window.__IS_SSR__=true
window.__INITIAL_STATE__={
"attachmentsReducer": {
"audio_0": {
"type": "attachments",
"id": "audio_0",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background0.jpg"
}
}
},
"audio_1": {
"type": "attachments",
"id": "audio_1",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background1.jpg"
}
}
},
"audio_2": {
"type": "attachments",
"id": "audio_2",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background2.jpg"
}
}
},
"audio_3": {
"type": "attachments",
"id": "audio_3",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background3.jpg"
}
}
},
"audio_4": {
"type": "attachments",
"id": "audio_4",
"imgSizes": {
"kqedFullSize": {
"file": "https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background4.jpg"
}
}
},
"placeholder": {
"type": "attachments",
"id": "placeholder",
"imgSizes": {
"thumbnail": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-160x107.jpg",
"width": 160,
"height": 107,
"mimeType": "image/jpeg"
},
"medium": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-800x533.jpg",
"width": 800,
"height": 533,
"mimeType": "image/jpeg"
},
"medium_large": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-768x512.jpg",
"width": 768,
"height": 512,
"mimeType": "image/jpeg"
},
"large": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1020x680.jpg",
"width": 1020,
"height": 680,
"mimeType": "image/jpeg"
},
"1536x1536": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1536x1024.jpg",
"width": 1536,
"height": 1024,
"mimeType": "image/jpeg"
},
"fd-lrg": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1536x1024.jpg",
"width": 1536,
"height": 1024,
"mimeType": "image/jpeg"
},
"fd-med": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1020x680.jpg",
"width": 1020,
"height": 680,
"mimeType": "image/jpeg"
},
"fd-sm": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-800x533.jpg",
"width": 800,
"height": 533,
"mimeType": "image/jpeg"
},
"post-thumbnail": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-672x372.jpg",
"width": 672,
"height": 372,
"mimeType": "image/jpeg"
},
"twentyfourteen-full-width": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1038x576.jpg",
"width": 1038,
"height": 576,
"mimeType": "image/jpeg"
},
"xxsmall": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-160x107.jpg",
"width": 160,
"height": 107,
"mimeType": "image/jpeg"
},
"xsmall": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-672x372.jpg",
"width": 672,
"height": 372,
"mimeType": "image/jpeg"
},
"small": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-672x372.jpg",
"width": 672,
"height": 372,
"mimeType": "image/jpeg"
},
"xlarge": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1020x680.jpg",
"width": 1020,
"height": 680,
"mimeType": "image/jpeg"
},
"full-width": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1-1920x1280.jpg",
"width": 1920,
"height": 1280,
"mimeType": "image/jpeg"
},
"guest-author-32": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 32,
"height": 32,
"mimeType": "image/jpeg"
},
"guest-author-50": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 50,
"height": 50,
"mimeType": "image/jpeg"
},
"guest-author-64": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 64,
"height": 64,
"mimeType": "image/jpeg"
},
"guest-author-96": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 96,
"height": 96,
"mimeType": "image/jpeg"
},
"guest-author-128": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 128,
"height": 128,
"mimeType": "image/jpeg"
},
"detail": {
"file": "https://cdn.kqed.org/wp-content/uploads/2025/01/KQED-Default-Image-816638274-1333x1333-1-160x160.jpg",
"width": 160,
"height": 160,
"mimeType": "image/jpeg"
},
"kqedFullSize": {
"file": "https://cdn.kqed.org/wp-content/uploads/2024/12/KQED-Default-Image-816638274-2000x1333-1.jpg",
"width": 2000,
"height": 1333
}
}
},
"stateofhealth_206785": {
"type": "attachments",
"id": "stateofhealth_206785",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "206785",
"found": true
},
"parent": 206784,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/07/texasabortion_enl-0bdc22d24c63065f846b16035ab2c47b4b591c5a-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/07/texasabortion_enl-0bdc22d24c63065f846b16035ab2c47b4b591c5a-400x258.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 258
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/07/texasabortion_enl-0bdc22d24c63065f846b16035ab2c47b4b591c5a-960x619.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 619
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/07/texasabortion_enl-0bdc22d24c63065f846b16035ab2c47b4b591c5a-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/07/texasabortion_enl-0bdc22d24c63065f846b16035ab2c47b4b591c5a.jpg",
"width": 2000,
"height": 1290
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/07/texasabortion_enl-0bdc22d24c63065f846b16035ab2c47b4b591c5a-1440x929.jpg",
"width": 1440,
"mimeType": "image/jpeg",
"height": 929
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/07/texasabortion_enl-0bdc22d24c63065f846b16035ab2c47b4b591c5a-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/07/texasabortion_enl-0bdc22d24c63065f846b16035ab2c47b4b591c5a-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/07/texasabortion_enl-0bdc22d24c63065f846b16035ab2c47b4b591c5a-800x516.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 516
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/07/texasabortion_enl-0bdc22d24c63065f846b16035ab2c47b4b591c5a-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/07/texasabortion_enl-0bdc22d24c63065f846b16035ab2c47b4b591c5a-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"jmtc-small-thumb": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/07/texasabortion_enl-0bdc22d24c63065f846b16035ab2c47b4b591c5a-280x150.jpg",
"width": 280,
"mimeType": "image/jpeg",
"height": 150
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/07/texasabortion_enl-0bdc22d24c63065f846b16035ab2c47b4b591c5a-1920x1238.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1238
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/07/texasabortion_enl-0bdc22d24c63065f846b16035ab2c47b4b591c5a-1180x761.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 761
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/07/texasabortion_enl-0bdc22d24c63065f846b16035ab2c47b4b591c5a-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"medium_large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/07/texasabortion_enl-0bdc22d24c63065f846b16035ab2c47b4b591c5a-768x495.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 495
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/07/texasabortion_enl-0bdc22d24c63065f846b16035ab2c47b4b591c5a-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1467396054,
"modified": 1467396054,
"caption": null,
"description": "Abortion rights activists chant outside the US Supreme Court ahead of a historic ruling Monday that struck down a Texas law that imposed strict requirements on clinics that perform abortions.",
"title": "Abortion rights activists chant outside the US Supreme Court ahead of a historic ruling Monday that struck down a Texas law that imposed strict requirements on clinics that perform abortions.",
"credit": null,
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_206296": {
"type": "attachments",
"id": "stateofhealth_206296",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "206296",
"found": true
},
"parent": 205822,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/VaginalRoutine-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/VaginalRoutine-400x309.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 309
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/VaginalRoutine-960x742.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 742
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/VaginalRoutine-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/VaginalRoutine-e1467324299747.jpg",
"width": 1920,
"height": 1484
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/VaginalRoutine-1440x1113.jpg",
"width": 1440,
"mimeType": "image/jpeg",
"height": 1113
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/VaginalRoutine-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/VaginalRoutine-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/VaginalRoutine-800x618.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 618
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/VaginalRoutine-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/VaginalRoutine-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"jmtc-small-thumb": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/VaginalRoutine-280x150.jpg",
"width": 280,
"mimeType": "image/jpeg",
"height": 150
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/VaginalRoutine-1920x1484.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1484
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/VaginalRoutine-1180x912.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 912
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/VaginalRoutine-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"medium_large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/VaginalRoutine-768x593.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 593
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/VaginalRoutine-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1467324279,
"modified": 1467324323,
"caption": null,
"description": null,
"title": "VaginalRoutine",
"credit": "Courtesy: Castlight Health",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_183750": {
"type": "attachments",
"id": "stateofhealth_183750",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "183750",
"found": true
},
"parent": 183748,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/iStock_000037319370_Large-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/iStock_000037319370_Large-400x265.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 265
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/iStock_000037319370_Large-960x637.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 637
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/iStock_000037319370_Large-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/iStock_000037319370_Large-e1463075360769.jpg",
"width": 1919,
"height": 1274
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/iStock_000037319370_Large-1440x956.jpg",
"width": 1440,
"mimeType": "image/jpeg",
"height": 956
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/iStock_000037319370_Large-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/iStock_000037319370_Large-800x531.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 531
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/iStock_000037319370_Large-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/iStock_000037319370_Large-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"jmtc-small-thumb": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/iStock_000037319370_Large-280x150.jpg",
"width": 280,
"mimeType": "image/jpeg",
"height": 150
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/iStock_000037319370_Large-1920x1274.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1274
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/iStock_000037319370_Large-1180x783.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 783
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/iStock_000037319370_Large-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"medium_large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/iStock_000037319370_Large-768x510.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 510
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/iStock_000037319370_Large-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1463075351,
"modified": 1463075397,
"caption": null,
"description": "Prescription Drug Dollars money",
"title": "iStock_000037319370_Large",
"credit": "iStockphoto",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_205170": {
"type": "attachments",
"id": "stateofhealth_205170",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "205170",
"found": true
},
"parent": 198989,
"imgSizes": {
"jmtc-small-thumb": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Pam-280x150.jpg",
"width": 280,
"mimeType": "image/jpeg",
"height": 150
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Pam-400x229.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 229
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Pam.jpg",
"width": 640,
"height": 366
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Pam-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Pam-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Pam-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Pam-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Pam-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Pam-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1467137631,
"modified": 1467137659,
"caption": "Pam Raymond (R) with her daughter, Brianna. ",
"description": "Pam Raymond (R) with her daughter, Brianna. ",
"title": "Pam",
"credit": "Courtesy: Pam Raymond",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_204795": {
"type": "attachments",
"id": "stateofhealth_204795",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "204795",
"found": true
},
"parent": 204789,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_5919856_LARGE-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_5919856_LARGE-400x266.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 266
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_5919856_LARGE-960x638.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 638
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_5919856_LARGE-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_5919856_LARGE-e1467072223848.jpg",
"width": 1921,
"height": 1277
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_5919856_LARGE-1440x957.jpg",
"width": 1440,
"mimeType": "image/jpeg",
"height": 957
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_5919856_LARGE-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_5919856_LARGE-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_5919856_LARGE-800x532.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 532
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_5919856_LARGE-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_5919856_LARGE-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"jmtc-small-thumb": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_5919856_LARGE-280x150.jpg",
"width": 280,
"mimeType": "image/jpeg",
"height": 150
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_5919856_LARGE-1920x1277.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1277
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_5919856_LARGE-1180x785.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 785
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_5919856_LARGE-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"medium_large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_5919856_LARGE-768x511.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 511
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_5919856_LARGE-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1467072208,
"modified": 1467072243,
"caption": null,
"description": null,
"title": "iStock_5919856_LARGE",
"credit": "iStockphoto",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_201232": {
"type": "attachments",
"id": "stateofhealth_201232",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "201232",
"found": true
},
"parent": 201177,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_23228856_LARGE-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_23228856_LARGE-400x267.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 267
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_23228856_LARGE-960x640.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 640
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_23228856_LARGE-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_23228856_LARGE-e1466464322746.jpg",
"width": 1920,
"height": 1280
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_23228856_LARGE-1440x960.jpg",
"width": 1440,
"mimeType": "image/jpeg",
"height": 960
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_23228856_LARGE-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_23228856_LARGE-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_23228856_LARGE-800x533.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 533
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_23228856_LARGE-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_23228856_LARGE-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"jmtc-small-thumb": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_23228856_LARGE-280x150.jpg",
"width": 280,
"mimeType": "image/jpeg",
"height": 150
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_23228856_LARGE-1920x1280.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1280
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_23228856_LARGE-1180x787.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 787
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_23228856_LARGE-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"medium_large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_23228856_LARGE-768x512.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 512
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/iStock_23228856_LARGE-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1466463980,
"modified": 1466464360,
"caption": null,
"description": "Doctor writing a prescription",
"title": "iStock_23228856_LARGE",
"credit": "iStockphoto",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_196587": {
"type": "attachments",
"id": "stateofhealth_196587",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "196587",
"found": true
},
"parent": 0,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Gary_Kathy_Snook_LA_hotel-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Gary_Kathy_Snook_LA_hotel-400x268.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 268
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Gary_Kathy_Snook_LA_hotel-960x643.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 643
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Gary_Kathy_Snook_LA_hotel-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Gary_Kathy_Snook_LA_hotel-e1465602730655.jpg",
"width": 1920,
"height": 1286
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Gary_Kathy_Snook_LA_hotel-1440x965.jpg",
"width": 1440,
"mimeType": "image/jpeg",
"height": 965
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Gary_Kathy_Snook_LA_hotel-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Gary_Kathy_Snook_LA_hotel-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Gary_Kathy_Snook_LA_hotel-800x536.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 536
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Gary_Kathy_Snook_LA_hotel-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Gary_Kathy_Snook_LA_hotel-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"jmtc-small-thumb": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Gary_Kathy_Snook_LA_hotel-280x150.jpg",
"width": 280,
"mimeType": "image/jpeg",
"height": 150
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Gary_Kathy_Snook_LA_hotel-1920x1286.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1286
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Gary_Kathy_Snook_LA_hotel-1180x790.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 790
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Gary_Kathy_Snook_LA_hotel-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"medium_large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Gary_Kathy_Snook_LA_hotel-768x514.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 514
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/Gary_Kathy_Snook_LA_hotel-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1465600873,
"modified": 1465662544,
"caption": "Gary Snook, seen here with his wife Kathy, travels to California every three months, where a doctor writes him a prescription for pain killing opioids. Each trip lasts a couple of days, but Snook is often in too much pain to leave the hotel room.",
"description": "Gary Snook, seen here with his wife Kathy, travels to California every three months, where a doctor writes him a prescription for pain killing opioids. Each trip lasts a couple of days, but Snook is often in too much pain to leave the hotel room.",
"title": "Gary_Kathy_Snook_LA_hotel",
"credit": "Corin Cates-Carney",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_195139": {
"type": "attachments",
"id": "stateofhealth_195139",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "195139",
"found": true
},
"parent": 195134,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS16178_JV0A7671-qut-2-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS16178_JV0A7671-qut-2-400x267.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 267
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS16178_JV0A7671-qut-2-960x640.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 640
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS16178_JV0A7671-qut-2-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS16178_JV0A7671-qut-2.jpg",
"width": 1920,
"height": 1280
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS16178_JV0A7671-qut-2-1440x960.jpg",
"width": 1440,
"mimeType": "image/jpeg",
"height": 960
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS16178_JV0A7671-qut-2-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS16178_JV0A7671-qut-2-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS16178_JV0A7671-qut-2-800x533.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 533
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS16178_JV0A7671-qut-2-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS16178_JV0A7671-qut-2-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"jmtc-small-thumb": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS16178_JV0A7671-qut-2-280x150.jpg",
"width": 280,
"mimeType": "image/jpeg",
"height": 150
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS16178_JV0A7671-qut-2-1920x1280.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1280
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS16178_JV0A7671-qut-2-1180x787.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 787
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS16178_JV0A7671-qut-2-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"medium_large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS16178_JV0A7671-qut-2-768x512.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 512
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS16178_JV0A7671-qut-2-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1465319175,
"modified": 1465319234,
"caption": "Julie Brand holds her one-month-old daughter as she receives a hepatitis B vaccine at Berkeley Pediatrics.",
"description": "vaccine",
"title": "RS16178_JV0A7671-qut-2",
"credit": "Jeremy Raff/KQED",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_192726": {
"type": "attachments",
"id": "stateofhealth_192726",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "192726",
"found": true
},
"parent": 192287,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/LonnyPro-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/LonnyPro-400x308.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 308
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/LonnyPro-960x739.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 739
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/LonnyPro-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/LonnyPro-e1464887824360.jpg",
"width": 1921,
"height": 1478
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/LonnyPro-1440x1108.jpg",
"width": 1440,
"mimeType": "image/jpeg",
"height": 1108
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/LonnyPro-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/LonnyPro-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/LonnyPro-800x616.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 616
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/LonnyPro-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/LonnyPro-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"jmtc-small-thumb": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/LonnyPro-280x150.jpg",
"width": 280,
"mimeType": "image/jpeg",
"height": 150
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/LonnyPro-1920x1478.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1478
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/LonnyPro-1180x908.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 908
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/LonnyPro-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"medium_large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/LonnyPro-768x591.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 591
