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"content": "\u003cfigure id=\"attachment_6849\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/supreme-court.jpg\">\u003cimg class=\"size-medium wp-image-6849\" title=\"The Supreme Court has ruled on the Affordable Care Act. (afagen/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/supreme-court-300x282.jpg\" alt=\"\" width=\"300\" height=\"282\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Supreme Court has ruled on the Affordable Care Act. (afagen/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update 6:42 PM Interview with Nancy Pelosi on Health Care: It was always in the bag\u003c/strong>\u003c/p>\n\u003cp>KQED's Jon Brooks \u003ca href=\"https://mail.kqed.org/owa/?ae=Item&t=IPM.Note&id=RgAAAABndTHmspO%2fRrKSzhTjp7NcBwC7U%2bUPBq2%2fSK2sl6tG8bsrAAAEjhtTAAA84MdHmDpgQLGoGf5r%2bJOwABLej4G7AAAJ\" target=\"_blank\">posted a full transcript, audio and some commentary (always fun) about Scott Shafer's interview with Nancy Pelosi\u003c/a>. It's a great overview of the drama surrounding the Act over the years.\u003c/p>\n\u003cp>\u003cstrong>Update 1:47 PM Supreme Court Ruling Could Be Good for the State's Budget\u003c/strong>\u003c/p>\n\u003cp>The \u003ca href=\"http://www.latimes.com/business/money/la-fi-mo-healthlaw-calif-20120628,0,1495890.story\" target=\"_blank\">LA Times is reporting\u003c/a> that \"California stands to receive as much as $15 billion a year to extend coverage to millions of the poor and uninsured starting in 2014.\" Welcome news after last night which saw\u003ca href=\"http://www.sfgate.com/politics/article/Brown-cuts-deeper-in-budget-but-most-parks-spared-3670349.php\" target=\"_blank\"> Governor Jerry Brown whittling almost $200 million more\u003c/a> from the budget before finally approving it.\u003c/p>\n\u003cp>\u003cstrong>Update 12:24 PM Open Browser, Insert Foot\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>KQED's News Fix blog has a great post up about \u003ca href=\"http://ww2.kqed.org/news/2012/06/28/health-care-decision-on-twitter-dnc-official-and-cnn-stumble-moving-to-canada-sarah-palin-jokes/\" target=\"_blank\">all the tweets flying around after the decision\u003c/a>. Some ill advised ones from public officials. And a slew from disgruntled Americans who don't like the health care plan announcing they're \"moving to Canada.\" Hmmmm.\u003c/p>\n\u003cp>\u003cstrong>Update 11:43 AM \"The Horse Is Out Of the Barn\"\u003c/strong>\u003c/p>\n\u003cp>The head of California's Health Benefit Exchange, Peter Lee, just spoke. He's been leading California's efforts to create an online market for health insurance. He long contended it would move ahead regardless, but the mandate for all to have insurance definitely ups its relevance. Lee said his goal was to make an online system that would make buying health insurance as simple as buying a book from Amazon (or almost as simple). He also detailed what this decision means for Californians pocketbooks (or purses as we say in California). Lee also said \"the horse is out of the barn,\" and unlike what some commentators are saying he believes the Affordable Care Act is here to stay.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>Update 10:23 AM Take It Online:\u003c/strong>\u003c/p>\n\u003cp>As if to underscore the contentiousness that President Obama was referring to, Chief Justice Robert's Wikipedia page was just vandalized, \u003ca href=\"http://livewire.talkingpointsmemo.com/entries/photo-john-roberts-wikipedia-page-vandalized-chief-traitor\" target=\"_blank\">according to Talking Points Memo\u003c/a>. Apparently the caption under his photo was changed to “17th Chief Traitor of the United States”\u003c/p>\n\u003cp>\u003cstrong>Update 9:23 AM: President Obama Addresses the Nation\u003c/strong>\u003c/p>\n\u003cp>The President spoke to some of the benefits of the law. And referring to the contentious debate Obama said it should be clear by now I didn't do this because of political reasons.\u003c/p>\n\u003cp>Stay tuned for more reactions to the decision from within California.\u003c/p>\n\u003cp>\u003cstrong>Update 8:24 AM: President Obama scheduled to address the nation at 9:15\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Update 8:10 AM: Impacts of the decision for California\u003c/strong>\u003c/p>\n\u003cp>The decision holds some good news for the state, although there are those that say - especially in the immediate wake of another painful budget process - it's going to mean too much spending, with not enough gained.\u003c/p>\n\u003cp>California Healthline lays out \u003ca href=\"http://m.californiahealthline.org/road-to-reform/2012/if-aca-stands-what-california-stands-to-gain-or-lose.aspx#ixzz1z6IE4ZFP\" target=\"_blank\">the nitty gritty in this article\u003c/a>. But here's a quick overview from the piece.\u003c/p>\n\u003cp>On the positive side, some predict it would create 100,000 jobs in the Golden State and others point out that California has long been in the lead in enacting many of the reforms, so we're already well on our way. The article says Peter Long from the Blue Shield of California Foundation and MIT economist Jonathan Gruber last year \u003ca href=\"http://content.healthaffairs.org/content/30/1/63.full.html\" target=\"_blank\">modeled the ACA's impact on the Golden State\u003c/a>.\u003c/p>\n\u003cblockquote>\u003cp>According to their predictive model, the law by 2016 would:\u003c/p>\n\u003cul>\n\u003cli>More than halve the number of the state's uninsured, from 6.53 million to 3.10 million;\u003c/li>\n\u003cli>Reduce employers' health insurance spending by 6%; and\u003c/li>\n\u003cli>Add about $280 in average economic benefits to each household.\u003c/li>\n\u003c/ul>\n\u003c/blockquote>\n\u003cp>Sounds good. But critics say that the additional costs could actually lead to job losses. Voices of concern come from the left and the right. Former US Labor Secretary Robert Reich, an icon of the left, felt the best chance the country had for real health reform was if the law got struck down.\u003c/p>\n\u003cp>Meanwhile some on the right fear it will lead to too much hiring in state and county government.\u003c/p>\n\u003cp>The article goes out on this cheery, are we all just spinning our wheels question: would the ACA just get overturned by a Republican president anyway?\u003c/p>\n\u003cdiv>\u003cstrong>Update 7:47 AM: Read the full text\u003c/strong>\u003c/div>\n\u003cp>\u003cstrong>\u003c/strong>The decision is posted \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/06/28/full-transcript-supreme-court-decision-on-health-care/\" target=\"_blank\">here\u003c/a>. All 193 pages. A big one. Justices clearly had a lot to say.\u003cbr>\n\u003cstrong>\u003cbr>\nUpdate 7:33 AM: The tax reading carries the day\u003c/strong>\u003c/p>\n\u003cp>Here's an \u003ca href=\"http://www.latimes.com/health/la-na-court-final-20120625,0,1925650.story\" target=\"_blank\">article from the Los Angeles Times explaining the intricacies of the tax argument\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Update, 7:27 AM: Nuances from the individual justices \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>\u003c/strong> Now from scotusblog.com: Kennedy is reading a dissent saying the whole thing should be invalid. Meanwhile Ginsberg writes it should be entirely valid. \"Justice Ginsburg makes clear that the vote is 5-4 on sustaining the mandate as a form of tax. Her opinion, for herself and Sotomayor, Breyer and Kagan, joins the key section of Roberts opinion on that point. She would go further and uphold the mandate under the Commerce Clause, which Roberts wouldn't. Her opinion on Commerce does not control.\"\u003c/p>\n\u003cp>\u003cstrong>Update 7:14 AM: Chief Roberts' vote saves ACA\u003c/strong>\u003c/p>\n\u003cp>(AP) WASHINGTON (AP) - The Supreme Court on Thursday upheld the individual insurance requirement at the heart of President Barack Obama's health care overhaul.\u003c/p>\n\u003cp>The decision handed Obama a campaign-season victory in rejecting arguments that Congress went too far in requiring most Americans to have health insurance or pay a penalty.\u003c/p>\n\u003cp>Chief Justice John Roberts announced the court's judgment that allows the law to go forward with its aim of covering more than 30 million uninsured Americans.\u003cbr>\n\u003cstrong>Update, 7:12 AM\u003c/strong>: Scotusblog reports: So the mandate is constitutional. Chief Justice Roberts joins the left of the Court. The Medicaid provision is limited but not invalidated.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Scotusblog reports: The individual mandate survives as a tax.\u003c/strong>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_6849\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/supreme-court.jpg\">\u003cimg class=\"size-medium wp-image-6849\" title=\"The Supreme Court has ruled on the Affordable Care Act. (afagen/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/supreme-court-300x282.jpg\" alt=\"\" width=\"300\" height=\"282\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Supreme Court has ruled on the Affordable Care Act. (afagen/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update 6:42 PM Interview with Nancy Pelosi on Health Care: It was always in the bag\u003c/strong>\u003c/p>\n\u003cp>KQED's Jon Brooks \u003ca href=\"https://mail.kqed.org/owa/?ae=Item&t=IPM.Note&id=RgAAAABndTHmspO%2fRrKSzhTjp7NcBwC7U%2bUPBq2%2fSK2sl6tG8bsrAAAEjhtTAAA84MdHmDpgQLGoGf5r%2bJOwABLej4G7AAAJ\" target=\"_blank\">posted a full transcript, audio and some commentary (always fun) about Scott Shafer's interview with Nancy Pelosi\u003c/a>. It's a great overview of the drama surrounding the Act over the years.\u003c/p>\n\u003cp>\u003cstrong>Update 1:47 PM Supreme Court Ruling Could Be Good for the State's Budget\u003c/strong>\u003c/p>\n\u003cp>The \u003ca href=\"http://www.latimes.com/business/money/la-fi-mo-healthlaw-calif-20120628,0,1495890.story\" target=\"_blank\">LA Times is reporting\u003c/a> that \"California stands to receive as much as $15 billion a year to extend coverage to millions of the poor and uninsured starting in 2014.\" Welcome news after last night which saw\u003ca href=\"http://www.sfgate.com/politics/article/Brown-cuts-deeper-in-budget-but-most-parks-spared-3670349.php\" target=\"_blank\"> Governor Jerry Brown whittling almost $200 million more\u003c/a> from the budget before finally approving it.\u003c/p>\n\u003cp>\u003cstrong>Update 12:24 PM Open Browser, Insert Foot\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>KQED's News Fix blog has a great post up about \u003ca href=\"http://ww2.kqed.org/news/2012/06/28/health-care-decision-on-twitter-dnc-official-and-cnn-stumble-moving-to-canada-sarah-palin-jokes/\" target=\"_blank\">all the tweets flying around after the decision\u003c/a>. Some ill advised ones from public officials. And a slew from disgruntled Americans who don't like the health care plan announcing they're \"moving to Canada.\" Hmmmm.\u003c/p>\n\u003cp>\u003cstrong>Update 11:43 AM \"The Horse Is Out Of the Barn\"\u003c/strong>\u003c/p>\n\u003cp>The head of California's Health Benefit Exchange, Peter Lee, just spoke. He's been leading California's efforts to create an online market for health insurance. He long contended it would move ahead regardless, but the mandate for all to have insurance definitely ups its relevance. Lee said his goal was to make an online system that would make buying health insurance as simple as buying a book from Amazon (or almost as simple). He also detailed what this decision means for Californians pocketbooks (or purses as we say in California). Lee also said \"the horse is out of the barn,\" and unlike what some commentators are saying he believes the Affordable Care Act is here to stay.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>Update 10:23 AM Take It Online:\u003c/strong>\u003c/p>\n\u003cp>As if to underscore the contentiousness that President Obama was referring to, Chief Justice Robert's Wikipedia page was just vandalized, \u003ca href=\"http://livewire.talkingpointsmemo.com/entries/photo-john-roberts-wikipedia-page-vandalized-chief-traitor\" target=\"_blank\">according to Talking Points Memo\u003c/a>. Apparently the caption under his photo was changed to “17th Chief Traitor of the United States”\u003c/p>\n\u003cp>\u003cstrong>Update 9:23 AM: President Obama Addresses the Nation\u003c/strong>\u003c/p>\n\u003cp>The President spoke to some of the benefits of the law. And referring to the contentious debate Obama said it should be clear by now I didn't do this because of political reasons.\u003c/p>\n\u003cp>Stay tuned for more reactions to the decision from within California.\u003c/p>\n\u003cp>\u003cstrong>Update 8:24 AM: President Obama scheduled to address the nation at 9:15\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Update 8:10 AM: Impacts of the decision for California\u003c/strong>\u003c/p>\n\u003cp>The decision holds some good news for the state, although there are those that say - especially in the immediate wake of another painful budget process - it's going to mean too much spending, with not enough gained.\u003c/p>\n\u003cp>California Healthline lays out \u003ca href=\"http://m.californiahealthline.org/road-to-reform/2012/if-aca-stands-what-california-stands-to-gain-or-lose.aspx#ixzz1z6IE4ZFP\" target=\"_blank\">the nitty gritty in this article\u003c/a>. But here's a quick overview from the piece.\u003c/p>\n\u003cp>On the positive side, some predict it would create 100,000 jobs in the Golden State and others point out that California has long been in the lead in enacting many of the reforms, so we're already well on our way. The article says Peter Long from the Blue Shield of California Foundation and MIT economist Jonathan Gruber last year \u003ca href=\"http://content.healthaffairs.org/content/30/1/63.full.html\" target=\"_blank\">modeled the ACA's impact on the Golden State\u003c/a>.\u003c/p>\n\u003cblockquote>\u003cp>According to their predictive model, the law by 2016 would:\u003c/p>\n\u003cul>\n\u003cli>More than halve the number of the state's uninsured, from 6.53 million to 3.10 million;\u003c/li>\n\u003cli>Reduce employers' health insurance spending by 6%; and\u003c/li>\n\u003cli>Add about $280 in average economic benefits to each household.\u003c/li>\n\u003c/ul>\n\u003c/blockquote>\n\u003cp>Sounds good. But critics say that the additional costs could actually lead to job losses. Voices of concern come from the left and the right. Former US Labor Secretary Robert Reich, an icon of the left, felt the best chance the country had for real health reform was if the law got struck down.\u003c/p>\n\u003cp>Meanwhile some on the right fear it will lead to too much hiring in state and county government.\u003c/p>\n\u003cp>The article goes out on this cheery, are we all just spinning our wheels question: would the ACA just get overturned by a Republican president anyway?\u003c/p>\n\u003cdiv>\u003cstrong>Update 7:47 AM: Read the full text\u003c/strong>\u003c/div>\n\u003cp>\u003cstrong>\u003c/strong>The decision is posted \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/06/28/full-transcript-supreme-court-decision-on-health-care/\" target=\"_blank\">here\u003c/a>. All 193 pages. A big one. Justices clearly had a lot to say.