window.__IS_SSR__=true
window.__INITIAL_STATE__={
"attachmentsReducer": {
"audio_0": {
"type": "attachments",
"id": "audio_0",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background0.jpg"
}
}
},
"audio_1": {
"type": "attachments",
"id": "audio_1",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background1.jpg"
}
}
},
"audio_2": {
"type": "attachments",
"id": "audio_2",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background2.jpg"
}
}
},
"audio_3": {
"type": "attachments",
"id": "audio_3",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background3.jpg"
}
}
},
"audio_4": {
"type": "attachments",
"id": "audio_4",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background4.jpg"
}
}
},
"placeholder": {
"type": "attachments",
"id": "placeholder",
"imgSizes": {
"thumbnail": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-160x107.jpg",
"width": 160,
"height": 107,
"mimeType": "image/jpeg"
},
"medium": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-800x533.jpg",
"width": 800,
"height": 533,
"mimeType": "image/jpeg"
},
"medium_large": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-768x512.jpg",
"width": 768,
"height": 512,
"mimeType": "image/jpeg"
},
"large": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1020x680.jpg",
"width": 1020,
"height": 680,
"mimeType": "image/jpeg"
},
"1536x1536": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1536x1024.jpg",
"width": 1536,
"height": 1024,
"mimeType": "image/jpeg"
},
"fd-lrg": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1536x1024.jpg",
"width": 1536,
"height": 1024,
"mimeType": "image/jpeg"
},
"fd-med": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1020x680.jpg",
"width": 1020,
"height": 680,
"mimeType": "image/jpeg"
},
"fd-sm": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-800x533.jpg",
"width": 800,
"height": 533,
"mimeType": "image/jpeg"
},
"post-thumbnail": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-672x372.jpg",
"width": 672,
"height": 372,
"mimeType": "image/jpeg"
},
"twentyfourteen-full-width": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1038x576.jpg",
"width": 1038,
"height": 576,
"mimeType": "image/jpeg"
},
"xxsmall": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-160x107.jpg",
"width": 160,
"height": 107,
"mimeType": "image/jpeg"
},
"xsmall": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-672x372.jpg",
"width": 672,
"height": 372,
"mimeType": "image/jpeg"
},
"small": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-672x372.jpg",
"width": 672,
"height": 372,
"mimeType": "image/jpeg"
},
"xlarge": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1020x680.jpg",
"width": 1020,
"height": 680,
"mimeType": "image/jpeg"
},
"full-width": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1920x1280.jpg",
"width": 1920,
"height": 1280,
"mimeType": "image/jpeg"
},
"guest-author-32": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 32,
"height": 32,
"mimeType": "image/jpeg"
},
"guest-author-50": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 50,
"height": 50,
"mimeType": "image/jpeg"
},
"guest-author-64": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 64,
"height": 64,
"mimeType": "image/jpeg"
},
"guest-author-96": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 96,
"height": 96,
"mimeType": "image/jpeg"
},
"guest-author-128": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 128,
"height": 128,
"mimeType": "image/jpeg"
},
"detail": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 160,
"height": 160,
"mimeType": "image/jpeg"
},
"kqedFullSize": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1.jpg",
"width": 2000,
"height": 1333
}
}
},
"stateofhealth_5650": {
"type": "attachments",
"id": "stateofhealth_5650",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "5650",
"found": true
},
"parent": 5639,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012-1024x576.jpg",
"width": 1024,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012-400x286.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 286
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012-320x229.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 229
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012.jpg",
"width": 1024,
"height": 732
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012-768x549.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 549
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012-800x572.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 572
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1336434004,
"modified": 1422584066,
"caption": "Ninety percent of current smokers tried their first cigarette before turning 18. (Dave Whelan/Flickr)",
"description": "No Smoking sign. Tobacco, Cigarettes",
"title": "A little-known provision in the Affordable Care Act permits insurers to charge higher premiums to smokers. (Dave Whelan: Flickr)",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_9899": {
"type": "attachments",
"id": "stateofhealth_9899",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "9899",
"found": true
},
"parent": 9891,
"imgSizes": {
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/brown20130110-e1389301025994-400x286.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 286
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/brown20130110-e1389301025994-320x229.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 229
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/brown20130110-e1389301025994-640x372.jpg",
"width": 640,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/brown20130110-e1389301025994.jpg",
"width": 640,
"height": 458
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/brown20130110-e1389301025994-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/brown20130110-e1389301025994-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/brown20130110-e1389301025994-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/brown20130110-e1389301025994-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/brown20130110-e1389301025994-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1357939293,
"modified": 1357939293,
"caption": "(Justin Sullivan/Getty Images)",
"description": "Gov. Brown is proposing the counties share the financial cost of the Medicaid expansion. January 11, 2013. (Justin Sullivan/Getty Images)",
"title": "(Justin Sullivan/Getty Images)",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_8836": {
"type": "attachments",
"id": "stateofhealth_8836",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "8836",
"found": true
},
"parent": 8832,
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/11/CoveredCalifornia1.png",
"width": 290,
"height": 302
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/11/CoveredCalifornia1-96x96.png",
"width": 96,
"mimeType": "image/png",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/11/CoveredCalifornia1-64x64.png",
"width": 64,
"mimeType": "image/png",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/11/CoveredCalifornia1-75x75.png",
"width": 75,
"mimeType": "image/png",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/11/CoveredCalifornia1-32x32.png",
"width": 32,
"mimeType": "image/png",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/11/CoveredCalifornia1-128x128.png",
"width": 128,
"mimeType": "image/png",
"height": 128
}
},
"publishDate": 1352744059,
"modified": 1352744059,
"caption": "California's insurance marketplace, Covered California, will open in October, 2013. People will be able to buy insurance, which will take effect January 1, 2014.",
"description": "California's insurance marketplace, Covered California, will open in October, 2013. People will be able to buy insurance, which will take effect January 1, 2014.",
"title": "California's insurance marketplace, Covered California, will open in October, 2013. People will be able to buy insurance, which will take effect January 1, 2014.",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_10049": {
"type": "attachments",
"id": "stateofhealth_10049",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "10049",
"found": true
},
"parent": 10043,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/FresnoSign_CharlesNadeau_Flickr-1024x576.jpg",
"width": 1024,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/FresnoSign_CharlesNadeau_Flickr-400x265.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 265
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/FresnoSign_CharlesNadeau_Flickr-320x212.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 212
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/FresnoSign_CharlesNadeau_Flickr-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/FresnoSign_CharlesNadeau_Flickr.jpg",
"width": 1024,
"height": 678
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/FresnoSign_CharlesNadeau_Flickr-768x509.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 509
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/FresnoSign_CharlesNadeau_Flickr-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/FresnoSign_CharlesNadeau_Flickr-800x530.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 530
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/FresnoSign_CharlesNadeau_Flickr-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/FresnoSign_CharlesNadeau_Flickr-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/FresnoSign_CharlesNadeau_Flickr-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/FresnoSign_CharlesNadeau_Flickr-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1358469263,
"modified": 1358469263,
"caption": "(Charles Nadeau/Flickr)",
"description": "Fresno sign (Charles Nadeau/Flickr)",
"title": "Fresno Sign (Charles Nadeau/Flickr)",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_10014": {
"type": "attachments",
"id": "stateofhealth_10014",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "10014",
"found": true
},
"parent": 10011,
"imgSizes": {
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/Caheri-Guiterrez-xray-400x320.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 320
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/Caheri-Guiterrez-xray-320x256.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 256
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/Caheri-Guiterrez-xray-600x372.jpg",
"width": 600,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/Caheri-Guiterrez-xray.jpg",
"width": 600,
"height": 480
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/Caheri-Guiterrez-xray-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/Caheri-Guiterrez-xray-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/Caheri-Guiterrez-xray-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/Caheri-Guiterrez-xray-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/Caheri-Guiterrez-xray-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1358449606,
"modified": 1358449606,
"caption": "An x-ray of Caheri Guiterrez's jaw soon after she was admitted to Oakland's Highland Hospital.",
"description": null,
"title": "Caheri-Guiterrez-xray",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_7430": {
"type": "attachments",
"id": "stateofhealth_7430",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "7430",
"found": true
},
"parent": 7365,
"imgSizes": {
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/07/doctor-examining-patient-400x270.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 270
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/07/doctor-examining-patient-320x216.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 216
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/07/doctor-examining-patient.jpg",
"width": 546,
"height": 368
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/07/doctor-examining-patient-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/07/doctor-examining-patient-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/07/doctor-examining-patient-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/07/doctor-examining-patient-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/07/doctor-examining-patient-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1342571672,
"modified": 1342571672,
"caption": null,
"description": null,
"title": "doctor-examining-patient",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_9823": {
"type": "attachments",
"id": "stateofhealth_9823",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "9823",
"found": true
},
"parent": 9814,
"imgSizes": {
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/Petaluma_momboleum_Flickr-400x262.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 262
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/Petaluma_momboleum_Flickr-320x209.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 209
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/Petaluma_momboleum_Flickr-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/Petaluma_momboleum_Flickr.jpg",
"width": 783,
"height": 512
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/Petaluma_momboleum_Flickr-768x502.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 502
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/Petaluma_momboleum_Flickr-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/Petaluma_momboleum_Flickr-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/Petaluma_momboleum_Flickr-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/Petaluma_momboleum_Flickr-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/Petaluma_momboleum_Flickr-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1357320478,
"modified": 1357320478,
"caption": "Federal grants totaling $500,000 will fund new school clinics in Petaluma, among many others in California. (momboleum/Flickr) ",
"description": "Federal grants totaling $500,000 will fund new school clinics in Petaluma, among many others in California. (momboleum/Flickr) ",
"title": "Federal grants totaling $500,000 will fund new school clinics in Petaluma, among many others in California. (momboleum/Flickr) ",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_9771": {
"type": "attachments",
"id": "stateofhealth_9771",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "9771",
"found": true
},
"parent": 9767,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/CapitolBuilding20121120-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/CapitolBuilding20121120-400x267.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 267
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/CapitolBuilding20121120-320x213.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 213
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/CapitolBuilding20121120-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/CapitolBuilding20121120.jpg",
"width": 3000,
"height": 2000
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/CapitolBuilding20121120-1440x960.jpg",
"width": 1440,
"mimeType": "image/jpeg",
"height": 960
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/CapitolBuilding20121120-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/CapitolBuilding20121120-800x533.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 533
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/CapitolBuilding20121120-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/CapitolBuilding20121120-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/CapitolBuilding20121120-1180x787.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 787
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/CapitolBuilding20121120-768x512.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 512
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/CapitolBuilding20121120-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2013/01/CapitolBuilding20121120-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1357153291,
"modified": 1357153291,
"caption": "(Photo: Alex Wong)",
"description": null,
"title": "CapitolBuilding20121120",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_8143": {
"type": "attachments",
"id": "stateofhealth_8143",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "8143",
"found": true
},
"parent": 8132,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/HealthCareOverhaul_SEIUInternational_Flickr_06282012-1024x576.jpg",
"width": 1024,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/HealthCareOverhaul_SEIUInternational_Flickr_06282012-400x286.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 286
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/HealthCareOverhaul_SEIUInternational_Flickr_06282012-320x228.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 228
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/HealthCareOverhaul_SEIUInternational_Flickr_06282012-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/HealthCareOverhaul_SEIUInternational_Flickr_06282012.jpg",
"width": 1024,
"height": 731
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/HealthCareOverhaul_SEIUInternational_Flickr_06282012-768x548.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 548
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/HealthCareOverhaul_SEIUInternational_Flickr_06282012-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/HealthCareOverhaul_SEIUInternational_Flickr_06282012-800x571.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 571
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/HealthCareOverhaul_SEIUInternational_Flickr_06282012-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/HealthCareOverhaul_SEIUInternational_Flickr_06282012-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/HealthCareOverhaul_SEIUInternational_Flickr_06282012-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/08/HealthCareOverhaul_SEIUInternational_Flickr_06282012-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1345495201,
"modified": 1345495201,
"caption": "Supporters demonstrate in favor of the Affordable Care Act on June 28, 2012 when the U.S. Supreme Court issued its ruling on the health care overhaul. (SEIU International: Flickr)(SEIU International: Flickr)",
"description": "Supporters demonstrate in favor of the Affordable Care Act on June 28, 2012 when the U.S. Supreme Court issued its ruling on the health care overhaul. (SEIU International: Flickr)",
"title": "Supporters demonstrate in favor of the Affordable Care Act on June 28, 2012 when the U.S. Supreme Court issued its ruling on the health care overhaul. (SEIU International: Flickr)",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_9691": {
"type": "attachments",
"id": "stateofhealth_9691",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "9691",
"found": true
},
"parent": 9685,
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/12/gun-176.jpg",
"width": 176,
"height": 237
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/12/gun-176-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/12/gun-176-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/12/gun-176-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/12/gun-176-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2012/12/gun-176-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1356113777,
"modified": 1356113777,
"caption": "(Image: Kaiser Health News)",
"description": null,
"title": "gun-176",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
}
},
"audioPlayerReducer": {
"postId": "stream_live",
"isPaused": true,
"isPlaying": false,
"pfsActive": false,
"pledgeModalIsOpen": true,
"playerDrawerIsOpen": false,
"liveAudioPlayStartedAt": 0,
"liveAudioPlayContext": ""
},
"authorsReducer": {
"skalantari": {
"type": "authors",
"id": "46",
"meta": {
"index": "authors_1716337520",
"id": "46",
"found": true
},
"name": "Shuka Kalantari",
"firstName": "Shuka",
"lastName": "Kalantari",
"slug": "skalantari",
"email": "skalantari@kqed.org",
"display_author_email": false,
"staff_mastheads": [],
"title": "KQED Contributor",
"bio": "Shuka Kalantari is a Bay Area journalist reporting on health, food, culture and immigrant communities in California and internationally. She's reported for Public Radio International’s The World, BBC World News Service’s Outlook, Philosophy Talk, Vice Magazine. Shuka is also a frequent contributor to KQED Public Media. You can follow her \u003ca href=\"https://twitter.com/skalantari\">@skalantari\u003c/a> on Twitter and \u003ca href=\"https://instagram.com/skalantari/\">Instagram\u003c/a>.",
"avatar": "https://secure.gravatar.com/avatar/51d9608640bde16ba09124272a0c0f355429db1ebc29f1853b8d87aab1ae1753?s=600&d=blank&r=g",
"twitter": null,
"bluesky": null,
"facebook": null,
"instagram": null,
"linkedin": null,
"sites": [
{
"site": "news",
"roles": [
"subscriber"
]
},
{
"site": "bayareabites",
"roles": [
"subscriber"
]
},
{
"site": "stateofhealth",
"roles": [
"subscriber"
]
}
],
"headData": {
"title": "Shuka Kalantari | KQED",
"description": "KQED Contributor",
"ogImgSrc": "https://secure.gravatar.com/avatar/51d9608640bde16ba09124272a0c0f355429db1ebc29f1853b8d87aab1ae1753?s=600&d=blank&r=g",
"twImgSrc": "https://secure.gravatar.com/avatar/51d9608640bde16ba09124272a0c0f355429db1ebc29f1853b8d87aab1ae1753?s=600&d=blank&r=g"
},
"isLoading": false,
"link": "/author/skalantari"
},
"lisaaliferis": {
"type": "authors",
"id": "240",
"meta": {
"index": "authors_1716337520",
"id": "240",
"found": true
},
"name": "Lisa Aliferis",
"firstName": "Lisa",
"lastName": "Aliferis",
"slug": "lisaaliferis",
"email": "laliferis@kqed.org",
"display_author_email": false,
"staff_mastheads": [],
"title": "KQED Contributor",
"bio": "Lisa Aliferis is the founding editor of KQED's \u003cem>State of Health\u003c/em> blog. Since 2011, she's been writing and editing stories for the site. Before taking up blogging, she toiled for many years (more than we can count) producing health stories for television, including\u003cem> Dateline NBC\u003c/em> and San Francisco's CBS affiliate, KPIX-TV. She also wrote up a \u003ca title=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\">handy guide to the Affordable Care Act\u003c/a>, especially for Californians. Her work has been honored for many awards. Most recently she was a finalist for \"Best Topical Reporting\" from the Online News Association. You can follow her on Twitter: \u003ca title=\"https://twitter.com/laliferis\" href=\"https://twitter.com/laliferis\">@laliferis\u003c/a>",
"avatar": "https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=mm&r=g",
"twitter": "laliferis",
"facebook": null,
"instagram": null,
"linkedin": null,
"sites": [
{
"site": "news",
"roles": [
"subscriber"
]
},
{
"site": "futureofyou",
"roles": [
"subscriber"
]
},
{
"site": "stateofhealth",
"roles": [
"subscriber"
]
},
{
"site": "science",
"roles": [
"subscriber"
]
},
{
"site": "food",
"roles": []
}
],
"headData": {
"title": "Lisa Aliferis | KQED",
"description": "KQED Contributor",
"ogImgSrc": "https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=mm&r=g",
"twImgSrc": "https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=mm&r=g"
},
"isLoading": false,
"link": "/author/lisaaliferis"
},
"state-of-health": {
"type": "authors",
"id": "8344",
"meta": {
"index": "authors_1716337520",
"id": "8344",
"found": true
},
"name": "State of Health",
"firstName": "State of Health",
"lastName": null,
"slug": "state-of-health",
"email": "stateofhealth@kqed.org",
"display_author_email": false,
"staff_mastheads": [],
"title": null,
"bio": null,
"avatar": "https://secure.gravatar.com/avatar/66de4bf6d331fa7402bba1ffe8135e17?s=600&d=blank&r=g",
"twitter": null,
"facebook": null,
"instagram": null,
"linkedin": null,
"sites": [
{
"site": "arts",
"roles": [
"author"
]
},
{
"site": "stateofhealth",
"roles": [
"editor"
]
}
],
"headData": {
"title": "State of Health | KQED",
"description": null,
"ogImgSrc": "https://secure.gravatar.com/avatar/66de4bf6d331fa7402bba1ffe8135e17?s=600&d=blank&r=g",
"twImgSrc": "https://secure.gravatar.com/avatar/66de4bf6d331fa7402bba1ffe8135e17?s=600&d=blank&r=g"
},
"isLoading": false,
"link": "/author/state-of-health"
}
},
"pagesReducer": {
"stateofhealth_category_reform": {
"type": "terms",
"id": "stateofhealth_15",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "15",
"score": 13.559289
},
"featImg": null,
"name": "Obamacare",
"description": "The Affordable Care Act celebrates its seventh birthday this year. California has embraced the law, but will it survive a new Congress and President? \r\n",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "The Affordable Care Act celebrates its seventh birthday this year. California has embraced the law, but will it survive a new Congress and President?",
"title": "Obamacare Archives | KQED Arts",
"ogDescription": null
},
"ttid": 15,
"slug": "reform",
"isLoading": false,
"title": "Obamacare",
"pageMeta": {
"site": "stateofhealth",
"WpPageTemplate": "page-topic-editorial",
"currentPage": 30
},
"blocks": [
{
"blockName": "kqed/company-paragraph",
"content": "The Affordable Care Act celebrates its seventh birthday this year. California has embraced the law, but will it survive a new Congress and President? \r\n"
},
{
"blockName": "kqed/post-list",
"attrs": {
"layout": "cardArticle2",
"query": "posts/stateofhealth?category=reform",
"seeMore": false,
"paginated": true,
"page": 30
}
},
{
"blockName": "kqed/ad"
}
]
}
},
"pfsSessionReducer": {},
"postsReducer": {
"stream_live": {
"type": "live",
"id": "stream_live",
"audioUrl": "https://hls.kqed.org/hls/kqed_app/playlist.m3u8",
"title": "Live Stream",
"excerpt": "Live Stream information currently unavailable.",
"link": "/radio",
"featImg": "",
"label": {
"name": "KQED Live",
"link": "/"
}
},
"stream_kqedNewscast": {
"type": "posts",
"id": "stream_kqedNewscast",
"audioUrl": "https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1",
"title": "KQED Newscast",
"featImg": "",
"label": {
"name": "88.5 FM",
"link": "/"
}
},
"stateofhealth_10167": {
"type": "posts",
"id": "stateofhealth_10167",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "10167",
"score": null,
"sort": [
1359143272000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1359143272,
"format": "aside",
"disqusTitle": "Penalty on Smokers Can Spell Higher Premiums under Health Overhaul",