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/06/LonnyPro-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1464887811,
"modified": 1464888724,
"caption": "Lonny Shavelson is consulting with doctors who have questions about California's \"End of Life Option Act.\" He will also see patients after the law takes effect next week.",
"description": "Lonny Shavelson",
"title": null,
"credit": "PhotoWords.com",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_191783": {
"type": "attachments",
"id": "stateofhealth_191783",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "191783",
"found": true
},
"parent": 0,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19651_0506_RCLO_Shariah209a-qut-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19651_0506_RCLO_Shariah209a-qut-400x267.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 267
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19651_0506_RCLO_Shariah209a-qut-960x640.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 640
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19651_0506_RCLO_Shariah209a-qut-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19651_0506_RCLO_Shariah209a-qut.jpg",
"width": 1920,
"height": 1280
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19651_0506_RCLO_Shariah209a-qut-1440x960.jpg",
"width": 1440,
"mimeType": "image/jpeg",
"height": 960
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19651_0506_RCLO_Shariah209a-qut-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19651_0506_RCLO_Shariah209a-qut-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19651_0506_RCLO_Shariah209a-qut-800x533.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 533
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19651_0506_RCLO_Shariah209a-qut-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19651_0506_RCLO_Shariah209a-qut-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"jmtc-small-thumb": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19651_0506_RCLO_Shariah209a-qut-280x150.jpg",
"width": 280,
"mimeType": "image/jpeg",
"height": 150
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19651_0506_RCLO_Shariah209a-qut-1920x1280.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1280
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19651_0506_RCLO_Shariah209a-qut-1180x787.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 787
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19651_0506_RCLO_Shariah209a-qut-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"medium_large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19651_0506_RCLO_Shariah209a-qut-768x512.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 512
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19651_0506_RCLO_Shariah209a-qut-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1464736839,
"modified": 1464736996,
"caption": "Shariah Vroman-Nagy, 18, attempted suicide three years ago. ",
"description": "Shariah Vroman-Nagy, 18, attempted suicide three years ago. ",
"title": "RS19651_0506_RCLO_Shariah209a-qut",
"credit": "Andreas Fuhrmann/KQED",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_22731": {
"type": "attachments",
"id": "stateofhealth_22731",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "22731",
"found": true
},
"parent": 22722,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/RS1449_saccapitoldome090911-lpr-e1417052239382-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/RS1449_saccapitoldome090911-lpr-e1417052239382-400x267.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 267
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/RS1449_saccapitoldome090911-lpr-e1417052239382-320x213.jpg",
"width": 320,
"mimeType": "image/jpeg",
"height": 213
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/RS1449_saccapitoldome090911-lpr-e1417052239382-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/RS1449_saccapitoldome090911-lpr-e1417052239382.jpg",
"width": 1440,
"height": 960
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/RS1449_saccapitoldome090911-lpr-e1417052239382-1440x960.jpg",
"width": 1440,
"mimeType": "image/jpeg",
"height": 960
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/RS1449_saccapitoldome090911-lpr-e1417052239382-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/RS1449_saccapitoldome090911-lpr-e1417052239382-800x533.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 533
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/RS1449_saccapitoldome090911-lpr-e1417052239382-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/RS1449_saccapitoldome090911-lpr-e1417052239382-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/RS1449_saccapitoldome090911-lpr-e1417052239382-1180x787.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 787
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/RS1449_saccapitoldome090911-lpr-e1417052239382-768x512.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 512
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/RS1449_saccapitoldome090911-lpr-e1417052239382-75x75.jpg",
"width": 75,
"mimeType": "image/jpeg",
"height": 75
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2014/11/RS1449_saccapitoldome090911-lpr-e1417052239382-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1417052229,
"modified": 1464715768,
"caption": null,
"description": "state capitol, capital, sacramento",
"title": null,
"credit": "Justin Sullivan/Getty Images",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
},
"stateofhealth_189895": {
"type": "attachments",
"id": "stateofhealth_189895",
"meta": {
"index": "attachments_1716263798",
"site": "stateofhealth",
"id": "189895",
"found": true
},
"parent": 188922,
"imgSizes": {
"twentyfourteen-full-width": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19325_IMG_1793-2-1038x576.jpg",
"width": 1038,
"mimeType": "image/jpeg",
"height": 576
},
"thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19325_IMG_1793-2-400x354.jpg",
"width": 400,
"mimeType": "image/jpeg",
"height": 354
},
"fd-sm": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19325_IMG_1793-2-960x849.jpg",
"width": 960,
"mimeType": "image/jpeg",
"height": 849
},
"post-thumbnail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19325_IMG_1793-2-672x372.jpg",
"width": 672,
"mimeType": "image/jpeg",
"height": 372
},
"kqedFullSize": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19325_IMG_1793-2-e1464377298599.jpg",
"width": 1920,
"height": 1698
},
"large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19325_IMG_1793-2-1440x1274.jpg",
"width": 1440,
"mimeType": "image/jpeg",
"height": 1274
},
"guest-author-50": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19325_IMG_1793-2-50x50.jpg",
"width": 50,
"mimeType": "image/jpeg",
"height": 50
},
"guest-author-96": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19325_IMG_1793-2-96x96.jpg",
"width": 96,
"mimeType": "image/jpeg",
"height": 96
},
"medium": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19325_IMG_1793-2-800x708.jpg",
"width": 800,
"mimeType": "image/jpeg",
"height": 708
},
"guest-author-64": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19325_IMG_1793-2-64x64.jpg",
"width": 64,
"mimeType": "image/jpeg",
"height": 64
},
"guest-author-32": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19325_IMG_1793-2-32x32.jpg",
"width": 32,
"mimeType": "image/jpeg",
"height": 32
},
"jmtc-small-thumb": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19325_IMG_1793-2-280x150.jpg",
"width": 280,
"mimeType": "image/jpeg",
"height": 150
},
"fd-lrg": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19325_IMG_1793-2-1920x1698.jpg",
"width": 1920,
"mimeType": "image/jpeg",
"height": 1698
},
"fd-med": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19325_IMG_1793-2-1180x1044.jpg",
"width": 1180,
"mimeType": "image/jpeg",
"height": 1044
},
"detail": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19325_IMG_1793-2-150x150.jpg",
"width": 150,
"mimeType": "image/jpeg",
"height": 150
},
"medium_large": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19325_IMG_1793-2-768x679.jpg",
"width": 768,
"mimeType": "image/jpeg",
"height": 679
},
"guest-author-128": {
"file": "https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19325_IMG_1793-2-128x128.jpg",
"width": 128,
"mimeType": "image/jpeg",
"height": 128
}
},
"publishDate": 1464377261,
"modified": 1464377419,
"caption": "Maria Spivey, a bus driver in San Diego, looks at a photo of her daughter, Chloe Roston.",
"description": "Maria Spivey, a bus driver in San Diego, looks at a photo of her daughter, Chloe Roston.",
"title": "RS19325_IMG_1793-2",
"credit": "April Dembosky/KQED",
"status": "inherit",
"isLoading": false,
"fetchFailed": false
}
},
"audioPlayerReducer": {
"postId": "stream_live",
"isPaused": true,
"isPlaying": false,
"pfsActive": false,
"pledgeModalIsOpen": true,
"playerDrawerIsOpen": false,
"liveAudioPlayStartedAt": 0,
"liveAudioPlayContext": ""
},
"authorsReducer": {
"byline_stateofhealth_206784": {
"type": "authors",
"id": "byline_stateofhealth_206784",
"meta": {
"override": true
},
"slug": "byline_stateofhealth_206784",
"name": "Julie Rovner\u003cbr />\u003ca href=\"http://khn.org/\">Kaiser Health News\u003c/a>",
"isLoading": false
},
"byline_stateofhealth_205539": {
"type": "authors",
"id": "byline_stateofhealth_205539",
"meta": {
"override": true
},
"slug": "byline_stateofhealth_205539",
"name": "Pauline Bartolone, California Healthline",
"isLoading": false
},
"byline_stateofhealth_198989": {
"type": "authors",
"id": "byline_stateofhealth_198989",
"meta": {
"override": true
},
"slug": "byline_stateofhealth_198989",
"name": "Pam Raymond",
"isLoading": false
},
"byline_stateofhealth_201177": {
"type": "authors",
"id": "byline_stateofhealth_201177",
"meta": {
"override": true
},
"slug": "byline_stateofhealth_201177",
"name": "Charles Ornstein\u003cbr />\u003ca href=\"https://www.propublica.org/article/more-evidence-phrama-meals-are-linked-to-costlier-prescribing\">ProPublica\u003c/a>",
"isLoading": false
},
"byline_stateofhealth_196569": {
"type": "authors",
"id": "byline_stateofhealth_196569",
"meta": {
"override": true
},
"slug": "byline_stateofhealth_196569",
"name": "Corin Cates-Carney\u003cbr />\u003ca href=\"http://mtpr.org/post/montanas-pain-refugees-leave-state-treatment#stream/0\">MTPR\u003c/a>",
"isLoading": false
},
"byline_stateofhealth_195134": {
"type": "authors",
"id": "byline_stateofhealth_195134",
"meta": {
"override": true
},
"slug": "byline_stateofhealth_195134",
"name": "Tara Haelle\u003cbr />\u003ca href=\"http://www.npr.org/sections/health-shots/\">NPR Shots\u003c/a>",
"isLoading": false
},
"byline_stateofhealth_191628": {
"type": "authors",
"id": "byline_stateofhealth_191628",
"meta": {
"override": true
},
"slug": "byline_stateofhealth_191628",
"name": "Chad Terhune\u003cbr />\u003ca href=\"http://californiahealthline.org/\">California Healthline\u003c/a>",
"isLoading": false
},
"lisaaliferis": {
"type": "authors",
"id": "240",
"meta": {
"index": "authors_1716337520",
"id": "240",
"found": true
},
"name": "Lisa Aliferis",
"firstName": "Lisa",
"lastName": "Aliferis",
"slug": "lisaaliferis",
"email": "laliferis@kqed.org",
"display_author_email": false,
"staff_mastheads": [],
"title": "KQED Contributor",
"bio": "Lisa Aliferis is the founding editor of KQED's \u003cem>State of Health\u003c/em> blog. Since 2011, she's been writing and editing stories for the site. Before taking up blogging, she toiled for many years (more than we can count) producing health stories for television, including\u003cem> Dateline NBC\u003c/em> and San Francisco's CBS affiliate, KPIX-TV. She also wrote up a \u003ca title=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\">handy guide to the Affordable Care Act\u003c/a>, especially for Californians. Her work has been honored for many awards. Most recently she was a finalist for \"Best Topical Reporting\" from the Online News Association. You can follow her on Twitter: \u003ca title=\"https://twitter.com/laliferis\" href=\"https://twitter.com/laliferis\">@laliferis\u003c/a>",
"avatar": "https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=mm&r=g",
"twitter": "laliferis",
"facebook": null,
"instagram": null,
"linkedin": null,
"sites": [
{
"site": "news",
"roles": [
"subscriber"
]
},
{
"site": "futureofyou",
"roles": [
"subscriber"
]
},
{
"site": "stateofhealth",
"roles": [
"subscriber"
]
},
{
"site": "science",
"roles": [
"subscriber"
]
},
{
"site": "food",
"roles": []
}
],
"headData": {
"title": "Lisa Aliferis | KQED",
"description": "KQED Contributor",
"ogImgSrc": "https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=mm&r=g",
"twImgSrc": "https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=mm&r=g"
},
"isLoading": false,
"link": "/author/lisaaliferis"
},
"adembosky": {
"type": "authors",
"id": "3205",
"meta": {
"index": "authors_1716337520",
"id": "3205",
"found": true
},
"name": "April Dembosky",
"firstName": "April",
"lastName": "Dembosky",
"slug": "adembosky",
"email": "adembosky@kqed.org",
"display_author_email": false,
"staff_mastheads": [
"news",
"science"
],
"title": "KQED Health Correspondent",
"bio": "April Dembosky is the health correspondent for KQED News and a regular contributor to NPR. She specializes in covering altered states of mind, from postpartum depression to methamphetamine-induced psychosis to the insanity defense. Her investigative series on insurance companies sidestepping mental health laws won multiple awards, including first place in beat reporting from the national Association of Health Care Journalists. She is the recipient of numerous other prizes and fellowships, including a national Edward R. Murrow award for investigative reporting, a Society of Professional Journalists award for long-form storytelling, and a Carter Center Fellowship for Mental Health Journalism.\r\n\r\nDembosky reported and produced \u003cem>Soundtrack of Silence\u003c/em>, an audio documentary about music and memory that is currently being made into a feature film by Paramount Pictures.\r\n\r\nBefore joining KQED in 2013, Dembosky covered technology and Silicon Valley for \u003cem>The Financial Times of London,\u003c/em> and contributed business and arts stories to \u003cem>Marketplace \u003c/em>and \u003cem>The New York Times.\u003c/em> She got her undergraduate degree in philosophy from Smith College and her master's in journalism from the University of California, Berkeley. She is a classically trained violinist and proud alum of the first symphony orchestra at Burning Man.",
"avatar": "https://secure.gravatar.com/avatar/d6593cd737b732102fe0b6250b5351c2d3bc9b2987566514aa3c9a106494d684?s=600&d=blank&r=g",
"twitter": "adembosky",
"bluesky": null,
"facebook": null,
"instagram": null,
"linkedin": null,
"sites": [
{
"site": "arts",
"roles": [
"author"
]
},
{
"site": "news",
"roles": [
"editor"
]
},
{
"site": "futureofyou",
"roles": [
"author"
]
},
{
"site": "stateofhealth",
"roles": [
"editor"
]
},
{
"site": "science",
"roles": [
"editor"
]
},
{
"site": "forum",
"roles": [
"editor"
]
}
],
"headData": {
"title": "April Dembosky | KQED",
"description": "KQED Health Correspondent",
"ogImgSrc": "https://secure.gravatar.com/avatar/d6593cd737b732102fe0b6250b5351c2d3bc9b2987566514aa3c9a106494d684?s=600&d=blank&r=g",
"twImgSrc": "https://secure.gravatar.com/avatar/d6593cd737b732102fe0b6250b5351c2d3bc9b2987566514aa3c9a106494d684?s=600&d=blank&r=g"
},
"isLoading": false,
"link": "/author/adembosky"
}
},
"pagesReducer": {
"stateofhealth_category_tests-treatments": {
"type": "terms",
"id": "stateofhealth_13",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "13",
"score": 14.407178
},
"featImg": null,
"name": "Tests & Treatments",
"description": "Information and new research about advances in discovering and treating diseases and conditions.",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "Information and new research about advances in discovering and treating diseases and conditions.",
"title": "Tests & Treatments Archives | KQED Arts",
"ogDescription": null
},
"ttid": 13,
"slug": "tests-treatments",
"isLoading": false,
"title": "Tests & Treatments",
"pageMeta": {
"site": "stateofhealth",
"WpPageTemplate": "page-topic-editorial",
"currentPage": 4
},
"blocks": [
{
"blockName": "kqed/company-paragraph",
"content": "Information and new research about advances in discovering and treating diseases and conditions."
},
{
"blockName": "kqed/post-list",
"attrs": {
"layout": "cardArticle2",
"query": "posts/stateofhealth?category=tests-treatments",
"seeMore": false,
"paginated": true,
"page": 4
}
},
{
"blockName": "kqed/ad"
}
]
}
},
"pfsSessionReducer": {},
"postsReducer": {
"stream_live": {
"type": "live",
"id": "stream_live",
"audioUrl": "https://hls.kqed.org/hls/kqed_app/playlist.m3u8",
"title": "Live Stream",
"excerpt": "Live Stream information currently unavailable.",
"link": "/radio",
"featImg": "",
"label": {
"name": "KQED Live",
"link": "/"
}
},
"stream_kqedNewscast": {
"type": "posts",
"id": "stream_kqedNewscast",
"audioUrl": "https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1",
"title": "KQED Newscast",
"featImg": "",
"label": {
"name": "88.5 FM",
"link": "/"
}
},
"stateofhealth_206784": {
"type": "posts",
"id": "stateofhealth_206784",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "206784",
"score": null,
"sort": [
1467396889000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1467396889,
"format": "standard",
"disqusTitle": "5 Things To Consider About The Supreme Court's Decision On Texas Abortion Law",
"title": "5 Things To Consider About The Supreme Court's Decision On Texas Abortion Law",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>The Supreme Court this week delivered its strongest affirmation of a women's right to abortion in years. By a margin of 5-3, it struck down two key provisions of a Texas law restricting the procedure.\u003c/p>\n\u003cp>But where does the decision in \u003ca href=\"http://www.supremecourt.gov/opinions/15pdf/15-274_p8k0.pdf\" target=\"_blank\">Whole Woman's Health v. Hellerstedt\u003c/a> fit in the court's long history of actions abortion rights and restrictions? And what effect might the case have on similar laws in other states and this fall's elections? Here are five insights about the case that provide some context:\u003c/p>\n\u003cp>\u003cstrong>1. It's the first big win for supporters of abortion rights in a long time.\u003c/strong>\u003c/p>\n\u003cp>The last time abortion-rights supporters were on the winning side of a big case at the Supreme Court was 16 years ago, when a 5-4 ruling in \u003ca href=\"https://www.oyez.org/cases/1999/99-830\" target=\"_blank\">Stenberg v. Carhart\u003c/a> struck down a Nebraska law banning a specific procedure abortion opponents called \"partial birth abortion.\" That win was effectively reversed in 2007, however, when the court upheld a similar federal law banning the same procedure, also on a 5-4 ruling, in \u003ca href=\"https://www.oyez.org/cases/2006/05-380\" target=\"_blank\">Gonzales v. Carhart\u003c/a>. The substance hadn't changed much, but the replacement of Justice Sandra Day O'Connor with Justice Samuel Alito in 2006 gave abortion opponents an extra vote, which was enough to change the outcome.\u003c/p>\n\u003cp>After Monday's decision, many foes of abortion rights complained that there were few restrictions on abortion that would pass muster with the high court. But, in fact, in the years since the court first legalized abortion nationwide in \u003ca href=\"https://www.oyez.org/cases/1971/70-18\" target=\"_blank\">Roe v. Wade\u003c/a> in 1973, about half the major cases have been clear wins for abortion opponents, including upholding state laws requiring \u003ca href=\"https://www.law.cornell.edu/supremecourt/text/497/502\" target=\"_blank\">parental involvement for minors\u003c/a>, \u003ca href=\"https://www.oyez.org/cases/1991/91-744\" target=\"_blank\">waiting periods\u003c/a>, and \u003ca href=\"https://www.oyez.org/cases/1979/79-1268\" target=\"_blank\">bans on the use of public funds\u003c/a> to pay for abortions.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>2. It could put pro-abortion rights forces on the offensive.\u003c/strong>\u003c/p>\n\u003cp>Since Republicans took over Congress and most state legislatures after the 2010 elections, states have enacted \u003ca href=\"https://www.guttmacher.org/article/2016/01/last-five-years-account-more-one-quarter-all-abortion-restrictions-enacted-roe\" target=\"_blank\">nearly 300 separate abortion restrictions\u003c/a>; the most in any five-year period since \u003cem>Roe v. Wade\u003c/em> was decided. Many of those were the same types of \u003ca href=\"https://www.guttmacher.org/sites/default/files/pdfs/spibs/spib_TRAP.pdf\" target=\"_blank\">laws claiming protections for women's health\u003c/a> that were struck down by the Supreme Court this week. Those laws include requiring doctors who perform abortions to have admitting privileges at a nearby hospital and requiring abortion clinics to meet the standards of facilities performing more involved surgical procedures.\u003c/p>\n\u003cp>The justices have already responded to petitions from some states with similar laws. Just a day after handing down the Texas ruling, they rejected appeals from \u003ca href=\"http://www.reuters.com/article/us-usa-court-abortion-idUSKCN0ZE1MJ\" target=\"_blank\">Mississippi and Wisconsin\u003c/a>, where physician admitting privilege laws had been blocked by lower court judges. Those laws are now permanently blocked. Officials in \u003ca href=\"http://www.ago.state.al.us/News-863\" target=\"_blank\">Alabama\u003c/a> also dropped their defense of a similar law.\u003c/p>\n\u003cp>But the decision doesn't automatically invalidate similar laws in other states because the effect of such statutes is different in every community. For example, what may amount to an \"undue burden\" in Texas because of the sheer size of the state might not be as burdensome in states with clinics closer together.\u003c/p>\n\u003cp>In states where lower court judges have already blocked laws, those blocks are almost certain to remain in place. But in other states opponents of the restrictions would have to work to overturn each law individually.\u003c/p>\n\u003cp>They say that is what they plan to do. \"We will now will take this fight state by state to challenge and repeal laws all across the country,\" Planned Parenthood President Cecile Richards told reporters in a conference call immediately after the ruling.\u003c/p>\n\u003cp>Planned Parenthood announced on Thursday that it would pursue efforts to block or repeal similar laws in eight states: Arizona, Florida, Michigan, Missouri, Pennsylvania, Tennessee, Texas, and Virginia.\u003c/p>\n\u003cp>Abortion-rights supporters are also taking aim at some long-standing abortion restrictions in federal law. The \u003ca href=\"https://demconvention.com/news/democratic-platform-drafting-meeting-concludes/\" target=\"_blank\">draft Democratic platform\u003c/a> that will be finalized at the party's nominating convention in late July includes a plan calling for the repeal of the \u003ca href=\"http://www.npr.org/templates/story/story.php?storyId=121402281\" target=\"_blank\">Hyde Amendment\u003c/a>, which has banned most federal abortion funding since 1977. That provision was \u003ca href=\"https://www.hillaryclinton.com/briefing/statements/2016/06/25/statement-from-senior-policy-advisor-maya-harris-on-democratic-platform/\" target=\"_blank\">highlighted and praised\u003c/a> by presumptive nominee Hillary Clinton's campaign, noting that it represents the first time such an explicit vow has been included.\u003c/p>\n\u003cp>\u003cstrong>3. Opponents of abortion rights aren't likely to retreat.\u003c/strong>\u003c/p>\n\u003cp>While the latest Supreme Court ruling was definitely a setback for abortion foes, they are not giving up. For one thing, \u003ca href=\"http://www.prochoiceamerica.org/assets/download-files/2016-wd-report.pdf\" target=\"_blank\">opponents remain in control of a majority\u003c/a> of state legislatures and governorships, and that's unlikely to change following this year's national elections.\u003c/p>\n\u003cp>\"Americans United for Life will continue to fight — in legislatures and in the courts — to protect women from a dangerous and greedy abortion industry,\" said AUL Acting President and Senior Counsel Clarke Forsythe. Americans United for Life has been at the forefront of \u003ca href=\"http://www.npr.org/sections/health-shots/2016/03/04/469094346/legal-foes-in-texas-abortion-case-are-using-new-playbooks\" target=\"_blank\">developing model laws\u003c/a> restricting access to abortion.