\u003cbr>\n\u003cstrong>\u003cbr>\nUpdate 7:33 AM: The tax reading carries the day\u003c/strong>\u003c/p>\n\u003cp>Here's an \u003ca href=\"http://www.latimes.com/health/la-na-court-final-20120625,0,1925650.story\" target=\"_blank\">article from the Los Angeles Times explaining the intricacies of the tax argument\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Update, 7:27 AM: Nuances from the individual justices \u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>\u003c/strong> Now from scotusblog.com: Kennedy is reading a dissent saying the whole thing should be invalid. Meanwhile Ginsberg writes it should be entirely valid. \"Justice Ginsburg makes clear that the vote is 5-4 on sustaining the mandate as a form of tax. Her opinion, for herself and Sotomayor, Breyer and Kagan, joins the key section of Roberts opinion on that point. She would go further and uphold the mandate under the Commerce Clause, which Roberts wouldn't. Her opinion on Commerce does not control.\"\u003c/p>\n\u003cp>\u003cstrong>Update 7:14 AM: Chief Roberts' vote saves ACA\u003c/strong>\u003c/p>\n\u003cp>(AP) WASHINGTON (AP) - The Supreme Court on Thursday upheld the individual insurance requirement at the heart of President Barack Obama's health care overhaul.\u003c/p>\n\u003cp>The decision handed Obama a campaign-season victory in rejecting arguments that Congress went too far in requiring most Americans to have health insurance or pay a penalty.\u003c/p>\n\u003cp>Chief Justice John Roberts announced the court's judgment that allows the law to go forward with its aim of covering more than 30 million uninsured Americans.\u003cbr>\n\u003cstrong>Update, 7:12 AM\u003c/strong>: Scotusblog reports: So the mandate is constitutional. Chief Justice Roberts joins the left of the Court. The Medicaid provision is limited but not invalidated.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Scotusblog reports: The individual mandate survives as a tax.\u003c/strong>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003ca href=\"http://igs.berkeley.edu/people/nac/sundheim.html\" target=\"_blank\">Duf Sundheim\u003c/a> was the chair of the California Republican Party from 2003-2007 and remains active in the party. He lives in Los Altos Hills, CA. KQED's \u003ca href=\"http://www.kqed.org/radio/about/staff/stephanie-martin.jsp\" target=\"_blank\">Stephanie Martin\u003c/a> spoke to him today about his reaction to the Supreme Court decision.\u003c/p>\n\u003cp>\u003cstrong>MARTIN\u003c/strong> How do you feel that Chief Justice Roberts, a fellow conservative, voted to uphold the law?\u003c/p>\n\u003cp>\u003cstrong>SUNDHEIM\u003c/strong> Well I think he really had a lot of things he was trying to address. One was the specific issue of the mandate and the commerce clause. That’s why I think so many people thought the legislation would be overturned. And the fact he was able to make a bridge to find that it was a tax, not a mandate. I think was very interesting.\u003c/p>\n\u003cp>\u003cstrong>\u003c/strong> I thought the reasoning was a little tortured but I think he was really concerned about the future of the court, the public perception of the court.\u003c/p>\n\u003cp>So I understand what he was trying to do. Again it’s not a situation where they’re making a decision that ties the hands of the other branches of government. It really transfers to the decision to those two branches. And it’s now up to those two branches to make a decision that’s in the best interest of the people.\u003c!--more-->\u003c/p>\n\u003caside class=\"pullquote alignleft\">The supreme court has said the president was wrong, that it is a tax and it’s a very substantial tax. So that will be an issue that the people will have to decide. Is this a tax increase that they approve or do they want to overturn it?\u003c/aside>\n\u003cp>\u003cstrong>MARTIN\u003c/strong> The Bay Area is a favorite stop for presidential candidates from both sides of the aisle because of deep pocketed residents. How do you think it’s playing out among local Romney supporters?\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>SUNDHEIM\u003c/strong> I haven’t had a chance to talk with too many today. I think what’s going to be interesting is really what it comes down to now. And the court has made it perfectly clear today what their view is. This is a substantial tax increase on many people, on many different points of the economic spectrum. And the question is whether that is going to be a problem for the president, who promised that there would not be a tax increase and that in fact this legislation was not a tax increase.\u003c/p>\n\u003cp>The supreme court has said the president was wrong, that it is a tax and it’s a very substantial tax. So that will be an issue that the people will have to decide. Is this a tax increase that they approve or do they want to overturn it?\u003c/p>\n\u003cp>\u003cstrong>MARTIN\u003c/strong> And among California Republicans do you have a sense how that will play out?\u003c/p>\n\u003cp>\u003cstrong>SUNDHEIM\u003c/strong> I think clearly there will be opposition, but the opposition to the legislation existed prior to today. I think some people will be more motivated because of the decision of the court, and how it is important that if they do not want the tax increase that we need to elect leaders that oppose this kind of tax increase.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"description": "Duf Sundheim was the chair of the California Republican Party from 2003-2007 and remains active in the party. He lives in Los Altos Hills, CA. KQED's Stephanie Martin spoke to him today about his reaction to the Supreme Court decision. MARTIN How do you feel that Chief Justice Roberts, a fellow conservative, voted to uphold",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"http://igs.berkeley.edu/people/nac/sundheim.html\" target=\"_blank\">Duf Sundheim\u003c/a> was the chair of the California Republican Party from 2003-2007 and remains active in the party. He lives in Los Altos Hills, CA. KQED's \u003ca href=\"http://www.kqed.org/radio/about/staff/stephanie-martin.jsp\" target=\"_blank\">Stephanie Martin\u003c/a> spoke to him today about his reaction to the Supreme Court decision.\u003c/p>\n\u003cp>\u003cstrong>MARTIN\u003c/strong> How do you feel that Chief Justice Roberts, a fellow conservative, voted to uphold the law?\u003c/p>\n\u003cp>\u003cstrong>SUNDHEIM\u003c/strong> Well I think he really had a lot of things he was trying to address. One was the specific issue of the mandate and the commerce clause. That’s why I think so many people thought the legislation would be overturned. And the fact he was able to make a bridge to find that it was a tax, not a mandate. I think was very interesting.\u003c/p>\n\u003cp>\u003cstrong>\u003c/strong> I thought the reasoning was a little tortured but I think he was really concerned about the future of the court, the public perception of the court.\u003c/p>\n\u003cp>So I understand what he was trying to do. Again it’s not a situation where they’re making a decision that ties the hands of the other branches of government. It really transfers to the decision to those two branches. And it’s now up to those two branches to make a decision that’s in the best interest of the people.\u003c!--more-->\u003c/p>\n\u003caside class=\"pullquote alignleft\">The supreme court has said the president was wrong, that it is a tax and it’s a very substantial tax. So that will be an issue that the people will have to decide. Is this a tax increase that they approve or do they want to overturn it?\u003c/aside>\n\u003cp>\u003cstrong>MARTIN\u003c/strong> The Bay Area is a favorite stop for presidential candidates from both sides of the aisle because of deep pocketed residents. How do you think it’s playing out among local Romney supporters?\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>SUNDHEIM\u003c/strong> I haven’t had a chance to talk with too many today. I think what’s going to be interesting is really what it comes down to now. And the court has made it perfectly clear today what their view is. This is a substantial tax increase on many people, on many different points of the economic spectrum. And the question is whether that is going to be a problem for the president, who promised that there would not be a tax increase and that in fact this legislation was not a tax increase.\u003c/p>\n\u003cp>The supreme court has said the president was wrong, that it is a tax and it’s a very substantial tax. So that will be an issue that the people will have to decide. Is this a tax increase that they approve or do they want to overturn it?\u003c/p>\n\u003cp>\u003cstrong>MARTIN\u003c/strong> And among California Republicans do you have a sense how that will play out?\u003c/p>\n\u003cp>\u003cstrong>SUNDHEIM\u003c/strong> I think clearly there will be opposition, but the opposition to the legislation existed prior to today. I think some people will be more motivated because of the decision of the court, and how it is important that if they do not want the tax increase that we need to elect leaders that oppose this kind of tax increase.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Health Decision Will Have Big Impact on California's Ethnic Communities",
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"content": "\u003cfigure id=\"attachment_6994\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/equal-pic.jpg\">\u003cimg class=\"size-medium wp-image-6994\" title=\"A sign from a recent health care rally (seiuhealthcare775nw/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/equal-pic-300x284.jpg\" alt=\"\" width=\"300\" height=\"284\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A sign from a recent health care rally (seiuhealthcare775nw/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Health disparities in the state are stark.\u003c/p>\n\u003cp>\"Diabetes affects 13 percent of Native Americans in the state, 11 percent of Latinos, 10 percent of African Americans,\" says \u003ca href=\"http://www.cpehn.org/staff.php\" target=\"_blank\">Ellen Wu\u003c/a>, the executive director of the \u003ca href=\"http://www.cpehn.org/\" target=\"_blank\">California Pan-Ethnic Health Network\u003c/a> (CPEHN). \"That's compared to five percent of the white population.\"\u003c/p>\n\u003cp>Wu says there's a gap in access to care too. That's why the Supreme Court decision upholding the Affordable Care Act is such a watershed moment for her.\u003c/p>\n\u003cp>She says of the three million Californians who will now be eligible for coverage through the state's health benefit exchange in 2014, two-thirds come from communities of color.\u003c/p>\n\u003cp>\"For example with diabetes ... they’ll be able to get screened earlier and prevent it. And when they do have onset they’ll be able to manage their care better and stay healthier,\" said Wu.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The same goes for asthma, she said. \"We know that for communities of color, they can show up in the emergency room for an asthma attack at higher rates than whites so the free preventive care under the Affordable Care Act (ACA) is really, really critical to keeping our communities healthy.\"\u003c/p>\n\u003cp>\u003c!--more-->The news of the decision was especially welcomed among the state's Indian tribes. It turns out that \u003ca href=\"http://www.hhs.gov/news/press/2010pres/03/20100326a.html\" target=\"_blank\">folded into the ACA was a provision updating and making permanent a 1976 law on health care \u003c/a>for American Indians and Alaska Natives.\u003c/p>\n\u003cp>Indians leaders had been working \u003ca href=\"http://www.nativetimes.com/news/federal/7396-indian-health-care-improvement-act-permanent\" target=\"_blank\">for fourteen years\u003c/a> to get the law - called the \u003ca href=\"http://www.nihb.org/legislative/ihcia.php\" target=\"_blank\">Indian Health Care Improvement Act\u003c/a> - reauthorized, and \u003ca href=\"http://indiancountrytodaymedianetwork.com/2012/06/28/us-supreme-court-upholds-indian-health-law-and-larger-obama-health-law-121084\" target=\"_blank\">some people wanted it approved as a stand alone legislation\u003c/a>.\u003c/p>\n\u003cp>Some of the updated provisions include giving authorization for hospice and assisted living care and establishing comprehensive behavioral health prevention, and treatment.\u003c/p>\n\u003cp>In response to the decision James Crouch, the executive director of the \u003ca href=\"http://www.crihb.org/\" target=\"_blank\">California Rural Indian Health Board\u003c/a>, said it gives them confidence in their \"efforts to establish a Low Income Health Program for our tribal communities and ensure successful implementation of some of the key improvements to the Indian Health Care Improvement Act.\"\u003c/p>\n\u003cp>For many advocates, today was decades in the making.\u003c/p>\n\u003cp>Remember \u003ca href=\"http://www.upenn.edu/pnc/ptbok.html\" target=\"_blank\">Health Reform efforts, Act I\u003c/a>? Ellen Wu says CPEHN was founded in the 1990's back when the Clinton administration was working on the issue.\u003c/p>\n\u003cp>\"To see it 20 years later be able to... to come to fruition, is really an amazing experience.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Wu got choked up. \"It’s the biggest thing that happened since the 60s, with Medicaid and Medicare and we get to be a part of it. it’s really exciting.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_6994\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/equal-pic.jpg\">\u003cimg class=\"size-medium wp-image-6994\" title=\"A sign from a recent health care rally (seiuhealthcare775nw/Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/equal-pic-300x284.jpg\" alt=\"\" width=\"300\" height=\"284\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A sign from a recent health care rally (seiuhealthcare775nw/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Health disparities in the state are stark.\u003c/p>\n\u003cp>\"Diabetes affects 13 percent of Native Americans in the state, 11 percent of Latinos, 10 percent of African Americans,\" says \u003ca href=\"http://www.cpehn.org/staff.php\" target=\"_blank\">Ellen Wu\u003c/a>, the executive director of the \u003ca href=\"http://www.cpehn.org/\" target=\"_blank\">California Pan-Ethnic Health Network\u003c/a> (CPEHN). \"That's compared to five percent of the white population.\"\u003c/p>\n\u003cp>Wu says there's a gap in access to care too. That's why the Supreme Court decision upholding the Affordable Care Act is such a watershed moment for her.\u003c/p>\n\u003cp>She says of the three million Californians who will now be eligible for coverage through the state's health benefit exchange in 2014, two-thirds come from communities of color.\u003c/p>\n\u003cp>\"For example with diabetes ... they’ll be able to get screened earlier and prevent it. And when they do have onset they’ll be able to manage their care better and stay healthier,\" said Wu.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The same goes for asthma, she said. \"We know that for communities of color, they can show up in the emergency room for an asthma attack at higher rates than whites so the free preventive care under the Affordable Care Act (ACA) is really, really critical to keeping our communities healthy.\"\u003c/p>\n\u003cp>\u003c!