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"content": "\u003cp>\u003cstrong>By Julie Rovner\u003c/strong>, NPR\u003c/p>\n\u003cp>\u003cem>Editor's Note: This story also appears as part of \u003ca title=\"http://capsules.kaiserhealthnews.org/index.php/2012/07/gop-says-coverage-for-the-uninsured-is-not-their-priority/\" href=\"http://capsules.kaiserhealthnews.org/index.php/2012/07/gop-says-coverage-for-the-uninsured-is-not-their-priority/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_7686\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Screen-Shot-2012-07-27-at-11.48.02-AM.png\">\u003cimg class=\"size-medium wp-image-7686\" title='Senate Minority Leader Mitch McConnell (R-Ky) on \"Fox News Sunday\" with Chris Wallace earlier this month.' src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Screen-Shot-2012-07-27-at-11.48.02-AM-300x150.png\" alt=\"Senate Minority Leader Mitch McConnell (R-Ky) on Fox News Sunday with Chris Wallace earlier this month.\" width=\"300\" height=\"150\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Senate Minority Leader Mitch McConnell (R-Ky) on Fox News Sunday with Chris Wallace earlier this month.\u003c/figcaption>\u003c/figure>\n\u003cp>For decades, the primary goal of those who would fix the U.S. health system has been to help people without insurance get coverage. Now, it seems, all that may be changing. At least some top Republicans are trying to steer the health debate away from the problem of the uninsured.\u003c/p>\n\u003cp>The shift in emphasis is a subtle one, but it’s noticeable.\u003c/p>\n\u003cp>Take this exchange between \u003cem>Fox News Sunday\u003c/em> host Chris Wallace and Senate Minority Leader Mitch McConnell (R-Ky.) \u003ca href=\"http://video.foxnews.com/v/1715039029001/mcconnell-we-can-defeat-obamacare-in-november/\" target=\"_blank\">earlier this month\u003c/a>, just after the Supreme Court upheld most of President Obama’s health law.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Wallace\u003c/strong>: “What specifically are you going to do to provide universal coverage to the 30 million people who are uninsured?”\u003c/p>\n\u003cp>\u003cstrong>McConnell\u003c/strong>: “That is not the issue. … The question is how can you go step by step to improve the American health care system? It is already the finest health care system in the world.”\u003c/p>\n\u003cp>\u003cstrong>Wallace\u003c/strong>: “But you don’t think that 30 million people who are uninsured is an issue?”\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>McConnell\u003c/strong>: “Let me tell you what we’re not going to do. We’re not going to turn the American health care system into a Western European system. That is exactly what is at the heart of Obamacare. They want to have the federal government take over all of American health care.”\u003c/p>\n\u003cp>By “Western European,” McConnell means government-run or primarily government-run. Western European countries also pretty much \u003ca href=\"http://www.npr.org/series/91972152/health-care-for-all\" target=\"_blank\">don’t have people who don’t have health insurance\u003c/a>. And by the way, there are \u003ca href=\"http://www.census.gov/hhes/www/hlthins/data/incpovhlth/2010/highlights.html\" target=\"_blank\">closer to 50 million Americans\u003c/a> without health insurance; 30 million is the number the health law is estimated likely to cover.\u003c/p>\n\u003cp>But McConnell isn’t the only top Republican saying covering the uninsured should no longer be the top priority.\u003c/p>\n\u003cp>“Conservatives cannot allow themselves to be browbeaten by failing to provide the same coverage numbers as Obamacare,” Sen. Orrin Hatch, R-Utah, told a conference at the conservative \u003ca href=\"http://www.aei.org/events/2012/07/09/the-affordable-care-act-what-should-congress-do-next/\" target=\"_blank\">American Enterprise Institute\u003c/a>. “To be clear, it is a disgrace that so many American families go without health insurance coverage. But we cannot succumb to the pressure to argue on the left’s terms.”\u003c/p>\n\u003cp>So if getting more people coverage isn’t the goal, what is?\u003c/p>\n\u003cp>“Your goal should be reducing costs, and expanding individual liberty,” said Dean Clancy, who also spoke at the \u003ca href=\"http://www.aei.org/events/print/the-affordable-care-act-what-should-congress-do-next\" target=\"_blank\">AEI conference\u003c/a>. He’s legislative counsel for \u003ca href=\"http://www.freedomworks.org/dean-clancy-biography\" target=\"_blank\">Freedomworks\u003c/a>, a group that supports and trains Tea Party activists.\u003c/p>\n\u003cp>But Clancy says reducing costs doesn’t mean doing nothing, even though that’s what many of the people he talks to would prefer. “What they don’t often understand is the government has already screwed it up significantly, such that we have no choice but to try to reform, to undo the wrong things we’ve done,” he said.\u003c/p>\n\u003cp>Clancy is only one of many policy types who are trying to convince more Republicans to put expanding coverage on the back burner. Another is Michael Cannon, head of health policy at the libertarian \u003ca href=\"http://www.cato.org/people/michael-cannon\" target=\"_blank\">Cato Institute\u003c/a>.\u003c/p>\n\u003cp>Cannon has long questioned the idea that expanding insurance coverage should be the holy grail of health reform.\u003c/p>\n\u003cp>“The idea that the government should guarantee health insurance to everybody passes as really gospel in health policy circles, without any serious consideration, without any sort of examination of why is it that we want people to have health insurance, is health insurance the best way to serve those goals, could there be lower-cost ways of achieving those goals,” he said.\u003c/p>\n\u003cp>People need to have the freedom not to have insurance if the marketplace is to function properly, he says. “Because if they don’t have freedom, if the government is requiring them to purchase health insurance either from a private company or the government, then the government gets to define what health insurance is, and that stifles a lot of innovation in the health insurance and health care delivery markets, and we’re suffering under that sort of regulation right now,” he says.\u003c/p>\n\u003cp>But supporters of the health care law say arguments about making the marketplace function better are all a big smokescreen.\u003c/p>\n\u003cp>“Every once in a while, the Republicans have rare moments of honesty. And so when they say that they don’t want to expand coverage, this is one of those rare moments,” says Ethan Rome, who runs \u003ca href=\"http://healthcareforamericanow.org/for-the-press/press-kit/ethan-rome-executive-director-health-care-for-america-now/\" target=\"_blank\">Health Care for America Now\u003c/a>, an advocacy group working to promote and defend the health care law.\u003c/p>\n\u003cp>“They look around and they see middle-class families and others in need, and what do they want to do? They want to give tax breaks to the super rich,” he says. “That’s who they are and what they do. And I think that’s why they’re starting to talk about how they don’t want to expand coverage. Because they at least want to be truthful about a couple of things. And those are the ways in which they want to abandon certain populations and be frank about it.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Other analysts see a more calculated political tactic, however, in GOP efforts to downplay coverage expansions. They say it’s more like class warfare: Republicans want to paint the health care law as requiring people who already have health insurance to help pay for those who don’t. It will be up to supporters to demonstrate how the law is helping those who do have insurance keep it and pay less.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Julie Rovner\u003c/strong>, NPR\u003c/p>\n\u003cp>\u003cem>Editor's Note: This story also appears as part of \u003ca title=\"http://capsules.kaiserhealthnews.org/index.php/2012/07/gop-says-coverage-for-the-uninsured-is-not-their-priority/\" href=\"http://capsules.kaiserhealthnews.org/index.php/2012/07/gop-says-coverage-for-the-uninsured-is-not-their-priority/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_7686\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Screen-Shot-2012-07-27-at-11.48.02-AM.png\">\u003cimg class=\"size-medium wp-image-7686\" title='Senate Minority Leader Mitch McConnell (R-Ky) on \"Fox News Sunday\" with Chris Wallace earlier this month.' src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Screen-Shot-2012-07-27-at-11.48.02-AM-300x150.png\" alt=\"Senate Minority Leader Mitch McConnell (R-Ky) on Fox News Sunday with Chris Wallace earlier this month.\" width=\"300\" height=\"150\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Senate Minority Leader Mitch McConnell (R-Ky) on Fox News Sunday with Chris Wallace earlier this month.\u003c/figcaption>\u003c/figure>\n\u003cp>For decades, the primary goal of those who would fix the U.S. health system has been to help people without insurance get coverage. Now, it seems, all that may be changing. At least some top Republicans are trying to steer the health debate away from the problem of the uninsured.\u003c/p>\n\u003cp>The shift in emphasis is a subtle one, but it’s noticeable.\u003c/p>\n\u003cp>Take this exchange between \u003cem>Fox News Sunday\u003c/em> host Chris Wallace and Senate Minority Leader Mitch McConnell (R-Ky.) \u003ca href=\"http://video.foxnews.com/v/1715039029001/mcconnell-we-can-defeat-obamacare-in-november/\" target=\"_blank\">earlier this month\u003c/a>, just after the Supreme Court upheld most of President Obama’s health law.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Wallace\u003c/strong>: “What specifically are you going to do to provide universal coverage to the 30 million people who are uninsured?”\u003c/p>\n\u003cp>\u003cstrong>McConnell\u003c/strong>: “That is not the issue. … The question is how can you go step by step to improve the American health care system? It is already the finest health care system in the world.”\u003c/p>\n\u003cp>\u003cstrong>Wallace\u003c/strong>: “But you don’t think that 30 million people who are uninsured is an issue?”\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>McConnell\u003c/strong>: “Let me tell you what we’re not going to do. We’re not going to turn the American health care system into a Western European system. That is exactly what is at the heart of Obamacare. They want to have the federal government take over all of American health care.”\u003c/p>\n\u003cp>By “Western European,” McConnell means government-run or primarily government-run. Western European countries also pretty much \u003ca href=\"http://www.npr.org/series/91972152/health-care-for-all\" target=\"_blank\">don’t have people who don’t have health insurance\u003c/a>. And by the way, there are \u003ca href=\"http://www.census.gov/hhes/www/hlthins/data/incpovhlth/2010/highlights.html\" target=\"_blank\">closer to 50 million Americans\u003c/a> without health insurance; 30 million is the number the health law is estimated likely to cover.\u003c/p>\n\u003cp>But McConnell isn’t the only top Republican saying covering the uninsured should no longer be the top priority.\u003c/p>\n\u003cp>“Conservatives cannot allow themselves to be browbeaten by failing to provide the same coverage numbers as Obamacare,” Sen. Orrin Hatch, R-Utah, told a conference at the conservative \u003ca href=\"http://www.aei.org/events/2012/07/09/the-affordable-care-act-what-should-congress-do-next/\" target=\"_blank\">American Enterprise Institute\u003c/a>. “To be clear, it is a disgrace that so many American families go without health insurance coverage. But we cannot succumb to the pressure to argue on the left’s terms.”\u003c/p>\n\u003cp>So if getting more people coverage isn’t the goal, what is?\u003c/p>\n\u003cp>“Your goal should be reducing costs, and expanding individual liberty,” said Dean Clancy, who also spoke at the \u003ca href=\"http://www.aei.org/events/print/the-affordable-care-act-what-should-congress-do-next\" target=\"_blank\">AEI conference\u003c/a>. He’s legislative counsel for \u003ca href=\"http://www.freedomworks.org/dean-clancy-biography\" target=\"_blank\">Freedomworks\u003c/a>, a group that supports and trains Tea Party activists.\u003c/p>\n\u003cp>But Clancy says reducing costs doesn’t mean doing nothing, even though that’s what many of the people he talks to would prefer. “What they don’t often understand is the government has already screwed it up significantly, such that we have no choice but to try to reform, to undo the wrong things we’ve done,” he said.\u003c/p>\n\u003cp>Clancy is only one of many policy types who are trying to convince more Republicans to put expanding coverage on the back burner. Another is Michael Cannon, head of health policy at the libertarian \u003ca href=\"http://www.cato.org/people/michael-cannon\" target=\"_blank\">Cato Institute\u003c/a>.\u003c/p>\n\u003cp>Cannon has long questioned the idea that expanding insurance coverage should be the holy grail of health reform.\u003c/p>\n\u003cp>“The idea that the government should guarantee health insurance to everybody passes as really gospel in health policy circles, without any serious consideration, without any sort of examination of why is it that we want people to have health insurance, is health insurance the best way to serve those goals, could there be lower-cost ways of achieving those goals,” he said.\u003c/p>\n\u003cp>People need to have the freedom not to have insurance if the marketplace is to function properly, he says. “Because if they don’t have freedom, if the government is requiring them to purchase health insurance either from a private company or the government, then the government gets to define what health insurance is, and that stifles a lot of innovation in the health insurance and health care delivery markets, and we’re suffering under that sort of regulation right now,” he says.\u003c/p>\n\u003cp>But supporters of the health care law say arguments about making the marketplace function better are all a big smokescreen.\u003c/p>\n\u003cp>“Every once in a while, the Republicans have rare moments of honesty. And so when they say that they don’t want to expand coverage, this is one of those rare moments,” says Ethan Rome, who runs \u003ca href=\"http://healthcareforamericanow.org/for-the-press/press-kit/ethan-rome-executive-director-health-care-for-america-now/\" target=\"_blank\">Health Care for America Now\u003c/a>, an advocacy group working to promote and defend the health care law.\u003c/p>\n\u003cp>“They look around and they see middle-class families and others in need, and what do they want to do? They want to give tax breaks to the super rich,” he says. “That’s who they are and what they do. And I think that’s why they’re starting to talk about how they don’t want to expand coverage. Because they at least want to be truthful about a couple of things. And those are the ways in which they want to abandon certain populations and be frank about it.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Other analysts see a more calculated political tactic, however, in GOP efforts to downplay coverage expansions. They say it’s more like class warfare: Republicans want to paint the health care law as requiring people who already have health insurance to help pay for those who don’t. It will be up to supporters to demonstrate how the law is helping those who do have insurance keep it and pay less.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Insurance Marketplace Taking Shape: Will It Meet Needs of Latinos?",