"title": "Penalty on Smokers Can Spell Higher Premiums under Health Overhaul",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cstrong>Legislator planning law to limit penalty in California\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_5650\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/05/07/lessons-learned-from-the-war-on-smoking-applied-to-obesity/nosmokingsign_davewhelan_flickr_05072012/\" rel=\"attachment wp-att-5650\">\u003cimg class=\"size-medium wp-image-5650\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012-300x214.jpg\" alt=\"A little-known provision in the Affordable Care Act permits insurers to charge higher premiums to smokers. (Dave Whelan: Flickr)\" width=\"300\" height=\"214\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A little-known provision in the Affordable Care Act permits insurers to charge higher premiums to smokers. (Dave Whelan: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>WASHINGTON (AP) Millions of smokers could be priced out of health insurance because of tobacco penalties in President Barack Obama's health care law, according to experts who are just now teasing out the potential impact of a little-noted provision in the massive legislation.\u003c/p>\n\u003cp>The Affordable Care Act -- also known as \"Obamacare\" -- allows health insurers to charge smokers buying individual policies up to 50 percent higher premiums starting next Jan. 1.\u003c/p>\n\u003cp>For a 55-year-old smoker, the penalty could reach nearly $4,250 a year. A 60-year-old could wind up paying nearly $5,100 on top of premiums.\u003c/p>\n\u003caside class=\"pullquote alignright\">For a 55-year-old smoker, the penalty could reach nearly $4,250 a year.\u003c/aside>\n\u003cp>Younger smokers could be charged lower penalties under rules proposed last fall by the Obama administration. But older smokers could face a heavy hit on their household budgets at a time in life when smoking-related illnesses tend to emerge.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Workers covered on the job would be able to avoid tobacco penalties by joining smoking cessation programs, because employer plans operate under different rules. But experts say that option is not guaranteed to smokers trying to purchase coverage individually.\u003c!--more-->\u003c/p>\n\u003cp>Nearly one of every five U.S. adults smokes. That share is higher among lower-income people, who also are more likely to work in jobs that don't come with health insurance and would therefore depend on the new federal health care law. Smoking increases the risk of developing heart disease, lung problems and cancer, contributing to nearly 450,000 deaths a year.\u003c/p>\n\u003cp>Insurers won't be allowed to charge more under the overhaul for people who are overweight, or have a health condition like a bad back or a heart that skips beats -- but they can charge more if a person smokes.\u003c/p>\n\u003cp>Starting next Jan. 1, the federal health care law will make it possible for people who can't get coverage now to buy private policies, providing tax credits to keep the premiums affordable. Although the law prohibits insurance companies from turning away the sick, the penalties for smokers could have the same effect in many cases, keeping out potentially costly patients.\u003c/p>\n\u003cp>``We don't want to create barriers for people to get health care coverage,'' said California state Assemblyman Richard Pan, who is working on a law in California that would limit insurers' ability to charge smokers more. The federal law allows states to limit or change the smoking penalty.\u003c/p>\n\u003cp>``We want people who are smoking to get smoking cessation treatment,'' added Pan, a pediatrician who represents the Sacramento area.\u003c/p>\n\u003cp>Obama administration officials declined to be interviewed for this article, but a former consumer protection regulator for the government is raising questions.\u003c/p>\n\u003cp>``If you are an insurer and there is a group of smokers you don't want in your pool, the ones you really don't want are the ones who have been smoking for 20 or 30 years,'' said Karen Pollitz, an expert on individual health insurance markets with the nonpartisan Kaiser Family Foundation. ``You would have the flexibility to discourage them.''\u003c/p>\n\u003cp>Several provisions in the federal health care law work together to leave older smokers with a bleak set of financial options, said Pollitz, formerly deputy director of the Office of Consumer Support in the federal Health and Human Services Department.\u003c/p>\n\u003cp>First, the law allows insurers to charge older adults up to three times as much as their youngest customers.\u003c/p>\n\u003cp>Second, the law allows insurers to levy the full 50 percent penalty on older smokers while charging less to younger ones.\u003c/p>\n\u003cp>And finally, government tax credits that will be available to help pay premiums cannot be used to offset the cost of penalties for smokers.\u003c/p>\n\u003cp>Here's how the math would work:\u003c/p>\n\u003cp>Take a hypothetical 60-year-old smoker making $35,000 a year. Estimated premiums for coverage in the new private health insurance markets under Obama's law would total $10,172. That person would be eligible for a tax credit that brings the cost down to $3,325.\u003c/p>\n\u003cp>But the smoking penalty could add $5,086 to the cost. And since federal tax credits can't be used to offset the penalty, the smoker's total cost for health insurance would be $8,411, or 24 percent of income. That's considered unaffordable under the federal law. The numbers were estimated using the online Kaiser Health Reform Subsidy Calculator.\u003c/p>\n\u003cp>``The effect of the smoking (penalty) allowed under the law would be that lower-income smokers could not afford health insurance,'' said Richard Curtis, president of the Institute for Health Policy Solutions, a nonpartisan research group that called attention to the issue with a study about the potential impact in California.\u003c/p>\n\u003cp>In today's world, insurers can simply turn down a smoker. Under Obama's overhaul, would they actually charge the full 50 percent? After all, workplace anti-smoking programs that use penalties usually charge far less, maybe $75 or $100 a month.\u003c/p>\n\u003cp>Robert Laszewski, a consultant who previously worked in the insurance industry, says there's a good reason to charge the maximum.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>``If you don't charge the 50 percent, your competitor is going to do it, and you are going to get a disproportionate share of the less-healthy older smokers,'' said Laszewski. ``They are going to have to play defense.''\u003c/p>\n\n",
"disqusIdentifier": "10167 http://blogs.kqed.org/stateofhealth/?p=10167",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2013/01/25/penalty-on-smokers-can-spell-higher-insurance-premiums-under-health-overhaul/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 918,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 26
},
"modified": 1359152199,
"excerpt": "Millions of smokers could be priced out of health insurance because of tobacco penalties in President Barack Obama's health care law, according to experts who are just now teasing out the potential impact of a little-noted provision in the massive legislation.\r\n\r\nThe Affordable Care Act _ ``Obamacare'' to its detractors _ allows health insurers to charge smokers buying individual policies up to 50 percent higher premiums starting next Jan. 1.\r\n\r\nFor a 55-year-old smoker, the penalty could reach nearly $4,250 a year. A 60-year-old could wind up paying nearly $5,100 on top of premiums.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Millions of smokers could be priced out of health insurance because of tobacco penalties in President Barack Obama's health care law, according to experts who are just now teasing out the potential impact of a little-noted provision in the massive legislation.\r\n\r\nThe Affordable Care Act _ ``Obamacare'' to its detractors _ allows health insurers to charge smokers buying individual policies up to 50 percent higher premiums starting next Jan. 1.\r\n\r\nFor a 55-year-old smoker, the penalty could reach nearly $4,250 a year. A 60-year-old could wind up paying nearly $5,100 on top of premiums.",
"title": "Penalty on Smokers Can Spell Higher Premiums under Health Overhaul | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Penalty on Smokers Can Spell Higher Premiums under Health Overhaul",
"datePublished": "2013-01-25T11:47:52-08:00",
"dateModified": "2013-01-25T14:16:39-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "penalty-on-smokers-can-spell-higher-insurance-premiums-under-health-overhaul",
"status": "publish",
"path": "/stateofhealth/10167/penalty-on-smokers-can-spell-higher-insurance-premiums-under-health-overhaul",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Legislator planning law to limit penalty in California\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_5650\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/05/07/lessons-learned-from-the-war-on-smoking-applied-to-obesity/nosmokingsign_davewhelan_flickr_05072012/\" rel=\"attachment wp-att-5650\">\u003cimg class=\"size-medium wp-image-5650\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/NoSmokingSign_DaveWhelan_Flickr_05072012-300x214.jpg\" alt=\"A little-known provision in the Affordable Care Act permits insurers to charge higher premiums to smokers. (Dave Whelan: Flickr)\" width=\"300\" height=\"214\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A little-known provision in the Affordable Care Act permits insurers to charge higher premiums to smokers. (Dave Whelan: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>WASHINGTON (AP) Millions of smokers could be priced out of health insurance because of tobacco penalties in President Barack Obama's health care law, according to experts who are just now teasing out the potential impact of a little-noted provision in the massive legislation.\u003c/p>\n\u003cp>The Affordable Care Act -- also known as \"Obamacare\" -- allows health insurers to charge smokers buying individual policies up to 50 percent higher premiums starting next Jan. 1.\u003c/p>\n\u003cp>For a 55-year-old smoker, the penalty could reach nearly $4,250 a year. A 60-year-old could wind up paying nearly $5,100 on top of premiums.\u003c/p>\n\u003caside class=\"pullquote alignright\">For a 55-year-old smoker, the penalty could reach nearly $4,250 a year.\u003c/aside>\n\u003cp>Younger smokers could be charged lower penalties under rules proposed last fall by the Obama administration. But older smokers could face a heavy hit on their household budgets at a time in life when smoking-related illnesses tend to emerge.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Workers covered on the job would be able to avoid tobacco penalties by joining smoking cessation programs, because employer plans operate under different rules. But experts say that option is not guaranteed to smokers trying to purchase coverage individually.\u003c!--more-->\u003c/p>\n\u003cp>Nearly one of every five U.S. adults smokes. That share is higher among lower-income people, who also are more likely to work in jobs that don't come with health insurance and would therefore depend on the new federal health care law. Smoking increases the risk of developing heart disease, lung problems and cancer, contributing to nearly 450,000 deaths a year.\u003c/p>\n\u003cp>Insurers won't be allowed to charge more under the overhaul for people who are overweight, or have a health condition like a bad back or a heart that skips beats -- but they can charge more if a person smokes.\u003c/p>\n\u003cp>Starting next Jan. 1, the federal health care law will make it possible for people who can't get coverage now to buy private policies, providing tax credits to keep the premiums affordable. Although the law prohibits insurance companies from turning away the sick, the penalties for smokers could have the same effect in many cases, keeping out potentially costly patients.\u003c/p>\n\u003cp>``We don't want to create barriers for people to get health care coverage,'' said California state Assemblyman Richard Pan, who is working on a law in California that would limit insurers' ability to charge smokers more. The federal law allows states to limit or change the smoking penalty.\u003c/p>\n\u003cp>``We want people who are smoking to get smoking cessation treatment,'' added Pan, a pediatrician who represents the Sacramento area.\u003c/p>\n\u003cp>Obama administration officials declined to be interviewed for this article, but a former consumer protection regulator for the government is raising questions.\u003c/p>\n\u003cp>``If you are an insurer and there is a group of smokers you don't want in your pool, the ones you really don't want are the ones who have been smoking for 20 or 30 years,'' said Karen Pollitz, an expert on individual health insurance markets with the nonpartisan Kaiser Family Foundation. ``You would have the flexibility to discourage them.''\u003c/p>\n\u003cp>Several provisions in the federal health care law work together to leave older smokers with a bleak set of financial options, said Pollitz, formerly deputy director of the Office of Consumer Support in the federal Health and Human Services Department.\u003c/p>\n\u003cp>First, the law allows insurers to charge older adults up to three times as much as their youngest customers.\u003c/p>\n\u003cp>Second, the law allows insurers to levy the full 50 percent penalty on older smokers while charging less to younger ones.\u003c/p>\n\u003cp>And finally, government tax credits that will be available to help pay premiums cannot be used to offset the cost of penalties for smokers.\u003c/p>\n\u003cp>Here's how the math would work:\u003c/p>\n\u003cp>Take a hypothetical 60-year-old smoker making $35,000 a year. Estimated premiums for coverage in the new private health insurance markets under Obama's law would total $10,172. That person would be eligible for a tax credit that brings the cost down to $3,325.\u003c/p>\n\u003cp>But the smoking penalty could add $5,086 to the cost. And since federal tax credits can't be used to offset the penalty, the smoker's total cost for health insurance would be $8,411, or 24 percent of income. That's considered unaffordable under the federal law. The numbers were estimated using the online Kaiser Health Reform Subsidy Calculator.\u003c/p>\n\u003cp>``The effect of the smoking (penalty) allowed under the law would be that lower-income smokers could not afford health insurance,'' said Richard Curtis, president of the Institute for Health Policy Solutions, a nonpartisan research group that called attention to the issue with a study about the potential impact in California.\u003c/p>\n\u003cp>In today's world, insurers can simply turn down a smoker. Under Obama's overhaul, would they actually charge the full 50 percent? After all, workplace anti-smoking programs that use penalties usually charge far less, maybe $75 or $100 a month.\u003c/p>\n\u003cp>Robert Laszewski, a consultant who previously worked in the insurance industry, says there's a good reason to charge the maximum.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>``If you don't charge the 50 percent, your competitor is going to do it, and you are going to get a disproportionate share of the less-healthy older smokers,'' said Laszewski. ``They are going to have to play defense.''\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/10167/penalty-on-smokers-can-spell-higher-insurance-premiums-under-health-overhaul",
"authors": [
"240"
],
"categories": [
"stateofhealth_15"
],
"tags": [
"stateofhealth_38",
"stateofhealth_127"
],
"featImg": "stateofhealth_5650",
"label": "stateofhealth"
},
"stateofhealth_10129": {
"type": "posts",
"id": "stateofhealth_10129",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "10129",
"score": null,
"sort": [
1359054161000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1359054161,
"format": "aside",
"disqusTitle": "Gov. Brown's State of the State -- on the Health Care Overhaul",
"title": "Gov. Brown's State of the State -- on the Health Care Overhaul",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_9899\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/11/state-vs-county-showdown-over-funding-the-medi-cal-expansion/gov-brown-signs-legislation-at-google-hq-that-allows-testing-of-autonomous-vehicles/\" rel=\"attachment wp-att-9899\">\u003cimg class=\"size-medium wp-image-9899 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/brown20130110-300x214.jpg\" alt=\"(Justin Sullivan/Getty Images)\" width=\"300\" height=\"214\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">In Thursday's State of the State speech, Gov. Brown called for a special legislative session to address the Affordable Care Act. (Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>In his \u003ca href=\"http://ww2.kqed.org/news/2013/01/24/california-governor-jerry-brown-live-online-state-of-the-state/\" target=\"_blank\">State of the State speech\u003c/a> Thursday morning, Gov. Brown spent about 60 seconds addressing health and human services -- and all those seconds were devoted to the rollout of the Affordable Care Act.\u003c/p>\n\u003cp>Early in his speech, Brown reiterated his theme of fiscal discipline and seemed to urge caution in implementing the Affordable Care Act, stating, \"The ultimate costs of expanding our health care system under the Affordable Care Act are unknown. Ignoring such known unknowns would be folly.\"\u003c/p>\n\u003cp>Later in the speech came the bulk of his comments about the ACA. Here's the transcript:\u003c/p>\n\u003cp>\u003cem>\"California was the first in the nation to pass laws to implement President Obama’s historic Affordable Care Act. Our health benefit exchange, called\u003ca href=\"http://www.cahba.com/exchange/covered-california.htm\" target=\"_blank\"> Covered California\u003c/a>, will begin next year providing insurance to nearly one million Californians. Over the rest of this decade, California will steadily reduce the number of the uninsured. Today I’m calling for a special session to deal with those issues that must be decided quickly if California is to get the Affordable Care Act started by next January.\u003c!--more-->\u003c/em>\u003c/p>\n\u003cp>\u003cem>\"The broader expansion of Medi-Cal that the Act calls for is incredibly complex. It will take more time. Working out the right relationship with the counties will test our ingenuity and will not be achieved overnight. Given the costs involved, great prudence should guide every step of the way.\"\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Let's take these two items one at a time, starting with the health benefit exchange. Brown is calling for a special legislative session so that new laws necessary to implement the exchange can take effect more quickly. That speed is necessary since the exchange must open for people to enroll on October 1. Health insurance purchased in the exchange will start on January 1, 2014.\u003c/p>\n\u003cp>Regarding Medi-Cal, the governor's comment of \"working out the right relationship with the counties\" is an allusion to money, a topic he addressed when he \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/10/governors-proposals-for-medicaid-expansion/\" target=\"_blank\">released his budget \u003c/a>earlier this month.\u003c/p>\n\u003cp>Right now, California counties receive billions in state dollars to care for the uninsured. Under the Affordable Care Act, most of the uninsured will have access to coverage. That access will largely be paid for in federal dollars. Gov. Brown believes that since the counties will benefit from this new federal money, they should pick up the tab for other things the state has traditionally funded. Childcare subsidies is one idea that has been tossed out. Determining the \"right relationship with the counties\" could shape up to be one of the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/11/state-vs-county-showdown-over-funding-the-medi-cal-expansion/\" target=\"_blank\">political battles to watch\u003c/a> in the coming months.\u003c/p>\n\u003cp>The \"unknown\" of the ultimate cost is, in part, because no one can be sure exactly how many people will sign up for coverage. In addition, the mass marketing that is expected to happen this summer to encourage people to enroll is expected to bring in many people currently eligible for Medi-Cal but not currently enrolled. The state will be on the hook for half the costs of these people -- not the 100 percent federal dollars for the newly eligible.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Listen to Jerry Brown's comments on health care reform:\u003cbr>\n\u003ciframe src=\"http://w.soundcloud.com/player/?url=http%3A%2F%2Fapi.soundcloud.com%2Ftracks%2F76308030&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\n",
"disqusIdentifier": "10129 http://blogs.kqed.org/stateofhealth/?p=10129",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2013/01/24/gov-browns-state-of-the-state-on-the-health-care-overhaul/",
"stats": {
"hasVideo": false,
"hasChartOrMap": true,
"hasAudio": true,
"hasPolis": false,
"wordCount": 549,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [
"http://w.soundcloud.com/player/"
],
"paragraphCount": 12
},
"modified": 1359231358,
"excerpt": "In his State of the State speech Thursday morning, Gov. Brown spent about 60 seconds addressing health and human services -- and off the time was devoted to the rollout of the Affordable Care Act.\r\n\r\nHere's the transcript from that part of his speech:",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "In his State of the State speech Thursday morning, Gov. Brown spent about 60 seconds addressing health and human services -- and off the time was devoted to the rollout of the Affordable Care Act.\r\n\r\nHere's the transcript from that part of his speech:",
"title": "Gov. Brown's State of the State -- on the Health Care Overhaul | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Gov. Brown's State of the State -- on the Health Care Overhaul",
"datePublished": "2013-01-24T11:02:41-08:00",
"dateModified": "2013-01-26T12:15:58-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "gov-browns-state-of-the-state-on-the-health-care-overhaul",
"status": "publish",
"path": "/stateofhealth/10129/gov-browns-state-of-the-state-on-the-health-care-overhaul",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_9899\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/11/state-vs-county-showdown-over-funding-the-medi-cal-expansion/gov-brown-signs-legislation-at-google-hq-that-allows-testing-of-autonomous-vehicles/\" rel=\"attachment wp-att-9899\">\u003cimg class=\"size-medium wp-image-9899 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/brown20130110-300x214.jpg\" alt=\"(Justin Sullivan/Getty Images)\" width=\"300\" height=\"214\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">In Thursday's State of the State speech, Gov. Brown called for a special legislative session to address the Affordable Care Act. (Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>In his \u003ca href=\"http://ww2.kqed.org/news/2013/01/24/california-governor-jerry-brown-live-online-state-of-the-state/\" target=\"_blank\">State of the State speech\u003c/a> Thursday morning, Gov. Brown spent about 60 seconds addressing health and human services -- and all those seconds were devoted to the rollout of the Affordable Care Act.\u003c/p>\n\u003cp>Early in his speech, Brown reiterated his theme of fiscal discipline and seemed to urge caution in implementing the Affordable Care Act, stating, \"The ultimate costs of expanding our health care system under the Affordable Care Act are unknown. Ignoring such known unknowns would be folly.\"\u003c/p>\n\u003cp>Later in the speech came the bulk of his comments about the ACA. Here's the transcript:\u003c/p>\n\u003cp>\u003cem>\"California was the first in the nation to pass laws to implement President Obama’s historic Affordable Care Act. Our health benefit exchange, called\u003ca href=\"http://www.cahba.com/exchange/covered-california.htm\" target=\"_blank\"> Covered California\u003c/a>, will begin next year providing insurance to nearly one million Californians. Over the rest of this decade, California will steadily reduce the number of the uninsured. Today I’m calling for a special session to deal with those issues that must be decided quickly if California is to get the Affordable Care Act started by next January.\u003c!--more-->\u003c/em>\u003c/p>\n\u003cp>\u003cem>\"The broader expansion of Medi-Cal that the Act calls for is incredibly complex. It will take more time. Working out the right relationship with the counties will test our ingenuity and will not be achieved overnight. Given the costs involved, great prudence should guide every step of the way.\"\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Let's take these two items one at a time, starting with the health benefit exchange. Brown is calling for a special legislative session so that new laws necessary to implement the exchange can take effect more quickly. That speed is necessary since the exchange must open for people to enroll on October 1. Health insurance purchased in the exchange will start on January 1, 2014.\u003c/p>\n\u003cp>Regarding Medi-Cal, the governor's comment of \"working out the right relationship with the counties\" is an allusion to money, a topic he addressed when he \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/10/governors-proposals-for-medicaid-expansion/\" target=\"_blank\">released his budget \u003c/a>earlier this month.\u003c/p>\n\u003cp>Right now, California counties receive billions in state dollars to care for the uninsured. Under the Affordable Care Act, most of the uninsured will have access to coverage. That access will largely be paid for in federal dollars. Gov. Brown believes that since the counties will benefit from this new federal money, they should pick up the tab for other things the state has traditionally funded. Childcare subsidies is one idea that has been tossed out. Determining the \"right relationship with the counties\" could shape up to be one of the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/11/state-vs-county-showdown-over-funding-the-medi-cal-expansion/\" target=\"_blank\">political battles to watch\u003c/a> in the coming months.\u003c/p>\n\u003cp>The \"unknown\" of the ultimate cost is, in part, because no one can be sure exactly how many people will sign up for coverage. In addition, the mass marketing that is expected to happen this summer to encourage people to enroll is expected to bring in many people currently eligible for Medi-Cal but not currently enrolled. The state will be on the hook for half the costs of these people -- not the 100 percent federal dollars for the newly eligible.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Listen to Jerry Brown's comments on health care reform:\u003cbr>\n\u003ciframe src=\"http://w.soundcloud.com/player/?url=http%3A%2F%2Fapi.soundcloud.com%2Ftracks%2F76308030&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/10129/gov-browns-state-of-the-state-on-the-health-care-overhaul",
"authors": [
"240"
],
"categories": [
"stateofhealth_15"
],
"tags": [
"stateofhealth_294",
"stateofhealth_38",
"stateofhealth_263"
],
"featImg": "stateofhealth_9899",
"label": "stateofhealth"
},
"stateofhealth_10069": {
"type": "posts",
"id": "stateofhealth_10069",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "10069",
"score": null,
"sort": [
1358534563000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1358534563,
"format": "aside",
"disqusTitle": "State's Health Insurance Exchange Lands $674 Million Grant from Feds",
"title": "State's Health Insurance Exchange Lands $674 Million Grant from Feds",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>By David Gorn, \u003ca href=\"http://www.californiahealthline.org/capitol-desk/2013/1/exchange-lands-federal-grant-of-674-million.aspx\" target=\"_blank\">California Healthline\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_8836\" class=\"wp-caption alignleft\" style=\"max-width: 290px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/CoveredCalifornia1.png\">\u003cimg class=\"size-full wp-image-8836 \" title=\"California's insurance marketplace, Covered California, will open in October, 2013. People will be able to buy insurance, which will take effect January 1, 2014.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/CoveredCalifornia1.png\" alt=\"California's insurance marketplace, Covered California, will open in October, 2013. People will be able to buy insurance, which will take effect January 1, 2014.\" width=\"290\" height=\"302\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/11/CoveredCalifornia1.png 290w, https://ww2.kqed.org/app/uploads/sites/27/2012/11/CoveredCalifornia1-32x32.png 32w\" sizes=\"(max-width: 290px) 100vw, 290px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California's insurance marketplace, Covered California, will open in October, 2013. People will be able to buy health insurance, which will take effect January 1, 2014.\u003c/figcaption>\u003c/figure>\n\u003cp>Peter Lee could hardly contain himself yesterday.\u003c/p>\n\u003cp>\"In 2010, California was the first state in the nation to say we want a state-based exchange. Then, earlier this month, the federal government approved our blueprint for the exchange,\" said Lee, the executive director of the state's health insurance exchange, Covered California.\u003c/p>\n\u003cp>\"And now,\" Lee said, \"the feds have given us the resources we need to launch Covered California. This is an historic moment.\"\u003c/p>\n\u003cp>Yesterday federal officials awarded $674 million to the California exchange, a grant that funds the set-up of the exchange through the end of 2014.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It was slightly short of the $706 million originally requested for the grant, but Lee was not about to quibble.\u003c/p>\n\u003cp>\"The feds reduced 2014 potential payment for outreach and enrollment by about $30 million,\" Lee said. \"But we think we have enough resources on hand to do the biggest outreach that I've ever seen.\"\u003c!--more-->\u003c/p>\n\u003cp>State HHS Secretary Diana Dooley pointed out that the extensive planning for the exchange was accomplished in a relatively brief time frame, as the exchange board was only formed in April 2011.\u003c/p>\n\u003cp>\"I just have to say how proud I am of the work this group has done in such a short time,\" Dooley said. \"The work that's been done is nothing short of extraordinary.\"\u003c/p>\n\u003cp>Yesterday's federal announcement came a few hours before the board's monthly meeting -- this time held in Los Angeles -- where the good financial news continued.\u003c/p>\n\u003cp>Exchange board member Robert Ross, who also sits on the board of the California Endowment, had another funding announcement.\u003c/p>\n\u003cp>\"We are committing a minimum of $225 million to implement health care reform in our state,\" Ross said of the California Endowment.\u003c/p>\n\u003cp>\"There will be four major areas of spending,\" Ross said. \"Outreach and enrollment, health workforce, chronic disease prevention and cost control and the fourth one is thinking about the population that's left behind, the undocumented.\"\u003c/p>\n\u003cp>Lee said he hopes the work being done to make health coverage affordable for low- and middle-income Californians will have a ripple effect throughout the health care industry.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Covered California is not only going to make health care coverage available for millions,\" Lee said, \"Covered California is going to be integral to creating a health care marketplace that works for everybody.\"\u003c/p>\n\n",