\u003c/p>\n\u003cp>The movement against abortion rights has a much larger menu to choose from than the two issues the high court addressed. For example, many states (including Texas) have passed or are considering \u003ca href=\"https://www.guttmacher.org/sites/default/files/pdfs/spibs/spib_PLTA.pdf\" target=\"_blank\">bans on abortion after roughly 20 weeks of pregnancy\u003c/a>. Many of those bans are being \u003ca href=\"http://www.latimes.com/nation/nationnow/la-na-nn-abortion-idaho-20150530-story.html\" target=\"_blank\">challenged in the courts\u003c/a> but none has yet reached the Supreme Court. Other restrictions include requiring pregnant women to have ultrasounds before an abortion, to make multiple visits to an abortion provider and banning the use of \u003ca href=\"http://www.theatlantic.com/business/archive/2014/10/the-safer-more-affordable-abortion-only-available-in-two-states/381321/\" target=\"_blank\">telemedicine\u003c/a> for medical (as opposed to surgical) abortions using the abortion pill \u003ca href=\"https://www.nlm.nih.gov/medlineplus/druginfo/meds/a600042.html\">mifepristone\u003c/a>.\u003c/p>\n\u003cp>Abortion opponents say they aren't giving up on pursuing health and safety standards like the ones struck down in Texas, either. \"This issue of safety standards is not over,\" said Marilyn Musgrave, vice president of government affairs at Susan B. Anthony List.\u003c/p>\n\u003cp>Even some similar laws could pass muster if they are crafted carefully enough, said Kristi Hamrick, a spokeswoman for Americans United for Life. \"We don't have a one-size-fits-all bill to send to the 50 states,\" she said. \"The law is specific and so the tools must be too.\"\u003c/p>\n\u003cp>\u003cstrong>4. The decision could shake up national politics.\u003c/strong>\u003c/p>\n\u003cp>Both sides in the long-polarized abortion debate are already pointing to the case in an effort to mobilize their supporters.\u003c/p>\n\u003cp>\"This certainly makes the November presidential election even more critical,\" said Musgrave of the Susan B. Anthony List. \"It is so obvious that we need to elect a pro-life president.\"\u003c/p>\n\u003cp>On the opposite side, Ilyse Hogue, president of NARAL Pro-Choice America, says the decision \"underscores what the election means for Supreme Court jurisprudence.\" With one vacancy already on the court and others likely in the next four years, she said, \"reproductive freedom is very much on the ballot this November.\"\u003c/p>\n\u003cp>Hillary Clinton's campaign hailed the decision. \"We need a president who will defend women's health and rights and appoint Supreme Court justices who recognize Roe v. Wade as settled law,\" said a statement from the candidate.\u003c/p>\n\u003cp>And while presumptive GOP nominee Donald Trump's campaign was silent on the issue in the immediate aftermath of the decision, Musgrave said abortion opponents are confident he is on their side. \"Say what you will about Donald Trump, his commitment to nominate pro-life justices — I've never seen another candidate do that,\" she said.\u003c/p>\n\u003cp>\u003cstrong>5. Younger generation will have a lot to say about the future of abortion rights.\u003c/strong>\u003c/p>\n\u003cp>Among the many things the two sides in the abortion debate disagree about is how the younger generation feels about abortion. Polls tend to differ dramatically depending on how the question is asked.\u003c/p>\n\u003cp>Musgrave says, \"Our polling shows more and more millennials are pro-life, particularly when you look at things like 20-week (abortion) bans.\"\u003c/p>\n\u003cp>But Dawn Laguens, executive vice president of Planned Parenthood, says they are seeing the exact opposite — that younger women are more supportive of abortion rights. \"They're so social justice oriented,\" she said.\u003c/p>\n\u003cp>And Laguens says that coming \u003ca href=\"http://www.wsj.com/articles/changing-u-s-demographics-favor-democrats-in-election-report-says-1456376460\" target=\"_blank\">demographic changes\u003c/a>, including a more diverse electorate that could tilt Democratic, are a main reason for the recent spike in anti-abortion legislating.\u003c/p>\n\u003cp>\"They feel it slipping away,\" she said. \"They can see the demographics, too, and they want to lock this stuff in.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Kaiser Health News is an editorially independent news service that is part of the nonpartisan Henry J. Kaiser Family Foundation. You can follow Julie Rovner\u003c/em>\u003cem> on Twitter:\u003c/em>\u003ca href=\"https://twitter.com/jrovner\">@jrovner\u003c/a>.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 Kaiser Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a>.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=5+Things+To+Consider+About+The+Supreme+Court%27s+Decision+On+Texas+Abortion+Law+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
"disqusIdentifier": "206784 http://ww2.kqed.org/stateofhealth/?p=206784",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2016/07/01/5-things-to-consider-about-the-supreme-courts-decision-on-texas-abortion-law/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 1399,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 34
},
"modified": 1467396889,
"excerpt": "Where does the decision fit in the court's long history of actions on abortion rights and restrictions? ",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Where does the decision fit in the court's long history of actions on abortion rights and restrictions? ",
"title": "5 Things To Consider About The Supreme Court's Decision On Texas Abortion Law | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "5 Things To Consider About The Supreme Court's Decision On Texas Abortion Law",
"datePublished": "2016-07-01T11:14:49-07:00",
"dateModified": "2016-07-01T11:14:49-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "5-things-to-consider-about-the-supreme-courts-decision-on-texas-abortion-law",
"status": "publish",
"nprApiLink": "http://api.npr.org/query?id=484332807&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004",
"nprByline": "Julie Rovner\u003cbr />\u003ca href=\"http://khn.org/\">Kaiser Health News\u003c/a>",
"nprStoryDate": "Fri, 01 Jul 2016 13:51:00 -0400",
"nprLastModifiedDate": "Fri, 01 Jul 2016 13:52:48 -0400",
"nprHtmlLink": "http://www.npr.org/sections/health-shots/2016/07/01/484332807/5-things-to-consider-about-the-supreme-court-s-decision-on-texas-abortion-law?ft=nprml&f=484332807",
"nprImageAgency": "AFP/Getty Images",
"nprImageCredit": "Mandel Ngan",
"nprStoryId": "484332807",
"nprRetrievedStory": "1",
"nprPubDate": "Fri, 01 Jul 2016 13:52:00 -0400",
"path": "/stateofhealth/206784/5-things-to-consider-about-the-supreme-courts-decision-on-texas-abortion-law",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Supreme Court this week delivered its strongest affirmation of a women's right to abortion in years. By a margin of 5-3, it struck down two key provisions of a Texas law restricting the procedure.\u003c/p>\n\u003cp>But where does the decision in \u003ca href=\"http://www.supremecourt.gov/opinions/15pdf/15-274_p8k0.pdf\" target=\"_blank\">Whole Woman's Health v. Hellerstedt\u003c/a> fit in the court's long history of actions abortion rights and restrictions? And what effect might the case have on similar laws in other states and this fall's elections? Here are five insights about the case that provide some context:\u003c/p>\n\u003cp>\u003cstrong>1. It's the first big win for supporters of abortion rights in a long time.\u003c/strong>\u003c/p>\n\u003cp>The last time abortion-rights supporters were on the winning side of a big case at the Supreme Court was 16 years ago, when a 5-4 ruling in \u003ca href=\"https://www.oyez.org/cases/1999/99-830\" target=\"_blank\">Stenberg v. Carhart\u003c/a> struck down a Nebraska law banning a specific procedure abortion opponents called \"partial birth abortion.\" That win was effectively reversed in 2007, however, when the court upheld a similar federal law banning the same procedure, also on a 5-4 ruling, in \u003ca href=\"https://www.oyez.org/cases/2006/05-380\" target=\"_blank\">Gonzales v. Carhart\u003c/a>. The substance hadn't changed much, but the replacement of Justice Sandra Day O'Connor with Justice Samuel Alito in 2006 gave abortion opponents an extra vote, which was enough to change the outcome.\u003c/p>\n\u003cp>After Monday's decision, many foes of abortion rights complained that there were few restrictions on abortion that would pass muster with the high court. But, in fact, in the years since the court first legalized abortion nationwide in \u003ca href=\"https://www.oyez.org/cases/1971/70-18\" target=\"_blank\">Roe v. Wade\u003c/a> in 1973, about half the major cases have been clear wins for abortion opponents, including upholding state laws requiring \u003ca href=\"https://www.law.cornell.edu/supremecourt/text/497/502\" target=\"_blank\">parental involvement for minors\u003c/a>, \u003ca href=\"https://www.oyez.org/cases/1991/91-744\" target=\"_blank\">waiting periods\u003c/a>, and \u003ca href=\"https://www.oyez.org/cases/1979/79-1268\" target=\"_blank\">bans on the use of public funds\u003c/a> to pay for abortions.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>2. It could put pro-abortion rights forces on the offensive.\u003c/strong>\u003c/p>\n\u003cp>Since Republicans took over Congress and most state legislatures after the 2010 elections, states have enacted \u003ca href=\"https://www.guttmacher.org/article/2016/01/last-five-years-account-more-one-quarter-all-abortion-restrictions-enacted-roe\" target=\"_blank\">nearly 300 separate abortion restrictions\u003c/a>; the most in any five-year period since \u003cem>Roe v. Wade\u003c/em> was decided. Many of those were the same types of \u003ca href=\"https://www.guttmacher.org/sites/default/files/pdfs/spibs/spib_TRAP.pdf\" target=\"_blank\">laws claiming protections for women's health\u003c/a> that were struck down by the Supreme Court this week. Those laws include requiring doctors who perform abortions to have admitting privileges at a nearby hospital and requiring abortion clinics to meet the standards of facilities performing more involved surgical procedures.\u003c/p>\n\u003cp>The justices have already responded to petitions from some states with similar laws. Just a day after handing down the Texas ruling, they rejected appeals from \u003ca href=\"http://www.reuters.com/article/us-usa-court-abortion-idUSKCN0ZE1MJ\" target=\"_blank\">Mississippi and Wisconsin\u003c/a>, where physician admitting privilege laws had been blocked by lower court judges. Those laws are now permanently blocked. Officials in \u003ca href=\"http://www.ago.state.al.us/News-863\" target=\"_blank\">Alabama\u003c/a> also dropped their defense of a similar law.\u003c/p>\n\u003cp>But the decision doesn't automatically invalidate similar laws in other states because the effect of such statutes is different in every community. For example, what may amount to an \"undue burden\" in Texas because of the sheer size of the state might not be as burdensome in states with clinics closer together.\u003c/p>\n\u003cp>In states where lower court judges have already blocked laws, those blocks are almost certain to remain in place. But in other states opponents of the restrictions would have to work to overturn each law individually.\u003c/p>\n\u003cp>They say that is what they plan to do. \"We will now will take this fight state by state to challenge and repeal laws all across the country,\" Planned Parenthood President Cecile Richards told reporters in a conference call immediately after the ruling.\u003c/p>\n\u003cp>Planned Parenthood announced on Thursday that it would pursue efforts to block or repeal similar laws in eight states: Arizona, Florida, Michigan, Missouri, Pennsylvania, Tennessee, Texas, and Virginia.\u003c/p>\n\u003cp>Abortion-rights supporters are also taking aim at some long-standing abortion restrictions in federal law. The \u003ca href=\"https://demconvention.com/news/democratic-platform-drafting-meeting-concludes/\" target=\"_blank\">draft Democratic platform\u003c/a> that will be finalized at the party's nominating convention in late July includes a plan calling for the repeal of the \u003ca href=\"http://www.npr.org/templates/story/story.php?storyId=121402281\" target=\"_blank\">Hyde Amendment\u003c/a>, which has banned most federal abortion funding since 1977. That provision was \u003ca href=\"https://www.hillaryclinton.com/briefing/statements/2016/06/25/statement-from-senior-policy-advisor-maya-harris-on-democratic-platform/\" target=\"_blank\">highlighted and praised\u003c/a> by presumptive nominee Hillary Clinton's campaign, noting that it represents the first time such an explicit vow has been included.\u003c/p>\n\u003cp>\u003cstrong>3. Opponents of abortion rights aren't likely to retreat.\u003c/strong>\u003c/p>\n\u003cp>While the latest Supreme Court ruling was definitely a setback for abortion foes, they are not giving up. For one thing, \u003ca href=\"http://www.prochoiceamerica.org/assets/download-files/2016-wd-report.pdf\" target=\"_blank\">opponents remain in control of a majority\u003c/a> of state legislatures and governorships, and that's unlikely to change following this year's national elections.\u003c/p>\n\u003cp>\"Americans United for Life will continue to fight — in legislatures and in the courts — to protect women from a dangerous and greedy abortion industry,\" said AUL Acting President and Senior Counsel Clarke Forsythe. Americans United for Life has been at the forefront of \u003ca href=\"http://www.npr.org/sections/health-shots/2016/03/04/469094346/legal-foes-in-texas-abortion-case-are-using-new-playbooks\" target=\"_blank\">developing model laws\u003c/a> restricting access to abortion.\u003c/p>\n\u003cp>The movement against abortion rights has a much larger menu to choose from than the two issues the high court addressed. For example, many states (including Texas) have passed or are considering \u003ca href=\"https://www.guttmacher.org/sites/default/files/pdfs/spibs/spib_PLTA.pdf\" target=\"_blank\">bans on abortion after roughly 20 weeks of pregnancy\u003c/a>. Many of those bans are being \u003ca href=\"http://www.latimes.com/nation/nationnow/la-na-nn-abortion-idaho-20150530-story.html\" target=\"_blank\">challenged in the courts\u003c/a> but none has yet reached the Supreme Court. Other restrictions include requiring pregnant women to have ultrasounds before an abortion, to make multiple visits to an abortion provider and banning the use of \u003ca href=\"http://www.theatlantic.com/business/archive/2014/10/the-safer-more-affordable-abortion-only-available-in-two-states/381321/\" target=\"_blank\">telemedicine\u003c/a> for medical (as opposed to surgical) abortions using the abortion pill \u003ca href=\"https://www.nlm.nih.gov/medlineplus/druginfo/meds/a600042.html\">mifepristone\u003c/a>.\u003c/p>\n\u003cp>Abortion opponents say they aren't giving up on pursuing health and safety standards like the ones struck down in Texas, either. \"This issue of safety standards is not over,\" said Marilyn Musgrave, vice president of government affairs at Susan B. Anthony List.\u003c/p>\n\u003cp>Even some similar laws could pass muster if they are crafted carefully enough, said Kristi Hamrick, a spokeswoman for Americans United for Life. \"We don't have a one-size-fits-all bill to send to the 50 states,\" she said. \"The law is specific and so the tools must be too.\"\u003c/p>\n\u003cp>\u003cstrong>4. The decision could shake up national politics.\u003c/strong>\u003c/p>\n\u003cp>Both sides in the long-polarized abortion debate are already pointing to the case in an effort to mobilize their supporters.\u003c/p>\n\u003cp>\"This certainly makes the November presidential election even more critical,\" said Musgrave of the Susan B. Anthony List. \"It is so obvious that we need to elect a pro-life president.\"\u003c/p>\n\u003cp>On the opposite side, Ilyse Hogue, president of NARAL Pro-Choice America, says the decision \"underscores what the election means for Supreme Court jurisprudence.\" With one vacancy already on the court and others likely in the next four years, she said, \"reproductive freedom is very much on the ballot this November.\"\u003c/p>\n\u003cp>Hillary Clinton's campaign hailed the decision. \"We need a president who will defend women's health and rights and appoint Supreme Court justices who recognize Roe v. Wade as settled law,\" said a statement from the candidate.\u003c/p>\n\u003cp>And while presumptive GOP nominee Donald Trump's campaign was silent on the issue in the immediate aftermath of the decision, Musgrave said abortion opponents are confident he is on their side. \"Say what you will about Donald Trump, his commitment to nominate pro-life justices — I've never seen another candidate do that,\" she said.\u003c/p>\n\u003cp>\u003cstrong>5. Younger generation will have a lot to say about the future of abortion rights.\u003c/strong>\u003c/p>\n\u003cp>Among the many things the two sides in the abortion debate disagree about is how the younger generation feels about abortion. Polls tend to differ dramatically depending on how the question is asked.\u003c/p>\n\u003cp>Musgrave says, \"Our polling shows more and more millennials are pro-life, particularly when you look at things like 20-week (abortion) bans.\"\u003c/p>\n\u003cp>But Dawn Laguens, executive vice president of Planned Parenthood, says they are seeing the exact opposite — that younger women are more supportive of abortion rights. \"They're so social justice oriented,\" she said.\u003c/p>\n\u003cp>And Laguens says that coming \u003ca href=\"http://www.wsj.com/articles/changing-u-s-demographics-favor-democrats-in-election-report-says-1456376460\" target=\"_blank\">demographic changes\u003c/a>, including a more diverse electorate that could tilt Democratic, are a main reason for the recent spike in anti-abortion legislating.\u003c/p>\n\u003cp>\"They feel it slipping away,\" she said. \"They can see the demographics, too, and they want to lock this stuff in.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "floatright"
},
"numeric": [
"floatright"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Kaiser Health News is an editorially independent news service that is part of the nonpartisan Henry J. Kaiser Family Foundation. You can follow Julie Rovner\u003c/em>\u003cem> on Twitter:\u003c/em>\u003ca href=\"https://twitter.com/jrovner\">@jrovner\u003c/a>.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 Kaiser Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a>.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=5+Things+To+Consider+About+The+Supreme+Court%27s+Decision+On+Texas+Abortion+Law+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/206784/5-things-to-consider-about-the-supreme-courts-decision-on-texas-abortion-law",
"authors": [
"byline_stateofhealth_206784"
],
"categories": [
"stateofhealth_14",
"stateofhealth_13"
],
"tags": [
"stateofhealth_160",
"stateofhealth_2519",
"stateofhealth_397"
],
"featImg": "stateofhealth_206785",
"label": "stateofhealth"
},
"stateofhealth_205822": {
"type": "posts",
"id": "stateofhealth_205822",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "205822",
"score": null,
"sort": [
1467334618000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth",
"term": 2492
},
"blocks": [],
"publishDate": 1467334618,
"format": "aside",
"disqusTitle": "Northern California Has Highest Costs in the U.S. to Deliver a Baby",
"title": "Northern California Has Highest Costs in the U.S. to Deliver a Baby",
"headTitle": "Price Check | State of Health | KQED News",
"content": "\u003cp>Sacramento and the San Francisco Bay Area ranked as the most expensive places to have a baby of 30 major metropolitan regions in the U.S. according to \u003ca href=\"http://www.castlighthealth.com/press-releases/new-study-shows-huge-cost-differences-for-having-a-baby-often-in-the-same-city/\" target=\"_blank\">an analysis\u003c/a> released Thursday.\u003c/p>\n\u003cp>Sacramento came in first (congrats to you) where a vaginal birth cost $15,420 on average. The San Francisco Bay Area was a close second at $15,204. Minneapolis trailed in third place by almost $4,000, coming in at $11,527, and the least expensive of the 30 largest metropolitan areas surveyed was Kansas City, Missouri, where a vaginal delivery costs an avery $6,075.\u003c/p>\n\u003cp>These are \"routine vaginal deliveries,\" folks. Again, those are \"average\" costs. We'll get to the variation within regions further down.\u003c/p>\n\u003cp>\u003cimg class=\"aligncenter size-full wp-image-206296\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/VaginalRoutine-e1467324299747.jpg\" alt=\"VaginalRoutine\" width=\"1920\" height=\"1484\">\u003c/p>\n\u003cp>The numbers were crunched by San Francisco-based Castlight, a health care information company. They looked at medical claims data as well as other information. Since Castlight primarily works with self-insured large companies, it says the costs it crunched include both the employee's out-of-pocket costs and what the employer paid for the delivery.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Birth by Cesarean section typically cost more than vaginal deliveries and did in this survey as well. Sacramento was first at $27,067; the Bay Area was second at $21,799. Portland, Oregon trailed in third at $18,066. The least expensive of the metropolitan areas was Pittsburgh, Penn. at $6,891.\u003c/p>\n\u003cp>Here's the national C-section map:\u003c/p>\n\u003cp>\u003cimg class=\"aligncenter size-full wp-image-206320\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/top_30_cities_delivery_maps_csection-e1467325171879.jpg\" alt=\"top_30_cities_delivery_maps_csection\" width=\"1920\" height=\"1484\">\u003c/p>\n\u003cp>But Castlight didn't actually stop at the 30 biggest metropolitan areas. They surveyed 190 areas across the country, including 13 in California.\u003c/p>\n\u003cp>While Sacramento and the Bay Area are the most expensive major regions to have a baby, other, smaller, California cities rank even higher.\u003c/p>\n\u003cp>Here's the list for routine vaginal deliveries in California:\u003c/p>\n\u003cp>Merced $19,191\u003cbr>\nSalinas $17,772\u003cbr>\nSacramento-Yolo $15,420\u003cbr>\nSF-Oakland-San Jose $15,204\u003cbr>\nStockton-Lodi $13,972\u003cbr>\nSan Luis Obispo-Atascadero-Paso Robles $13,926\u003cbr>\nSanta Barbara-Santa Maria-Lompoc $12,219\u003cbr>\nBakersfield $11,055\u003cbr>\nLos Angeles-Riverside-Orange $10,285\u003cbr>\nModesto $9,903\u003cbr>\nSan Diego $9,709\u003cbr>\nChico-Paradise $7,839\u003cbr>\nFresno $7,278\u003c/p>\n\u003cp>In addition to the cost difference between areas, there's tremendous cost variation within regions, too. In the Bay Area, the range for a vaginal delivery is $7,700 to $28,000, a four-fold difference. In Sacramento, it's $4,560 to $24,549, a five-fold difference.\u003c/p>\n\u003cp>Feeling ill yet?\u003c/p>\n\u003cp>If you're wondering why this happens, Kristin Torres Mowat, senior vice president at Castlight, chalked it up to the \"obscure, dysfunctional and inefficient health care market.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"smGr7FZlFDM9IcWYJVq0A3jdEsPJrPIH\"]In Northern California, consolidation on the provider side -- both doctors and hospitals -- helps them to wield market power and drive up costs.\u003c/p>\n\u003cp>The most recent evidence came earlier this month \u003ca href=\"http://inq.sagepub.com/content/53/0046958016651555.full\" target=\"_blank\">in a study\u003c/a> from USC health economists who pointed, again, to the market power of Sutter Health and Dignity Health.\u003c/p>\n\u003cp>\"Over time, they have acquired physician practices, outpatient clinics, hospitals and have a disproportionate share in the market,\" Mowat said.\u003c/p>\n\u003cp>(Disclaimer that data from Kaiser Permanente was not included in the USC study.)\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Mowat advised that consumers ask for an estimate of costs early in their pregnancy, but that estimate is not always easy to get.\u003c/p>\n\n",
"disqusIdentifier": "205822 http://ww2.kqed.org/stateofhealth/?p=205822",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2016/06/30/northern-california-has-highest-costs-in-the-u-s-to-deliver-a-baby/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 545,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 22
},
"modified": 1467336735,
"excerpt": "A new analysis finds that the Bay Area and Sacramento are the two most expensive places in 30 major metropolitan areas nationwide to give birth.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "A new analysis finds that the Bay Area and Sacramento are the two most expensive places in 30 major metropolitan areas nationwide to give birth.",
"title": "Northern California Has Highest Costs in the U.S. to Deliver a Baby | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Northern California Has Highest Costs in the U.S. to Deliver a Baby",
"datePublished": "2016-06-30T17:56:58-07:00",
"dateModified": "2016-06-30T18:32:15-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "northern-california-has-highest-costs-in-the-u-s-to-deliver-a-baby",
"status": "publish",