--more-->The news of the decision was especially welcomed among the state's Indian tribes. It turns out that \u003ca href=\"http://www.hhs.gov/news/press/2010pres/03/20100326a.html\" target=\"_blank\">folded into the ACA was a provision updating and making permanent a 1976 law on health care \u003c/a>for American Indians and Alaska Natives.\u003c/p>\n\u003cp>Indians leaders had been working \u003ca href=\"http://www.nativetimes.com/news/federal/7396-indian-health-care-improvement-act-permanent\" target=\"_blank\">for fourteen years\u003c/a> to get the law - called the \u003ca href=\"http://www.nihb.org/legislative/ihcia.php\" target=\"_blank\">Indian Health Care Improvement Act\u003c/a> - reauthorized, and \u003ca href=\"http://indiancountrytodaymedianetwork.com/2012/06/28/us-supreme-court-upholds-indian-health-law-and-larger-obama-health-law-121084\" target=\"_blank\">some people wanted it approved as a stand alone legislation\u003c/a>.\u003c/p>\n\u003cp>Some of the updated provisions include giving authorization for hospice and assisted living care and establishing comprehensive behavioral health prevention, and treatment.\u003c/p>\n\u003cp>In response to the decision James Crouch, the executive director of the \u003ca href=\"http://www.crihb.org/\" target=\"_blank\">California Rural Indian Health Board\u003c/a>, said it gives them confidence in their \"efforts to establish a Low Income Health Program for our tribal communities and ensure successful implementation of some of the key improvements to the Indian Health Care Improvement Act.\"\u003c/p>\n\u003cp>For many advocates, today was decades in the making.\u003c/p>\n\u003cp>Remember \u003ca href=\"http://www.upenn.edu/pnc/ptbok.html\" target=\"_blank\">Health Reform efforts, Act I\u003c/a>? Ellen Wu says CPEHN was founded in the 1990's back when the Clinton administration was working on the issue.\u003c/p>\n\u003cp>\"To see it 20 years later be able to... to come to fruition, is really an amazing experience.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Wu got choked up. \"It’s the biggest thing that happened since the 60s, with Medicaid and Medicare and we get to be a part of it. it’s really exciting.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>There are the politics and the spinning. There's the talk of improved health outcomes ... and then there is the bottom line. What does this mean for the state's consumers?\u003c/p>\n\u003cp>The \u003ca href=\"http://www.healthexchange.ca.gov/Pages/Default.aspx\" target=\"_blank\">California Health Benefit Exchange\u003c/a>is the most tangible institution that Californians will interact with as a result of the law. Those newly in the market to buy insurance because of ACA, this is your go to shop. Officials estimate that's around 3 million Californians.\u003c/p>\n\u003cp>\"We look forward to making the purchase of insurance through California’s exchange as easy as buying a book on \u003ca href=\"http://www.amazon.com/\" target=\"_blank\">Amazon\u003c/a> or shoes on \u003ca href=\"http://www.zappos.com/index1.zml\" target=\"_blank\">Zappos\u003c/a>,\" says Peter Lee, who has been working to set up this online marketplace.\u003c!--more-->\u003c/p>\n\u003cp>Lee spoke right after the decision and one of the first questions he fielded was what income levels will qualify for insurance subsidies and how big the credits will be.\u003c/p>\n\u003cp>I've pasted in a chart his office released below to give an overview of the amounts. The credits go to those earning up to 400% of the \u003ca href=\"http://www.familiesusa.org/resources/tools-for-advocates/guides/federal-poverty-guidelines.html\" target=\"_blank\">federal povery level \u003c/a>(FPL). So if you're, say, a family of four earning up to $93,000 you qualify for help buying insurance.\u003c/p>\n\u003cfigure id=\"attachment_6947\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Picture-5.png\">\u003cimg class=\"size-large wp-image-6947\" title=\"Health Benefit Exchange income levels and credits (source: http://www.healthexchange.ca.gov/)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/Picture-5-620x248.png\" alt=\"\" width=\"620\" height=\"248\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Health Benefit Exchange income levels and credits (source: http://www.healthexchange.ca.gov/)\u003c/figcaption>\u003c/figure>\n\u003cp>Lee also outlined the next steps for the Exchange. It's been in the works for two years now, which puts California ahead of other states on this issue. But there are three areas they'll focus on now:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>1. Working with health plans to hammer out details of the insurance they'll offer.\u003c/p>\n\u003cp>2. Launching \u003ca href=\"http://www.healthexchange.ca.gov/StakeHolders/Documents/CHBE,DHCS,MRMIB_ComprehensiveMarketingandOutreachWorkPlan_6-26-12.pdf\" target=\"_blank\">a big education campaign in 2013\u003c/a>. Lee says there's been a lot of \"misinformation\" out there and the right info needs to get into the hands of the uninsured.\u003c/p>\n\u003cp>3. Setting up the IT system needed to power the system.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Where is the money coming from to fund all these efforts? Lee says right now the Exchange is backed by money from the federal government (they just applied last night for another $196 million grant), but after the first full year of the Health Exchange it will be funding itself from the health care plans it works with.\u003c/p>\n\n",
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"content": "\u003cfigure id=\"attachment_6829\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/farmlabor20120427.jpg\">\u003cimg class=\"size-medium wp-image-6829\" title=\"Immigrant Laborers Harvest California's Produce\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/farmlabor20120427-300x164.jpg\" alt=\"\" width=\"300\" height=\"164\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Lali Moheno & her family worked the fields in Modesto. Three of her family members had untreated mental health problems. (Sandy Huffaker/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Lali Moheno went to school in Texas as a kid. But she, her parents, and her six siblings would bus to Modesto, California every summers to work the fields. Then in late August or September, her parents would put her and her siblings back in a bus to Texas. Mohseno worked the fields all the way through graduating from the University of Texas.\u003c/p>\n\u003cp>\"Life was hard,\" said Moheno said during a press conference at UC Davis. \"We had three family members who had mental health issues. But of course, in our family, we didn't recognize it. They'd say, '\u003cem>Ese? Esta un poquito loco\u003c/em> [Him? He's a little crazy]\u003cem>.\u003c/em> Don't pay attention to him. We don't know what to do with him. He just follows us into the migrant camps.\"\u003c/p>\n\u003cp>Moheno said her family didn't know that visiting a psychologist or psychiatrist was even an option. That's why she became a health activist working with farmworkers in Visalia. And that's why she participated in a series of community forums looking at Latino mental health care disparities.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"Often when someone suffers from depression, unfortunately some family members -- and I have seen it in churches also -- they say it's because of the weak character that they have, or they haven't prayed hard enough.\"\u003c/aside>\n\u003cp>The result of the forums is a UC Davis study released this week, \u003ca title=\"http://www.ucdmc.ucdavis.edu/newsroom/pdf/Latino_mental_health_report-6-25-2012.pdf\" href=\"http://www.ucdmc.ucdavis.edu/newsroom/pdf/Latino_mental_health_report-6-25-2012.pdf\" target=\"_blank\">Community-Defined Solutions for Mental Health Care Disparities\u003c/a>. Researchers highlight a variety of methods to close the mental health care gaps for Latinos in California.\u003c/p>\n\u003cp>Latinos make up over one-third of the nation’s population, and they're the largest racial or ethnic group in California. But they're also one of the most under-served communities in the state when it comes to getting mental health care.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Access to health insurance, transportation and language services all play into it. As does stigma associated with getting mental health care. Access to care also fluctuates based on ethnicity: Latinos of Mexican descent are \u003ca title=\"http://ps.psychiatryonline.org/article.aspx?Volume=59&page=1264&journalID=18\" href=\"http://ps.psychiatryonline.org/article.aspx?Volume=59&page=1264&journalID=18\" target=\"_blank\">less likely to get mental health care\u003c/a> than other Latino groups, like Puerto Ricans. The report says about eighty-five percent of Mexican immigrants who need mental health services remain untreated.\u003c/p>\n\u003cp>\u003c!--more-->The study recommendations range from using social media sites like Twitter and Facebook, to producing \u003cem>fotonovelas\u003c/em> -- stories using images and audio to promote a better understanding of mental health issues.\u003c/p>\n\u003cp>I spoke with \u003ca title=\"http://www.ucdmc.ucdavis.edu/search/faculty/biodetail.asp?bioid=1148&searchtype=3&fromsearchlist=yes\" href=\"http://www.ucdmc.ucdavis.edu/search/faculty/biodetail.asp?bioid=1148&searchtype=3&fromsearchlist=yes\" target=\"_blank\">Sergio Aguilar-Gaxiola\u003c/a>, the lead author and Director of the \u003ca title=\"http://www.ucdmc.ucdavis.edu/crhd/\" href=\"http://www.ucdmc.ucdavis.edu/crhd/\" target=\"_blank\">UC Davis Center for Reducing Health Disparities\u003c/a>, about the study's recommendations on how to reduce these mental health disparities. We focused on two methods in particular: training school personnel working with young Latinos about possible mental health issues in their students; and teaching families and religious leaders about mental health problems and stigma -- so that they can educate others.\u003c/p>\n\u003cp>More than half of California’s elementary children are of Latino origin, according to the California Department of Education. Aguilar-Gaxiola said that many start developing mental health problems at a young age, adding that about 50 percent of severe mental illness are identified by age 15.\u003c/p>\n\u003cp>But instead of providing troubled children with counseling options, Aguilar-Gaxiola said they often get disciplined at school as the 'problem kids,' or even as bullies, instead. He said if schools used available curricula to teach educators how to identify things like depression and anxiety, they'd have a better chance of flagging it in their students.\u003c/p>\n\u003cp>\"I think there is a unique opportunity in the school settings to have early interventions and screenings for kids that may be manifesting some behavioral problems. Depression screening, for example. It can be the teacher that is trained on how to deliver this information. Or it can be the school nurse. Some should be familiar with this information. \"\u003c/p>\n\u003cp>Aguilar-Gaxiola said and a clinical psychologist recently met with the principal and teachers of a school in Sacramento to give them a tutorial about mental health disorders in adolescents.\u003c/p>\n\u003cp>\"It was a an eye opener for us in terms of the questions we got from the teachers,\" he said. \"They didn't know that mental illnesses could manifest through certain kinds of behaviors.\"\u003c/p>\n\u003cp>Another barrier to care is stigma. Aguilar-Gaxiola told me most of the Latino participants in the UC Davis study associated mental illness with being ‘crazy,’ like Lali Moheno's family had done. He also found that prayer was the number one thing that participants said they turned to when they had problems like depression. Aguilar-Caxiola said while it's fine to turn to family or religion for help with mental illness, sometimes therapy or other mental health support is also needed.\u003c/p>\n\u003cp>\"Often when someone suffers from depression, unfortunately some family members -- and I have seen it in churches also -- they say it's because of the weak character that they have, or they haven't prayed hard enough. Sending the message that they would change if they would only put there will to work. Well it doesn't work like that.\"\u003c/p>\n\u003cp>Aguilar-Gaxiola said telling people with depression to toughen up, or to use their will, could actually make their depression worse. He said educating priests and family members that, in addition to prayer, they could also look at psychiatric and psychotherapy options, could help change the dialogue about mental health both in the church and in the home.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We need to reach out much more to religious leaders. Not only priests, but rabbis and pastors, and work with them to learn how to identify and deal with mental illness.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_6829\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/farmlabor20120427.jpg\">\u003cimg class=\"size-medium wp-image-6829\" title=\"Immigrant Laborers Harvest California's Produce\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/farmlabor20120427-300x164.jpg\" alt=\"\" width=\"300\" height=\"164\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Lali Moheno & her family worked the fields in Modesto. Three of her family members had untreated mental health problems. (Sandy Huffaker/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Lali Moheno went to school in Texas as a kid. But she, her parents, and her six siblings would bus to Modesto, California every summers to work the fields. Then in late August or September, her parents would put her and her siblings back in a bus to Texas. Mohseno worked the fields all the way through graduating from the University of Texas.\u003c/p>\n\u003cp>\"Life was hard,\" said Moheno said during a press conference at UC Davis. \"We had three family members who had mental health issues. But of course, in our family, we didn't recognize it. They'd say, '\u003cem>Ese? Esta un poquito loco\u003c/em> [Him? He's a little crazy]\u003cem>.\u003c/em> Don't pay attention to him. We don't know what to do with him. He just follows us into the migrant camps.\"\u003c/p>\n\u003cp>Moheno said her family didn't know that visiting a psychologist or psychiatrist was even an option. That's why she became a health activist working with farmworkers in Visalia. And that's why she participated in a series of community forums looking at Latino mental health care disparities.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"Often when someone suffers from depression, unfortunately some family members -- and I have seen it in churches also -- they say it's because of the weak character that they have, or they haven't prayed hard enough.\"\u003c/aside>\n\u003cp>The result of the forums is a UC Davis study released this week, \u003ca title=\"http://www.ucdmc.ucdavis.edu/newsroom/pdf/Latino_mental_health_report-6-25-2012.pdf\" href=\"http://www.ucdmc.ucdavis.edu/newsroom/pdf/Latino_mental_health_report-6-25-2012.pdf\" target=\"_blank\">Community-Defined Solutions for Mental Health Care Disparities\u003c/a>. Researchers highlight a variety of methods to close the mental health care gaps for Latinos in California.