"disqusIdentifier": "10069 http://blogs.kqed.org/stateofhealth/?p=10069",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2013/01/18/states-health-insurance-exchange-lands-674-million-grant-from-feds/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 418,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 17
},
"modified": 1358535391,
"excerpt": "Peter Lee could hardly contain himself yesterday.\r\n\r\n\"In 2010, California was the first state in the nation to say we want a state-based exchange. Then, earlier this month, the federal government approved our blueprint for the exchange,\" said Lee, the executive director of the state's health insurance exchange, Covered California.\r\n\r\n\"And now,\" Lee said, \"the feds have given us the resources we need to launch Covered California. This is an historic moment.\"",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Peter Lee could hardly contain himself yesterday.\r\n\r\n"In 2010, California was the first state in the nation to say we want a state-based exchange. Then, earlier this month, the federal government approved our blueprint for the exchange," said Lee, the executive director of the state's health insurance exchange, Covered California.\r\n\r\n"And now," Lee said, "the feds have given us the resources we need to launch Covered California. This is an historic moment."",
"title": "State's Health Insurance Exchange Lands $674 Million Grant from Feds | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "State's Health Insurance Exchange Lands $674 Million Grant from Feds",
"datePublished": "2013-01-18T10:42:43-08:00",
"dateModified": "2013-01-18T10:56:31-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "states-health-insurance-exchange-lands-674-million-grant-from-feds",
"status": "publish",
"path": "/stateofhealth/10069/states-health-insurance-exchange-lands-674-million-grant-from-feds",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By David Gorn, \u003ca href=\"http://www.californiahealthline.org/capitol-desk/2013/1/exchange-lands-federal-grant-of-674-million.aspx\" target=\"_blank\">California Healthline\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_8836\" class=\"wp-caption alignleft\" style=\"max-width: 290px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/CoveredCalifornia1.png\">\u003cimg class=\"size-full wp-image-8836 \" title=\"California's insurance marketplace, Covered California, will open in October, 2013. People will be able to buy insurance, which will take effect January 1, 2014.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/CoveredCalifornia1.png\" alt=\"California's insurance marketplace, Covered California, will open in October, 2013. People will be able to buy insurance, which will take effect January 1, 2014.\" width=\"290\" height=\"302\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/11/CoveredCalifornia1.png 290w, https://ww2.kqed.org/app/uploads/sites/27/2012/11/CoveredCalifornia1-32x32.png 32w\" sizes=\"(max-width: 290px) 100vw, 290px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California's insurance marketplace, Covered California, will open in October, 2013. People will be able to buy health insurance, which will take effect January 1, 2014.\u003c/figcaption>\u003c/figure>\n\u003cp>Peter Lee could hardly contain himself yesterday.\u003c/p>\n\u003cp>\"In 2010, California was the first state in the nation to say we want a state-based exchange. Then, earlier this month, the federal government approved our blueprint for the exchange,\" said Lee, the executive director of the state's health insurance exchange, Covered California.\u003c/p>\n\u003cp>\"And now,\" Lee said, \"the feds have given us the resources we need to launch Covered California. This is an historic moment.\"\u003c/p>\n\u003cp>Yesterday federal officials awarded $674 million to the California exchange, a grant that funds the set-up of the exchange through the end of 2014.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It was slightly short of the $706 million originally requested for the grant, but Lee was not about to quibble.\u003c/p>\n\u003cp>\"The feds reduced 2014 potential payment for outreach and enrollment by about $30 million,\" Lee said. \"But we think we have enough resources on hand to do the biggest outreach that I've ever seen.\"\u003c!--more-->\u003c/p>\n\u003cp>State HHS Secretary Diana Dooley pointed out that the extensive planning for the exchange was accomplished in a relatively brief time frame, as the exchange board was only formed in April 2011.\u003c/p>\n\u003cp>\"I just have to say how proud I am of the work this group has done in such a short time,\" Dooley said. \"The work that's been done is nothing short of extraordinary.\"\u003c/p>\n\u003cp>Yesterday's federal announcement came a few hours before the board's monthly meeting -- this time held in Los Angeles -- where the good financial news continued.\u003c/p>\n\u003cp>Exchange board member Robert Ross, who also sits on the board of the California Endowment, had another funding announcement.\u003c/p>\n\u003cp>\"We are committing a minimum of $225 million to implement health care reform in our state,\" Ross said of the California Endowment.\u003c/p>\n\u003cp>\"There will be four major areas of spending,\" Ross said. \"Outreach and enrollment, health workforce, chronic disease prevention and cost control and the fourth one is thinking about the population that's left behind, the undocumented.\"\u003c/p>\n\u003cp>Lee said he hopes the work being done to make health coverage affordable for low- and middle-income Californians will have a ripple effect throughout the health care industry.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Covered California is not only going to make health care coverage available for millions,\" Lee said, \"Covered California is going to be integral to creating a health care marketplace that works for everybody.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/10069/states-health-insurance-exchange-lands-674-million-grant-from-feds",
"authors": [
"8344"
],
"categories": [
"stateofhealth_15"
],
"tags": [
"stateofhealth_38",
"stateofhealth_368",
"stateofhealth_231"
],
"featImg": "stateofhealth_8836",
"label": "stateofhealth"
},
"stateofhealth_10043": {
"type": "posts",
"id": "stateofhealth_10043",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "10043",
"score": null,
"sort": [
1358469887000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1358469887,
"format": "aside",
"disqusTitle": "In Fresno, the Road to Health Reform Is Bumpy",
"title": "In Fresno, the Road to Health Reform Is Bumpy",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_10049\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/FresnoSign_CharlesNadeau_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-10049\" title=\"Fresno Sign (Charles Nadeau/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/FresnoSign_CharlesNadeau_Flickr-300x198.jpg\" alt=\"\" width=\"300\" height=\"198\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Charles Nadeau/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The greater Fresno area may be the most challenging region in California to implement the health care overhaul. Earlier this week a panel of experts gathered at Fresno State to review the issues and consider a path forward. Funding is always a problem, and Fresno is no exception. But in Fresno, collaboration seems to be an even bigger stumbling block.\u003c/p>\n\u003cp>Peter Cunningham, with the Center for Studying Health Systems Change, first outlined findings from a \u003ca href=\"http://www.chcf.org/publications/2012/12/regional-market-fresno\" target=\"_blank\">regional study\u003c/a>. For starters, the region encompasses a huge geographic area: five counties (Fresno, Tulare, Kings, Madera and Mariposa) stretch across 16,000 square miles and comprise both urban and very remote rural areas.\u003c/p>\n\u003cp>In addition to this geographic challenge, the region also faces:\u003c/p>\n\u003cul>\n\u003cli>High poverty and high uninsurance rates -- as well as a high number of undocumented residents -- people who are excluded from the benefits of Affordable Care Act, but will still need health care\u003c/li>\n\u003cli>Severe, chronic physician shortages\u003c/li>\n\u003cli>Structural or bureaucratic barriers to reform, specifically a 30-year contract between one hospital and Fresno County to provide care for the poor\u003c/li>\n\u003c/ul>\n\u003caside class=\"pullquote alignright\">\"There is no health care policy in Fresno County. We're in a position of haphazardly approaching this.\"\u003c/aside>\n\u003cp>After Cunningham's presentation, the discussion started off on a note everyone could agree on: more doctors are urgently needed. The region has 118 doctors per 100,000 people, about one-third below the state average of 174.\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>\"We need to recruit in the triple digits,\" said Stacy Vaillancourt, with St. Agnes Medical Center. \"People turn to the ER. They don't have primary care. There is a huge access problem.\"\u003c/p>\n\u003cp>To get to triple-digit recruiting, you need to start somewhere. One emphasis is recruiting graduating medical students for residency training in Fresno, because physicians often stay in the communities where they complete their residencies. The Fresno Health Community Access Partners (FHCAP) has received federal approval to start a program to train family practice residents.\u003c/p>\n\u003cp>The group is approved to recruit four doctors for each of the next three years. That sounds like a start -- 12 doctors coming to Fresno in the near future. Yet the program is only funded for three years while a medical residency typically runs three or four years.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We can tell these kids today that they'll get their full three years,\" said Stephen Schilling, CEO of Clinica Sierra Vista. \"I don't know what we'll them them next year.\"\u003c/p>\n\u003cdiv>\n\u003cp>Then in a line that got a laugh from the audience, Schilling added, \"We'll be coming after you -- all you hospitals, all you practices, we'll be coming to you to help pony up for to help fund this for the long haul.\"\u003c/p>\n\u003cp>But once the physician supply discussion was dispensed with, tension started to build. Fresno is one of just three counties in California to decline to set up a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/11/05/sacramento-county-expands-medi-cal-but-only-the-poorest-will-benefit/\" target=\"_blank\">Low Income Health Program\u003c/a>. The LIHP program gives counties access to federal funds ahead of the Medicaid expansion coming with the Affordable Care Act next January 1.\u003c/p>\n\u003cp>But even with the federal funds, money is needed at the county level. Dr. Edward Moreno, director of the Fresno County Department of Public Health, said that the county passed on the LIHP because it could allocate $20 million, and it \"wasn't enough to cover costs.\"\u003c/p>\n\u003cp>On this point, Norma Forbes of Fresno Health Community Access Partners promptly disagreed with Moreno. \"There is no health care policy in Fresno County,\" Forbes pointedly said. \"We're in a position of haphazardly approaching this. It's not an organized, not a collaborative approach.\"\u003c/p>\n\u003cp>One of the most obvious places where collaboration has been a challenge is the 30-year contract between Community Medical Centers (CMC) and Fresno County to provide indigent care. That contract still has more than a decade remaining on it. Cunningham's report identified a \"stalemate\" between CMC and Fresno County over modifying the contract which \"stymied\" LIHP development.\u003c/p>\n\u003cp>\"Each side has a position on the 30-year contract,\" Schilling said. \"It's just unfortunate that the parties that needed to ... couldn't come up with an agreement.\"\u003c/p>\n\u003cp>And that lack of collaboration is hampering overall efforts to plan for reform, as noted in Cunningham's report, which was prepared for the California HealthCare Foundation, one of the sponsors of the Fresno event:\u003c/p>\n\u003cblockquote>\u003cp>County governments and providers were doing little coordinated community-wide planning for health reform despite the importance of coverage expansions for this region and the large number of undocumented immigrants who will be ineligible to transition into Medi-Cal in 2014.\u003c/p>\u003c/blockquote>\n\u003cp>As the discussion wrapped up, Cunningham pointed out that even with the expansion of Medi-Cal, California's version of Medicaid, the Fresno area will still have a lot of uninsured, and he estimates one-third to one-half of those uninsured will be undocumented immigrants.\u003c/p>\n\u003cp>\"The county is still going to have that responsibility of caring for the indigent who do not qualify for the ACA expansions,\" Cunningham said. \"The challenge will be trying to fold them in within the changes that are happening in the Medi-Cal expansion.\"\u003c/p>\n\u003cp>Schilling, who is from Kern County, encouraged Fresno to \"get moving down the highway, so you're not left behind the 8-ball come next year.\"\u003c/p>\n\u003c/div>\n\n",
"disqusIdentifier": "10043 http://blogs.kqed.org/stateofhealth/?p=10043",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2013/01/17/in-fresno-the-road-to-health-reform-is-bumpy/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 883,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 22
},
"modified": 1358534768,
"excerpt": "The greater Fresno area may be the most challenging region in California to implement the health care overhaul. Earlier this week a panel of experts gathered at Fresno State to review the issues and consider a path forward. Funding is always a problem, and Fresno is no exception. But in Fresno, collaboration seems to be an even bigger stumbling block.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "The greater Fresno area may be the most challenging region in California to implement the health care overhaul. Earlier this week a panel of experts gathered at Fresno State to review the issues and consider a path forward. Funding is always a problem, and Fresno is no exception. But in Fresno, collaboration seems to be an even bigger stumbling block.",
"title": "In Fresno, the Road to Health Reform Is Bumpy | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "In Fresno, the Road to Health Reform Is Bumpy",
"datePublished": "2013-01-17T16:44:47-08:00",
"dateModified": "2013-01-18T10:46:08-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "in-fresno-the-road-to-health-reform-is-bumpy",
"status": "publish",
"path": "/stateofhealth/10043/in-fresno-the-road-to-health-reform-is-bumpy",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_10049\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/FresnoSign_CharlesNadeau_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-10049\" title=\"Fresno Sign (Charles Nadeau/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/FresnoSign_CharlesNadeau_Flickr-300x198.jpg\" alt=\"\" width=\"300\" height=\"198\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Charles Nadeau/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The greater Fresno area may be the most challenging region in California to implement the health care overhaul. Earlier this week a panel of experts gathered at Fresno State to review the issues and consider a path forward. Funding is always a problem, and Fresno is no exception. But in Fresno, collaboration seems to be an even bigger stumbling block.\u003c/p>\n\u003cp>Peter Cunningham, with the Center for Studying Health Systems Change, first outlined findings from a \u003ca href=\"http://www.chcf.org/publications/2012/12/regional-market-fresno\" target=\"_blank\">regional study\u003c/a>. For starters, the region encompasses a huge geographic area: five counties (Fresno, Tulare, Kings, Madera and Mariposa) stretch across 16,000 square miles and comprise both urban and very remote rural areas.\u003c/p>\n\u003cp>In addition to this geographic challenge, the region also faces:\u003c/p>\n\u003cul>\n\u003cli>High poverty and high uninsurance rates -- as well as a high number of undocumented residents -- people who are excluded from the benefits of Affordable Care Act, but will still need health care\u003c/li>\n\u003cli>Severe, chronic physician shortages\u003c/li>\n\u003cli>Structural or bureaucratic barriers to reform, specifically a 30-year contract between one hospital and Fresno County to provide care for the poor\u003c/li>\n\u003c/ul>\n\u003caside class=\"pullquote alignright\">\"There is no health care policy in Fresno County. We're in a position of haphazardly approaching this.\"\u003c/aside>\n\u003cp>After Cunningham's presentation, the discussion started off on a note everyone could agree on: more doctors are urgently needed. The region has 118 doctors per 100,000 people, about one-third below the state average of 174.\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>\"We need to recruit in the triple digits,\" said Stacy Vaillancourt, with St. Agnes Medical Center. \"People turn to the ER. They don't have primary care. There is a huge access problem.\"\u003c/p>\n\u003cp>To get to triple-digit recruiting, you need to start somewhere. One emphasis is recruiting graduating medical students for residency training in Fresno, because physicians often stay in the communities where they complete their residencies. The Fresno Health Community Access Partners (FHCAP) has received federal approval to start a program to train family practice residents.\u003c/p>\n\u003cp>The group is approved to recruit four doctors for each of the next three years. That sounds like a start -- 12 doctors coming to Fresno in the near future. Yet the program is only funded for three years while a medical residency typically runs three or four years.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We can tell these kids today that they'll get their full three years,\" said Stephen Schilling, CEO of Clinica Sierra Vista. \"I don't know what we'll them them next year.\"\u003c/p>\n\u003cdiv>\n\u003cp>Then in a line that got a laugh from the audience, Schilling added, \"We'll be coming after you -- all you hospitals, all you practices, we'll be coming to you to help pony up for to help fund this for the long haul.\"\u003c/p>\n\u003cp>But once the physician supply discussion was dispensed with, tension started to build. Fresno is one of just three counties in California to decline to set up a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/11/05/sacramento-county-expands-medi-cal-but-only-the-poorest-will-benefit/\" target=\"_blank\">Low Income Health Program\u003c/a>. The LIHP program gives counties access to federal funds ahead of the Medicaid expansion coming with the Affordable Care Act next January 1.\u003c/p>\n\u003cp>But even with the federal funds, money is needed at the county level. Dr. Edward Moreno, director of the Fresno County Department of Public Health, said that the county passed on the LIHP because it could allocate $20 million, and it \"wasn't enough to cover costs.\"\u003c/p>\n\u003cp>On this point, Norma Forbes of Fresno Health Community Access Partners promptly disagreed with Moreno. \"There is no health care policy in Fresno County,\" Forbes pointedly said. \"We're in a position of haphazardly approaching this. It's not an organized, not a collaborative approach.\"\u003c/p>\n\u003cp>One of the most obvious places where collaboration has been a challenge is the 30-year contract between Community Medical Centers (CMC) and Fresno County to provide indigent care. That contract still has more than a decade remaining on it. Cunningham's report identified a \"stalemate\" between CMC and Fresno County over modifying the contract which \"stymied\" LIHP development.\u003c/p>\n\u003cp>\"Each side has a position on the 30-year contract,\" Schilling said. \"It's just unfortunate that the parties that needed to ... couldn't come up with an agreement.\"\u003c/p>\n\u003cp>And that lack of collaboration is hampering overall efforts to plan for reform, as noted in Cunningham's report, which was prepared for the California HealthCare Foundation, one of the sponsors of the Fresno event:\u003c/p>\n\u003cblockquote>\u003cp>County governments and providers were doing little coordinated community-wide planning for health reform despite the importance of coverage expansions for this region and the large number of undocumented immigrants who will be ineligible to transition into Medi-Cal in 2014.\u003c/p>\u003c/blockquote>\n\u003cp>As the discussion wrapped up, Cunningham pointed out that even with the expansion of Medi-Cal, California's version of Medicaid, the Fresno area will still have a lot of uninsured, and he estimates one-third to one-half of those uninsured will be undocumented immigrants.\u003c/p>\n\u003cp>\"The county is still going to have that responsibility of caring for the indigent who do not qualify for the ACA expansions,\" Cunningham said. \"The challenge will be trying to fold them in within the changes that are happening in the Medi-Cal expansion.\"\u003c/p>\n\u003cp>Schilling, who is from Kern County, encouraged Fresno to \"get moving down the highway, so you're not left behind the 8-ball come next year.\"\u003c/p>\n\u003c/div>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/10043/in-fresno-the-road-to-health-reform-is-bumpy",
"authors": [
"240"
],
"categories": [
"stateofhealth_11",
"stateofhealth_15"
],
"tags": [
"stateofhealth_38",
"stateofhealth_402"
],
"featImg": "stateofhealth_10049",
"label": "stateofhealth"
},
"stateofhealth_10011": {
"type": "posts",
"id": "stateofhealth_10011",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "10011",
"score": null,
"sort": [
1358450597000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth",
"term": 2363
},
"blocks": [],
"publishDate": 1358450597,
"format": "aside",
"disqusTitle": "After Surviving Shooting, Oakland Youth Works to Prevent Violence",
"title": "After Surviving Shooting, Oakland Youth Works to Prevent Violence",
"headTitle": "Vital Signs | State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_10013\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Gun-Violence_Caheri-Gutierrez.jpg\">\u003cimg class=\"size-medium wp-image-10013\" title=\"Gun-Violence_Caheri-Gutierrez\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Gun-Violence_Caheri-Gutierrez-300x225.jpg\" alt=\"Caheri Gutierrez, before the shooting.\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Caheri Gutierrez, before the shooting.\u003c/figcaption>\u003c/figure>\n\u003cp>Last weekend was an especially violent one, even for Oakland. On Friday, four people were killed, and over the rest of the weekend, 11 people were shot, though not fatally. There were \u003ca href=\"http://www2.oaklandnet.com/oakca1/groups/police/documents/webcontent/oak039293.pdf\" target=\"_blank\">126 homicides\u003c/a> [PDF] in Oakland last year, cementing the city's distinction as one of California's more violent urban centers. Oakland certainly doesn't have a lock on gun violence. Other cities like Stockton are struggling, too. But the situation in Oakland has been going on for some time now, and locals are giving a lot of thought to what it means to live under the constant threat of violence.\u003c/p>\n\u003cp>As part of KQED's occasional series, \"\u003ca href=\"http://www.californiareport.org/specialcoverage/whatsyourstory/index.jsp\" target=\"_blank\">What's Your Story\u003c/a>,\" Oakland native Caheri Gutierrez (pronounced \"Carrie\") shares her story about working with at-risk high schools students after she herself was shot in the face as a teenager. Guiterrez is a Violence Prevention Educator for \u003ca href=\"http://www.youthalive.org/\" target=\"_blank\">Youth Alive\u003c/a>, an Oakland non-profit with a mission to prevent youth violence. Below are excerpts of my conversation with her:\u003c/p>\n\u003caside class=\"pullquote alignright\">\"'They shot you. They shot you.’ I touched my face and my hand just went inside of my face.\"\u003c/aside>\n\u003cp>\"I was just in the car and all of a sudden I started to feel like I was getting electrified. It was really intense shocks from the top of my head to the bottom of my feet. The guy that was driving, my friend, starts screaming that he’s been shot.\u003c!--more-->\u003c/p>\n\u003cp>I reached over to him to try to help his hand and that’s when he looked at me, and he was like, ‘Oh my God, Caheri. It’s you. They shot you. They shot you.’ I touched my face and my hand just went inside of my face.\u003c/p>\n\u003cp>Five days later, I wake up at Highland Hospital and my hands are tied to the hospital bed. I have tubes coming in and out of my nose and out of my mouth. It was hard.\u003c/p>\n\u003cfigure id=\"attachment_10014\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Caheri-Guiterrez-xray.jpg\">\u003cimg class=\"size-medium wp-image-10014\" title=\"Caheri-Guiterrez-xray\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Caheri-Guiterrez-xray-300x240.jpg\" alt=\"An x-ray of Caheri Guiterrez's jaw soon after she was admitted to Oakland's Highland Hospital.\" width=\"300\" height=\"240\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">An x-ray of Caheri Guiterrez's jaw soon after she was admitted to Oakland's Highland Hospital.\u003c/figcaption>\u003c/figure>\n\u003cp>Some of my family members are, you know, gang-related, and so is my brother. And I remember my uncle asking my brother, ‘Who did it? Where are they from? What are we going to do? Are we going to get them?’And things like that. I couldn’t talk but I was just like, ‘NO. This cannot happen to anybody else.’\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>While I was at the hospital I was connected with an intervention specialist. Her name was Tammy Cloud. I got out of the hospital a month later. And Tammy comes to my house and she was like, ‘I think you should come to this program and talk to the high school students about getting shot and how you think about life now.’\u003c/p>\n\u003cp>Besides my personal story, I teach them a curriculum about violence. It makes me feel like I make a difference. It makes me feel very hopeful because I am a victim to the violence that happens in Oakland. And I’m one of the many victims. And when you talk to someone and you can give them an example of what can happen, I think they really soak that in and they think twice about hanging out with people who are gang-related, or even picking up a gun. Ever since then, honestly, I feel like getting shot happened for a reason.\"\u003c/p>\n\u003cp>\u003cstrong>MORE:\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Listen to Caheri Gutierrez's story:\u003c/em>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201301140850b.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201301140850b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>You can also read\u003c/em> \u003ca href=\"http://caherigtz.blogspot.com/\" target=\"_blank\">Caheri Guiterrez's blog\u003c/a>.\u003c/p>\n\n",