"path": "/stateofhealth/205822/northern-california-has-highest-costs-in-the-u-s-to-deliver-a-baby",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Sacramento and the San Francisco Bay Area ranked as the most expensive places to have a baby of 30 major metropolitan regions in the U.S. according to \u003ca href=\"http://www.castlighthealth.com/press-releases/new-study-shows-huge-cost-differences-for-having-a-baby-often-in-the-same-city/\" target=\"_blank\">an analysis\u003c/a> released Thursday.\u003c/p>\n\u003cp>Sacramento came in first (congrats to you) where a vaginal birth cost $15,420 on average. The San Francisco Bay Area was a close second at $15,204. Minneapolis trailed in third place by almost $4,000, coming in at $11,527, and the least expensive of the 30 largest metropolitan areas surveyed was Kansas City, Missouri, where a vaginal delivery costs an avery $6,075.\u003c/p>\n\u003cp>These are \"routine vaginal deliveries,\" folks. Again, those are \"average\" costs. We'll get to the variation within regions further down.\u003c/p>\n\u003cp>\u003cimg class=\"aligncenter size-full wp-image-206296\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/VaginalRoutine-e1467324299747.jpg\" alt=\"VaginalRoutine\" width=\"1920\" height=\"1484\">\u003c/p>\n\u003cp>The numbers were crunched by San Francisco-based Castlight, a health care information company. They looked at medical claims data as well as other information. Since Castlight primarily works with self-insured large companies, it says the costs it crunched include both the employee's out-of-pocket costs and what the employer paid for the delivery.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Birth by Cesarean section typically cost more than vaginal deliveries and did in this survey as well. Sacramento was first at $27,067; the Bay Area was second at $21,799. Portland, Oregon trailed in third at $18,066. The least expensive of the metropolitan areas was Pittsburgh, Penn. at $6,891.\u003c/p>\n\u003cp>Here's the national C-section map:\u003c/p>\n\u003cp>\u003cimg class=\"aligncenter size-full wp-image-206320\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/top_30_cities_delivery_maps_csection-e1467325171879.jpg\" alt=\"top_30_cities_delivery_maps_csection\" width=\"1920\" height=\"1484\">\u003c/p>\n\u003cp>But Castlight didn't actually stop at the 30 biggest metropolitan areas. They surveyed 190 areas across the country, including 13 in California.\u003c/p>\n\u003cp>While Sacramento and the Bay Area are the most expensive major regions to have a baby, other, smaller, California cities rank even higher.\u003c/p>\n\u003cp>Here's the list for routine vaginal deliveries in California:\u003c/p>\n\u003cp>Merced $19,191\u003cbr>\nSalinas $17,772\u003cbr>\nSacramento-Yolo $15,420\u003cbr>\nSF-Oakland-San Jose $15,204\u003cbr>\nStockton-Lodi $13,972\u003cbr>\nSan Luis Obispo-Atascadero-Paso Robles $13,926\u003cbr>\nSanta Barbara-Santa Maria-Lompoc $12,219\u003cbr>\nBakersfield $11,055\u003cbr>\nLos Angeles-Riverside-Orange $10,285\u003cbr>\nModesto $9,903\u003cbr>\nSan Diego $9,709\u003cbr>\nChico-Paradise $7,839\u003cbr>\nFresno $7,278\u003c/p>\n\u003cp>In addition to the cost difference between areas, there's tremendous cost variation within regions, too. In the Bay Area, the range for a vaginal delivery is $7,700 to $28,000, a four-fold difference. In Sacramento, it's $4,560 to $24,549, a five-fold difference.\u003c/p>\n\u003cp>Feeling ill yet?\u003c/p>\n\u003cp>If you're wondering why this happens, Kristin Torres Mowat, senior vice president at Castlight, chalked it up to the \"obscure, dysfunctional and inefficient health care market.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>In Northern California, consolidation on the provider side -- both doctors and hospitals -- helps them to wield market power and drive up costs.\u003c/p>\n\u003cp>The most recent evidence came earlier this month \u003ca href=\"http://inq.sagepub.com/content/53/0046958016651555.full\" target=\"_blank\">in a study\u003c/a> from USC health economists who pointed, again, to the market power of Sutter Health and Dignity Health.\u003c/p>\n\u003cp>\"Over time, they have acquired physician practices, outpatient clinics, hospitals and have a disproportionate share in the market,\" Mowat said.\u003c/p>\n\u003cp>(Disclaimer that data from Kaiser Permanente was not included in the USC study.)\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Mowat advised that consumers ask for an estimate of costs early in their pregnancy, but that estimate is not always easy to get.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/205822/northern-california-has-highest-costs-in-the-u-s-to-deliver-a-baby",
"authors": [
"240"
],
"series": [
"stateofhealth_2492"
],
"categories": [
"stateofhealth_2442",
"stateofhealth_13"
],
"tags": [
"stateofhealth_482",
"stateofhealth_2519"
],
"featImg": "stateofhealth_206296",
"label": "stateofhealth_2492"
},
"stateofhealth_205539": {
"type": "posts",
"id": "stateofhealth_205539",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "205539",
"score": null,
"sort": [
1467207553000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1467207553,
"format": "standard",
"disqusTitle": "California Drug Price Transparency Bill Clears Key Health Committee",
"title": "California Drug Price Transparency Bill Clears Key Health Committee",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>A measure that would compel pharmaceutical companies to disclose and justify drug price increases overcame a show of skepticism by Democratic lawmakers on Tuesday afternoon, passing the Assembly Health Committee 12-4 on a party-line vote.\u003c/p>\n\u003cp>The \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB1010\" target=\"_blank\">bill\u003c/a> — softened from earlier versions — would require drug manufacturers to notify state agencies and health insurers within days of federal approval for a new drug that cost $10,000 or more per year or for one course of treatment.\u003c/p>\n\u003cp>Drugmakers would be required to provide 30 days’ notice before increasing the price of a drug. The pharmaceutical industry also would have to justify the price increases as well as the introduction of high-cost drugs.\u003c/p>\n\u003cp>“This bill renders prescription drugs in line with other sectors of health care,” said the bill’s author, state Sen. Ed Hernandez, D-West Covina, who is chairman of the Senate Committee on Health. Hernandez said other industries, such as health insurance, already face pricing and transparency rules.\u003c/p>\n\u003cp>California is among about a dozen states that have considered proposals this year to impose greater price transparency on pharmaceutical companies, as dramatic drug price hikes make headlines and stoke public ire.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The bill’s supporters say advance notice of a price increase can help drug purchasers negotiate the best deal for consumers. Pharmaceutical companies had \u003ca href=\"http://californiahealthline.org/news/california-drug-price-measure-fiercely-opposed-by-pharmaceutical-industry/\" target=\"_blank\">criticized that provision\u003c/a>, saying it could prompt “hoarding” by large pharmacies.\u003c/p>\n\u003cp>A few lawmakers commented on the complexity of the measure, seeming overwhelmed by the topic of pharmaceutical pricing and uncertain how the bill would affect it.\u003c/p>\n\u003cp>“I’m very afraid that this is only going to disrupt the marketplace and further increase the prices,” said Assemblyman Adrin Nazarian, D-Sherman Oaks. He ended up supporting the bill.\u003c/p>\n\u003cp>Assemblyman Freddie Rodriguez, D-Pomona, asked if the bill would cause health care premiums to go down.\u003c/p>\n\u003cp>“I’ve got a lot of different answers, so it’s hard for me to grasp it,” said Rodriguez. “I’ve been trying to look at this for the last probably two weeks,” he said. He, too, voted for the measure.\u003c/p>\n\u003cp>Before the hearing, Hernandez said lawmakers on the committee had been asking for amendments to the bill in favor of “what pharma is asking for.” He said he wasn’t sure whether the measure would have enough support to win committee approval.\u003c/p>\n\u003cp>Over the past week, the bill was altered to ease the proposed rules for the pharmaceutical industry. The advance notice drugmakers would have to give before a price increase was shortened from 60 to 30 days. A requirement to hold a yearly public hearing on drug price increases was deleted. And pharmaceutical companies would only have to notify buyers of the affected drugs.\u003c/p>\n\u003cp>The California Life Sciences Association said it had been seeking amendments on the measure over the past week. The CLSA spent $492,936 on lobbying the California legislature from January 2015 through March of this year — more than any other pharmaceutical company or trade association.\u003c/p>\n\u003cp>At the hearing, Mike Carpenter, a lobbyist speaking on behalf of CLSA, said the bill “will provide a distorted picture of the role that medicines play in overall health care costs.” He said the legislation seeks selective information that won’t “meaningfully inform” the dialogue about controlling health care spending.\u003c/p>\n\u003cp>Fred Noteware, a lobbyist speaking on behalf of the Pharmaceutical Research and Manufacturers Association (PhRMA) said the measure creates “unnecessary and onerous” requirements and doesn’t provide insight into the role health plans and pharmaceutical benefits managers (PBMs) play in pharmaceutical spending.\u003c/p>\n\u003cp>However, the bill was amended to require disclosures about and reporting from PBMs, which are companies that contract with health insurers and state agencies to negotiate lower drug prices with manufacturers.\u003c/p>\n\u003cp>Insurers backed the bill, even though it requires health plans to disclose how much they spend on prescription drugs.\u003c/p>\n\u003cp>The bill moves next to the Assembly Appropriations Committee, and if it passes, it would then go to the assembly floor for a vote.\u003c/p>\n\u003cp>If the legislation becomes law, “we will be continuing this discussion on a national level,” Hernandez said.\u003c/p>\n\u003cp>But Assemblymember David Chiu, D-San Francisco, who introduced a different drug price transparency measure last year that never made it to a vote, said getting the political support to pass the bill may be tricky.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“These fights are very unpredictable,” he said.\u003c/p>\n\n",
"disqusIdentifier": "205539 http://ww2.kqed.org/stateofhealth/?p=205539",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2016/06/29/california-drug-price-transparency-bill-clears-key-health-committee/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 760,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 23
},
"modified": 1467207553,
"excerpt": "The measure gained votes after being amended to address drugmakers' concerns.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "The measure gained votes after being amended to address drugmakers' concerns.",
"title": "California Drug Price Transparency Bill Clears Key Health Committee | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "California Drug Price Transparency Bill Clears Key Health Committee",
"datePublished": "2016-06-29T06:39:13-07:00",
"dateModified": "2016-06-29T06:39:13-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "california-drug-price-transparency-bill-clears-key-health-committee",
"status": "publish",
"nprByline": "Pauline Bartolone, California Healthline",
"path": "/stateofhealth/205539/california-drug-price-transparency-bill-clears-key-health-committee",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A measure that would compel pharmaceutical companies to disclose and justify drug price increases overcame a show of skepticism by Democratic lawmakers on Tuesday afternoon, passing the Assembly Health Committee 12-4 on a party-line vote.\u003c/p>\n\u003cp>The \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB1010\" target=\"_blank\">bill\u003c/a> — softened from earlier versions — would require drug manufacturers to notify state agencies and health insurers within days of federal approval for a new drug that cost $10,000 or more per year or for one course of treatment.\u003c/p>\n\u003cp>Drugmakers would be required to provide 30 days’ notice before increasing the price of a drug. The pharmaceutical industry also would have to justify the price increases as well as the introduction of high-cost drugs.\u003c/p>\n\u003cp>“This bill renders prescription drugs in line with other sectors of health care,” said the bill’s author, state Sen. Ed Hernandez, D-West Covina, who is chairman of the Senate Committee on Health. Hernandez said other industries, such as health insurance, already face pricing and transparency rules.\u003c/p>\n\u003cp>California is among about a dozen states that have considered proposals this year to impose greater price transparency on pharmaceutical companies, as dramatic drug price hikes make headlines and stoke public ire.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The bill’s supporters say advance notice of a price increase can help drug purchasers negotiate the best deal for consumers. Pharmaceutical companies had \u003ca href=\"http://californiahealthline.org/news/california-drug-price-measure-fiercely-opposed-by-pharmaceutical-industry/\" target=\"_blank\">criticized that provision\u003c/a>, saying it could prompt “hoarding” by large pharmacies.\u003c/p>\n\u003cp>A few lawmakers commented on the complexity of the measure, seeming overwhelmed by the topic of pharmaceutical pricing and uncertain how the bill would affect it.\u003c/p>\n\u003cp>“I’m very afraid that this is only going to disrupt the marketplace and further increase the prices,” said Assemblyman Adrin Nazarian, D-Sherman Oaks. He ended up supporting the bill.\u003c/p>\n\u003cp>Assemblyman Freddie Rodriguez, D-Pomona, asked if the bill would cause health care premiums to go down.\u003c/p>\n\u003cp>“I’ve got a lot of different answers, so it’s hard for me to grasp it,” said Rodriguez. “I’ve been trying to look at this for the last probably two weeks,” he said. He, too, voted for the measure.\u003c/p>\n\u003cp>Before the hearing, Hernandez said lawmakers on the committee had been asking for amendments to the bill in favor of “what pharma is asking for.” He said he wasn’t sure whether the measure would have enough support to win committee approval.\u003c/p>\n\u003cp>Over the past week, the bill was altered to ease the proposed rules for the pharmaceutical industry. The advance notice drugmakers would have to give before a price increase was shortened from 60 to 30 days. A requirement to hold a yearly public hearing on drug price increases was deleted. And pharmaceutical companies would only have to notify buyers of the affected drugs.\u003c/p>\n\u003cp>The California Life Sciences Association said it had been seeking amendments on the measure over the past week. The CLSA spent $492,936 on lobbying the California legislature from January 2015 through March of this year — more than any other pharmaceutical company or trade association.\u003c/p>\n\u003cp>At the hearing, Mike Carpenter, a lobbyist speaking on behalf of CLSA, said the bill “will provide a distorted picture of the role that medicines play in overall health care costs.” He said the legislation seeks selective information that won’t “meaningfully inform” the dialogue about controlling health care spending.\u003c/p>\n\u003cp>Fred Noteware, a lobbyist speaking on behalf of the Pharmaceutical Research and Manufacturers Association (PhRMA) said the measure creates “unnecessary and onerous” requirements and doesn’t provide insight into the role health plans and pharmaceutical benefits managers (PBMs) play in pharmaceutical spending.\u003c/p>\n\u003cp>However, the bill was amended to require disclosures about and reporting from PBMs, which are companies that contract with health insurers and state agencies to negotiate lower drug prices with manufacturers.\u003c/p>\n\u003cp>Insurers backed the bill, even though it requires health plans to disclose how much they spend on prescription drugs.\u003c/p>\n\u003cp>The bill moves next to the Assembly Appropriations Committee, and if it passes, it would then go to the assembly floor for a vote.\u003c/p>\n\u003cp>If the legislation becomes law, “we will be continuing this discussion on a national level,” Hernandez said.\u003c/p>\n\u003cp>But Assemblymember David Chiu, D-San Francisco, who introduced a different drug price transparency measure last year that never made it to a vote, said getting the political support to pass the bill may be tricky.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“These fights are very unpredictable,” he said.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/205539/california-drug-price-transparency-bill-clears-key-health-committee",
"authors": [
"byline_stateofhealth_205539"
],
"categories": [
"stateofhealth_13"
],
"tags": [
"stateofhealth_2640",
"stateofhealth_2519"
],
"featImg": "stateofhealth_183750",
"label": "stateofhealth"
},
"stateofhealth_198989": {
"type": "posts",
"id": "stateofhealth_198989",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "198989",
"score": null,
"sort": [
1467139503000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1467139503,
"format": "standard",
"disqusTitle": "When Autism Ages Out of the School System",
"title": "When Autism Ages Out of the School System",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>\u003cem>Editor's note: This essay was originally published by the\u003ca href=\"http://www.healthycal.org\" target=\"_blank\"> California Health Report\u003c/a>\u003c/em>.\u003c/p>\n\u003cp>\u003cb>\u003c/b>California’s day programs for adults with autism are underfunded and overcrowded. But with thousands of young people with developmental delays or disabilities about to reach the age at which they can no longer attend a public school and receive the many services offered there, the problem is soon going to get much, much worse.\u003c/p>\n\u003cp>My daughter’s story is just one example of the limited options available for these young adults and the parents who care for them.\u003c/p>\n\u003cp>When Briana’s special education school abruptly closed in the fall, I was faced with the premature task of finding her a placement in an adult day program. Because she is just turning 21, she would only have one more year of special education services under the 1990 \u003ca href=\"https://www.disability.gov/individuals-disabilities-education-act-idea/\" target=\"_blank\">Individuals with Disabilities Educatio\u003c/a>n Act -- or IDEA -- which assures a free and appropriate public education to disabled students to age 22.\u003c/p>\n\u003cp>I had not heard great things about the options out there, primarily because my daughter has a severe form of autism that requires a high staff-to-student ratio just to keep her safe and on task.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Several months prior to this I had gotten a small head start by touring a residential and adult day program, in a bucolic setting among redwoods, hills and the quaint downtown streets of Marin County.\u003c/p>\n\u003cp>The feeling I got upon walking through the door was happiness and inclusion. A music session was winding down and most participants were engaged. Several art classes were also going on concurrently, and that was just the beginning. A textile art center was abuzz with some 30 people busy at their looms, while another group was outdoors working on the nearby garden. A residential hall and six group homes were scattered about in neighboring towns where most of the clients live. \"OK,\" I thought. \"This is a program I could see my Briana in. How do I sign her up?\"\u003c/p>\n\u003cp>Not so easy. There is not even a waiting list per se, and the program prefers clients that are more independent than Briana. She still needs help sometimes in the bathroom, and she needs a pair of eyeballs on her at all times due to her wandering tendencies. There really was no space for someone with such great needs.\u003c/p>\n\u003cp>So what else was out there? I began the search again, this time out of urgency due to Briana’s impending loss of school placement. Our social worker at the regional center, a state-funded agency that serves people with disabilities, loosely explained the structure of existing programs. There are behavioral programs in which staff members are trained to deal with severe behaviors, such as wandering, self-injury, aggression, and toileting needs. The staff-to-client ratios in these behavioral programs start at 1:3 – one staff person for every three clients — and if needed can be moved up to 1:2 and even 1:1. In other words clients first have to try the 1:3 and fail, 1:2 and fail to get a 1:1 -- instead of just asking for the 1:1 to begin with. The program I saw in Marin was non-behavioral, so the ratio is more like 1:6.\u003c/p>\n\u003cp>My daughter’s social worker set up more tours, and I dutifully went to each one. The first one, another non-behavioral program, was quite the opposite of the Marin program. I saw 50-plus clients crowded into two run-down rooms, many in wheelchairs parked in front of a big-screen television. It was noisy and chaotic. There were some smiles, but I didn’t picture Briana there at all.\u003c/p>\n\u003cp>I asked the director how often the clients went out in the community. He said once a week and with special arrangements by parents if they wanted activities like swimming.\u003c/p>\n\u003cp>I couldn’t wait to get out of there, but the following two programs, which were behavioral, were not much better. They had greater staff-to-client ratio, but the clients almost never left the building. There was no outdoor space to utilize or enjoy.\u003c/p>\n\u003cp>Briana is outdoorsy, energetic, enthusiastic and for the most part happy. She has her down days just like all of us, but I want her to access the most the community has to offer. I was overwhelmed by a sense of sadness that felt like an open wound for months.\u003c/p>\n\u003cp>These programs, with some exceptions like the well-established one in Marin, are buckling under current conditions, and they are only going to get worse with the increasing number of adults like my daughter about to age out of the school setting.\u003c/p>\n\u003cp>The demand is leading some new programs to open, but they are faced with trying to operate a business without failing. This can mean sub-optimal buildings, and paying low wages to staff.\u003c/p>\n\u003cp>The ratios of staff members to clients are controlled by reimbursement rates by the regional centers. The regional centers receive funding from the state Department of Developmental Services. The pay rates of some of these professionals are on par with what caregivers are paid, which is close to minimum wage. Pet sitters or baristas that serve us our coffee may earn more than we pay those important, compassionate people that care for our loved ones. Are we OK with this?\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Time is needed to find a good day program for a disabled young adult because there are not enough options. In the next decade, 500,000 children with developmental delays will enter adulthood nationwide, overwhelming a system that is already inadequate for the current numbers. Legislative leaders need to know how bad the problem already is so that plans can be made to avoid this looming public crisis.\u003c/p>\n\n",
"disqusIdentifier": "198989 http://ww2.kqed.org/stateofhealth/?p=198989",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2016/06/28/when-autism-ages-out-of-the-school-system/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 986,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 19
},
"modified": 1467139563,
"excerpt": "A mother looks for services as her daughter, who has autism, ages out of school and the services it provides.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "A mother looks for services as her daughter, who has autism, ages out of school and the services it provides.",
"title": "When Autism Ages Out of the School System | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "When Autism Ages Out of the School System",
"datePublished": "2016-06-28T11:45:03-07:00",
"dateModified": "2016-06-28T11:46:03-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "when-autism-ages-out-of-the-school-system",
"status": "publish",
"nprByline": "Pam Raymond",
