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"content": "\u003cp>By Shefali S. Kulkarni, \u003ca title=\"http://www.kaiserhealthnews.org/stories/2012/january/09/pcori-q-and-a.aspx?referrer=search\" href=\"http://www.kaiserhealthnews.org/stories/2012/january/09/pcori-q-and-a.aspx?referrer=search\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_1981\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/PCORI_01112012_Image_USNavy.jpg\">\u003cimg class=\"size-medium wp-image-1981\" title=\"(Photo: U.S. Navy)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/PCORI_01112012_Image_USNavy-300x199.jpg\" alt=\"(Photo: U.S. Navy)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Photo: U.S. Navy)\u003c/figcaption>\u003c/figure>\n\u003cp>PCORI is not exactly a household name, but if Dr. Anne Beal has her way, it will be soon. The acronym stands for \u003ca title=\"http://www.pcori.org/\" href=\"http://www.pcori.org/\" target=\"_blank\">Patient Centered Outcomes Research Institute\u003c/a>—a group of doctors, researchers, statisticians and patient advocates who will commission evidence-based research for the health care system.\u003c/p>\n\u003cp>The key here is “patient-centered.” Beal says the goal is to provide easy-to-understand information to patients so they can make the most informed health care decisions.\u003c/p>\n\u003cp>PCORI is yet another part of health care reform that people may not know much about. But while it was created via the Affordable Care Act, but it is an independent, non-profit organization.\u003c!--more-->Beal, the No. 2 at the new institute comes to PCORI after leading the \u003ca title=\"http://www.aetna-foundation.org/foundation/index.html\" href=\"http://www.aetna-foundation.org/foundation/index.html\" target=\"_blank\">Aetna Foundation\u003c/a>, the philanthropic arm of Aetna Inc. There, she emphasized three areas: preventing obesity, racial and ethnic health care equity, and integrated care. Beal says she’ll carry that experience into her new role: \"Health equity is going to be one of the priority areas within [PCORI’s] research agenda.\"\u003c/p>\n\u003cp>In December, hundreds of project proposals flooded the PCORI office vying for funds. By March, PCORI staff will have picked about 40 projects to fund with $26 million in grants over two years. Those will help set the tone for PCORI’s standards of research.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>KHN’s Shefali S. Kulkarni spoke with Beal about this the new agency. Here are edited excerpts:\u003c/p>\n\u003cp>\u003cstrong>Q\u003c/strong>: Can you give an example of how you envision people using the kind of research that PCORI will fund?\u003c/p>\n\u003cp>\u003cstrong>A\u003c/strong>: Let’s say someone is trying to decide if they should have Procedure A versus Procedure B. You give them all this information, but what the patient is saying is, \"Well, what’s really important for me is that I’m very afraid of pain. What procedure is going to be the lowest pain option that still gives me the benefits that I need?\" Somebody else is going to be very interested in what will give them the longest life. Somebody else may say, \"Well, what’s really important to me is whatever procedures I have, I am a working parent and I can’t really afford a lot of time off from work, so what procedure is really going to take care of this condition, but get me back to work as quickly as I can?\"\u003c/p>\n\u003cp>So, then we [at PCORI] are trying to think of the different options that are available to us, not only looking at research that says, \"If you do this cardiac procedure versus this cardiac procedure, here's what the outcome is.\" But now: here’s what the outcome is in terms of pain, here’s what the outcome is in terms of days off from work, here’s what the outcome is in terms of longevity. So then you, as the patient, have the information to make that comparison and make really a tailored decision that meets your needs.\u003c/p>\n\u003cp>\u003cstrong>Q\u003c/strong>: Where does PCORI fit into the health care law?\u003c/p>\n\u003cp>\u003cstrong>A\u003c/strong>: What PCORI is trying to do is address where some people said health reform fell short — so you have access, but access to what? Now that we [will] have, as a result of the Affordable Care Act, near universal access to health care, we need to really turn our attention to make sure the health care system is really meeting the needs of every patient. And in some ways that is a very grand view, but I think it’s quite necessary to really take this sort of vision of what health care should be, but then make it mean something to the average patient.\u003c/p>\n\u003cp>\u003cstrong>Q\u003c/strong>: Can you give an example of that?\u003c/p>\n\u003cp>\u003cstrong>A\u003c/strong>: Well, from a personal perspective, in the last few years my father's been sick. So I come to Washington, I have these conversations...and we have these sort of very grand ideas of what health care should be. Then I go home and I’m at my father’s bedside, and I see the reality of what health care is. Because of all this, I think the patient experience is often fragmented and not well coordinated. There is a lot of ambiguity in health care, both on the part of providers and patients, therefore patients don’t necessarily know what the best choices available to them are. When really thinking about a patient-centered research enterprise, we have to think about if we present information that is a trusted source that people can go to and that really addresses their needs and concerns. [It should be] information and knowledge that was created from the patients' perspective. For me, the promise of PCORI is really taking these highfalutin conversations and making them real, so that at the end of the day — you know next Thanksgiving, when I’m telling my family I work for PCORI — they know what that means.\u003c/p>\n\u003cp>\u003cstrong>Q\u003c/strong>: What will the organizational structure of PCORI be?\u003c/p>\n\u003cp>\u003cstrong>A\u003c/strong>: We take it very seriously when we say that the patient has to be engaged at every step of the process. So, for example, we have patient representation on our board — every grant review that we are going to have is going to have at least three patient representatives to make sure that not only is [the proposal] an interesting question, but is it a meaningful question to the patient? Even as we’re defining patient-centered outcomes research, we are engaging focus groups all around the country. Even as we are developing our research agenda, we’re looking for patient input. I think that is something that is really going to become part of our DNA, and we’re already seeing it manifest right now.\u003c/p>\n\u003cp>\u003cstrong>Q\u003c/strong>: Health disparities, obesity and health care delivery systems were your main focus at your last job as the president of the Aetna Foundation. How is PCORI going to address these issues?\u003c/p>\n\u003cp>\u003cstrong>A\u003c/strong>: A lot of what drives health disparities is in fact differences in health systems’ function. I think one of the most exciting promises of PCORI is that included in our thinking about comparative effectiveness is that we want to compare systems of care. So being able to look at the role of the health system in achieving high quality care is important, as well as being able to do it in underserved settings, or large minority-serving settings. It really is going to be about thinking, in this whole continuum, of what are the questions, how do we execute the research and then, specifically, who the population is it that we try to go for. These are some of our preliminary thoughts, but in our research agenda, we have different priority areas and health equities are certainly one of them. We are really diving deep into them now.\u003c/p>\n\u003cp>\u003cstrong>Q\u003c/strong>: Where do you see PCORI in the next 10 years?\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cstrong>A\u003c/strong>: It's actually pretty simple: we are funded through 2019 and what I would like to see for PCORI is that our contribution to improving patient care and the patient experience is so significant that patients will say, \"It can't go away.\" What I really envision is that PCORI becomes a go-to place for patients and, frankly, even for their providers. We are willing to be really innovative and we're willing to be very open. So, whether it’s creating new apps, or thinking about a webpage or a YouTube channel, nothing is off the table. Obviously, doing our work and publishing it in the New England Journal of Medicine is not the way to get to patients, so we are going to have to think very creatively about how [to] make [our] work relevant for patients.\u003c/p>\n\n",
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"excerpt": "PCORI is not exactly a household name, but if Dr. Anne Beal has her way, it will be soon. The acronym stands for Patient Centered Outcomes Research Institute—a group of doctors, researchers, statisticians and patient advocates who will commission evidence-based research for the health care system.\r\n\r\nThe key here is “patient-centered.” Beal says the goal is to provide easy-to-understand information to patients so they can make the most informed health care decisions.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Shefali S. Kulkarni, \u003ca title=\"http://www.kaiserhealthnews.org/stories/2012/january/09/pcori-q-and-a.aspx?referrer=search\" href=\"http://www.kaiserhealthnews.org/stories/2012/january/09/pcori-q-and-a.aspx?referrer=search\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_1981\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/PCORI_01112012_Image_USNavy.jpg\">\u003cimg class=\"size-medium wp-image-1981\" title=\"(Photo: U.S. Navy)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/PCORI_01112012_Image_USNavy-300x199.jpg\" alt=\"(Photo: U.S. Navy)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Photo: U.S. Navy)\u003c/figcaption>\u003c/figure>\n\u003cp>PCORI is not exactly a household name, but if Dr. Anne Beal has her way, it will be soon. The acronym stands for \u003ca title=\"http://www.pcori.org/\" href=\"http://www.pcori.org/\" target=\"_blank\">Patient Centered Outcomes Research Institute\u003c/a>—a group of doctors, researchers, statisticians and patient advocates who will commission evidence-based research for the health care system.\u003c/p>\n\u003cp>The key here is “patient-centered.” Beal says the goal is to provide easy-to-understand information to patients so they can make the most informed health care decisions.\u003c/p>\n\u003cp>PCORI is yet another part of health care reform that people may not know much about. But while it was created via the Affordable Care Act, but it is an independent, non-profit organization.\u003c!--more-->Beal, the No. 2 at the new institute comes to PCORI after leading the \u003ca title=\"http://www.aetna-foundation.org/foundation/index.html\" href=\"http://www.aetna-foundation.org/foundation/index.html\" target=\"_blank\">Aetna Foundation\u003c/a>, the philanthropic arm of Aetna Inc. There, she emphasized three areas: preventing obesity, racial and ethnic health care equity, and integrated care. Beal says she’ll carry that experience into her new role: \"Health equity is going to be one of the priority areas within [PCORI’s] research agenda.\"\u003c/p>\n\u003cp>In December, hundreds of project proposals flooded the PCORI office vying for funds. By March, PCORI staff will have picked about 40 projects to fund with $26 million in grants over two years. Those will help set the tone for PCORI’s standards of research.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>KHN’s Shefali S. Kulkarni spoke with Beal about this the new agency. Here are edited excerpts:\u003c/p>\n\u003cp>\u003cstrong>Q\u003c/strong>: Can you give an example of how you envision people using the kind of research that PCORI will fund?\u003c/p>\n\u003cp>\u003cstrong>A\u003c/strong>: Let’s say someone is trying to decide if they should have Procedure A versus Procedure B. You give them all this information, but what the patient is saying is, \"Well, what’s really important for me is that I’m very afraid of pain. What procedure is going to be the lowest pain option that still gives me the benefits that I need?\" Somebody else is going to be very interested in what will give them the longest life. Somebody else may say, \"Well, what’s really important to me is whatever procedures I have, I am a working parent and I can’t really afford a lot of time off from work, so what procedure is really going to take care of this condition, but get me back to work as quickly as I can?\"\u003c/p>\n\u003cp>So, then we [at PCORI] are trying to think of the different options that are available to us, not only looking at research that says, \"If you do this cardiac procedure versus this cardiac procedure, here's what the outcome is.\" But now: here’s what the outcome is in terms of pain, here’s what the outcome is in terms of days off from work, here’s what the outcome is in terms of longevity. So then you, as the patient, have the information to make that comparison and make really a tailored decision that meets your needs.\u003c/p>\n\u003cp>\u003cstrong>Q\u003c/strong>: Where does PCORI fit into the health care law?\u003c/p>\n\u003cp>\u003cstrong>A\u003c/strong>: What PCORI is trying to do is address where some people said health reform fell short — so you have access, but access to what? Now that we [will] have, as a result of the Affordable Care Act, near universal access to health care, we need to really turn our attention to make sure the health care system is really meeting the needs of every patient. And in some ways that is a very grand view, but I think it’s quite necessary to really take this sort of vision of what health care should be, but then make it mean something to the average patient.\u003c/p>\n\u003cp>\u003cstrong>Q\u003c/strong>: Can you give an example of that?\u003c/p>\n\u003cp>\u003cstrong>A\u003c/strong>: Well, from a personal perspective, in the last few years my father's been sick. So I come to Washington, I have these conversations...and we have these sort of very grand ideas of what health care should be. Then I go home and I’m at my father’s bedside, and I see the reality of what health care is. Because of all this, I think the patient experience is often fragmented and not well coordinated. There is a lot of ambiguity in health care, both on the part of providers and patients, therefore patients don’t necessarily know what the best choices available to them are. When really thinking about a patient-centered research enterprise, we have to think about if we present information that is a trusted source that people can go to and that really addresses their needs and concerns. [It should be] information and knowledge that was created from the patients' perspective. For me, the promise of PCORI is really taking these highfalutin conversations and making them real, so that at the end of the day — you know next Thanksgiving, when I’m telling my family I work for PCORI — they know what that means.\u003c/p>\n\u003cp>\u003cstrong>Q\u003c/strong>: What will the organizational structure of PCORI be?\u003c/p>\n\u003cp>\u003cstrong>A\u003c/strong>: We take it very seriously when we say that the patient has to be engaged at every step of the process. So, for example, we have patient representation on our board — every grant review that we are going to have is going to have at least three patient representatives to make sure that not only is [the proposal] an interesting question, but is it a meaningful question to the patient? Even as we’re defining patient-centered outcomes research, we are engaging focus groups all around the country. Even as we are developing our research agenda, we’re looking for patient input. I think that is something that is really going to become part of our DNA, and we’re already seeing it manifest right now.\u003c/p>\n\u003cp>\u003cstrong>Q\u003c/strong>: Health disparities, obesity and health care delivery systems were your main focus at your last job as the president of the Aetna Foundation. How is PCORI going to address these issues?\u003c/p>\n\u003cp>\u003cstrong>A\u003c/strong>: A lot of what drives health disparities is in fact differences in health systems’ function. I think one of the most exciting promises of PCORI is that included in our thinking about comparative effectiveness is that we want to compare systems of care. So being able to look at the role of the health system in achieving high quality care is important, as well as being able to do it in underserved settings, or large minority-serving settings. It really is going to be about thinking, in this whole continuum, of what are the questions, how do we execute the research and then, specifically, who the population is it that we try to go for. These are some of our preliminary thoughts, but in our research agenda, we have different priority areas and health equities are certainly one of them. We are really diving deep into them now.\u003c/p>\n\u003cp>\u003cstrong>Q\u003c/strong>: Where do you see PCORI in the next 10 years?\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>A\u003c/strong>: It's actually pretty simple: we are funded through 2019 and what I would like to see for PCORI is that our contribution to improving patient care and the patient experience is so significant that patients will say, \"It can't go away.\" What I really envision is that PCORI becomes a go-to place for patients and, frankly, even for their providers. We are willing to be really innovative and we're willing to be very open. So, whether it’s creating new apps, or thinking about a webpage or a YouTube channel, nothing is off the table. Obviously, doing our work and publishing it in the New England Journal of Medicine is not the way to get to patients, so we are going to have to think very creatively about how [to] make [our] work relevant for patients.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Diagnosis, Treatment ... and Maybe a Prognosis?",
