "https://www.npr.org/podcasts/447248267/the-leap",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-leap",
"spotify": "https://open.spotify.com/show/3sSlVHHzU0ytLwuGs1SD1U",
"rss": "https://ww2.kqed.org/news/programs/the-leap/feed/podcast"
}
},
"the-moth-radio-hour": {
"id": "the-moth-radio-hour",
"title": "The Moth Radio Hour",
"info": "Since its launch in 1997, The Moth has presented thousands of true stories, told live and without notes, to standing-room-only crowds worldwide. Moth storytellers stand alone, under a spotlight, with only a microphone and a roomful of strangers. The storyteller and the audience embark on a high-wire act of shared experience which is both terrifying and exhilarating. Since 2008, The Moth podcast has featured many of our favorite stories told live on Moth stages around the country. For information on all of our programs and live events, visit themoth.org.",
"airtime": "SAT 8pm-9pm and SUN 11am-12pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/theMoth.jpg",
"officialWebsiteLink": "https://themoth.org/",
"meta": {
"site": "arts",
"source": "prx"
},
"link": "/radio/program/the-moth-radio-hour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/the-moth-podcast/id275699983?mt=2",
"tuneIn": "https://tunein.com/radio/The-Moth-p273888/",
"rss": "http://feeds.themoth.org/themothpodcast"
}
},
"the-new-yorker-radio-hour": {
"id": "the-new-yorker-radio-hour",
"title": "The New Yorker Radio Hour",
"info": "The New Yorker Radio Hour is a weekly program presented by the magazine's editor, David Remnick, and produced by WNYC Studios and The New Yorker. Each episode features a diverse mix of interviews, profiles, storytelling, and an occasional burst of humor inspired by the magazine, and shaped by its writers, artists, and editors. This isn't a radio version of a magazine, but something all its own, reflecting the rich possibilities of audio storytelling and conversation. Theme music for the show was composed and performed by Merrill Garbus of tUnE-YArDs.",
"airtime": "SAT 10am-11am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-New-Yorker-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/tnyradiohour",
"meta": {
"site": "arts",
"source": "WNYC"
},
"link": "/radio/program/the-new-yorker-radio-hour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/id1050430296",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/New-Yorker-Radio-Hour-p803804/",
"rss": "https://feeds.feedburner.com/newyorkerradiohour"
}
},
"the-sam-sanders-show": {
"id": "the-sam-sanders-show",
"title": "The Sam Sanders Show",
"info": "One of public radio's most dynamic voices, Sam Sanders helped launch The NPR Politics Podcast and hosted NPR's hit show It's Been A Minute. Now, the award-winning host returns with something brand new, The Sam Sanders Show. Every week, Sam Sanders and friends dig into the culture that shapes our lives: what's driving the biggest trends, how artists really think, and even the memes you can't stop scrolling past. Sam is beloved for his way of unpacking the world and bringing you up close to fresh currents and engaging conversations. The Sam Sanders Show is smart, funny and always a good time.",
"airtime": "FRI 12-1pm AND SAT 11am-12pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/11/The-Sam-Sanders-Show-Podcast-Tile-400x400-1.jpg",
"officialWebsiteLink": "https://www.kcrw.com/shows/the-sam-sanders-show/latest",
"meta": {
"site": "arts",
"source": "KCRW"
},
"link": "https://www.kcrw.com/shows/the-sam-sanders-show/latest",