"path": "/stateofhealth/198989/when-autism-ages-out-of-the-school-system",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Editor's note: This essay was originally published by the\u003ca href=\"http://www.healthycal.org\" target=\"_blank\"> California Health Report\u003c/a>\u003c/em>.\u003c/p>\n\u003cp>\u003cb>\u003c/b>California’s day programs for adults with autism are underfunded and overcrowded. But with thousands of young people with developmental delays or disabilities about to reach the age at which they can no longer attend a public school and receive the many services offered there, the problem is soon going to get much, much worse.\u003c/p>\n\u003cp>My daughter’s story is just one example of the limited options available for these young adults and the parents who care for them.\u003c/p>\n\u003cp>When Briana’s special education school abruptly closed in the fall, I was faced with the premature task of finding her a placement in an adult day program. Because she is just turning 21, she would only have one more year of special education services under the 1990 \u003ca href=\"https://www.disability.gov/individuals-disabilities-education-act-idea/\" target=\"_blank\">Individuals with Disabilities Educatio\u003c/a>n Act -- or IDEA -- which assures a free and appropriate public education to disabled students to age 22.\u003c/p>\n\u003cp>I had not heard great things about the options out there, primarily because my daughter has a severe form of autism that requires a high staff-to-student ratio just to keep her safe and on task.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Several months prior to this I had gotten a small head start by touring a residential and adult day program, in a bucolic setting among redwoods, hills and the quaint downtown streets of Marin County.\u003c/p>\n\u003cp>The feeling I got upon walking through the door was happiness and inclusion. A music session was winding down and most participants were engaged. Several art classes were also going on concurrently, and that was just the beginning. A textile art center was abuzz with some 30 people busy at their looms, while another group was outdoors working on the nearby garden. A residential hall and six group homes were scattered about in neighboring towns where most of the clients live. \"OK,\" I thought. \"This is a program I could see my Briana in. How do I sign her up?\"\u003c/p>\n\u003cp>Not so easy. There is not even a waiting list per se, and the program prefers clients that are more independent than Briana. She still needs help sometimes in the bathroom, and she needs a pair of eyeballs on her at all times due to her wandering tendencies. There really was no space for someone with such great needs.\u003c/p>\n\u003cp>So what else was out there? I began the search again, this time out of urgency due to Briana’s impending loss of school placement. Our social worker at the regional center, a state-funded agency that serves people with disabilities, loosely explained the structure of existing programs. There are behavioral programs in which staff members are trained to deal with severe behaviors, such as wandering, self-injury, aggression, and toileting needs. The staff-to-client ratios in these behavioral programs start at 1:3 – one staff person for every three clients — and if needed can be moved up to 1:2 and even 1:1. In other words clients first have to try the 1:3 and fail, 1:2 and fail to get a 1:1 -- instead of just asking for the 1:1 to begin with. The program I saw in Marin was non-behavioral, so the ratio is more like 1:6.\u003c/p>\n\u003cp>My daughter’s social worker set up more tours, and I dutifully went to each one. The first one, another non-behavioral program, was quite the opposite of the Marin program. I saw 50-plus clients crowded into two run-down rooms, many in wheelchairs parked in front of a big-screen television. It was noisy and chaotic. There were some smiles, but I didn’t picture Briana there at all.\u003c/p>\n\u003cp>I asked the director how often the clients went out in the community. He said once a week and with special arrangements by parents if they wanted activities like swimming.\u003c/p>\n\u003cp>I couldn’t wait to get out of there, but the following two programs, which were behavioral, were not much better. They had greater staff-to-client ratio, but the clients almost never left the building. There was no outdoor space to utilize or enjoy.\u003c/p>\n\u003cp>Briana is outdoorsy, energetic, enthusiastic and for the most part happy. She has her down days just like all of us, but I want her to access the most the community has to offer. I was overwhelmed by a sense of sadness that felt like an open wound for months.\u003c/p>\n\u003cp>These programs, with some exceptions like the well-established one in Marin, are buckling under current conditions, and they are only going to get worse with the increasing number of adults like my daughter about to age out of the school setting.\u003c/p>\n\u003cp>The demand is leading some new programs to open, but they are faced with trying to operate a business without failing. This can mean sub-optimal buildings, and paying low wages to staff.\u003c/p>\n\u003cp>The ratios of staff members to clients are controlled by reimbursement rates by the regional centers. The regional centers receive funding from the state Department of Developmental Services. The pay rates of some of these professionals are on par with what caregivers are paid, which is close to minimum wage. Pet sitters or baristas that serve us our coffee may earn more than we pay those important, compassionate people that care for our loved ones. Are we OK with this?\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Time is needed to find a good day program for a disabled young adult because there are not enough options. In the next decade, 500,000 children with developmental delays will enter adulthood nationwide, overwhelming a system that is already inadequate for the current numbers. Legislative leaders need to know how bad the problem already is so that plans can be made to avoid this looming public crisis.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/198989/when-autism-ages-out-of-the-school-system",
"authors": [
"byline_stateofhealth_198989"
],
"categories": [
"stateofhealth_11",
"stateofhealth_13"
],
"tags": [
"stateofhealth_155",
"stateofhealth_96",
"stateofhealth_2519"
],
"featImg": "stateofhealth_205170",
"label": "stateofhealth"
},
"stateofhealth_204789": {
"type": "posts",
"id": "stateofhealth_204789",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "204789",
"score": null,
"sort": [
1467072349000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1467072349,
"format": "standard",
"disqusTitle": "California Surpasses National HIV Target -- 6 Years Early",
"title": "California Surpasses National HIV Target -- 6 Years Early",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>State health officials say California has passed a major goal in fighting HIV/AIDS: more than 90 percent of people living with the virus have been diagnosed, a necessary first step in treatment.\u003c/p>\n\u003cp>The state accomplished this goal six years ahead of the target 2020 set in the \u003ca href=\"https://www.aids.gov/federal-resources/national-hiv-aids-strategy/overview/https://www.aids.gov/federal-resources/national-hiv-aids-strategy/overview/\" target=\"_blank\">National HIV/AIDS Strategy\u003c/a>, established by the White House.\u003c/p>\n\u003cp>\u003ca href=\"http://www.cdph.ca.gov/programs/aids/Documents/California%20Continuum%20of%20HIV%20Care%20-%202014.pdf\" target=\"_blank\">Data\u003c/a> released Monday from 2014 shows 91 percent of Californians with HIV had been diagnosed.\u003c/p>\n\u003cp>In a statement, state public health officer Dr. Karen Smith said she was \"proud of the work we’ve done across the Golden State to meet and surpass this key indicator, which will help us improve viral suppression rates and reduce new HIV infections.”\u003c/p>\n\u003cp>Only after people have been diagnosed can they be treated and dramatically reduce the virus in their blood, usually to undetectable levels. Successful treatment can reduce the risk of transmitting the virus to sex partners by 96 percent, according to the California Department of Public Health.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Chris Richey, a spokesman for the San Francisco AIDS Foundation, called the milestone \"a huge deal\" and said that diagnosis was a sign of being engaged in care.\u003c/p>\n\u003cp>\"If you're not engaged in care in general,\" Richey said, \"then you're not able to know or be in control of your sexual health or your overall health.\"\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention recommend that everyone between the ages of 13 and 64 get tested for HIV at least once, as part of routine health care. Some people should be tested more frequently, CDC says. State health officials recommend annual testing for sexually active gay and bisexual men, transgender individuals and anyone who injects drugs.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>About 140,000 people in California are living with HIV.\u003c/p>\n\n",
"disqusIdentifier": "204789 http://ww2.kqed.org/stateofhealth/?p=204789",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2016/06/27/california-surpasses-national-hiv-target-6-years-early/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 296,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 11
},
"modified": 1467072826,
"excerpt": "More than 90 percent of Californians living with the virus have been diagnosed. ",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "More than 90 percent of Californians living with the virus have been diagnosed. ",
"title": "California Surpasses National HIV Target -- 6 Years Early | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "California Surpasses National HIV Target -- 6 Years Early",
"datePublished": "2016-06-27T17:05:49-07:00",
"dateModified": "2016-06-27T17:13:46-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "california-surpasses-national-hiv-target-6-years-early",
"status": "publish",
"path": "/stateofhealth/204789/california-surpasses-national-hiv-target-6-years-early",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>State health officials say California has passed a major goal in fighting HIV/AIDS: more than 90 percent of people living with the virus have been diagnosed, a necessary first step in treatment.\u003c/p>\n\u003cp>The state accomplished this goal six years ahead of the target 2020 set in the \u003ca href=\"https://www.aids.gov/federal-resources/national-hiv-aids-strategy/overview/https://www.aids.gov/federal-resources/national-hiv-aids-strategy/overview/\" target=\"_blank\">National HIV/AIDS Strategy\u003c/a>, established by the White House.\u003c/p>\n\u003cp>\u003ca href=\"http://www.cdph.ca.gov/programs/aids/Documents/California%20Continuum%20of%20HIV%20Care%20-%202014.pdf\" target=\"_blank\">Data\u003c/a> released Monday from 2014 shows 91 percent of Californians with HIV had been diagnosed.\u003c/p>\n\u003cp>In a statement, state public health officer Dr. Karen Smith said she was \"proud of the work we’ve done across the Golden State to meet and surpass this key indicator, which will help us improve viral suppression rates and reduce new HIV infections.”\u003c/p>\n\u003cp>Only after people have been diagnosed can they be treated and dramatically reduce the virus in their blood, usually to undetectable levels. Successful treatment can reduce the risk of transmitting the virus to sex partners by 96 percent, according to the California Department of Public Health.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Chris Richey, a spokesman for the San Francisco AIDS Foundation, called the milestone \"a huge deal\" and said that diagnosis was a sign of being engaged in care.\u003c/p>\n\u003cp>\"If you're not engaged in care in general,\" Richey said, \"then you're not able to know or be in control of your sexual health or your overall health.\"\u003c/p>\n\u003cp>The Centers for Disease Control and Prevention recommend that everyone between the ages of 13 and 64 get tested for HIV at least once, as part of routine health care. Some people should be tested more frequently, CDC says. State health officials recommend annual testing for sexually active gay and bisexual men, transgender individuals and anyone who injects drugs.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>About 140,000 people in California are living with HIV.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/204789/california-surpasses-national-hiv-target-6-years-early",
"authors": [
"240"
],
"categories": [
"stateofhealth_2746",
"stateofhealth_13"
],
"tags": [
"stateofhealth_313",
"stateofhealth_2519"
],
"featImg": "stateofhealth_204795",
"label": "stateofhealth"
},
"stateofhealth_201177": {
"type": "posts",
"id": "stateofhealth_201177",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "201177",
"score": null,
"sort": [
1466464686000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1466464686,
"format": "standard",
"disqusTitle": "UCSF Study Links Pharma Meals to Brand-Name Prescribing by Doctors",
"title": "UCSF Study Links Pharma Meals to Brand-Name Prescribing by Doctors",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>Evidence is mounting that doctors who receive as little as one meal from a drug company tend to prescribe more expensive, brand-name medications for common ailments than those who don’t.\u003c/p>\n\u003cp>A study from researchers at UC San Francisco that was \u003ca href=\"http://archinte.jamanetwork.com/article.aspx?articleid=2528290\" target=\"_blank\">published online Monday in JAMA Internal Medicine\u003c/a> found significant evidence that doctors who received meals tied to specific drugs prescribed a higher proportion of those products than their peers. Doctors who received even one meal, costing an average $20 or less, were up to twice as likely to prescribe a promoted drug. And the more meals they received, the greater share of those drugs they tended to prescribe relative to other medications in the same category.\u003c/p>\n\u003caside class=\"pullquote alignright\">Doctors who received even one meal, costing an average $20 or less, were up to twice as likely to prescribe a promoted drug\u003c/aside>\n\u003cp>The researchers did not determine if there was a cause-and-effect relationship between payments and prescribing, a far more difficult proposition, but their study adds to a growing pile of research documenting a link between the two.\u003c/p>\n\u003cp>A \u003ca href=\"https://www.propublica.org/article/doctors-who-take-company-cash-tend-to-prescribe-more-brand-name-drugs\" target=\"_blank\">ProPublica story\u003c/a> published in March found that doctors who took payments from the pharmaceutical and medical device industries prescribed a higher proportion of brand-name medications than those who didn’t. It also found that the more money a doctor received, the higher the percentage of brand-name drugs he or she prescribed, on average.\u003c/p>\n\u003cp>Similarly, a \u003ca href=\"https://www.propublica.org/article/another-study-finds-link-between-pharma-money-and-brand-name-prescribing\" target=\"_blank\">Harvard Medical School study\u003c/a> published in May found that Massachusetts physicians prescribed a larger proportion of brand-name statins — the category of drugs that treat high cholesterol — the more industry money they received. There was no significant increase in brand-name prescribing for those who received less than $2,000.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>What makes the current study different is that it looked at specific drugs.\u003c/p>\n\u003cp>In an \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/06/17/orlando-shooting-raises-questions-about-internalized-homophobia-and-violence/\" target=\"_blank\">editor’s note\u003c/a>, Dr. Robert Steinbrook wrote that the recent analyses “raise a broader question. Is it necessary to prove a causal relationship between industry payments to physicians and the prescribing of brand-name medications?”\u003c/p>\n\u003cp>Other than for research and development, and related consulting, Steinbrook wrote, “it is already evident that there are few reasons for physicians to have financial associations with industry. Outright gifts, such as meals, may be legal, but why should physicians either expect or accept them?”\u003c/p>\n\u003cp>Holly Campbell, a spokeswoman for the Pharmaceutical Research and Manufacturers of America, the industry trade group, said the latest study creates more confusion than clarity. In part, that’s because the researchers acknowledge that they could not determine whether the drugs were prescribed before or after doctors received meals paid for by companies.\u003c/p>\n\u003cp>“This study cherry-picks physician prescribing data for a subset of medicines to advance a false narrative,” Campbell wrote in an email. “Manufacturers routinely engage with physicians to share drug safety and efficacy information, new indications for approved medicines and potential side effects of medicines. As the study says, the exchange of this critical information could impact physicians’ prescribing decisions in an effort to improve patient care.”\u003c/p>\n\u003caside class=\"pullquote alignright\">'We were probably surprised that it took so little of a signal and such a low value meal…It has changed our thinking.'\u003ccite> R. Adams Dudley, UCSF \u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>Since 2013, the government has required all pharmaceutical and medical device makers to publicly report their payments to doctors. The government has released data on transactions from August 2013 to December 2014; data from 2015 is set to be made public next week. Those payments can be searched in ProPublica’s \u003ca href=\"https://projects.propublica.org/docdollars/\" target=\"_blank\">Dollars for Docs\u003c/a> tool.\u003c/p>\n\u003cp>In the study released today, a team led by Colette DeJong at UC San Francisco examined four classes of medications, including those that treat high cholesterol, heart rhythm disorders, high blood pressure and depression. The researchers identified one heavily marketed brand-name drug in each class – Crestor, Bystolic, Benicar and Pristiq – for which there are cheaper, equally effective options.\u003c/p>\n\u003cp>DeJong and her colleagues then looked at physicians who received meals specifically tied to those drugs (companies have to list the products associated with each of their payments) and their 2013 prescriptions in Medicare’s drug program. The researchers excluded physicians who received other types of payments—such as for promotional speaking and consulting–in an effort to isolate any relationship to the meals alone.\u003c/p>\n\u003cp>Though only a relatively small percent of physicians who prescribed the drugs examined in the study received payments from their makers, those doctors prescribed the drugs more often than other doctors.\u003c/p>\n\u003cp>Physicians who received meals related to Crestor on four or more days prescribed the drug at almost twice the rate of doctors who received no meals. The difference was even more marked for the other drugs. Physicians who received meals prescribed Bystolic at more than 5 times the rate of their uncompensated peers, Benicar at a rate 4.5 times higher, and Pristiq at a rate 3.4 times higher.\u003c/p>\n\u003cp>Higher rates of prescribing were also observed when doctors received just a single meal, even after taking into account a physician’s specialty and region of practice.\u003c/p>\n\u003cp>Dr. R. Adams Dudley, a professor of medicine and health policy at UCSF and one of the study’s authors, said he and his colleagues expected to see “some evidence that doctors were responsive to incentives, what with their being humans and all.”\u003c/p>\n\u003cp>Still, he said, “I think we were probably surprised that it took so little of a signal and such a low value meal…It has changed our thinking.”\u003c/p>\n\u003cp>DeJong said the researchers don’t think the meals themselves cause doctors to prescribe more of a drug, but rather the time they spend interacting with drug reps when they drop off those meals.\u003c/p>\n\u003cp>“There’s really no way that a $10 bagel sandwich can influence a doctor in a gift way,” she said. “We think it represents more reciprocity, the time spent with the drug rep and the fact that the doctor is listening to this 10-minute pitch.”\u003c/p>\n\u003cp>Dudley suggested that patients talk to their doctors and ask “Is there a generic that’s just as good?”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Hopefully they can get the doctor off of the prescribing behaviors that we’re observing.”\u003c/p>\n\n",
"disqusIdentifier": "201177 http://ww2.kqed.org/stateofhealth/?p=201177",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2016/06/20/ucsf-study-links-pharma-meals-to-brand-name-prescribing-by-doctors/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 1073,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 24
},
"modified": 1466465475,
"excerpt": "Doctors who received even one meal, costing an average $20 or less, were up to twice as likely to prescribe a promoted drug. ",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Doctors who received even one meal, costing an average $20 or less, were up to twice as likely to prescribe a promoted drug. ",
"title": "UCSF Study Links Pharma Meals to Brand-Name Prescribing by Doctors | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "UCSF Study Links Pharma Meals to Brand-Name Prescribing by Doctors",
"datePublished": "2016-06-20T16:18:06-07:00",
"dateModified": "2016-06-20T16:31:15-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "ucsf-study-links-pharma-meals-to-brand-name-prescribing-by-doctors",
"status": "publish",
"nprByline": "Charles Ornstein\u003cbr />\u003ca href=\"https://www.propublica.org/article/more-evidence-phrama-meals-are-linked-to-costlier-prescribing\">ProPublica\u003c/a>",
"path": "/stateofhealth/201177/ucsf-study-links-pharma-meals-to-brand-name-prescribing-by-doctors",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Evidence is mounting that doctors who receive as little as one meal from a drug company tend to prescribe more expensive, brand-name medications for common ailments than those who don’t.\u003c/p>\n\u003cp>A study from researchers at UC San Francisco that was \u003ca href=\"http://archinte.jamanetwork.com/article.aspx?articleid=2528290\" target=\"_blank\">published online Monday in JAMA Internal Medicine\u003c/a> found significant evidence that doctors who received meals tied to specific drugs prescribed a higher proportion of those products than their peers. Doctors who received even one meal, costing an average $20 or less, were up to twice as likely to prescribe a promoted drug. And the more meals they received, the greater share of those drugs they tended to prescribe relative to other medications in the same category.\u003c/p>\n\u003caside class=\"pullquote alignright\">Doctors who received even one meal, costing an average $20 or less, were up to twice as likely to prescribe a promoted drug\u003c/aside>\n\u003cp>The researchers did not determine if there was a cause-and-effect relationship between payments and prescribing, a far more difficult proposition, but their study adds to a growing pile of research documenting a link between the two.\u003c/p>\n\u003cp>A \u003ca href=\"https://www.propublica.org/article/doctors-who-take-company-cash-tend-to-prescribe-more-brand-name-drugs\" target=\"_blank\">ProPublica story\u003c/a> published in March found that doctors who took payments from the pharmaceutical and medical device industries prescribed a higher proportion of brand-name medications than those who didn’t. It also found that the more money a doctor received, the higher the percentage of brand-name drugs he or she prescribed, on average.\u003c/p>\n\u003cp>Similarly, a \u003ca href=\"https://www.propublica.org/article/another-study-finds-link-between-pharma-money-and-brand-name-prescribing\" target=\"_blank\">Harvard Medical School study\u003c/a> published in May found that Massachusetts physicians prescribed a larger proportion of brand-name statins — the category of drugs that treat high cholesterol — the more industry money they received. There was no significant increase in brand-name prescribing for those who received less than $2,000.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>What makes the current study different is that it looked at specific drugs.\u003c/p>\n\u003cp>In an \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/06/17/orlando-shooting-raises-questions-about-internalized-homophobia-and-violence/\" target=\"_blank\">editor’s note\u003c/a>, Dr. Robert Steinbrook wrote that the recent analyses “raise a broader question. Is it necessary to prove a causal relationship between industry payments to physicians and the prescribing of brand-name medications?”\u003c/p>\n\u003cp>Other than for research and development, and related consulting, Steinbrook wrote, “it is already evident that there are few reasons for physicians to have financial associations with industry. Outright gifts, such as meals, may be legal, but why should physicians either expect or accept them?”\u003c/p>\n\u003cp>Holly Campbell, a spokeswoman for the Pharmaceutical Research and Manufacturers of America, the industry trade group, said the latest study creates more confusion than clarity. In part, that’s because the researchers acknowledge that they could not determine whether the drugs were prescribed before or after doctors received meals paid for by companies.\u003c/p>\n\u003cp>“This study cherry-picks physician prescribing data for a subset of medicines to advance a false narrative,” Campbell wrote in an email. “Manufacturers routinely engage with physicians to share drug safety and efficacy information, new indications for approved medicines and potential side effects of medicines. As the study says, the exchange of this critical information could impact physicians’ prescribing decisions in an effort to improve patient care.”