\u003c/p>\n\u003cp>Latinos make up over one-third of the nation’s population, and they're the largest racial or ethnic group in California. But they're also one of the most under-served communities in the state when it comes to getting mental health care.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Access to health insurance, transportation and language services all play into it. As does stigma associated with getting mental health care. Access to care also fluctuates based on ethnicity: Latinos of Mexican descent are \u003ca title=\"http://ps.psychiatryonline.org/article.aspx?Volume=59&page=1264&journalID=18\" href=\"http://ps.psychiatryonline.org/article.aspx?Volume=59&page=1264&journalID=18\" target=\"_blank\">less likely to get mental health care\u003c/a> than other Latino groups, like Puerto Ricans. The report says about eighty-five percent of Mexican immigrants who need mental health services remain untreated.\u003c/p>\n\u003cp>\u003c!--more-->The study recommendations range from using social media sites like Twitter and Facebook, to producing \u003cem>fotonovelas\u003c/em> -- stories using images and audio to promote a better understanding of mental health issues.\u003c/p>\n\u003cp>I spoke with \u003ca title=\"http://www.ucdmc.ucdavis.edu/search/faculty/biodetail.asp?bioid=1148&searchtype=3&fromsearchlist=yes\" href=\"http://www.ucdmc.ucdavis.edu/search/faculty/biodetail.asp?bioid=1148&searchtype=3&fromsearchlist=yes\" target=\"_blank\">Sergio Aguilar-Gaxiola\u003c/a>, the lead author and Director of the \u003ca title=\"http://www.ucdmc.ucdavis.edu/crhd/\" href=\"http://www.ucdmc.ucdavis.edu/crhd/\" target=\"_blank\">UC Davis Center for Reducing Health Disparities\u003c/a>, about the study's recommendations on how to reduce these mental health disparities. We focused on two methods in particular: training school personnel working with young Latinos about possible mental health issues in their students; and teaching families and religious leaders about mental health problems and stigma -- so that they can educate others.\u003c/p>\n\u003cp>More than half of California’s elementary children are of Latino origin, according to the California Department of Education. Aguilar-Gaxiola said that many start developing mental health problems at a young age, adding that about 50 percent of severe mental illness are identified by age 15.\u003c/p>\n\u003cp>But instead of providing troubled children with counseling options, Aguilar-Gaxiola said they often get disciplined at school as the 'problem kids,' or even as bullies, instead. He said if schools used available curricula to teach educators how to identify things like depression and anxiety, they'd have a better chance of flagging it in their students.\u003c/p>\n\u003cp>\"I think there is a unique opportunity in the school settings to have early interventions and screenings for kids that may be manifesting some behavioral problems. Depression screening, for example. It can be the teacher that is trained on how to deliver this information. Or it can be the school nurse. Some should be familiar with this information. \"\u003c/p>\n\u003cp>Aguilar-Gaxiola said and a clinical psychologist recently met with the principal and teachers of a school in Sacramento to give them a tutorial about mental health disorders in adolescents.\u003c/p>\n\u003cp>\"It was a an eye opener for us in terms of the questions we got from the teachers,\" he said. \"They didn't know that mental illnesses could manifest through certain kinds of behaviors.\"\u003c/p>\n\u003cp>Another barrier to care is stigma. Aguilar-Gaxiola told me most of the Latino participants in the UC Davis study associated mental illness with being ‘crazy,’ like Lali Moheno's family had done. He also found that prayer was the number one thing that participants said they turned to when they had problems like depression. Aguilar-Caxiola said while it's fine to turn to family or religion for help with mental illness, sometimes therapy or other mental health support is also needed.\u003c/p>\n\u003cp>\"Often when someone suffers from depression, unfortunately some family members -- and I have seen it in churches also -- they say it's because of the weak character that they have, or they haven't prayed hard enough. Sending the message that they would change if they would only put there will to work. Well it doesn't work like that.\"\u003c/p>\n\u003cp>Aguilar-Gaxiola said telling people with depression to toughen up, or to use their will, could actually make their depression worse. He said educating priests and family members that, in addition to prayer, they could also look at psychiatric and psychotherapy options, could help change the dialogue about mental health both in the church and in the home.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We need to reach out much more to religious leaders. Not only priests, but rabbis and pastors, and work with them to learn how to identify and deal with mental illness.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Beverage Companies Blur Line Between Philanthropy & Marketing",
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"content": "\u003cfigure id=\"attachment_6672\" class=\"wp-caption alignleft\" style=\"max-width: 250px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/soda.jpg\">\u003cimg class=\"size-full wp-image-6672\" title=\"soda\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/soda.jpg\" alt=\"\" width=\"250\" height=\"250\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda.jpg 250w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-75x75.jpg 75w\" sizes=\"(max-width: 250px) 100vw, 250px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Some soda companies have begun using cause marketing to curry public favor in the face of criticism. (La Piazza Pizzeria/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>If you were watching the Superbowl in 2010 when the Packers beat the Steelers, you may have noticed that Pepsi commercials were absent from the ads that were vying for the attention of millions of viewers. Instead, Pepsi announced Pepsi Refresh, a project to take the $20 million dollars it would have spent on Superbowl advertising and give it to a good cause. They used a \u003ca href=\"http://mashable.com/2010/12/15/pepsi-refresh-vote/\">vast social media campaign\u003c/a> to involve the public in voting for which cause would get the money.\u003c/p>\n\u003cp>Pepsi's good deed did put $20 million dollars into the hands of organizations working to solve global problems, but Pepsi got something back too -- loyal consumers. The campaign was a splashy example of a new strategy called \"cause marketing\" that plays off a growing trend of corporate social responsibility. But this money comes directly out of Pepsi's brand marketing budget, not their philanthropy arm.\u003c/p>\n\u003cp>\"There are some really revealing statements in the industry literature from executives at Pepsi saying very explicitly what they were trying to do,\" explained Lori Dorfman, Director of the \u003ca href=\"http://www.bmsg.org/\">Berkeley Media Studies Group\u003c/a>. \"And one of the things they were trying to do is get the attention of and favorability of millennials,\" she added.\u003c/p>\n\u003cp>Dorfman and her colleagues have been digging into the nitty-gritty of the beverage industry to draw comparisons between the marketing strategies of big tobacco and those of soda companies, who have recently come under attack for the role their sugary product is playing in rising obesity rates.\u003c/p>\n\u003cp>[youtube http://www.youtube.com/watch?v=ZXDvzPx8zTc]\u003c/p>\n\u003cp>\u003c!--more-->\u003ca href=\"http://www.ploscollections.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001241;jsessionid=080429D0F90AF1047DB6F2732F46A9D0\">The article\u003c/a> that Berkeley Media Studies Group published in \u003ca href=\"http://www.plosmedicine.org/home.action\" target=\"_blank\">PLoS Medicine\u003c/a> is part of a \u003ca href=\"http://www.ploscollections.org/article/browseIssue.action?issue=info:doi/10.1371/issue.pcol.v07.i17\">broader series\u003c/a> launched by the international public health journal to look at the immense cultural and political power of \"big food.\" They use the term \"big food\" to talk about multinational food and beverage companies and to draw the analogy to big tobacco.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Food, unlike tobacco and drugs, is necessary to live and is central to health and disease,\" wrote the journal's editors in \u003ca href=\"http://www.ploscollections.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001246;jsessionid=080429D0F90AF1047DB6F2732F46A9D0\">preface to the series\u003c/a>. \"And yet the big multinational food companies control what people everywhere eat, resulting in a stark and sick irony: one billion people on the planet are hungry while two billion are obese or overweight.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">\"They are explicitly going after kids and trying to sell product with corporate social responsibility campaigns.\"\u003c/aside>\n\u003cp>Tobacco companies have been under attack since the 1960s for selling an unhealthy product. Now, food and beverage companies are using tricks tobacco learned, like corporate social responsibility -- but they've added their own twist. \"What we know about what's different about soda companies is that they are explicitly going after kids and trying to sell product with corporate social responsibility campaigns, something that I think they're breaking new ground in that regard,\" said Dorfman.\u003c/p>\n\u003cp>The campaign is simple: people -- especially young people aged 11-31 -- like companies that do good in the world, so \"cause marketing\" engenders loyal customers at the emotional level. Buying Pepsi also gets a consumer more votes for her cause of choice.\u003c/p>\n\u003cp>But that's not all. The strategy is designed to thwart damaging policies as well. \"For the tobacco companies it's not just the public and policymakers that they're concerned about, it's future juries that they are concerned about,\" Dorfman explained. \"And with soda companies, I would guess that they are concerned about future voters because people are starting to get concerned about this.\"\u003c/p>\n\u003cp>Indeed, Richmond, a few miles north of San Francisco, is poised to become the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/05/16/richmond-voters-will-decide-on-soda-tax/\">first city to tax soda\u003c/a> as an anti-obesity strategy, if voters approve the measure in November. Big efforts are being made in \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/06/12/why-is-mayor-bloomberg-a-nanny/\">New York\u003c/a> to limit access to sugary drinks, and everywhere people are talking about rising obesity rates and the attenuating health risks and costs. In many ways the outrage over what soda companies sell, does mirror concerns about tobacco.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>There's one big difference, though -- the tobacco industry is forbidden from marketing directly to youth. Not so with soda companies. And, Dorfman points out a glaring hole in the corporate social responsibility model. \"If their number one responsibility is to their shareholders, that makes their pledges about health secondary, at minimum,\" she said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_6672\" class=\"wp-caption alignleft\" style=\"max-width: 250px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/soda.jpg\">\u003cimg class=\"size-full wp-image-6672\" title=\"soda\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/soda.jpg\" alt=\"\" width=\"250\" height=\"250\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda.jpg 250w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/06/soda-75x75.jpg 75w\" sizes=\"(max-width: 250px) 100vw, 250px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Some soda companies have begun using cause marketing to curry public favor in the face of criticism. (La Piazza Pizzeria/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>If you were watching the Superbowl in 2010 when the Packers beat the Steelers, you may have noticed that Pepsi commercials were absent from the ads that were vying for the attention of millions of viewers. Instead, Pepsi announced Pepsi Refresh, a project to take the $20 million dollars it would have spent on Superbowl advertising and give it to a good cause. They used a \u003ca href=\"http://mashable.com/2010/12/15/pepsi-refresh-vote/\">vast social media campaign\u003c/a> to involve the public in voting for which cause would get the money.\u003c/p>\n\u003cp>Pepsi's good deed did put $20 million dollars into the hands of organizations working to solve global problems, but Pepsi got something back too -- loyal consumers. The campaign was a splashy example of a new strategy called \"cause marketing\" that plays off a growing trend of corporate social responsibility. But this money comes directly out of Pepsi's brand marketing budget, not their philanthropy arm.\u003c/p>\n\u003cp>\"There are some really revealing statements in the industry literature from executives at Pepsi saying very explicitly what they were trying to do,\" explained Lori Dorfman, Director of the \u003ca href=\"http://www.bmsg.org/\">Berkeley Media Studies Group\u003c/a>. \"And one of the things they were trying to do is get the attention of and favorability of millennials,\" she added.\u003c/p>\n\u003cp>Dorfman and her colleagues have been digging into the nitty-gritty of the beverage industry to draw comparisons between the marketing strategies of big tobacco and those of soda companies, who have recently come under attack for the role their sugary product is playing in rising obesity rates.\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/ZXDvzPx8zTc'\n title='//www.youtube.com/embed/ZXDvzPx8zTc'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003c!--more-->\u003ca href=\"http://www.ploscollections.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001241;jsessionid=080429D0F90AF1047DB6F2732F46A9D0\">The article\u003c/a> that Berkeley Media Studies Group published in \u003ca href=\"http://www.plosmedicine.org/home.action\" target=\"_blank\">PLoS Medicine\u003c/a> is part of a \u003ca href=\"http://www.ploscollections.org/article/browseIssue.action?issue=info:doi/10.1371/issue.pcol.v07.i17\">broader series\u003c/a> launched by the international public health journal to look at the immense cultural and political power of \"big food.\" They use the term \"big food\" to talk about multinational food and beverage companies and to draw the analogy to big tobacco.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Food, unlike tobacco and drugs, is necessary to live and is central to health and disease,\" wrote the journal's editors in \u003ca href=\"http://www.ploscollections.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001246;jsessionid=080429D0F90AF1047DB6F2732F46A9D0\">preface to the series\u003c/a>. \"And yet the big multinational food companies control what people everywhere eat, resulting in a stark and sick irony: one billion people on the planet are hungry while two billion are obese or overweight.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">\"They are explicitly going after kids and trying to sell product with corporate social responsibility campaigns.