"subscribe": {
"rss": "https://feed.cdnstream1.com/zjb/feed/download/ac/28/59/ac28594c-e1d0-4231-8728-61865cdc80e8.xml"
}
},
"the-splendid-table": {
"id": "the-splendid-table",
"title": "The Splendid Table",
"info": "\u003cem>The Splendid Table\u003c/em> hosts our nation's conversations about cooking, sustainability and food culture.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Splendid-Table-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.splendidtable.org/",
"airtime": "SUN 10-11 pm",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/the-splendid-table"
},
"this-american-life": {
"id": "this-american-life",
"title": "This American Life",
"info": "This American Life is a weekly public radio show, heard by 2.2 million people on more than 500 stations. Another 2.5 million people download the weekly podcast. It is hosted by Ira Glass, produced in collaboration with Chicago Public Media, delivered to stations by PRX The Public Radio Exchange, and has won all of the major broadcasting awards.",
"airtime": "SAT 12pm-1pm, 7pm-8pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/thisAmericanLife.png",
"officialWebsiteLink": "https://www.thisamericanlife.org/",
"meta": {
"site": "news",
"source": "wbez"
},
"link": "/radio/program/this-american-life",
"subscribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201671138&at=11l79Y&ct=nprdirectory",
"rss": "https://www.thisamericanlife.org/podcast/rss.xml"
}
},
"tinydeskradio": {
"id": "tinydeskradio",
"title": "Tiny Desk Radio",
"info": "We're bringing the best of Tiny Desk to the airwaves, only on public radio.",
"airtime": "SUN 8pm and SAT 9pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/04/300x300-For-Member-Station-Logo-Tiny-Desk-Radio-@2x.png",
"officialWebsiteLink": "https://www.npr.org/series/g-s1-52030/tiny-desk-radio",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/tinydeskradio",
"subscribe": {
"rss": "https://feeds.npr.org/g-s1-52030/rss.xml"
}
},
"wait-wait-dont-tell-me": {
"id": "wait-wait-dont-tell-me",
"title": "Wait Wait... Don't Tell Me!",
"info": "Peter Sagal and Bill Kurtis host the weekly NPR News quiz show alongside some of the best and brightest news and entertainment personalities.",
"airtime": "SUN 10am-11am, SAT 11am-12pm, SAT 6pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Wait-Wait-Podcast-Tile-300x300-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/wait-wait-dont-tell-me/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/wait-wait-dont-tell-me",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/Xogv",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=121493804&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Wait-Wait-Dont-Tell-Me-p46/",
"rss": "https://feeds.npr.org/344098539/podcast.xml"
}
},
"weekend-edition-saturday": {
"id": "weekend-edition-saturday",
"title": "Weekend Edition Saturday",
"info": "Weekend Edition Saturday wraps up the week's news and offers a mix of analysis and features on a wide range of topics, including arts, sports, entertainment, and human interest stories. The two-hour program is hosted by NPR's Peabody Award-winning Scott Simon.",
"airtime": "SAT 5am-10am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Weekend-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/weekend-edition-saturday/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/weekend-edition-saturday"
},
"weekend-edition-sunday": {
"id": "weekend-edition-sunday",
"title": "Weekend Edition Sunday",