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"content": "\u003cfigure id=\"attachment_7530\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/StethoscopeAdrianClark.jpg\">\u003cimg class=\"size-medium wp-image-7530\" title=\"(Adrian Clark: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/StethoscopeAdrianClark-300x300.jpg\" alt=\"(Adrian Clark: Flickr)\" width=\"300\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Adrian Clark: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>It's off to the races now.\u003c/p>\n\u003cp>With the health overhaul (mostly) upheld by the Supreme Court, the January 1, 2014 deadline for the rollout of the Affordable Care Act is looming -- in particular for the board of the \u003ca title=\"http://www.healthexchange.ca.gov/Pages/Default.aspx\" href=\"http://www.healthexchange.ca.gov/Pages/Default.aspx\" target=\"_blank\">Health Benefit Exchange\u003c/a>. That's the group tasked with developing an online marketplace where Californians will be able to buy health insurance. Yesterday, KQED's Mina Kim attended the board's first meeting since the ACA was upheld. Today I went to a meeting of the Latino Coalition for a Health California. It was sort of a point-counterpoint experience.\u003c/p>\n\u003cp>First, from Mina Kim. As she detailed on \u003ca title=\"http://www.californiareport.org/archive/R201207200850/b\" href=\"http://www.californiareport.org/archive/R201207200850/b\" target=\"_blank\">The California Report\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Hundreds of people packed the auditorium in Oakland yesterday where the Board meeting was held. At issue for many people was that health plans have a standard format so that it's easy for consumers to compare costs and benefits.\u003c/p>\n\u003cp>\u003ca title=\"http://www.consumersunion.org/about/2006/10/elizabeth_betsy_imholz_1.html\" href=\"http://www.consumersunion.org/about/2006/10/elizabeth_betsy_imholz_1.html\" target=\"_blank\">Betsy Imholz\u003c/a>, with the advocacy group Consumers Union, told Kim that this is a critical time for the exchange. \"It’s where the rubber meets the road … figuring out what plans will be part of the exchange.\"\u003c!--more-->\u003c/p>\n\u003cp>Some health plan representatives warned against putting too many requirements on insurers -- which could make plans expensive. To make his point, \u003ca title=\"http://www.calhealthplans.org/Default.aspx?PageID=12156906&A=SearchResult&SearchID=2248606&ObjectID=12156906&ObjectType=1\" href=\"http://www.calhealthplans.org/Default.aspx?PageID=12156906&A=SearchResult&SearchID=2248606&ObjectID=12156906&ObjectType=1\" target=\"_blank\">Charles Bacchi\u003c/a> with the California Association of Health Plans held up the Exchange’s 260- page document of recommendations.\u003c/p>\n\u003cp>\"This is really a big document!\" he said, to laughter from the audience.\u003c/p>\n\u003cp>The board has just fifteen months to get its market place up and running. The Health Exchange Board's goal is to have an operable exchange by October 2013 -- so Californians can buy insurance and be ready for the January 1, 2014 roll out. Board member Paul Fearer told Kim, \"It’s a lot of work, but we’ve got a lot of passionate people a great staff and a really good board, so that gives us a great chance.\"\u003c/p>\u003c/blockquote>\n\u003cp>Today, members of the \u003ca title=\"http://www.lchc.org/\" href=\"http://www.lchc.org/\" target=\"_blank\">Latino Coalition for a Healthy California\u003c/a> (LCHC) struck a more sobering note at its scheduled meeting. While the January 2014 deadline is looming, LCHC Board Director \u003ca title=\"http://www.lchc.org/about_us/board.html\" href=\"http://www.lchc.org/about_us/board.html\" target=\"_blank\">Gil Ojeda\u003c/a> worries the Exchange planning process is nonetheless moving too quickly. \"When you move a freight train at 90 miles an hour, some things are going to get put aside,\" he told me, a reference to interim deadlines to have the essential health benefits determined that plans must meet. \"We're not convinced this can all be hashed out in the next 45 days.\" He wondered why plans must be determined by September. \"Why not October, or November?\" he mused.\u003c/p>\n\u003cp>Many at the meeting were also concerned that the state lacks the primary care providers it will need to absorb the estimated \u003ca title=\"http://centerforhealthreporting.org/article/court-ruling-green-lights-california’s-aggressive-move-health-reform941\" href=\"http://centerforhealthreporting.org/article/court-ruling-green-lights-california%E2%80%99s-aggressive-move-health-reform941\" target=\"_blank\">3 million Californians\u003c/a> who will be newly insured. \"I can tell you right now,\" Ojeda said. \"We don't have a chance of achieving the numbers (of primary care providers) we need by 2014.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The board of the California Health Benefit Exchange meets monthly -- its next meeting is August 23. Stay tuned. The train is moving fast, as Ojeda noted.\u003c/p>\n\n",
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"excerpt": "It's off to the races now.\r\n\r\nWith the health overhaul (mostly) upheld by the Supreme Court, the January 1, 2014 deadline for the rollout of the Affordable Care Act is looming -- in particular for the board of the Health Benefit Exchange. That's the group tasked with developing an online marketplace where Californians will be able to buy health insurance. Yesterday, KQED's Mina Kim attended the board's first meeting since the ACA was upheld. Today I went to a meeting of the Latino Coalition for a Health California. It was sort of a point-counterpoint experience.",
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"title": "Insurance Marketplace Taking Shape: Will It Meet Needs of Latinos? | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_7530\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/StethoscopeAdrianClark.jpg\">\u003cimg class=\"size-medium wp-image-7530\" title=\"(Adrian Clark: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/StethoscopeAdrianClark-300x300.jpg\" alt=\"(Adrian Clark: Flickr)\" width=\"300\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Adrian Clark: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>It's off to the races now.\u003c/p>\n\u003cp>With the health overhaul (mostly) upheld by the Supreme Court, the January 1, 2014 deadline for the rollout of the Affordable Care Act is looming -- in particular for the board of the \u003ca title=\"http://www.healthexchange.ca.gov/Pages/Default.aspx\" href=\"http://www.healthexchange.ca.gov/Pages/Default.aspx\" target=\"_blank\">Health Benefit Exchange\u003c/a>. That's the group tasked with developing an online marketplace where Californians will be able to buy health insurance. Yesterday, KQED's Mina Kim attended the board's first meeting since the ACA was upheld. Today I went to a meeting of the Latino Coalition for a Health California. It was sort of a point-counterpoint experience.\u003c/p>\n\u003cp>First, from Mina Kim. As she detailed on \u003ca title=\"http://www.californiareport.org/archive/R201207200850/b\" href=\"http://www.californiareport.org/archive/R201207200850/b\" target=\"_blank\">The California Report\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>Hundreds of people packed the auditorium in Oakland yesterday where the Board meeting was held. At issue for many people was that health plans have a standard format so that it's easy for consumers to compare costs and benefits.\u003c/p>\n\u003cp>\u003ca title=\"http://www.consumersunion.org/about/2006/10/elizabeth_betsy_imholz_1.html\" href=\"http://www.consumersunion.org/about/2006/10/elizabeth_betsy_imholz_1.html\" target=\"_blank\">Betsy Imholz\u003c/a>, with the advocacy group Consumers Union, told Kim that this is a critical time for the exchange. \"It’s where the rubber meets the road … figuring out what plans will be part of the exchange.\"\u003c!--more-->\u003c/p>\n\u003cp>Some health plan representatives warned against putting too many requirements on insurers -- which could make plans expensive. To make his point, \u003ca title=\"http://www.calhealthplans.org/Default.aspx?PageID=12156906&A=SearchResult&SearchID=2248606&ObjectID=12156906&ObjectType=1\" href=\"http://www.calhealthplans.org/Default.aspx?PageID=12156906&A=SearchResult&SearchID=2248606&ObjectID=12156906&ObjectType=1\" target=\"_blank\">Charles Bacchi\u003c/a> with the California Association of Health Plans held up the Exchange’s 260- page document of recommendations.\u003c/p>\n\u003cp>\"This is really a big document!\" he said, to laughter from the audience.\u003c/p>\n\u003cp>The board has just fifteen months to get its market place up and running. The Health Exchange Board's goal is to have an operable exchange by October 2013 -- so Californians can buy insurance and be ready for the January 1, 2014 roll out. Board member Paul Fearer told Kim, \"It’s a lot of work, but we’ve got a lot of passionate people a great staff and a really good board, so that gives us a great chance.\"\u003c/p>\u003c/blockquote>\n\u003cp>Today, members of the \u003ca title=\"http://www.lchc.org/\" href=\"http://www.lchc.org/\" target=\"_blank\">Latino Coalition for a Healthy California\u003c/a> (LCHC) struck a more sobering note at its scheduled meeting. While the January 2014 deadline is looming, LCHC Board Director \u003ca title=\"http://www.lchc.org/about_us/board.html\" href=\"http://www.lchc.org/about_us/board.html\" target=\"_blank\">Gil Ojeda\u003c/a> worries the Exchange planning process is nonetheless moving too quickly. \"When you move a freight train at 90 miles an hour, some things are going to get put aside,\" he told me, a reference to interim deadlines to have the essential health benefits determined that plans must meet. \"We're not convinced this can all be hashed out in the next 45 days.\" He wondered why plans must be determined by September. \"Why not October, or November?\" he mused.\u003c/p>\n\u003cp>Many at the meeting were also concerned that the state lacks the primary care providers it will need to absorb the estimated \u003ca title=\"http://centerforhealthreporting.org/article/court-ruling-green-lights-california’s-aggressive-move-health-reform941\" href=\"http://centerforhealthreporting.org/article/court-ruling-green-lights-california%E2%80%99s-aggressive-move-health-reform941\" target=\"_blank\">3 million Californians\u003c/a> who will be newly insured. \"I can tell you right now,\" Ojeda said. \"We don't have a chance of achieving the numbers (of primary care providers) we need by 2014.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The board of the California Health Benefit Exchange meets monthly -- its next meeting is August 23. Stay tuned. The train is moving fast, as Ojeda noted.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cstrong>By Marilyn Werber Serafini\u003c/strong>, \u003ca title=\"http://capsules.kaiserhealthnews.org/index.php/2012/07/bill-frist-to-gop-governors-get-cracking-on-exchanges/\" href=\"http://capsules.kaiserhealthnews.org/index.php/2012/07/bill-frist-to-gop-governors-get-cracking-on-exchanges/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_7487\" class=\"wp-caption alignleft\" style=\"max-width: 273px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/BillFrist_TracyRusso_Flickr_Taken01042007.jpg\">\u003cimg class=\"size-medium wp-image-7487\" title=\"Former Senator Bill Frist in 2009. (Tracy Russo: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/BillFrist_TracyRusso_Flickr_Taken01042007-300x329.jpg\" alt=\"Former Senator Bill Frist in 2009. (Tracy Russo: Flickr)\" width=\"273\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Former Senator Bill Frist in 2009. (Tracy Russo: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>A former GOP power player is urging Republicans to rethink their rejection of the health law and to implement state insurance exchanges –- and to do it now.\u003c/p>\n\u003cp>Bill Frist, a former Republican Senate majority leader and a heart transplant surgeon, \u003ca href=\"http://theweek.com/bullpen/column/230655/why-both-parties-should-embrace-obamacares-state-exchanges\" target=\"_blank\">today argued in a column\u003c/a> that state officials should not pass up the opportunity to build the insurance exchanges that are right for them. Under the law, if a state that doesn’t create its own exchange, the federal government will parachute in to do the job.\u003c/p>\n\u003cp>“Originally a Republican idea, the state insurance exchanges mandated under the Affordable Care Act (ACA) will offer a menu of private insurance plans to pick and choose from, all with a required set of minimum benefits, to those without employer-sponsored health insurance,” Frist wrote. “These exchanges are expected to bring health insurance to an additional 16 million Americans. Unlike the Medicaid expansion, these Americans will gain private insurance, and can choose the plan that’s right for them.\u003c/p>\n\u003caside class=\"pullquote alignright\">“State exchanges are the solution.”\u003c/aside>\n\u003cp>\u003ca href=\"http://www.statehealthfacts.org/comparemaptable.jsp?ind=962&cat=17\" target=\"_blank\">Fifteen states \u003c/a>have taken the first steps to set up exchanges, basically online insurance marketplaces. The health law has received withering criticism from many Republican governors, and some have refused to establish exchanges. Some were waiting for a decision on the law from the Supreme Court, and are \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2012/July/01/health-law-implementation-deadlines.aspx\" target=\"_blank\">now moving forward.\u003c/a> Still others are holding out hope that Republicans will win big in November and repeal the entire law.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But Frist, who isn’t a fan of the law’s insurance mandate, believes state-based exchanges are a good idea.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“State exchanges are the solution,” he wrote. “They represent the federalist ideal of states as ‘laboratories for democracy.’ We are seeing 50 states each designing a model that is right for them, empowered to take into account their individual cultures, politics, economies, and demographics. While much planning has yet to be done, we are already seeing a huge range in state models. I love the diversity and the innovation.”\u003c/p>\n\n",