"title": "Diagnosis, Treatment ... and Maybe a Prognosis?",
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"content": "\u003cfigure id=\"attachment_1942\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/StetoscopeAdrianClark.jpg\">\u003cimg class=\"size-medium wp-image-1942\" title=\"(Adrian Clark: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/StetoscopeAdrianClark-300x300.jpg\" alt=\"(Adrian Clark: Flickr)\" width=\"300\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Adrian Clark: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Back in the days when modern medicine started, around the turn of the 20th century, the practice of medicine was roughly divided into thirds: diagnosis, treatment and prognosis.\u003c/p>\n\u003cp>That's what \u003ca title=\"http://geriatrics.medicine.ucsf.edu/facstaff/smith.html\" href=\"http://geriatrics.medicine.ucsf.edu/facstaff/smith.html\" target=\"_blank\">Alexander Smith\u003c/a>, palliative care expert at the San Francisco VA Hospital, told me in an interview. He attributed the approach to the illustrious William Osler, one of the founding professors of \u003ca title=\"http://www.hopkinsmedicine.org/about/\" href=\"http://www.hopkinsmedicine.org/about/\" target=\"_blank\">Johns Hopkins Hospital\u003c/a>, back in the late 19th century.\u003c/p>\n\u003cp>But things have changed since Dr. Osler ruled in Baltimore. \"Prognosis has really waned,\" Smith says. \"Now in textbooks, there's just a few lines. The focus is on diagnosis and treatment.\"\u003c/p>\n\u003cp>\u003c!--more-->Smith and a handful of colleagues are trying to refocus doctors and other clinicians on prognosis in older patients. But it looks like he has a long way to go. In today's \u003ca title=\"http://jama.ama-assn.org/content/307/2/182.full\" href=\"http://jama.ama-assn.org/content/307/2/182.full\" target=\"_blank\">Journal of the American Medical Association\u003c/a>, Smith and his colleagues assess the efficacy of 16 different ways to measure prognosis. Unfortunately, the authors find that all of them are lacking in one way or another. Failure to consider prognosis is a problem, they argue, because it can lead to poor care.\u003c/p>\n\u003cp>\"Prognosis is a critically important piece of information for decision-making in the elderly,\" Smith said. \"For most preventive measures, the harms occur up front, but the benefits don't accrue for years.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>One case in point is the colonoscopy. \"There's an immediate risk of intestinal perforation. It sounds awful and it is. While uncommon, it's horrific when it happens.\" While colonoscopies are great at finding very early colon cancers, that's what they are, very early. This is where overall prognosis comes in. As people get older, their likelihood of dying \u003cem>with\u003c/em> and not \u003cem>of\u003c/em> a particular cancer goes up, so why subject patients to screening tests?\u003c/p>\n\u003cp>This isn't a question just of a patient's age, which is what doctors call a \"blunt instrument.\" A better way to measure prognosis, Smith said, would be to add in other factors, \"like what other medical conditions a patient has, what functional status a patient has, like walking, bathing, calculating checkbooks, what cognitive impairment they have.\"\u003c/p>\n\u003cp>Smith and his colleagues have taken the 16 current imperfect tools that measure prognosis and put them together in a new website, \u003ca title=\"http://www.eprognosis.org/\" href=\"http://www.eprognosis.org/\" target=\"_blank\">www.eprognosis.org\u003c/a>, specifically for doctors and other health care workers. The goal is for doctors to use the individual tools and then rate them on usefulness. But doctors should use the information as one tool, in combination with discussions with patients and their patients' preferences.\u003c/p>\n\u003cp>Still, Smith stressed that doctors tend to be optimistic when estimating prognosis, and the better they know the patient, the more optimistic they become.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"If a patient has the information, then patients and doctors are more likely to make choices that are sensible. They are less likely to pursue tests and treatments that are likely to be harmful and they can shift priorities to other things like maintaining mobility and independence.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1942\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/StetoscopeAdrianClark.jpg\">\u003cimg class=\"size-medium wp-image-1942\" title=\"(Adrian Clark: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/StetoscopeAdrianClark-300x300.jpg\" alt=\"(Adrian Clark: Flickr)\" width=\"300\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Adrian Clark: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Back in the days when modern medicine started, around the turn of the 20th century, the practice of medicine was roughly divided into thirds: diagnosis, treatment and prognosis.\u003c/p>\n\u003cp>That's what \u003ca title=\"http://geriatrics.medicine.ucsf.edu/facstaff/smith.html\" href=\"http://geriatrics.medicine.ucsf.edu/facstaff/smith.html\" target=\"_blank\">Alexander Smith\u003c/a>, palliative care expert at the San Francisco VA Hospital, told me in an interview. He attributed the approach to the illustrious William Osler, one of the founding professors of \u003ca title=\"http://www.hopkinsmedicine.org/about/\" href=\"http://www.hopkinsmedicine.org/about/\" target=\"_blank\">Johns Hopkins Hospital\u003c/a>, back in the late 19th century.\u003c/p>\n\u003cp>But things have changed since Dr. Osler ruled in Baltimore. \"Prognosis has really waned,\" Smith says. \"Now in textbooks, there's just a few lines. The focus is on diagnosis and treatment.\"\u003c/p>\n\u003cp>\u003c!--more-->Smith and a handful of colleagues are trying to refocus doctors and other clinicians on prognosis in older patients. But it looks like he has a long way to go. In today's \u003ca title=\"http://jama.ama-assn.org/content/307/2/182.full\" href=\"http://jama.ama-assn.org/content/307/2/182.full\" target=\"_blank\">Journal of the American Medical Association\u003c/a>, Smith and his colleagues assess the efficacy of 16 different ways to measure prognosis. Unfortunately, the authors find that all of them are lacking in one way or another. Failure to consider prognosis is a problem, they argue, because it can lead to poor care.\u003c/p>\n\u003cp>\"Prognosis is a critically important piece of information for decision-making in the elderly,\" Smith said. \"For most preventive measures, the harms occur up front, but the benefits don't accrue for years.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>One case in point is the colonoscopy. \"There's an immediate risk of intestinal perforation. It sounds awful and it is. While uncommon, it's horrific when it happens.\" While colonoscopies are great at finding very early colon cancers, that's what they are, very early. This is where overall prognosis comes in. As people get older, their likelihood of dying \u003cem>with\u003c/em> and not \u003cem>of\u003c/em> a particular cancer goes up, so why subject patients to screening tests?\u003c/p>\n\u003cp>This isn't a question just of a patient's age, which is what doctors call a \"blunt instrument.\" A better way to measure prognosis, Smith said, would be to add in other factors, \"like what other medical conditions a patient has, what functional status a patient has, like walking, bathing, calculating checkbooks, what cognitive impairment they have.\"\u003c/p>\n\u003cp>Smith and his colleagues have taken the 16 current imperfect tools that measure prognosis and put them together in a new website, \u003ca title=\"http://www.eprognosis.org/\" href=\"http://www.eprognosis.org/\" target=\"_blank\">www.eprognosis.org\u003c/a>, specifically for doctors and other health care workers. The goal is for doctors to use the individual tools and then rate them on usefulness. But doctors should use the information as one tool, in combination with discussions with patients and their patients' preferences.\u003c/p>\n\u003cp>Still, Smith stressed that doctors tend to be optimistic when estimating prognosis, and the better they know the patient, the more optimistic they become.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"If a patient has the information, then patients and doctors are more likely to make choices that are sensible. They are less likely to pursue tests and treatments that are likely to be harmful and they can shift priorities to other things like maintaining mobility and independence.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Soda Tax: What Can a Penny Do?",
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"content": "\u003cfigure id=\"attachment_1850\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Soda_VendingMachines_Rex-Sorgatz_Flickr_01092012.jpg\">\u003cimg class=\"size-medium wp-image-1850\" title=\"(Rex Sorgatz: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Soda_VendingMachines_Rex-Sorgatz_Flickr_01092012-300x225.jpg\" alt=\"(Rex Sorgatz: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Rex Sorgatz: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>We've seen it with tobacco. As taxes went up, use went down. Public health advocates have been salivating over the prospect of a tax on sugar-sweetened beverages to gain a similar foothold in the obesity epidemic and the myriad health problems excess weight causes. But hard evidence on the health effects of such a tax has been limited.\u003c/p>\n\u003cp>A new study in today's \u003ca title=\"http://content.healthaffairs.org/content/31/1/199.abstract\" href=\"http://content.healthaffairs.org/content/31/1/199.abstract\" target=\"_blank\">Health Affairs\u003c/a>, quantifies the impact quite nicely. A nationwide penny-per-ounce tax, the authors estimate, would reduce sugar-sweetened beverage consumption by 15 percent. They say that modest reduction will lead to modest weight loss, which in turn leads to modest reductions in diabetes. After the researchers crunched all the numbers, all those modest reductions would, over ten years, result in 26,000 lives saves (or avoiding \"premature deaths\" as researchers prefer to say).\u003c/p>\n\u003cp>\u003c!--more-->There would also be 95,000 fewer instances of heart disease and 8,000 fewer strokes.\u003c/p>\n\u003cp>Why all the fuss about sugar-sweetened beverages? Americans guzzled 13.8 billion gallons of them in 2009. \"These beverages represent the largest source of added sugar and excess calories in the American diet and have been linked to weight gain and type 2 diabetes,\" the authors write.\u003c/p>\n\u003cp>\u003ca title=\"http://cvp.ucsf.edu/faculty-kdomingo.php\" href=\"http://cvp.ucsf.edu/faculty-kdomingo.php\" target=\"_blank\">Kirsten Bibbins-Domingo\u003c/a>, an epidemiologist at UC San Francisco, was the senior author of the study. \"We knew that diabetes was a big problem and if you could do something to reduce risk of diabetes, that you would have a big impact. But we're always surprised when we look at the numbers when a relatively small impact could have such a large and measurable benefit in terms of diabetes.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In addition to the lives saved, the researchers estimated that $17 billion dollars in health costs would be saved.\u003c/p>\n\u003cp>\"It's a very important study,\" says Harold Goldstein of the \u003ca title=\"http://www.publichealthadvocacy.org/\" href=\"http://www.publichealthadvocacy.org/\" target=\"_blank\">California Center for Public Health Advocacy\u003c/a>. \"We know that sugary drinks are a major contributor to the obesity epidemic so this study that a soda tax simultaneously reduces consumption, improves the health of Americans and lowers health care costs is an important addition to what we know about potential benefits of a soda tax.\"\u003c/p>\n\u003cp>Juliet Sims of Oakland's \u003ca title=\"http://preventioninstitute.org/\" href=\"http://preventioninstitute.org/\" target=\"_blank\">Prevention Institute\u003c/a> says a soda tax is an obesity fighting strategy they've been interested in for several years, but for more than just public health reasons. \"Companies need to pay their fair share. We're the ones paying the price in terms of our health and dollars on the back end. Soda's cheap and soda companies have created a world in which a soda is always in arm's reach, but we're the ones paying that price.\"\u003c/p>\n\u003cp>Unlike sales tax which shows up at the register, after the decision to buy has already been made, a soda tax would be an excise tax. It would show up as purchase price. Diet beverages right next to their full-sugar counterparts on the shelf, would show a lower price.\u003c/p>\n\u003cp>The researchers admit that even the modest number of people who reduce drinking sugar-sweetened beverages will likely still consume at least some of those calories in other ways. But sugar-sweetened beverages have insidious health risks. The study notes that women who drink one sugar-sweetened beverage per day may increase her risk of developing diabetes by 83-98 percent.\u003c/p>\n\u003cp>\"It's pretty clear that the sugar-sweetened beverages have some impact on diabetes beyond the calories we're talking about,\" Bibbins-Domingo says. \"They increase your risk of diabetes beyond increasing your weight. They have an independent effect on diabetes.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Read more: \u003ca title=\"http://www.npr.org/blogs/health/2012/01/09/144919807/diabetes-economic-toll-goes-far-beyond-medical-bills?ps=sh_sthdl\" href=\"http://www.npr.org/blogs/health/2012/01/09/144919807/diabetes-economic-toll-goes-far-beyond-medical-bills?ps=sh_sthdl\" target=\"_blank\">Diabetes' Economic Toll Goes Far Beyond Medical Bills.\u003c/a>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1850\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Soda_VendingMachines_Rex-Sorgatz_Flickr_01092012.jpg\">\u003cimg class=\"size-medium wp-image-1850\" title=\"(Rex Sorgatz: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Soda_VendingMachines_Rex-Sorgatz_Flickr_01092012-300x225.jpg\" alt=\"(Rex Sorgatz: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Rex Sorgatz: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>We've seen it with tobacco. As taxes went up, use went down. Public health advocates have been salivating over the prospect of a tax on sugar-sweetened beverages to gain a similar foothold in the obesity epidemic and the myriad health problems excess weight causes. But hard evidence on the health effects of such a tax has been limited.\u003c/p>\n\u003cp>A new study in today's \u003ca title=\"http://content.healthaffairs.org/content/31/1/199.abstract\" href=\"http://content.healthaffairs.org/content/31/1/199.abstract\" target=\"_blank\">Health Affairs\u003c/a>, quantifies the impact quite nicely. A nationwide penny-per-ounce tax, the authors estimate, would reduce sugar-sweetened beverage consumption by 15 percent. They say that modest reduction will lead to modest weight loss, which in turn leads to modest reductions in diabetes. After the researchers crunched all the numbers, all those modest reductions would, over ten years, result in 26,000 lives saves (or avoiding \"premature deaths\" as researchers prefer to say).