"info": "Weekend Edition Sunday features interviews with newsmakers, artists, scientists, politicians, musicians, writers, theologians and historians. The program has covered news events from Nelson Mandela's 1990 release from a South African prison to the capture of Saddam Hussein.",
"airtime": "SUN 5am-10am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Weekend-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/weekend-edition-sunday/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/weekend-edition-sunday"
}
},
"racesReducer": {},
"racesGenElectionReducer": {},
"racesGenElection2026Reducer": {},
"racesGenElection2026PresidentialReducer": {},
"radioSchedulesReducer": {},
"listsReducer": {
"posts/stateofhealth?category=policy": {
"isFetching": false,
"latestQuery": {
"from": 780,
"size": 12
},
"vitalsOnly": false,
"totalRequested": 12,
"isLoading": false,
"isLoadingMore": true,
"total": {
"value": 824,
"relation": "eq"
},
"items": [
"stateofhealth_2611",
"stateofhealth_2586",
"stateofhealth_2534",
"stateofhealth_2519",
"stateofhealth_2391",
"stateofhealth_2312",
"stateofhealth_2278",
"stateofhealth_2262",
"stateofhealth_2138",
"stateofhealth_2030",
"stateofhealth_1988",
"stateofhealth_2014"
],
"complete": true
}
},
"recallGuideReducer": {
"intros": {},
"policy": {},
"candidates": {}
},
"savedArticleReducer": {
"articles": [],
"status": {}
},
"newslettersReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": false,
"newsletters": {},
"isSubscribing": false,
"isUnsubscribing": false,
"subscribedNewsletters": {}
},
"termsReducer": {
"about": {
"name": "About",
"type": "terms",
"id": "about",
"slug": "about",
"link": "/about",
"taxonomy": "site"
},
"arts": {
"name": "Arts & Culture",
"grouping": [
"arts",
"pop",
"trulyca"
],
"description": "KQED Arts provides daily in-depth coverage of the Bay Area's music, art, film, performing arts, literature and arts news, as well as cultural commentary and criticism.",
"type": "terms",
"id": "arts",
"slug": "arts",
"link": "/arts",
"taxonomy": "site"
},
"artschool": {
"name": "Art School",
"parent": "arts",
"type": "terms",
"id": "artschool",
"slug": "artschool",
"link": "/artschool",
"taxonomy": "site"
},
"bayareabites": {
"name": "KQED food",
"grouping": [
"food",
"bayareabites",
"checkplease"
],
"parent": "food",
"type": "terms",
"id": "bayareabites",
"slug": "bayareabites",
"link": "/food",
"taxonomy": "site"
},
"bayareahiphop": {
"name": "Bay Area Hiphop",
"type": "terms",
"id": "bayareahiphop",
"slug": "bayareahiphop",
"link": "/bayareahiphop",
"taxonomy": "site"
},
"campaign21": {
"name": "Campaign 21",
"type": "terms",
"id": "campaign21",
"slug": "campaign21",
"link": "/campaign21",
"taxonomy": "site"
},
"careers": {
"name": "Careers",
"type": "terms",
"id": "careers",
"slug": "careers",
"link": "/careers",
"taxonomy": "site"
},
"checkplease": {
"name": "KQED food",
"grouping": [
"food",
"bayareabites",
"checkplease"
],
"parent": "food",
"type": "terms",
"id": "checkplease",
"slug": "checkplease",
"link": "/food",
"taxonomy": "site"
},
"education": {
"name": "Education",
"grouping": [
"education"
],
"type": "terms",
"id": "education",
"slug": "education",
"link": "/education",
"taxonomy": "site"
},
"elections": {
"name": "Elections",
"type": "terms",
"id": "elections",
"slug": "elections",
"link": "/elections",
"taxonomy": "site"
},
"events": {
"name": "Events",
"type": "terms",
"id": "events",
"slug": "events",
"link": "/events",
"taxonomy": "site"
},
"event": {
"name": "Event",
"alias": "events",
"type": "terms",
"id": "event",
"slug": "event",
"link": "/event",