\u003c/p>\n\u003caside class=\"pullquote alignright\">'We were probably surprised that it took so little of a signal and such a low value meal…It has changed our thinking.'\u003ccite> R. Adams Dudley, UCSF \u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>Since 2013, the government has required all pharmaceutical and medical device makers to publicly report their payments to doctors. The government has released data on transactions from August 2013 to December 2014; data from 2015 is set to be made public next week. Those payments can be searched in ProPublica’s \u003ca href=\"https://projects.propublica.org/docdollars/\" target=\"_blank\">Dollars for Docs\u003c/a> tool.\u003c/p>\n\u003cp>In the study released today, a team led by Colette DeJong at UC San Francisco examined four classes of medications, including those that treat high cholesterol, heart rhythm disorders, high blood pressure and depression. The researchers identified one heavily marketed brand-name drug in each class – Crestor, Bystolic, Benicar and Pristiq – for which there are cheaper, equally effective options.\u003c/p>\n\u003cp>DeJong and her colleagues then looked at physicians who received meals specifically tied to those drugs (companies have to list the products associated with each of their payments) and their 2013 prescriptions in Medicare’s drug program. The researchers excluded physicians who received other types of payments—such as for promotional speaking and consulting–in an effort to isolate any relationship to the meals alone.\u003c/p>\n\u003cp>Though only a relatively small percent of physicians who prescribed the drugs examined in the study received payments from their makers, those doctors prescribed the drugs more often than other doctors.\u003c/p>\n\u003cp>Physicians who received meals related to Crestor on four or more days prescribed the drug at almost twice the rate of doctors who received no meals. The difference was even more marked for the other drugs. Physicians who received meals prescribed Bystolic at more than 5 times the rate of their uncompensated peers, Benicar at a rate 4.5 times higher, and Pristiq at a rate 3.4 times higher.\u003c/p>\n\u003cp>Higher rates of prescribing were also observed when doctors received just a single meal, even after taking into account a physician’s specialty and region of practice.\u003c/p>\n\u003cp>Dr. R. Adams Dudley, a professor of medicine and health policy at UCSF and one of the study’s authors, said he and his colleagues expected to see “some evidence that doctors were responsive to incentives, what with their being humans and all.”\u003c/p>\n\u003cp>Still, he said, “I think we were probably surprised that it took so little of a signal and such a low value meal…It has changed our thinking.”\u003c/p>\n\u003cp>DeJong said the researchers don’t think the meals themselves cause doctors to prescribe more of a drug, but rather the time they spend interacting with drug reps when they drop off those meals.\u003c/p>\n\u003cp>“There’s really no way that a $10 bagel sandwich can influence a doctor in a gift way,” she said. “We think it represents more reciprocity, the time spent with the drug rep and the fact that the doctor is listening to this 10-minute pitch.”\u003c/p>\n\u003cp>Dudley suggested that patients talk to their doctors and ask “Is there a generic that’s just as good?”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Hopefully they can get the doctor off of the prescribing behaviors that we’re observing.”\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/201177/ucsf-study-links-pharma-meals-to-brand-name-prescribing-by-doctors",
"authors": [
"byline_stateofhealth_201177"
],
"categories": [
"stateofhealth_13"
],
"tags": [
"stateofhealth_2650",
"stateofhealth_2519"
],
"featImg": "stateofhealth_201232",
"label": "stateofhealth"
},
"stateofhealth_196569": {
"type": "posts",
"id": "stateofhealth_196569",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "196569",
"score": null,
"sort": [
1465830019000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1465830019,
"format": "standard",
"disqusTitle": "Montana's 'Pain Refugees' Find Relief in California",
"title": "Montana's 'Pain Refugees' Find Relief in California",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>They call themselves pain refugees.\u003c/p>\n\u003cp>Every 90 days, three patients from Montana fly to California to get a prescription for opioids.\u003c/p>\n\u003caside class=\"pullquote alignright\">“I just want humanitarian care, and I get that in California.”\u003ccite> Gary Snook, Montana resident \u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>As the U.S. faces an epidemic of overdose deaths from prescription painkillers, some patients with chronic pain say doctors are less likely to prescribe them opioids. Some Montana patients say the only way they can get the treatment they need is to fly out of state.\u003c/p>\n\u003cp>On a mid-afternoon flight out of Missoula, Montana, Gary Snook pauses in the aisle in front of seat 17B. He stretches with a slight wince and sits down.\u003c/p>\n\u003cp>“My pain, it is all from my waist down. It’s like being boiled in oil 24-hours a day,” Snook said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>He has been in severe pain since he had surgery on his spine for a ruptured disk 14 years ago.\u003c/p>\n\u003cp>Snook says he's done all kinds of things to try to get better. “I got a surgery, epidural steroid injections, acupuncture, anti-inflammatories, physical therapy, pool exercises,” he said. “I’ve tried everything that anyone has ever suggested me to try.”\u003c/p>\n\u003cp>He says the only thing that works is opioids. But when he tries to get them in Montana, he says the doctors treat him like a criminal.\u003c/p>\n\u003cp>“I just want humanitarian care,\" Snook says. “And I get that in California.”\u003c/p>\n\u003cp>In the last 15 years, \u003ca href=\"http://www.cdc.gov/drugoverdose/epidemic/index.html\" target=\"_blank\">the rate of overdose deaths\u003c/a> from opioids has quadrupled in the U.S.\u003c/p>\n\u003cfigure id=\"attachment_196562\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-196562\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/Waiting_Room-e1465662580220.jpg\" alt=\" Kathy Snook, Terri Anderson and Gary Snook waiting in Dr. Forest Tennant’s office in West Covina, California. Gary Snook travels from Montana to California every three months for a pain medication prescription.\" width=\"1920\" height=\"1382\">\u003cfigcaption class=\"wp-caption-text\">Kathy Snook, Terri Anderson and Gary Snook waiting in Dr. Forest Tennant’s office in West Covina, California. Gary Snook travels from Montana to California every three months for a pain medication prescription.\u003c/figcaption>\u003c/figure>\n\u003cp>The Centers for Disease Control and Prevention recently released\u003ca href=\"https://www.dea.gov/divisions/hq/2014/hq082114.shtml\" target=\"_blank\"> guidelines\u003c/a> to curb the overprescribing of opioids for chronic pain, and the Drug Enforcement Administration increased oversight and sanctions for doctors who overprescribe the drugs.\u003c/p>\n\u003cp>Some Montana doctors say these federal actions are scaring them away from taking on new pain patients.\u003c/p>\n\u003cp>“A lot of the chronic pain doctors are dropping out of the business, says Charles Farmer with the state’s medical board. \"One of the reasons is because they don't want the DEA following them around.”\u003c/p>\n\u003cp>The Montana medical board suspended the license of physician Mark Ibsen this year for overprescribing.\u003c/p>\n\u003cp>“We as physicians are terrified that we are going to go to prison or lose our license over prescribing pain pills to patients,” Ibsen said.\u003c/p>\n\u003cp>He denies he was overprescribing and is appealing the suspension of his license. But he shut down his practice in Helena anyway.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/268892215\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Pain management has always been hard, Ibsen says, and all the oversight is interfering with the doctor-patient relationship.\u003c/p>\n\u003cp>“The thing is there is no objective measurement of pain. If you don’t take people at their word that they are in pain, and you are suspicious of them, you can’t have a therapeutic relationship,” Ibsen says. “No miracles happen between you and me -- as a patient and a doctor -- if I suspect that you’re a scumbag.”\u003c/p>\n\u003cp>The Montana Board of Medical Examiners Executive Director Ian Marquand says he couldn’t say whether the board’s disciplinary actions have had an impact on patients’ access to opioids.\u003c/p>\n\u003cp>“The door is open in Montana for any qualified, competent physician to come in and practice,” Marquand said.\u003c/p>\n\u003cp>For some Montana pain patients, like Gary Snook, relief is only found at a strip mall clinic in suburban Los Angeles.\u003c/p>\n\u003cp>His doctor is Forest Tennant, a former army physician who opened his first pain clinic in 1975. Today, He has about 150 patients –- half of them are Californians and half are from out-of-state.\u003c/p>\n\u003cp>“The last week or two has just been unbearable,\" Tennant says. \"We hardly want to (answer) the phones, the number of people calling that want to come here.\"\u003c/p>\n\u003cfigure id=\"attachment_196563\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-196563\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/Tennant_Office-e1465662716555.jpg\" alt=\"Dr. Forest Tennant treats pain patients from all over the country at his practice in West Covina, California.\" width=\"1920\" height=\"1339\">\u003cfigcaption class=\"wp-caption-text\">Dr. Forest Tennant treats pain patients from all over the country at his practice in West Covina, California.\u003c/figcaption>\u003c/figure>\n\u003cp>He says California has laws that Montana and other states don’t, including the \u003ca href=\"http://www.leginfo.ca.gov/cgi-bin/displaycode?section=hsc&group=124001-125000&file=124960-124961\" target=\"_blank\">Pain Patient’s Bill of Rights\u003c/a>. It allows a patient to request or reject the use of any technique in order to relieve their pain.\u003c/p>\n\u003cp>Tennant says that’s coupled with intensive physician training in all the other ways to treat pain before turning to opioids.\u003c/p>\n\u003cp>“They are the last resort, when there is no other option. You don’t use them until everything else has failed,” Tennant said.\u003c/p>\n\u003cp>He says opioids shouldn’t be stigmatized, they should be used responsibly.\u003c/p>\n\u003cp>A recent CDC report shows that California has the \u003ca href=\"https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6326a2.htm\" target=\"_blank\">second lowest prescribing rate \u003c/a>for opioid pain relievers.\u003c/p>\n\u003cp>Tennant is now helping pain patients in Montana lobby lawmakers to guarantee more access to opioids in their home state, so people like Gary Snook don’t need to travel so far for a prescription.\u003c/p>\n\u003cp>“I mean, it’s life and death in that bottle. At least it’s my life,” Snook said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>He says he just wants to visit a doctor near his home and be seen as patient, not a criminal.\u003c/p>\n\n",
"disqusIdentifier": "196569 http://ww2.kqed.org/stateofhealth/?p=196569",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2016/06/13/montanas-pain-refugees-find-relief-in-california/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 932,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 34
},
"modified": 1465851668,
"excerpt": "Some Montana patients say the only way they can get the treatment they need is to fly out of state.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Some Montana patients say the only way they can get the treatment they need is to fly out of state.",
"title": "Montana's 'Pain Refugees' Find Relief in California | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Montana's 'Pain Refugees' Find Relief in California",
"datePublished": "2016-06-13T08:00:19-07:00",
"dateModified": "2016-06-13T14:01:08-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "montanas-pain-refugees-find-relief-in-california",
"status": "publish",
"nprByline": "Corin Cates-Carney\u003cbr />\u003ca href=\"http://mtpr.org/post/montanas-pain-refugees-leave-state-treatment#stream/0\">MTPR\u003c/a>",
"path": "/stateofhealth/196569/montanas-pain-refugees-find-relief-in-california",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>They call themselves pain refugees.\u003c/p>\n\u003cp>Every 90 days, three patients from Montana fly to California to get a prescription for opioids.\u003c/p>\n\u003caside class=\"pullquote alignright\">“I just want humanitarian care, and I get that in California.”\u003ccite> Gary Snook, Montana resident \u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>As the U.S. faces an epidemic of overdose deaths from prescription painkillers, some patients with chronic pain say doctors are less likely to prescribe them opioids. Some Montana patients say the only way they can get the treatment they need is to fly out of state.\u003c/p>\n\u003cp>On a mid-afternoon flight out of Missoula, Montana, Gary Snook pauses in the aisle in front of seat 17B. He stretches with a slight wince and sits down.\u003c/p>\n\u003cp>“My pain, it is all from my waist down. It’s like being boiled in oil 24-hours a day,” Snook said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>He has been in severe pain since he had surgery on his spine for a ruptured disk 14 years ago.\u003c/p>\n\u003cp>Snook says he's done all kinds of things to try to get better. “I got a surgery, epidural steroid injections, acupuncture, anti-inflammatories, physical therapy, pool exercises,” he said. “I’ve tried everything that anyone has ever suggested me to try.”\u003c/p>\n\u003cp>He says the only thing that works is opioids. But when he tries to get them in Montana, he says the doctors treat him like a criminal.\u003c/p>\n\u003cp>“I just want humanitarian care,\" Snook says. “And I get that in California.”\u003c/p>\n\u003cp>In the last 15 years, \u003ca href=\"http://www.cdc.gov/drugoverdose/epidemic/index.html\" target=\"_blank\">the rate of overdose deaths\u003c/a> from opioids has quadrupled in the U.S.\u003c/p>\n\u003cfigure id=\"attachment_196562\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-196562\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/Waiting_Room-e1465662580220.jpg\" alt=\" Kathy Snook, Terri Anderson and Gary Snook waiting in Dr. Forest Tennant’s office in West Covina, California. Gary Snook travels from Montana to California every three months for a pain medication prescription.\" width=\"1920\" height=\"1382\">\u003cfigcaption class=\"wp-caption-text\">Kathy Snook, Terri Anderson and Gary Snook waiting in Dr. Forest Tennant’s office in West Covina, California. Gary Snook travels from Montana to California every three months for a pain medication prescription.\u003c/figcaption>\u003c/figure>\n\u003cp>The Centers for Disease Control and Prevention recently released\u003ca href=\"https://www.dea.gov/divisions/hq/2014/hq082114.shtml\" target=\"_blank\"> guidelines\u003c/a> to curb the overprescribing of opioids for chronic pain, and the Drug Enforcement Administration increased oversight and sanctions for doctors who overprescribe the drugs.\u003c/p>\n\u003cp>Some Montana doctors say these federal actions are scaring them away from taking on new pain patients.\u003c/p>\n\u003cp>“A lot of the chronic pain doctors are dropping out of the business, says Charles Farmer with the state’s medical board. \"One of the reasons is because they don't want the DEA following them around.”\u003c/p>\n\u003cp>The Montana medical board suspended the license of physician Mark Ibsen this year for overprescribing.\u003c/p>\n\u003cp>“We as physicians are terrified that we are going to go to prison or lose our license over prescribing pain pills to patients,” Ibsen said.\u003c/p>\n\u003cp>He denies he was overprescribing and is appealing the suspension of his license. But he shut down his practice in Helena anyway.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/268892215&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/268892215'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Pain management has always been hard, Ibsen says, and all the oversight is interfering with the doctor-patient relationship.\u003c/p>\n\u003cp>“The thing is there is no objective measurement of pain. If you don’t take people at their word that they are in pain, and you are suspicious of them, you can’t have a therapeutic relationship,” Ibsen says. “No miracles happen between you and me -- as a patient and a doctor -- if I suspect that you’re a scumbag.”\u003c/p>\n\u003cp>The Montana Board of Medical Examiners Executive Director Ian Marquand says he couldn’t say whether the board’s disciplinary actions have had an impact on patients’ access to opioids.\u003c/p>\n\u003cp>“The door is open in Montana for any qualified, competent physician to come in and practice,” Marquand said.\u003c/p>\n\u003cp>For some Montana pain patients, like Gary Snook, relief is only found at a strip mall clinic in suburban Los Angeles.\u003c/p>\n\u003cp>His doctor is Forest Tennant, a former army physician who opened his first pain clinic in 1975. Today, He has about 150 patients –- half of them are Californians and half are from out-of-state.\u003c/p>\n\u003cp>“The last week or two has just been unbearable,\" Tennant says. \"We hardly want to (answer) the phones, the number of people calling that want to come here.\"\u003c/p>\n\u003cfigure id=\"attachment_196563\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-196563\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/Tennant_Office-e1465662716555.jpg\" alt=\"Dr. Forest Tennant treats pain patients from all over the country at his practice in West Covina, California.\" width=\"1920\" height=\"1339\">\u003cfigcaption class=\"wp-caption-text\">Dr. Forest Tennant treats pain patients from all over the country at his practice in West Covina, California.\u003c/figcaption>\u003c/figure>\n\u003cp>He says California has laws that Montana and other states don’t, including the \u003ca href=\"http://www.leginfo.ca.gov/cgi-bin/displaycode?section=hsc&group=124001-125000&file=124960-124961\" target=\"_blank\">Pain Patient’s Bill of Rights\u003c/a>. It allows a patient to request or reject the use of any technique in order to relieve their pain.\u003c/p>\n\u003cp>Tennant says that’s coupled with intensive physician training in all the other ways to treat pain before turning to opioids.\u003c/p>\n\u003cp>“They are the last resort, when there is no other option. You don’t use them until everything else has failed,” Tennant said.\u003c/p>\n\u003cp>He says opioids shouldn’t be stigmatized, they should be used responsibly.\u003c/p>\n\u003cp>A recent CDC report shows that California has the \u003ca href=\"https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6326a2.htm\" target=\"_blank\">second lowest prescribing rate \u003c/a>for opioid pain relievers.\u003c/p>\n\u003cp>Tennant is now helping pain patients in Montana lobby lawmakers to guarantee more access to opioids in their home state, so people like Gary Snook don’t need to travel so far for a prescription.\u003c/p>\n\u003cp>“I mean, it’s life and death in that bottle. At least it’s my life,” Snook said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>He says he just wants to visit a doctor near his home and be seen as patient, not a criminal.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/196569/montanas-pain-refugees-find-relief-in-california",
"authors": [
"byline_stateofhealth_196569"
],
"categories": [
"stateofhealth_13"
],
"tags": [
"stateofhealth_2519",
"stateofhealth_2656",
"stateofhealth_141"
],
"featImg": "stateofhealth_196587",
"label": "stateofhealth"
},
"stateofhealth_195134": {
"type": "posts",
"id": "stateofhealth_195134",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "195134",
"score": null,
"sort": [
1465319664000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1465319664,
"format": "standard",
"disqusTitle": "Fever-Caused Seizures Following Vaccines Are Rare, Study Says",
"title": "Fever-Caused Seizures Following Vaccines Are Rare, Study Says",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>A seizure caused by a fever in a young child can be terrifying, and some parents worry that the occasional fever that can follow a vaccine may cause one. But febrile seizures after vaccines are rare, a study finds, affecting 3 children out of 10,000. And children almost always recover completely.\u003c/p>\n\u003caside class=\"pullquote alignright\">'If you're really concerned about febrile seizures, the smartest strategy is to protect your child against the infection with the vaccine.'\u003ccite> Dr. Mark Schleiss, University of Minnesota \u003c/cite>\u003c/aside>\n\u003cp>The study, \u003ca href=\"http://https/www.doi.org/10.1542/peds.2016-0320\" target=\"_blank\">published\u003c/a> Monday in \u003cem>Pediatrics\u003c/em>, found that only a few vaccines or vaccine combinations increase the risk of febrile seizures. The pneumococcal vaccine given alone increases the risk, and so does the flu vaccine \u003ca href=\"http://www.cdc.gov/vaccinesafety/concerns/febrile-seizures.html\" target=\"_blank\">if given at the same time\u003c/a> as either the pneumococcal vaccine or DTaP (diphtheria, tetanus, pertussis) vaccine.\u003c/p>\n\u003cp>The pneumococcal vaccine, or \u003ca href=\"http://www.cdc.gov/pneumococcal/about/prevention.html\" target=\"_blank\">PCV\u003c/a>, protects against \u003ca href=\"http://www.cdc.gov/pneumococcal/about/symptoms-complications.html\" target=\"_blank\">pneumococcal disease\u003c/a>. The pneumococcus bacteria can cause infections ranging from an ear infection to pneumonia to pneumococcal meningitis, which kills 1 in 15 children under 5 who develop it.\u003c/p>\n\u003cp>\"The basic message is, while there is an increase compared to giving them on separate days, the absolute amount of that risk is so, so very small that for the average person, it won't really affect their chances of having a febrile seizure,\" lead study author Jonathan Duffy tells Shots.\u003c/p>\n\u003cp>\u003ca href=\"http://www.cdc.gov/vaccinesafety/concerns/febrile-seizures.html\" target=\"_blank\">Febrile seizures\u003c/a>, he adds, are considered \u003ca href=\"http://www.ninds.nih.gov/disorders/febrile_seizures/detail_febrile_seizures.htm\" target=\"_blank\">isolated, benign events\u003c/a> with \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJM199806113382403\">no long-term consequences\u003c/a> in the vast majority of children. They occur in approximately 2 to 5 percent of children, caused infections or other conditions that can cause a fever, according to Mark Sawyer, a professor of clinical pediatrics at University of California San Diego School of Medicine and Rady Children's Hospital in San Diego.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"For anybody who's seen a febrile seizure, it is a scary experience,\" Sawyer says. \"People are not responding, sometimes they are not breathing very effectively, and there's uncontrolled twitching of arms and legs, so people assume there must be something major going on in the brain, but fortunately, that's not the case.\"\u003c/p>\n\u003cp>Febrile seizures occur most typically in children between 1 and 2 years old — the same ages when children receive a number of vaccines. Sometimes other seizures may follow if the child has a disorder such as epilepsy, but no evidence has suggested that a febrile seizure can cause seizure disorders.\u003c/p>\n\u003cp>[contextly_sidebar id=\"8VcV4BxtEHpXyGeu3r8hp8gT3BWcJ8eq\"]\"If you're really concerned about febrile seizures, the smartest strategy is to protect your child against the infection with the vaccine,\" Mark Schleiss, director of pediatric infectious diseases at the University of Minnesota, told Shots. About 20 percent of children hospitalized for influenza, for example, experience febrile seizures, he says. \"I find this paper reassuring about vaccine safety,\" he adds.\u003c/p>\n\u003cp>Duffy, a medical officer in the Centers for Disease Control and Prevention Immunization Safety Office, says they conducted the study to follow up on reports five years ago that found an increased risk of febrile seizures when the flu and pneumococcal vaccines were given the same day.\u003c/p>\n\u003cp>This study used the \u003ca href=\"http://www.cdc.gov/vaccinesafety/ensuringsafety/monitoring/vsd/\" target=\"_blank\">Vaccine Safety Datalink\u003c/a>, a massive database that tracks millions of children receiving vaccines in nine health systems across the U.S. The very large population size — approximately 9.8 million for this study — ensures the highest quality data possible in assessing vaccine safety. It's the largest vaccine safety surveillance program of its kind.\u003c/p>\n\u003cp>The researchers identified all children between 6 and 23 months old who had a febrile seizure within 20 days of at least one vaccine between 2006 and 2011. They compared the number of seizures occurring the day of or after a vaccine with those occurring 14 to 20 days after the vaccine in the same children. The first 24 hours is the time a febrile seizure caused by inactivated vaccines is biologically possible.\u003c/p>\n\u003cp>The researchers skipped days 2 to 14 because febrile seizures from live vaccines, such as the measles-mumps-rubella and chickenpox vaccines, are biologically likely then. The risk of a febrile seizure from these vaccines is already known to be \u003ca href=\"http://www.cdc.gov/vaccines/vac-gen/side-effects.htm#mmr\" target=\"_blank\">1 in 3,000 doses\u003c/a>.\u003c/p>\n\u003cp>Among 333 febrile seizures that occurred following nearly 2 million vaccinations, half the children had had a previous febrile seizure. Those not caused by a vaccine resulted from respiratory tract infections, urinary tract infections, ear infections and viral infections.\u003c/p>\n\u003cp>A slightly increased risk of 3 febrile seizures per 10,000 children existed when receiving the PCV vaccine by itself, the inactivated trivalent influenza vaccine with either the PCV or DTaP vaccine, or all three vaccines together. A commentary accompanying the study, co-authored by Sawyer, calculated that this risk translates to approximately 1 child with a vaccine-caused febrile seizure every 5 to 10 years in the practice of an average pediatrician, seeing 1,000 children under 5 each year.\u003c/p>\n\u003cp>\"While we've done all this work to quantify this risk, what we've found is that even at the highest risk we've seen [it] is still very small in absolute terms,\" Duffy says. \"The pneumococcal vaccine prevents life-threatening conditions such as blood infections and meningitis, so the benefits of getting that vaccine are so much greater than the very small risk of getting a febrile seizure, which does not have the potential to cause long-term damage such as those infections can.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"QbxAZEYCN7eWqqP2AQTHo0gSstZlB3dp\"]Though parents of children with a history of febrile seizures might want to discuss separating these vaccines with their child's doctor, that's not the wisest plan overall, Sawyer told Shots.\u003c/p>\n\u003cp>\"What we know from many years of experience is that every time you skip a vaccine, a certain percentage of those kids will never get that vaccine or the doctor doesn't realize they didn't get that vaccine,\" Sawyer says. \"Parents are going to naturally assume 'That's not me, of course I'll bring my child back,' but not everybody does, and then we have susceptible children in our community.\" Separating these vaccines also leaves children susceptible to those illnesses for longer, he added.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"It's kind of like not wearing a seat belt for two weeks,\" Sawyer says. \"If you end up in a car accident in those two weeks, you're going to wish you had been wearing your seat belt.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Febrile+Seizures+After+Childhood+Vaccines+Are+Rare%2C+Study+Finds&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