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"excerpt": "A former GOP power player is urging Republicans to rethink their rejection of the health law and to implement state insurance exchanges –- and to do it now.\r\n\r\nBill Frist, a former Republican Senate majority leader and a heart transplant surgeon, today argued in a column that state officials should not pass up the opportunity to build the insurance exchanges that are right for them. Under the law, if a state that doesn’t create its own exchange, the federal government will parachute in to do the job.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Marilyn Werber Serafini\u003c/strong>, \u003ca title=\"http://capsules.kaiserhealthnews.org/index.php/2012/07/bill-frist-to-gop-governors-get-cracking-on-exchanges/\" href=\"http://capsules.kaiserhealthnews.org/index.php/2012/07/bill-frist-to-gop-governors-get-cracking-on-exchanges/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_7487\" class=\"wp-caption alignleft\" style=\"max-width: 273px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/BillFrist_TracyRusso_Flickr_Taken01042007.jpg\">\u003cimg class=\"size-medium wp-image-7487\" title=\"Former Senator Bill Frist in 2009. (Tracy Russo: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/BillFrist_TracyRusso_Flickr_Taken01042007-300x329.jpg\" alt=\"Former Senator Bill Frist in 2009. (Tracy Russo: Flickr)\" width=\"273\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Former Senator Bill Frist in 2009. (Tracy Russo: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>A former GOP power player is urging Republicans to rethink their rejection of the health law and to implement state insurance exchanges –- and to do it now.\u003c/p>\n\u003cp>Bill Frist, a former Republican Senate majority leader and a heart transplant surgeon, \u003ca href=\"http://theweek.com/bullpen/column/230655/why-both-parties-should-embrace-obamacares-state-exchanges\" target=\"_blank\">today argued in a column\u003c/a> that state officials should not pass up the opportunity to build the insurance exchanges that are right for them. Under the law, if a state that doesn’t create its own exchange, the federal government will parachute in to do the job.\u003c/p>\n\u003cp>“Originally a Republican idea, the state insurance exchanges mandated under the Affordable Care Act (ACA) will offer a menu of private insurance plans to pick and choose from, all with a required set of minimum benefits, to those without employer-sponsored health insurance,” Frist wrote. “These exchanges are expected to bring health insurance to an additional 16 million Americans. Unlike the Medicaid expansion, these Americans will gain private insurance, and can choose the plan that’s right for them.\u003c/p>\n\u003caside class=\"pullquote alignright\">“State exchanges are the solution.”\u003c/aside>\n\u003cp>\u003ca href=\"http://www.statehealthfacts.org/comparemaptable.jsp?ind=962&cat=17\" target=\"_blank\">Fifteen states \u003c/a>have taken the first steps to set up exchanges, basically online insurance marketplaces. The health law has received withering criticism from many Republican governors, and some have refused to establish exchanges. Some were waiting for a decision on the law from the Supreme Court, and are \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2012/July/01/health-law-implementation-deadlines.aspx\" target=\"_blank\">now moving forward.\u003c/a> Still others are holding out hope that Republicans will win big in November and repeal the entire law.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But Frist, who isn’t a fan of the law’s insurance mandate, believes state-based exchanges are a good idea.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“State exchanges are the solution,” he wrote. “They represent the federalist ideal of states as ‘laboratories for democracy.’ We are seeing 50 states each designing a model that is right for them, empowered to take into account their individual cultures, politics, economies, and demographics. While much planning has yet to be done, we are already seeing a huge range in state models. I love the diversity and the innovation.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Bridging the Gap: Disparities in Mental Health Care for African-Americans",
"title": "Bridging the Gap: Disparities in Mental Health Care for African-Americans",
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"content": "\u003cfigure id=\"attachment_7477\" class=\"wp-caption alignleft\" style=\"max-width: 298px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/AAHISBC-meeting.jpg\">\u003cimg class=\"size-full wp-image-7477\" title=\"(Courtesy: African American Health Institute San Bernardino County)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/AAHISBC-meeting.jpg\" alt=\"(Courtesy: African American Health Institute San Bernardino County)\" width=\"298\" height=\"210\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Courtesy: African American Health Institute San Bernardino County)\u003c/figcaption>\u003c/figure>\n\u003cp>African-Americans in California are less likely than white people to \u003ca href=\"http://www.apa.org/about/gr/issues/minority/access.aspx\" target=\"_blank\">get the mental health care\u003c/a> they need. State public health officials have lacked a good road map on how to change those disparities, until now. A statewide study released today looks at ways to \u003ca href=\"http://www.aahi-sbc.org/Afi-Am_Population_Report_.php\" target=\"_blank\">reduce disparities\u003c/a> in mental health care for black Californians.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.aahi-sbc.org/Afi-Am_Population_Report_.php\" target=\"_blank\">report\u003c/a>, commissioned by the California Department of Mental Health, sifted through more than a decade of literature on why African-Americans in California aren't getting adequate mental health care. A major reason is poverty and all of the barriers to getting health care that come with it.\u003c/p>\n\u003cp>Diane Woods is the lead author of the study and the founding president of the \u003ca href=\"http://www.aahi-sbc.org/\" target=\"_blank\">African American Health Institute of San Bernardino County.\u003c/a>\u003c/p>\n\u003cp>\"It is unpleasant to admit, but some people do not receive appropriate services,\" Woods said.\u003c/p>\n\u003cp>The Northern California city of Richmond is nearly 27 percent African American, and has many pockets of low-income neighborhoods. Anne Cevallos is a therapist at \u003ca href=\"http://www.rubiconprograms.org/\" target=\"_blank\">Rubicon\u003c/a>, a nonprofit in Richmond that offers treatment and housing for people mental illnesses. She says her clients face multiple barriers to treatment.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"From a mental health perspective there could be triggers,\" Cevallos said. \"Not having enough to eat, domestic violence, neighborhood violence, never learning to cope.\"\u003c/p>\n\u003cp>\u003c!--more-->Cevallos said almost all of her Richmond patients have lived through traumatic experiences. Like Dorothy Perkins. Now in her 60s, Perkins said she first started suffering from depression when she was 12 years old. That's when her alcoholic father started sexually abusing her. Decades later, after her husband died of untreated diabetes, she says living with that depression became too painful. She started using crack to escape and eventually ended up living on the streets of North Richmond.\u003c/p>\n\u003cp>\"And it was really hard out there. I mean, a black woman on the streets, elderly ... It’s very dangerous.\"\u003c/p>\n\u003cp>Perkins finally got the help she needed at Rubicon. But that's often not the case. Study author Diane Woods says that while poverty plays a significant role in blacks not having access to mental health care -- like in Dorothy Perkins' case -- there's much more to the picture. Like racism.\u003c/p>\n\u003cp>Of the 1,195 black study participants, most reported experiencing some level of ongoing racism regardless of their education or income. \"So these constant micro-aggressions, this constant bombardment of a negative, negative, negative, negative, is something that we have to deal with continually,\" said Woods. \"And of course, that works on your psyche, about who you are as a person and about how you fit in society and this whole idea that anything you do is never valued and it’s looked down upon.\"\u003c/p>\n\u003cp>Then there's the stigma long associated with seeking mental health services. And that, Woods says, can further alienate black people from a society that already marginalizes them.\u003c/p>\n\u003cp>\"The respondents in our particular study indicated it had to do with symbolism,\" Woods said. \"They do not like to be put in categories with diagnoses like bipolar, schizophrenia, that doesn’t mean anything to them. That conjures up someone who is dependent, some who is not a viable or productive individual in society. All of these mental images of someone who out of control.\"\u003c/p>\n\u003cp>The study offered a series of recommendations on addressing stigma and bridging the mental health care gap. For starters, more black providers are urgently needed. African-Americans make up 13 percent of the U.S. population but are only two percent of all psychologists, according to the \u003ca title=\"http://www.apa.org/about/gr/issues/minority/access.aspx\" href=\"http://www.apa.org/about/gr/issues/minority/access.aspx\" target=\"_blank\">2001 Surgeon General’s Report\u003c/a>.\u003c/p>\n\u003cp>The study also suggests incorporating group therapy sessions for some black patients. Woods says many of the study participants didn’t like the standard one-on-one model of mental health care. They preferred a community model, because black culture, she said, embraces a broad idea of family.\u003c/p>\n\u003cp>\"We congregate together as groups and we like to be in groups. We like to interact with other people of like-mind and of like-thought,\" Woods said. \"The concept that even though you are not biologically related to an individual, because of our culture, and you come from African heritage, you come from a larger family. So you hear the terms, ‘brother, sister.’\"\u003c/p>\n\u003cp>Group therapy and supportive community housing helped Dorothy Perkins stop using drugs and work through her depression, she said.\u003c/p>\n\u003cp>\"We talk about things we’re going through,\" Perkins said. \"And then you get the feedback in the groups. If you’re going through something and you talk about it in the group you get the feedback. And that helps too.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\u003cem>Another version of this story ran on KQED Radio. Listen here:\u003c/em>\u003c/strong>\u003cbr>\n[audio:http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Black-Mental-Health-Disparities.mp3|titles=mentalhealth]\u003c/p>\n\n",
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"excerpt": "While African-Americans in California are more likely to suffer from mental problems than whites, they're less likely to get the mental health care they need. State public health officials have lacked a good road map on how to change those disparities, until now. A statewide study released today looks at ways to reduce disparities in mental health care for black Californians.\r\n\r\nThe report, commissioned by the California Department of Mental Health, sifted through more than a decade of literature on why African-Americans in California aren't getting mental health care they need. A major reason is poverty and all of the barriers to getting health care that come with it.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_7477\" class=\"wp-caption alignleft\" style=\"max-width: 298px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/AAHISBC-meeting.jpg\">\u003cimg class=\"size-full wp-image-7477\" title=\"(Courtesy: African American Health Institute San Bernardino County)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/AAHISBC-meeting.jpg\" alt=\"(Courtesy: African American Health Institute San Bernardino County)\" width=\"298\" height=\"210\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Courtesy: African American Health Institute San Bernardino County)\u003c/figcaption>\u003c/figure>\n\u003cp>African-Americans in California are less likely than white people to \u003ca href=\"http://www.apa.org/about/gr/issues/minority/access.aspx\" target=\"_blank\">get the mental health care\u003c/a> they need. State public health officials have lacked a good road map on how to change those disparities, until now. A statewide study released today looks at ways to \u003ca href=\"http://www.aahi-sbc.org/Afi-Am_Population_Report_.php\" target=\"_blank\">reduce disparities\u003c/a> in mental health care for black Californians.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.aahi-sbc.org/Afi-Am_Population_Report_.php\" target=\"_blank\">report\u003c/a>, commissioned by the California Department of Mental Health, sifted through more than a decade of literature on why African-Americans in California aren't getting adequate mental health care. A major reason is poverty and all of the barriers to getting health care that come with it.\u003c/p>\n\u003cp>Diane Woods is the lead author of the study and the founding president of the \u003ca href=\"http://www.aahi-sbc.org/\" target=\"_blank\">African American Health Institute of San Bernardino County.\u003c/a>\u003c/p>\n\u003cp>\"It is unpleasant to admit, but some people do not receive appropriate services,\" Woods said.