"disqusIdentifier": "10011 http://blogs.kqed.org/stateofhealth/?p=10011",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2013/01/17/after-surviving-shooting-oakland-youth-works-to-prevent-violence/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 606,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 14
},
"modified": 1392159024,
"excerpt": "As part of KQED's occasional series, \"What's Your Story,\" Oakland native Caheri Gutierrez shares her story about working with at-risk high schools students after she herself was shot in the face as a teenager. Guiterrez is a Violence Prevention Educator for Youth Alive, an Oakland non-profit with a mission to prevent youth violence. Below are excerpts of our conversation:",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "As part of KQED's occasional series, "What's Your Story," Oakland native Caheri Gutierrez shares her story about working with at-risk high schools students after she herself was shot in the face as a teenager. Guiterrez is a Violence Prevention Educator for Youth Alive, an Oakland non-profit with a mission to prevent youth violence. Below are excerpts of our conversation:",
"title": "After Surviving Shooting, Oakland Youth Works to Prevent Violence | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "After Surviving Shooting, Oakland Youth Works to Prevent Violence",
"datePublished": "2013-01-17T11:23:17-08:00",
"dateModified": "2014-02-11T14:50:24-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "after-surviving-shooting-oakland-youth-works-to-prevent-violence",
"status": "publish",
"path": "/stateofhealth/10011/after-surviving-shooting-oakland-youth-works-to-prevent-violence",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_10013\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Gun-Violence_Caheri-Gutierrez.jpg\">\u003cimg class=\"size-medium wp-image-10013\" title=\"Gun-Violence_Caheri-Gutierrez\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Gun-Violence_Caheri-Gutierrez-300x225.jpg\" alt=\"Caheri Gutierrez, before the shooting.\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Caheri Gutierrez, before the shooting.\u003c/figcaption>\u003c/figure>\n\u003cp>Last weekend was an especially violent one, even for Oakland. On Friday, four people were killed, and over the rest of the weekend, 11 people were shot, though not fatally. There were \u003ca href=\"http://www2.oaklandnet.com/oakca1/groups/police/documents/webcontent/oak039293.pdf\" target=\"_blank\">126 homicides\u003c/a> [PDF] in Oakland last year, cementing the city's distinction as one of California's more violent urban centers. Oakland certainly doesn't have a lock on gun violence. Other cities like Stockton are struggling, too. But the situation in Oakland has been going on for some time now, and locals are giving a lot of thought to what it means to live under the constant threat of violence.\u003c/p>\n\u003cp>As part of KQED's occasional series, \"\u003ca href=\"http://www.californiareport.org/specialcoverage/whatsyourstory/index.jsp\" target=\"_blank\">What's Your Story\u003c/a>,\" Oakland native Caheri Gutierrez (pronounced \"Carrie\") shares her story about working with at-risk high schools students after she herself was shot in the face as a teenager. Guiterrez is a Violence Prevention Educator for \u003ca href=\"http://www.youthalive.org/\" target=\"_blank\">Youth Alive\u003c/a>, an Oakland non-profit with a mission to prevent youth violence. Below are excerpts of my conversation with her:\u003c/p>\n\u003caside class=\"pullquote alignright\">\"'They shot you. They shot you.’ I touched my face and my hand just went inside of my face.\"\u003c/aside>\n\u003cp>\"I was just in the car and all of a sudden I started to feel like I was getting electrified. It was really intense shocks from the top of my head to the bottom of my feet. The guy that was driving, my friend, starts screaming that he’s been shot.\u003c!--more-->\u003c/p>\n\u003cp>I reached over to him to try to help his hand and that’s when he looked at me, and he was like, ‘Oh my God, Caheri. It’s you. They shot you. They shot you.’ I touched my face and my hand just went inside of my face.\u003c/p>\n\u003cp>Five days later, I wake up at Highland Hospital and my hands are tied to the hospital bed. I have tubes coming in and out of my nose and out of my mouth. It was hard.\u003c/p>\n\u003cfigure id=\"attachment_10014\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Caheri-Guiterrez-xray.jpg\">\u003cimg class=\"size-medium wp-image-10014\" title=\"Caheri-Guiterrez-xray\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Caheri-Guiterrez-xray-300x240.jpg\" alt=\"An x-ray of Caheri Guiterrez's jaw soon after she was admitted to Oakland's Highland Hospital.\" width=\"300\" height=\"240\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">An x-ray of Caheri Guiterrez's jaw soon after she was admitted to Oakland's Highland Hospital.\u003c/figcaption>\u003c/figure>\n\u003cp>Some of my family members are, you know, gang-related, and so is my brother. And I remember my uncle asking my brother, ‘Who did it? Where are they from? What are we going to do? Are we going to get them?’And things like that. I couldn’t talk but I was just like, ‘NO. This cannot happen to anybody else.’\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>While I was at the hospital I was connected with an intervention specialist. Her name was Tammy Cloud. I got out of the hospital a month later. And Tammy comes to my house and she was like, ‘I think you should come to this program and talk to the high school students about getting shot and how you think about life now.’\u003c/p>\n\u003cp>Besides my personal story, I teach them a curriculum about violence. It makes me feel like I make a difference. It makes me feel very hopeful because I am a victim to the violence that happens in Oakland. And I’m one of the many victims. And when you talk to someone and you can give them an example of what can happen, I think they really soak that in and they think twice about hanging out with people who are gang-related, or even picking up a gun. Ever since then, honestly, I feel like getting shot happened for a reason.\"\u003c/p>\n\u003cp>\u003cstrong>MORE:\u003c/strong>\u003c/p>\n\u003cp>\u003cem>Listen to Caheri Gutierrez's story:\u003c/em>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201301140850b.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201301140850b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>You can also read\u003c/em> \u003ca href=\"http://caherigtz.blogspot.com/\" target=\"_blank\">Caheri Guiterrez's blog\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/10011/after-surviving-shooting-oakland-youth-works-to-prevent-violence",
"authors": [
"46"
],
"series": [
"stateofhealth_2363"
],
"categories": [
"stateofhealth_11",
"stateofhealth_15"
],
"tags": [
"stateofhealth_392",
"stateofhealth_145",
"stateofhealth_391",
"stateofhealth_2373"
],
"featImg": "stateofhealth_10014",
"label": "stateofhealth_2363"
},
"stateofhealth_9891": {
"type": "posts",
"id": "stateofhealth_9891",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "9891",
"score": null,
"sort": [
1357939801000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1357939801,
"format": "aside",
"disqusTitle": "State vs. County Showdown Over Funding the Medi-Cal Expansion?",
"title": "State vs. County Showdown Over Funding the Medi-Cal Expansion?",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_9899\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/brown20130110.jpg\">\u003cimg class=\"size-medium wp-image-9899\" title=\"(Justin Sullivan/Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/brown20130110-300x214.jpg\" alt=\"(Justin Sullivan/Getty Images)\" width=\"300\" height=\"214\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Gov. Brown is proposing California's counties relinquish some of their state health funding once the Affordable Care Act is in place. (Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>We're now 354 days from the rollout of the Affordable Care Act next Jan. 1. While the governor declared the state's participation in the Medicaid expansion at his budget unveiling yesterday, he also proposed \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/10/governors-proposals-for-medicaid-expansion/\" target=\"_blank\">two ways\u003c/a> to handle that expansion.\u003c/p>\n\u003cp>Under one scenario, the state will continue to administer the program. Under the other, each of California's 58 counties will oversee running Medi-Cal, California's version of Medicaid, for its own residents.\u003c/p>\n\u003cp>The Affordable Care Act dictates that the federal government will pay 100 percent of the cost for those people newly eligible for Medicaid, and in both proposals, the state's position is that California counties will get some fiscal relief once those federal dollars start flowing.\u003c/p>\n\u003cp>But don't get too excited, counties.\u003c/p>\n\u003cp>California Secretary of Health and Human Services Diana Dooley yesterday referred to a \"conversation\" around \"appropriate sharing\" that needs to happen between the state and its counties around financial responsibilities.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"There's an assumption we've been fully funded. That is simply not accurate.\"\u003c/aside>\n\u003cp>\"Conversation\" might prove to be a euphemism for what could become a vocal debate between the state and the counties. And maybe between counties themselves.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Alex Briscoe, Director of Alameda County's Health Care Services Agency, told me this morning that \"sharing\" presumes that current state funding is sufficient to meet the needs of the indigent poor, an idea he called \"simply preposterous.\"\u003c!--more-->\u003c/p>\n\u003cp>\"There's an assumption we've been fully funded,\" he said. \"That is simply not accurate.\"\u003c/p>\n\u003cp>Counties bear the responsibility for caring for poor uninsured adults, and Alameda is one of 55 California counties that has moved forward with implementing a Low Income Health Plan (LIHP), a bridge to the 2014 Medi-Cal expansion. About a half-million Californians are currently enrolled.\u003c/p>\n\u003cp>Bill Walker, Contra Costa County's Health Director, says he would support having county-level responsibility for overseeing the Medi-Cal expansion. \"The devil is alwyas in the details win terms of agreements between the state and the county,\" he told KQED's Mina Kim yesterday. \"And obviously at the end of the day, the question is what are the rates, what is the cost sharing, and how do the dollars flow?\"\u003c/p>\n\u003cp>But whether the state or counties handle the Medi-Cal expansion, there will still be at least two million people who lack insurance, as Sarah Varney explained at \u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2013/01/is-california-headed-for-state-vs-counties-health-budget-battle/\" target=\"_blank\">Kaiser Health News\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Those residents, many of whom are undocumented and barred from buying their own insurance coverage through “Covered California,” the state’s online marketplace, and are ineligible for any public insurance programs, will continue to rely on county-run facilities and safety-net clinics.\u003c/p>\n\u003cp>If the state drains the counties of health care funding, says Anthony Wright, executive director of Health Access, an advocacy group, “You run the risk of losing public hospitals and clinics at exactly the moment we need all the capacity we can get.”\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>Later this month, the governor is expected to call for a special legislative session on health care issues.\u003c/p>\n\n",
"disqusIdentifier": "9891 http://blogs.kqed.org/stateofhealth/?p=9891",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2013/01/11/state-vs-county-showdown-over-funding-the-medi-cal-expansion/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 540,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 16
},
"modified": 1357948400,
"excerpt": "We're now 354 days until the Affordable Care Act rolls out next January 1st. While the governor committed in his budget unveiling yesterday that the state will participate in the Medicaid expansion -- health insurance for the poor and disabled -- he also proposed two ways to handle that expansion.\r\n\r\nUnder one scenario, the state will continue to administer the program. Under the other idea, each of California's 58 counties will oversee running Medi-Cal for its own residents.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "We're now 354 days until the Affordable Care Act rolls out next January 1st. While the governor committed in his budget unveiling yesterday that the state will participate in the Medicaid expansion -- health insurance for the poor and disabled -- he also proposed two ways to handle that expansion.\r\n\r\nUnder one scenario, the state will continue to administer the program. Under the other idea, each of California's 58 counties will oversee running Medi-Cal for its own residents.",
"title": "State vs. County Showdown Over Funding the Medi-Cal Expansion? | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "State vs. County Showdown Over Funding the Medi-Cal Expansion?",
"datePublished": "2013-01-11T13:30:01-08:00",
"dateModified": "2013-01-11T15:53:20-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "state-vs-county-showdown-over-funding-the-medi-cal-expansion",
"status": "publish",
"path": "/stateofhealth/9891/state-vs-county-showdown-over-funding-the-medi-cal-expansion",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_9899\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/brown20130110.jpg\">\u003cimg class=\"size-medium wp-image-9899\" title=\"(Justin Sullivan/Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/brown20130110-300x214.jpg\" alt=\"(Justin Sullivan/Getty Images)\" width=\"300\" height=\"214\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Gov. Brown is proposing California's counties relinquish some of their state health funding once the Affordable Care Act is in place. (Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>We're now 354 days from the rollout of the Affordable Care Act next Jan. 1. While the governor declared the state's participation in the Medicaid expansion at his budget unveiling yesterday, he also proposed \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/01/10/governors-proposals-for-medicaid-expansion/\" target=\"_blank\">two ways\u003c/a> to handle that expansion.\u003c/p>\n\u003cp>Under one scenario, the state will continue to administer the program. Under the other, each of California's 58 counties will oversee running Medi-Cal, California's version of Medicaid, for its own residents.\u003c/p>\n\u003cp>The Affordable Care Act dictates that the federal government will pay 100 percent of the cost for those people newly eligible for Medicaid, and in both proposals, the state's position is that California counties will get some fiscal relief once those federal dollars start flowing.\u003c/p>\n\u003cp>But don't get too excited, counties.\u003c/p>\n\u003cp>California Secretary of Health and Human Services Diana Dooley yesterday referred to a \"conversation\" around \"appropriate sharing\" that needs to happen between the state and its counties around financial responsibilities.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"There's an assumption we've been fully funded. That is simply not accurate.\"\u003c/aside>\n\u003cp>\"Conversation\" might prove to be a euphemism for what could become a vocal debate between the state and the counties. And maybe between counties themselves.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Alex Briscoe, Director of Alameda County's Health Care Services Agency, told me this morning that \"sharing\" presumes that current state funding is sufficient to meet the needs of the indigent poor, an idea he called \"simply preposterous.\"\u003c!--more-->\u003c/p>\n\u003cp>\"There's an assumption we've been fully funded,\" he said. \"That is simply not accurate.\"\u003c/p>\n\u003cp>Counties bear the responsibility for caring for poor uninsured adults, and Alameda is one of 55 California counties that has moved forward with implementing a Low Income Health Plan (LIHP), a bridge to the 2014 Medi-Cal expansion. About a half-million Californians are currently enrolled.\u003c/p>\n\u003cp>Bill Walker, Contra Costa County's Health Director, says he would support having county-level responsibility for overseeing the Medi-Cal expansion. \"The devil is alwyas in the details win terms of agreements between the state and the county,\" he told KQED's Mina Kim yesterday. \"And obviously at the end of the day, the question is what are the rates, what is the cost sharing, and how do the dollars flow?\"\u003c/p>\n\u003cp>But whether the state or counties handle the Medi-Cal expansion, there will still be at least two million people who lack insurance, as Sarah Varney explained at \u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2013/01/is-california-headed-for-state-vs-counties-health-budget-battle/\" target=\"_blank\">Kaiser Health News\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Those residents, many of whom are undocumented and barred from buying their own insurance coverage through “Covered California,” the state’s online marketplace, and are ineligible for any public insurance programs, will continue to rely on county-run facilities and safety-net clinics.\u003c/p>\n\u003cp>If the state drains the counties of health care funding, says Anthony Wright, executive director of Health Access, an advocacy group, “You run the risk of losing public hospitals and clinics at exactly the moment we need all the capacity we can get.”\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>Later this month, the governor is expected to call for a special legislative session on health care issues.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/9891/state-vs-county-showdown-over-funding-the-medi-cal-expansion",
"authors": [
"240"
],
"categories": [
"stateofhealth_15",
"stateofhealth_13"
],
"tags": [
"stateofhealth_38",
"stateofhealth_263",
"stateofhealth_99",
"stateofhealth_402"
],
"featImg": "stateofhealth_9899",
"label": "stateofhealth"
},
"stateofhealth_9832": {
"type": "posts",
"id": "stateofhealth_9832",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "9832",
"score": null,
"sort": [
1357601023000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1357601023,
"format": "aside",
"disqusTitle": "Analysis: Medicaid Expansion Brings 'Minimal' State Costs",
"title": "Analysis: Medicaid Expansion Brings 'Minimal' State Costs",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/doctor-examining-patient.jpg\">\u003cimg class=\"alignleft size-medium wp-image-7430\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/doctor-examining-patient-300x202.jpg\" alt=\"\" width=\"300\" height=\"202\">\u003c/a>A new \u003ca href=\"http://laborcenter.berkeley.edu/healthcare/medi-cal_expansion.shtml\" target=\"_blank\">report\u003c/a> finds California could see a significant increase in Medi-Cal coverage at \"minimal\" cost to the state. Medi-Cal is the state's version of Medicaid, health insurance largely for the poor. In the new study from researchers at UC Berkeley and UCLA, analysts report that 1.4 million California adults under 65 will be newly eligible for Medi-Cal. The Affordable Care Act says the federal government will pay 100 percent of the costs of these new enrollees from 2014 to 2016 and no less than 90 percent of the cost after that.\u003c/p>\n\u003cp>In addition, the implementation of the ACA is expected to bring many people already eligible for Medi-Cal into the fold. The state will pay a greater share of the costs for those people.\u003c/p>\n\u003cp>Altogether, analysts project that from 2014 to 2016, California will incur additional annual costs between $188 million and $471 million. But at the same time, billions of dollars will flow into the state, paying the overwhelming majority of total costs for the newly enrolled and those already eligible.\u003c/p>\n\u003cp>\"This is a really great opportunity for California to enroll and offer coverage to over a million people at a very low cost to the state,\" said Laurel Lucia, lead author of the study and a policy analyst at the UC Berkeley Center for Labor Research and Education.\u003c!--more-->\u003c/p>\n\u003cp>And those billions of dollars will lead to additional jobs in California, she says. \"Those federal dollars will create jobs in the health care system and those health care workers will spend money in the community.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>From the report:\u003c/p>\n\u003cblockquote>\n\u003cul>\n\u003cli>The Medi-Cal Expansion and enrollment growth among those already eligible is predicted to bring between $2.1 and $3.5 billion in new federal Medi-Cal dollars to California in 2014, growing to between $3.4 and $4.5 billion in 2019.\u003c/li>\n\u003cli>Overall, the federal government will pay for at least 85 percent of the total new Medi-Cal spending between 2014 and 2019, including:\u003c/li>\n\u003c/ul>\u003col>\n\u003col>\n\u003col>\n\u003cli>100 percent of the health care spending for the newly eligible for the first three years (and no less than 90 percent in 2017 and after);\u003c/li>\n\u003cli>50 percent for those already eligible for Medi-Cal but not enrolled; and\u003c/li>\n\u003cli>88 percent for children already eligible for Healthy Families but not enrolled in 2015 through 2019, and 65 percent in 2014.\u003c/li>\n\u003c/ol>\n\u003c/ol>\n\u003c/ol>\n\n\u003c/blockquote>\n\u003cp>In a statement, Anthony Wright, executive director of Health Access, an advocacy group said the study makes clear that Medi-Cal expansion would be a \"boon, not a burden,\" to California. \"The state should take quick action to be ready for health reform in early 2013,\" he said. \"We must work to maximize the benefit for Californians, and bring in as much federal dollars into our health system and economy.\"\u003c/p>\n\u003cp>While the federal overhaul of health care initially required a massive expansion of Medicaid, last June's Supreme Court ruling on the Affordable Care Act made the Medicaid expansion optional, state by state.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>While California has moved forward with county-wide \"\u003ca href=\"http://www.kff.org/medicaid/8197.cfm\" target=\"_blank\">Bridge to Reform\u003c/a>\" programs, the state legislature has yet to formally approve the statewide Medi-Cal expansion. Gov. Brown is expected to call a special legislative session soon to address the Affordable Care Act.\u003c/p>\n\n",
"disqusIdentifier": "9832 http://blogs.kqed.org/stateofhealth/?p=9832",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2013/01/07/analysis-medicaid-expansion-brings-minimal-state-costs/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 539,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 11
},
"modified": 1357711669,
"excerpt": "A new report finds California could see a significant increase in Medi-Cal coverage at \"minimal\" cost to the state. Medi-Cal is the state's version of Medicaid, health insurance largely for the poor. In the new study from researchers at UC Berkeley and UCLA, analysts report that 1.4 million California adults under 65 will be newly eligible for Medi-Cal. The Affordable Care Act will pay 100 percent of the costs of these new enrollees from 2014 to 2016 and no less than 90 percent of the cost after that.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "A new report finds California could see a significant increase in Medi-Cal coverage at "minimal" cost to the state. Medi-Cal is the state's version of Medicaid, health insurance largely for the poor. In the new study from researchers at UC Berkeley and UCLA, analysts report that 1.4 million California adults under 65 will be newly eligible for Medi-Cal. The Affordable Care Act will pay 100 percent of the costs of these new enrollees from 2014 to 2016 and no less than 90 percent of the cost after that.",
"title": "Analysis: Medicaid Expansion Brings 'Minimal' State Costs | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Analysis: Medicaid Expansion Brings 'Minimal' State Costs",
"datePublished": "2013-01-07T15:23:43-08:00",
"dateModified": "2013-01-08T22:07:49-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "analysis-medicaid-expansion-brings-minimal-state-costs",
"status": "publish",
"path": "/stateofhealth/9832/analysis-medicaid-expansion-brings-minimal-state-costs",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/doctor-examining-patient.jpg\">\u003cimg class=\"alignleft size-medium wp-image-7430\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/doctor-examining-patient-300x202.jpg\" alt=\"\" width=\"300\" height=\"202\">\u003c/a>A new \u003ca href=\"http://laborcenter.berkeley.edu/healthcare/medi-cal_expansion.shtml\" target=\"_blank\">report\u003c/a> finds California could see a significant increase in Medi-Cal coverage at \"minimal\" cost to the state. Medi-Cal is the state's version of Medicaid, health insurance largely for the poor. In the new study from researchers at UC Berkeley and UCLA, analysts report that 1.4 million California adults under 65 will be newly eligible for Medi-Cal. The Affordable Care Act says the federal government will pay 100 percent of the costs of these new enrollees from 2014 to 2016 and no less than 90 percent of the cost after that.\u003c/p>\n\u003cp>In addition, the implementation of the ACA is expected to bring many people already eligible for Medi-Cal into the fold. The state will pay a greater share of the costs for those people.\u003c/p>\n\u003cp>Altogether, analysts project that from 2014 to 2016, California will incur additional annual costs between $188 million and $471 million. But at the same time, billions of dollars will flow into the state, paying the overwhelming majority of total costs for the newly enrolled and those already eligible.\u003c/p>\n\u003cp>\"This is a really great opportunity for California to enroll and offer coverage to over a million people at a very low cost to the state,\" said Laurel Lucia, lead author of the study and a policy analyst at the UC Berkeley Center for Labor Research and Education.\u003c!--more-->\u003c/p>\n\u003cp>And those billions of dollars will lead to additional jobs in California, she says. \"Those federal dollars will create jobs in the health care system and those health care workers will spend money in the community.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>From the report:\u003c/p>\n\u003cblockquote>\n\u003cul>\n\u003cli>The Medi-Cal Expansion and enrollment growth among those already eligible is predicted to bring between $2.1 and $3.5 billion in new federal Medi-Cal dollars to California in 2014, growing to between $3.4 and $4.5 billion in 2019.\u003c/li>\n\u003cli>Overall, the federal government will pay for at least 85 percent of the total new Medi-Cal spending between 2014 and 2019, including:\u003c/li>\n\u003c/ul>\u003col>\n\u003col>\n\u003col>\n\u003cli>100 percent of the health care spending for the newly eligible for the first three years (and no less than 90 percent in 2017 and after);\u003c/li>\n\u003cli>50 percent for those already eligible for Medi-Cal but not enrolled; and\u003c/li>\n\u003cli>88 percent for children already eligible for Healthy Families but not enrolled in 2015 through 2019, and 65 percent in 2014.\u003c/li>\n\u003c/ol>\n\u003c/ol>\n\u003c/ol>\n\n\u003c/blockquote>\n\u003cp>In a statement, Anthony Wright, executive director of Health Access, an advocacy group said the study makes clear that Medi-Cal expansion would be a \"boon, not a burden,\" to California. \"The state should take quick action to be ready for health reform in early 2013,\" he said. \"We must work to maximize the benefit for Californians, and bring in as much federal dollars into our health system and economy.\"\u003c/p>\n\u003cp>While the federal overhaul of health care initially required a massive expansion of Medicaid, last June's Supreme Court ruling on the Affordable Care Act made the Medicaid expansion optional, state by state.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>While California has moved forward with county-wide \"\u003ca href=\"http://www.kff.org/medicaid/8197.cfm\" target=\"_blank\">Bridge to Reform\u003c/a>\" programs, the state legislature has yet to formally approve the statewide Medi-Cal expansion. Gov. Brown is expected to call a special legislative session soon to address the Affordable Care Act.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/9832/analysis-medicaid-expansion-brings-minimal-state-costs",