"disqusIdentifier": "195134 http://ww2.kqed.org/stateofhealth/?p=195134",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2016/06/07/fever-caused-seizures-after-childhood-vaccines-are-rare-study-says/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 1060,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 20
},
"modified": 1465320081,
"excerpt": "Yes, a few vaccines do slightly raise the risk of a febrile seizure. But not being vaccinated poses a greater risk.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Yes, a few vaccines do slightly raise the risk of a febrile seizure. But not being vaccinated poses a greater risk.",
"title": "Fever-Caused Seizures Following Vaccines Are Rare, Study Says | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Fever-Caused Seizures Following Vaccines Are Rare, Study Says",
"datePublished": "2016-06-07T10:14:24-07:00",
"dateModified": "2016-06-07T10:21:21-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "fever-caused-seizures-after-childhood-vaccines-are-rare-study-says",
"status": "publish",
"nprApiLink": "http://api.npr.org/query?id=480665262&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004",
"nprByline": "Tara Haelle\u003cbr />\u003ca href=\"http://www.npr.org/sections/health-shots/\">NPR Shots\u003c/a>",
"nprStoryDate": "Mon, 06 Jun 2016 06:31:00 -0400",
"nprLastModifiedDate": "Mon, 06 Jun 2016 13:22:24 -0400",
"nprHtmlLink": "http://www.npr.org/sections/health-shots/2016/06/06/480665262/febrile-seizures-after-childhood-vaccines-are-rare-study-finds?ft=nprml&f=480665262",
"nprImageAgency": "Getty Images",
"nprImageCredit": "Maureen P Sullivan",
"nprStoryId": "480665262",
"nprRetrievedStory": "1",
"nprPubDate": "Mon, 06 Jun 2016 13:22:00 -0400",
"path": "/stateofhealth/195134/fever-caused-seizures-after-childhood-vaccines-are-rare-study-says",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A seizure caused by a fever in a young child can be terrifying, and some parents worry that the occasional fever that can follow a vaccine may cause one. But febrile seizures after vaccines are rare, a study finds, affecting 3 children out of 10,000. And children almost always recover completely.\u003c/p>\n\u003caside class=\"pullquote alignright\">'If you're really concerned about febrile seizures, the smartest strategy is to protect your child against the infection with the vaccine.'\u003ccite> Dr. Mark Schleiss, University of Minnesota \u003c/cite>\u003c/aside>\n\u003cp>The study, \u003ca href=\"http://https/www.doi.org/10.1542/peds.2016-0320\" target=\"_blank\">published\u003c/a> Monday in \u003cem>Pediatrics\u003c/em>, found that only a few vaccines or vaccine combinations increase the risk of febrile seizures. The pneumococcal vaccine given alone increases the risk, and so does the flu vaccine \u003ca href=\"http://www.cdc.gov/vaccinesafety/concerns/febrile-seizures.html\" target=\"_blank\">if given at the same time\u003c/a> as either the pneumococcal vaccine or DTaP (diphtheria, tetanus, pertussis) vaccine.\u003c/p>\n\u003cp>The pneumococcal vaccine, or \u003ca href=\"http://www.cdc.gov/pneumococcal/about/prevention.html\" target=\"_blank\">PCV\u003c/a>, protects against \u003ca href=\"http://www.cdc.gov/pneumococcal/about/symptoms-complications.html\" target=\"_blank\">pneumococcal disease\u003c/a>. The pneumococcus bacteria can cause infections ranging from an ear infection to pneumonia to pneumococcal meningitis, which kills 1 in 15 children under 5 who develop it.\u003c/p>\n\u003cp>\"The basic message is, while there is an increase compared to giving them on separate days, the absolute amount of that risk is so, so very small that for the average person, it won't really affect their chances of having a febrile seizure,\" lead study author Jonathan Duffy tells Shots.\u003c/p>\n\u003cp>\u003ca href=\"http://www.cdc.gov/vaccinesafety/concerns/febrile-seizures.html\" target=\"_blank\">Febrile seizures\u003c/a>, he adds, are considered \u003ca href=\"http://www.ninds.nih.gov/disorders/febrile_seizures/detail_febrile_seizures.htm\" target=\"_blank\">isolated, benign events\u003c/a> with \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJM199806113382403\">no long-term consequences\u003c/a> in the vast majority of children. They occur in approximately 2 to 5 percent of children, caused infections or other conditions that can cause a fever, according to Mark Sawyer, a professor of clinical pediatrics at University of California San Diego School of Medicine and Rady Children's Hospital in San Diego.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"For anybody who's seen a febrile seizure, it is a scary experience,\" Sawyer says. \"People are not responding, sometimes they are not breathing very effectively, and there's uncontrolled twitching of arms and legs, so people assume there must be something major going on in the brain, but fortunately, that's not the case.\"\u003c/p>\n\u003cp>Febrile seizures occur most typically in children between 1 and 2 years old — the same ages when children receive a number of vaccines. Sometimes other seizures may follow if the child has a disorder such as epilepsy, but no evidence has suggested that a febrile seizure can cause seizure disorders.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\"If you're really concerned about febrile seizures, the smartest strategy is to protect your child against the infection with the vaccine,\" Mark Schleiss, director of pediatric infectious diseases at the University of Minnesota, told Shots. About 20 percent of children hospitalized for influenza, for example, experience febrile seizures, he says. \"I find this paper reassuring about vaccine safety,\" he adds.\u003c/p>\n\u003cp>Duffy, a medical officer in the Centers for Disease Control and Prevention Immunization Safety Office, says they conducted the study to follow up on reports five years ago that found an increased risk of febrile seizures when the flu and pneumococcal vaccines were given the same day.\u003c/p>\n\u003cp>This study used the \u003ca href=\"http://www.cdc.gov/vaccinesafety/ensuringsafety/monitoring/vsd/\" target=\"_blank\">Vaccine Safety Datalink\u003c/a>, a massive database that tracks millions of children receiving vaccines in nine health systems across the U.S. The very large population size — approximately 9.8 million for this study — ensures the highest quality data possible in assessing vaccine safety. It's the largest vaccine safety surveillance program of its kind.\u003c/p>\n\u003cp>The researchers identified all children between 6 and 23 months old who had a febrile seizure within 20 days of at least one vaccine between 2006 and 2011. They compared the number of seizures occurring the day of or after a vaccine with those occurring 14 to 20 days after the vaccine in the same children. The first 24 hours is the time a febrile seizure caused by inactivated vaccines is biologically possible.\u003c/p>\n\u003cp>The researchers skipped days 2 to 14 because febrile seizures from live vaccines, such as the measles-mumps-rubella and chickenpox vaccines, are biologically likely then. The risk of a febrile seizure from these vaccines is already known to be \u003ca href=\"http://www.cdc.gov/vaccines/vac-gen/side-effects.htm#mmr\" target=\"_blank\">1 in 3,000 doses\u003c/a>.\u003c/p>\n\u003cp>Among 333 febrile seizures that occurred following nearly 2 million vaccinations, half the children had had a previous febrile seizure. Those not caused by a vaccine resulted from respiratory tract infections, urinary tract infections, ear infections and viral infections.\u003c/p>\n\u003cp>A slightly increased risk of 3 febrile seizures per 10,000 children existed when receiving the PCV vaccine by itself, the inactivated trivalent influenza vaccine with either the PCV or DTaP vaccine, or all three vaccines together. A commentary accompanying the study, co-authored by Sawyer, calculated that this risk translates to approximately 1 child with a vaccine-caused febrile seizure every 5 to 10 years in the practice of an average pediatrician, seeing 1,000 children under 5 each year.\u003c/p>\n\u003cp>\"While we've done all this work to quantify this risk, what we've found is that even at the highest risk we've seen [it] is still very small in absolute terms,\" Duffy says. \"The pneumococcal vaccine prevents life-threatening conditions such as blood infections and meningitis, so the benefits of getting that vaccine are so much greater than the very small risk of getting a febrile seizure, which does not have the potential to cause long-term damage such as those infections can.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Though parents of children with a history of febrile seizures might want to discuss separating these vaccines with their child's doctor, that's not the wisest plan overall, Sawyer told Shots.\u003c/p>\n\u003cp>\"What we know from many years of experience is that every time you skip a vaccine, a certain percentage of those kids will never get that vaccine or the doctor doesn't realize they didn't get that vaccine,\" Sawyer says. \"Parents are going to naturally assume 'That's not me, of course I'll bring my child back,' but not everybody does, and then we have susceptible children in our community.\" Separating these vaccines also leaves children susceptible to those illnesses for longer, he added.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "floatright"
},
"numeric": [
"floatright"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"It's kind of like not wearing a seat belt for two weeks,\" Sawyer says. \"If you end up in a car accident in those two weeks, you're going to wish you had been wearing your seat belt.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Febrile+Seizures+After+Childhood+Vaccines+Are+Rare%2C+Study+Finds&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/195134/fever-caused-seizures-after-childhood-vaccines-are-rare-study-says",
"authors": [
"byline_stateofhealth_195134"
],
"categories": [
"stateofhealth_13"
],
"tags": [
"stateofhealth_96",
"stateofhealth_31"
],
"featImg": "stateofhealth_195139",
"label": "stateofhealth"
},
"stateofhealth_192287": {
"type": "posts",
"id": "stateofhealth_192287",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "192287",
"score": null,
"sort": [
1464885108000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1464885108,
"format": "standard",
"disqusTitle": "Berkeley Physician Opens Practice Focusing on Aid-in-Dying",
"title": "Berkeley Physician Opens Practice Focusing on Aid-in-Dying",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>Few people have the unusual set of professional experiences that Lonny Shavelson does. He worked as an emergency room physician in Berkeley for years -- while also working as a journalist. He has written several books and takes hauntingly beautiful photographs.\u003c/p>\n\u003caside class=\"pullquote alignright\">'This can only work when you're sure that the patients have been given the best end-of-life care, which to me is most guaranteed by being a part of hospice or at least having a good palliative care physician.' \u003ccite>Dr. Lonny Shavelson \u003c/cite>\u003c/aside>\n\u003cp>Now he'll add another specialty. Just as California's \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billHistoryClient.xhtml?bill_id=201520162AB15\" target=\"_blank\">End of Life Option Act\u003c/a>, a law legalizing physician aid-in-dying for people who are terminally ill, is set to take effect next week, Shavelson has become a consultant aimed at answering questions from physicians and patients about the practice -- even becoming a physician to terminally ill patients seeking to end their lives.\u003c/p>\n\u003cp>I first met Shavelson in 1996 as I was covering the reaction to Oregon voters' approval of \u003ca href=\"https://ballotpedia.org/Oregon_%22Death_with_Dignity%22,_Measure_16_(1994)\" target=\"_blank\">Measure 16, the state's Death with Dignity Act\u003c/a>.\u003c/p>\n\u003cp>Oregon was the first state to approve the practice, and in 1996 the law was held up in court. I turned to Shavelson as he had published \"\u003ca href=\"http://www.photowords.com/index.php?page=books\" target=\"_blank\">A Chosen Death\u003c/a>,\" a moving book following five terminally ill people over two years as they determined whether to amass drugs on their own and end their lives at a time of their choosing. He was present at the death of all of them.\u003c/p>\n\u003cp>He followed the issue of assisted suicide closely for several years more, but ultimately moved on to other major projects -- among them \u003ca href=\"http://www.photowords.com/index.php?page=books\" target=\"_blank\">a book about addiction\u003c/a> and a \u003ca href=\"http://www.threetoinfinity.com\" target=\"_blank\">documentary\u003c/a> about people who identify as neither male nor female.\u003c/p>\n\u003cfigure id=\"attachment_192314\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-192314\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/lonnybooks-e1464884484238.jpg\" alt=\"The wall of Lonny Shavelson's office, lined with covers of the books he has written. \" width=\"1920\" height=\"1440\">\u003cfigcaption class=\"wp-caption-text\">The wall of Lonny Shavelson's office, lined with covers of the books he has written. \u003ccite>(Lisa Aliferis/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Then last fall came the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/05/governor-brown-signs-physician-assisted-suicide-bill-into-law-california-right-to-die/\" target=\"_blank\">surprising passage of California's End of Life Option Act,\u003c/a> giving terminally ill adults with six months to live the right to request lethal medication to end their lives. The law takes effect June 9.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Shavelson decided he had to act, although he feels \"quite guilty\" about having been away from the issue while others pushed it forward.\u003c/p>\n\u003cp>\"Can I just sit back and watch?\" Shavelson told me from his cottage office in his backyard in Berkeley. \"This is really an amazing opportunity to be part of establishing policy and initiating something in medicine. This is a major change ... [that] very, very few people know anything about and how to do it.\"\u003c/p>\n\u003cp>His website, \u003ca href=\"https://bayareaendoflifeoptions.com\" target=\"_blank\">Bay Area End of Life Options,\u003c/a> went up in April, and he's outlined the law at \"grand rounds\" at several Bay Area hospitals this spring. His practice will be focused on consulting not only with physicians whose patients request aid-in-dying, but also with patients themselves, including offering care to patients who choose him as their \"attending End-of-Life physician,\" as he indicates on his site.\u003c/p>\n\u003cp>Shavelson is adamant that this is \"something that has to be done right.\" To him, that means starting every patient encounter with a one-word question: \"Why?\"\u003c/p>\n\u003cp>\"In fact, it's the only initial approach that I think is acceptable. If somebody calls me and says, 'I want to take the medication,' my first question is, why? Let me talk to you about all the various alternatives and all the ways that we can think about this,\" he predicts he will say.\u003c/p>\n\u003cp>Shavelson worries that patients may seek aid-in-dying because they are in pain, so first, he would like all his patients to be enrolled in hospice care.\u003c/p>\n\u003cp>\"This can only work when you're sure that the patients have been given the best end-of-life care, which to me is most guaranteed by being a part of hospice or at least having a good palliative care physician. Then this is a rational decision. If you're doing it otherwise, it's because of lack of good care.\"\u003c/p>\n\u003cp>California is the fifth state to legalize aid-in-dying, joining Oregon, Washington, Vermont and Montana. The option is very rarely used. For example, in \u003ca href=\"http://public.health.oregon.gov/ProviderPartnerResources/EvaluationResearch/DeathwithDignityAct/Documents/year17.pdf\" target=\"_blank\">2014 in Oregon\u003c/a>, 155 lethal prescriptions were written under the state's law, and 105 people ultimately took the medicine and died, a death rate under this method of less than 0.5 percent.\u003c/p>\n\u003cp>Under the law, two doctors must agree that a mentally competent patient has six months or less to live. One of the patient-doctor meetings must be private, between only the patient and the physician, to ensure the patient is acting independently. Patients must be able to swallow the medication themselves and must state, in writing, within 48 hours before taking the medication, that they will do so.\u003c/p>\n\u003cp>Shavelson says he has been surprised by the lack of understanding he hears from some health care providers about the law. One person insisted the law was not taking effect this year; another asked how the law would benefit his patients with Alzheimer's disease. To be clear, the law takes effect next week, and patients with dementia cannot access the law because they are not mentally competent.\u003c/p>\n\u003cfigure id=\"attachment_192674\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"wp-image-192674 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/Renee-1-copy-400x598.jpg\" alt='Renee Sahm, one of five terminally ill people followed by Lonny Shavelson in his 1994 book \"A Chosen Death.\"' width=\"400\" height=\"598\">\u003cfigcaption class=\"wp-caption-text\">Renee Sahm, one of five terminally ill people followed by Lonny Shavelson in his 1995 book \"A Chosen Death.\" \u003ccite>(Courtesy: Lonny Shavelson)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The law does not mandate participation by any health care providers. Many physicians are \"queasy\" with the new law, Shavelson says he's hearing, and are unwilling to prescribe to patients who request the lethal medication -- even though they tell him they think the law is the right thing to do.\u003c/p>\n\u003cp>\"My response to that is as health care providers, you might have been uncomfortable the first time you drew blood. You might have been uncomfortable the first time you took out somebody's gall bladder,\" he says. \"If it's a medical procedure you believe in and you believe it's the patient's right, then it's your obligation to learn how to do it -- and do it correctly.\"\u003c/p>\n\u003cp>Shavelson said he predicts that many physicians who are initially reluctant to provide this option to their patients may become more comfortable after the law goes into effect and they see how it works.\u003c/p>\n\u003cp>Burt Presberg, an East Bay psychiatrist who works specifically with cancer patients and their families, said a talk he attended by Shavelson sparked a conversation at his practice. Yet, in my own talk with him, he peppered his statements with \"on the other hand,\" as he clearly wrestled with his own comfort level of handling patient requests.\u003c/p>\n\u003cp>Presberg spoke of his concern that patients suffer from clinical depression at the end of life, sometimes feeling they are a burden to family members who could \"really push for the end of life to happen a little sooner than the patient themselves.\" He spoke from his experience of successfully treating terminally ill patients with clinical depression.\u003c/p>\n\u003cp>\"Depression is something that's really undertreated,\" Presberg said. \"I often talk to people about the difference between normal sadness and normal grieving at the end of life.\"\u003c/p>\n\u003cp>He said he believes Shavelson will be aware of treating depression, \"but I do have concerns about other physicians,\" he said. \"On the other hand, I think it's really good that this is an option.\"\u003c/p>\n\u003cp>Shavelson says he's already received a handful of calls from patients, but he's mostly spent this time before the law takes effect talking to other physicians. He needs a consulting physician and a pharmacist that will accept prescriptions for the lethal dose of medicine.\u003c/p>\n\u003cp>Then he returns to the patient. \"It's important ... that we're moving forward,\" he says. \"It's crucial that we do that because this is part of the rights of patient care to have a certain level of autonomy in how they die.\"\u003c/p>\n\u003cp>To many of the doctors who feel \"queasy\" about moving to end a patient's life, this type of care \"isn't so tangibly different to me,\" Shavelson says, than other kinds of questions doctors address.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"I'm just one of those docs who sees dying as a process, and method of death is less important than making sure it's a good death.\"\u003c/p>\n\n",
"disqusIdentifier": "192287 http://ww2.kqed.org/stateofhealth/?p=192287",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2016/06/02/berkeley-physician-opens-practice-focusing-on-aid-in-dying/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 1372,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 29
},
"modified": 1465000662,
"excerpt": "California's law permitting doctors to prescribe lethal medications to terminally ill patients who request it takes effect next week.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "California's law permitting doctors to prescribe lethal medications to terminally ill patients who request it takes effect next week.",
"title": "Berkeley Physician Opens Practice Focusing on Aid-in-Dying | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Berkeley Physician Opens Practice Focusing on Aid-in-Dying",
"datePublished": "2016-06-02T09:31:48-07:00",
"dateModified": "2016-06-03T17:37:42-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "berkeley-physician-opens-practice-focusing-on-aid-in-dying",