\u003c/p>\n\u003cp>The Northern California city of Richmond is nearly 27 percent African American, and has many pockets of low-income neighborhoods. Anne Cevallos is a therapist at \u003ca href=\"http://www.rubiconprograms.org/\" target=\"_blank\">Rubicon\u003c/a>, a nonprofit in Richmond that offers treatment and housing for people mental illnesses. She says her clients face multiple barriers to treatment.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"From a mental health perspective there could be triggers,\" Cevallos said. \"Not having enough to eat, domestic violence, neighborhood violence, never learning to cope.\"\u003c/p>\n\u003cp>\u003c!--more-->Cevallos said almost all of her Richmond patients have lived through traumatic experiences. Like Dorothy Perkins. Now in her 60s, Perkins said she first started suffering from depression when she was 12 years old. That's when her alcoholic father started sexually abusing her. Decades later, after her husband died of untreated diabetes, she says living with that depression became too painful. She started using crack to escape and eventually ended up living on the streets of North Richmond.\u003c/p>\n\u003cp>\"And it was really hard out there. I mean, a black woman on the streets, elderly ... It’s very dangerous.\"\u003c/p>\n\u003cp>Perkins finally got the help she needed at Rubicon. But that's often not the case. Study author Diane Woods says that while poverty plays a significant role in blacks not having access to mental health care -- like in Dorothy Perkins' case -- there's much more to the picture. Like racism.\u003c/p>\n\u003cp>Of the 1,195 black study participants, most reported experiencing some level of ongoing racism regardless of their education or income. \"So these constant micro-aggressions, this constant bombardment of a negative, negative, negative, negative, is something that we have to deal with continually,\" said Woods. \"And of course, that works on your psyche, about who you are as a person and about how you fit in society and this whole idea that anything you do is never valued and it’s looked down upon.\"\u003c/p>\n\u003cp>Then there's the stigma long associated with seeking mental health services. And that, Woods says, can further alienate black people from a society that already marginalizes them.\u003c/p>\n\u003cp>\"The respondents in our particular study indicated it had to do with symbolism,\" Woods said. \"They do not like to be put in categories with diagnoses like bipolar, schizophrenia, that doesn’t mean anything to them. That conjures up someone who is dependent, some who is not a viable or productive individual in society. All of these mental images of someone who out of control.\"\u003c/p>\n\u003cp>The study offered a series of recommendations on addressing stigma and bridging the mental health care gap. For starters, more black providers are urgently needed. African-Americans make up 13 percent of the U.S. population but are only two percent of all psychologists, according to the \u003ca title=\"http://www.apa.org/about/gr/issues/minority/access.aspx\" href=\"http://www.apa.org/about/gr/issues/minority/access.aspx\" target=\"_blank\">2001 Surgeon General’s Report\u003c/a>.\u003c/p>\n\u003cp>The study also suggests incorporating group therapy sessions for some black patients. Woods says many of the study participants didn’t like the standard one-on-one model of mental health care. They preferred a community model, because black culture, she said, embraces a broad idea of family.\u003c/p>\n\u003cp>\"We congregate together as groups and we like to be in groups. We like to interact with other people of like-mind and of like-thought,\" Woods said. \"The concept that even though you are not biologically related to an individual, because of our culture, and you come from African heritage, you come from a larger family. So you hear the terms, ‘brother, sister.’\"\u003c/p>\n\u003cp>Group therapy and supportive community housing helped Dorothy Perkins stop using drugs and work through her depression, she said.\u003c/p>\n\u003cp>\"We talk about things we’re going through,\" Perkins said. \"And then you get the feedback in the groups. If you’re going through something and you talk about it in the group you get the feedback. And that helps too.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\u003cem>Another version of this story ran on KQED Radio. Listen here:\u003c/em>\u003c/strong>\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cstrong>One of the many requirements of the Affordable Care Act\u003c/strong>\u003c/p>\n\u003cp>By Michelle Andrews, \u003ca title=\"http://capsules.kaiserhealthnews.org/index.php/2012/07/health-insurance-prices-for-women-set-to-drop/\" href=\"http://capsules.kaiserhealthnews.org/index.php/2012/07/health-insurance-prices-for-women-set-to-drop/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>Any woman who has bought health insurance on her own probably didn’t find herself humming the old show tune, “\u003ca href=\"http://www.amazon.com/dp/B0030ZN50Y/\">I Enjoy Being a Girl\u003c/a>.” That’s because more than 90 percent of individual plans charge women higher premiums than men for the same coverage, a practice known as gender rating.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/WomenSymbol_KHN_07162012.jpg\">\u003cimg class=\"alignleft size-full wp-image-7405\" title=\"WomenSymbol_KHN_07162012\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/WomenSymbol_KHN_07162012.jpg\" alt=\"\" width=\"176\" height=\"220\">\u003c/a>Women spend $1 billion more annually on their health insurance premiums than they would if they were men because of gender rating, according to a \u003ca href=\"http://www.nwlc.org/resource/report-turning-fairness-insurance-discrimination-against-women-today-and-affordable-care-ac%20\">recent report\u003c/a> by the National Women’s Law Center.\u003c/p>\n\u003cp>Under the \u003ca title=\"http://www.healthcare.gov/law/full/index.html\" href=\"http://www.healthcare.gov/law/full/index.html\" target=\"_blank\">health care overhaul\u003c/a>, the practice is banned starting in 2014. But according to the Kaiser Family Foundation’s\u003ca href=\"http://healthreform.kff.org/en/scan/2012/may/public-opinion-on-gender-rating.aspx\"> April health tracking poll\u003c/a>, only 35 percent of people are aware of this fact. (Kaiser Health News is an editorially independent program of the foundation.)\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Like or loathe the recent Supreme Court decision that the law is constitutional, most people support leveling the premium playing field for women and men. Overall, six in 10 people have a favorable view of that provision, according to the poll, including 74 percent of Democrats, 59 percent of independents and 51 percent of Republicans.\u003c!--more-->\u003c/p>\n\u003cp>Insurers charge women more because they tend to be \u003ca href=\"http://www.kaiserhealthnews.org/Features/Insuring-Your-Health/2012/health-insurance-rebates-michelle-andrews-071712.aspx\">bigger consumers of health care\u003c/a> than men, in part because they’re the ones who get pregnant and give birth.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The health law permits insurers to vary premiums \u003ca href=\"http://www.kff.org/healthreform/upload/8328.pdf\">based on four factors\u003c/a>: individual vs. family enrollment, age, where the insured people live and tobacco use. That formula will be a substantial change over current practice under which, for example, the NWLC report found that more than half of individual plans charged a 40-year-old woman who doesn’t smoke more than a 40-year-old man who does.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>One of the many requirements of the Affordable Care Act\u003c/strong>\u003c/p>\n\u003cp>By Michelle Andrews, \u003ca title=\"http://capsules.kaiserhealthnews.org/index.php/2012/07/health-insurance-prices-for-women-set-to-drop/\" href=\"http://capsules.kaiserhealthnews.org/index.php/2012/07/health-insurance-prices-for-women-set-to-drop/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>Any woman who has bought health insurance on her own probably didn’t find herself humming the old show tune, “\u003ca href=\"http://www.amazon.com/dp/B0030ZN50Y/\">I Enjoy Being a Girl\u003c/a>.” That’s because more than 90 percent of individual plans charge women higher premiums than men for the same coverage, a practice known as gender rating.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/WomenSymbol_KHN_07162012.jpg\">\u003cimg class=\"alignleft size-full wp-image-7405\" title=\"WomenSymbol_KHN_07162012\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/WomenSymbol_KHN_07162012.jpg\" alt=\"\" width=\"176\" height=\"220\">\u003c/a>Women spend $1 billion more annually on their health insurance premiums than they would if they were men because of gender rating, according to a \u003ca href=\"http://www.nwlc.org/resource/report-turning-fairness-insurance-discrimination-against-women-today-and-affordable-care-ac%20\">recent report\u003c/a> by the National Women’s Law Center.\u003c/p>\n\u003cp>Under the \u003ca title=\"http://www.healthcare.gov/law/full/index.html\" href=\"http://www.healthcare.gov/law/full/index.html\" target=\"_blank\">health care overhaul\u003c/a>, the practice is banned starting in 2014. But according to the Kaiser Family Foundation’s\u003ca href=\"http://healthreform.kff.org/en/scan/2012/may/public-opinion-on-gender-rating.aspx\"> April health tracking poll\u003c/a>, only 35 percent of people are aware of this fact. (Kaiser Health News is an editorially independent program of the foundation.)\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>By Christian Torres, \u003ca title=\"http://capsules.kaiserhealthnews.org/index.php/2012/07/morning-joes-scarborough-confesses-his-son-benefits-from-health-law/\" href=\"http://capsules.kaiserhealthnews.org/index.php/2012/07/morning-joes-scarborough-confesses-his-son-benefits-from-health-law/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_7224\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/JoeScarborough_AlisonKlein_WEBN_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-7224\" title=\"(Alison Klein: WEBN)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/JoeScarborough_AlisonKlein_WEBN_Flickr-300x234.jpg\" alt=\"(Alison Klein: WEBN)\" width=\"300\" height=\"234\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Alison Klein: WEBN)\u003c/figcaption>\u003c/figure>\n\u003cp>Push aside that cup of coffee and check this out: TV personality and former House Republican Joe Scarborough revealed this morning that his 24-year-old son is among those benefiting from the health law.\u003c/p>\n\u003cp>Scarborough, a small-government conservative who has criticized presumptive GOP presidential nominee Mitt Romney for being the \u003ca href=\"http://www.politico.com/news/stories/0612/77335.html\">“the godfather of Obamacare,”\u003c/a> was wrapping up a health law discussion on MSNBC’s “Morning Joe” when he said he had a confession to make: “I know one place where Obamacare is working,\" adding he was \"going to get killed for saying this.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">\"I'm going to get killed for saying this.\"\u003c/aside>\n\u003cp>Over breakfast last weekend, Scarborough’s wife said that 24-year-old Joey Scarborough opted not to purchase health insurance through his employer and was instead on his father’s plan. The federal health law requires insurers to cover \u003ca href=\"http://www.healthcare.gov/law/features/choices/young-adult-coverage/index.html\">dependents up to the age of 26\u003c/a>, though “\u003ca href=\"http://www.healthcare.gov/law/features/rights/grandfathered-plans/index.html\">grandfathered\u003c/a>” group plans — those in existence before the law took effect –don’t have to offer this dependent coverage until 2014 if the adult child is eligible for other insurance.\u003c!--more-->\u003c/p>\n\u003cp>“I pushed the pancakes away and just walked outside in a huff,” Scarborough senior said, surprised that “the Scarborough family is buying in to Obamacare.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Joey isn’t alone, though: Sen. Scott Brown (R-Mass.) recently said \u003ca href=\"http://www.bostonglobe.com/metro/2012/04/30/scott-brown-acknowledges-using-part-health-care-law-wants-repeal/Gb5jvranU31ycMbBmsDgfM/story.html\">his daughter is benefiting\u003c/a>from the under-26 provision. 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"excerpt": "Push aside that cup of coffee and check this out: TV personality and former House Republican Joe Scarborough revealed this morning that his 24-year-old son is among those benefiting from the health law. Check out the clip:",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Christian Torres, \u003ca title=\"http://capsules.kaiserhealthnews.org/index.php/2012/07/morning-joes-scarborough-confesses-his-son-benefits-from-health-law/\" href=\"http://capsules.kaiserhealthnews.org/index.php/2012/07/morning-joes-scarborough-confesses-his-son-benefits-from-health-law/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_7224\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/JoeScarborough_AlisonKlein_WEBN_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-7224\" title=\"(Alison Klein: WEBN)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/JoeScarborough_AlisonKlein_WEBN_Flickr-300x234.jpg\" alt=\"(Alison Klein: WEBN)\" width=\"300\" height=\"234\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Alison Klein: WEBN)\u003c/figcaption>\u003c/figure>\n\u003cp>Push aside that cup of coffee and check this out: TV personality and former House Republican Joe Scarborough revealed this morning that his 24-year-old son is among those benefiting from the health law.\u003c/p>\n\u003cp>Scarborough, a small-government conservative who has criticized presumptive GOP presidential nominee Mitt Romney for being the \u003ca href=\"http://www.politico.com/news/stories/0612/77335.html\">“the godfather of Obamacare,”\u003c/a> was wrapping up a health law discussion on MSNBC’s “Morning Joe” when he said he had a confession to make: “I know one place where Obamacare is working,\" adding he was \"going to get killed for saying this.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">\"I'm going to get killed for saying this.\"\u003c/aside>\n\u003cp>Over breakfast last weekend, Scarborough’s wife said that 24-year-old Joey Scarborough opted not to purchase health insurance through his employer and was instead on his father’s plan. The federal health law requires insurers to cover \u003ca href=\"http://www.healthcare.gov/law/features/choices/young-adult-coverage/index.html\">dependents up to the age of 26\u003c/a>, though “\u003ca href=\"http://www.healthcare.gov/law/features/rights/grandfathered-plans/index.html\">grandfathered\u003c/a>” group plans — those in existence before the law took effect –don’t have to offer this dependent coverage until 2014 if the adult child is eligible for other insurance.