\u003c/p>\n\u003cp>\u003c!--more-->There would also be 95,000 fewer instances of heart disease and 8,000 fewer strokes.\u003c/p>\n\u003cp>Why all the fuss about sugar-sweetened beverages? Americans guzzled 13.8 billion gallons of them in 2009. \"These beverages represent the largest source of added sugar and excess calories in the American diet and have been linked to weight gain and type 2 diabetes,\" the authors write.\u003c/p>\n\u003cp>\u003ca title=\"http://cvp.ucsf.edu/faculty-kdomingo.php\" href=\"http://cvp.ucsf.edu/faculty-kdomingo.php\" target=\"_blank\">Kirsten Bibbins-Domingo\u003c/a>, an epidemiologist at UC San Francisco, was the senior author of the study. \"We knew that diabetes was a big problem and if you could do something to reduce risk of diabetes, that you would have a big impact. But we're always surprised when we look at the numbers when a relatively small impact could have such a large and measurable benefit in terms of diabetes.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In addition to the lives saved, the researchers estimated that $17 billion dollars in health costs would be saved.\u003c/p>\n\u003cp>\"It's a very important study,\" says Harold Goldstein of the \u003ca title=\"http://www.publichealthadvocacy.org/\" href=\"http://www.publichealthadvocacy.org/\" target=\"_blank\">California Center for Public Health Advocacy\u003c/a>. \"We know that sugary drinks are a major contributor to the obesity epidemic so this study that a soda tax simultaneously reduces consumption, improves the health of Americans and lowers health care costs is an important addition to what we know about potential benefits of a soda tax.\"\u003c/p>\n\u003cp>Juliet Sims of Oakland's \u003ca title=\"http://preventioninstitute.org/\" href=\"http://preventioninstitute.org/\" target=\"_blank\">Prevention Institute\u003c/a> says a soda tax is an obesity fighting strategy they've been interested in for several years, but for more than just public health reasons. \"Companies need to pay their fair share. We're the ones paying the price in terms of our health and dollars on the back end. Soda's cheap and soda companies have created a world in which a soda is always in arm's reach, but we're the ones paying that price.\"\u003c/p>\n\u003cp>Unlike sales tax which shows up at the register, after the decision to buy has already been made, a soda tax would be an excise tax. It would show up as purchase price. Diet beverages right next to their full-sugar counterparts on the shelf, would show a lower price.\u003c/p>\n\u003cp>The researchers admit that even the modest number of people who reduce drinking sugar-sweetened beverages will likely still consume at least some of those calories in other ways. But sugar-sweetened beverages have insidious health risks. The study notes that women who drink one sugar-sweetened beverage per day may increase her risk of developing diabetes by 83-98 percent.\u003c/p>\n\u003cp>\"It's pretty clear that the sugar-sweetened beverages have some impact on diabetes beyond the calories we're talking about,\" Bibbins-Domingo says. \"They increase your risk of diabetes beyond increasing your weight. They have an independent effect on diabetes.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Read more: \u003ca title=\"http://www.npr.org/blogs/health/2012/01/09/144919807/diabetes-economic-toll-goes-far-beyond-medical-bills?ps=sh_sthdl\" href=\"http://www.npr.org/blogs/health/2012/01/09/144919807/diabetes-economic-toll-goes-far-beyond-medical-bills?ps=sh_sthdl\" target=\"_blank\">Diabetes' Economic Toll Goes Far Beyond Medical Bills.\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>It's Friday and public health has never looked better.\u003c/p>\n\u003cfigure id=\"attachment_1771\" class=\"wp-caption aligncenter\" style=\"max-width: 503px\">\u003ca href=\"http://publichealthryangosling.tumblr.com/\">\u003cimg class=\"size-full wp-image-1771\" title=\"(Credit: PublicHealthRyanGosling Tumblr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Screen-Shot-2012-01-06-at-1.06.00-PM.png\" alt=\"(Credit: PublicHealthRyanGosling Tumblr)\" width=\"503\" height=\"357\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/01/Screen-Shot-2012-01-06-at-1.06.00-PM.png 503w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/Screen-Shot-2012-01-06-at-1.06.00-PM-400x284.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/Screen-Shot-2012-01-06-at-1.06.00-PM-320x227.png 320w\" sizes=\"(max-width: 503px) 100vw, 503px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(PublicHealthRyanGosling: Tumblr)\u003c/figcaption>\u003c/figure>\n\u003cp>If you haven't been following the \"Hey Girl\" \u003ca title=\"http://www.imdb.com/name/nm0331516/\" href=\"http://www.imdb.com/name/nm0331516/\" target=\"_blank\">Ryan Gosling\u003c/a> meme since it originated in 2008, this might have caught you by surprise. The meme has gone viral, spawning \u003ca title=\"http://socialtimes.com/ryan-gosling-meme_b87004\" href=\"http://socialtimes.com/ryan-gosling-meme_b87004\" target=\"_blank\">spinoffs galore\u003c/a>, from Silicon Valley Ryan Gosling to Feminist Ryan Gosling to, yes NPR!\u003c/p>\n\u003cfigure id=\"attachment_1773\" class=\"wp-caption aligncenter\" style=\"max-width: 511px\">\u003ca href=\"http://nprheygirl.tumblr.com/\">\u003cimg class=\"size-full wp-image-1773\" title=\"(Credit: NPR Hey Girl Tumblr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Screen-Shot-2012-01-06-at-1.19.40-PM.png\" alt=\"(Credit: NPR Hey Girl Tumblr)\" width=\"511\" height=\"395\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/01/Screen-Shot-2012-01-06-at-1.19.40-PM.png 511w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/Screen-Shot-2012-01-06-at-1.19.40-PM-400x309.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/Screen-Shot-2012-01-06-at-1.19.40-PM-320x247.png 320w\" sizes=\"(max-width: 511px) 100vw, 511px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(NPRHeyGirl: Tumblr)\u003c/figcaption>\u003c/figure>\n\u003cp>WHOOPS! Back to Public Health Ryan Gosling. It's the creation of Tina Yuen, who holds a Masters in Public Health from UC Berkeley and is currently an Environmental Health Fellow at the \u003ca href=\"http://www.linkedin.com/company/association-of-schools-of-public-health?trk=ppro_cprof\">Association of Schools of Public Health\u003c/a>. You can read more of Ryan Gosling's public health messages \u003ca href=\"http://publichealthryangosling.tumblr.com/\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>It's Friday and public health has never looked better.\u003c/p>\n\u003cfigure id=\"attachment_1771\" class=\"wp-caption aligncenter\" style=\"max-width: 503px\">\u003ca href=\"http://publichealthryangosling.tumblr.com/\">\u003cimg class=\"size-full wp-image-1771\" title=\"(Credit: PublicHealthRyanGosling Tumblr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Screen-Shot-2012-01-06-at-1.06.00-PM.png\" alt=\"(Credit: PublicHealthRyanGosling Tumblr)\" width=\"503\" height=\"357\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/01/Screen-Shot-2012-01-06-at-1.06.00-PM.png 503w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/Screen-Shot-2012-01-06-at-1.06.00-PM-400x284.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/Screen-Shot-2012-01-06-at-1.06.00-PM-320x227.png 320w\" sizes=\"(max-width: 503px) 100vw, 503px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(PublicHealthRyanGosling: Tumblr)\u003c/figcaption>\u003c/figure>\n\u003cp>If you haven't been following the \"Hey Girl\" \u003ca title=\"http://www.imdb.com/name/nm0331516/\" href=\"http://www.imdb.com/name/nm0331516/\" target=\"_blank\">Ryan Gosling\u003c/a> meme since it originated in 2008, this might have caught you by surprise. The meme has gone viral, spawning \u003ca title=\"http://socialtimes.com/ryan-gosling-meme_b87004\" href=\"http://socialtimes.com/ryan-gosling-meme_b87004\" target=\"_blank\">spinoffs galore\u003c/a>, from Silicon Valley Ryan Gosling to Feminist Ryan Gosling to, yes NPR!\u003c/p>\n\u003cfigure id=\"attachment_1773\" class=\"wp-caption aligncenter\" style=\"max-width: 511px\">\u003ca href=\"http://nprheygirl.tumblr.com/\">\u003cimg class=\"size-full wp-image-1773\" title=\"(Credit: NPR Hey Girl Tumblr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Screen-Shot-2012-01-06-at-1.19.40-PM.png\" alt=\"(Credit: NPR Hey Girl Tumblr)\" width=\"511\" height=\"395\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/01/Screen-Shot-2012-01-06-at-1.19.40-PM.png 511w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/Screen-Shot-2012-01-06-at-1.19.40-PM-400x309.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/Screen-Shot-2012-01-06-at-1.19.40-PM-320x247.png 320w\" sizes=\"(max-width: 511px) 100vw, 511px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(NPRHeyGirl: Tumblr)\u003c/figcaption>\u003c/figure>\n\u003cp>WHOOPS! Back to Public Health Ryan Gosling. It's the creation of Tina Yuen, who holds a Masters in Public Health from UC Berkeley and is currently an Environmental Health Fellow at the \u003ca href=\"http://www.linkedin.com/company/association-of-schools-of-public-health?trk=ppro_cprof\">Association of Schools of Public Health\u003c/a>. You can read more of Ryan Gosling's public health messages \u003ca href=\"http://publichealthryangosling.tumblr.com/\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cfigure id=\"attachment_1759\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/HospitalGeneric_TimSamoff_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-1759\" title=\"(Tim Samoff: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/HospitalGeneric_TimSamoff_Flickr-300x225.jpg\" alt=\"(Tim Samoff: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Tim Samoff: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The \u003ca title=\"http://www.nytimes.com/2012/01/06/health/study-of-medicare-patients-finds-most-hospital-errors-unreported.html?ref=health\" href=\"http://www.nytimes.com/2012/01/06/health/study-of-medicare-patients-finds-most-hospital-errors-unreported.html?ref=health\" target=\"_blank\">New York Times\u003c/a> reports that \"hospital employees recognize and report only one out of seven errors, accidents and other events that harm \u003ca title=\"Recent and archival health news about Medicare.\" href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/medicare/index.html?inline=nyt-classifier\">Medicare\u003c/a> patients while they are hospitalized.\" The \u003cem>Times\u003c/em> cites a\u003ca title=\"http://oig.hhs.gov/oei/reports/oei-06-09-00091.pdf\" href=\"http://oig.hhs.gov/oei/reports/oei-06-09-00091.pdf\" target=\"_blank\"> federal study\u003c/a> [PDF] released today.\u003c/p>\n\u003cp>In order to be paid by Medicare, hospitals must track and report errors. A \u003ca title=\"http://www.iom.edu/~/media/Files/Report%20Files/1999/To-Err-is-Human/To%20Err%20is%20Human%201999%20%20report%20brief.pdf\" href=\"http://www.iom.edu/~/media/Files/Report%20Files/1999/To-Err-is-Human/To%20Err%20is%20Human%201999%20%20report%20brief.pdf\" target=\"_blank\">major study\u003c/a> by the Institute of Medicine in 1999 found that between 44,000 and 98,000 hospital patients die each year because of errors that could have been prevented.\u003c/p>\n\u003cp>Perhaps the most troubling point in the \u003cem>Times\u003c/em> piece was this, from \u003ca href=\"http://www.hhs.gov/open/contacts/oig.html\">Daniel R. Levinson\u003c/a>, inspector general of the \u003ca title=\"More articles about Health and Human Services Department, U.S.\" href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/h/health_and_human_services_department/index.html?inline=nyt-org\">Department of Health and Human Services\u003c/a>, which published the report:\u003c/p>\n\u003cblockquote>\u003cp>...the problem is that hospital employees do not recognize “what constitutes patient harm” or do not realize that particular events harmed patients and should be reported.\u003c/p>\n\u003cp>In some cases, he said, employees assumed someone else would report the episode, or they thought it was so common that it did not need to be reported, or “suspected that the events were isolated incidents unlikely to recur.”\u003c/p>\u003c/blockquote>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "The New York Times reports today that \"hospital employees recognize and report only one out of seven errors, accidents and other events that harm Medicare patients while they are hospitalized.\" The Times cites a federal study [PDF] released today.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1759\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/HospitalGeneric_TimSamoff_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-1759\" title=\"(Tim Samoff: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/HospitalGeneric_TimSamoff_Flickr-300x225.jpg\" alt=\"(Tim Samoff: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Tim Samoff: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The \u003ca title=\"http://www.nytimes.com/2012/01/06/health/study-of-medicare-patients-finds-most-hospital-errors-unreported.html?ref=health\" href=\"http://www.nytimes.com/2012/01/06/health/study-of-medicare-patients-finds-most-hospital-errors-unreported.html?ref=health\" target=\"_blank\">New York Times\u003c/a> reports that \"hospital employees recognize and report only one out of seven errors, accidents and other events that harm \u003ca title=\"Recent and archival health news about Medicare.\" href=\"http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/medicare/index.html?inline=nyt-classifier\">Medicare\u003c/a> patients while they are hospitalized.\" The \u003cem>Times\u003c/em> cites a\u003ca title=\"http://oig.hhs.gov/oei/reports/oei-06-09-00091.pdf\" href=\"http://oig.hhs.gov/oei/reports/oei-06-09-00091.pdf\" target=\"_blank\"> federal study\u003c/a> [PDF] released today.\u003c/p>\n\u003cp>In order to be paid by Medicare, hospitals must track and report errors. A \u003ca title=\"http://www.iom.edu/~/media/Files/Report%20Files/1999/To-Err-is-Human/To%20Err%20is%20Human%201999%20%20report%20brief.pdf\" href=\"http://www.iom.edu/~/media/Files/Report%20Files/1999/To-Err-is-Human/To%20Err%20is%20Human%201999%20%20report%20brief.pdf\" target=\"_blank\">major study\u003c/a> by the Institute of Medicine in 1999 found that between 44,000 and 98,000 hospital patients die each year because of errors that could have been prevented.\u003c/p>\n\u003cp>Perhaps the most troubling point in the \u003cem>Times\u003c/em> piece was this, from \u003ca href=\"http://www.hhs.gov/open/contacts/oig.html\">Daniel R. Levinson\u003c/a>, inspector general of the \u003ca title=\"More articles about Health and Human Services Department, U.S.\" href=\"http://topics.nytimes.com/top/reference/timestopics/organizations/h/health_and_human_services_department/index.html?inline=nyt-org\">Department of Health and Human Services\u003c/a>, which published the report:\u003c/p>\n\u003cblockquote>\u003cp>...the problem is that hospital employees do not recognize “what constitutes patient harm” or do not realize that particular events harmed patients and should be reported.\u003c/p>\n\u003cp>In some cases, he said, employees assumed someone else would report the episode, or they thought it was so common that it did not need to be reported, or “suspected that the events were isolated incidents unlikely to recur.”\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cfigure id=\"attachment_1744\" class=\"wp-caption alignleft\" style=\"max-width: 200px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/DrugsMoneyGeneric_Getty.jpg\">\u003cimg class=\"size-medium wp-image-1744 \" title=\"(Jupiterimages: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/DrugsMoneyGeneric_Getty-300x449.jpg\" alt=\"(Jupiterimages: Getty Images)\" width=\"200\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Jupiterimages: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>California's Governor Jerry Brown\u003ca title=\"http://ww2.kqed.org/news/2012/01/05/calif-budget-released-early/\" href=\"http://ww2.kqed.org/news/2012/01/05/calif-budget-released-early/\" target=\"_blank\"> released his budget for the 2012-13 fiscal year\u003c/a> today and it includes \"painful\" cuts in healthcare and social services.\u003c/p>\n\u003cp>Reaction has been swift from groups that work on behalf of the poor and disabled.