\"\u003c/aside>\n\u003cp>Tobacco companies have been under attack since the 1960s for selling an unhealthy product. Now, food and beverage companies are using tricks tobacco learned, like corporate social responsibility -- but they've added their own twist. \"What we know about what's different about soda companies is that they are explicitly going after kids and trying to sell product with corporate social responsibility campaigns, something that I think they're breaking new ground in that regard,\" said Dorfman.\u003c/p>\n\u003cp>The campaign is simple: people -- especially young people aged 11-31 -- like companies that do good in the world, so \"cause marketing\" engenders loyal customers at the emotional level. Buying Pepsi also gets a consumer more votes for her cause of choice.\u003c/p>\n\u003cp>But that's not all. The strategy is designed to thwart damaging policies as well. \"For the tobacco companies it's not just the public and policymakers that they're concerned about, it's future juries that they are concerned about,\" Dorfman explained. \"And with soda companies, I would guess that they are concerned about future voters because people are starting to get concerned about this.\"\u003c/p>\n\u003cp>Indeed, Richmond, a few miles north of San Francisco, is poised to become the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/05/16/richmond-voters-will-decide-on-soda-tax/\">first city to tax soda\u003c/a> as an anti-obesity strategy, if voters approve the measure in November. Big efforts are being made in \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/06/12/why-is-mayor-bloomberg-a-nanny/\">New York\u003c/a> to limit access to sugary drinks, and everywhere people are talking about rising obesity rates and the attenuating health risks and costs. In many ways the outrage over what soda companies sell, does mirror concerns about tobacco.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>There's one big difference, though -- the tobacco industry is forbidden from marketing directly to youth. Not so with soda companies. And, Dorfman points out a glaring hole in the corporate social responsibility model. \"If their number one responsibility is to their shareholders, that makes their pledges about health secondary, at minimum,\" she said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Health Care Decision Hinges on A Crucial Clause",
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"content": "\u003cdiv>\n\u003cp>By Nina Totenberg, NPR News and\u003ca href=\"http://www.kaiserhealthnews.org/Stories/2012/June/11/health-care-decision-commerce-clause-npr.aspx\" target=\"_blank\"> Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_6479\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/SupremeCourt_NoObamacare_Getty_MarkWilson_03272012.jpg\">\u003cimg class=\"size-medium wp-image-6479\" title=\"Protestor at Supreme Court in March during oral arguments on the Affordable Care Act. (Getty Images: Mark Wilson)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/SupremeCourt_NoObamacare_Getty_MarkWilson_03272012-300x212.jpg\" alt=\"Protestor at Supreme Court in March during oral arguments on the Affordable Care Act. (Getty Images: Mark Wilson)\" width=\"300\" height=\"212\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Protestor at Supreme Court in March during oral arguments on the Affordable Care Act. (Getty Images: Mark Wilson)\u003c/figcaption>\u003c/figure>\n\u003cp>All of Washington is breathlessly awaiting the Supreme Court's imminent decision on the Obama health care overhaul. Rumors circulate almost daily that the decision is ready for release. As usual, those rumors are perpetrated by people who know nothing, but the decision is expected by the end of this month.\u003c/p>\n\u003cp>The near hysteria is partially about politics: Congressional Republicans hate the bill, and some see President Obama's chance at a second term hinged to the fate of the law. But constitutional scholars know there is much more at stake here than an individual election. Just how much is illustrated by the legal history of the Commerce Clause of the Constitution.\u003c/p>\n\u003caside class=\"pullquote alignright\">The ACA presents a watershed, a potential breaking point with the legal framework that has undergirded our modern economy.\u003c/aside>\n\u003cp>It gives Congress the power to \"\u003ca href=\"http://www.law.cornell.edu/constitution/articlei#section8\" target=\"_blank\">regulate commerce ... among the several States\u003c/a>,\" and it authorizes Congress to \"make all laws which shall be necessary and proper\" for achieving that goal. The Founding Fathers' purpose was to put an end to the interstate rivalries that balkanized the country after the American Revolution. But the words of the Commerce Clause are pretty general, and it is the Supreme Court that for more than 200 years has interpreted what they mean.\u003c/p>\n\u003cp>\u003cstrong>Early Decision: Broad Power\u003c/strong>\u003c/p>\n\u003cp>The court's first major Commerce Clause decision came in the 1824. The great Chief Justice John Marshall, who was himself one of the Founding Fathers, wrote in \u003ca href=\"http://www.oyez.org/cases/1792-1850/1824/1824_0\" target=\"_blank\">Gibbons v. Ogden\u003c/a> that the Commerce Clause gives Congress broad power to regulate commerce and that this power is mainly limited by the power of the people to deny their representatives re-election if they don't like what Congress does.\u003c!--more-->\u003c/p>\n\u003cp>The decision infuriated the likes of Thomas Jefferson, who viewed federal power as far more limited under the Constitution, but the ruling stood as the guiding light on commerce questions for about 70 years.\u003c/p>\n\u003cp>\u003cstrong>A Country Transformed\u003c/strong>\u003c/p>\n\u003cp>The next landmark case came in 1895, during the rise of great national corporations and concentrations of wealth. When the U.S. government, using the antitrust law, sought to block the leading sugar refining company from acquiring 98 percent control of the industry, the company fought back and won. In \u003ca href=\"http://www.oyez.org/cases/1851-1900/1894/1894_675\" target=\"_blank\">U.S. v. E.C. Knight Co.\u003c/a>, the Supreme Court ruled that since sugar refining took place before shipments of the product crossed state lines, Congress was powerless to regulate the industry.\u003c/p>\n\u003cp>Federal appeals court Judge J. Harvie Wilkinson, author of a \u003ca href=\"http://www.oup.com/us/catalog/general/subject/Law/JurisprudenceandLegalPhilosophy/?view=usa&ci=9780199846016\" target=\"_blank\">new book\u003c/a> on constitutional theory, notes that this was a period of profound change in America. The country was being transformed by massive industrialization, coupled with changes in communication and transportation.\u003c/p>\n\u003cp>The question facing the court, Wilkinson explains, was whether the Congress could deal with these changes. Could it regulate them? \"And the court gave a preliminary answer: No.\"\u003c/p>\n\u003cp>\u003cstrong>Hostility To Regulation\u003c/strong>\u003c/p>\n\u003cp>Over the next 40 years, the court used a variety of standards to determine which regulations were permissible and which were not. Did the activity have an indirect or direct effect on commerce? A substantial or insubstantial effect? Was it more like manufacturing or more like trading? The standards were vague and the court's decisions inconsistent, unpredictable and subjective.\u003c/p>\n\u003cp>At the same time, the court, citing the fundamental right to make private contracts, was striking down \u003cem>state\u003c/em> legislation aimed at regulating wages, hours and working conditions. It was a one-two punch.\u003c/p>\n\u003cp>The court's hostility to regulation became even more aggressive at the height of the Great Depression, when Congress, at the behest of President Franklin Delano Roosevelt, enacted New Deal legislation to set rules for everything from banks to agriculture, all of which were on the brink of disaster.\u003c/p>\n\u003cp>Repeatedly, the court struck down legislation enacted by huge congressional majorities. \"The conservative majority started with the proposition that laissez-faire economics was good and that any intrusion by the state or the federal government was necessarily suspect,\" says New York Law School professor James Simon, author of \u003ca href=\"http://www.amazon.com/FDR-Chief-Justice-Hughes-President/dp/1416573283/ref=la_B001IQWJV8_1_1?ie=UTF8&qid=1339094602&sr=1-1\">a book\u003c/a> about the court and the New Deal.\u003c/p>\n\u003cp>\"The conservative courts of that era really put their collective thumb on the scale on behalf of property at the expense\" of the rights of workers, says Jeff Shesol, author of another \u003ca href=\"http://www.npr.org/books/titles/138080489/supreme-power-franklin-roosevelt-vs-the-supreme-court\" target=\"_blank\">book\u003c/a> about that era.\u003c/p>\n\u003cp>\u003cstrong>Roosevelt\u003c/strong>\u003cstrong>, Court-Packing And Change\u003c/strong>\u003c/p>\n\u003cp>The ultimate setback for the New Deal came in 1936, when the conservative court, by a 5-4 vote, struck down a new federal law designed to regulate wages, hours and working conditions in the coal mining industry. In \u003ca href=\"http://www.oyez.org/cases/1901-1939/1935/1935_636\" target=\"_blank\">Carter v. Carter Coal Co.\u003c/a>, the court said that coal production, like sugar refining, did not constitute commerce among the states and thus could not be regulated by the federal government.\u003c/p>\n\u003cp>That decision turned out to be Roosevelt's last major defeat at the court. Months later, after winning a landslide re-election, he announced what came to be known as his court-packing plan: He proposed to add six new justices to the court.\u003c/p>\n\u003cp>The announcement may have provoked the court into rethinking the confrontational path it had undertaken. After all, as Wilkinson observes, the New Deal had huge popular support, and the court, increasingly, did not. \"The Supreme Court itself appeared to sense the gravity of the situation, and to back off,\" Wilkinson says.\u003c/p>\n\u003cp>Indeed, just two months later, with the switch of one vote, the justices this time upheld a critical piece of New Deal legislation regulating labor conditions in the steel industry.\u003c/p>\n\u003cp>Historians agree that the court in \u003ca href=\"http://www.oyez.org/cases/1901-1939/1936/1936_419\" target=\"_blank\">NLRB v. Jones & Laughlin Steel Corp.\u003c/a> ushered in the modern Commerce Clause doctrine. After that, the court deferred to Congress on economic regulations almost entirely.\u003c/p>\n\u003cp>\u003cstrong>The Modern Doctrine\u003c/strong>\u003c/p>\n\u003cp>The high point of the new era was a 1942 case called \u003ca href=\"http://www.oyez.org/cases/1940-1949/1942/1942_59\" target=\"_blank\">Wickard v. Filburn\u003c/a>, a challenge to the Agricultural Adjustment Act. The law was aimed at stabilizing agriculture prices, which were in free fall. It paid farmers not to grow certain crops on some of their land. A farmer named Roscoe Filburn went to court, claiming that Congress had exceeded its power when it tried to bar him from growing crops on his own land for his own use. The Supreme Court, however, ruled that if Filburn could exceed his growth allotment, so too could others, and in the aggregate, that activity would undermine the goal of stabilizing prices. Even an entirely local activity like Filburn's, the court held, may fall under Congress' reach \"if it exerts a substantial economic effect on interstate commerce.\"\u003c/p>\n\u003cp>Filburn's case sealed the deal. No piece of economic regulatory legislation was struck down for the next half-century.\u003c/p>\n\u003cp>In 1995, that streak came to an end when the Supreme Court rejected a federal law that banned the possession of guns within 1,000 feet of a school. A five-justice majority in \u003ca href=\"http://www.oyez.org/cases/1990-1999/1994/1994_93_1260\" target=\"_blank\">U.S. v. Lopez\u003c/a> said that the statute was a bridge too far, because the law did not regulate any economic activity. A second case of this sort followed five years later, but in hindsight, neither did much to change the overall deference given to Congress on regulating the economy.\u003c/p>\n\u003cp>\u003cstrong>Enter The Health Care Law\u003c/strong>\u003c/p>\n\u003cp>Now comes the Obama health care overhaul, known as the ACA, the Affordable Care Act, a law under full assault by the modern conservative movement. Some, like Georgetown Law Center professor Randy Barnett, the architect of the challenge, say openly that they believe many of the New Deal cases were wrongly decided.\u003c/p>\n\u003cp>\"They are well-settled precedents and are not likely to be revisited in my lifetime,\" Barnett says. \"But I do think that according to the original meaning of the Constitution, they were wrongly decided.\"\u003c/p>\n\u003cp>Barnett is similarly skeptical of some conservatives' insistence that judges defer to popularly elected legislatures. \"I don't think the court should simply defer to what Congress wants, especially when the issue is the scope of Congress' own power,\" Barnett says.\u003c/p>\n\u003cp>Barnett argues that the health care law can be struck down without undoing 75 years of judicial precedent. \"Nothing about existing Supreme Court doctrine needs to change for us to prevail in this case,\" he insists.\u003c/p>\n\u003cp>But his critics, including George Washington University law professor Jeff Rosen, contend that Barnett's claim is disingenuous, and that the real goal here is to achieve what has not been achievable even by conservative Republican presidents and Congresses: rolling back major economic regulation.\u003c/p>\n\u003cp>\"Let's not pretend that this is just a modest case of applying existing precedents,\" Rosen says. \"The question is: Are you going to reverse decades of judicial deference in economic matters?\"\u003c/p>\n\u003cp>\u003cstrong>Another Turning Point?\u003c/strong>\u003c/p>\n\u003cp>Other scholars agree that the ACA presents a watershed, a potential breaking point with the legal framework that has undergirded our modern economy. \"The expansive understanding of the Commerce Clause has been the basis of minimum-wage legislation, of workplace safety legislation, of economic protections, and in fact of our civil rights laws,\" notes Shesol. \"The conservative legal establishment has been very open about its interest in undoing the New Deal at the constitutional level,\" and \"this would be the first great success of the movement.\"\u003c/p>\n\u003cp>Nonetheless, Shesol cautions that comparisons to the 1930s can be overblown. Roosevelt and his allies really believed that if they could not enact major reforms to deal with the Depression, \"there would be a total economic collapse that would make the Depression look like a cakewalk, and that conditions would be paved for the rise of a dictator,\" Shesol explains. \"They were watching what was happening in Europe, and they really believed that if they couldn't get these pieces of legislation through the Supreme Court, that the whole thing might come crashing down.\"\u003c/p>\n\u003cp>Then, as now, advocates on both sides thought the very survival of democracy was at stake.