\u003c!--more-->\u003c/p>\n\u003cp>“I pushed the pancakes away and just walked outside in a huff,” Scarborough senior said, surprised that “the Scarborough family is buying in to Obamacare.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Joey isn’t alone, though: Sen. Scott Brown (R-Mass.) recently said \u003ca href=\"http://www.bostonglobe.com/metro/2012/04/30/scott-brown-acknowledges-using-part-health-care-law-wants-repeal/Gb5jvranU31ycMbBmsDgfM/story.html\">his daughter is benefiting\u003c/a>from the under-26 provision. Overall, the Obama administration estimates that \u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2012/06/obama-administration-finds-3-1-million-young-adults-gained-coverage-under-law/\">3.1 million young adults\u003c/a> have gained insurance coverage because of the health law.\u003c/p>\n\u003cp>Watch for yourself (after a 30 second ad):\u003c/p>\n\u003cp>\u003cobject id=\"msnbc8c4584\" width=\"420\" height=\"245\" 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=\"launch=48145014^236814^372539&width=420&height=245\">\u003cparam name=\"allowScriptAccess\" value=\"always\">\u003cparam name=\"allowFullScreen\" value=\"true\">\u003cparam name=\"wmode\" value=\"transparent\">\u003cparam name=\"src\" value=\"http://www.msnbc.msn.com/id/32545640\">\u003cparam name=\"flashvars\" value=\"launch=48145014^236814^372539&width=420&height=245\">\u003cparam name=\"allowscriptaccess\" value=\"always\">\u003cparam name=\"allowfullscreen\" value=\"true\">\u003cparam name=\"pluginspage\" value=\"http://www.adobe.com/shockwave/download/download.cgi?P1_Prod_Version=ShockwaveFlash\">\u003cembed width=\"420\" height=\"245\" type=\"application/x-shockwave-flash\" src=\"http://www.msnbc.msn.com/id/32545640\" flashvars=\"launch=48145014^236814^372539&width=420&height=245\" allowscriptaccess=\"always\" allowfullscreen=\"true\" wmode=\"transparent\" pluginspage=\"http://www.adobe.com/shockwave/download/download.cgi?P1_Prod_Version=ShockwaveFlash\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp style=\"font-size: 11px;font-family: Arial, Helvetica, sans-serif;color: #999;margin-top: 5px;background: transparent;text-align: center;width: 420px\">Visit msnbc.com for \u003ca href=\"http://www.msnbc.msn.com\">breaking news\u003c/a>, \u003ca href=\"http://www.msnbc.msn.com/id/3032507\">world news\u003c/a>, and \u003ca href=\"http://www.msnbc.msn.com/id/3032072\">news about the economy\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cdiv>\n\u003cp>\u003cstrong>By Emily Bazar,\u003c/strong> \u003ca title=\"http://centerforhealthreporting.org/blog/not-all-childrens-advocacy-groups-oppose-healthy-families-transition946\" href=\"http://centerforhealthreporting.org/blog/not-all-childrens-advocacy-groups-oppose-healthy-families-transition946\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_7190\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_Doctor_DavidMason_Flickr_07092012.jpg\">\u003cimg class=\"size-medium wp-image-7190\" title=\"(David Mason: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_Doctor_DavidMason_Flickr_07092012-300x199.jpg\" alt=\"(David Mason: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(David Mason: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>As the Legislature debated -- and ultimately approved –- a budget-cutting plan to transfer nearly 900,000 California children on the \u003ca title=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families\u003c/a> program into Medi-Cal next year, dozens of groups joined in opposition.\u003c/p>\n\u003cp>They ranged from the \u003ca title=\"http://www.cmanet.org/\" href=\"http://www.cmanet.org/\" target=\"_blank\">California Medical Association\u003c/a>, a professional organization that represents the state’s doctors, to the \u003ca title=\"http://www.cpca.org/\" href=\"http://www.cpca.org/\" target=\"_blank\">California Primary Care Association\u003c/a>, which represents community clinics.\u003c/p>\n\u003cp>Mostly, they were groups that focus on children and families, such as C\u003ca title=\"http://www.childrennow.org/index.php/\" href=\"http://www.childrennow.org/index.php/\" target=\"_blank\">hildren Now\u003c/a> and \u003ca title=\"http://www.unitedwaysca.org/\" href=\"http://www.unitedwaysca.org/\" target=\"_blank\">United Ways of California\u003c/a>.\u003c/p>\n\u003cp>They warned that the transition could disrupt care for thousands of children and ultimately lead to a lack of access to care, particularly in parts of California where doctors – especially those who accept Medi-Cal – are scarce.\u003c/p>\n\u003cp>But it turns out that opposition to the proposal was not unanimous, even among nonprofits that advocate for children and families.\u003c!--more-->\u003c/p>\n\u003cp>“We were supportive of what happened,” said Vanessa Cajina, a \u003ca title=\"http://www.wclp.org/WesternCenter/tabid/1035/Default.aspx\" href=\"http://www.wclp.org/WesternCenter/tabid/1035/Default.aspx\" target=\"_blank\">Western Center on Law & Poverty\u003c/a> lobbyist who focuses on health-related budget items.\u003c/p>\n\u003cp>First, a little background. Medi-Cal is a public health insurance program for the lowest-income Californians. Healthy Families covers children in families with incomes too high to qualify for Medi-Cal, up to 250 percent of the poverty level.\u003c/p>\n\u003cp>Under the transition plan that the Legislature agreed to, 415,000 Healthy Families children will move to Medi-Cal on Jan. 1, 2013, with the remainder making the move later in the year. (Check out this \u003ca title=\"http://centerforhealthreporting.org/sites/default/files/hf_transition_info_from_sen._steinbergs_office.pdf\" href=\"http://centerforhealthreporting.org/sites/default/files/hf_transition_info_from_sen._steinbergs_office.pdf\" target=\"_blank\">fact sheet \u003c/a>from the Legislature for more details on the transition.)\u003c/p>\n\u003cp>Cajina said her group supports the transition, in part, because Medi-Cal covers a broader array of medical services for children than Healthy Families, a point echoed by Lynn Kersey, executive director of \u003ca title=\"http://www.mchaccess.org/index.php\" href=\"http://www.mchaccess.org/index.php\" target=\"_blank\">Maternal and Child Health Access\u003c/a>.\u003c/p>\n\u003cp>Kersey pointed to a benefit under Medi-Cal called \u003ca title=\"http://www.dhcs.ca.gov/services/Pages/EPSDT.aspx\" href=\"http://www.dhcs.ca.gov/services/Pages/EPSDT.aspx\" target=\"_blank\">Early and Periodic Screening, Diagnosis and Treatment\u003c/a>, which she said mandates that “any service a child needs that is medically necessary must be provided. If a plan doesn’t have that in its package, there are outside services that have to be included.”\u003c/p>\n\u003cp>As a result, she said, treatment options for certain medical issues, such as mental health and orthodontia, are better under Medi-Cal than Healthy Families.\u003c/p>\n\u003cp>Norman Williams, spokesman for the state Department of Health Care Services, which administers Medi-Cal, provided another example.\u003c/p>\n\u003cp>“Chiropractic treatments are limited under Healthy Families to a certain number,” he said. “Under Medi-Cal, children can go beyond the limit if there is a medical necessity identified.”\u003c/p>\n\u003cp>Cajina and Kersey also said that families will save money with the transition to Medi-Cal. Healthy Families children pay premiums on a sliding scale and children with Medi-Cal do not.\u003c/p>\n\u003cp>“For children in Medi-Cal under 150 percent of the federal poverty level, there won’t be any cost sharing or monthly premiums, which they had in Healthy Families,” Cajina said.\u003c/p>\n\u003cp>Cajina and Kersey noted other issues that bolster their support for the transition, such as increased efficiencies and more due process rights for participants. 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"excerpt": "As the Legislature debated -- and ultimately approved –- a budget-cutting plan to transfer nearly 900,000 California children on the Healthy Families program into Medi-Cal next year, dozens of groups joined in opposition.\r\n\r\nThey ranged from the California Medical Association, a professional organization that represents the state’s doctors, to the California Primary Care Association, which represents community clinics.\r\n\r\nMostly, they were groups that focus on children and families, such as Children Now and United Ways of California.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cdiv>\n\u003cp>\u003cstrong>By Emily Bazar,\u003c/strong> \u003ca title=\"http://centerforhealthreporting.org/blog/not-all-childrens-advocacy-groups-oppose-healthy-families-transition946\" href=\"http://centerforhealthreporting.org/blog/not-all-childrens-advocacy-groups-oppose-healthy-families-transition946\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_7190\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_Doctor_DavidMason_Flickr_07092012.jpg\">\u003cimg class=\"size-medium wp-image-7190\" title=\"(David Mason: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/Child_Doctor_DavidMason_Flickr_07092012-300x199.jpg\" alt=\"(David Mason: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(David Mason: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>As the Legislature debated -- and ultimately approved –- a budget-cutting plan to transfer nearly 900,000 California children on the \u003ca title=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" href=\"http://www.healthyfamilies.ca.gov/Home/default.aspx\" target=\"_blank\">Healthy Families\u003c/a> program into Medi-Cal next year, dozens of groups joined in opposition.\u003c/p>\n\u003cp>They ranged from the \u003ca title=\"http://www.cmanet.org/\" href=\"http://www.cmanet.org/\" target=\"_blank\">California Medical Association\u003c/a>, a professional organization that represents the state’s doctors, to the \u003ca title=\"http://www.cpca.org/\" href=\"http://www.cpca.org/\" target=\"_blank\">California Primary Care Association\u003c/a>, which represents community clinics.\u003c/p>\n\u003cp>Mostly, they were groups that focus on children and families, such as C\u003ca title=\"http://www.childrennow.org/index.php/\" href=\"http://www.childrennow.org/index.php/\" target=\"_blank\">hildren Now\u003c/a> and \u003ca title=\"http://www.unitedwaysca.org/\" href=\"http://www.unitedwaysca.org/\" target=\"_blank\">United Ways of California\u003c/a>.\u003c/p>\n\u003cp>They warned that the transition could disrupt care for thousands of children and ultimately lead to a lack of access to care, particularly in parts of California where doctors – especially those who accept Medi-Cal – are scarce.\u003c/p>\n\u003cp>But it turns out that opposition to the proposal was not unanimous, even among nonprofits that advocate for children and families.\u003c!--more-->\u003c/p>\n\u003cp>“We were supportive of what happened,” said Vanessa Cajina, a \u003ca title=\"http://www.wclp.org/WesternCenter/tabid/1035/Default.aspx\" href=\"http://www.wclp.org/WesternCenter/tabid/1035/Default.aspx\" target=\"_blank\">Western Center on Law & Poverty\u003c/a> lobbyist who focuses on health-related budget items.\u003c/p>\n\u003cp>First, a little background. Medi-Cal is a public health insurance program for the lowest-income Californians. Healthy Families covers children in families with incomes too high to qualify for Medi-Cal, up to 250 percent of the poverty level.\u003c/p>\n\u003cp>Under the transition plan that the Legislature agreed to, 415,000 Healthy Families children will move to Medi-Cal on Jan. 1, 2013, with the remainder making the move later in the year. (Check out this \u003ca title=\"http://centerforhealthreporting.org/sites/default/files/hf_transition_info_from_sen._steinbergs_office.pdf\" href=\"http://centerforhealthreporting.org/sites/default/files/hf_transition_info_from_sen._steinbergs_office.pdf\" target=\"_blank\">fact sheet \u003c/a>from the Legislature for more details on the transition.)\u003c/p>\n\u003cp>Cajina said her group supports the transition, in part, because Medi-Cal covers a broader array of medical services for children than Healthy Families, a point echoed by Lynn Kersey, executive director of \u003ca title=\"http://www.mchaccess.org/index.php\" href=\"http://www.mchaccess.org/index.php\" target=\"_blank\">Maternal and Child Health Access\u003c/a>.\u003c/p>\n\u003cp>Kersey pointed to a benefit under Medi-Cal called \u003ca title=\"http://www.dhcs.ca.gov/services/Pages/EPSDT.aspx\" href=\"http://www.dhcs.ca.gov/services/Pages/EPSDT.aspx\" target=\"_blank\">Early and Periodic Screening, Diagnosis and Treatment\u003c/a>, which she said mandates that “any service a child needs that is medically necessary must be provided. If a plan doesn’t have that in its package, there are outside services that have to be included.”\u003c/p>\n\u003cp>As a result, she said, treatment options for certain medical issues, such as mental health and orthodontia, are better under Medi-Cal than Healthy Families.\u003c/p>\n\u003cp>Norman Williams, spokesman for the state Department of Health Care Services, which administers Medi-Cal, provided another example.\u003c/p>\n\u003cp>“Chiropractic treatments are limited under Healthy Families to a certain number,” he said. “Under Medi-Cal, children can go beyond the limit if there is a medical necessity identified.”\u003c/p>\n\u003cp>Cajina and Kersey also said that families will save money with the transition to Medi-Cal. Healthy Families children pay premiums on a sliding scale and children with Medi-Cal do not.\u003c/p>\n\u003cp>“For children in Medi-Cal under 150 percent of the federal poverty level, there won’t be any cost sharing or monthly premiums, which they had in Healthy Families,” Cajina said.\u003c/p>\n\u003cp>Cajina and Kersey noted other issues that bolster their support for the transition, such as increased efficiencies and more due process rights for participants. Both also agreed that access to care under Medi-Cal will be a continuing concern.\u003c/p>\n\u003cp>But “if everybody is in the same program, we’re all fighting for the same improvements,” Kersey said.\u003c/p>\n\u003cp>Mike Odeh, senior health policy associate for Children Now, said he agrees with the points that Cajina and Kersey make, but worries more about access to care.\u003c/p>\n\u003cp>“If kids don’t have access to care, then who cares if they’re paying a premium or not? … We’re concerned not just about the kids in Healthy Families who will move to Medi-Cal and their access to care. 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"content": "\u003cfigure id=\"attachment_7111\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/ScantronTestGeneric.jpg\">\u003cimg class=\"size-medium wp-image-7111\" title=\"What do you know about the health care overhaul law? (Photo: Jason Stitt)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/ScantronTestGeneric-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">What do you know about the health care overhaul law? (Photo: Jason Stitt)\u003c/figcaption>\u003c/figure>\n\u003cp>Will the health reform law require nearly all Americans to have health insurance starting in 2014 or else pay a fine? That's one of the questions in Henry J. Kaiser Family Foundation's new \u003ca title=\"http://healthreform.kff.org/quizzes/health-reform-quiz\" href=\"http://healthreform.kff.org/quizzes/health-reform-quiz\" target=\"_blank\">Health Reform Quiz.\u003c/a>\u003c/p>\n\u003cp>The 10-question quiz isn't just for health wonks that have read the thousands of pages of the \u003ca href=\"http://www.healthcare.gov/law/full/index.html\" target=\"_blank\">Patient Protection and Affordable Care Act\u003c/a>. It's much more accessible. When you take the quiz you can find out how others did on the quiz.\u003c/p>\n\u003cp>If you do take the \u003ca href=\"http://healthreform.kff.org/quizzes/health-reform-quiz\" target=\"_blank\">health reform quiz\u003c/a>, share your score with us in the comment section, or let us know on our \u003ca title=\"https://twitter.com/#!/KQEDhealth\" href=\"https://twitter.com/#!/KQEDhealth\" target=\"_blank\">Twitter\u003c/a> or \u003ca title=\"http://www.facebook.com/KQEDhealth\" href=\"http://www.facebook.com/KQEDhealth\" target=\"_blank\">Facebook\u003c/a> pages.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"disqusTitle": "The Perils of Medical Jargon",