\u003c/p>\n\u003cp>From the \u003ca title=\"http://www.hhsnetworkca.org/about-2/\" href=\"http://www.hhsnetworkca.org/about-2/\" target=\"_blank\">HHS Network of CA\u003c/a>, a coalition of organizations including the Western Poverty Law Center and Health Access:\u003c/p>\n\u003cblockquote>\u003cp>We are appalled that Governor Brown’s solution to California’s budget crisis is $2.5 billion cuts to essential health and human services. Since 2008, California’s health and human services have suffered an astounding $15 billion in cuts, and this budget only continues the gutting of the social safety net that so many Californian families depend on. From our quick analysis, the Governor is making a $946 million cut to CalWORKS, an $842 million cut to MediCal, a $163 million cut to In-Home Supportive Services, a $447 million cut to child care, and $87 million in cuts to various other HHS services.\u003c/p>\u003c/blockquote>\n\u003cp>From Darcel Lee, Executive Director of the \u003ca title=\"http://cablackhealthnetwork.org/\" href=\"http://cablackhealthnetwork.org/\" target=\"_blank\">California Black Health Network\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Once again, the proposed budget balances the deficit on the backs of our most vulnerable communities,” said B. Darcel Lee, (CBHN). “The number of uninsured in California grew to 7 million last year. At a time when so many families are struggling to make ends meet, we can’t afford to take away basic support programs for working families.\u003c/p>\u003c/blockquote>\n\u003cp>From the \u003ca title=\"http://www.cmanet.org/news/press-detail/?article=california-medical-association-responds-to\" href=\"http://www.cmanet.org/news/press-detail/?article=california-medical-association-responds-to\" target=\"_blank\">California Medical Association\u003c/a>, reacting to the planned transition of children and teenagers in the \u003ca title=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families Program\u003c/a> to Medi-Cal:\u003c/p>\n\u003cblockquote>\u003cp>“On one hand, Governor Brown is advocating for a 10 percent cut in Medi-Cal. On the other hand, he wants to add just under a million more young people to the program, which data shows is already struggling to meet the needs of the existing patients,” said Dustin Corcoran, CMA CEO. “The Medi-Cal provider network will simply not be able to accommodate this large influx of kids and teens. It’s unclear how anybody wins in that scenario.”\u003c/p>\u003c/blockquote>\n\u003cp>The governor is also calling for new taxes to close the budget deficit. From Jean Ross, Executive Director of the \u003ca title=\"http://www.cbp.org/\" href=\"http://www.cbp.org/\" target=\"_blank\">California Budget Project\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>The Proposed Budget includes major reductions in a number of critical areas, especially support for low- and middle-income Californians who need health coverage, child care, help in moving from welfare to work, or help financing a college education. Still, the governor should be commended for a balanced approach that calls for new revenue, instead of taking a cuts-only approach to addressing the state's fiscal challenges.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cspan class=\"Apple-style-span\" style=\"border-collapse: collapse\">\u003cbr>\n\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1744\" class=\"wp-caption alignleft\" style=\"max-width: 200px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/DrugsMoneyGeneric_Getty.jpg\">\u003cimg class=\"size-medium wp-image-1744 \" title=\"(Jupiterimages: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/DrugsMoneyGeneric_Getty-300x449.jpg\" alt=\"(Jupiterimages: Getty Images)\" width=\"200\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Jupiterimages: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>California's Governor Jerry Brown\u003ca title=\"http://ww2.kqed.org/news/2012/01/05/calif-budget-released-early/\" href=\"http://ww2.kqed.org/news/2012/01/05/calif-budget-released-early/\" target=\"_blank\"> released his budget for the 2012-13 fiscal year\u003c/a> today and it includes \"painful\" cuts in healthcare and social services.\u003c/p>\n\u003cp>Reaction has been swift from groups that work on behalf of the poor and disabled.\u003c/p>\n\u003cp>From the \u003ca title=\"http://www.hhsnetworkca.org/about-2/\" href=\"http://www.hhsnetworkca.org/about-2/\" target=\"_blank\">HHS Network of CA\u003c/a>, a coalition of organizations including the Western Poverty Law Center and Health Access:\u003c/p>\n\u003cblockquote>\u003cp>We are appalled that Governor Brown’s solution to California’s budget crisis is $2.5 billion cuts to essential health and human services. Since 2008, California’s health and human services have suffered an astounding $15 billion in cuts, and this budget only continues the gutting of the social safety net that so many Californian families depend on. From our quick analysis, the Governor is making a $946 million cut to CalWORKS, an $842 million cut to MediCal, a $163 million cut to In-Home Supportive Services, a $447 million cut to child care, and $87 million in cuts to various other HHS services.\u003c/p>\u003c/blockquote>\n\u003cp>From Darcel Lee, Executive Director of the \u003ca title=\"http://cablackhealthnetwork.org/\" href=\"http://cablackhealthnetwork.org/\" target=\"_blank\">California Black Health Network\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Once again, the proposed budget balances the deficit on the backs of our most vulnerable communities,” said B. Darcel Lee, (CBHN). “The number of uninsured in California grew to 7 million last year. At a time when so many families are struggling to make ends meet, we can’t afford to take away basic support programs for working families.\u003c/p>\u003c/blockquote>\n\u003cp>From the \u003ca title=\"http://www.cmanet.org/news/press-detail/?article=california-medical-association-responds-to\" href=\"http://www.cmanet.org/news/press-detail/?article=california-medical-association-responds-to\" target=\"_blank\">California Medical Association\u003c/a>, reacting to the planned transition of children and teenagers in the \u003ca title=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families Program\u003c/a> to Medi-Cal:\u003c/p>\n\u003cblockquote>\u003cp>“On one hand, Governor Brown is advocating for a 10 percent cut in Medi-Cal. On the other hand, he wants to add just under a million more young people to the program, which data shows is already struggling to meet the needs of the existing patients,” said Dustin Corcoran, CMA CEO. “The Medi-Cal provider network will simply not be able to accommodate this large influx of kids and teens. It’s unclear how anybody wins in that scenario.”\u003c/p>\u003c/blockquote>\n\u003cp>The governor is also calling for new taxes to close the budget deficit. From Jean Ross, Executive Director of the \u003ca title=\"http://www.cbp.org/\" href=\"http://www.cbp.org/\" target=\"_blank\">California Budget Project\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>The Proposed Budget includes major reductions in a number of critical areas, especially support for low- and middle-income Californians who need health coverage, child care, help in moving from welfare to work, or help financing a college education. Still, the governor should be commended for a balanced approach that calls for new revenue, instead of taking a cuts-only approach to addressing the state's fiscal challenges.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cspan class=\"Apple-style-span\" style=\"border-collapse: collapse\">\u003cbr>\n\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cstrong>By Christina Jewett, \u003ca title=\"http://californiawatch.org/\" href=\"http://californiawatch.org/\" target=\"_blank\">California Watch\u003c/a>\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_1688\" class=\"wp-caption alignleft\" style=\"max-width: 270px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/MediCal_Budget_Cuts_Pierre-Gazzola_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-1688 \" title=\"(Pierre Gazzola:Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/MediCal_Budget_Cuts_Pierre-Gazzola_Flickr-300x212.jpg\" alt=\"(Pierre Gazzola:Flickr)\" width=\"270\" height=\"191\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Pierre Gazzola:Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Attorneys for California’s Medi-Cal program are gearing up to appeal two court rulings issued last week that strike down a 10 percent cut to some medical service providers for low-income Californians.\u003c/p>\n\u003cp>Christina A. Snyder, a U.S. District Court judge in Los Angeles, ruled \u003ca href=\"http://www.scribd.com/doc/77087140/Pharma-Injunction\" target=\"_blank\">in favor of pharmacies\u003c/a> and \u003ca href=\"http://www.scribd.com/doc/77083442/Cha-Injunction-Order\" target=\"_blank\">hospital-based nursing facilities\u003c/a> that sought to fend off the rate cut. In both cases, Snyder ruled that the gravity of the state's fiscal crisis is not greater than the harm that might come to patients who are denied medical care.\u003c/p>\n\u003cp>A separate lawsuit by the California Medical Association, which represents about 30,000 physicians, is pending before Snyder and also seeks to strike down the rate cut. A hearing on the case is expected later this month.\u003c/p>\n\u003cp>\u003c!--more-->The cuts are among many drastic measures being used to close California’s massive budget deficit. They drew major protests from doctors, dentists, hospitals and pharmacists who take care of patients in the Medi-Cal program, one of the lowest-paying Medicaid programs in the nation.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The budget cuts grew more controversial when Medi-Cal authorities announced plans in October to collect funds it had already sent to providers for services, drawing protests \u003ca href=\"http://www.cmanet.org/news/press-detail/?article=california-medical-association-pushes-back-on\" target=\"_blank\">from doctors\u003c/a> and \u003ca href=\"http://californiawatch.org/dailyreport/state-asking-clinics-send-back-payments-dental-care-13143\" target=\"_blank\">some clinics\u003c/a>.\u003c/p>\n\u003cp>Norman Williams, a spokesman for the Department of Health Care Services, which administers Medi-Cal, said in an e-mail that the rate reductions were approved by federal Medicare and Medicaid overseers and are “supported by extensive analyses.” He said the finding showed that “approved reductions will allow California to continue to meet federal standards requiring an adequate level of access to care for beneficiaries.”\u003c/p>\n\u003cp>“In addition, DHCS created a first-of-its-kind monitoring plan to ensure that the implementation of the reductions does not threaten adequate access for beneficiaries going forward,” Williams wrote.\u003c/p>\n\u003cp>Snyder, though, for now has put a stop to some budget cuts and found fault with state arguments supporting them.\u003c/p>\n\u003cp>In one order issued Dec. 28, the judge sided with pharmacists, who argued that if the cuts stay in place, they would have to close their doors or cease making home deliveries of medications.\u003c/p>\n\u003cp>She discussed a “monitoring plan” that the state submitted to federal overseers, which is meant to track the effects of the payment reduction. Medi-Cal authorities argued that the plan proved that patients would not face “irreparable harm” as a result of budget cuts.\u003c/p>\n\u003cp>Snyder disagreed: “The court believes that the monitoring plan at best presents a potential remedy \u003cem>after \u003c/em>an access or quality problem has been detected.”\u003c/p>\n\u003cp>The California Hospital Association also sued over 10 percent rate cuts to long-term care facilities linked to hospitals. Attorneys for the state argued, in response, that plaintiffs claimed \"irreparable harm\" \u003ca href=\"http://www.scribd.com/doc/77083795/Cha-Rate-Cut-State-Oppo\" target=\"_blank\">based only on assumptions\u003c/a> that providers will no longer see patients.\u003c/p>\n\u003cp>In that case, Snyder also found that “the State’s fiscal crisis does not outweigh the serious irreparable injury plaintiffs would suffer” if the cuts were made permanent.\u003c/p>\n\u003cp>She also noted that a higher court already has ruled that the harm to the state of seeing one of its laws, in this case the budget bill, overturned is no match for the “public’s interest in ensuring that state agencies comply with the law and protect beneficiaries’ access to services.”\u003c/p>\n\u003cp>The California Medical Association, which is joined by some pharmacists and dentists in its case, makes arguments that mirror those of pharmacists and hospitals that filed separate lawsuits. Nearly 100 doctors, pharmacists and dentists submitted declarations on Dec. 30 explaining the effects of the cuts.\u003c/p>\n\u003cp>Dr. Bruce Kovacs, a gynecologist who sees patients in Los Angeles County, said about 70 percent of his patients are covered by Medi-Cal. \u003ca href=\"http://www.scribd.com/doc/77083470/cma-suit-la-ob-gyn\" target=\"_blank\">He predicted\u003c/a> that the budget cuts will cost the state more money in the long run. He described one scenario in which doctors might be too financially strained to render prenatal care to women who, in turn, give birth prematurely.\u003c/p>\n\u003cp>“This is a clear example of prevention being less expensive than treatment,” Kovacs wrote. “This does not even take into account the human cost of preterm delivery and the inherent risk of long-term physical and intellectual impairment of children who are born prematurely.”\u003c/p>\n\u003cp>Dr. Shannon Suo, a Sacramento physician who estimates that half of the patients she sees are covered by Medi-Cal, gave an example of a patient who already experienced harm when no specialist was available. Suo wrote that she requested an urgent consultation with an orthopedist for a patient whose finger was broken.\u003c/p>\n\u003cp>But “no surgeon would see her for several weeks, at which time it was no longer possible” for the finger to heal properly.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Christina Jewett is a reporter for California Watch, a project of the Center for Investigative Reporting. Contact her at \u003ca href=\"mailto:cjewett@californiawatch.org\">cjewett@californiawatch.org\u003c/a>.\u003c/em>\u003c/p>\n\n",