"authors": [
"240"
],
"categories": [
"stateofhealth_15"
],
"tags": [
"stateofhealth_294"
],
"featImg": "stateofhealth_7430",
"label": "stateofhealth"
},
"stateofhealth_9814": {
"type": "posts",
"id": "stateofhealth_9814",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "9814",
"score": null,
"sort": [
1357323175000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1357323175,
"format": "aside",
"disqusTitle": "School Health Centers Get Final Health Reform Grants",
"title": "School Health Centers Get Final Health Reform Grants",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>By Kelley Weiss, \u003ca href=\"http://centerforhealthreporting.org/blog/school-health-centers-get-final-round-health-reform-grants1039\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_9823\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Petaluma_momboleum_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-9823\" title=\"Federal grants totaling $500,000 will fund new school clinics in Petaluma, among many others in California. (momboleum/Flickr) \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Petaluma_momboleum_Flickr-300x196.jpg\" alt=\"Federal grants totaling $500,000 will fund new school clinics in Petaluma, among many others in California. (momboleum/Flickr) \" width=\"300\" height=\"196\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Federal grants totaling $500,000 will fund new school clinics in Petaluma, among many others in California. (momboleum/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The last influx of federal funds to boost California’s school health centers came just before the New Year.\u003c/p>\n\u003cp>Through the Affordable Care Act \u003ca href=\"http://www.hrsa.gov/about/news/2012tables/121218schoolbasedawards.html#california\" target=\"_blank\">31 California school health centers received more than $14 million\u003c/a> in December.\u003c/p>\n\u003cp>This final round of grants brought California’s total federal funding to more than $30 million since 2011, \u003ca href=\"http://www.nasbhc.org/site/c.ckLQKbOVLkK6E/b.8019505/k.1DA1/SBHC_Construction_and_Equipment_Grants.htm\" target=\"_blank\">the most of any state\u003c/a>.\u003c/p>\n\u003cp>School-based health centers, which are usually on or adjacent to schools in low- income areas, offer students – and sometimes community members – free primary care. Several also have dental clinics and more than half provide mental health services.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Serena Clayton is the executive director of the \u003ca href=\"http://www.schoolhealthcenters.org/\" target=\"_blank\">California School Health Centers Association\u003c/a>. She says the federal money has gone to 70 school health centers across the state to make it easier for thousands of children to access health care.\u003c/p>\n\u003cp>She says certain areas will particularly benefit. Clayton says Petaluma, for example, did not have any school health centers. Now, with its recently announced $500,000 federal grant, \u003ca href=\"http://www.petaluma360.com/article/20121220/ARTICLES/121229961\" target=\"_blank\">new clinics will open at Petaluma high schools\u003c/a>.\u003c!--more-->\u003c/p>\n\u003cp>Bakersfield will also be able to open its first school health center using the federal money. And in Tulare, she says, the school health center operating out of a mobile van will now have a facility to provide services.\u003c/p>\n\u003cp>Clayton says the funds will bring significant impact to less populated areas of California.\u003c/p>\n\u003cp>“There’s huge, huge need in the rural areas,” she says. “We haven’t quite figured out the school-based health centers in rural areas. If you look at a map, they tend to be in urban areas, but the Central Valley is getting more.”\u003c/p>\n\u003cp>Clayton also says the school-based health centers will be more important than ever as almost one million children will be moved from the Healthy Families Program to Medi-Cal this year. She says the transition will be difficult at first for some families to navigate.\u003c/p>\n\u003cp>“The school-based health center is the ultimate safety net,” Clayton says. “Even if they’ve gotten confused because their physician who used to accept Healthy Families now doesn’t because they’re in Medi-Cal, they can always go to school-based health centers.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Clayton says since the health reform grants have come to an end, her association will focus on securing state funds. She hopes to get a state-funded grant to expand mental health services this year.\u003c/p>\n\n",
"disqusIdentifier": "9814 http://blogs.kqed.org/stateofhealth/?p=9814",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2013/01/04/school-health-centers-get-final-health-reform-grants/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 450,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 15
},
"modified": 1357711653,
"excerpt": "The last influx of federal funds to boost California’s school health centers came just before the New Year.\r\n\r\nThrough the Affordable Care Act 31 California school health centers received more than $14 million in December.\r\n\r\nThis final round of grants brought California’s total federal funding to more than $30 million since 2011, the most of any state.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "The last influx of federal funds to boost California’s school health centers came just before the New Year.\r\n\r\nThrough the Affordable Care Act 31 California school health centers received more than $14 million in December.\r\n\r\nThis final round of grants brought California’s total federal funding to more than $30 million since 2011, the most of any state.",
"title": "School Health Centers Get Final Health Reform Grants | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "School Health Centers Get Final Health Reform Grants",
"datePublished": "2013-01-04T10:12:55-08:00",
"dateModified": "2013-01-08T22:07:33-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "school-health-centers-get-final-health-reform-grants",
"status": "publish",
"path": "/stateofhealth/9814/school-health-centers-get-final-health-reform-grants",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Kelley Weiss, \u003ca href=\"http://centerforhealthreporting.org/blog/school-health-centers-get-final-round-health-reform-grants1039\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_9823\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Petaluma_momboleum_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-9823\" title=\"Federal grants totaling $500,000 will fund new school clinics in Petaluma, among many others in California. (momboleum/Flickr) \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/Petaluma_momboleum_Flickr-300x196.jpg\" alt=\"Federal grants totaling $500,000 will fund new school clinics in Petaluma, among many others in California. (momboleum/Flickr) \" width=\"300\" height=\"196\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Federal grants totaling $500,000 will fund new school clinics in Petaluma, among many others in California. (momboleum/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The last influx of federal funds to boost California’s school health centers came just before the New Year.\u003c/p>\n\u003cp>Through the Affordable Care Act \u003ca href=\"http://www.hrsa.gov/about/news/2012tables/121218schoolbasedawards.html#california\" target=\"_blank\">31 California school health centers received more than $14 million\u003c/a> in December.\u003c/p>\n\u003cp>This final round of grants brought California’s total federal funding to more than $30 million since 2011, \u003ca href=\"http://www.nasbhc.org/site/c.ckLQKbOVLkK6E/b.8019505/k.1DA1/SBHC_Construction_and_Equipment_Grants.htm\" target=\"_blank\">the most of any state\u003c/a>.\u003c/p>\n\u003cp>School-based health centers, which are usually on or adjacent to schools in low- income areas, offer students – and sometimes community members – free primary care. Several also have dental clinics and more than half provide mental health services.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Serena Clayton is the executive director of the \u003ca href=\"http://www.schoolhealthcenters.org/\" target=\"_blank\">California School Health Centers Association\u003c/a>. She says the federal money has gone to 70 school health centers across the state to make it easier for thousands of children to access health care.\u003c/p>\n\u003cp>She says certain areas will particularly benefit. Clayton says Petaluma, for example, did not have any school health centers. Now, with its recently announced $500,000 federal grant, \u003ca href=\"http://www.petaluma360.com/article/20121220/ARTICLES/121229961\" target=\"_blank\">new clinics will open at Petaluma high schools\u003c/a>.\u003c!--more-->\u003c/p>\n\u003cp>Bakersfield will also be able to open its first school health center using the federal money. And in Tulare, she says, the school health center operating out of a mobile van will now have a facility to provide services.\u003c/p>\n\u003cp>Clayton says the funds will bring significant impact to less populated areas of California.\u003c/p>\n\u003cp>“There’s huge, huge need in the rural areas,” she says. “We haven’t quite figured out the school-based health centers in rural areas. If you look at a map, they tend to be in urban areas, but the Central Valley is getting more.”\u003c/p>\n\u003cp>Clayton also says the school-based health centers will be more important than ever as almost one million children will be moved from the Healthy Families Program to Medi-Cal this year. She says the transition will be difficult at first for some families to navigate.\u003c/p>\n\u003cp>“The school-based health center is the ultimate safety net,” Clayton says. “Even if they’ve gotten confused because their physician who used to accept Healthy Families now doesn’t because they’re in Medi-Cal, they can always go to school-based health centers.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Clayton says since the health reform grants have come to an end, her association will focus on securing state funds. She hopes to get a state-funded grant to expand mental health services this year.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/9814/school-health-centers-get-final-health-reform-grants",
"authors": [
"240"
],
"categories": [
"stateofhealth_15",
"stateofhealth_14"
],
"tags": [
"stateofhealth_38",
"stateofhealth_396"
],
"featImg": "stateofhealth_9823",
"label": "stateofhealth"
},
"stateofhealth_9784": {
"type": "posts",
"id": "stateofhealth_9784",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "9784",
"score": null,
"sort": [
1357242326000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1357242326,
"format": "aside",
"disqusTitle": "Feds 'Conditionally' Approve California’s Health Insurance Exchange",
"title": "Feds 'Conditionally' Approve California’s Health Insurance Exchange",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_8836\" class=\"wp-caption alignleft\" style=\"max-width: 290px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/CoveredCalifornia1.png\">\u003cimg class=\"size-full wp-image-8836\" title=\"California's insurance marketplace, Covered California, will open in October, 2013. People will be able to buy insurance, which will take effect January 1, 2014.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/CoveredCalifornia1.png\" alt=\"California's insurance marketplace, Covered California, will open in October, 2013. People will be able to buy insurance, which will take effect January 1, 2014.\" width=\"290\" height=\"302\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/11/CoveredCalifornia1.png 290w, https://ww2.kqed.org/app/uploads/sites/27/2012/11/CoveredCalifornia1-32x32.png 32w\" sizes=\"(max-width: 290px) 100vw, 290px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California's insurance marketplace, Covered California, will open in October, 2013. People will be able to buy insurance, which will take effect January 1, 2014.\u003c/figcaption>\u003c/figure>\n\u003cp>As expected, the federal government on Thursday approved California's plan to run its own health insurance exchange -- a marketplace where individuals and small businesses will be able to shop for health insurance. The exchange is one of many requirements of the Affordable Care Act.\u003c/p>\n\u003cp>The exchange, now known as \u003ca href=\"http://www.cahba.com/exchange/covered-california.htm\" target=\"_blank\">Covered California\u003c/a>, was granted \"conditional approval\" from the U.S. Department of Health and Human Services. Seven other states also received conditional approval, bringing the national total to 19 states as well as Washington, D.C. which have been fully or partially approved. States have until February 15 to apply to run an exchange in partnership with the federal government.\u003c/p>\n\u003cp>The Associated Press reports that Covered California expects to expand coverage to two million people. About seven million Californians -- or 18 percent of the state's population -- lack health insurance.\u003c/p>\n\u003cp>More from AP:\u003c/p>\n\u003cblockquote>\u003cp>Health and Human Services Secretary Kathleen Sebelius said Thursday's action will accelerate development of the health insurance marketplaces, where she said consumers will be able to buy affordable, high quality insurance. Conditional approval ``will provide the information states need to guide their continued work.''\u003c!--more-->\u003c/p>\n\u003cp>California was the first state to authorize a health insurance exchange after passage of the federal Affordable Care Act in 2010. ...\u003c/p>\n\u003cp>The federal health care law seeks to increase health coverage by 2014 by creating new online insurance markets for individuals and small businesses to shop for subsidized private coverage, and by expanding Medicaid for low-income people. Medicaid is known as Medi-Cal in California and currently serves 7.7 million adults and children. ...\u003c/p>\n\u003cp>The approval was granted on the condition that California demonstrates it can meet exchange requirements and comply with deadlines and regulations.\u003c/p>\u003c/blockquote>\n\u003cp>In a statement, California's Secretary of Health and Human Services and Covered California Board Chair Diana Dooley said, “This is another significant step in California's long but determined march toward better health at an affordable price.\"\u003c/p>\n\u003cdiv>\n\u003cp>“California has been at the forefront of establishing a health benefits marketplace that will serve millions of Californians,” Peter V. Lee, Executive Director of Covered California also said in a statement. “The approval to operate a state-based exchange indicates that we’re making good progress towards providing California residents with quality health benefits at a fair price.”\u003c/p>\n\u003c/div>\n\u003cp>Californians will be able to shop for insurance via a web portal starting on October 1. Insurance purchased will go into effect on January 1, 2014. The website will provide tools for people to determine if they qualify for a subsidy to purchase insurance or to see if they qualify for other government health insurance programs, such as Medi-Cal or Medicare.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
"disqusIdentifier": "9784 http://blogs.kqed.org/stateofhealth/?p=9784",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2013/01/03/feds-approve-californias-health-insurance-exchange/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 478,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 13
},
"modified": 1357261063,
"excerpt": "As expected, the federal government on Thursday approved California's plan to run its own health insurance exchange -- a marketplace where individuals and small businesses will be able to shop for health insurance. The exchange is one of many requirements of the Affordable Care Act.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "As expected, the federal government on Thursday approved California's plan to run its own health insurance exchange -- a marketplace where individuals and small businesses will be able to shop for health insurance. The exchange is one of many requirements of the Affordable Care Act.",
"title": "Feds 'Conditionally' Approve California’s Health Insurance Exchange | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Feds 'Conditionally' Approve California’s Health Insurance Exchange",
"datePublished": "2013-01-03T11:45:26-08:00",
"dateModified": "2013-01-03T16:57:43-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "feds-approve-californias-health-insurance-exchange",
"status": "publish",
"path": "/stateofhealth/9784/feds-approve-californias-health-insurance-exchange",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_8836\" class=\"wp-caption alignleft\" style=\"max-width: 290px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/CoveredCalifornia1.png\">\u003cimg class=\"size-full wp-image-8836\" title=\"California's insurance marketplace, Covered California, will open in October, 2013. People will be able to buy insurance, which will take effect January 1, 2014.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/11/CoveredCalifornia1.png\" alt=\"California's insurance marketplace, Covered California, will open in October, 2013. People will be able to buy insurance, which will take effect January 1, 2014.\" width=\"290\" height=\"302\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/11/CoveredCalifornia1.png 290w, https://ww2.kqed.org/app/uploads/sites/27/2012/11/CoveredCalifornia1-32x32.png 32w\" sizes=\"(max-width: 290px) 100vw, 290px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California's insurance marketplace, Covered California, will open in October, 2013. People will be able to buy insurance, which will take effect January 1, 2014.\u003c/figcaption>\u003c/figure>\n\u003cp>As expected, the federal government on Thursday approved California's plan to run its own health insurance exchange -- a marketplace where individuals and small businesses will be able to shop for health insurance. The exchange is one of many requirements of the Affordable Care Act.\u003c/p>\n\u003cp>The exchange, now known as \u003ca href=\"http://www.cahba.com/exchange/covered-california.htm\" target=\"_blank\">Covered California\u003c/a>, was granted \"conditional approval\" from the U.S. Department of Health and Human Services. Seven other states also received conditional approval, bringing the national total to 19 states as well as Washington, D.C. which have been fully or partially approved. States have until February 15 to apply to run an exchange in partnership with the federal government.\u003c/p>\n\u003cp>The Associated Press reports that Covered California expects to expand coverage to two million people. About seven million Californians -- or 18 percent of the state's population -- lack health insurance.\u003c/p>\n\u003cp>More from AP:\u003c/p>\n\u003cblockquote>\u003cp>Health and Human Services Secretary Kathleen Sebelius said Thursday's action will accelerate development of the health insurance marketplaces, where she said consumers will be able to buy affordable, high quality insurance. Conditional approval ``will provide the information states need to guide their continued work.''\u003c!--more-->\u003c/p>\n\u003cp>California was the first state to authorize a health insurance exchange after passage of the federal Affordable Care Act in 2010. ...\u003c/p>\n\u003cp>The federal health care law seeks to increase health coverage by 2014 by creating new online insurance markets for individuals and small businesses to shop for subsidized private coverage, and by expanding Medicaid for low-income people. Medicaid is known as Medi-Cal in California and currently serves 7.7 million adults and children. ...\u003c/p>\n\u003cp>The approval was granted on the condition that California demonstrates it can meet exchange requirements and comply with deadlines and regulations.\u003c/p>\u003c/blockquote>\n\u003cp>In a statement, California's Secretary of Health and Human Services and Covered California Board Chair Diana Dooley said, “This is another significant step in California's long but determined march toward better health at an affordable price.\"\u003c/p>\n\u003cdiv>\n\u003cp>“California has been at the forefront of establishing a health benefits marketplace that will serve millions of Californians,” Peter V. Lee, Executive Director of Covered California also said in a statement. “The approval to operate a state-based exchange indicates that we’re making good progress towards providing California residents with quality health benefits at a fair price.”\u003c/p>\n\u003c/div>\n\u003cp>Californians will be able to shop for insurance via a web portal starting on October 1. Insurance purchased will go into effect on January 1, 2014. The website will provide tools for people to determine if they qualify for a subsidy to purchase insurance or to see if they qualify for other government health insurance programs, such as Medi-Cal or Medicare.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/9784/feds-approve-californias-health-insurance-exchange",
"authors": [
"240"
],
"categories": [
"stateofhealth_15"
],
"tags": [
"stateofhealth_38",
"stateofhealth_368"
],
"featImg": "stateofhealth_8836",
"label": "stateofhealth"
},
"stateofhealth_9767": {
"type": "posts",
"id": "stateofhealth_9767",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "9767",
"score": null,
"sort": [
1357153414000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1357153414,
"format": "aside",
"disqusTitle": "Fiscal Cliffnotes: Deal Preserves Physician Pay -- But Cuts Hospital Payments",
"title": "Fiscal Cliffnotes: Deal Preserves Physician Pay -- But Cuts Hospital Payments",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>By Mary Agnes Carey, \u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2013/01/doc-fix-in-senate-fiscal-cliff-plan-cuts-medicare-hospital-payments/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_9771\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/CapitolBuilding20121120.jpg\">\u003cimg class=\"size-medium wp-image-9771\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/CapitolBuilding20121120-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Photo: Alex Wong)\u003c/figcaption>\u003c/figure>\n\u003cp>As part of the \"fiscal cliff\" deal, Congress stopped a scheduled cut in Medicare payments to doctors. But hospitals will be picking up a big chunk of the tab, and they're not happy.\u003c/p>\n\u003cp>The bill would require that, over the next decade, hospitals pay nearly half of the approximately $30 billion cost of stopping a 26.5 percent payment cut for Medicare physicians, scheduled to begin today. Figuring out a way to pay for this payment cut is known around Washington as the \"Doc Fix.\"\u003c/p>\n\u003cp>Some background: The 26.5 percent reduction for doctors comes from a \u003ca href=\"http://www.kaiserhealthnews.org/stories/2011/december/15/faq-doc-fix.aspx\" target=\"_blank\">payment formula\u003c/a> created in a 1997 deficit reduction law. For the first few years, doctors received modest pay increases. But in 2002, doctors reacted with fury when they came in for a 4.8 percent pay \u003cem>cut\u003c/em> under that plan. Every year since, Congress has staved off the scheduled cuts until now, when all those delayed cuts add up to a total 26.5 percent cut.\u003c/p>\n\u003cp>The new law pays for the Doc Fix by reducing hospital payments in two ways: cuts to hospitals from Medicare AND cuts to hospitals from Medicaid.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>First, Medicare. The Fiscal Cliff deal would cut $10.5 billion from projected Medicare hospital payments over 10 years for inpatient or overnight care through a downward adjustment in annual base payment increases. Next, Medicaid. The Senate measure would reduce Medicaid disproportionate share payments to hospitals by an additional $4.2 billion over the next decade. These cuts are on top of those made to hospitals in 2010 as part of the Affordable Care Act.\u003c/p>\n\u003cp>Groups representing hospitals said the new plans for reductions will hurt their ability to care for patients.\u003c/p>\n\u003cp>\u003cstrong>Robbing Peter to Pay Paul?\u003c!--more-->\u003c/strong>\u003c/p>\n\u003cp>“While fixing the physician payment formula is essential, it should not be done by jeopardizing hospitals’ ability to care for seniors and their communities,” Rich Umbdenstock, president and chief executive officer of the American Hospital Association, said in a written statement.\u003c/p>\n\u003cp>Chip Kahn, president and CEO of the Federation of American Hospitals, also expressed dismay that hospitals funded much of the doc fix. “It is not in the best interest of patients or those who care for them to rob hospital Peter to pay for fiscal cliff Paul,” he said.\u003c/p>\n\u003cp>The American Medical Association said that the “last-minute action” is ”a clear example of how the Medicare program is increasingly unreliable for physicians and patients.”\u003c/p>\n\u003cp>Dr. Jeremy Lazarus, president of the AMA, said “Congress’ work is not complete; it has simply delayed this massive, unsustainable cut for one year. Over the next months, it must act to eliminate this ongoing problem once and for all.”\u003c/p>\n\u003cp>The bill also would continue a number of Medicare policies known as “extenders.” Those extenders include a wide variety of policies, including special provisions for some low-volume hospitals and charges for ambulance and physical therapy costs.\u003c/p>\n\u003cp>Other items in the package that would finance the “doc fix” and Medicare extenders include rebasing bundled payments for end stage renal disease (saves $4.9 billion), implementing competitive bidding for diabetic test strips purchased in retail pharmacies (saves $600 million) and reducing risk-adjusted payments to Medicare Advantage plans ($2 billion).\u003c/p>\n\u003cp>In addition to the physician payment fix, the bill alters tax rates and delays a series of automatic cuts in federal spending, called “sequestration,” scheduled to go into effect Jan. 2. That includes a 2 percent reduction to physicians and other Medicare providers – including hospitals.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>While \u003ca href=\"http://www.kaiserhealthnews.org/stories/2012/december/05/fiscal-cliff.aspx?referrer=search\" target=\"_blank\">seniors would see no changes in their benefits \u003c/a>under sequestration, Medicare providers will face $11 billion in cuts through the end of the government’s fiscal year on Sept. 30.\u003c/p>\n\n",
"disqusIdentifier": "9767 http://blogs.kqed.org/stateofhealth/?p=9767",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2013/01/02/fiscal-cliffnotes-deal-preserves-physician-pay-by-cutting-hospital-payments/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 649,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 18
},
"modified": 1357241265,
"excerpt": "As part of the \"fiscal cliff\" deal, Congress stopped a scheduled cut in Medicare payments to doctors. But hospitals will be picking up a big chunk of the tab, and they're not happy.\r\n\r\nThe bill would require that, over the next decade, hospitals pay nearly half of the approximately $30 billion cost of stopping a 26.5 percent payment cut for Medicare physicians, scheduled to begin today. Figuring out a way to pay for this payment cut is known around Washington as the \"Doc Fix.\"",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "As part of the "fiscal cliff" deal, Congress stopped a scheduled cut in Medicare payments to doctors. But hospitals will be picking up a big chunk of the tab, and they're not happy.\r\n\r\nThe bill would require that, over the next decade, hospitals pay nearly half of the approximately $30 billion cost of stopping a 26.5 percent payment cut for Medicare physicians, scheduled to begin today. Figuring out a way to pay for this payment cut is known around Washington as the "Doc Fix."",