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"content": "\u003cfigure id=\"attachment_7086\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/ColonCancerScreening101811.jpg\">\u003cimg class=\"size-medium wp-image-7086\" title=\"in California low health literacy predicts lack of medical insurance. (American Cancer Society/Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/ColonCancerScreening101811-300x207.jpg\" alt=\"in California low health literacy predicts lack of medical insurance. (American Cancer Society/Getty Images)\" width=\"300\" height=\"207\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">In California, low health literacy predicts lack of medical insurance. (American Cancer Society/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>When a doctor can’t explain their patients' diagnoses and treatments in plain language, people suffer.\u003c/p>\n\u003cp>\u003cem> \u003c/em>Poor health literacy -- a patient’s inability to understand health information – \u003ca href=\"http://www.ahrq.gov/clinic/epcsums/litupsum.htm\">was first linked\u003c/a> to poor health a decade ago. People who find their doctor’s advice confusing don’t manage their chronic diseases as well and are more likely to wind up hospitalized; among the elderly, the death rate is higher.\u003c/p>\n\u003cp>The public budget also suffers when patient and doctor don’t understand one another: in California low health literacy predicts lack of medical insurance, according to a first-of-its-kind \u003ca href=\"http://content.healthaffairs.org/content/31/5/1039.short?related-urls=yes&legid=healthaff%3b31/5/1039\" target=\"_blank\">survey\u003c/a> published in the May issue of \u003cem>Health Affairs. \u003c/em>Regardless of ethnicity, income or availability of employment-based insurance, if someone can’t understand their doctor or their pharmacist, they are less likely to have medical insurance. At the national level, health care expenses are increased \u003ca href=\"http://www.chcs.org/usr_doc/Health_Literacy_Fact_Sheets.pdf\" target=\"_blank\">three to six percent\u003c/a> [pdf] by low health literacy; of that increase,\u003cstrong> \u003c/strong>66 percent is public money, either Medicaid or Medicare.\u003c/p>\n\u003caside class=\"pullquote alignright\">Routine screening makes cervical cancer a highly preventable cancer in countries like the US, but American Latinas are nearly twice as likely to be diagnosed and to die of the disease.\u003c/aside>\n\u003cp>Health literacy is also correlated to other types of literacy -- almost \u003ca href=\"http://nces.ed.gov/naal/factsheets.asp\" target=\"_blank\">one in four\u003c/a>\u003cstrong> \u003c/strong>California adults cannot use written English at a basic level. That means more than nine million people and their children are at increased risk of missing out on important health screenings, and are more likely to wind up in the emergency room.\u003c/p>\n\u003cp>With such a pervasive problem, improvement will likely result from a mix of approaches rather than a single magic bullet. Several strategies have proven effective. For example, patient education is more successful when the essential information is presented first and with a minimum of distraction. Another successful strategy, called “teach back,” increases comprehension during appointments. Patients “teach back” by using their own words to explain what they just heard their doctor say. This gives the doctor a valuable opportunity to correct misunderstandings.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>But “teaching back” takes a little longer, and physicians are under pressure to adhere to a schedule of appointments. Nearly a third of doctors in \u003ca href=\"http://worldofdtcmarketing.com/consumers-trust-online-health-information-to-inform-self-diagnose/health-information-online/\" target=\"_blank\">a recent survey\u003c/a> admitted that their own inability to convert medical jargon into “plain English” creates a problem for their patients.\u003c/p>\n\u003cp>“Physicians have limited time to devote to patient education,” and their capabilities vary, said \u003ca title=\"http://teamlab.usc.edu/about/lourdes-baezconde-garbanati.html\" href=\"http://teamlab.usc.edu/about/lourdes-baezconde-garbanati.html\" target=\"_blank\">Lourdes Baezconde-Garbanati\u003c/a>, in an interview. Baezconde is the director of patient education at the \u003ca title=\"http://ccnt.hsc.usc.edu/\" href=\"http://ccnt.hsc.usc.edu/\" target=\"_blank\">USC Norris Comprehensive Cancer Center\u003c/a>.\u003c/p>\n\u003cp>Another way to boost retention is adding video to verbal narratives, according to the\u003ca href=\"http://www.ahrq.gov/clinic/epcsums/litupsum.htm\" target=\"_blank\"> Agency for Healthcare Research and Quality\u003c/a>. Baezconde and Associate Professor Sheila Murphy of the Annenberg School for Communications are studying if a short narrative film can teach women about cervical cancer screening better than a more traditional “talking heads” program.\u003c/p>\n\u003cp>Routine screening makes cervical cancer a highly preventable cancer in countries like the US, but American Latinas are nearly twice as likely to be diagnosed and to die of the disease. The researchers also knew that health literacy is generally lower among the elderly, ethnic minorities, adults who spoke a language other than English before starting school, and people living in poverty. With those things in mind they worked with professional filmmakers to create \u003ca href=\"http://www.youtube.com/watch?v=-s4fm1DaAG0\" target=\"_blank\">Tamale Lesson\u003c/a>\u003cem> (excerpt):\u003c/em> a frank, multigenerational discussion about Pap smears that takes place among Latinas working together in their kitchen. The script includes key points such as where the test is available and at what age a woman should start getting it.\u003c/p>\n\u003cp>[youtube http://www.youtube.com/watch?v=-s4fm1DaAG0]\u003c/p>\n\u003cp>\u003cem>Tamale Lesson \u003c/em>is designed to be used in multiple ways: individually and in small groups, onsite in clinics and out in the community. Although the story is about a Latino family the video has also tested well with non-Latinos. Early findings indicate that \u003cem>Tamale Lesson\u003c/em> does in fact lead to better retention of information than a video without a story.\u003c/p>\n\u003cp>Baezconte and Murphy believe the storytelling approach may be particularly effective. They wrote: \u003cstrong>“\u003c/strong>The power and perseverance of a narrative or story structure has been recognized and utilized for thousands of years.”\u003c/p>\n\u003cp>Ultimately, Baezconde said, the goal is for people to understand and remember the information their physicians provide.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Eve Harris is a Bay Area writer. Check out her health blog, \u003ca href=\"http://eve-harris.blogspot.com/\" target=\"_blank\">A Healthy Piece of My Mind\u003c/a>.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_7086\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/ColonCancerScreening101811.jpg\">\u003cimg class=\"size-medium wp-image-7086\" title=\"in California low health literacy predicts lack of medical insurance. (American Cancer Society/Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/ColonCancerScreening101811-300x207.jpg\" alt=\"in California low health literacy predicts lack of medical insurance. (American Cancer Society/Getty Images)\" width=\"300\" height=\"207\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">In California, low health literacy predicts lack of medical insurance. (American Cancer Society/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>When a doctor can’t explain their patients' diagnoses and treatments in plain language, people suffer.\u003c/p>\n\u003cp>\u003cem> \u003c/em>Poor health literacy -- a patient’s inability to understand health information – \u003ca href=\"http://www.ahrq.gov/clinic/epcsums/litupsum.htm\">was first linked\u003c/a> to poor health a decade ago. People who find their doctor’s advice confusing don’t manage their chronic diseases as well and are more likely to wind up hospitalized; among the elderly, the death rate is higher.\u003c/p>\n\u003cp>The public budget also suffers when patient and doctor don’t understand one another: in California low health literacy predicts lack of medical insurance, according to a first-of-its-kind \u003ca href=\"http://content.healthaffairs.org/content/31/5/1039.short?related-urls=yes&legid=healthaff%3b31/5/1039\" target=\"_blank\">survey\u003c/a> published in the May issue of \u003cem>Health Affairs. \u003c/em>Regardless of ethnicity, income or availability of employment-based insurance, if someone can’t understand their doctor or their pharmacist, they are less likely to have medical insurance. At the national level, health care expenses are increased \u003ca href=\"http://www.chcs.org/usr_doc/Health_Literacy_Fact_Sheets.pdf\" target=\"_blank\">three to six percent\u003c/a> [pdf] by low health literacy; of that increase,\u003cstrong> \u003c/strong>66 percent is public money, either Medicaid or Medicare.\u003c/p>\n\u003caside class=\"pullquote alignright\">Routine screening makes cervical cancer a highly preventable cancer in countries like the US, but American Latinas are nearly twice as likely to be diagnosed and to die of the disease.\u003c/aside>\n\u003cp>Health literacy is also correlated to other types of literacy -- almost \u003ca href=\"http://nces.ed.gov/naal/factsheets.asp\" target=\"_blank\">one in four\u003c/a>\u003cstrong> \u003c/strong>California adults cannot use written English at a basic level. That means more than nine million people and their children are at increased risk of missing out on important health screenings, and are more likely to wind up in the emergency room.\u003c/p>\n\u003cp>With such a pervasive problem, improvement will likely result from a mix of approaches rather than a single magic bullet. Several strategies have proven effective. For example, patient education is more successful when the essential information is presented first and with a minimum of distraction. Another successful strategy, called “teach back,” increases comprehension during appointments. Patients “teach back” by using their own words to explain what they just heard their doctor say. This gives the doctor a valuable opportunity to correct misunderstandings.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>But “teaching back” takes a little longer, and physicians are under pressure to adhere to a schedule of appointments. Nearly a third of doctors in \u003ca href=\"http://worldofdtcmarketing.com/consumers-trust-online-health-information-to-inform-self-diagnose/health-information-online/\" target=\"_blank\">a recent survey\u003c/a> admitted that their own inability to convert medical jargon into “plain English” creates a problem for their patients.\u003c/p>\n\u003cp>“Physicians have limited time to devote to patient education,” and their capabilities vary, said \u003ca title=\"http://teamlab.usc.edu/about/lourdes-baezconde-garbanati.html\" href=\"http://teamlab.usc.edu/about/lourdes-baezconde-garbanati.html\" target=\"_blank\">Lourdes Baezconde-Garbanati\u003c/a>, in an interview. Baezconde is the director of patient education at the \u003ca title=\"http://ccnt.hsc.usc.edu/\" href=\"http://ccnt.hsc.usc.edu/\" target=\"_blank\">USC Norris Comprehensive Cancer Center\u003c/a>.\u003c/p>\n\u003cp>Another way to boost retention is adding video to verbal narratives, according to the\u003ca href=\"http://www.ahrq.gov/clinic/epcsums/litupsum.htm\" target=\"_blank\"> Agency for Healthcare Research and Quality\u003c/a>. Baezconde and Associate Professor Sheila Murphy of the Annenberg School for Communications are studying if a short narrative film can teach women about cervical cancer screening better than a more traditional “talking heads” program.\u003c/p>\n\u003cp>Routine screening makes cervical cancer a highly preventable cancer in countries like the US, but American Latinas are nearly twice as likely to be diagnosed and to die of the disease. The researchers also knew that health literacy is generally lower among the elderly, ethnic minorities, adults who spoke a language other than English before starting school, and people living in poverty. With those things in mind they worked with professional filmmakers to create \u003ca href=\"http://www.youtube.com/watch?v=-s4fm1DaAG0\" target=\"_blank\">Tamale Lesson\u003c/a>\u003cem> (excerpt):\u003c/em> a frank, multigenerational discussion about Pap smears that takes place among Latinas working together in their kitchen. The script includes key points such as where the test is available and at what age a woman should start getting it.