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"excerpt": "Attorneys for California’s Medi-Cal program are gearing up to appeal two court rulings issued last week that strike down a 10 percent cut to some medical service providers for low-income Californians.\r\n\r\nChristina A. Snyder, a U.S. District Court judge in Los Angeles, ruled in favor of pharmacies and hospital-based nursing facilities that sought to fend off the rate cut. In both cases, Snyder ruled that the gravity of the state's fiscal crisis is not greater than the harm that might come to patients who are denied medical care",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Christina Jewett, \u003ca title=\"http://californiawatch.org/\" href=\"http://californiawatch.org/\" target=\"_blank\">California Watch\u003c/a>\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_1688\" class=\"wp-caption alignleft\" style=\"max-width: 270px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/MediCal_Budget_Cuts_Pierre-Gazzola_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-1688 \" title=\"(Pierre Gazzola:Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/MediCal_Budget_Cuts_Pierre-Gazzola_Flickr-300x212.jpg\" alt=\"(Pierre Gazzola:Flickr)\" width=\"270\" height=\"191\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Pierre Gazzola:Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Attorneys for California’s Medi-Cal program are gearing up to appeal two court rulings issued last week that strike down a 10 percent cut to some medical service providers for low-income Californians.\u003c/p>\n\u003cp>Christina A. Snyder, a U.S. District Court judge in Los Angeles, ruled \u003ca href=\"http://www.scribd.com/doc/77087140/Pharma-Injunction\" target=\"_blank\">in favor of pharmacies\u003c/a> and \u003ca href=\"http://www.scribd.com/doc/77083442/Cha-Injunction-Order\" target=\"_blank\">hospital-based nursing facilities\u003c/a> that sought to fend off the rate cut. In both cases, Snyder ruled that the gravity of the state's fiscal crisis is not greater than the harm that might come to patients who are denied medical care.\u003c/p>\n\u003cp>A separate lawsuit by the California Medical Association, which represents about 30,000 physicians, is pending before Snyder and also seeks to strike down the rate cut. A hearing on the case is expected later this month.\u003c/p>\n\u003cp>\u003c!--more-->The cuts are among many drastic measures being used to close California’s massive budget deficit. They drew major protests from doctors, dentists, hospitals and pharmacists who take care of patients in the Medi-Cal program, one of the lowest-paying Medicaid programs in the nation.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The budget cuts grew more controversial when Medi-Cal authorities announced plans in October to collect funds it had already sent to providers for services, drawing protests \u003ca href=\"http://www.cmanet.org/news/press-detail/?article=california-medical-association-pushes-back-on\" target=\"_blank\">from doctors\u003c/a> and \u003ca href=\"http://californiawatch.org/dailyreport/state-asking-clinics-send-back-payments-dental-care-13143\" target=\"_blank\">some clinics\u003c/a>.\u003c/p>\n\u003cp>Norman Williams, a spokesman for the Department of Health Care Services, which administers Medi-Cal, said in an e-mail that the rate reductions were approved by federal Medicare and Medicaid overseers and are “supported by extensive analyses.” He said the finding showed that “approved reductions will allow California to continue to meet federal standards requiring an adequate level of access to care for beneficiaries.”\u003c/p>\n\u003cp>“In addition, DHCS created a first-of-its-kind monitoring plan to ensure that the implementation of the reductions does not threaten adequate access for beneficiaries going forward,” Williams wrote.\u003c/p>\n\u003cp>Snyder, though, for now has put a stop to some budget cuts and found fault with state arguments supporting them.\u003c/p>\n\u003cp>In one order issued Dec. 28, the judge sided with pharmacists, who argued that if the cuts stay in place, they would have to close their doors or cease making home deliveries of medications.\u003c/p>\n\u003cp>She discussed a “monitoring plan” that the state submitted to federal overseers, which is meant to track the effects of the payment reduction. Medi-Cal authorities argued that the plan proved that patients would not face “irreparable harm” as a result of budget cuts.\u003c/p>\n\u003cp>Snyder disagreed: “The court believes that the monitoring plan at best presents a potential remedy \u003cem>after \u003c/em>an access or quality problem has been detected.”\u003c/p>\n\u003cp>The California Hospital Association also sued over 10 percent rate cuts to long-term care facilities linked to hospitals. Attorneys for the state argued, in response, that plaintiffs claimed \"irreparable harm\" \u003ca href=\"http://www.scribd.com/doc/77083795/Cha-Rate-Cut-State-Oppo\" target=\"_blank\">based only on assumptions\u003c/a> that providers will no longer see patients.\u003c/p>\n\u003cp>In that case, Snyder also found that “the State’s fiscal crisis does not outweigh the serious irreparable injury plaintiffs would suffer” if the cuts were made permanent.\u003c/p>\n\u003cp>She also noted that a higher court already has ruled that the harm to the state of seeing one of its laws, in this case the budget bill, overturned is no match for the “public’s interest in ensuring that state agencies comply with the law and protect beneficiaries’ access to services.”\u003c/p>\n\u003cp>The California Medical Association, which is joined by some pharmacists and dentists in its case, makes arguments that mirror those of pharmacists and hospitals that filed separate lawsuits. Nearly 100 doctors, pharmacists and dentists submitted declarations on Dec. 30 explaining the effects of the cuts.\u003c/p>\n\u003cp>Dr. Bruce Kovacs, a gynecologist who sees patients in Los Angeles County, said about 70 percent of his patients are covered by Medi-Cal. \u003ca href=\"http://www.scribd.com/doc/77083470/cma-suit-la-ob-gyn\" target=\"_blank\">He predicted\u003c/a> that the budget cuts will cost the state more money in the long run. He described one scenario in which doctors might be too financially strained to render prenatal care to women who, in turn, give birth prematurely.\u003c/p>\n\u003cp>“This is a clear example of prevention being less expensive than treatment,” Kovacs wrote. “This does not even take into account the human cost of preterm delivery and the inherent risk of long-term physical and intellectual impairment of children who are born prematurely.”\u003c/p>\n\u003cp>Dr. Shannon Suo, a Sacramento physician who estimates that half of the patients she sees are covered by Medi-Cal, gave an example of a patient who already experienced harm when no specialist was available. Suo wrote that she requested an urgent consultation with an orthopedist for a patient whose finger was broken.\u003c/p>\n\u003cp>But “no surgeon would see her for several weeks, at which time it was no longer possible” for the finger to heal properly.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Christina Jewett is a reporter for California Watch, a project of the Center for Investigative Reporting. Contact her at \u003ca href=\"mailto:cjewett@californiawatch.org\">cjewett@californiawatch.org\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Grim Ads on Childhood Obesity: Informative or Stigmatizing?",
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"content": "\u003cp>The Atlanta Journal-Constitution reports that a \u003ca title=\"http://www.ajc.com/news/grim-childhood-obesity-ads-1279499.html\" href=\"http://www.ajc.com/news/grim-childhood-obesity-ads-1279499.html\" target=\"_blank\">grim advertising campaign\u003c/a>, produced by a major pediatric healthcare facility, \u003ca title=\"http://www.choa.org/\" href=\"http://www.choa.org/\" target=\"_blank\">Children's Healthcare of Atlanta\u003c/a>, has provoked strong reactions. \"But the pediatric health system stands firmly by its approach,\" the Journal-Constitution reports, \"saying the grim advertisements featuring overweight kids are necessary to get families to recognize the widespread public health problem.\"\u003c/p>\n\u003cp>\u003ciframe src=\"http://www.youtube.com/embed/CUuu5CODEmg\" frameborder=\"0\" width=\"560\" height=\"315\">\u003c/iframe>\u003c/p>\n\u003cp>\u003ciframe src=\"http://www.youtube.com/embed/1t_H_DBHmGQ\" frameborder=\"0\" width=\"560\" height=\"315\">\u003c/iframe>\u003c/p>\n\u003cp>More from the \u003cem>Journal-Constitution\u003c/em>:\u003c/p>\n\u003cblockquote>\u003cp>Some public health experts, however, say the approach could be counterproductive when it comes to childhood obesity. The commercials and billboards do not give families the tools they need to attack the problem, some critics say. Others say the images will simply further stigmatize obesity and make it even less likely for parents and children to acknowledge that their weight is unhealthy and should be addressed.\u003c/p>\n\u003cp>Children’s Healthcare decided on the approach after finding in research that 50 percent of people surveyed did not recognize childhood obesity as a problem and 75 percent of parents with overweight or obese kids did not see their children as having a weight issue. Across Georgia, which ranks second nationally for childhood obesity, about 1 million children are overweight or obese, according to data compiled by the campaign.\u003c/p>\n\u003cp>“We felt like we needed a very arresting, abrupt campaign that said: ‘Hey, Georgia! Wake up. This is a problem,’ ” said Linda Matzigkeit, a senior vice president at Children’s Healthcare, who leads the system’s wellness projects.\u003c/p>\u003c/blockquote>\n\u003cblockquote>\u003cp>The campaign — called Strong4Life — is planned as a $50 million project to be rolled out over five years. Children’s Healthcare has committed to paying half the costs while seeking donations to cover the rest. The Blue Cross and Blue Shield of Georgia Foundation recently kicked in $95,000 to support the campaign.\u003c/p>\u003c/blockquote>\n\u003cp>You can see the rest of the videos \u003ca title=\"http://www.strong4life.com/default.aspx\" href=\"http://www.strong4life.com/default.aspx\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "The Atlanta Journal-Constitution reports that a \u003ca title=\"http://www.ajc.com/news/grim-childhood-obesity-ads-1279499.html\" href=\"http://www.ajc.com/news/grim-childhood-obesity-ads-1279499.html\" target=\"_blank\">grim advertising campaign\u003c/a>, produced by a major pediatric healthcare facility, Children's Hospital of Atlanta, has provoked strong reactions. \"But the pediatric health system stands firmly by its approach,\" the Journal-Constitution reports, \"saying the grim advertisements featuring overweight kids are necessary to get families to recognize the widespread public health problem.\"",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Atlanta Journal-Constitution reports that a \u003ca title=\"http://www.ajc.com/news/grim-childhood-obesity-ads-1279499.html\" href=\"http://www.ajc.com/news/grim-childhood-obesity-ads-1279499.html\" target=\"_blank\">grim advertising campaign\u003c/a>, produced by a major pediatric healthcare facility, \u003ca title=\"http://www.choa.org/\" href=\"http://www.choa.org/\" target=\"_blank\">Children's Healthcare of Atlanta\u003c/a>, has provoked strong reactions. \"But the pediatric health system stands firmly by its approach,\" the Journal-Constitution reports, \"saying the grim advertisements featuring overweight kids are necessary to get families to recognize the widespread public health problem.\"\u003c/p>\n\u003cp>\u003ciframe src=\"http://www.youtube.com/embed/CUuu5CODEmg\" frameborder=\"0\" width=\"560\" height=\"315\">\u003c/iframe>\u003c/p>\n\u003cp>\u003ciframe src=\"http://www.youtube.com/embed/1t_H_DBHmGQ\" frameborder=\"0\" width=\"560\" height=\"315\">\u003c/iframe>\u003c/p>\n\u003cp>More from the \u003cem>Journal-Constitution\u003c/em>:\u003c/p>\n\u003cblockquote>\u003cp>Some public health experts, however, say the approach could be counterproductive when it comes to childhood obesity. The commercials and billboards do not give families the tools they need to attack the problem, some critics say. Others say the images will simply further stigmatize obesity and make it even less likely for parents and children to acknowledge that their weight is unhealthy and should be addressed.\u003c/p>\n\u003cp>Children’s Healthcare decided on the approach after finding in research that 50 percent of people surveyed did not recognize childhood obesity as a problem and 75 percent of parents with overweight or obese kids did not see their children as having a weight issue. Across Georgia, which ranks second nationally for childhood obesity, about 1 million children are overweight or obese, according to data compiled by the campaign.\u003c/p>\n\u003cp>“We felt like we needed a very arresting, abrupt campaign that said: ‘Hey, Georgia! Wake up. This is a problem,’ ” said Linda Matzigkeit, a senior vice president at Children’s Healthcare, who leads the system’s wellness projects.\u003c/p>\u003c/blockquote>\n\u003cblockquote>\u003cp>The campaign — called Strong4Life — is planned as a $50 million project to be rolled out over five years. Children’s Healthcare has committed to paying half the costs while seeking donations to cover the rest. The Blue Cross and Blue Shield of Georgia Foundation recently kicked in $95,000 to support the campaign.\u003c/p>\u003c/blockquote>\n\u003cp>You can see the rest of the videos \u003ca title=\"http://www.strong4life.com/default.aspx\" href=\"http://www.strong4life.com/default.aspx\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>By Sarah Varney\u003c/p>\n\u003cp>\u003cem>Editor's note: KQED's Sarah Varney first reported this story for NPR's Morning Edition and its Shots blog on November 28. You can listen to her story \u003c/em>\u003ca title=\"http://www.npr.org/blogs/health/2011/11/28/142672879/fighting-childhood-obesity-its-a-family-affair\" href=\"http://www.npr.org/blogs/health/2011/11/28/142672879/fighting-childhood-obesity-its-a-family-affair\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp>With more and more children in the U.S. becoming \u003ca href=\"http://www.npr.org/templates/story/story.php?storyId=123565397\">overweight\u003c/a>, many parents are wondering how to talk to their children about weight. The \u003ca href=\"http://www.lpch.org/clinicalSpecialtiesServices/ClinicalSpecialties/centerHealthyWeight/ppwcp/ppwcp.html\">Packard Pediatric Weight Control Program\u003c/a> for families is remarkably straightforward and successful.\u003c/p>\n\u003cfigure id=\"attachment_1654\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/JunkFood_FLickr_TheFoodJunk1.jpg\">\u003cimg class=\"size-medium wp-image-1654\" title=\"One of the goals of the program is to gradually reduce the amount of junk food kids eat, so it doesn't feel like a big change. (TheFoodJunk: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/JunkFood_FLickr_TheFoodJunk1-300x222.jpg\" alt=\"One of the goals of the program is to gradually reduce the amount of junk food kids eat, so it doesn't feel like a big change. (TheFoodJunk: Flickr)\" width=\"300\" height=\"222\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">One of the goals of the program is to gradually reduce the amount of junk food kids eat, so it doesn't feel like a big change. (TheFoodJunk: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>After a long day of school or work, a group of families gather in a Stanford Hospital classroom in Menlo Park, Calif. The children are all in the highest percentile for \u003ca href=\"http://www.nhlbisupport.com/bmi/\">body mass index\u003c/a>, or BMI. They've signed up with their parents, often at the urging of a pediatrician, for a six-month healthy eating and exercise boot camp.\u003c/p>\n\u003cp>Gabriel Rodriguez, an 11-year-old, sparkly-eyed, self-confessed burrito lover, graduated from the program a few months ago. He's at the meeting with his mom, Gloria Arteaga, for their monthly check-in with their health coach, \u003ca href=\"http://www.lpch.org/clinicalSpecialtiesServices/ClinicalSpecialties/centerHealthyWeight/team.html\">Thea Runyan\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>They meet every month to measure Gabriel's weight and height and talk about how well he's sticking to his exercise and healthy eating goals.\u003c/p>\n\u003cp>\u003c!--more-->The program is designed around a \u003ca href=\"http://www.npr.org/templates/story/story.php?storyId=6417725\">traffic light system\u003c/a>. Soda and cookies are reds. Other foods are yellows or greens. Reds aren't banned, but kids do set goals for bringing down how many they eat each month. They keep track of what they eat in a journal — the snacks after soccer practice, the pizza at school.\u003c/p>\n\u003cp>Gabriel's chart shows he has reduced his red lights from 90 to 30 a month, and he's pretty much stuck with it.\u003c/p>\n\u003cp>The kids gradually cut back the amount of junk food they eat, so it doesn't feel like a big change, program director \u003ca href=\"http://www.lpch.org/clinicalSpecialtiesServices/ClinicalSpecialties/centerHealthyWeight/team.html\">Cindy Zedeck\u003c/a> says. This isn't a diet — a word she says they never use with kids or parents.\u003c/p>\n\u003cp>\"You're really signing up for six months of learning how to improve your eating and exercise habits for your lifetime,\" she says. \"It's not a diet that you're on and then you're off at the end of the six months. This will give you the tools to continue to make changes for your lifetime.\"\u003c/p>\n\u003cp>Those changes also include exercise. Kids set goals around playing or doing sports for an hour each day.\u003c/p>\n\u003cp>Often the hardest part for parents is figuring out how to talk to their kids about weight, Zedeck says.\u003c/p>\n\u003cp>\"A lot of parents call and say that their child has very high self-esteem, feels very confident, is very active, but they're overweight,\" she says. \"So they don't want to bring up their weight, because they don't want to make them feel badly about it if it's not a current concern for them.\"\u003c/p>\n\u003cp>The last thing a parent wants is to saddle a child with a self-image problem or eating disorder. So instead, Zedeck encourages parents to tell their child that the whole family could stand to be healthier, and the program is something they can do together.\u003c/p>\n\u003cp>There are often plenty of clues that a child actually wants help, Runyan says. For example, Gabriel asked his mom if he was fat. Other kids complain they can't keep up during soccer or basketball. But Runyan says parents, out of embarrassment or nervousness or their own issues with weight or food, can dismiss the problem.\u003c/p>\n\u003cp>\"I think what happens when this issue comes up at home is the parent is quick to say, 'Oh, no. Nothing is wrong. Everything's fine. You are wonderful. I love you,' instead of listening and saying, 'OK, they're actually asking for help,'\" she says.\u003c/p>\n\u003cp>The program at Stanford has an enviable success rate. Since 1999, about 80 percent of the kids who've finished have achieved their body weight goals. Although most of the families were referred by a pediatrician, health insurers won't pay for it. Instead, the costs are largely covered by grants for low-income families, while others pay out of pocket.\u003c/p>\n\u003cp>For Gabriel, he says being with other kids who are overweight and trying to get healthier has kept him going.\u003c/p>\n\u003cp>\"It's not like I'm the only person in the world,\" he says. \"I know there are other people out there like me.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For tweens and teens who are still growing, the goal is not to shed pounds but to maintain a healthy weight. Gabriel is closing in on his health goals. His weight is staying about the same, but he's growing taller and, clearly, into himself.\u003c/p>\n\n",