"title": "Fiscal Cliffnotes: Deal Preserves Physician Pay -- But Cuts Hospital Payments | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Fiscal Cliffnotes: Deal Preserves Physician Pay -- But Cuts Hospital Payments",
"datePublished": "2013-01-02T11:03:34-08:00",
"dateModified": "2013-01-03T11:27:45-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "fiscal-cliffnotes-deal-preserves-physician-pay-by-cutting-hospital-payments",
"status": "publish",
"path": "/stateofhealth/9767/fiscal-cliffnotes-deal-preserves-physician-pay-by-cutting-hospital-payments",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Mary Agnes Carey, \u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2013/01/doc-fix-in-senate-fiscal-cliff-plan-cuts-medicare-hospital-payments/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_9771\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/CapitolBuilding20121120.jpg\">\u003cimg class=\"size-medium wp-image-9771\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/01/CapitolBuilding20121120-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Photo: Alex Wong)\u003c/figcaption>\u003c/figure>\n\u003cp>As part of the \"fiscal cliff\" deal, Congress stopped a scheduled cut in Medicare payments to doctors. But hospitals will be picking up a big chunk of the tab, and they're not happy.\u003c/p>\n\u003cp>The bill would require that, over the next decade, hospitals pay nearly half of the approximately $30 billion cost of stopping a 26.5 percent payment cut for Medicare physicians, scheduled to begin today. Figuring out a way to pay for this payment cut is known around Washington as the \"Doc Fix.\"\u003c/p>\n\u003cp>Some background: The 26.5 percent reduction for doctors comes from a \u003ca href=\"http://www.kaiserhealthnews.org/stories/2011/december/15/faq-doc-fix.aspx\" target=\"_blank\">payment formula\u003c/a> created in a 1997 deficit reduction law. For the first few years, doctors received modest pay increases. But in 2002, doctors reacted with fury when they came in for a 4.8 percent pay \u003cem>cut\u003c/em> under that plan. Every year since, Congress has staved off the scheduled cuts until now, when all those delayed cuts add up to a total 26.5 percent cut.\u003c/p>\n\u003cp>The new law pays for the Doc Fix by reducing hospital payments in two ways: cuts to hospitals from Medicare AND cuts to hospitals from Medicaid.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>First, Medicare. The Fiscal Cliff deal would cut $10.5 billion from projected Medicare hospital payments over 10 years for inpatient or overnight care through a downward adjustment in annual base payment increases. Next, Medicaid. The Senate measure would reduce Medicaid disproportionate share payments to hospitals by an additional $4.2 billion over the next decade. These cuts are on top of those made to hospitals in 2010 as part of the Affordable Care Act.\u003c/p>\n\u003cp>Groups representing hospitals said the new plans for reductions will hurt their ability to care for patients.\u003c/p>\n\u003cp>\u003cstrong>Robbing Peter to Pay Paul?\u003c!--more-->\u003c/strong>\u003c/p>\n\u003cp>“While fixing the physician payment formula is essential, it should not be done by jeopardizing hospitals’ ability to care for seniors and their communities,” Rich Umbdenstock, president and chief executive officer of the American Hospital Association, said in a written statement.\u003c/p>\n\u003cp>Chip Kahn, president and CEO of the Federation of American Hospitals, also expressed dismay that hospitals funded much of the doc fix. “It is not in the best interest of patients or those who care for them to rob hospital Peter to pay for fiscal cliff Paul,” he said.\u003c/p>\n\u003cp>The American Medical Association said that the “last-minute action” is ”a clear example of how the Medicare program is increasingly unreliable for physicians and patients.”\u003c/p>\n\u003cp>Dr. Jeremy Lazarus, president of the AMA, said “Congress’ work is not complete; it has simply delayed this massive, unsustainable cut for one year. Over the next months, it must act to eliminate this ongoing problem once and for all.”\u003c/p>\n\u003cp>The bill also would continue a number of Medicare policies known as “extenders.” Those extenders include a wide variety of policies, including special provisions for some low-volume hospitals and charges for ambulance and physical therapy costs.\u003c/p>\n\u003cp>Other items in the package that would finance the “doc fix” and Medicare extenders include rebasing bundled payments for end stage renal disease (saves $4.9 billion), implementing competitive bidding for diabetic test strips purchased in retail pharmacies (saves $600 million) and reducing risk-adjusted payments to Medicare Advantage plans ($2 billion).\u003c/p>\n\u003cp>In addition to the physician payment fix, the bill alters tax rates and delays a series of automatic cuts in federal spending, called “sequestration,” scheduled to go into effect Jan. 2. That includes a 2 percent reduction to physicians and other Medicare providers – including hospitals.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>While \u003ca href=\"http://www.kaiserhealthnews.org/stories/2012/december/05/fiscal-cliff.aspx?referrer=search\" target=\"_blank\">seniors would see no changes in their benefits \u003c/a>under sequestration, Medicare providers will face $11 billion in cuts through the end of the government’s fiscal year on Sept. 30.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/9767/fiscal-cliffnotes-deal-preserves-physician-pay-by-cutting-hospital-payments",
"authors": [
"240"
],
"categories": [
"stateofhealth_15"
],
"featImg": "stateofhealth_9771",
"label": "stateofhealth"
},
"stateofhealth_9530": {
"type": "posts",
"id": "stateofhealth_9530",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "9530",
"score": null,
"sort": [
1356535308000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1356535308,
"format": "aside",
"disqusTitle": "5 Things to Watch in Health Care in 2013",
"title": "5 Things to Watch in Health Care in 2013",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cem>By Dan Diamond, \u003ca href=\"http://www.californiahealthline.org/road-to-reform/2012/five-things-to-watch-in-health-care-in-2013.aspx\" target=\"_blank\">California Healthline\u003c/a>\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_8143\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/HealthCareOverhaul_SEIUInternational_Flickr_06282012.jpg\">\u003cimg class=\"size-medium wp-image-8143 \" title=\"Supporters demonstrate in favor of the Affordable Care Act on June 28, 2012 when the U.S. Supreme Court issued its ruling on the health care overhaul. (SEIU International: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/HealthCareOverhaul_SEIUInternational_Flickr_06282012-300x214.jpg\" alt=\"Supporters demonstrate in favor of the Affordable Care Act on June 28, 2012 when the U.S. Supreme Court issued its ruling on the health care overhaul. (SEIU International: Flickr)\" width=\"300\" height=\"214\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">It was easy to predict the big health care issues for 2012. This year, it's murkier. (SEIU International: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\"Prediction is indispensable to our lives,\" forecaster extraordinaire Nate Silver writes in his new book, \"The Signal and the Noise.\" Every day, whether wearing a raincoat to work or setting aside funds for future spending, \"we are making a forecast about how the future will proceed -- and how our plans will affect the odds for a favorable outcome.\"\u003c/p>\n\u003cp>But in health care, the mix of ever-shifting technologies, laws, competitive landscape -- and more -- means that many patients' lives (and industry dollars) rest on whether providers and regulators can make the right bets. And some years, the industry's direction is relatively easy to predict.\u003c/p>\n\u003cp>For example, last year -- when \"Road to Reform\" did a \u003ca href=\"http://www.californiahealthline.org/road-to-reform/2011/five-health-care-issues-to-watch-in-2012.aspx\" target=\"_blank\">similar forecasting exercise\u003c/a> -- the 2012 signposts were clear: March's Supreme Court case; the November election.\u003c/p>\n\u003cp>What's coming in 2013 is definitely murkier, though several \u003ca href=\"http://www.advisory.com/Daily-Briefing/2012/11/05/Whats-next-for-health-reform#lightbox/0/\" target=\"_blank\">major developments\u003c/a> await in the months ahead. Here are five broader trends that industry observers are watching.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>1. Premium Growth\u003c/strong>\u003c/p>\n\u003cp>The Affordable Care Act was supposed to help tamp down health care costs, and some supporters have suggested (\u003ca href=\"http://www.californiahealthline.org/road-to-reform/2012/the-simple-reason-maybe-why-health-costs-have-slowed-down.aspx\" target=\"_blank\">possibly prematurely\u003c/a>) that the law has been responsible for a slowdown in health spending growth. But average Americans haven't seen much of a difference yet. A \u003ca href=\"http://www.modernhealthcare.com/article/20121212/NEWS/312129959\" target=\"_blank\">new analysis\u003c/a> released in mid-December found that workers' spending on premiums swelled by 74% between 2003 and 2011.\u003c/p>\n\u003cp>And while the ACA contains measures to control premiums -- like new rules on insurer oversight and administrative spending -- observers don't expect any immediate relief. \"Hold onto your hat,\" consultant \u003ca href=\"http://healthpolicyandmarket.blogspot.com/2012/12/the-affordable-care-act-ten-months-to.html\" target=\"_blank\">Robert Laszewski warns\u003c/a>. Having spoken with a number of insurers in the individual and small group markets, Laszewski says to \"expect a 30% to 40% increase in the baseline cost of individual health insurance to account for the new premium taxes, reinsurance costs, benefit mandate increases, and underwriting reforms.\"\u003c/p>\n\u003cp>\u003cstrong>2. Employer Decisions\u003c/strong>\u003c/p>\n\u003cp>One of the most significant industry questions post-ACA: Will employers continue to provide traditional health benefits for their workers, drop coverage or adopt new models in hopes of controlling spending?\u003c!--more-->\u003c/p>\n\u003cp>It's been hard to get a clear answer, partly because firms have been slow to announce their changes, fearing public backlash. \"Road to Reform\" \u003ca href=\"http://www.californiahealthline.org/road-to-reform/2012/will-firms-cut-jobs-or-benefits-under-aca-weighing-the-evidence.aspx\" target=\"_blank\">recently reviewed\u003c/a> a slew of employer efforts to control benefit costs, such as possibly shifting more full-time workers into part-time arrangements, and the accompanying critical news reports.\u003c/p>\n\u003cp>One of those companies was Darden Restaurants (Red Lobster, Olive Garden and more), which has since said that it would not be modifying workers' hours. \"The program was only a test,\" Darden spokesperson Matt Kobussen tells \u003cem>California Healthline\u003c/em>, and \"none of [the company's] current full-time employees, hourly or salaried, will have their full-time status changed as a result of health care reform.\"\u003c/p>\n\u003cp>But less-public changes are well in the works, at Darden and elsewhere. For example, the restaurant company is among several major firms exploring whether using \u003ca href=\"http://www.californiahealthline.org/road-to-reform/2012/watch-sears-and-darden-not-obama-vs-romney-for-future-of-health-care.aspx\" target=\"_blank\">defined contribution\u003c/a> -- where employers pay a fixed amount into employees' health plans and allow workers to choose their coverage from an online marketplace -- would be a more cost-effective way to provide health coverage.\u003c/p>\n\u003cp>\u003cstrong>3. Exchange Implementation\u003c/strong>\u003c/p>\n\u003cp>While HHS moved the deadline for states to decide whether they're operating their own health insurance exchange, it's kept the Oct. 1, 2013 deadline for all exchanges to begin enrolling consumers. And most observers agree: It will be a sprint to hit that deadline, especially with more states opting to let the government set up the model.\u003c/p>\n\u003cp>\"Will the [federal government] be ready to provide an insurance exchange in all of the states that don't have one on Oct. 1, 2013?\" Laszewski asks. \"I have no idea. And neither does anyone else I talk to ... We only hear vague reports that parts of the new federal exchange information systems are in testing.\"\u003c/p>\n\u003cp>\u003cstrong>4. Merger and Integration Activity\u003c/strong>\u003c/p>\n\u003cp>Neither case carries the weight of \u003cem>Florida v. Sebelius\u003c/em>, but two others (\u003cem>FTC v. Phoebe Putney Health System\u003c/em> and \u003cem>FTC v. ProMedica\u003c/em>) reflect the \u003ca href=\"http://www.californiahealthline.org/road-to-reform/2011/ftc-emerges-as-another-obstacle-to-health-reform-law.aspx\" target=\"_blank\">broad tension\u003c/a> between regulators and providers.\u003c/p>\n\u003cp>In both lawsuits, FTC is attempting to prevent provider consolidation that the agency says would lead to anti-competitive behavior and higher prices for patients. And victories in those cases would further embolden FTC to intervene in merger activity, lawyers tell \"Road to Reform.\"\u003c/p>\n\u003cp>But hospitals, physicians and other providers say that they must move into new arrangements in hopes of navigating the changes wrought by the ACA, which is intended to reward more integration and care networks.\u003c/p>\n\u003cp>\u003cstrong>5. Comparative Effectiveness Research\u003c/strong>\u003c/p>\n\u003cp>While many experts polled by \"Road to Reform\" highlighted some of the ongoing policy issues that will spill into next year -- from states' decisions on expanding Medicaid to \"fiscal cliff\" negotiations -- one pointed to potential changes in care quality as a top 2013 priority.\u003c/p>\n\u003cp>Economist Austin Frakt tells \u003cem>California Healthline \u003c/em>he's \"thinking a lot about\" the Patient-Centered Outcomes Research Institute. \"Comparative effectiveness research is far more important than most of the tinkering that gets proposed (like raising the Medicare age),\" Frakt adds.\u003c/p>\n\u003cp>But is PCORI properly designed to help transform health care, or is it just another pool of research funding? As \u003ca href=\"http://thehealthcareblog.com/blog/2012/12/11/patient-politics-the-pcori-puzzle/\" target=\"_blank\">Michael Millenson writes\u003c/a>, the institute is slated to spend $300 million on patient-centered outcomes research next year, which could make it a major player in funding new quality initiatives. But PCORI's designers intentionally tamped down, worried that too much focus on \"comparative effectiveness\" would be seen as prioritizing \"cost-effectiveness,\" and even rationing.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"PCORI is the offspring of a shotgun marriage\" between regulators who favor government-led reforms and those who are skeptical of them, Millenson concludes. \"[And] no one is quite sure yet what this child will be once it grows up.\"\u003c/p>\n\n",
"disqusIdentifier": "9530 http://blogs.kqed.org/stateofhealth/?p=9530",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/12/26/5-things-to-watch-in-health-care-in-2013/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 1005,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 27
},
"modified": 1356561149,
"excerpt": "\"Prediction is indispensable to our lives,\" forecaster extraordinaire Nate Silver writes in his new book, \"The Signal and the Noise.\" Every day, whether wearing a raincoat to work or setting aside funds for future spending, \"we are making a forecast about how the future will proceed -- and how our plans will affect the odds for a favorable outcome.\"\r\n\r\nBut in health care, the mix of ever-shifting technologies, laws, competitive landscape -- and more -- means that many patients' lives (and industry dollars) rest on whether providers and regulators can make the right bets. And some years, the industry's direction is relatively easy to predict.\r\n",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": ""Prediction is indispensable to our lives," forecaster extraordinaire Nate Silver writes in his new book, "The Signal and the Noise." Every day, whether wearing a raincoat to work or setting aside funds for future spending, "we are making a forecast about how the future will proceed -- and how our plans will affect the odds for a favorable outcome."\r\n\r\nBut in health care, the mix of ever-shifting technologies, laws, competitive landscape -- and more -- means that many patients' lives (and industry dollars) rest on whether providers and regulators can make the right bets. And some years, the industry's direction is relatively easy to predict.\r\n",
"title": "5 Things to Watch in Health Care in 2013 | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "5 Things to Watch in Health Care in 2013",
"datePublished": "2012-12-26T07:21:48-08:00",
"dateModified": "2012-12-26T14:32:29-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "5-things-to-watch-in-health-care-in-2013",
"status": "publish",
"path": "/stateofhealth/9530/5-things-to-watch-in-health-care-in-2013",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>By Dan Diamond, \u003ca href=\"http://www.californiahealthline.org/road-to-reform/2012/five-things-to-watch-in-health-care-in-2013.aspx\" target=\"_blank\">California Healthline\u003c/a>\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_8143\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/HealthCareOverhaul_SEIUInternational_Flickr_06282012.jpg\">\u003cimg class=\"size-medium wp-image-8143 \" title=\"Supporters demonstrate in favor of the Affordable Care Act on June 28, 2012 when the U.S. Supreme Court issued its ruling on the health care overhaul. (SEIU International: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/08/HealthCareOverhaul_SEIUInternational_Flickr_06282012-300x214.jpg\" alt=\"Supporters demonstrate in favor of the Affordable Care Act on June 28, 2012 when the U.S. Supreme Court issued its ruling on the health care overhaul. (SEIU International: Flickr)\" width=\"300\" height=\"214\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">It was easy to predict the big health care issues for 2012. This year, it's murkier. (SEIU International: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\"Prediction is indispensable to our lives,\" forecaster extraordinaire Nate Silver writes in his new book, \"The Signal and the Noise.\" Every day, whether wearing a raincoat to work or setting aside funds for future spending, \"we are making a forecast about how the future will proceed -- and how our plans will affect the odds for a favorable outcome.\"\u003c/p>\n\u003cp>But in health care, the mix of ever-shifting technologies, laws, competitive landscape -- and more -- means that many patients' lives (and industry dollars) rest on whether providers and regulators can make the right bets. And some years, the industry's direction is relatively easy to predict.\u003c/p>\n\u003cp>For example, last year -- when \"Road to Reform\" did a \u003ca href=\"http://www.californiahealthline.org/road-to-reform/2011/five-health-care-issues-to-watch-in-2012.aspx\" target=\"_blank\">similar forecasting exercise\u003c/a> -- the 2012 signposts were clear: March's Supreme Court case; the November election.\u003c/p>\n\u003cp>What's coming in 2013 is definitely murkier, though several \u003ca href=\"http://www.advisory.com/Daily-Briefing/2012/11/05/Whats-next-for-health-reform#lightbox/0/\" target=\"_blank\">major developments\u003c/a> await in the months ahead. Here are five broader trends that industry observers are watching.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>1. Premium Growth\u003c/strong>\u003c/p>\n\u003cp>The Affordable Care Act was supposed to help tamp down health care costs, and some supporters have suggested (\u003ca href=\"http://www.californiahealthline.org/road-to-reform/2012/the-simple-reason-maybe-why-health-costs-have-slowed-down.aspx\" target=\"_blank\">possibly prematurely\u003c/a>) that the law has been responsible for a slowdown in health spending growth. But average Americans haven't seen much of a difference yet. A \u003ca href=\"http://www.modernhealthcare.com/article/20121212/NEWS/312129959\" target=\"_blank\">new analysis\u003c/a> released in mid-December found that workers' spending on premiums swelled by 74% between 2003 and 2011.\u003c/p>\n\u003cp>And while the ACA contains measures to control premiums -- like new rules on insurer oversight and administrative spending -- observers don't expect any immediate relief. \"Hold onto your hat,\" consultant \u003ca href=\"http://healthpolicyandmarket.blogspot.com/2012/12/the-affordable-care-act-ten-months-to.html\" target=\"_blank\">Robert Laszewski warns\u003c/a>. Having spoken with a number of insurers in the individual and small group markets, Laszewski says to \"expect a 30% to 40% increase in the baseline cost of individual health insurance to account for the new premium taxes, reinsurance costs, benefit mandate increases, and underwriting reforms.\"\u003c/p>\n\u003cp>\u003cstrong>2. Employer Decisions\u003c/strong>\u003c/p>\n\u003cp>One of the most significant industry questions post-ACA: Will employers continue to provide traditional health benefits for their workers, drop coverage or adopt new models in hopes of controlling spending?\u003c!--more-->\u003c/p>\n\u003cp>It's been hard to get a clear answer, partly because firms have been slow to announce their changes, fearing public backlash. \"Road to Reform\" \u003ca href=\"http://www.californiahealthline.org/road-to-reform/2012/will-firms-cut-jobs-or-benefits-under-aca-weighing-the-evidence.aspx\" target=\"_blank\">recently reviewed\u003c/a> a slew of employer efforts to control benefit costs, such as possibly shifting more full-time workers into part-time arrangements, and the accompanying critical news reports.\u003c/p>\n\u003cp>One of those companies was Darden Restaurants (Red Lobster, Olive Garden and more), which has since said that it would not be modifying workers' hours. \"The program was only a test,\" Darden spokesperson Matt Kobussen tells \u003cem>California Healthline\u003c/em>, and \"none of [the company's] current full-time employees, hourly or salaried, will have their full-time status changed as a result of health care reform.\"\u003c/p>\n\u003cp>But less-public changes are well in the works, at Darden and elsewhere. For example, the restaurant company is among several major firms exploring whether using \u003ca href=\"http://www.californiahealthline.org/road-to-reform/2012/watch-sears-and-darden-not-obama-vs-romney-for-future-of-health-care.aspx\" target=\"_blank\">defined contribution\u003c/a> -- where employers pay a fixed amount into employees' health plans and allow workers to choose their coverage from an online marketplace -- would be a more cost-effective way to provide health coverage.\u003c/p>\n\u003cp>\u003cstrong>3. Exchange Implementation\u003c/strong>\u003c/p>\n\u003cp>While HHS moved the deadline for states to decide whether they're operating their own health insurance exchange, it's kept the Oct. 1, 2013 deadline for all exchanges to begin enrolling consumers. And most observers agree: It will be a sprint to hit that deadline, especially with more states opting to let the government set up the model.\u003c/p>\n\u003cp>\"Will the [federal government] be ready to provide an insurance exchange in all of the states that don't have one on Oct. 1, 2013?\" Laszewski asks. \"I have no idea. And neither does anyone else I talk to ... We only hear vague reports that parts of the new federal exchange information systems are in testing.\"\u003c/p>\n\u003cp>\u003cstrong>4. Merger and Integration Activity\u003c/strong>\u003c/p>\n\u003cp>Neither case carries the weight of \u003cem>Florida v. Sebelius\u003c/em>, but two others (\u003cem>FTC v. Phoebe Putney Health System\u003c/em> and \u003cem>FTC v. ProMedica\u003c/em>) reflect the \u003ca href=\"http://www.californiahealthline.org/road-to-reform/2011/ftc-emerges-as-another-obstacle-to-health-reform-law.aspx\" target=\"_blank\">broad tension\u003c/a> between regulators and providers.\u003c/p>\n\u003cp>In both lawsuits, FTC is attempting to prevent provider consolidation that the agency says would lead to anti-competitive behavior and higher prices for patients. And victories in those cases would further embolden FTC to intervene in merger activity, lawyers tell \"Road to Reform.\"\u003c/p>\n\u003cp>But hospitals, physicians and other providers say that they must move into new arrangements in hopes of navigating the changes wrought by the ACA, which is intended to reward more integration and care networks.\u003c/p>\n\u003cp>\u003cstrong>5. Comparative Effectiveness Research\u003c/strong>\u003c/p>\n\u003cp>While many experts polled by \"Road to Reform\" highlighted some of the ongoing policy issues that will spill into next year -- from states' decisions on expanding Medicaid to \"fiscal cliff\" negotiations -- one pointed to potential changes in care quality as a top 2013 priority.\u003c/p>\n\u003cp>Economist Austin Frakt tells \u003cem>California Healthline \u003c/em>he's \"thinking a lot about\" the Patient-Centered Outcomes Research Institute. \"Comparative effectiveness research is far more important than most of the tinkering that gets proposed (like raising the Medicare age),\" Frakt adds.\u003c/p>\n\u003cp>But is PCORI properly designed to help transform health care, or is it just another pool of research funding? As \u003ca href=\"http://thehealthcareblog.com/blog/2012/12/11/patient-politics-the-pcori-puzzle/\" target=\"_blank\">Michael Millenson writes\u003c/a>, the institute is slated to spend $300 million on patient-centered outcomes research next year, which could make it a major player in funding new quality initiatives. But PCORI's designers intentionally tamped down, worried that too much focus on \"comparative effectiveness\" would be seen as prioritizing \"cost-effectiveness,\" and even rationing.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"PCORI is the offspring of a shotgun marriage\" between regulators who favor government-led reforms and those who are skeptical of them, Millenson concludes. \"[And] no one is quite sure yet what this child will be once it grows up.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/9530/5-things-to-watch-in-health-care-in-2013",
"authors": [
"8344"
],
"categories": [
"stateofhealth_15"
],
"tags": [
"stateofhealth_38"
],
"featImg": "stateofhealth_8143",
"label": "stateofhealth"
},
"stateofhealth_9685": {
"type": "posts",
"id": "stateofhealth_9685",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "9685",
"score": null,
"sort": [
1356117932000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1356117932,
"format": "aside",
"disqusTitle": "The Gun Lobby's Favorite Part of the Health Law",