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/-s4fm1DaAG0'\n title='//www.youtube.com/embed/-s4fm1DaAG0'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cem>Tamale Lesson \u003c/em>is designed to be used in multiple ways: individually and in small groups, onsite in clinics and out in the community. Although the story is about a Latino family the video has also tested well with non-Latinos. Early findings indicate that \u003cem>Tamale Lesson\u003c/em> does in fact lead to better retention of information than a video without a story.\u003c/p>\n\u003cp>Baezconte and Murphy believe the storytelling approach may be particularly effective. They wrote: \u003cstrong>“\u003c/strong>The power and perseverance of a narrative or story structure has been recognized and utilized for thousands of years.”\u003c/p>\n\u003cp>Ultimately, Baezconde said, the goal is for people to understand and remember the information their physicians provide.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Eve Harris is a Bay Area writer. Check out her health blog, \u003ca href=\"http://eve-harris.blogspot.com/\" target=\"_blank\">A Healthy Piece of My Mind\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cstrong>By \u003ca href=\"http://annenberg.usc.edu/Faculty/Communication%20and%20Journalism/WestphalD.aspxhttp://\" target=\"_blank\">David Westphal\u003c/a>, \u003ca href=\"http://centerforhealthreporting.org/\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>The Supreme Court’s validation of President Obama’s landmark health law sets off a scramble across California to find enough primary care doctors and other professionals to serve an estimated 3 million newly insured patients by 2014.\u003c/p>\n\u003cp>California already rates below average in the number of doctors per capita. But the state – rural counties in particular – will face additional headwinds as health reform slashes the ranks of its 7 million uninsured.\u003c/p>\n\u003cp>California has an unusually large number of doctors heading into their retirement years. It expects a much higher-than-average rise in the health-intensive 65-and-older population. And it has one of the lowest reimbursement rates in the country for Medi-Cal, the state’s primary program offering health coverage for the poor.\u003c/p>\n\u003cp>Especially for communities that are already struggling with doctor shortages, the court’s somewhat unexpected endorsement of the Affordable Care Act suddenly presents a steep challenge.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“What good is it in 2014,” when millions of uninsured Californians will gain coverage “when they don’t have access to providers?”\u003c/aside>\n\u003cp>“The Affordable Care Act will add hundreds of thousands of people to the rolls of the insured. That’s good,” said Dr. G. Richard Olds, founding dean of the UC Riverside School of Medicine. “But where are the primary care physicians going to come from to serve that population?”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>According to a 2009 study by the California HealthCare Foundation, only 16 of 58 California counties had sufficient primary care doctors as measured against standards set by the American Medical Association. The Association of American Medical Colleges has warned the nation could reach a shortfall of nearly 100,000 doctors by 2020.\u003c!--more-->\u003c/p>\n\u003cp>Many of California’s most acute shortages are in the Inland Empire and the San Joaquin Valley, where communities struggle to attract and retain doctors. They also have some of California’s highest uninsured rates – exceeding 30 percent of residents in some counties, according to a 2009 UCLA study.\u003c/p>\n\u003cp>That could mean the same counties already fighting doctor shortages could see big increases in the insured starting in 2014.\u003c/p>\n\u003cp>Asked if local providers in San Luis Obispo County were numerous enough to accommodate the new patients created by health reform, county health officer Dr. Penny Borenstein had a definitive answer: “No. Simply.”\u003c/p>\n\u003cp>“We may have the possibility of adding 10,000, 15,000, 25,000 people into the health care system who have not used it very much,” she said.\u003c/p>\n\u003cp>Lee Kemper, executive director of the County Medical Services Program, a consortium of 34 rural counties that are implementing the Medi-Cal expansion together, said a mixture of innovation and increased funding was key to meeting the demands of health reform -- now a mere 18 months away.\u003c/p>\n\u003cp>“We’re going to have to get creative,” Kemper said on Friday. “Strike teams” of medical specialists from urban areas could be brought into rural hospitals and clinics on a set schedule, he said. And tele-health systems could be strengthened to allow far-away specialists to consult, and even treat patients, with an online connection.\u003c/p>\n\u003cp>Kemper added that Medi-Cal reimbursement rates for doctors in rural areas must be increased so practitioners have incentive to set up shop in the far corners of the state. Statewide, barely more than half of primary care doctors are willing to see new Medi-Cal patients.\u003c/p>\n\u003cp>James Hay, a family physician in Encinitas and president of the California Medical Association, is among those who decline Medi-Cal patients.\u003c/p>\n\u003cp>“In my office, we figure it probably costs us $50 to $55 to see any patient on average,” he said. “If Medi-Cal pays us $23 to see a medical patient for a routine office visit… I would be spending $32 per visit to see that patient.”\u003c/p>\n\u003cp>In California, Hay said, that’s why much of Medi-Cal primary care is done in federally qualified clinics, which are paid a higher amount for patient care because they also have to cover certain tests and other costs.\u003c/p>\n\u003cp>Can those community clinics handle the new wave of Medi-Cal patients? “Absolutely not,” Hay said. “I think there will be a huge access problem.”\u003c/p>\n\u003cp>The Affordable Care Act does provide some help on this front, sending $700 million to California so that Medi-Cal reimbursement rates rise to the level of Medicare payments for two years. But the health industry worries that the underlying problem won’t go away, and that both state and federal politicians will be tempted to cut Medicaid reimbursements even more.\u003c/p>\n\u003cp>Senate Health Committee chairman Ed Hernandez (D-West Covina) plans to make the health care workforce, which he said is currently inadequate, one of his top priorities. “What good is it in 2014,” when millions of uninsured Californians will gain coverage “when they don’t have access to providers?” he asked.\u003c/p>\n\u003cp>One of his key but controversial proposals will be legislation to\u003c/p>\n\u003cp>expand scope-of-practice definitions for some health care providers such as nurse practitioners and physician assistants.\u003c/p>\n\u003cp>Janet Coffman, assistant professor of health policy at UC San Francisco, said California lags many states in this area because most residents live in urban areas where doctor shortages aren’t as much of a problem. Because of the Affordable Care Act, she said, “I would say scope of practice is on the radar screen.”\u003c/p>\n\u003cp>Hernandez, who said he is holding committee hearings on workforce issues, will also try to boost the number of medical students in the state and bring medical residency programs to underserved areas.\u003c/p>\n\u003cp>Even before the health law was passed in 2010, the shortage of primary care physicians in California catalyzed a far-flung campaign--by educators, doctors, government leaders--to train new doctors in the state and encourage them to practice in under-served regions, including the Central Valley and the Inland Empire.\u003c/p>\n\u003cp>That drive led to plans for all-new medical schools at UC Riverside and UC Merced, with an emphasis on primary care. Plans called for eventually enrolling 400 students at each school, both of them aiming to coax graduates to stay in the region.\u003c/p>\n\u003cp>But the state budget crisis has delayed both projects. This fall, 11 students, all ethnic minority students from the Central Valley area, will be enrolled in a UC Merced program with ties to UC Davis and UCSF-Fresno. Pending accreditation approval, UC Riverside hopes to open in 2013 with an initial class of 50.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>The\u003c/em>\u003ca href=\"http://www.centerforhealthreporting.org/\">\u003cem> \u003c/em>\u003cem>California HealthCare Foundation Center for Health Reporting\u003c/em>\u003c/a> \u003cem>produces in-depth reporting on California health policy.\u003c/em>\u003cem> \u003c/em> \u003cem>Attached to the\u003c/em>\u003ca href=\"http://annenberg.usc.edu/\">\u003cem> \u003c/em>\u003cem>USC Annenberg School for Communication & Journalism,\u003c/em>\u003c/a>\u003cem> the center is funded by the nonpartisan\u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem> \u003c/em>\u003cem>California HealthCare Foundation\u003c/em>\u003c/a>\u003cem>. John M. Gonzales, Lauren M. Whaley, Emily Bazar, Deborah Schoch and Richard Kipling contributed. \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By \u003ca href=\"http://annenberg.usc.edu/Faculty/Communication%20and%20Journalism/WestphalD.aspxhttp://\" target=\"_blank\">David Westphal\u003c/a>, \u003ca href=\"http://centerforhealthreporting.org/\" target=\"_blank\">CHCF Center for Health Reporting\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>The Supreme Court’s validation of President Obama’s landmark health law sets off a scramble across California to find enough primary care doctors and other professionals to serve an estimated 3 million newly insured patients by 2014.\u003c/p>\n\u003cp>California already rates below average in the number of doctors per capita. But the state – rural counties in particular – will face additional headwinds as health reform slashes the ranks of its 7 million uninsured.\u003c/p>\n\u003cp>California has an unusually large number of doctors heading into their retirement years. It expects a much higher-than-average rise in the health-intensive 65-and-older population. And it has one of the lowest reimbursement rates in the country for Medi-Cal, the state’s primary program offering health coverage for the poor.\u003c/p>\n\u003cp>Especially for communities that are already struggling with doctor shortages, the court’s somewhat unexpected endorsement of the Affordable Care Act suddenly presents a steep challenge.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“What good is it in 2014,” when millions of uninsured Californians will gain coverage “when they don’t have access to providers?”\u003c/aside>\n\u003cp>“The Affordable Care Act will add hundreds of thousands of people to the rolls of the insured. That’s good,” said Dr. G. Richard Olds, founding dean of the UC Riverside School of Medicine. “But where are the primary care physicians going to come from to serve that population?”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>According to a 2009 study by the California HealthCare Foundation, only 16 of 58 California counties had sufficient primary care doctors as measured against standards set by the American Medical Association. The Association of American Medical Colleges has warned the nation could reach a shortfall of nearly 100,000 doctors by 2020.\u003c!--more-->\u003c/p>\n\u003cp>Many of California’s most acute shortages are in the Inland Empire and the San Joaquin Valley, where communities struggle to attract and retain doctors. They also have some of California’s highest uninsured rates – exceeding 30 percent of residents in some counties, according to a 2009 UCLA study.\u003c/p>\n\u003cp>That could mean the same counties already fighting doctor shortages could see big increases in the insured starting in 2014.\u003c/p>\n\u003cp>Asked if local providers in San Luis Obispo County were numerous enough to accommodate the new patients created by health reform, county health officer Dr. Penny Borenstein had a definitive answer: “No. Simply.”\u003c/p>\n\u003cp>“We may have the possibility of adding 10,000, 15,000, 25,000 people into the health care system who have not used it very much,” she said.\u003c/p>\n\u003cp>Lee Kemper, executive director of the County Medical Services Program, a consortium of 34 rural counties that are implementing the Medi-Cal expansion together, said a mixture of innovation and increased funding was key to meeting the demands of health reform -- now a mere 18 months away.\u003c/p>\n\u003cp>“We’re going to have to get creative,” Kemper said on Friday. “Strike teams” of medical specialists from urban areas could be brought into rural hospitals and clinics on a set schedule, he said. And tele-health systems could be strengthened to allow far-away specialists to consult, and even treat patients, with an online connection.\u003c/p>\n\u003cp>Kemper added that Medi-Cal reimbursement rates for doctors in rural areas must be increased so practitioners have incentive to set up shop in the far corners of the state. Statewide, barely more than half of primary care doctors are willing to see new Medi-Cal patients.\u003c/p>\n\u003cp>James Hay, a family physician in Encinitas and president of the California Medical Association, is among those who decline Medi-Cal patients.\u003c/p>\n\u003cp>“In my office, we figure it probably costs us $50 to $55 to see any patient on average,” he said. “If Medi-Cal pays us $23 to see a medical patient for a routine office visit… I would be spending $32 per visit to see that patient.”\u003c/p>\n\u003cp>In California, Hay said, that’s why much of Medi-Cal primary care is done in federally qualified clinics, which are paid a higher amount for patient care because they also have to cover certain tests and other costs.\u003c/p>\n\u003cp>Can those community clinics handle the new wave of Medi-Cal patients? “Absolutely not,” Hay said. “I think there will be a huge access problem.”\u003c/p>\n\u003cp>The Affordable Care Act does provide some help on this front, sending $700 million to California so that Medi-Cal reimbursement rates rise to the level of Medicare payments for two years. But the health industry worries that the underlying problem won’t go away, and that both state and federal politicians will be tempted to cut Medicaid reimbursements even more.\u003c/p>\n\u003cp>Senate Health Committee chairman Ed Hernandez (D-West Covina) plans to make the health care workforce, which he said is currently inadequate, one of his top priorities. “What good is it in 2014,” when millions of uninsured Californians will gain coverage “when they don’t have access to providers?” he asked.