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"excerpt": "With more and more children in the U.S. becoming overweight, many parents are wondering how to talk to their children about weight. The Packard Pediatric Weight Control Program for families is remarkably straightforward and successful.\r\n\r\nOne of the goals of the program is to gradually reduce the amount of junk food kids eat, so it doesn't feel like a big change. (TheFoodJunk: Flickr)\r\nAfter a long day of school or work, a group of families gathers in a Stanford Hospital classroom in Menlo Park, Calif. The children are all in the highest percentile for body mass index, or BMI. They've signed up with their parents, often at the urging of a pediatrician, for a six-month healthy eating and exercise boot camp.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Sarah Varney\u003c/p>\n\u003cp>\u003cem>Editor's note: KQED's Sarah Varney first reported this story for NPR's Morning Edition and its Shots blog on November 28. You can listen to her story \u003c/em>\u003ca title=\"http://www.npr.org/blogs/health/2011/11/28/142672879/fighting-childhood-obesity-its-a-family-affair\" href=\"http://www.npr.org/blogs/health/2011/11/28/142672879/fighting-childhood-obesity-its-a-family-affair\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp>With more and more children in the U.S. becoming \u003ca href=\"http://www.npr.org/templates/story/story.php?storyId=123565397\">overweight\u003c/a>, many parents are wondering how to talk to their children about weight. The \u003ca href=\"http://www.lpch.org/clinicalSpecialtiesServices/ClinicalSpecialties/centerHealthyWeight/ppwcp/ppwcp.html\">Packard Pediatric Weight Control Program\u003c/a> for families is remarkably straightforward and successful.\u003c/p>\n\u003cfigure id=\"attachment_1654\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/JunkFood_FLickr_TheFoodJunk1.jpg\">\u003cimg class=\"size-medium wp-image-1654\" title=\"One of the goals of the program is to gradually reduce the amount of junk food kids eat, so it doesn't feel like a big change. (TheFoodJunk: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/JunkFood_FLickr_TheFoodJunk1-300x222.jpg\" alt=\"One of the goals of the program is to gradually reduce the amount of junk food kids eat, so it doesn't feel like a big change. (TheFoodJunk: Flickr)\" width=\"300\" height=\"222\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">One of the goals of the program is to gradually reduce the amount of junk food kids eat, so it doesn't feel like a big change. (TheFoodJunk: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>After a long day of school or work, a group of families gather in a Stanford Hospital classroom in Menlo Park, Calif. The children are all in the highest percentile for \u003ca href=\"http://www.nhlbisupport.com/bmi/\">body mass index\u003c/a>, or BMI. They've signed up with their parents, often at the urging of a pediatrician, for a six-month healthy eating and exercise boot camp.\u003c/p>\n\u003cp>Gabriel Rodriguez, an 11-year-old, sparkly-eyed, self-confessed burrito lover, graduated from the program a few months ago. He's at the meeting with his mom, Gloria Arteaga, for their monthly check-in with their health coach, \u003ca href=\"http://www.lpch.org/clinicalSpecialtiesServices/ClinicalSpecialties/centerHealthyWeight/team.html\">Thea Runyan\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>They meet every month to measure Gabriel's weight and height and talk about how well he's sticking to his exercise and healthy eating goals.\u003c/p>\n\u003cp>\u003c!--more-->The program is designed around a \u003ca href=\"http://www.npr.org/templates/story/story.php?storyId=6417725\">traffic light system\u003c/a>. Soda and cookies are reds. Other foods are yellows or greens. Reds aren't banned, but kids do set goals for bringing down how many they eat each month. They keep track of what they eat in a journal — the snacks after soccer practice, the pizza at school.\u003c/p>\n\u003cp>Gabriel's chart shows he has reduced his red lights from 90 to 30 a month, and he's pretty much stuck with it.\u003c/p>\n\u003cp>The kids gradually cut back the amount of junk food they eat, so it doesn't feel like a big change, program director \u003ca href=\"http://www.lpch.org/clinicalSpecialtiesServices/ClinicalSpecialties/centerHealthyWeight/team.html\">Cindy Zedeck\u003c/a> says. This isn't a diet — a word she says they never use with kids or parents.\u003c/p>\n\u003cp>\"You're really signing up for six months of learning how to improve your eating and exercise habits for your lifetime,\" she says. \"It's not a diet that you're on and then you're off at the end of the six months. This will give you the tools to continue to make changes for your lifetime.\"\u003c/p>\n\u003cp>Those changes also include exercise. Kids set goals around playing or doing sports for an hour each day.\u003c/p>\n\u003cp>Often the hardest part for parents is figuring out how to talk to their kids about weight, Zedeck says.\u003c/p>\n\u003cp>\"A lot of parents call and say that their child has very high self-esteem, feels very confident, is very active, but they're overweight,\" she says. \"So they don't want to bring up their weight, because they don't want to make them feel badly about it if it's not a current concern for them.\"\u003c/p>\n\u003cp>The last thing a parent wants is to saddle a child with a self-image problem or eating disorder. So instead, Zedeck encourages parents to tell their child that the whole family could stand to be healthier, and the program is something they can do together.\u003c/p>\n\u003cp>There are often plenty of clues that a child actually wants help, Runyan says. For example, Gabriel asked his mom if he was fat. Other kids complain they can't keep up during soccer or basketball. But Runyan says parents, out of embarrassment or nervousness or their own issues with weight or food, can dismiss the problem.\u003c/p>\n\u003cp>\"I think what happens when this issue comes up at home is the parent is quick to say, 'Oh, no. Nothing is wrong. Everything's fine. You are wonderful. I love you,' instead of listening and saying, 'OK, they're actually asking for help,'\" she says.\u003c/p>\n\u003cp>The program at Stanford has an enviable success rate. Since 1999, about 80 percent of the kids who've finished have achieved their body weight goals. Although most of the families were referred by a pediatrician, health insurers won't pay for it. Instead, the costs are largely covered by grants for low-income families, while others pay out of pocket.\u003c/p>\n\u003cp>For Gabriel, he says being with other kids who are overweight and trying to get healthier has kept him going.\u003c/p>\n\u003cp>\"It's not like I'm the only person in the world,\" he says. \"I know there are other people out there like me.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For tweens and teens who are still growing, the goal is not to shed pounds but to maintain a healthy weight. Gabriel is closing in on his health goals. His weight is staying about the same, but he's growing taller and, clearly, into himself.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "The EPA, Mercury and Health Benefits: What is the Cost?",
"title": "The EPA, Mercury and Health Benefits: What is the Cost?",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_1634\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Smokestacks_Flickr_SalimVirji_12222011.jpg\">\u003cimg class=\"size-medium wp-image-1634\" title=\"(Salim Virji: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Smokestacks_Flickr_SalimVirji_12222011-300x225.jpg\" alt=\"(Salim Virji: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Salim Virji: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The E.P.A issued its \u003ca title=\"http://yosemite.epa.gov/opa/admpress.nsf/bd4379a92ceceeac8525735900400c27/bd8b3f37edf5716d8525796d005dd086%21OpenDocument\" href=\"http://yosemite.epa.gov/opa/admpress.nsf/bd4379a92ceceeac8525735900400c27/bd8b3f37edf5716d8525796d005dd086%21OpenDocument\" target=\"_blank\">first ever standards\u003c/a> on mercury pollution from coal and oil-burning power plants yesterday, and the topic was the subject of a fervid debate on \u003ca title=\"http://www.kqed.org/a/forum/R201112220900\" href=\"http://www.kqed.org/a/forum/R201112220900\" target=\"_blank\">KQED's Forum\u003c/a> this morning.\u003c/p>\n\u003cp>Just about the only thing Michael Brune, of the \u003ca title=\"http://www.sierraclub.org/\" href=\"http://www.sierraclub.org/\" target=\"_blank\">Sierra Club,\u003c/a> and Scott Segal, of the \u003ca title=\"http://www.electricreliability.org/\" href=\"http://www.electricreliability.org/\" target=\"_blank\">Electric Reliability Coordinating Council\u003c/a>, could agree on was that mercury is, indeed, a neurotoxin, a poison that causes reproductive and developmental disorders, including lower IQs. But whether the new standards will net the public health and environmental benefits the EPA claims was in dispute.\u003c/p>\n\u003cp>The EPA's new standards seek to reduce not just mercury but also other \u003cspan style=\"font-family: Arial\">toxic air pollutants such as arsenic, acid gas, nickel, selenium, and cyanide. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-family: Arial\">\u003c!--more-->In a statement, the EPA reported \"the new safeguards will prevent as many as 11,000 premature deaths and 4,700 heart attacks a year. The standards will also help America’s children grow up healthier – preventing 130,000 cases of childhood asthma symptoms and about 6,300 fewer cases of acute bronchitis among children each year.\"\u003c/span>\u003c/p>\n\u003cp>On \u003cem>Forum\u003c/em> this morning Segal argued these public health pluses aren't coming from mercury reductions. Instead they're the result of \u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/11/01/clearing-the-air-on-air-pollution-and-smog/\" href=\"http://ww2.kqed.org/stateofhealth/2011/11/01/clearing-the-air-on-air-pollution-and-smog/\" target=\"_blank\">co-benefits\u003c/a> detailed on State of Health last month. The public health improvements, Segal said, come from getting \u003ca title=\"http://www.epa.gov/pm/\" href=\"http://www.epa.gov/pm/\" target=\"_blank\">particulate matter\u003c/a>, otherwise known as soot, out of the air. And that's already happening, he insisted.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Our argument,\" Segal said, \"is other parts of the \u003ca title=\"http://www.epa.gov/air/caa/\" href=\"http://www.epa.gov/air/caa/\" target=\"_blank\">Clean Air Act \u003c/a>that are purposely targeted and designed to reduce particulate matter are doing so to levels fully protective of human health and the environment, including for susceptible populations like children, the elderly and asthmatics.\"\u003c/p>\n\u003cp>Brune was unfazed. \"I'm surprised that we're actually arguing about this rule,\" he said. \"This is a rule that will reduce by 90 percent the amount of mercury in the environment, a potent neurotoxin which means it's a brain poison. ... It will also reduce the amount of arsenic, dioxins, acid gases in the atmosphere. For every dollar of cost, we're getting a least nine dollars in benefits, and that's only measuring the amount of benefits from reduced soot.\"\u003c/p>\n\u003cp>But at what total cost, Segal wanted to know. \"No one doubts the fact that mercury is a neurotoxin, it absolutely is.\" (Ah, the point of agreement.) \"The question is whether this rule produces tangible benefits in this area,\" Segal said. \"The rule costs about $10 billion. Of the $10 billion, the EPA admits the amount of benefit to be achieved by reducing the amount of mercury that would be achieved by this rule could be as low as $500,000.\"\u003c/p>\n\u003cp>The new rule could still be blocked by Congress or the courts, but if it goes forward, the EPA says the mercury standard, in combination with the final \u003ca title=\"http://www.epa.gov/airtransport/\" href=\"http://www.epa.gov/airtransport/\" target=\"_blank\">Cross-State Air Pollution Rule\u003c/a> which was issued earlier this year, are \"the most significant steps to clean up pollution from power plant smokestacks since the \u003ca title=\"http://www.epa.gov/airmarkets/progsregs/arp/\" href=\"http://www.epa.gov/airmarkets/progsregs/arp/\" target=\"_blank\">Acid Rain Program \u003c/a>of the 1990s.\"\u003c/p>\n\u003cp>No matter how you feel about the new mercury standards and coal-fired power plants, the EPA's reach obviously extends only to the edges of this country. Near the end of Forum, a caller pointed out that air pollution is a global issue. Brune shared the \"good news\" that China, for example, is making its coal plants more efficient. \"The bad news is that every time China builds a new coal plant, they're locking in that dirty technology for the next 40 years. Here on the west coast, there is lots of disturbing data that we're breathing the pollution that's produced all the way over in China.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>You can listen to the full episode of Forum \u003ca title=\"http://www.kqed.org/a/forum/R201112220900\" href=\"http://www.kqed.org/a/forum/R201112220900\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\n",