"title": "The Gun Lobby's Favorite Part of the Health Law",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>By Jay Hancock, \u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2012/12/the-gun-lobbys-favorite-part-of-the-health-law/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_9691\" class=\"wp-caption alignleft\" style=\"max-width: 176px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/gun-176.jpg\">\u003cimg class=\"size-full wp-image-9691\" title=\"gun-176\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/gun-176.jpg\" alt=\"\" width=\"176\" height=\"237\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Image: Kaiser Health News)\u003c/figcaption>\u003c/figure>\n\u003cp>Did you know the Affordable Care Act stands up for gun rights? The “Protection of Second Amendment Gun Rights” section \u003ca href=\"http://www.ncsl.org/documents/health/ppaca-consolidated.pdf\">(page 19 in this PDF)\u003c/a> says the health law’s wellness programs can’t require participants to give information about guns in the house. It also keeps the Department of Health and Human Services from collecting data on gun use and stops insurance companies from denying coverage or raising premiums on members because of gun use.\u003c/p>\n\u003cp>The Newtown massacre renews the controversy about whether gun violence is a public health issue. Should health authorities view guns in the same category as pneumonia and car crashes? The debate has been going on for years, with epidemiologists arguing firearms can kill just as many as a bad flu season and gun-rights advocates viewing any attention from public health officials as a step toward gun confiscation -- the beginning of the end of the Second Amendment.\u003c/p>\n\u003cp>The ACA language was included \u003ca href=\"http://www.gpo.gov/fdsys/pkg/CREC-2009-12-19/pdf/CREC-2009-12-19-pt1-PgS13490-2.pdf#page=1\">at the request\u003c/a> of Nevada Democrat Sen. Harry Reid, the Senate majority leader and a gun rights supporter. Reid’s office did not respond to a request for comment, nor did the National Rifle Association.\u003c/p>\n\u003cp>Public health scholars criticize the measure because they say it keeps doctors and nurses from doing their jobs. While the law doesn’t ban doctors from asking about guns, it places limits on what information they can record. The fear is physicians will avoid the topic altogether, inhibiting a full conversation about firearms hazards.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“A lot of people buy guns every year, and it’s a health concern,” said \u003ca href=\"http://www.sp2.upenn.edu/people/faculty/sorenson/\">Susan Sorenson\u003c/a>, professor of social policy at the University of Pennsylvania. “For physicians and other health care professionals not to be able to ask about these issues and record them is counterproductive.” Doctors ask patients about illegal drug use, disease history and sexual habits, Sorenson said. Why not guns? “To regulate what the provider can or can’t do really intrudes into the role of the health care provider,” she added, “which is to ensure the health of the individual and the people who are living in that home.”\u003c/p>\n\u003cp>But some think firearms in your closet are none of a doctor’s business. Marion Hammer, a former NRA president and lobbyist for the group in Florida, \u003ca href=\"http://www.kaiserhealthnews.org/features/insuring-your-health/2012/112712-michelle-andrews-on-gun-ownership.aspx?referrer=search\">told Kaiser Health News\u003c/a> last month that people don’t take their children to the doctor ”for political dialogue or for pediatricians to ask us not to exercise a constitutional right.”\u003c/p>\n\u003cp>She was referring to a Florida law that limits conversations doctors can have with patients about guns. Last summer U.S. District Court Judge Marcia Cooke \u003ca href=\"http://www.palmbeachpost.com/news/news/state-regional-govt-politics/florida-to-appeal-ruling-blocking-law-banning-doct/nP6zQ/\">permanently enjoined the state\u003c/a> from enforcing the statute, saying it restricted free speech.\u003c/p>\n\u003cp>The Connecticut massacre has also renewed criticism of Congress’s decision years ago to defund research on guns and public health by the Centers for Disease Control.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We are in an environment when children are dying and we are playing political games,” Dr. David Satcher, who was director of the CDC in the 1990s, \u003ca href=\"http://www.ajc.com/news/news/cdc-politics-affected-gun-violence-research/nTZnf/\">told the Atlanta Journal-Constitution\u003c/a>.\u003c/p>\n\n",
"disqusIdentifier": "9685 http://blogs.kqed.org/stateofhealth/?p=9685",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2012/12/21/the-gun-lobbys-favorite-part-of-the-health-law/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 580,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 12
},
"modified": 1356546136,
"excerpt": "Did you know the Affordable Care Act stands up for gun rights? The “Protection of Second Amendment Gun Rights” section (page 19 in this PDF) says the health law’s wellness programs can’t require participants to give information about guns in the house. It also keeps the Department of Health and Human Services from collecting data on gun use and stops insurance companies from denying coverage or raising premiums on members because of gun use.\r\n",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Did you know the Affordable Care Act stands up for gun rights? The “Protection of Second Amendment Gun Rights” section (page 19 in this PDF) says the health law’s wellness programs can’t require participants to give information about guns in the house. It also keeps the Department of Health and Human Services from collecting data on gun use and stops insurance companies from denying coverage or raising premiums on members because of gun use.\r\n",
"title": "The Gun Lobby's Favorite Part of the Health Law | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "The Gun Lobby's Favorite Part of the Health Law",
"datePublished": "2012-12-21T11:25:32-08:00",
"dateModified": "2012-12-26T10:22:16-08:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "the-gun-lobbys-favorite-part-of-the-health-law",
"status": "publish",
"path": "/stateofhealth/9685/the-gun-lobbys-favorite-part-of-the-health-law",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Jay Hancock, \u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2012/12/the-gun-lobbys-favorite-part-of-the-health-law/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_9691\" class=\"wp-caption alignleft\" style=\"max-width: 176px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/gun-176.jpg\">\u003cimg class=\"size-full wp-image-9691\" title=\"gun-176\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/gun-176.jpg\" alt=\"\" width=\"176\" height=\"237\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Image: Kaiser Health News)\u003c/figcaption>\u003c/figure>\n\u003cp>Did you know the Affordable Care Act stands up for gun rights? The “Protection of Second Amendment Gun Rights” section \u003ca href=\"http://www.ncsl.org/documents/health/ppaca-consolidated.pdf\">(page 19 in this PDF)\u003c/a> says the health law’s wellness programs can’t require participants to give information about guns in the house. It also keeps the Department of Health and Human Services from collecting data on gun use and stops insurance companies from denying coverage or raising premiums on members because of gun use.\u003c/p>\n\u003cp>The Newtown massacre renews the controversy about whether gun violence is a public health issue. Should health authorities view guns in the same category as pneumonia and car crashes? The debate has been going on for years, with epidemiologists arguing firearms can kill just as many as a bad flu season and gun-rights advocates viewing any attention from public health officials as a step toward gun confiscation -- the beginning of the end of the Second Amendment.\u003c/p>\n\u003cp>The ACA language was included \u003ca href=\"http://www.gpo.gov/fdsys/pkg/CREC-2009-12-19/pdf/CREC-2009-12-19-pt1-PgS13490-2.pdf#page=1\">at the request\u003c/a> of Nevada Democrat Sen. Harry Reid, the Senate majority leader and a gun rights supporter. Reid’s office did not respond to a request for comment, nor did the National Rifle Association.\u003c/p>\n\u003cp>Public health scholars criticize the measure because they say it keeps doctors and nurses from doing their jobs. While the law doesn’t ban doctors from asking about guns, it places limits on what information they can record. The fear is physicians will avoid the topic altogether, inhibiting a full conversation about firearms hazards.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“A lot of people buy guns every year, and it’s a health concern,” said \u003ca href=\"http://www.sp2.upenn.edu/people/faculty/sorenson/\">Susan Sorenson\u003c/a>, professor of social policy at the University of Pennsylvania. “For physicians and other health care professionals not to be able to ask about these issues and record them is counterproductive.” Doctors ask patients about illegal drug use, disease history and sexual habits, Sorenson said. Why not guns? “To regulate what the provider can or can’t do really intrudes into the role of the health care provider,” she added, “which is to ensure the health of the individual and the people who are living in that home.”\u003c/p>\n\u003cp>But some think firearms in your closet are none of a doctor’s business. Marion Hammer, a former NRA president and lobbyist for the group in Florida, \u003ca href=\"http://www.kaiserhealthnews.org/features/insuring-your-health/2012/112712-michelle-andrews-on-gun-ownership.aspx?referrer=search\">told Kaiser Health News\u003c/a> last month that people don’t take their children to the doctor ”for political dialogue or for pediatricians to ask us not to exercise a constitutional right.”\u003c/p>\n\u003cp>She was referring to a Florida law that limits conversations doctors can have with patients about guns. Last summer U.S. District Court Judge Marcia Cooke \u003ca href=\"http://www.palmbeachpost.com/news/news/state-regional-govt-politics/florida-to-appeal-ruling-blocking-law-banning-doct/nP6zQ/\">permanently enjoined the state\u003c/a> from enforcing the statute, saying it restricted free speech.\u003c/p>\n\u003cp>The Connecticut massacre has also renewed criticism of Congress’s decision years ago to defund research on guns and public health by the Centers for Disease Control.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We are in an environment when children are dying and we are playing political games,” Dr. David Satcher, who was director of the CDC in the 1990s, \u003ca href=\"http://www.ajc.com/news/news/cdc-politics-affected-gun-violence-research/nTZnf/\">told the Atlanta Journal-Constitution\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/9685/the-gun-lobbys-favorite-part-of-the-health-law",
"authors": [
"240"
],
"categories": [
"stateofhealth_15",
"stateofhealth_14"
],
"tags": [
"stateofhealth_38",
"stateofhealth_392"
],
"featImg": "stateofhealth_9691",
"label": "stateofhealth"
}
},
"podcastsReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": false,
"podcasts": {}
},
"radioProgramsReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": false,
"radioPrograms": {}
},
"radioSearchSegmentsReducer": {},
"programsReducer": {
"all-things-considered": {
"id": "all-things-considered",
"title": "All Things Considered",
"info": "Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.",
"airtime": "MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/all-things-considered/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/all-things-considered"
},
"american-suburb-podcast": {
"id": "american-suburb-podcast",
"title": "American Suburb: The Podcast",
"tagline": "The flip side of gentrification, told through one town",
"info": "Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg",
"officialWebsiteLink": "/news/series/american-suburb-podcast",
"meta": {
"site": "news",
"source": "kqed",
"order": 19
},
"link": "/news/series/american-suburb-podcast/",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/RBrW",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328",
"tuneIn": "https://tunein.com/radio/American-Suburb-p1086805/",
"rss": "https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"
}
},
"baycurious": {
"id": "baycurious",
"title": "Bay Curious",
"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Bay Curious",
"officialWebsiteLink": "/news/series/baycurious",
"meta": {
"site": "news",
"source": "kqed",
"order": 3
},
"link": "/podcasts/baycurious",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/bay-curious/id1172473406",
"npr": "https://www.npr.org/podcasts/500557090/bay-curious",
"rss": "https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast",
"amazon": "https://music.amazon.com/podcasts/9a90d476-aa04-455d-9a4c-0871ed6216d4/bay-curious",
"stitcher": "https://www.stitcher.com/podcast/kqed/bay-curious",
"spotify": "https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"
}
},
"bbc-world-service": {
"id": "bbc-world-service",
"title": "BBC World Service",
"info": "The day's top stories from BBC News compiled twice daily in the week, once at weekends.",
"airtime": "MON-FRI 9pm-10pm, TUE-FRI 1am-2am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.bbc.co.uk/sounds/play/live:bbc_world_service",
"meta": {
"site": "news",
"source": "BBC World Service"
},
"link": "/radio/program/bbc-world-service",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2",
"tuneIn": "https://tunein.com/radio/BBC-World-Service-p455581/",
"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The California Report",
"officialWebsiteLink": "/californiareport",
"meta": {
"site": "news",
"source": "kqed",
"order": 8
},
"link": "/californiareport",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/kqeds-the-california-report/id79681292",
"amazon": "https://music.amazon.com/podcasts/26099305-72af-4542-9dde-ac1807fe36d5/kqed-s-the-california-report",
"npr": "https://www.npr.org/podcasts/432285393/the-california-report",
"stitcher": "https://www.stitcher.com/podcast/kqedfm-kqeds-the-california-report-podcast-8838",
"rss": "https://ww2.kqed.org/news/tag/tcram/feed/podcast"
}
},
"californiareportmagazine": {
"id": "californiareportmagazine",
"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Magazine-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The California Report Magazine",
"officialWebsiteLink": "/californiareportmagazine",
"meta": {
"site": "news",
"source": "kqed",
"order": 10
},
"link": "/californiareportmagazine",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-california-report-magazine/id1314750545",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
"npr": "https://www.npr.org/podcasts/564733126/the-california-report-magazine",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-california-report-magazine",
"rss": "https://ww2.kqed.org/news/tag/tcrmag/feed/podcast"
}
},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
"officialWebsiteLink": "https://www.cityarts.net/",
"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
"title": "Close All Tabs",
"tagline": "Your irreverent guide to the trends redefining our world",
"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/02/CAT_2_Tile-scaled.jpg",
"imageAlt": "KQED Close All Tabs",
"officialWebsiteLink": "/podcasts/closealltabs",
"meta": {
"site": "news",
"source": "kqed",
"order": 1
},
"link": "/podcasts/closealltabs",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/close-all-tabs/id214663465",
"rss": "https://feeds.megaphone.fm/KQINC6993880386",
"amazon": "https://music.amazon.com/podcasts/92d9d4ac-67a3-4eed-b10a-fb45d45b1ef2/close-all-tabs",
"spotify": "https://open.spotify.com/show/6LAJFHnGK1pYXYzv6SIol6?si=deb0cae19813417c"
}
},
"code-switch-life-kit": {
"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
"airtime": "SUN 9pm-10pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/code-switch-life-kit",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
"spotify": "https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV",
"rss": "https://feeds.npr.org/510312/podcast.xml"
}
},
"commonwealth-club": {
"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.commonwealthclub.org/podcasts",
"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2",
"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
"tuneIn": "https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"
}
},
"forum": {
"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
"officialWebsiteLink": "/forum",
"meta": {
"site": "news",
"source": "kqed",
"order": 9
},
"link": "/forum",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
"npr": "https://www.npr.org/podcasts/432307980/forum",
"stitcher": "https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast",
"rss": "https://feeds.megaphone.fm/KQINC9557381633"
}
},
"freakonomics-radio": {
"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/4s8b",
"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
}
},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
"airtime": "MON-FRI 7pm-8pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Fresh-Air-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/fresh-air/",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/fresh-air",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/4s8b",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Fresh-Air-p17/",
"rss": "https://feeds.npr.org/381444908/podcast.xml"
}
},
"here-and-now": {
"id": "here-and-now",
"title": "Here & Now",
"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
"airtime": "MON-THU 11am-12pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Here-And-Now-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "http://www.wbur.org/hereandnow",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/here-and-now",
"subsdcribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=426698661",
"tuneIn": "https://tunein.com/radio/Here--Now-p211/",
"rss": "https://feeds.npr.org/510051/podcast.xml"
}
},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/hiddenbrain.jpg",
"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
"site": "news",
"source": "NPR"
},
"link": "/radio/program/hidden-brain",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/hidden-brain/id1028908750?mt=2",
"tuneIn": "https://tunein.com/podcasts/Science-Podcasts/Hidden-Brain-p787503/",
"rss": "https://feeds.npr.org/510308/podcast.xml"
}
},
"how-i-built-this": {
"id": "how-i-built-this",
"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/how-i-built-this",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
"tuneIn": "https://tunein.com/podcasts/Arts--Culture-Podcasts/How-I-Built-This-p910896/",
"rss": "https://feeds.npr.org/510313/podcast.xml"
}
},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
"imageAlt": "KQED Hyphenación",
"officialWebsiteLink": "/podcasts/hyphenacion",
"meta": {
"site": "news",
"source": "kqed",
"order": 15
},
"link": "/podcasts/hyphenacion",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/hyphenaci%C3%B3n/id1191591838",
"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
"youtube": "https://www.youtube.com/c/kqedarts",
"amazon": "https://music.amazon.com/podcasts/6c3dd23c-93fb-4aab-97ba-1725fa6315f1/hyphenaci%C3%B3n",
"rss": "https://feeds.megaphone.fm/KQINC2275451163"
}
},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Political Mind of Jerry Brown",
"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
"site": "news",
"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
"subscribe": {
"npr": "https://www.npr.org/podcasts/790253322/the-political-mind-of-jerry-brown",
"apple": "https://itunes.apple.com/us/podcast/id1492194549",
"rss": "https://ww2.kqed.org/news/series/jerrybrown/feed/podcast/",
"tuneIn": "http://tun.in/pjGcK",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-political-mind-of-jerry-brown",
"spotify": "https://open.spotify.com/show/54C1dmuyFyKMFttY6X2j6r?si=K8SgRCoISNK6ZbjpXrX5-w",
"amazon": "https://music.amazon.com/podcasts/44420f75-3b0e-4301-ab3b-16da6b09e543/the-political-mind-of-jerry-brown"
}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/xtTd",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Latino-USA-p621/",
"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
"subscribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201853034&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/APM-Marketplace-p88/",
"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
"site": "news",
"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
"spotify": "https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"
}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
"npr": "https://rpb3r.app.goo.gl/onourwatch",
"spotify": "https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x",
"tuneIn": "https://tunein.com/radio/On-Our-Watch-p1436229/",
"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
"site": "news",
"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
"meta": {
"site": "news",
"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
"meta": {
"site": "radio",
"source": "kqed",
"order": 14
},
"link": "/perspectives",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/id73801135",
"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"
}
},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
"officialWebsiteLink": "https://www.npr.org/sections/money/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/M4f5",
"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
"tuneIn": "https://tunein.com/podcasts/Business--Economics-Podcasts/Planet-Money-p164680/",
"rss": "https://feeds.npr.org/510289/podcast.xml"
}
},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Political Breakdown",
"officialWebsiteLink": "/podcasts/politicalbreakdown",
"meta": {
"site": "radio",
"source": "kqed",
"order": 5
},
"link": "/podcasts/politicalbreakdown",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/political-breakdown/id1327641087",
"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
"npr": "https://www.npr.org/podcasts/572155894/political-breakdown",
"stitcher": "https://www.stitcher.com/podcast/kqed/political-breakdown",
"spotify": "https://open.spotify.com/show/07RVyIjIdk2WDuVehvBMoN",
"rss": "https://ww2.kqed.org/news/tag/political-breakdown/feed/podcast"
}
},
"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
"meta": {
"site": "news",
"source": "Possible"
},
"link": "/radio/program/possible",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/possible/id1677184070",
"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
}
},
"pri-the-world": {
"id": "pri-the-world",
"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pri.org/programs/the-world",
"meta": {
"site": "news",
"source": "PRI"
},
"link": "/radio/program/pri-the-world",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pris-the-world-latest-edition/id278196007?mt=2",
"tuneIn": "https://tunein.com/podcasts/News--Politics-Podcasts/PRIs-The-World-p24/",
"rss": "http://feeds.feedburner.com/pri/theworld"
}
},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
"airtime": "SUN 12am-1am, SAT 2pm-3pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/radiolab1400.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/radiolab/",
"meta": {
"site": "science",
"source": "WNYC"
},
"link": "/radio/program/radiolab",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/radiolab/id152249110?mt=2",
"tuneIn": "https://tunein.com/radio/RadioLab-p68032/",
"rss": "https://feeds.wnyc.org/radiolab"
}
},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
"airtime": "SAT 4pm-5pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/reveal300px.png",
"officialWebsiteLink": "https://www.revealnews.org/episodes/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/reveal",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/reveal/id886009669",
"tuneIn": "https://tunein.com/radio/Reveal-p679597/",
"rss": "http://feeds.revealradio.org/revealpodcast"
}
},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Rightnowish-Podcast-Tile-500x500-1.jpg",
"imageAlt": "KQED Rightnowish with Pendarvis Harshaw",
"officialWebsiteLink": "/podcasts/rightnowish",
"meta": {
"site": "arts",
"source": "kqed",
"order": 16
},
"link": "/podcasts/rightnowish",
"subscribe": {
"npr": "https://www.npr.org/podcasts/721590300/rightnowish",
"rss": "https://ww2.kqed.org/arts/programs/rightnowish/feed/podcast",
"apple": "https://podcasts.apple.com/us/podcast/rightnowish/id1482187648",
"stitcher": "https://www.stitcher.com/podcast/kqed/rightnowish",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMxMjU5MTY3NDc4",
"spotify": "https://open.spotify.com/show/7kEJuafTzTVan7B78ttz1I"
}
},
"science-friday": {
"id": "science-friday",
"title": "Science Friday",
"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
"airtime": "FRI 11am-1pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Science-Friday-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/science-friday",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/science-friday",
"subscribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=73329284&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Science-Friday-p394/",
"rss": "http://feeds.wnyc.org/science-friday"
}
},
"snap-judgment": {
"id": "snap-judgment",
"title": "Snap Judgment",
"tagline": "Real stories with killer beats",
"info": "The Snap Judgment radio show and podcast mixes real stories with killer beats to produce cinematic, dramatic radio. Snap's musical brand of storytelling dares listeners to see the world through the eyes of another. This is storytelling... with a BEAT!! Snap first aired on public radio stations nationwide in July 2010. Today, Snap Judgment airs on over 450 public radio stations and is brought to the airwaves by KQED & PRX.",
"airtime": "SAT 1pm-2pm, 9pm-10pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/05/Snap-Judgment-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Snap Judgment",
"officialWebsiteLink": "https://snapjudgment.org",
"meta": {
"site": "arts",
"source": "kqed",
"order": 4
},
"link": "https://snapjudgment.org",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/snap-judgment/id283657561",
"npr": "https://www.npr.org/podcasts/449018144/snap-judgment",
"stitcher": "https://www.pandora.com/podcast/snap-judgment/PC:241?source=stitcher-sunset",
"spotify": "https://open.spotify.com/show/3Cct7ZWmxHNAtLgBTqjC5v",
"rss": "https://snap.feed.snapjudgment.org/"
}
},
"soldout": {
"id": "soldout",
"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
"info": "Sold Out: Rethinking Housing in America",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Sold-Out-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Sold Out: Rethinking Housing in America",
"officialWebsiteLink": "/podcasts/soldout",
"meta": {
"site": "news",
"source": "kqed",
"order": 13
},
"link": "/podcasts/soldout",
"subscribe": {
"npr": "https://www.npr.org/podcasts/911586047/s-o-l-d-o-u-t-a-new-future-for-housing",
"apple": "https://podcasts.apple.com/us/podcast/introducing-sold-out-rethinking-housing-in-america/id1531354937",
"rss": "https://feeds.megaphone.fm/soldout",
"spotify": "https://open.spotify.com/show/38dTBSk2ISFoPiyYNoKn1X",
"stitcher": "https://www.stitcher.com/podcast/kqed/sold-out-rethinking-housing-in-america",
"tunein": "https://tunein.com/radio/SOLD-OUT-Rethinking-Housing-in-America-p1365871/"
}
},
"spooked": {
"id": "spooked",
"title": "Spooked",
"tagline": "True-life supernatural stories",
"info": "",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/10/Spooked-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Spooked",
"officialWebsiteLink": "https://spookedpodcast.org/",
"meta": {
"site": "news",
"source": "kqed",
"order": 7
},
"link": "https://spookedpodcast.org/",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/spooked/id1279361017",
"npr": "https://www.npr.org/podcasts/549547848/snap-judgment-presents-spooked",
"spotify": "https://open.spotify.com/show/76571Rfl3m7PLJQZKQIGCT",
"rss": "https://feeds.simplecast.com/TBotaapn"
}
},
"tech-nation": {
"id": "tech-nation",
"title": "Tech Nation Radio Podcast",
"info": "Tech Nation is a weekly public radio program, hosted by Dr. Moira Gunn. Founded in 1993, it has grown from a simple interview show to a multi-faceted production, featuring conversations with noted technology and science leaders, and a weekly science and technology-related commentary.",
"airtime": "FRI 10pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Tech-Nation-Radio-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "http://technation.podomatic.com/",
"meta": {
"site": "science",
"source": "Tech Nation Media"
},
"link": "/radio/program/tech-nation",
"subscribe": {
"rss": "https://technation.podomatic.com/rss2.xml"
}
},
"ted-radio-hour": {
"id": "ted-radio-hour",
"title": "TED Radio Hour",
"info": "The TED Radio Hour is a journey through fascinating ideas, astonishing inventions, fresh approaches to old problems, and new ways to think and create.",
"airtime": "SUN 3pm-4pm, SAT 10pm-11pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/tedRadioHour.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/ted-radio-hour/?showDate=2018-06-22",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/ted-radio-hour",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/8vsS",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=523121474&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/TED-Radio-Hour-p418021/",