"taxonomy": "site"
},
"filmschoolshorts": {
"name": "Film School Shorts",
"type": "terms",
"id": "filmschoolshorts",
"slug": "filmschoolshorts",
"link": "/filmschoolshorts",
"taxonomy": "site"
},
"food": {
"name": "KQED food",
"grouping": [
"food",
"bayareabites",
"checkplease"
],
"type": "terms",
"id": "food",
"slug": "food",
"link": "/food",
"taxonomy": "site"
},
"forum": {
"name": "Forum",
"relatedContentQuery": "posts/forum?",
"parent": "news",
"type": "terms",
"id": "forum",
"slug": "forum",
"link": "/forum",
"taxonomy": "site"
},
"futureofyou": {
"name": "Future of You",
"grouping": [
"science",
"futureofyou"
],
"parent": "science",
"type": "terms",
"id": "futureofyou",
"slug": "futureofyou",
"link": "/futureofyou",
"taxonomy": "site"
},
"jpepinheart": {
"name": "KQED food",
"relatedContentQuery": "posts/food,bayareabites,checkplease",
"parent": "food",
"type": "terms",
"id": "jpepinheart",
"slug": "jpepinheart",
"link": "/food",
"taxonomy": "site"
},
"liveblog": {
"name": "Live Blog",
"type": "terms",
"id": "liveblog",
"slug": "liveblog",
"link": "/liveblog",
"taxonomy": "site"
},
"livetv": {
"name": "Live TV",
"parent": "tv",
"type": "terms",
"id": "livetv",
"slug": "livetv",
"link": "/livetv",
"taxonomy": "site"
},
"lowdown": {
"name": "The Lowdown",
"relatedContentQuery": "posts/lowdown?",
"parent": "news",
"type": "terms",
"id": "lowdown",
"slug": "lowdown",
"link": "/lowdown",
"taxonomy": "site"
},
"mindshift": {
"name": "Mindshift",
"parent": "news",
"description": "MindShift explores the future of education by highlighting the innovative – and sometimes counterintuitive – ways educators and parents are helping all children succeed.",
"type": "terms",
"id": "mindshift",
"slug": "mindshift",
"link": "/mindshift",
"taxonomy": "site"
},
"news": {
"name": "News",
"grouping": [
"news",
"forum"
],
"type": "terms",
"id": "news",
"slug": "news",
"link": "/news",
"taxonomy": "site"
},
"newsletters": {
"name": "newsletters",
"type": "terms",
"id": "newsletters",
"slug": "newsletters",
"link": "/newsletters",
"taxonomy": "site"
},
"perspectives": {
"name": "Perspectives",
"parent": "radio",
"type": "terms",
"id": "perspectives",
"slug": "perspectives",
"link": "/perspectives",
"taxonomy": "site"
},
"podcasts": {
"name": "Podcasts",
"type": "terms",
"id": "podcasts",
"slug": "podcasts",
"link": "/podcasts",
"taxonomy": "site"
},
"pop": {
"name": "Pop",
"parent": "arts",
"type": "terms",
"id": "pop",
"slug": "pop",
"link": "/pop",
"taxonomy": "site"
},
"pressroom": {
"name": "Pressroom",
"type": "terms",
"id": "pressroom",
"slug": "pressroom",
"link": "/pressroom",
"taxonomy": "site"
},
"quest": {
"name": "Quest",
"parent": "science",
"type": "terms",
"id": "quest",
"slug": "quest",
"link": "/quest",
"taxonomy": "site"
},
"radio": {
"name": "Radio",
"grouping": [
"forum",
"perspectives"
],
"description": "Listen to KQED Public Radio – home of Forum and The California Report – on 88.5 FM in San Francisco, 89.3 FM in Sacramento, 88.3 FM in Santa Rosa and 88.1 FM in Martinez.",
"type": "terms",
"id": "radio",
"slug": "radio",
"link": "/radio",
"taxonomy": "site"
},
"root": {
"name": "KQED",
"image": "https://ww2.kqed.org/app/uploads/2020/02/KQED-OG-Image@1x.png",
"imageWidth": 1200,
"imageHeight": 630,
"headData": {
"title": "KQED | News, Radio, Podcasts, TV | Public Media for Northern California",
"description": "KQED provides public radio, television, and independent reporting on issues that matter to the Bay Area. We’re the NPR and PBS member station for Northern California."