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"excerpt": "The E.P.A issued its first ever standards on mercury pollution from coal and oil-burning power plants yesterday, and the topic was the subject of a fervid debate on KQED's Forum this morning.\r\n\r\nJust about the only thing Michael Brune, of the Sierra Club, and Scott Segal, of the Electric Reliability Coordinating Council, could agree on was that mercury is, indeed, a neurotoxin, a poison that causes reproductive and developmental disorders, including lower IQs. But whether the new standards will net the public health and environmental benefits the EPA claims was in dispute.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1634\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Smokestacks_Flickr_SalimVirji_12222011.jpg\">\u003cimg class=\"size-medium wp-image-1634\" title=\"(Salim Virji: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Smokestacks_Flickr_SalimVirji_12222011-300x225.jpg\" alt=\"(Salim Virji: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Salim Virji: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The E.P.A issued its \u003ca title=\"http://yosemite.epa.gov/opa/admpress.nsf/bd4379a92ceceeac8525735900400c27/bd8b3f37edf5716d8525796d005dd086%21OpenDocument\" href=\"http://yosemite.epa.gov/opa/admpress.nsf/bd4379a92ceceeac8525735900400c27/bd8b3f37edf5716d8525796d005dd086%21OpenDocument\" target=\"_blank\">first ever standards\u003c/a> on mercury pollution from coal and oil-burning power plants yesterday, and the topic was the subject of a fervid debate on \u003ca title=\"http://www.kqed.org/a/forum/R201112220900\" href=\"http://www.kqed.org/a/forum/R201112220900\" target=\"_blank\">KQED's Forum\u003c/a> this morning.\u003c/p>\n\u003cp>Just about the only thing Michael Brune, of the \u003ca title=\"http://www.sierraclub.org/\" href=\"http://www.sierraclub.org/\" target=\"_blank\">Sierra Club,\u003c/a> and Scott Segal, of the \u003ca title=\"http://www.electricreliability.org/\" href=\"http://www.electricreliability.org/\" target=\"_blank\">Electric Reliability Coordinating Council\u003c/a>, could agree on was that mercury is, indeed, a neurotoxin, a poison that causes reproductive and developmental disorders, including lower IQs. But whether the new standards will net the public health and environmental benefits the EPA claims was in dispute.\u003c/p>\n\u003cp>The EPA's new standards seek to reduce not just mercury but also other \u003cspan style=\"font-family: Arial\">toxic air pollutants such as arsenic, acid gas, nickel, selenium, and cyanide. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-family: Arial\">\u003c!--more-->In a statement, the EPA reported \"the new safeguards will prevent as many as 11,000 premature deaths and 4,700 heart attacks a year. The standards will also help America’s children grow up healthier – preventing 130,000 cases of childhood asthma symptoms and about 6,300 fewer cases of acute bronchitis among children each year.\"\u003c/span>\u003c/p>\n\u003cp>On \u003cem>Forum\u003c/em> this morning Segal argued these public health pluses aren't coming from mercury reductions. Instead they're the result of \u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/11/01/clearing-the-air-on-air-pollution-and-smog/\" href=\"http://ww2.kqed.org/stateofhealth/2011/11/01/clearing-the-air-on-air-pollution-and-smog/\" target=\"_blank\">co-benefits\u003c/a> detailed on State of Health last month. The public health improvements, Segal said, come from getting \u003ca title=\"http://www.epa.gov/pm/\" href=\"http://www.epa.gov/pm/\" target=\"_blank\">particulate matter\u003c/a>, otherwise known as soot, out of the air. And that's already happening, he insisted.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Our argument,\" Segal said, \"is other parts of the \u003ca title=\"http://www.epa.gov/air/caa/\" href=\"http://www.epa.gov/air/caa/\" target=\"_blank\">Clean Air Act \u003c/a>that are purposely targeted and designed to reduce particulate matter are doing so to levels fully protective of human health and the environment, including for susceptible populations like children, the elderly and asthmatics.\"\u003c/p>\n\u003cp>Brune was unfazed. \"I'm surprised that we're actually arguing about this rule,\" he said. \"This is a rule that will reduce by 90 percent the amount of mercury in the environment, a potent neurotoxin which means it's a brain poison. ... It will also reduce the amount of arsenic, dioxins, acid gases in the atmosphere. For every dollar of cost, we're getting a least nine dollars in benefits, and that's only measuring the amount of benefits from reduced soot.\"\u003c/p>\n\u003cp>But at what total cost, Segal wanted to know. \"No one doubts the fact that mercury is a neurotoxin, it absolutely is.\" (Ah, the point of agreement.) \"The question is whether this rule produces tangible benefits in this area,\" Segal said. \"The rule costs about $10 billion. Of the $10 billion, the EPA admits the amount of benefit to be achieved by reducing the amount of mercury that would be achieved by this rule could be as low as $500,000.\"\u003c/p>\n\u003cp>The new rule could still be blocked by Congress or the courts, but if it goes forward, the EPA says the mercury standard, in combination with the final \u003ca title=\"http://www.epa.gov/airtransport/\" href=\"http://www.epa.gov/airtransport/\" target=\"_blank\">Cross-State Air Pollution Rule\u003c/a> which was issued earlier this year, are \"the most significant steps to clean up pollution from power plant smokestacks since the \u003ca title=\"http://www.epa.gov/airmarkets/progsregs/arp/\" href=\"http://www.epa.gov/airmarkets/progsregs/arp/\" target=\"_blank\">Acid Rain Program \u003c/a>of the 1990s.\"\u003c/p>\n\u003cp>No matter how you feel about the new mercury standards and coal-fired power plants, the EPA's reach obviously extends only to the edges of this country. Near the end of Forum, a caller pointed out that air pollution is a global issue. Brune shared the \"good news\" that China, for example, is making its coal plants more efficient. \"The bad news is that every time China builds a new coal plant, they're locking in that dirty technology for the next 40 years. Here on the west coast, there is lots of disturbing data that we're breathing the pollution that's produced all the way over in China.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>You can listen to the full episode of Forum \u003ca title=\"http://www.kqed.org/a/forum/R201112220900\" href=\"http://www.kqed.org/a/forum/R201112220900\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Is L.A. Schools' Healthy Lunch Program Really a Flop? ",
"title": "Is L.A. Schools' Healthy Lunch Program Really a Flop? ",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_1590\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/FruitsVegetables_12212011_Flickr_Ali_Karimian.jpg\">\u003cimg class=\"size-medium wp-image-1590 \" title=\"Reports are that school children are ditching their healthy lunches, which include fresh produce, and sneaking in junk food. (Ali Karimian: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/FruitsVegetables_12212011_Flickr_Ali_Karimian-300x199.jpg\" alt=\"Reports are that school children are ditching their healthy lunches, which include fresh produce, and sneaking in junk food. (Ali Karimian: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Reports say that school children are ditching their healthy lunches, which include fresh produce, and sneaking in junk food. (Ali Karimian: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca title=\"http://www.latimes.com/news/local/la-me-food-lausd-20111218,0,2593733.story\" href=\"http://www.latimes.com/news/local/la-me-food-lausd-20111218,0,2593733.story\" target=\"_blank\">The Los Angeles Times\u003c/a> featured a lengthy piece last weekend on\u003ca title=\"http://cafe-la.lausd.net/\" href=\"http://cafe-la.lausd.net/\" target=\"_blank\"> L.A. Unified School District\u003c/a>'s apparent failure in its new much-touted school lunch program, overhauled to be more healthful.\u003c/p>\n\u003cp>Early in the school year, the \u003cem>Times\u003c/em> reports, L.A. Unified \"got rid of chocolate and strawberry milk, chicken nuggets, corn dogs, nachos and other food high in fat, sugar and sodium.\" With roughly \u003ca title=\"http://win.niddk.nih.gov/statistics/\" href=\"http://win.niddk.nih.gov/statistics/\" target=\"_blank\">30 percent of school age children now overweight or obese\u003c/a>, striking such unhealthy food from school lunches seems like a good place to start to coax kids to eat a healthier diet.\u003c/p>\n\u003cp>But the\u003cem> Times\u003c/em> claims the change has been a \"flop\" for many students. Stories of a black-market for junk food on certain campuses are reported, including kids sneaking in \"Flamin' Hot Cheetos\" and soda. And the school lunches themselves?\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>Many of the meals are being rejected en masse. Participation in the school lunch program has dropped by thousands of students. Principals report massive waste, with unopened milk cartons and uneaten entrees being thrown away. Students are ditching lunch, and some say they're suffering from headaches, \u003ca id=\"HEISY00003\" title=\"Abdominal Pain\" href=\"http://www.latimes.com/topic/health/symptoms/abdominal-pain-HEISY00003.topic\">stomach pains\u003c/a> and even anemia. At many campuses, an underground market for chips, candy, fast-food burgers and other taboo fare is thriving.\u003c/p>\u003c/blockquote>\n\u003cp>And that's the way the story has been circulating--healthy school lunches are a failure. \u003cem>Mother Jones\u003c/em> excerpted the story under the headline \"\u003ca title=\"http://motherjones.com/kevin-drum/2011/12/kids-just-want-have-junk-food\" href=\"http://motherjones.com/kevin-drum/2011/12/kids-just-want-have-junk-food\" target=\"_blank\">Kids Just Want to Have Junk Food\u003c/a>.\" \u003ca title=\"http://www.slate.com/blogs/xx_factor/2011/12/19/picky_eaters_are_thwarting_the_l_a_school_district_s_attempts_to_improve_school_lunches_.html\" href=\"http://www.slate.com/blogs/xx_factor/2011/12/19/picky_eaters_are_thwarting_the_l_a_school_district_s_attempts_to_improve_school_lunches_.html\" target=\"_blank\">Slate\u003c/a> goes further and blames not children, but \"the snotty little brat factor,\" kids who will turn their nose up at anything new.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But, wait a minute here. It's not until we're halfway through the article that we get to some actual numbers. The Times says participation at the start of the year dropped 13 percent.\u003c/p>\n\u003cp>Hmmm, down 13 percent, a \"flop\"? L.A. Unified Food Services Director admits the debut of the program was a \"disaster,\" and the District has since resolved some bureaucratic problems.\u003c/p>\n\u003cp>Then the Times gets to the far less sexy headline: \"In the last month or so, the overall program has begun to recover; participation is down by about 5% or 6%, Barrett said.\"\u003c/p>\n\u003cp>So, today, 94 percent of formerly participating children have stayed with the program. Before the District swapped out the menu, it held taste tests at its centralized kitchens and comments were overwhelmingly positive. Today, many of the new menu items such as vegetable tamales and salads are popular. The question, it seems, is real-world, on-site implementation. There's a difference between a taste test in a controlled environment and actually serving the meals day in and day out at multiple campuses. Students reported undercooked meat, soggy noodles and hard rice.\u003c/p>\n\u003cp>Bonnie Christensen is the Executive Chef of the lauded \u003ca title=\"http://www.berkeleyschools.net/students-parents/food-service-menus/\" href=\"http://www.berkeleyschools.net/students-parents/food-service-menus/\" target=\"_blank\">Berkeley Unified School District lunch initiative\u003c/a>. Berkeley overhauled its menu six years ago and has received \u003ca title=\"http://www.healthyschoollunches.org/carrot/07winners.cfm\" href=\"http://www.healthyschoollunches.org/carrot/07winners.cfm\" target=\"_blank\">national awards\u003c/a> for its accomplishments. But the early days were a challenge. Each school site is different, with different staff and different equipment. Staff training is key.\u003c/p>\n\u003cp>\"The problem with food is there's always a variable. The broccoli doesn't grow the same way if there's a frost,\" Christensen told me. \"In foods, the problems translate immediately. If you didn't have enough people at work that day, you have to take shortcuts to get the work done. Processed food gives you consistency, fresh made from scratch is less consistent. The way to make it consistent is training staff and having better equipment.\"\u003c/p>\n\u003cp>\u003ca title=\"http://www.thelunchtray.com/about-2/\" href=\"http://www.thelunchtray.com/about-2/\" target=\"_blank\">Bettina Elias Siegel \u003c/a>blogs about school food reform on \"The Lunch Tray\" and \u003ca title=\"http://www.thelunchtray.com/l-a-kids-reject-healthier-school-food-my-thoughts/\" href=\"http://www.thelunchtray.com/l-a-kids-reject-healthier-school-food-my-thoughts/\" target=\"_blank\">wrote a post\u003c/a> about the \u003cem>Times\u003c/em> article. She, too, picked up on the quality control problems L.A. Unified is having and that \"over- or undercooked food is of course going to be rejected by school kids, as it would be by anyone.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>L.A. Unified has pledged to tinker with its menu. But Siegel asks a provocative question in her post: what if the five to six percent of children who have abandoned the program never come back and continue to make junk food their primary diet?\u003c/p>\n\u003cblockquote>\u003cp>I know this might sound terribly callous, but I’m not sure I care. Because the hard truth is this: if we really intend to wean an entire generation of children off school food “carnival fare” (nachos, nuggets, burgers and fries) and introduce them to fresher, healthier entrees, \u003cem>we are, without question, going to lose some kids along the way\u003c/em>. In other words, it’s just not that surprising if a middle- or high schooler who’s seen nothing but \u003ca href=\"http://www.thelunchtray.com/childrens-palates-lunch-menu/\">“better-for-you junk food”\u003c/a>on his tray since kindergarten can’t make the leap to black bean burgers and salad, especially if there’s no context for healthier foods in his life outside of school.\u003c/p>\n\u003cp>But a kindergartener who’s never seen anything \u003cem>but \u003c/em>black bean burgers and salads in the cafeteria is going to be a much easier sell on healthier foods throughout his school years. And that young child is our only hope if we’re going to reverse current trends in obesity and poor lifestyle habits among our nation’s children.\u003c/p>\u003c/blockquote>\n\n",
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"excerpt": "The Los Angeles Times featured a lengthy piece last weekend on LA Unified School District's apparent failure in its new much-touted school lunch program, overhauled to be more healthful.\r\n\r\nEarly in the school year, the Times reports, LA Unified \"got rid of chocolate and strawberry milk, chicken nuggets, corn dogs, nachos and other food high in fat, sugar and sodium.\" With roughly 30 percent of school age children now overweight or obese, striking such unhealthy food from school lunches seems like a good place to start to coax kids to eat a healthier diet.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1590\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/FruitsVegetables_12212011_Flickr_Ali_Karimian.jpg\">\u003cimg class=\"size-medium wp-image-1590 \" title=\"Reports are that school children are ditching their healthy lunches, which include fresh produce, and sneaking in junk food. (Ali Karimian: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/FruitsVegetables_12212011_Flickr_Ali_Karimian-300x199.jpg\" alt=\"Reports are that school children are ditching their healthy lunches, which include fresh produce, and sneaking in junk food. (Ali Karimian: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Reports say that school children are ditching their healthy lunches, which include fresh produce, and sneaking in junk food. (Ali Karimian: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca title=\"http://www.latimes.com/news/local/la-me-food-lausd-20111218,0,2593733.story\" href=\"http://www.latimes.com/news/local/la-me-food-lausd-20111218,0,2593733.story\" target=\"_blank\">The Los Angeles Times\u003c/a> featured a lengthy piece last weekend on\u003ca title=\"http://cafe-la.lausd.net/\" href=\"http://cafe-la.lausd.net/\" target=\"_blank\"> L.A. Unified School District\u003c/a>'s apparent failure in its new much-touted school lunch program, overhauled to be more healthful.\u003c/p>\n\u003cp>Early in the school year, the \u003cem>Times\u003c/em> reports, L.A. Unified \"got rid of chocolate and strawberry milk, chicken nuggets, corn dogs, nachos and other food high in fat, sugar and sodium.\" With roughly \u003ca title=\"http://win.niddk.nih.gov/statistics/\" href=\"http://win.niddk.nih.gov/statistics/\" target=\"_blank\">30 percent of school age children now overweight or obese\u003c/a>, striking such unhealthy food from school lunches seems like a good place to start to coax kids to eat a healthier diet.\u003c/p>\n\u003cp>But the\u003cem> Times\u003c/em> claims the change has been a \"flop\" for many students. Stories of a black-market for junk food on certain campuses are reported, including kids sneaking in \"Flamin' Hot Cheetos\" and soda. And the school lunches themselves?\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>Many of the meals are being rejected en masse. Participation in the school lunch program has dropped by thousands of students. Principals report massive waste, with unopened milk cartons and uneaten entrees being thrown away. Students are ditching lunch, and some say they're suffering from headaches, \u003ca id=\"HEISY00003\" title=\"Abdominal Pain\" href=\"http://www.latimes.com/topic/health/symptoms/abdominal-pain-HEISY00003.topic\">stomach pains\u003c/a> and even anemia. At many campuses, an underground market for chips, candy, fast-food burgers and other taboo fare is thriving.\u003c/p>\u003c/blockquote>\n\u003cp>And that's the way the story has been circulating--healthy school lunches are a failure. \u003cem>Mother Jones\u003c/em> excerpted the story under the headline \"\u003ca title=\"http://motherjones.com/kevin-drum/2011/12/kids-just-want-have-junk-food\" href=\"http://motherjones.com/kevin-drum/2011/12/kids-just-want-have-junk-food\" target=\"_blank\">Kids Just Want to Have Junk Food\u003c/a>.