\u003c/p>\n\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "All of Washington is breathlessly awaiting the Supreme Court's imminent decision on the Obama health care overhaul. Rumors circulate almost daily that the decision is ready for release. As usual, those rumors are perpetrated by people who know nothing, but the decision is expected by the end of this month.\r\n\r\nThe near hysteria is partially about politics: Congressional Republicans hate the bill, and some see President Obama's chance at a second term hinged to the fate of the law. But constitutional scholars know there is much more at stake here than an individual election. Just how much is illustrated by the legal history of the Commerce Clause of the Constitution.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cdiv>\n\u003cp>By Nina Totenberg, NPR News and\u003ca href=\"http://www.kaiserhealthnews.org/Stories/2012/June/11/health-care-decision-commerce-clause-npr.aspx\" target=\"_blank\"> Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_6479\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/SupremeCourt_NoObamacare_Getty_MarkWilson_03272012.jpg\">\u003cimg class=\"size-medium wp-image-6479\" title=\"Protestor at Supreme Court in March during oral arguments on the Affordable Care Act. (Getty Images: Mark Wilson)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/06/SupremeCourt_NoObamacare_Getty_MarkWilson_03272012-300x212.jpg\" alt=\"Protestor at Supreme Court in March during oral arguments on the Affordable Care Act. (Getty Images: Mark Wilson)\" width=\"300\" height=\"212\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Protestor at Supreme Court in March during oral arguments on the Affordable Care Act. (Getty Images: Mark Wilson)\u003c/figcaption>\u003c/figure>\n\u003cp>All of Washington is breathlessly awaiting the Supreme Court's imminent decision on the Obama health care overhaul. Rumors circulate almost daily that the decision is ready for release. As usual, those rumors are perpetrated by people who know nothing, but the decision is expected by the end of this month.\u003c/p>\n\u003cp>The near hysteria is partially about politics: Congressional Republicans hate the bill, and some see President Obama's chance at a second term hinged to the fate of the law. But constitutional scholars know there is much more at stake here than an individual election. Just how much is illustrated by the legal history of the Commerce Clause of the Constitution.\u003c/p>\n\u003caside class=\"pullquote alignright\">The ACA presents a watershed, a potential breaking point with the legal framework that has undergirded our modern economy.\u003c/aside>\n\u003cp>It gives Congress the power to \"\u003ca href=\"http://www.law.cornell.edu/constitution/articlei#section8\" target=\"_blank\">regulate commerce ... among the several States\u003c/a>,\" and it authorizes Congress to \"make all laws which shall be necessary and proper\" for achieving that goal. The Founding Fathers' purpose was to put an end to the interstate rivalries that balkanized the country after the American Revolution. But the words of the Commerce Clause are pretty general, and it is the Supreme Court that for more than 200 years has interpreted what they mean.\u003c/p>\n\u003cp>\u003cstrong>Early Decision: Broad Power\u003c/strong>\u003c/p>\n\u003cp>The court's first major Commerce Clause decision came in the 1824. The great Chief Justice John Marshall, who was himself one of the Founding Fathers, wrote in \u003ca href=\"http://www.oyez.org/cases/1792-1850/1824/1824_0\" target=\"_blank\">Gibbons v. Ogden\u003c/a> that the Commerce Clause gives Congress broad power to regulate commerce and that this power is mainly limited by the power of the people to deny their representatives re-election if they don't like what Congress does.\u003c!--more-->\u003c/p>\n\u003cp>The decision infuriated the likes of Thomas Jefferson, who viewed federal power as far more limited under the Constitution, but the ruling stood as the guiding light on commerce questions for about 70 years.\u003c/p>\n\u003cp>\u003cstrong>A Country Transformed\u003c/strong>\u003c/p>\n\u003cp>The next landmark case came in 1895, during the rise of great national corporations and concentrations of wealth. When the U.S. government, using the antitrust law, sought to block the leading sugar refining company from acquiring 98 percent control of the industry, the company fought back and won. In \u003ca href=\"http://www.oyez.org/cases/1851-1900/1894/1894_675\" target=\"_blank\">U.S. v. E.C. Knight Co.\u003c/a>, the Supreme Court ruled that since sugar refining took place before shipments of the product crossed state lines, Congress was powerless to regulate the industry.\u003c/p>\n\u003cp>Federal appeals court Judge J. Harvie Wilkinson, author of a \u003ca href=\"http://www.oup.com/us/catalog/general/subject/Law/JurisprudenceandLegalPhilosophy/?view=usa&ci=9780199846016\" target=\"_blank\">new book\u003c/a> on constitutional theory, notes that this was a period of profound change in America. The country was being transformed by massive industrialization, coupled with changes in communication and transportation.\u003c/p>\n\u003cp>The question facing the court, Wilkinson explains, was whether the Congress could deal with these changes. Could it regulate them? \"And the court gave a preliminary answer: No.\"\u003c/p>\n\u003cp>\u003cstrong>Hostility To Regulation\u003c/strong>\u003c/p>\n\u003cp>Over the next 40 years, the court used a variety of standards to determine which regulations were permissible and which were not. Did the activity have an indirect or direct effect on commerce? A substantial or insubstantial effect? Was it more like manufacturing or more like trading? The standards were vague and the court's decisions inconsistent, unpredictable and subjective.\u003c/p>\n\u003cp>At the same time, the court, citing the fundamental right to make private contracts, was striking down \u003cem>state\u003c/em> legislation aimed at regulating wages, hours and working conditions. It was a one-two punch.\u003c/p>\n\u003cp>The court's hostility to regulation became even more aggressive at the height of the Great Depression, when Congress, at the behest of President Franklin Delano Roosevelt, enacted New Deal legislation to set rules for everything from banks to agriculture, all of which were on the brink of disaster.\u003c/p>\n\u003cp>Repeatedly, the court struck down legislation enacted by huge congressional majorities. \"The conservative majority started with the proposition that laissez-faire economics was good and that any intrusion by the state or the federal government was necessarily suspect,\" says New York Law School professor James Simon, author of \u003ca href=\"http://www.amazon.com/FDR-Chief-Justice-Hughes-President/dp/1416573283/ref=la_B001IQWJV8_1_1?ie=UTF8&qid=1339094602&sr=1-1\">a book\u003c/a> about the court and the New Deal.\u003c/p>\n\u003cp>\"The conservative courts of that era really put their collective thumb on the scale on behalf of property at the expense\" of the rights of workers, says Jeff Shesol, author of another \u003ca href=\"http://www.npr.org/books/titles/138080489/supreme-power-franklin-roosevelt-vs-the-supreme-court\" target=\"_blank\">book\u003c/a> about that era.\u003c/p>\n\u003cp>\u003cstrong>Roosevelt\u003c/strong>\u003cstrong>, Court-Packing And Change\u003c/strong>\u003c/p>\n\u003cp>The ultimate setback for the New Deal came in 1936, when the conservative court, by a 5-4 vote, struck down a new federal law designed to regulate wages, hours and working conditions in the coal mining industry. In \u003ca href=\"http://www.oyez.org/cases/1901-1939/1935/1935_636\" target=\"_blank\">Carter v. Carter Coal Co.\u003c/a>, the court said that coal production, like sugar refining, did not constitute commerce among the states and thus could not be regulated by the federal government.\u003c/p>\n\u003cp>That decision turned out to be Roosevelt's last major defeat at the court. Months later, after winning a landslide re-election, he announced what came to be known as his court-packing plan: He proposed to add six new justices to the court.\u003c/p>\n\u003cp>The announcement may have provoked the court into rethinking the confrontational path it had undertaken. After all, as Wilkinson observes, the New Deal had huge popular support, and the court, increasingly, did not. \"The Supreme Court itself appeared to sense the gravity of the situation, and to back off,\" Wilkinson says.\u003c/p>\n\u003cp>Indeed, just two months later, with the switch of one vote, the justices this time upheld a critical piece of New Deal legislation regulating labor conditions in the steel industry.\u003c/p>\n\u003cp>Historians agree that the court in \u003ca href=\"http://www.oyez.org/cases/1901-1939/1936/1936_419\" target=\"_blank\">NLRB v. Jones & Laughlin Steel Corp.\u003c/a> ushered in the modern Commerce Clause doctrine. After that, the court deferred to Congress on economic regulations almost entirely.\u003c/p>\n\u003cp>\u003cstrong>The Modern Doctrine\u003c/strong>\u003c/p>\n\u003cp>The high point of the new era was a 1942 case called \u003ca href=\"http://www.oyez.org/cases/1940-1949/1942/1942_59\" target=\"_blank\">Wickard v. Filburn\u003c/a>, a challenge to the Agricultural Adjustment Act. The law was aimed at stabilizing agriculture prices, which were in free fall. It paid farmers not to grow certain crops on some of their land. A farmer named Roscoe Filburn went to court, claiming that Congress had exceeded its power when it tried to bar him from growing crops on his own land for his own use. The Supreme Court, however, ruled that if Filburn could exceed his growth allotment, so too could others, and in the aggregate, that activity would undermine the goal of stabilizing prices. Even an entirely local activity like Filburn's, the court held, may fall under Congress' reach \"if it exerts a substantial economic effect on interstate commerce.\"\u003c/p>\n\u003cp>Filburn's case sealed the deal. No piece of economic regulatory legislation was struck down for the next half-century.\u003c/p>\n\u003cp>In 1995, that streak came to an end when the Supreme Court rejected a federal law that banned the possession of guns within 1,000 feet of a school. A five-justice majority in \u003ca href=\"http://www.oyez.org/cases/1990-1999/1994/1994_93_1260\" target=\"_blank\">U.S. v. Lopez\u003c/a> said that the statute was a bridge too far, because the law did not regulate any economic activity. A second case of this sort followed five years later, but in hindsight, neither did much to change the overall deference given to Congress on regulating the economy.\u003c/p>\n\u003cp>\u003cstrong>Enter The Health Care Law\u003c/strong>\u003c/p>\n\u003cp>Now comes the Obama health care overhaul, known as the ACA, the Affordable Care Act, a law under full assault by the modern conservative movement. Some, like Georgetown Law Center professor Randy Barnett, the architect of the challenge, say openly that they believe many of the New Deal cases were wrongly decided.\u003c/p>\n\u003cp>\"They are well-settled precedents and are not likely to be revisited in my lifetime,\" Barnett says. \"But I do think that according to the original meaning of the Constitution, they were wrongly decided.\"\u003c/p>\n\u003cp>Barnett is similarly skeptical of some conservatives' insistence that judges defer to popularly elected legislatures. \"I don't think the court should simply defer to what Congress wants, especially when the issue is the scope of Congress' own power,\" Barnett says.\u003c/p>\n\u003cp>Barnett argues that the health care law can be struck down without undoing 75 years of judicial precedent. \"Nothing about existing Supreme Court doctrine needs to change for us to prevail in this case,\" he insists.\u003c/p>\n\u003cp>But his critics, including George Washington University law professor Jeff Rosen, contend that Barnett's claim is disingenuous, and that the real goal here is to achieve what has not been achievable even by conservative Republican presidents and Congresses: rolling back major economic regulation.\u003c/p>\n\u003cp>\"Let's not pretend that this is just a modest case of applying existing precedents,\" Rosen says. \"The question is: Are you going to reverse decades of judicial deference in economic matters?\"\u003c/p>\n\u003cp>\u003cstrong>Another Turning Point?\u003c/strong>\u003c/p>\n\u003cp>Other scholars agree that the ACA presents a watershed, a potential breaking point with the legal framework that has undergirded our modern economy. \"The expansive understanding of the Commerce Clause has been the basis of minimum-wage legislation, of workplace safety legislation, of economic protections, and in fact of our civil rights laws,\" notes Shesol. \"The conservative legal establishment has been very open about its interest in undoing the New Deal at the constitutional level,\" and \"this would be the first great success of the movement.\"\u003c/p>\n\u003cp>Nonetheless, Shesol cautions that comparisons to the 1930s can be overblown. Roosevelt and his allies really believed that if they could not enact major reforms to deal with the Depression, \"there would be a total economic collapse that would make the Depression look like a cakewalk, and that conditions would be paved for the rise of a dictator,\" Shesol explains. \"They were watching what was happening in Europe, and they really believed that if they couldn't get these pieces of legislation through the Supreme Court, that the whole thing might come crashing down.\"\u003c/p>\n\u003cp>Then, as now, advocates on both sides thought the very survival of democracy was at stake.\u003c/p>\n\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Poll: What's It's Like To Be Sick In America",