},
"type": "terms",
"id": "root",
"slug": "root",
"link": "/root",
"taxonomy": "site"
},
"science": {
"name": "Science",
"grouping": [
"science",
"futureofyou"
],
"description": "KQED Science brings you award-winning science and environment coverage from the Bay Area and beyond.",
"type": "terms",
"id": "science",
"slug": "science",
"link": "/science",
"taxonomy": "site"
},
"stateofhealth": {
"name": "State of Health",
"parent": "science",
"type": "terms",
"id": "stateofhealth",
"slug": "stateofhealth",
"link": "/stateofhealth",
"taxonomy": "site"
},
"support": {
"name": "Support",
"type": "terms",
"id": "support",
"slug": "support",
"link": "/support",
"taxonomy": "site"
},
"thedolist": {
"name": "The Do List",
"parent": "arts",
"type": "terms",
"id": "thedolist",
"slug": "thedolist",
"link": "/thedolist",
"taxonomy": "site"
},
"trulyca": {
"name": "Truly CA",
"grouping": [
"arts",
"pop",
"trulyca"
],
"parent": "arts",
"type": "terms",
"id": "trulyca",
"slug": "trulyca",
"link": "/trulyca",
"taxonomy": "site"
},
"tv": {
"name": "TV",
"type": "terms",
"id": "tv",
"slug": "tv",
"link": "/tv",
"taxonomy": "site"
},
"voterguide": {
"name": "Voter Guide",
"parent": "elections",
"alias": "elections",
"type": "terms",
"id": "voterguide",
"slug": "voterguide",
"link": "/voterguide",
"taxonomy": "site"
},
"guiaelectoral": {
"name": "Guia Electoral",
"parent": "elections",
"alias": "elections",
"type": "terms",
"id": "guiaelectoral",
"slug": "guiaelectoral",
"link": "/guiaelectoral",
"taxonomy": "site"
},
"stateofhealth_category_policy": {
"isLoading": true
},
"stateofhealth_14": {
"type": "terms",
"id": "stateofhealth_14",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "14",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Policy",
"description": "Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed",
"title": "Policy Archives | KQED Arts",
"ogDescription": null
},
"ttid": 14,
"slug": "policy",
"isLoading": false,
"link": "/stateofhealth/category/policy"
},
"stateofhealth_12": {
"type": "terms",
"id": "stateofhealth_12",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "12",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Living Healthy",
"description": "Health is about much more than medicine. We show you what's new to help you attain and maintain a healthy life",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "Health is about much more than medicine. We show you what's new to help you attain and maintain a healthy life",
"title": "Living Healthy Archives | KQED Arts",
"ogDescription": null
},
"ttid": 12,
"slug": "living-healthy",
"isLoading": false,
"link": "/stateofhealth/category/living-healthy"
},
"stateofhealth_155": {
"type": "terms",
"id": "stateofhealth_155",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "155",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Autism",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Autism Archives | KQED Arts",
"ogDescription": null
},
"ttid": 155,
"slug": "autism",
"isLoading": false,
"link": "/stateofhealth/tag/autism"
},
"stateofhealth_93": {
"type": "terms",
"id": "stateofhealth_93",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "93",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Parenting",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Parenting Archives | KQED Arts",
"ogDescription": null
},
"ttid": 93,
"slug": "parenting",
"isLoading": false,
"link": "/stateofhealth/tag/parenting"
},
"stateofhealth_31": {
"type": "terms",
"id": "stateofhealth_31",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "31",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Vaccines",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Vaccines Archives | KQED Arts",
"ogDescription": null
},
"ttid": 31,
"slug": "vaccines",
"isLoading": false,
"link": "/stateofhealth/tag/vaccines"
},
"stateofhealth_152": {
"type": "terms",
"id": "stateofhealth_152",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "152",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Whooping Cough",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Whooping Cough Archives | KQED Arts",
"ogDescription": null
},
"ttid": 152,
"slug": "whooping-cough",
"isLoading": false,
"link": "/stateofhealth/tag/whooping-cough"
},
"stateofhealth_41": {
"type": "terms",
"id": "stateofhealth_41",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "41",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Health Care Reform",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Health Care Reform Archives | KQED Arts",
"ogDescription": null
},
"ttid": 41,