\" \u003ca title=\"http://www.slate.com/blogs/xx_factor/2011/12/19/picky_eaters_are_thwarting_the_l_a_school_district_s_attempts_to_improve_school_lunches_.html\" href=\"http://www.slate.com/blogs/xx_factor/2011/12/19/picky_eaters_are_thwarting_the_l_a_school_district_s_attempts_to_improve_school_lunches_.html\" target=\"_blank\">Slate\u003c/a> goes further and blames not children, but \"the snotty little brat factor,\" kids who will turn their nose up at anything new.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But, wait a minute here. It's not until we're halfway through the article that we get to some actual numbers. The Times says participation at the start of the year dropped 13 percent.\u003c/p>\n\u003cp>Hmmm, down 13 percent, a \"flop\"? L.A. Unified Food Services Director admits the debut of the program was a \"disaster,\" and the District has since resolved some bureaucratic problems.\u003c/p>\n\u003cp>Then the Times gets to the far less sexy headline: \"In the last month or so, the overall program has begun to recover; participation is down by about 5% or 6%, Barrett said.\"\u003c/p>\n\u003cp>So, today, 94 percent of formerly participating children have stayed with the program. Before the District swapped out the menu, it held taste tests at its centralized kitchens and comments were overwhelmingly positive. Today, many of the new menu items such as vegetable tamales and salads are popular. The question, it seems, is real-world, on-site implementation. There's a difference between a taste test in a controlled environment and actually serving the meals day in and day out at multiple campuses. Students reported undercooked meat, soggy noodles and hard rice.\u003c/p>\n\u003cp>Bonnie Christensen is the Executive Chef of the lauded \u003ca title=\"http://www.berkeleyschools.net/students-parents/food-service-menus/\" href=\"http://www.berkeleyschools.net/students-parents/food-service-menus/\" target=\"_blank\">Berkeley Unified School District lunch initiative\u003c/a>. Berkeley overhauled its menu six years ago and has received \u003ca title=\"http://www.healthyschoollunches.org/carrot/07winners.cfm\" href=\"http://www.healthyschoollunches.org/carrot/07winners.cfm\" target=\"_blank\">national awards\u003c/a> for its accomplishments. But the early days were a challenge. Each school site is different, with different staff and different equipment. Staff training is key.\u003c/p>\n\u003cp>\"The problem with food is there's always a variable. The broccoli doesn't grow the same way if there's a frost,\" Christensen told me. \"In foods, the problems translate immediately. If you didn't have enough people at work that day, you have to take shortcuts to get the work done. Processed food gives you consistency, fresh made from scratch is less consistent. The way to make it consistent is training staff and having better equipment.\"\u003c/p>\n\u003cp>\u003ca title=\"http://www.thelunchtray.com/about-2/\" href=\"http://www.thelunchtray.com/about-2/\" target=\"_blank\">Bettina Elias Siegel \u003c/a>blogs about school food reform on \"The Lunch Tray\" and \u003ca title=\"http://www.thelunchtray.com/l-a-kids-reject-healthier-school-food-my-thoughts/\" href=\"http://www.thelunchtray.com/l-a-kids-reject-healthier-school-food-my-thoughts/\" target=\"_blank\">wrote a post\u003c/a> about the \u003cem>Times\u003c/em> article. She, too, picked up on the quality control problems L.A. Unified is having and that \"over- or undercooked food is of course going to be rejected by school kids, as it would be by anyone.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>L.A. Unified has pledged to tinker with its menu. But Siegel asks a provocative question in her post: what if the five to six percent of children who have abandoned the program never come back and continue to make junk food their primary diet?\u003c/p>\n\u003cblockquote>\u003cp>I know this might sound terribly callous, but I’m not sure I care. Because the hard truth is this: if we really intend to wean an entire generation of children off school food “carnival fare” (nachos, nuggets, burgers and fries) and introduce them to fresher, healthier entrees, \u003cem>we are, without question, going to lose some kids along the way\u003c/em>. In other words, it’s just not that surprising if a middle- or high schooler who’s seen nothing but \u003ca href=\"http://www.thelunchtray.com/childrens-palates-lunch-menu/\">“better-for-you junk food”\u003c/a>on his tray since kindergarten can’t make the leap to black bean burgers and salad, especially if there’s no context for healthier foods in his life outside of school.\u003c/p>\n\u003cp>But a kindergartener who’s never seen anything \u003cem>but \u003c/em>black bean burgers and salads in the cafeteria is going to be a much easier sell on healthier foods throughout his school years. And that young child is our only hope if we’re going to reverse current trends in obesity and poor lifestyle habits among our nation’s children.\u003c/p>\u003c/blockquote>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Are California's Mental Health Hospitals Hazardous Work Environments?",
"title": "Are California's Mental Health Hospitals Hazardous Work Environments?",
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"content": "\u003cfigure id=\"attachment_1538\" class=\"wp-caption alignleft\" style=\"max-width: 240px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/NapaStateHospital_LisleBoomer_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-1538 \" title=\"Napa State Hospital where a health care worker was murdered, allegedly by a patient in 2010. (Lisle Boomer: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/NapaStateHospital_LisleBoomer_Flickr-300x224.jpg\" alt=\"Napa State Hospital where a health care worker was murdered, allegedly by a patient in 2010. (Lisle Boomer: Flickr)\" width=\"240\" height=\"179\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Napa State Hospital where a health care worker was murdered, allegedly by a patient in 2010. (Lisle Boomer: Flickr) \u003ccite>(Lisle Boomer via Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>NPR's Ina Jaffe has filed a \u003ca title=\"http://www.npr.org/series/135540070/violence-at-californias-psychiatric-hospitals\" href=\"http://www.npr.org/series/135540070/violence-at-californias-psychiatric-hospitals\" target=\"_blank\">series of reports\u003c/a> this year about violence in California's psychiatric hospitals. The spark was the October 2010 murder of a health care worker at Napa State Hospital, allegedly by a psychiatric patient with a violent history.\u003c/p>\n\u003cp>Today, Jaffe reports that \"thousands of violent incidents occur every year\" at the state's mental hospitals, but few are treated as crimes.\u003c/p>\n\u003cblockquote>\u003cp>Violence in California's psychiatric hospitals has been increasing, partly because the kind of patients treated at the hospitals has changed. Generally, people with mental illness aren't especially dangerous. But these days, about 90 percent of the patients in California's mental hospitals are committed by the criminal justice system. They've been found not guilty by reason of insanity, for example, or incompetent to stand trial.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->Jaffe further reports that the increase in violence came after a Justice Department imposed treatment plan in 2006-2007 following \"horrifying\" cases of abuse and neglect. Treatment improved, but the violence got worse. The Justice Department imposed similar plans on other hospitals around the country, but oddly only in California do the hospitals affected but Justice Department action treat patients who have committed serious crimes.\u003c/p>\n\u003cblockquote>\u003cp>The state Legislature has been holding hearings on this issue. Psychiatrist Mona Mosk told lawmakers she was attacked by a patient who was sent to her hospital from a penitentiary \"because that person was so dangerous, they couldn't be managed effectively in prison.\"\u003c/p>\n\u003cp>\u003cstrong>Arrests Rare After Assaults\u003c/strong>\u003c/p>\n\u003cp>Mosk has been working at \u003ca href=\"http://www.dmh.ca.gov/services_and_programs/state_hospitals/patton/default.asp\">Patton State Hospital\u003c/a> near San Bernardino, Calif., for more than 10 years. She explained that expectations for personal safety and accountability are completely different in the hospital than they are on the street.\u003c/p>\n\u003cp>\"If anyone came up to you on the street and clocked you in the face, I'm pretty sure they would be arrested,\" Mosk told lawmakers. But she said that at the hospitals, \"arrest is something that happens very rarely, although assaults occur almost on a daily basis.\u003c/p>\u003c/blockquote>\n\u003cp>Read the rest of Jaffe's report \u003ca title=\"http://www.npr.org/2011/12/20/143785211/in-calif-mental-hospitals-assaults-rarely-a-crime\" href=\"http://www.npr.org/2011/12/20/143785211/in-calif-mental-hospitals-assaults-rarely-a-crime\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "NPR's Ina Jaffe has filed a series of reports this year about violence in California's psychiatric hospitals. The spark was the October 2010 murder of a health care worker at Napa State Hospital, allegedly by a psychiatric patient with a violent history.\r\n\r\nToday, Jaffe reports that \"thousands of violent incidents occur every year\" at the state's mental hospitals, but few are treated as crimes.\r\n",
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"description": "NPR's Ina Jaffe has filed a series of reports this year about violence in California's psychiatric hospitals. The spark was the October 2010 murder of a health care worker at Napa State Hospital, allegedly by a psychiatric patient with a violent history.\r\n\r\nToday, Jaffe reports that "thousands of violent incidents occur every year" at the state's mental hospitals, but few are treated as crimes.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1538\" class=\"wp-caption alignleft\" style=\"max-width: 240px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/NapaStateHospital_LisleBoomer_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-1538 \" title=\"Napa State Hospital where a health care worker was murdered, allegedly by a patient in 2010. (Lisle Boomer: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/NapaStateHospital_LisleBoomer_Flickr-300x224.jpg\" alt=\"Napa State Hospital where a health care worker was murdered, allegedly by a patient in 2010. (Lisle Boomer: Flickr)\" width=\"240\" height=\"179\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Napa State Hospital where a health care worker was murdered, allegedly by a patient in 2010. (Lisle Boomer: Flickr) \u003ccite>(Lisle Boomer via Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>NPR's Ina Jaffe has filed a \u003ca title=\"http://www.npr.org/series/135540070/violence-at-californias-psychiatric-hospitals\" href=\"http://www.npr.org/series/135540070/violence-at-californias-psychiatric-hospitals\" target=\"_blank\">series of reports\u003c/a> this year about violence in California's psychiatric hospitals. The spark was the October 2010 murder of a health care worker at Napa State Hospital, allegedly by a psychiatric patient with a violent history.\u003c/p>\n\u003cp>Today, Jaffe reports that \"thousands of violent incidents occur every year\" at the state's mental hospitals, but few are treated as crimes.\u003c/p>\n\u003cblockquote>\u003cp>Violence in California's psychiatric hospitals has been increasing, partly because the kind of patients treated at the hospitals has changed. Generally, people with mental illness aren't especially dangerous. But these days, about 90 percent of the patients in California's mental hospitals are committed by the criminal justice system. They've been found not guilty by reason of insanity, for example, or incompetent to stand trial.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->Jaffe further reports that the increase in violence came after a Justice Department imposed treatment plan in 2006-2007 following \"horrifying\" cases of abuse and neglect. Treatment improved, but the violence got worse. The Justice Department imposed similar plans on other hospitals around the country, but oddly only in California do the hospitals affected but Justice Department action treat patients who have committed serious crimes.\u003c/p>\n\u003cblockquote>\u003cp>The state Legislature has been holding hearings on this issue. Psychiatrist Mona Mosk told lawmakers she was attacked by a patient who was sent to her hospital from a penitentiary \"because that person was so dangerous, they couldn't be managed effectively in prison.\"\u003c/p>\n\u003cp>\u003cstrong>Arrests Rare After Assaults\u003c/strong>\u003c/p>\n\u003cp>Mosk has been working at \u003ca href=\"http://www.dmh.ca.gov/services_and_programs/state_hospitals/patton/default.asp\">Patton State Hospital\u003c/a> near San Bernardino, Calif., for more than 10 years. She explained that expectations for personal safety and accountability are completely different in the hospital than they are on the street.\u003c/p>\n\u003cp>\"If anyone came up to you on the street and clocked you in the face, I'm pretty sure they would be arrested,\" Mosk told lawmakers. But she said that at the hospitals, \"arrest is something that happens very rarely, although assaults occur almost on a daily basis.\u003c/p>\u003c/blockquote>\n\u003cp>Read the rest of Jaffe's report \u003ca title=\"http://www.npr.org/2011/12/20/143785211/in-calif-mental-hospitals-assaults-rarely-a-crime\" href=\"http://www.npr.org/2011/12/20/143785211/in-calif-mental-hospitals-assaults-rarely-a-crime\" target=\"_blank\">here\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"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",
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"meta": {
"site": "radio",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.commonwealthclub.org/podcasts",
"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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}
},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
"title": "Freakonomics Radio",
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"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": {
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"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.",
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"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.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Here-And-Now-Podcast-Tile-360x360-1.jpg",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
"site": "news",
"source": "NPR"
},
"link": "/radio/program/hidden-brain",
"subscribe": {
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"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": {
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"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",
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"rss": "https://feeds.npr.org/510313/podcast.xml"
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
"imageAlt": "KQED Hyphenación",
"officialWebsiteLink": "/podcasts/hyphenacion",
"meta": {
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"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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"amazon": "https://music.amazon.com/podcasts/6c3dd23c-93fb-4aab-97ba-1725fa6315f1/hyphenaci%C3%B3n",
"rss": "https://feeds.megaphone.fm/KQINC2275451163"
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Political Mind of Jerry Brown",
"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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"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",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"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",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"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",
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"spotify": "https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x",
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"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": {
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"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"
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},
"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": {
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"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
"npr": "https://www.npr.org/podcasts/572155894/political-breakdown",
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