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"content": "\u003cp>\u003cstrong>By Richard Knox and Joe Neel, NPR News and\u003c/strong>\u003ca title=\"http://capsules.kaiserhealthnews.org/index.php/2012/05/poll-what-its-like-to-be-sick-in-america/\" href=\"http://capsules.kaiserhealthnews.org/index.php/2012/05/poll-what-its-like-to-be-sick-in-america/\" target=\"_blank\"> Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>In the lull between the Supreme Court arguments over the federal health overhaul law and the decision expected in June, we thought we’d ask Americans who actually use the health system quite a bit how they view the quality of care and its cost.\u003c/p>\n\u003cp>Most surveys don’t break it down this way.\u003c/p>\n\u003cfigure id=\"attachment_5958\" class=\"wp-caption alignleft\" style=\"max-width: 310px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/KHNcharts.png\">\u003cimg class=\"size-full wp-image-5958\" title=\"Source: NPR/Robert Wood Johnson Foundation/Harvard School of Public Health Poll. Credit: Alyson Hurt/Nelson Hsu, NPR\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/KHNcharts.png\" alt=\"Source: NPR/Robert Wood Johnson Foundation/Harvard School of Public Health Poll. Credit: Alyson Hurt/Nelson Hsu, NPR\" width=\"310\" height=\"595\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Source: NPR/Robert Wood Johnson Foundation/Harvard School of Public Health Poll. (Image: Alyson Hurt/Nelson Hsu, NPR)\u003c/figcaption>\u003c/figure>\n\u003cp>When the results came back, we found that people who have a serious medical condition or who’ve been in the hospital in the past year tended to have more concerns about costs and quality than people who aren’t sick. No big surprise there.\u003c/p>\n\u003cp>But what was notable: 3 of 4 people who were sick said cost is a very serious problem, and half said quality is a very serious problem.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Nearly half of those with recent serious illness say they felt burdened by what they had to pay out of their own pocket for care.\u003c/p>\n\u003cp>The recently ill are more likely to say the cost and quality of care have worsened over the past five years, compared to people who weren’t sick.\u003c/p>\n\u003cp>Among people who’ve recently required a lot of care, significant proportions say their treatment was poorly managed, with nearly a third complaining of poor communication among their caregivers. One in eight believe they got the wrong diagnosis, treatment or test.\u003c!--more-->\u003c/p>\n\u003cp>Those findings led us to investigate the problems people are having, both in our poll and in a series of stories on the radio and the Web we’re calling “\u003ca title=\"http://www.npr.org/blogs/health/2012/05/21/153028362/your-stories-of-being-sick-inside-the-u-s-health-care-system\" href=\"http://www.npr.org/blogs/health/2012/05/21/153028362/your-stories-of-being-sick-inside-the-u-s-health-care-system\" target=\"_blank\">Sick in America\u003c/a>.”\u003c/p>\n\u003cp>The poll, a joint venture of NPR, the Robert Wood Johnson Foundation and the Harvard School of Public Health, is one of very few focusing on people who’ve actually been seriously ill, injured or hospitalized in the past year.\u003c/p>\n\u003cp>“This poll listens to the voices of the sick,” says Robert Blendon of Harvard. “That provides a good barometer of what’s happening in health care in America.”\u003c/p>\n\u003cp>The poll randomly surveyed 1,508 adults across the nation. A little more than a quarter of them had a serious illness, injury or disability requiring “a lot of medical care,” or overnight hospitalization within the past 12 months.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>If you want to dive deeper, here’s a \u003ca title=\"http://www.npr.org/documents/2012/may/poll/summary.pdf\" href=\"http://www.npr.org/documents/2012/may/poll/summary.pdf\" target=\"_blank\">summary of the poll findings\u003c/a>, plus the\u003ca title=\"http://www.npr.org/documents/2012/may/poll/topline.pdf\" href=\"http://www.npr.org/documents/2012/may/poll/topline.pdf\" target=\"_blank\"> topline data and charts\u003c/a>.\u003c/p>\n\n",
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"excerpt": "In the lull between the Supreme Court arguments over the federal health overhaul law and the decision expected in June, we thought we’d ask Americans who actually use the health system quite a bit how they view the quality of care and its cost.\r\n\r\nMost surveys don’t break it down this way.\r\nWhen the results came back, we found that people who have a serious medical condition or who’ve been in the hospital in the past year tended to have more concerns about costs and quality than people who aren’t sick. No big surprise there.\r\n",
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"description": "In the lull between the Supreme Court arguments over the federal health overhaul law and the decision expected in June, we thought we’d ask Americans who actually use the health system quite a bit how they view the quality of care and its cost.\r\n\r\nMost surveys don’t break it down this way.\r\nWhen the results came back, we found that people who have a serious medical condition or who’ve been in the hospital in the past year tended to have more concerns about costs and quality than people who aren’t sick. No big surprise there.\r\n",
"title": "Poll: What's It's Like To Be Sick In America | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Richard Knox and Joe Neel, NPR News and\u003c/strong>\u003ca title=\"http://capsules.kaiserhealthnews.org/index.php/2012/05/poll-what-its-like-to-be-sick-in-america/\" href=\"http://capsules.kaiserhealthnews.org/index.php/2012/05/poll-what-its-like-to-be-sick-in-america/\" target=\"_blank\"> Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>In the lull between the Supreme Court arguments over the federal health overhaul law and the decision expected in June, we thought we’d ask Americans who actually use the health system quite a bit how they view the quality of care and its cost.\u003c/p>\n\u003cp>Most surveys don’t break it down this way.\u003c/p>\n\u003cfigure id=\"attachment_5958\" class=\"wp-caption alignleft\" style=\"max-width: 310px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/KHNcharts.png\">\u003cimg class=\"size-full wp-image-5958\" title=\"Source: NPR/Robert Wood Johnson Foundation/Harvard School of Public Health Poll. Credit: Alyson Hurt/Nelson Hsu, NPR\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/KHNcharts.png\" alt=\"Source: NPR/Robert Wood Johnson Foundation/Harvard School of Public Health Poll. Credit: Alyson Hurt/Nelson Hsu, NPR\" width=\"310\" height=\"595\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Source: NPR/Robert Wood Johnson Foundation/Harvard School of Public Health Poll. (Image: Alyson Hurt/Nelson Hsu, NPR)\u003c/figcaption>\u003c/figure>\n\u003cp>When the results came back, we found that people who have a serious medical condition or who’ve been in the hospital in the past year tended to have more concerns about costs and quality than people who aren’t sick. No big surprise there.\u003c/p>\n\u003cp>But what was notable: 3 of 4 people who were sick said cost is a very serious problem, and half said quality is a very serious problem.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nearly half of those with recent serious illness say they felt burdened by what they had to pay out of their own pocket for care.\u003c/p>\n\u003cp>The recently ill are more likely to say the cost and quality of care have worsened over the past five years, compared to people who weren’t sick.\u003c/p>\n\u003cp>Among people who’ve recently required a lot of care, significant proportions say their treatment was poorly managed, with nearly a third complaining of poor communication among their caregivers. One in eight believe they got the wrong diagnosis, treatment or test.\u003c!--more-->\u003c/p>\n\u003cp>Those findings led us to investigate the problems people are having, both in our poll and in a series of stories on the radio and the Web we’re calling “\u003ca title=\"http://www.npr.org/blogs/health/2012/05/21/153028362/your-stories-of-being-sick-inside-the-u-s-health-care-system\" href=\"http://www.npr.org/blogs/health/2012/05/21/153028362/your-stories-of-being-sick-inside-the-u-s-health-care-system\" target=\"_blank\">Sick in America\u003c/a>.”\u003c/p>\n\u003cp>The poll, a joint venture of NPR, the Robert Wood Johnson Foundation and the Harvard School of Public Health, is one of very few focusing on people who’ve actually been seriously ill, injured or hospitalized in the past year.\u003c/p>\n\u003cp>“This poll listens to the voices of the sick,” says Robert Blendon of Harvard. “That provides a good barometer of what’s happening in health care in America.”\u003c/p>\n\u003cp>The poll randomly surveyed 1,508 adults across the nation. A little more than a quarter of them had a serious illness, injury or disability requiring “a lot of medical care,” or overnight hospitalization within the past 12 months.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>If you want to dive deeper, here’s a \u003ca title=\"http://www.npr.org/documents/2012/may/poll/summary.pdf\" href=\"http://www.npr.org/documents/2012/may/poll/summary.pdf\" target=\"_blank\">summary of the poll findings\u003c/a>, plus the\u003ca title=\"http://www.npr.org/documents/2012/may/poll/topline.pdf\" href=\"http://www.npr.org/documents/2012/may/poll/topline.pdf\" target=\"_blank\"> topline data and charts\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Bridge to Health Reform \"Undoable\" in San Luis Obsipo",
"title": "Bridge to Health Reform \"Undoable\" in San Luis Obsipo",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>By \u003ca title=\"http://centerforhealthreporting.org/blogs/john-gonzales\" href=\"http://centerforhealthreporting.org/blogs/john-gonzales\" target=\"_blank\">John Gonzales\u003c/a>, \u003ca title=\"http://centerforhealthreporting.org/blog/bridge-health-reform-“undoable”-san-luis-obispo881\" href=\"http://centerforhealthreporting.org/blog/bridge-health-reform-%E2%80%9Cundoable%E2%80%9D-san-luis-obispo881\" target=\"_blank\">Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_5861\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SanLuisObispo_SteveWilson_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-5861\" title=\"San Luis Obispo County. (Steve Wilson: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SanLuisObispo_SteveWilson_Flickr-300x199.jpg\" alt=\"San Luis Obispo County. (Steve Wilson: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Luis Obispo County. (Steve Wilson: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>California's \u003ca title=\"http://www.kff.org/medicaid/8197.cfm\" href=\"http://www.kff.org/medicaid/8197.cfm\" target=\"_blank\">\"Bridge to Reform\u003c/a>\" program is intended to do exactly that: provide a bridge to the 2014 roll-out of the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act\u003c/a>. Right now, 47 of California's 58 counties have already provided health care to more than 335,000 people. San Luis Obispo is a case study in one county that is not participating.\u003c/p>\n\u003cp>We have reported on the Bridge to Reform, also known as the Low Income Health Program, since its early phases. I was the reporter on our \u003ca title=\"http://centerforhealthreporting.org/article/bridge-health-care-reform-strained-kern\" href=\"http://centerforhealthreporting.org/article/bridge-health-care-reform-strained-kern\" target=\"_blank\">first piece\u003c/a>, which looked at Kern County’s efforts to build the bridge.\u003ca title=\"http://centerforhealthreporting.org/project/health-reform-redwood-country\" href=\"http://centerforhealthreporting.org/project/health-reform-redwood-country\" target=\"_blank\"> A follow-up\u003c/a> examined the challenges of implementing the program in the far corners of Humboldt and Del Norte counties.\u003c/p>\n\u003cp>In San Luis Obispo, \u003ca title=\"http://www.slocounty.ca.gov/page8402.aspx\" href=\"http://www.slocounty.ca.gov/page8402.aspx\" target=\"_blank\">Health Agency Director Jeff Hamm\u003c/a> said he made the decision to withdraw from participation reluctantly. For years, the county has slashed its health budget and outsourced its medical safety net.\u003c/p>\n\u003cp>It reached the point, Hamm said, of not having the start-up funds, or medical infrastructure, needed to implement the Bridge to Reform.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We understood it would be good for a lot of people. We didn’t have the money,” said Hamm, whose county joins Fresno as a non-participant. “It was a big paradigm shift, a really big shift in terms of infrastructure, requirements for data collection, and processing. ... We’re talking a 150-page contract with the State of California. ... It became undoable for us.”\u003c!--more-->\u003c/p>\n\u003cp>It’s an interesting perspective, particularly as nine other counties and the Rural Indian Health Board work to meet requirements of that 150-page contract so they can participate. The program offers the much-ballyhooed “free money” from the federal government -- in this case a 50 percent match on money a county spends providing health care.\u003c/p>\n\u003cp>Anthony Wright, executive director of Health Access California, which advocates for expanded health coverage, found it hard to buy Hamm’s position. “There are obstacles, from resources, to politics, to bureaucratic inertia,” said Wright. “But this is just too good a deal to pass up.”\u003c/p>\n\u003cp>The idea is for counties to implement the Bridge to Reform ahead of a huge expansion in federally funded Medi-Cal coverage scheduled for 2014. The feds will pick up 90 percent of the cost as part of the Affordable Care Act. It could ultimately provide 1.9 million Californians health benefits they didn’t have before.\u003c/p>\n\u003cp>Wright admits that his perspective about the Bridget to Reform is shaped by his belief that the larger Medi-Cal expansion will indeed become reality in 2014. \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/03/28/court-considers-whether-entire-health-care-law-should-be-struck-down/\" href=\"http://ww2.kqed.org/stateofhealth/2012/03/28/court-considers-whether-entire-health-care-law-should-be-struck-down/\" target=\"_blank\">The Supreme Court, of course, could chart a new course\u003c/a>. Its ruling on health reform is expected in late June.\u003c/p>\n\u003cp>Court-watchers initially thought the Medicaid expansion would be upheld by the Supreme Court. \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/03/28/the-medicaid-expansion-in-california-analysis-reaction/\" href=\"http://ww2.kqed.org/stateofhealth/2012/03/28/the-medicaid-expansion-in-california-analysis-reaction/\" target=\"_blank\">But after oral arguments in March\u003c/a>, no one can read the judicial tea leaves. While we're waiting for the court's decision, it’s tough to decide if a county should, or should not, take the plunge and help build the Bridge to Reform.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But there is something very measureable in the 337,282 Californians already receiving coverage though the program.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By \u003ca title=\"http://centerforhealthreporting.org/blogs/john-gonzales\" href=\"http://centerforhealthreporting.org/blogs/john-gonzales\" target=\"_blank\">John Gonzales\u003c/a>, \u003ca title=\"http://centerforhealthreporting.org/blog/bridge-health-reform-“undoable”-san-luis-obispo881\" href=\"http://centerforhealthreporting.org/blog/bridge-health-reform-%E2%80%9Cundoable%E2%80%9D-san-luis-obispo881\" target=\"_blank\">Center for Health Reporting\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_5861\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SanLuisObispo_SteveWilson_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-5861\" title=\"San Luis Obispo County. (Steve Wilson: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/SanLuisObispo_SteveWilson_Flickr-300x199.jpg\" alt=\"San Luis Obispo County. (Steve Wilson: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Luis Obispo County. (Steve Wilson: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>California's \u003ca title=\"http://www.kff.org/medicaid/8197.cfm\" href=\"http://www.kff.org/medicaid/8197.cfm\" target=\"_blank\">\"Bridge to Reform\u003c/a>\" program is intended to do exactly that: provide a bridge to the 2014 roll-out of the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act\u003c/a>. Right now, 47 of California's 58 counties have already provided health care to more than 335,000 people. San Luis Obispo is a case study in one county that is not participating.