"rss": "https://feeds.npr.org/510298/podcast.xml"
}
},
"thebay": {
"id": "thebay",
"title": "The Bay",
"tagline": "Local news to keep you rooted",
"info": "Host Devin Katayama walks you through the biggest story of the day with reporters and newsmakers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Bay-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Bay",
"officialWebsiteLink": "/podcasts/thebay",
"meta": {
"site": "radio",
"source": "kqed",
"order": 2
},
"link": "/podcasts/thebay",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-bay/id1350043452",
"amazon": "https://music.amazon.com/podcasts/d800ea4c-7a2c-42f2-b861-edaf78a5db0b/the-bay",
"npr": "https://www.npr.org/podcasts/586725995/the-bay",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-bay",
"spotify": "https://open.spotify.com/show/4BIKBKIujizLHlIlBNaAqQ",
"rss": "https://feeds.megaphone.fm/KQINC8259786327"
}
},
"thelatest": {
"id": "thelatest",
"title": "The Latest",
"tagline": "Trusted local news in real time",
"info": "",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/05/The-Latest-2025-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Latest",
"officialWebsiteLink": "/thelatest",
"meta": {
"site": "news",
"source": "kqed",
"order": 6
},
"link": "/thelatest",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-latest-from-kqed/id1197721799",
"npr": "https://www.npr.org/podcasts/1257949365/the-latest-from-k-q-e-d",
"spotify": "https://open.spotify.com/show/5KIIXMgM9GTi5AepwOYvIZ?si=bd3053fec7244dba",
"rss": "https://feeds.megaphone.fm/KQINC9137121918"
}
},
"theleap": {
"id": "theleap",
"title": "The Leap",
"tagline": "What if you closed your eyes, and jumped?",
"info": "Stories about people making dramatic, risky changes, told by award-winning public radio reporter Judy Campbell.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Leap-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Leap",
"officialWebsiteLink": "/podcasts/theleap",
"meta": {
"site": "news",
"source": "kqed",
"order": 17
},
"link": "/podcasts/theleap",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-leap/id1046668171",
"npr": "https://www.npr.org/podcasts/447248267/the-leap",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-leap",
"spotify": "https://open.spotify.com/show/3sSlVHHzU0ytLwuGs1SD1U",
"rss": "https://ww2.kqed.org/news/programs/the-leap/feed/podcast"
}
},
"the-moth-radio-hour": {
"id": "the-moth-radio-hour",
"title": "The Moth Radio Hour",
"info": "Since its launch in 1997, The Moth has presented thousands of true stories, told live and without notes, to standing-room-only crowds worldwide. Moth storytellers stand alone, under a spotlight, with only a microphone and a roomful of strangers. The storyteller and the audience embark on a high-wire act of shared experience which is both terrifying and exhilarating. Since 2008, The Moth podcast has featured many of our favorite stories told live on Moth stages around the country. For information on all of our programs and live events, visit themoth.org.",
"airtime": "SAT 8pm-9pm and SUN 11am-12pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/theMoth.jpg",
"officialWebsiteLink": "https://themoth.org/",
"meta": {
"site": "arts",
"source": "prx"
},
"link": "/radio/program/the-moth-radio-hour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/the-moth-podcast/id275699983?mt=2",
"tuneIn": "https://tunein.com/radio/The-Moth-p273888/",
"rss": "http://feeds.themoth.org/themothpodcast"
}
},
"the-new-yorker-radio-hour": {
"id": "the-new-yorker-radio-hour",
"title": "The New Yorker Radio Hour",
"info": "The New Yorker Radio Hour is a weekly program presented by the magazine's editor, David Remnick, and produced by WNYC Studios and The New Yorker. Each episode features a diverse mix of interviews, profiles, storytelling, and an occasional burst of humor inspired by the magazine, and shaped by its writers, artists, and editors. This isn't a radio version of a magazine, but something all its own, reflecting the rich possibilities of audio storytelling and conversation. Theme music for the show was composed and performed by Merrill Garbus of tUnE-YArDs.",
"airtime": "SAT 10am-11am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-New-Yorker-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/tnyradiohour",
"meta": {
"site": "arts",
"source": "WNYC"
},
"link": "/radio/program/the-new-yorker-radio-hour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/id1050430296",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/New-Yorker-Radio-Hour-p803804/",
"rss": "https://feeds.feedburner.com/newyorkerradiohour"
}
},
"the-sam-sanders-show": {
"id": "the-sam-sanders-show",
"title": "The Sam Sanders Show",
"info": "One of public radio's most dynamic voices, Sam Sanders helped launch The NPR Politics Podcast and hosted NPR's hit show It's Been A Minute. Now, the award-winning host returns with something brand new, The Sam Sanders Show. Every week, Sam Sanders and friends dig into the culture that shapes our lives: what's driving the biggest trends, how artists really think, and even the memes you can't stop scrolling past. Sam is beloved for his way of unpacking the world and bringing you up close to fresh currents and engaging conversations. The Sam Sanders Show is smart, funny and always a good time.",
"airtime": "FRI 12-1pm AND SAT 11am-12pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/11/The-Sam-Sanders-Show-Podcast-Tile-400x400-1.jpg",
"officialWebsiteLink": "https://www.kcrw.com/shows/the-sam-sanders-show/latest",
"meta": {
"site": "arts",
"source": "KCRW"
},
"link": "https://www.kcrw.com/shows/the-sam-sanders-show/latest",
"subscribe": {
"rss": "https://feed.cdnstream1.com/zjb/feed/download/ac/28/59/ac28594c-e1d0-4231-8728-61865cdc80e8.xml"
}
},
"the-splendid-table": {
"id": "the-splendid-table",
"title": "The Splendid Table",
"info": "\u003cem>The Splendid Table\u003c/em> hosts our nation's conversations about cooking, sustainability and food culture.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Splendid-Table-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.splendidtable.org/",
"airtime": "SUN 10-11 pm",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/the-splendid-table"
},
"this-american-life": {
"id": "this-american-life",
"title": "This American Life",
"info": "This American Life is a weekly public radio show, heard by 2.2 million people on more than 500 stations. Another 2.5 million people download the weekly podcast. It is hosted by Ira Glass, produced in collaboration with Chicago Public Media, delivered to stations by PRX The Public Radio Exchange, and has won all of the major broadcasting awards.",
"airtime": "SAT 12pm-1pm, 7pm-8pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/thisAmericanLife.png",
"officialWebsiteLink": "https://www.thisamericanlife.org/",
"meta": {
"site": "news",
"source": "wbez"
},
"link": "/radio/program/this-american-life",
"subscribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201671138&at=11l79Y&ct=nprdirectory",
"rss": "https://www.thisamericanlife.org/podcast/rss.xml"
}
},
"tinydeskradio": {
"id": "tinydeskradio",
"title": "Tiny Desk Radio",
"info": "We're bringing the best of Tiny Desk to the airwaves, only on public radio.",
"airtime": "SUN 8pm and SAT 9pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/04/300x300-For-Member-Station-Logo-Tiny-Desk-Radio-@2x.png",
"officialWebsiteLink": "https://www.npr.org/series/g-s1-52030/tiny-desk-radio",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/tinydeskradio",
"subscribe": {
"rss": "https://feeds.npr.org/g-s1-52030/rss.xml"
}
},
"wait-wait-dont-tell-me": {
"id": "wait-wait-dont-tell-me",
"title": "Wait Wait... Don't Tell Me!",
"info": "Peter Sagal and Bill Kurtis host the weekly NPR News quiz show alongside some of the best and brightest news and entertainment personalities.",
"airtime": "SUN 10am-11am, SAT 11am-12pm, SAT 6pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Wait-Wait-Podcast-Tile-300x300-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/wait-wait-dont-tell-me/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/wait-wait-dont-tell-me",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/Xogv",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=121493804&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Wait-Wait-Dont-Tell-Me-p46/",
"rss": "https://feeds.npr.org/344098539/podcast.xml"
}
},
"weekend-edition-saturday": {
"id": "weekend-edition-saturday",
"title": "Weekend Edition Saturday",
"info": "Weekend Edition Saturday wraps up the week's news and offers a mix of analysis and features on a wide range of topics, including arts, sports, entertainment, and human interest stories. The two-hour program is hosted by NPR's Peabody Award-winning Scott Simon.",
"airtime": "SAT 5am-10am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Weekend-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/weekend-edition-saturday/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/weekend-edition-saturday"
},
"weekend-edition-sunday": {
"id": "weekend-edition-sunday",
"title": "Weekend Edition Sunday",
"info": "Weekend Edition Sunday features interviews with newsmakers, artists, scientists, politicians, musicians, writers, theologians and historians. The program has covered news events from Nelson Mandela's 1990 release from a South African prison to the capture of Saddam Hussein.",
"airtime": "SUN 5am-10am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Weekend-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/weekend-edition-sunday/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/weekend-edition-sunday"
}
},
"racesReducer": {},
"racesGenElectionReducer": {},
"racesGenElection2026Reducer": {},
"racesGeneralEl2026Reducer": {},
"radioSchedulesReducer": {},
"listsReducer": {
"posts/stateofhealth?category=reform": {
"isFetching": false,
"latestQuery": {
"from": 348,
"size": 12
},
"vitalsOnly": false,
"totalRequested": 12,
"isLoading": false,
"isLoadingMore": true,
"total": {
"value": 450,
"relation": "eq"
},
"items": [
"stateofhealth_10167",
"stateofhealth_10129",
"stateofhealth_10069",
"stateofhealth_10043",
"stateofhealth_10011",
"stateofhealth_9891",
"stateofhealth_9832",
"stateofhealth_9814",
"stateofhealth_9784",
"stateofhealth_9767",
"stateofhealth_9530",
"stateofhealth_9685"
],
"complete": true
}
},
"recallGuideReducer": {
"intros": {},
"policy": {},
"candidates": {}
},
"savedArticleReducer": {
"articles": [],
"status": {}
},
"newslettersReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": false,
"newsletters": {},
"isSubscribing": false,
"isUnsubscribing": false,
"subscribedNewsletters": {}
},
"termsReducer": {
"about": {
"name": "About",
"type": "terms",
"id": "about",
"slug": "about",
"link": "/about",
"taxonomy": "site"
},
"arts": {
"name": "Arts & Culture",
"grouping": [
"arts",
"pop",
"trulyca"
],
"description": "KQED Arts provides daily in-depth coverage of the Bay Area's music, art, film, performing arts, literature and arts news, as well as cultural commentary and criticism.",
"type": "terms",
"id": "arts",
"slug": "arts",
"link": "/arts",
"taxonomy": "site"
},
"artschool": {
"name": "Art School",
"parent": "arts",
"type": "terms",
"id": "artschool",
"slug": "artschool",
"link": "/artschool",
"taxonomy": "site"
},
"bayareabites": {
"name": "KQED food",
"grouping": [
"food",
"bayareabites",
"checkplease"
],
"parent": "food",
"type": "terms",
"id": "bayareabites",
"slug": "bayareabites",
"link": "/food",
"taxonomy": "site"
},
"bayareahiphop": {
"name": "Bay Area Hiphop",
"type": "terms",
"id": "bayareahiphop",
"slug": "bayareahiphop",
"link": "/bayareahiphop",
"taxonomy": "site"
},
"campaign21": {
"name": "Campaign 21",
"type": "terms",
"id": "campaign21",
"slug": "campaign21",
"link": "/campaign21",
"taxonomy": "site"
},
"careers": {
"name": "Careers",
"type": "terms",
"id": "careers",
"slug": "careers",
"link": "/careers",
"taxonomy": "site"
},
"checkplease": {
"name": "KQED food",
"grouping": [
"food",
"bayareabites",
"checkplease"
],
"parent": "food",
"type": "terms",
"id": "checkplease",
"slug": "checkplease",
"link": "/food",
"taxonomy": "site"
},
"education": {
"name": "Education",
"grouping": [
"education"
],
"type": "terms",
"id": "education",
"slug": "education",
"link": "/education",
"taxonomy": "site"
},
"elections": {
"name": "Elections",
"type": "terms",
"id": "elections",
"slug": "elections",
"link": "/elections",
"taxonomy": "site"
},
"events": {
"name": "Events",
"type": "terms",
"id": "events",
"slug": "events",
"link": "/events",
"taxonomy": "site"
},
"event": {
"name": "Event",
"alias": "events",
"type": "terms",
"id": "event",
"slug": "event",
"link": "/event",
"taxonomy": "site"
},
"filmschoolshorts": {
"name": "Film School Shorts",
"type": "terms",
"id": "filmschoolshorts",
"slug": "filmschoolshorts",
"link": "/filmschoolshorts",
"taxonomy": "site"
},
"food": {
"name": "KQED food",
"grouping": [
"food",
"bayareabites",
"checkplease"
],
"type": "terms",
"id": "food",
"slug": "food",
"link": "/food",
"taxonomy": "site"
},
"forum": {
"name": "Forum",
"relatedContentQuery": "posts/forum?",
"parent": "news",
"type": "terms",
"id": "forum",
"slug": "forum",
"link": "/forum",
"taxonomy": "site"
},
"futureofyou": {
"name": "Future of You",
"grouping": [
"science",
"futureofyou"
],
"parent": "science",
"type": "terms",
"id": "futureofyou",
"slug": "futureofyou",
"link": "/futureofyou",
"taxonomy": "site"
},
"jpepinheart": {
"name": "KQED food",
"relatedContentQuery": "posts/food,bayareabites,checkplease",
"parent": "food",
"type": "terms",
"id": "jpepinheart",
"slug": "jpepinheart",
"link": "/food",
"taxonomy": "site"
},
"liveblog": {
"name": "Live Blog",
"type": "terms",
"id": "liveblog",
"slug": "liveblog",
"link": "/liveblog",
"taxonomy": "site"
},
"livetv": {
"name": "Live TV",
"parent": "tv",
"type": "terms",
"id": "livetv",
"slug": "livetv",
"link": "/livetv",
"taxonomy": "site"
},
"lowdown": {
"name": "The Lowdown",
"relatedContentQuery": "posts/lowdown?",
"parent": "news",
"type": "terms",
"id": "lowdown",
"slug": "lowdown",
"link": "/lowdown",
"taxonomy": "site"
},
"mindshift": {
"name": "Mindshift",
"parent": "news",
"description": "MindShift explores the future of education by highlighting the innovative – and sometimes counterintuitive – ways educators and parents are helping all children succeed.",
"type": "terms",
"id": "mindshift",
"slug": "mindshift",
"link": "/mindshift",
"taxonomy": "site"
},
"news": {
"name": "News",
"grouping": [
"news",
"forum"
],
"type": "terms",
"id": "news",
"slug": "news",
"link": "/news",
"taxonomy": "site"
},
"newsletters": {
"name": "newsletters",
"type": "terms",
"id": "newsletters",
"slug": "newsletters",
"link": "/newsletters",
"taxonomy": "site"
},
"perspectives": {
"name": "Perspectives",
"parent": "radio",
"type": "terms",
"id": "perspectives",
"slug": "perspectives",
"link": "/perspectives",
"taxonomy": "site"
},
"podcasts": {
"name": "Podcasts",
"type": "terms",
"id": "podcasts",
"slug": "podcasts",
"link": "/podcasts",
"taxonomy": "site"
},
"pop": {
"name": "Pop",
"parent": "arts",
"type": "terms",
"id": "pop",
"slug": "pop",
"link": "/pop",
"taxonomy": "site"
},
"pressroom": {
"name": "Pressroom",
"type": "terms",
"id": "pressroom",
"slug": "pressroom",
"link": "/pressroom",
"taxonomy": "site"
},
"quest": {
"name": "Quest",
"parent": "science",
"type": "terms",
"id": "quest",
"slug": "quest",
"link": "/quest",
"taxonomy": "site"
},
"radio": {
"name": "Radio",
"grouping": [
"forum",
"perspectives"
],
"description": "Listen to KQED Public Radio – home of Forum and The California Report – on 88.5 FM in San Francisco, 89.3 FM in Sacramento, 88.3 FM in Santa Rosa and 88.1 FM in Martinez.",
"type": "terms",
"id": "radio",
"slug": "radio",
"link": "/radio",
"taxonomy": "site"
},
"root": {
"name": "KQED",
"image": "https://ww2.kqed.org/app/uploads/2020/02/KQED-OG-Image@1x.png",
"imageWidth": 1200,
"imageHeight": 630,
"headData": {
"title": "KQED | News, Radio, Podcasts, TV | Public Media for Northern California",
"description": "KQED provides public radio, television, and independent reporting on issues that matter to the Bay Area. We’re the NPR and PBS member station for Northern California."
},
"type": "terms",
"id": "root",
"slug": "root",
"link": "/root",
"taxonomy": "site"
},
"science": {
"name": "Science",
"grouping": [
"science",
"futureofyou"
],
"description": "KQED Science brings you award-winning science and environment coverage from the Bay Area and beyond.",
"type": "terms",
"id": "science",
"slug": "science",
"link": "/science",
"taxonomy": "site"
},
"stateofhealth": {
"name": "State of Health",
"parent": "science",
"type": "terms",
"id": "stateofhealth",
"slug": "stateofhealth",
"link": "/stateofhealth",
"taxonomy": "site"
},
"support": {
"name": "Support",
"type": "terms",
"id": "support",
"slug": "support",
"link": "/support",
"taxonomy": "site"
},
"thedolist": {
"name": "The Do List",
"parent": "arts",
"type": "terms",
"id": "thedolist",
"slug": "thedolist",
"link": "/thedolist",
"taxonomy": "site"
},
"trulyca": {
"name": "Truly CA",
"grouping": [
"arts",
"pop",
"trulyca"
],
"parent": "arts",
"type": "terms",
"id": "trulyca",
"slug": "trulyca",
"link": "/trulyca",
"taxonomy": "site"
},
"tv": {
"name": "TV",
"type": "terms",
"id": "tv",
"slug": "tv",
"link": "/tv",
"taxonomy": "site"
},
"voterguide": {
"name": "Voter Guide",
"parent": "elections",
"alias": "elections",
"type": "terms",
"id": "voterguide",
"slug": "voterguide",
"link": "/voterguide",
"taxonomy": "site"
},
"guiaelectoral": {
"name": "Guia Electoral",
"parent": "elections",
"alias": "elections",
"type": "terms",
"id": "guiaelectoral",
"slug": "guiaelectoral",
"link": "/guiaelectoral",
"taxonomy": "site"
},
"stateofhealth_category_reform": {
"isLoading": true
},
"stateofhealth_15": {
"type": "terms",
"id": "stateofhealth_15",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "15",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Obamacare",
"description": "The Affordable Care Act celebrates its seventh birthday this year. California has embraced the law, but will it survive a new Congress and President? \r\n",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "The Affordable Care Act celebrates its seventh birthday this year. California has embraced the law, but will it survive a new Congress and President?",
"title": "Obamacare Archives | KQED Arts",
"ogDescription": null
},
"ttid": 15,
"slug": "reform",
"isLoading": false,
"link": "/stateofhealth/category/reform"
},
"stateofhealth_38": {
"type": "terms",
"id": "stateofhealth_38",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "38",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Affordable Care Act",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Affordable Care Act Archives | KQED Arts",
"ogDescription": null
},
"ttid": 38,
"slug": "affordable-care-act",
"isLoading": false,
"link": "/stateofhealth/tag/affordable-care-act"
},
"stateofhealth_127": {
"type": "terms",
"id": "stateofhealth_127",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "127",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Tobacco",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Tobacco Archives | KQED Arts",
"ogDescription": null
},
"ttid": 127,
"slug": "tobacco",
"isLoading": false,
"link": "/stateofhealth/tag/tobacco"
},
"stateofhealth_294": {
"type": "terms",
"id": "stateofhealth_294",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "294",
"found": true
},
"relationships": {},
"featImg": null,
"name": "ACA",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "ACA Archives | KQED Arts",
"ogDescription": null
},
"ttid": 295,
"slug": "aca",
"isLoading": false,
"link": "/stateofhealth/tag/aca"
},
"stateofhealth_263": {
"type": "terms",
"id": "stateofhealth_263",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "263",
"found": true
},
"relationships": {},
"featImg": null,
"name": "California Budget",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "California Budget Archives | KQED Arts",
"ogDescription": null
},
"ttid": 263,
"slug": "california-budget",
"isLoading": false,
"link": "/stateofhealth/tag/california-budget"
},
"stateofhealth_368": {
"type": "terms",
"id": "stateofhealth_368",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "368",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Covered California",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Covered California Archives | KQED Arts",
"ogDescription": null
},
"ttid": 369,
"slug": "covered-california",
"isLoading": false,
"link": "/stateofhealth/tag/covered-california"
},
"stateofhealth_231": {
"type": "terms",
"id": "stateofhealth_231",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "231",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Health Insurance Exchange",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Health Insurance Exchange Archives | KQED Arts",
"ogDescription": null
},
"ttid": 231,
"slug": "health-insurance-exchange",
"isLoading": false,
"link": "/stateofhealth/tag/health-insurance-exchange"
},
"stateofhealth_11": {
"type": "terms",
"id": "stateofhealth_11",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "11",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Community Health",
"description": "\r\n\r\nFrom rural California to urban neighborhoods, where you live affects your health",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "From rural California to urban neighborhoods, where you live affects your health",
"title": "Community Health Archives | KQED Arts",
"ogDescription": null
},
"ttid": 11,
"slug": "place-matters",
"isLoading": false,
"link": "/stateofhealth/category/place-matters"
},
"stateofhealth_402": {
"type": "terms",
"id": "stateofhealth_402",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "402",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Medicaid Expansion",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Medicaid Expansion Archives | KQED Arts",
"ogDescription": null
},
"ttid": 403,
"slug": "medicaid-expansion",
"isLoading": false,
"link": "/stateofhealth/tag/medicaid-expansion"
},
"stateofhealth_2363": {
"type": "terms",
"id": "stateofhealth_2363",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "2363",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Vital Signs",
"description": "What does health look like for you, your family, and your neighborhood? Share your story about what your community needs to be healthy.\r\n\r\nIf you would like to learn more, please contact KQED's \u003ca href=\"mailto:fjhabvala@kqed.org\" target=\"_blank\">Farida Jhabvala Romero.\u003c/a>",
"taxonomy": "series",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "What does health look like for you, your family, and your neighborhood? Share your story about what your community needs to be healthy. If you would like to learn more, please contact KQED's Farida Jhabvala Romero.",
"title": "Vital Signs Archives | KQED Arts",
"ogDescription": null
},
"ttid": 722,
"slug": "vital-signs",
"isLoading": false,
"link": "/stateofhealth/series/vital-signs"
},
"stateofhealth_392": {
"type": "terms",
"id": "stateofhealth_392",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "392",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Gun Violence",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Gun Violence Archives | KQED Arts",
"ogDescription": null
},
"ttid": 393,
"slug": "gun-violence",
"isLoading": false,
"link": "/stateofhealth/tag/gun-violence"
},
"stateofhealth_145": {
"type": "terms",
"id": "stateofhealth_145",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "145",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Oakland",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Oakland Archives | KQED Arts",
"ogDescription": null
},
"ttid": 145,
"slug": "oakland",
"isLoading": false,
"link": "/stateofhealth/tag/oakland"
},
"stateofhealth_391": {
"type": "terms",
"id": "stateofhealth_391",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "391",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Violence Prevention",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Violence Prevention Archives | KQED Arts",
"ogDescription": null
},
"ttid": 392,
"slug": "violence-prevention",
"isLoading": false,
"link": "/stateofhealth/tag/violence-prevention"
},
"stateofhealth_2373": {
"type": "terms",
"id": "stateofhealth_2373",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "2373",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Vital Signs",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Vital Signs Archives | KQED Arts",
"ogDescription": null
},
"ttid": 2384,
"slug": "vital-signs",
"isLoading": false,
"link": "/stateofhealth/tag/vital-signs"
},
"stateofhealth_13": {
"type": "terms",
"id": "stateofhealth_13",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "13",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Tests & Treatments",
"description": "Information and new research about advances in discovering and treating diseases and conditions.",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "Information and new research about advances in discovering and treating diseases and conditions.",
"title": "Tests & Treatments Archives | KQED Arts",
"ogDescription": null
},
"ttid": 13,
"slug": "tests-treatments",
"isLoading": false,
"link": "/stateofhealth/category/tests-treatments"
},
"stateofhealth_99": {
"type": "terms",
"id": "stateofhealth_99",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "99",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Medi-Cal",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Medi-Cal Archives | KQED Arts",
"ogDescription": null
},
"ttid": 99,
"slug": "medi-cal",
"isLoading": false,
"link": "/stateofhealth/tag/medi-cal"
},
"stateofhealth_14": {
"type": "terms",
"id": "stateofhealth_14",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "14",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Policy",
"description": "Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed",
"title": "Policy Archives | KQED Arts",
"ogDescription": null
},
"ttid": 14,
"slug": "policy",
"isLoading": false,
"link": "/stateofhealth/category/policy"
},
"stateofhealth_396": {
"type": "terms",
"id": "stateofhealth_396",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "396",
"found": true
},
"relationships": {},
"featImg": null,
"name": "School Health Centers",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "School Health Centers Archives | KQED Arts",
"ogDescription": null
},
"ttid": 397,
"slug": "school-health-centers",
"isLoading": false,
"link": "/stateofhealth/tag/school-health-centers"
}
},
"userPermissionsReducer": {
"wpLoggedIn": false
},
"eventsReducer": {},
"fssReducer": {},
"tvDailyScheduleReducer": {},
"tvWeeklyScheduleReducer": {},
"tvPrimetimeScheduleReducer": {},
"tvMonthlyScheduleReducer": {},
"userAccountReducer": {
"user": {
"email": null,
"emailStatus": "EMAIL_UNVALIDATED",
"loggedStatus": "LOGGED_OUT",
"loggingChecked": false,
"articles": [],
"firstName": null,
"lastName": null,
"phoneNumber": null,
"fetchingMembership": false,
"membershipError": false,
"memberships": [
{
"id": null,
"startDate": null,
"firstName": null,
"lastName": null,
"familyNumber": null,
"memberNumber": null,
"memberSince": null,
"expirationDate": null,
"pfsEligible": false,
"isSustaining": false,
"membershipLevel": "Prospect",
"membershipStatus": "Non Member",
"lastGiftDate": null,
"renewalDate": null,
"lastDonationAmount": null
}
]
},
"authModal": {
"isOpen": false,
"view": "LANDING_VIEW"
},
"error": null
},
"youthMediaReducer": {},
"checkPleaseReducer": {
"filterData": {
"region": {
"key": "Restaurant Region",
"filters": [
"Any Region"
]
},
"cuisine": {
"key": "Restaurant Cuisine",
"filters": [
"Any Cuisine"
]
}
},
"restaurantDataById": {},
"restaurantIdsSorted": [],
"error": null
},
"userAgentReducer": {
"userAgent": "Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)",
"isBot": true
},
"requestOutcomesReducer": {
"notFound": []
},
"navPromosReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": true,
"promos": {
"news": {
"name": "2026 Voter Guide",
"link": "/voterguide",
"imageURL": "https://cdn.kqed.org/wp-content/uploads/2026/10/Nav-News-Nov2026ElectionCoverage@2x-7bd4aad4.png",
"description": "Get informed in minutes with our Voter Guide for California’s November 3 election."
},
"podcasts-radio": {},
"video-tv": {},
"events": {},
"support": {}
}
}
}