"slug": "health-care-reform",
"isLoading": false,
"link": "/stateofhealth/tag/health-care-reform"
},
"stateofhealth_11": {
"type": "terms",
"id": "stateofhealth_11",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "11",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Community Health",
"description": "\r\n\r\nFrom rural California to urban neighborhoods, where you live affects your health",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "From rural California to urban neighborhoods, where you live affects your health",
"title": "Community Health Archives | KQED Arts",
"ogDescription": null
},
"ttid": 11,
"slug": "place-matters",
"isLoading": false,
"link": "/stateofhealth/category/place-matters"
},
"stateofhealth_21": {
"type": "terms",
"id": "stateofhealth_21",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "21",
"found": true
},
"relationships": {},
"featImg": null,
"name": "air pollution",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "air pollution Archives | KQED Arts",
"ogDescription": null
},
"ttid": 21,
"slug": "air-pollution",
"isLoading": false,
"link": "/stateofhealth/tag/air-pollution"
},
"stateofhealth_141": {
"type": "terms",
"id": "stateofhealth_141",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "141",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Pain Treatment",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Pain Treatment Archives | KQED Arts",
"ogDescription": null
},
"ttid": 141,
"slug": "pain-treatment",
"isLoading": false,
"link": "/stateofhealth/tag/pain-treatment"
},
"stateofhealth_2520": {
"type": "terms",
"id": "stateofhealth_2520",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "2520",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Childhood Obesity",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Childhood Obesity Archives | KQED Arts",
"ogDescription": null
},
"ttid": 2529,
"slug": "childhood-obesity",
"isLoading": false,
"link": "/stateofhealth/tag/childhood-obesity"
},
"stateofhealth_117": {
"type": "terms",
"id": "stateofhealth_117",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "117",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Obesity",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Obesity Archives | KQED Arts",
"ogDescription": null
},
"ttid": 117,
"slug": "obesity",
"isLoading": false,
"link": "/stateofhealth/tag/obesity"
},
"stateofhealth_127": {
"type": "terms",
"id": "stateofhealth_127",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "127",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Tobacco",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Tobacco Archives | KQED Arts",
"ogDescription": null
},
"ttid": 127,
"slug": "tobacco",
"isLoading": false,
"link": "/stateofhealth/tag/tobacco"
}
},
"userPermissionsReducer": {
"wpLoggedIn": false
},
"eventsReducer": {},
"fssReducer": {},
"tvDailyScheduleReducer": {},
"tvWeeklyScheduleReducer": {},
"tvPrimetimeScheduleReducer": {},
"tvMonthlyScheduleReducer": {},
"userAccountReducer": {
"user": {
"email": null,
"emailStatus": "EMAIL_UNVALIDATED",
"loggedStatus": "LOGGED_OUT",
"loggingChecked": false,
"articles": [],
"firstName": null,
"lastName": null,
"phoneNumber": null,
"fetchingMembership": false,
"membershipError": false,
"memberships": [
{
"id": null,
"startDate": null,
"firstName": null,
"lastName": null,
"familyNumber": null,
"memberNumber": null,
"memberSince": null,
"expirationDate": null,
"pfsEligible": false,
"isSustaining": false,
"membershipLevel": "Prospect",
"membershipStatus": "Non Member",
"lastGiftDate": null,
"renewalDate": null,
"lastDonationAmount": null
}
]
},
"authModal": {
"isOpen": false,
"view": "LANDING_VIEW"
},
"error": null
},
"youthMediaReducer": {},
"checkPleaseReducer": {
"filterData": {
"region": {
"key": "Restaurant Region",
"filters": [
"Any Region"
]
},
"cuisine": {
"key": "Restaurant Cuisine",
"filters": [
"Any Cuisine"
]
}
},
"restaurantDataById": {},
"restaurantIdsSorted": [],
"error": null
},
"userAgentReducer": {
"userAgent": "Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)",
"isBot": true
},
"requestOutcomesReducer": {
"notFound": []
},
"navPromosReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": true,
"promos": {
"news": {
"name": "2026 Voter Guide",
"link": "/voterguide",
"imageURL": "https://cdn.kqed.org/wp-content/uploads/2026/10/Nav-News-Nov2026ElectionCoverage@2x-7bd4aad4.png",
"description": "Get informed in minutes with our Voter Guide for California’s November 3 election."
},
"podcasts-radio": {},
"video-tv": {},
"events": {},
"support": {}
}
}
}