\u003c/p>\n\u003cp>One of his key but controversial proposals will be legislation to\u003c/p>\n\u003cp>expand scope-of-practice definitions for some health care providers such as nurse practitioners and physician assistants.\u003c/p>\n\u003cp>Janet Coffman, assistant professor of health policy at UC San Francisco, said California lags many states in this area because most residents live in urban areas where doctor shortages aren’t as much of a problem. Because of the Affordable Care Act, she said, “I would say scope of practice is on the radar screen.”\u003c/p>\n\u003cp>Hernandez, who said he is holding committee hearings on workforce issues, will also try to boost the number of medical students in the state and bring medical residency programs to underserved areas.\u003c/p>\n\u003cp>Even before the health law was passed in 2010, the shortage of primary care physicians in California catalyzed a far-flung campaign--by educators, doctors, government leaders--to train new doctors in the state and encourage them to practice in under-served regions, including the Central Valley and the Inland Empire.\u003c/p>\n\u003cp>That drive led to plans for all-new medical schools at UC Riverside and UC Merced, with an emphasis on primary care. Plans called for eventually enrolling 400 students at each school, both of them aiming to coax graduates to stay in the region.\u003c/p>\n\u003cp>But the state budget crisis has delayed both projects. This fall, 11 students, all ethnic minority students from the Central Valley area, will be enrolled in a UC Merced program with ties to UC Davis and UCSF-Fresno. Pending accreditation approval, UC Riverside hopes to open in 2013 with an initial class of 50.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>The\u003c/em>\u003ca href=\"http://www.centerforhealthreporting.org/\">\u003cem> \u003c/em>\u003cem>California HealthCare Foundation Center for Health Reporting\u003c/em>\u003c/a> \u003cem>produces in-depth reporting on California health policy.\u003c/em>\u003cem> \u003c/em> \u003cem>Attached to the\u003c/em>\u003ca href=\"http://annenberg.usc.edu/\">\u003cem> \u003c/em>\u003cem>USC Annenberg School for Communication & Journalism,\u003c/em>\u003c/a>\u003cem> the center is funded by the nonpartisan\u003c/em>\u003ca href=\"http://www.chcf.org/\">\u003cem> \u003c/em>\u003cem>California HealthCare Foundation\u003c/em>\u003c/a>\u003cem>. John M. Gonzales, Lauren M. Whaley, Emily Bazar, Deborah Schoch and Richard Kipling contributed. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Will Employers Start Dropping Employees From Health Plans? Discuss.",
"title": "Will Employers Start Dropping Employees From Health Plans? Discuss.",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_7024\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/JobSeekersQueens20120503.jpg\">\u003cimg class=\"size-medium wp-image-7024\" title=\"Will employers stop covering employees and push them to the exchanges once they are set up in the 50 states? (STAN HONDA/AFP/GettyImages)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/JobSeekersQueens20120503-300x212.jpg\" alt=\"\" width=\"300\" height=\"212\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Will employers stop covering employees and push them to the exchanges once they are set up in the 50 states? (STAN HONDA/AFP/GettyImages)\u003c/figcaption>\u003c/figure>\n\u003cp>Now that the future of the \u003ca href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act \u003c/a>has been decided - \u003ca href=\"http://www.cbsnews.com/8301-503544_162-57463762-503544/gop-doubles-down-on-health-care-repeal-promise/\" target=\"_blank\">to some degree\u003c/a> - the debates over what it means have begun.\u003c/p>\n\u003cp>Does the act potentially impose a \u003ca href=\"http://www.cnn.com/2012/06/28/politics/health-care-taxes/index.html\" target=\"_blank\">tax\u003c/a> on Americans or \u003ca href=\"http://www.washingtonpost.com/politics/federal_government/white-house-health-care-law-creates-a-penalty-not-a-tax-on-those-refusing-to-get-insurance/2012/06/29/gJQAjsHhBW_story.html\" target=\"_blank\">a penalty\u003c/a>? Will the \u003ca href=\"http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=6&ved=0CGgQFjAF&url=http%3A%2F%2Fwww.healthcare.gov%2Flaw%2Fresources%2Freports%2Fnationalqualitystrategy032011.pdf&ei=hurtT7q-D-LYmAXcmITsDQ&usg=AFQjCNGYdFr3tlRHnQB8_yMkjKrrJTBMCw\" target=\"_blank\">health care system become uniformly robust\u003c/a>, or will it put a huge \u003ca href=\"http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=10&ved=0CGYQFjAJ&url=http%3A%2F%2Fwww.physiciansfoundation.org%2FuploadedFiles%2FHealth%2520Reform%2520and%2520the%2520Decline%2520of%2520Physician%2520Private%2520Practice.pdf&ei=YubtT72BC6T4mAXu7f3hDQ&usg=AFQjCNEuQcVRmc2ji1J9GX8kB1xFwR31xQ\" target=\"_blank\">burden on physicians in private practice\u003c/a>?\u003c/p>\n\u003cp>And another biggie that you'll be hearing about:\u003c/p>\n\u003cp>The Chronicle has \u003ca href=\"http://blog.sfgate.com/nov05election/2012/06/29/yes-virginia-employers-will-drop-coverage/\" target=\"_blank\">a piece this morning\u003c/a>, with a link to\u003ca href=\"http://www.mckinseyquarterly.com/How_US_health_care_reform_will_affect_employee_benefits_2813\" target=\"_blank\"> a report in McKinsey & Company\u003c/a>, which suggests: YES, given the opportunity, employers will stop offering coverage. But in Massachusetts, which has a \u003ca href=\"http://www.kaiserhealthnews.org/stories/2012/april/12/different-takes-nicholas.aspx?referrer=search\" target=\"_blank\">similar law already in place\u003c/a>, \u003ca href=\"http://www.mass.gov/eohhs/docs/dhcfp/r/pubs/11/fair-share-analyses-2010.pdf\" target=\"_blank\">that hasn't been the case\u003c/a>.\u003c/p>\n\u003cp>Who is right? Probably \u003ca href=\"http://www.commonwealthfund.org/Newsletters/Purchasing-High-Performance/2011/September-19-2011/Perspectives-on-Policy/Will-Employers-Drop-Health-Coverage-in-2014.aspx\" target=\"_blank\">this report\u003c/a> from the Commonwealth Fund that sorts through a number of studies and concludes it will be hard to know how it will shake out until large employers are eligible for the health exchanges in 2017.\u003c/p>\n\u003cblockquote>\u003cp>Studies and surveys on the subject aren’t hard to find, but they are hard to reconcile. Just since June 2010, there have been at least seven surveys on the subject.\u003csup>\u003ca href=\"http://www.commonwealthfund.org/Newsletters/Purchasing-High-Performance/2011/September-19-2011/Perspectives-on-Policy/Will-Employers-Drop-Health-Coverage-in-2014.aspx#1\">1\u003c/a>\u003c/sup> So, will 2.7 percent of employers drop coverage as this \u003ca href=\"http://www.ifebp.org/pdf/research/HealthCareReform_May2010.pdf\" target=\"_blank\">survey\u003c/a> suggests? Or will 18.8 percent drop coverage, as this \u003ca href=\"http://www.lockton.com/Resource_/PageResource/MKT/Employer%20Health%20Reform%20Survey%20Results%202011--FINAL.pdf\" target=\"_blank\">survey\u003c/a>, conducted one month later, suggests? Or were researchers at RAND correct when then calculated in late 2010 that employers would offer coverage to an additional 13.6 million workers once the exchanges, penalties, and various subsidies are all up and running?\u003csup>\u003ca href=\"http://www.commonwealthfund.org/Newsletters/Purchasing-High-Performance/2011/September-19-2011/Perspectives-on-Policy/Will-Employers-Drop-Health-Coverage-in-2014.aspx#2\">2\u003c/a> \u003c/sup>\u003c/p>\u003c/blockquote>\n\u003cp>Let the debates begin.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_7024\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/JobSeekersQueens20120503.jpg\">\u003cimg class=\"size-medium wp-image-7024\" title=\"Will employers stop covering employees and push them to the exchanges once they are set up in the 50 states? (STAN HONDA/AFP/GettyImages)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/JobSeekersQueens20120503-300x212.jpg\" alt=\"\" width=\"300\" height=\"212\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Will employers stop covering employees and push them to the exchanges once they are set up in the 50 states? (STAN HONDA/AFP/GettyImages)\u003c/figcaption>\u003c/figure>\n\u003cp>Now that the future of the \u003ca href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act \u003c/a>has been decided - \u003ca href=\"http://www.cbsnews.com/8301-503544_162-57463762-503544/gop-doubles-down-on-health-care-repeal-promise/\" target=\"_blank\">to some degree\u003c/a> - the debates over what it means have begun.\u003c/p>\n\u003cp>Does the act potentially impose a \u003ca href=\"http://www.cnn.com/2012/06/28/politics/health-care-taxes/index.html\" target=\"_blank\">tax\u003c/a> on Americans or \u003ca href=\"http://www.washingtonpost.com/politics/federal_government/white-house-health-care-law-creates-a-penalty-not-a-tax-on-those-refusing-to-get-insurance/2012/06/29/gJQAjsHhBW_story.html\" target=\"_blank\">a penalty\u003c/a>? Will the \u003ca href=\"http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=6&ved=0CGgQFjAF&url=http%3A%2F%2Fwww.healthcare.gov%2Flaw%2Fresources%2Freports%2Fnationalqualitystrategy032011.pdf&ei=hurtT7q-D-LYmAXcmITsDQ&usg=AFQjCNGYdFr3tlRHnQB8_yMkjKrrJTBMCw\" target=\"_blank\">health care system become uniformly robust\u003c/a>, or will it put a huge \u003ca href=\"http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=10&ved=0CGYQFjAJ&url=http%3A%2F%2Fwww.physiciansfoundation.org%2FuploadedFiles%2FHealth%2520Reform%2520and%2520the%2520Decline%2520of%2520Physician%2520Private%2520Practice.pdf&ei=YubtT72BC6T4mAXu7f3hDQ&usg=AFQjCNEuQcVRmc2ji1J9GX8kB1xFwR31xQ\" target=\"_blank\">burden on physicians in private practice\u003c/a>?\u003c/p>\n\u003cp>And another biggie that you'll be hearing about:\u003c/p>\n\u003cp>The Chronicle has \u003ca href=\"http://blog.sfgate.com/nov05election/2012/06/29/yes-virginia-employers-will-drop-coverage/\" target=\"_blank\">a piece this morning\u003c/a>, with a link to\u003ca href=\"http://www.mckinseyquarterly.com/How_US_health_care_reform_will_affect_employee_benefits_2813\" target=\"_blank\"> a report in McKinsey & Company\u003c/a>, which suggests: YES, given the opportunity, employers will stop offering coverage. But in Massachusetts, which has a \u003ca href=\"http://www.kaiserhealthnews.org/stories/2012/april/12/different-takes-nicholas.aspx?referrer=search\" target=\"_blank\">similar law already in place\u003c/a>, \u003ca href=\"http://www.mass.gov/eohhs/docs/dhcfp/r/pubs/11/fair-share-analyses-2010.pdf\" target=\"_blank\">that hasn't been the case\u003c/a>.\u003c/p>\n\u003cp>Who is right? Probably \u003ca href=\"http://www.commonwealthfund.org/Newsletters/Purchasing-High-Performance/2011/September-19-2011/Perspectives-on-Policy/Will-Employers-Drop-Health-Coverage-in-2014.aspx\" target=\"_blank\">this report\u003c/a> from the Commonwealth Fund that sorts through a number of studies and concludes it will be hard to know how it will shake out until large employers are eligible for the health exchanges in 2017.\u003c/p>\n\u003cblockquote>\u003cp>Studies and surveys on the subject aren’t hard to find, but they are hard to reconcile. Just since June 2010, there have been at least seven surveys on the subject.\u003csup>\u003ca href=\"http://www.commonwealthfund.org/Newsletters/Purchasing-High-Performance/2011/September-19-2011/Perspectives-on-Policy/Will-Employers-Drop-Health-Coverage-in-2014.aspx#1\">1\u003c/a>\u003c/sup> So, will 2.7 percent of employers drop coverage as this \u003ca href=\"http://www.ifebp.org/pdf/research/HealthCareReform_May2010.pdf\" target=\"_blank\">survey\u003c/a> suggests? Or will 18.8 percent drop coverage, as this \u003ca href=\"http://www.lockton.com/Resource_/PageResource/MKT/Employer%20Health%20Reform%20Survey%20Results%202011--FINAL.pdf\" target=\"_blank\">survey\u003c/a>, conducted one month later, suggests? Or were researchers at RAND correct when then calculated in late 2010 that employers would offer coverage to an additional 13.6 million workers once the exchanges, penalties, and various subsidies are all up and running?\u003csup>\u003ca href=\"http://www.commonwealthfund.org/Newsletters/Purchasing-High-Performance/2011/September-19-2011/Perspectives-on-Policy/Will-Employers-Drop-Health-Coverage-in-2014.aspx#2\">2\u003c/a> \u003c/sup>\u003c/p>\u003c/blockquote>\n\u003cp>Let the debates begin.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"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. ",
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"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. ",
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"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.",
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"mindshift": {
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"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>",
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"order": 12
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"morning-edition": {
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"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
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"onourwatch": {
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"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?",
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"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",
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},
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},
"perspectives": {
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"order": 14
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"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.",
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"politicalbreakdown": {
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"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",
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"order": 5
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"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",
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"source": "Possible"
},
"link": "/radio/program/possible",
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"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
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},
"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",
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