\u003c/p>\n\u003cp>We have reported on the Bridge to Reform, also known as the Low Income Health Program, since its early phases. I was the reporter on our \u003ca title=\"http://centerforhealthreporting.org/article/bridge-health-care-reform-strained-kern\" href=\"http://centerforhealthreporting.org/article/bridge-health-care-reform-strained-kern\" target=\"_blank\">first piece\u003c/a>, which looked at Kern County’s efforts to build the bridge.\u003ca title=\"http://centerforhealthreporting.org/project/health-reform-redwood-country\" href=\"http://centerforhealthreporting.org/project/health-reform-redwood-country\" target=\"_blank\"> A follow-up\u003c/a> examined the challenges of implementing the program in the far corners of Humboldt and Del Norte counties.\u003c/p>\n\u003cp>In San Luis Obispo, \u003ca title=\"http://www.slocounty.ca.gov/page8402.aspx\" href=\"http://www.slocounty.ca.gov/page8402.aspx\" target=\"_blank\">Health Agency Director Jeff Hamm\u003c/a> said he made the decision to withdraw from participation reluctantly. For years, the county has slashed its health budget and outsourced its medical safety net.\u003c/p>\n\u003cp>It reached the point, Hamm said, of not having the start-up funds, or medical infrastructure, needed to implement the Bridge to Reform.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We understood it would be good for a lot of people. We didn’t have the money,” said Hamm, whose county joins Fresno as a non-participant. “It was a big paradigm shift, a really big shift in terms of infrastructure, requirements for data collection, and processing. ... We’re talking a 150-page contract with the State of California. ... It became undoable for us.”\u003c!--more-->\u003c/p>\n\u003cp>It’s an interesting perspective, particularly as nine other counties and the Rural Indian Health Board work to meet requirements of that 150-page contract so they can participate. The program offers the much-ballyhooed “free money” from the federal government -- in this case a 50 percent match on money a county spends providing health care.\u003c/p>\n\u003cp>Anthony Wright, executive director of Health Access California, which advocates for expanded health coverage, found it hard to buy Hamm’s position. “There are obstacles, from resources, to politics, to bureaucratic inertia,” said Wright. “But this is just too good a deal to pass up.”\u003c/p>\n\u003cp>The idea is for counties to implement the Bridge to Reform ahead of a huge expansion in federally funded Medi-Cal coverage scheduled for 2014. The feds will pick up 90 percent of the cost as part of the Affordable Care Act. It could ultimately provide 1.9 million Californians health benefits they didn’t have before.\u003c/p>\n\u003cp>Wright admits that his perspective about the Bridget to Reform is shaped by his belief that the larger Medi-Cal expansion will indeed become reality in 2014. \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/03/28/court-considers-whether-entire-health-care-law-should-be-struck-down/\" href=\"http://ww2.kqed.org/stateofhealth/2012/03/28/court-considers-whether-entire-health-care-law-should-be-struck-down/\" target=\"_blank\">The Supreme Court, of course, could chart a new course\u003c/a>. Its ruling on health reform is expected in late June.\u003c/p>\n\u003cp>Court-watchers initially thought the Medicaid expansion would be upheld by the Supreme Court. \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/03/28/the-medicaid-expansion-in-california-analysis-reaction/\" href=\"http://ww2.kqed.org/stateofhealth/2012/03/28/the-medicaid-expansion-in-california-analysis-reaction/\" target=\"_blank\">But after oral arguments in March\u003c/a>, no one can read the judicial tea leaves. While we're waiting for the court's decision, it’s tough to decide if a county should, or should not, take the plunge and help build the Bridge to Reform.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But there is something very measureable in the 337,282 Californians already receiving coverage though the program.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California Prison Medical Costs Higher Than Average",
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"content": "\u003cp>\u003cstrong>By KQED Staff and Wires\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_5305\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/prisoner.gif\">\u003cimg class=\"size-full wp-image-5305\" title=\"prisoner\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/prisoner.gif\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/04/prisoner.gif 300w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/prisoner-32x32.gif 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/prisoner-64x64.gif 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/prisoner-96x96.gif 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/prisoner-128x128.gif 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/prisoner-75x75.gif 75w\" sizes=\"(max-width: 300px) 100vw, 300px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California spends three times the national average on inmate medical care. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>As the state prepares to resume control of inmate medical care, it must find ways to reduce costs that are triple the national average, the nonpartisan \u003ca href=\"http://www.lao.ca.gov/laoapp/\">Legislative Analyst's Office\u003c/a> said Thursday.\u003c/p>\n\u003cp>The federal receivership that has been in place since 2006 has greatly improved the medical care of state prison inmates but also has caused costs to soar, according to \u003ca href=\"http://www.lao.ca.gov/reports/2012/crim/inmate-medical-care/inmate-medical-care-041912.pdf\">the report\u003c/a>. California spends $16,000 per inmate for health care services, compared to an average of $5,000 in other states.\u003c/p>\n\u003cp>The analysis was released less than two weeks before the state and attorneys representing inmates must report to a federal judge with recommendations on when the receivership should end and whether it should maintain some oversight role.\u003c/p>\n\u003cp>The Legislature should create an independent board to monitor prison medical care to make sure conditions do not deteriorate once the state retakes control, the report said. It also recommends that the state experiment with contracting for medical services to cut costs.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The state should rely more on \u003ca href=\"http://www.americantelemed.org/i4a/pages/index.cfm?pageID=3331\">telemedicine \u003c/a>so physicians in urban medical facilities can treat inmates without physically traveling to remote prisons. The analysis also found that the receivership has not been consistent in using management safeguards that are designed to hold down medical spending.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"Eighty cents of every dollar is spent on inmate direct care. Everything he's done is done with an eye to increasing efficiency.\"\u003c/aside>\n\u003cp>The receivership already is following many of the recommendations outlined in the report, said Nancy Kincaid, spokeswoman for the receiver's office.\u003c/p>\n\u003cp>The receivership began emphasizing telemedicine a year ago, Kincaid said. She acknowledged that while medical staff in some prisons follow the receivership's uniform policy for controlling medical costs, those in other prisons must do a better job.\u003c/p>\n\u003cp>The receiver, \u003ca href=\"http://www.capitolweekly.net/article.php?xid=ylta91g5empdw5\">J. Clark Kelso\u003c/a>, uses private contractors when they are cheaper, she said, but is limited by a prohibition in the state constitution on using a contractor if a state employee can do the job.\u003c/p>\n\u003cp>She disputed the report's comparisons with costs in other states, contending that many others don't count their administrative, information technology or contract costs in their accounting.\u003c/p>\n\u003cp>\"Eighty cents of every dollar is spent on inmate direct care. Everything he's done is done with an eye to increasing efficiency ... and saving taxpayers' money wherever he can,\" Kincaid said.\u003c/p>\n\u003cp>The legislative analyst called a recent 7 percent decline in inmate health care costs \"encouraging,\" but said the proposed prison medical budget for the fiscal year beginning July 1 is still 42 percent higher than it was before the receivership began.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Ending the receivership could save money in the \"low tens of millions of dollars annually,\" the analysis estimated, because the state could consolidate what currently are two duplicate bureaucracies overseeing the prison medical system ‚ one for the court-appointed receiver and the other for the \u003ca href=\"http://www.cdcr.ca.gov/\">California Department of Corrections and Rehabilitation.\u003c/a>\u003c/p>\n\n",
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"description": "By KQED Staff and Wires As the state prepares to resume control of inmate medical care, it must find ways to reduce costs that are triple the national average, the nonpartisan Legislative Analyst's Office said Thursday. The federal receivership that has been in place since 2006 has greatly improved the medical care of state prison",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By KQED Staff and Wires\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_5305\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/prisoner.gif\">\u003cimg class=\"size-full wp-image-5305\" title=\"prisoner\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/prisoner.gif\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/04/prisoner.gif 300w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/prisoner-32x32.gif 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/prisoner-64x64.gif 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/prisoner-96x96.gif 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/prisoner-128x128.gif 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/04/prisoner-75x75.gif 75w\" sizes=\"(max-width: 300px) 100vw, 300px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">California spends three times the national average on inmate medical care. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>As the state prepares to resume control of inmate medical care, it must find ways to reduce costs that are triple the national average, the nonpartisan \u003ca href=\"http://www.lao.ca.gov/laoapp/\">Legislative Analyst's Office\u003c/a> said Thursday.\u003c/p>\n\u003cp>The federal receivership that has been in place since 2006 has greatly improved the medical care of state prison inmates but also has caused costs to soar, according to \u003ca href=\"http://www.lao.ca.gov/reports/2012/crim/inmate-medical-care/inmate-medical-care-041912.pdf\">the report\u003c/a>. California spends $16,000 per inmate for health care services, compared to an average of $5,000 in other states.\u003c/p>\n\u003cp>The analysis was released less than two weeks before the state and attorneys representing inmates must report to a federal judge with recommendations on when the receivership should end and whether it should maintain some oversight role.\u003c/p>\n\u003cp>The Legislature should create an independent board to monitor prison medical care to make sure conditions do not deteriorate once the state retakes control, the report said. It also recommends that the state experiment with contracting for medical services to cut costs.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The state should rely more on \u003ca href=\"http://www.americantelemed.org/i4a/pages/index.cfm?pageID=3331\">telemedicine \u003c/a>so physicians in urban medical facilities can treat inmates without physically traveling to remote prisons. The analysis also found that the receivership has not been consistent in using management safeguards that are designed to hold down medical spending.\u003c/p>\n\u003caside class=\"pullquote alignright\">\"Eighty cents of every dollar is spent on inmate direct care. Everything he's done is done with an eye to increasing efficiency.\"\u003c/aside>\n\u003cp>The receivership already is following many of the recommendations outlined in the report, said Nancy Kincaid, spokeswoman for the receiver's office.\u003c/p>\n\u003cp>The receivership began emphasizing telemedicine a year ago, Kincaid said. She acknowledged that while medical staff in some prisons follow the receivership's uniform policy for controlling medical costs, those in other prisons must do a better job.\u003c/p>\n\u003cp>The receiver, \u003ca href=\"http://www.capitolweekly.net/article.php?xid=ylta91g5empdw5\">J. Clark Kelso\u003c/a>, uses private contractors when they are cheaper, she said, but is limited by a prohibition in the state constitution on using a contractor if a state employee can do the job.\u003c/p>\n\u003cp>She disputed the report's comparisons with costs in other states, contending that many others don't count their administrative, information technology or contract costs in their accounting.\u003c/p>\n\u003cp>\"Eighty cents of every dollar is spent on inmate direct care. Everything he's done is done with an eye to increasing efficiency ... and saving taxpayers' money wherever he can,\" Kincaid said.\u003c/p>\n\u003cp>The legislative analyst called a recent 7 percent decline in inmate health care costs \"encouraging,\" but said the proposed prison medical budget for the fiscal year beginning July 1 is still 42 percent higher than it was before the receivership began.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Ending the receivership could save money in the \"low tens of millions of dollars annually,\" the analysis estimated, because the state could consolidate what currently are two duplicate bureaucracies overseeing the prison medical system ‚ one for the court-appointed receiver and the other for the \u003ca href=\"http://www.cdcr.ca.gov/\">California Department of Corrections and Rehabilitation.\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"tagline": "The flip side of gentrification, told through one town",
"info": "Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?",
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"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
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"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"order": 8
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},
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"source": "Commonwealth Club of California"
},
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"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
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"order": 9
},
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"hidden-brain": {
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"airtime": "SUN 7:30pm-8pm",
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"order": 18
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"id": "latino-usa",
"title": "Latino USA",
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"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
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},
"masters-of-scale": {
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"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "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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