"status": "publish",
"path": "/stateofhealth/192287/berkeley-physician-opens-practice-focusing-on-aid-in-dying",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Few people have the unusual set of professional experiences that Lonny Shavelson does. He worked as an emergency room physician in Berkeley for years -- while also working as a journalist. He has written several books and takes hauntingly beautiful photographs.\u003c/p>\n\u003caside class=\"pullquote alignright\">'This can only work when you're sure that the patients have been given the best end-of-life care, which to me is most guaranteed by being a part of hospice or at least having a good palliative care physician.' \u003ccite>Dr. Lonny Shavelson \u003c/cite>\u003c/aside>\n\u003cp>Now he'll add another specialty. Just as California's \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billHistoryClient.xhtml?bill_id=201520162AB15\" target=\"_blank\">End of Life Option Act\u003c/a>, a law legalizing physician aid-in-dying for people who are terminally ill, is set to take effect next week, Shavelson has become a consultant aimed at answering questions from physicians and patients about the practice -- even becoming a physician to terminally ill patients seeking to end their lives.\u003c/p>\n\u003cp>I first met Shavelson in 1996 as I was covering the reaction to Oregon voters' approval of \u003ca href=\"https://ballotpedia.org/Oregon_%22Death_with_Dignity%22,_Measure_16_(1994)\" target=\"_blank\">Measure 16, the state's Death with Dignity Act\u003c/a>.\u003c/p>\n\u003cp>Oregon was the first state to approve the practice, and in 1996 the law was held up in court. I turned to Shavelson as he had published \"\u003ca href=\"http://www.photowords.com/index.php?page=books\" target=\"_blank\">A Chosen Death\u003c/a>,\" a moving book following five terminally ill people over two years as they determined whether to amass drugs on their own and end their lives at a time of their choosing. He was present at the death of all of them.\u003c/p>\n\u003cp>He followed the issue of assisted suicide closely for several years more, but ultimately moved on to other major projects -- among them \u003ca href=\"http://www.photowords.com/index.php?page=books\" target=\"_blank\">a book about addiction\u003c/a> and a \u003ca href=\"http://www.threetoinfinity.com\" target=\"_blank\">documentary\u003c/a> about people who identify as neither male nor female.\u003c/p>\n\u003cfigure id=\"attachment_192314\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-192314\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/lonnybooks-e1464884484238.jpg\" alt=\"The wall of Lonny Shavelson's office, lined with covers of the books he has written. \" width=\"1920\" height=\"1440\">\u003cfigcaption class=\"wp-caption-text\">The wall of Lonny Shavelson's office, lined with covers of the books he has written. \u003ccite>(Lisa Aliferis/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Then last fall came the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/05/governor-brown-signs-physician-assisted-suicide-bill-into-law-california-right-to-die/\" target=\"_blank\">surprising passage of California's End of Life Option Act,\u003c/a> giving terminally ill adults with six months to live the right to request lethal medication to end their lives. The law takes effect June 9.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Shavelson decided he had to act, although he feels \"quite guilty\" about having been away from the issue while others pushed it forward.\u003c/p>\n\u003cp>\"Can I just sit back and watch?\" Shavelson told me from his cottage office in his backyard in Berkeley. \"This is really an amazing opportunity to be part of establishing policy and initiating something in medicine. This is a major change ... [that] very, very few people know anything about and how to do it.\"\u003c/p>\n\u003cp>His website, \u003ca href=\"https://bayareaendoflifeoptions.com\" target=\"_blank\">Bay Area End of Life Options,\u003c/a> went up in April, and he's outlined the law at \"grand rounds\" at several Bay Area hospitals this spring. His practice will be focused on consulting not only with physicians whose patients request aid-in-dying, but also with patients themselves, including offering care to patients who choose him as their \"attending End-of-Life physician,\" as he indicates on his site.\u003c/p>\n\u003cp>Shavelson is adamant that this is \"something that has to be done right.\" To him, that means starting every patient encounter with a one-word question: \"Why?\"\u003c/p>\n\u003cp>\"In fact, it's the only initial approach that I think is acceptable. If somebody calls me and says, 'I want to take the medication,' my first question is, why? Let me talk to you about all the various alternatives and all the ways that we can think about this,\" he predicts he will say.\u003c/p>\n\u003cp>Shavelson worries that patients may seek aid-in-dying because they are in pain, so first, he would like all his patients to be enrolled in hospice care.\u003c/p>\n\u003cp>\"This can only work when you're sure that the patients have been given the best end-of-life care, which to me is most guaranteed by being a part of hospice or at least having a good palliative care physician. Then this is a rational decision. If you're doing it otherwise, it's because of lack of good care.\"\u003c/p>\n\u003cp>California is the fifth state to legalize aid-in-dying, joining Oregon, Washington, Vermont and Montana. The option is very rarely used. For example, in \u003ca href=\"http://public.health.oregon.gov/ProviderPartnerResources/EvaluationResearch/DeathwithDignityAct/Documents/year17.pdf\" target=\"_blank\">2014 in Oregon\u003c/a>, 155 lethal prescriptions were written under the state's law, and 105 people ultimately took the medicine and died, a death rate under this method of less than 0.5 percent.\u003c/p>\n\u003cp>Under the law, two doctors must agree that a mentally competent patient has six months or less to live. One of the patient-doctor meetings must be private, between only the patient and the physician, to ensure the patient is acting independently. Patients must be able to swallow the medication themselves and must state, in writing, within 48 hours before taking the medication, that they will do so.\u003c/p>\n\u003cp>Shavelson says he has been surprised by the lack of understanding he hears from some health care providers about the law. One person insisted the law was not taking effect this year; another asked how the law would benefit his patients with Alzheimer's disease. To be clear, the law takes effect next week, and patients with dementia cannot access the law because they are not mentally competent.\u003c/p>\n\u003cfigure id=\"attachment_192674\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"wp-image-192674 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/Renee-1-copy-400x598.jpg\" alt='Renee Sahm, one of five terminally ill people followed by Lonny Shavelson in his 1994 book \"A Chosen Death.\"' width=\"400\" height=\"598\">\u003cfigcaption class=\"wp-caption-text\">Renee Sahm, one of five terminally ill people followed by Lonny Shavelson in his 1995 book \"A Chosen Death.\" \u003ccite>(Courtesy: Lonny Shavelson)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The law does not mandate participation by any health care providers. Many physicians are \"queasy\" with the new law, Shavelson says he's hearing, and are unwilling to prescribe to patients who request the lethal medication -- even though they tell him they think the law is the right thing to do.\u003c/p>\n\u003cp>\"My response to that is as health care providers, you might have been uncomfortable the first time you drew blood. You might have been uncomfortable the first time you took out somebody's gall bladder,\" he says. \"If it's a medical procedure you believe in and you believe it's the patient's right, then it's your obligation to learn how to do it -- and do it correctly.\"\u003c/p>\n\u003cp>Shavelson said he predicts that many physicians who are initially reluctant to provide this option to their patients may become more comfortable after the law goes into effect and they see how it works.\u003c/p>\n\u003cp>Burt Presberg, an East Bay psychiatrist who works specifically with cancer patients and their families, said a talk he attended by Shavelson sparked a conversation at his practice. Yet, in my own talk with him, he peppered his statements with \"on the other hand,\" as he clearly wrestled with his own comfort level of handling patient requests.\u003c/p>\n\u003cp>Presberg spoke of his concern that patients suffer from clinical depression at the end of life, sometimes feeling they are a burden to family members who could \"really push for the end of life to happen a little sooner than the patient themselves.\" He spoke from his experience of successfully treating terminally ill patients with clinical depression.\u003c/p>\n\u003cp>\"Depression is something that's really undertreated,\" Presberg said. \"I often talk to people about the difference between normal sadness and normal grieving at the end of life.\"\u003c/p>\n\u003cp>He said he believes Shavelson will be aware of treating depression, \"but I do have concerns about other physicians,\" he said. \"On the other hand, I think it's really good that this is an option.\"\u003c/p>\n\u003cp>Shavelson says he's already received a handful of calls from patients, but he's mostly spent this time before the law takes effect talking to other physicians. He needs a consulting physician and a pharmacist that will accept prescriptions for the lethal dose of medicine.\u003c/p>\n\u003cp>Then he returns to the patient. \"It's important ... that we're moving forward,\" he says. \"It's crucial that we do that because this is part of the rights of patient care to have a certain level of autonomy in how they die.\"\u003c/p>\n\u003cp>To many of the doctors who feel \"queasy\" about moving to end a patient's life, this type of care \"isn't so tangibly different to me,\" Shavelson says, than other kinds of questions doctors address.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "floatright"
},
"numeric": [
"floatright"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"I'm just one of those docs who sees dying as a process, and method of death is less important than making sure it's a good death.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/192287/berkeley-physician-opens-practice-focusing-on-aid-in-dying",
"authors": [
"240"
],
"categories": [
"stateofhealth_2407",
"stateofhealth_13"
],
"tags": [
"stateofhealth_914",
"stateofhealth_40",
"stateofhealth_2519",
"stateofhealth_754"
],
"featImg": "stateofhealth_192726",
"label": "stateofhealth"
},
"stateofhealth_191734": {
"type": "posts",
"id": "stateofhealth_191734",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "191734",
"score": null,
"sort": [
1464794120000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth",
"term": 2768
},
"blocks": [],
"publishDate": 1464794120,
"format": "image",
"disqusTitle": "Depressed Teen's Struggle to Find Mental Health Care in Rural California",
"title": "Depressed Teen's Struggle to Find Mental Health Care in Rural California",
"headTitle": "State of Mind | State of Health | KQED News",
"content": "\u003cp>There’s a hot pink suitcase on the floor of Shariah Vroman-Nagy’s bedroom. The 18-year-old is packing for a trip to Disneyland, one of several she takes with her family every year.\u003c/p>\n\u003cp>“Let’s see, I need a hairbrush,” she says, moving past the collection of Mickey Mouse ears on her dresser, glancing at the inspirational quotes from Marilyn Monroe on the wall.\u003c/p>\n\u003cp>The lyrics to a song called “\u003cem>Smile\u003c/em>” hang in a frame over her bed.\u003c/p>\n\u003cp>“My mom made me that when I was struggling,” says Vroman-Nagy, “because that’s the song that I would listen to. Michael Jackson did a version of it, which I love.”\u003c/p>\n\u003cp>When she feels her depression creeping in, she sings it to herself.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cem>Smile, though your heart is aching\u003c/em>\u003cbr>\n\u003cem>Smile, even though it’s breaking \u003c/em>\u003cbr>\n\u003cem>If you smile through your tears and sorrow\u003c/em>\u003cbr>\n\u003cem>Smile and maybe tomorrow \u003c/em>\u003cbr>\n\u003cem>You’ll see the sun come shining through, for you. \u003c/em>\u003c/p>\n\u003cp>Three years ago, it was in this room, lined with porcelain dolls and stuffed animals, where Vroman-Nagy tried to kill herself. She was 15, a freshman in high school.\u003c/p>\n\u003cp>“Everything piled up, piled up, piled up until I just couldn’t handle it anymore,” she says. “So I had my anti-depressants and I took a handful of those. But then I thought better of it, and I told my mom. She took me to the emergency room.”\u003c/p>\n\u003cfigure id=\"attachment_191785\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-191785\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/RS19653_0506_RCLO_Shariah310a-qut.jpg\" alt=\"Shariah Vroman-Nagy in her bedroom in Redding, Calif. \" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19653_0506_RCLO_Shariah310a-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19653_0506_RCLO_Shariah310a-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19653_0506_RCLO_Shariah310a-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19653_0506_RCLO_Shariah310a-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19653_0506_RCLO_Shariah310a-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19653_0506_RCLO_Shariah310a-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19653_0506_RCLO_Shariah310a-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Shariah Vroman-Nagy in her bedroom in Redding, Calif. \u003ccite>(Andreas Fuhrmann/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There’s no adolescent psychiatric hospital in Redding, the small city in far northern California where Vroman-Nagy lives. So she was taken from the local ER to a hospital in Sacramento, an hour and a half drive to the south. She was there for eight days.\u003c/p>\n\u003cp>The doctors diagnosed her with bipolar disorder. They wanted to keep her longer, but they told her the insurance company wouldn’t cover it.\u003c/p>\n\u003cp>“I didn’t feel like I was ready because I had just been put on new medications,” she says. “In the past I’ve had reactions to medications, and some have not worked. So I wanted to wait and stay for observation a little bit longer.”\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/266972349\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Vroman-Nagy wasn’t alone with feeling that she was sent home too soon. Since 2010, the state received almost 900 appeals from patients saying their insurer unfairly denied inpatient mental health treatment, according to data from the \u003ca href=\"http://www.dmhc.ca.gov/fileacomplaint.aspx#.V04DLPkrKUl\">Department of Managed Health Care\u003c/a>, the main health insurance regulator in the state. The department overturned 47 percent of those decisions.\u003c/p>\n\u003cp>Insurers are allowed to deny coverage for certain treatments, if they determine that the care is not “medically necessary.” This determination is based on evidence-based clinical standards in both mental and medical care, but it has become a key battleground for mental health advocates.\u003c/p>\n\u003cp>They say insurers are able to \u003ca href=\"https://www.nami.org/About-NAMI/Publications-Reports/Public-Policy-Reports/A-Long-Road-Ahead/2015-ALongRoadAhead.pdf\" target=\"_blank\">deny mental health treatments\u003c/a> more often than other medical treatments, because it’s harder to prove when mental health care is medically necessary.\u003c/p>\n\u003cp>Determining the best treatment for depression, bipolar disorder, or anxiety disorders relies heavily on the subjective report of the patient, so it can be difficult to demonstrate how ill a person is.\u003c/p>\n\u003cp>“There aren’t blood tests in mental health, there aren’t X-rays in mental health,” says Keith Humphreys, Stanford psychiatrist and former White House advisor on mental health policy. “So, it’s easier to deny care for mental health than it is for things we've got physical evidence for.”\u003c/p>\n\u003cp>\u003cstrong>Outside the Hospital, Care Still Difficult to Find\u003c/strong>\u003c/p>\n\u003cp>After Vroman-Nagy went home, the hospital helped her find a therapist to continue the work she had begun on the inpatient unit. But the insurance company, Anthem Blue Cross, said no to that, too. They said the therapist wasn’t part of its network.\u003c/p>\n\u003cp>“We spent quite a long time with the insurance company battling them trying to get them to cover visits,” Vroman-Nagy says.\u003c/p>\n\u003cp>Anthem wanted her to see someone on its list of approved in-network providers, Vroman-Nagy says. At the time, that list was just six people, a common scarcity in \u003ca href=\"http://bhpr.hrsa.gov/shortage/hpsas/designationcriteria/mentalhealthhpsacriteria.html\" target=\"_blank\">rural parts\u003c/a> of the country. When Vroman-Nagy started calling them, they either told her their schedules were full or they were retired. So Vroman-Nagy decided to stick with the out-of-network therapist.\u003c/p>\n\u003cfigure id=\"attachment_191782\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-191782\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/RS19650_0506_RCLO_Shariah141a-qut.jpg\" alt=\"Shariah Vroman-Nagy and her father, Tom Nagy, at their home in Redding, Calif.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19650_0506_RCLO_Shariah141a-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19650_0506_RCLO_Shariah141a-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19650_0506_RCLO_Shariah141a-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19650_0506_RCLO_Shariah141a-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19650_0506_RCLO_Shariah141a-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19650_0506_RCLO_Shariah141a-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19650_0506_RCLO_Shariah141a-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Shariah Vroman-Nagy and her father, Tom Nagy, at their home in Redding, Calif. \u003ccite>(Andreas Fuhrmann/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Her father, Tom Nagy, supported the decision. “Because at that point, I’m mean you’re talking possible life and death issues,” he says. “That was my approach, to pay for it. Run up the charge cards.”\u003c/p>\n\u003cp>He ended up paying thousands of dollars out of pocket. Nagy is a teacher, and his wife is a nurse. They couldn’t afford to keep doing that.\u003c/p>\n\u003cp>By law in California, insurers are required to make special arrangements for patients to see an outside therapist if there are none in the plan, and they have to provide the care at the same copay or coinsurance as an in-network clinician. They can’t charge extra.\u003c/p>\n\u003cp>It’s unclear why Tom Nagy didn’t get that help. He had to fight and fight with the insurance company until he was finally reimbursed.\u003c/p>\n\u003cp>He went through \"two or three denials,\" then filed an appeal with Anthem. That was denied. So he filed a second appeal.\u003c/p>\n\u003cp>“It was literally a year-long process,” he says. \"As a parent, it’s hard enough to deal with these situations and be supportive, but then you get the whole financial thing, it just adds a whole other layer. It’s frustrating.”\u003c/p>\n\u003cp>[contextly_sidebar id=\"X2OS9UvvrWrgYd3y51AcrwAvhclm8opt\"]Psychiatrist Keith Humphreys says it’s rare to see someone keep up a fight with an insurance company as long as Nagy did.\u003c/p>\n\u003cp>“It's the easiest fight in the world to win for an insurer,” Humphreys says.\u003c/p>\n\u003cp>Most people would have given up long before, he says. Take someone with depression who has trouble concentrating or can’t get out of bed.\u003c/p>\n\u003cp>“Now you're demanding that I fill out eight pages of forms?” Humphreys says. “It's canted heavily against the people wanting the services, by the nature of the condition.”\u003c/p>\n\u003cp>In a statement, Anthem Blue Cross said it is “committed to providing access to high quality and affordable health care, including mental healthcare.” It has a variety of resources to help people find the best provider for them, the statement continues, including an online listing of available mental health providers, and customer service staff who can help with a search.\u003c/p>\n\u003cp>The company also launched a new online psychology service earlier this year, called LiveHealth Online Psychology, so patients who live in rural areas where it can sometimes be hard to find a clinician, can “talk face-to-face with a licensed therapist or psychologist through high-definition video on your smartphone, tablet or computer with a webcam.\"\u003c/p>\n\u003cp>\u003cstrong>Looking Toward the Future\u003c/strong>\u003c/p>\n\u003cp>It’s Shariah Vroman-Nagy’s spring break from college, and the preparations for the family trip to Disneyland continue. She says she really needs the vacation.\u003c/p>\n\u003cp>“They call it the happiest place on earth, and I really do feel that it makes me happy when I go,” Vroman-Nagy says. “I’m glad we get to go this week because I have been having a little depression going on.”\u003c/p>\n\u003cp>She and her parents run some errands before they leave town, including a stop at Walmart to stock up on snacks for the nine-hour drive.\u003c/p>\n\u003cp>“I have a question,” Vroman-Nagy says to the cashier. “You used to have Mickey Mouse shaped cheese. Do you not carry it anymore?”\u003c/p>\n\u003cp>Instead, she got \u003cem>Frozen\u003c/em>-themed cheese sticks, with characters from the hit Disney film on the package. The radio in her car is primed with a series of Disney soundtracks, from \u003cem>Tarzan\u003c/em> to \u003cem>Beauty and the Beast\u003c/em>, songs which Vroman-Nagy knows well from her days singing with a show choir in high school.\u003c/p>\n\u003cp>Overall, Vroman-Nagy is doing much better. She works part time at the local In-N-Out Burger, and she’s training to volunteer for a suicide hotline. She’s also studying psychology and music at the local junior college.\u003c/p>\n\u003cp>She plans to become an adolescent therapist one day. But first, she’d like to be a character singer at Disneyland.\u003c/p>\n\u003cp>“I would love to be in their entertainment,” she says, and imagines herself in a princess costume singing and dancing in the park’s stage shows or parades. “That would be my dream.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Have a story about mental health that you think KQED should cover? Email reporter \u003ca href=\"mailto:adembosky@kqed.org\" target=\"_blank\">April Dembosky\u003c/a>.\u003c/em>\u003c/p>\n\n",
"disqusIdentifier": "191734 http://ww2.kqed.org/stateofhealth/?p=191734",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2016/06/01/depressed-teens-struggle-to-find-mental-health-care-in-rural-california/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 1583,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 45
},
"modified": 1464815338,
"excerpt": "After their daughter attempted suicide, a family found few therapists and insurance battles as they sought care.\r\n",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "After their daughter attempted suicide, a family found few therapists and insurance battles as they sought care.\r\n",
"title": "Depressed Teen's Struggle to Find Mental Health Care in Rural California | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Depressed Teen's Struggle to Find Mental Health Care in Rural California",
"datePublished": "2016-06-01T08:15:20-07:00",
"dateModified": "2016-06-01T14:08:58-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "depressed-teens-struggle-to-find-mental-health-care-in-rural-california",
"status": "publish",
"path": "/stateofhealth/191734/depressed-teens-struggle-to-find-mental-health-care-in-rural-california",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>There’s a hot pink suitcase on the floor of Shariah Vroman-Nagy’s bedroom. The 18-year-old is packing for a trip to Disneyland, one of several she takes with her family every year.\u003c/p>\n\u003cp>“Let’s see, I need a hairbrush,” she says, moving past the collection of Mickey Mouse ears on her dresser, glancing at the inspirational quotes from Marilyn Monroe on the wall.\u003c/p>\n\u003cp>The lyrics to a song called “\u003cem>Smile\u003c/em>” hang in a frame over her bed.\u003c/p>\n\u003cp>“My mom made me that when I was struggling,” says Vroman-Nagy, “because that’s the song that I would listen to. Michael Jackson did a version of it, which I love.”\u003c/p>\n\u003cp>When she feels her depression creeping in, she sings it to herself.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Smile, though your heart is aching\u003c/em>\u003cbr>\n\u003cem>Smile, even though it’s breaking \u003c/em>\u003cbr>\n\u003cem>If you smile through your tears and sorrow\u003c/em>\u003cbr>\n\u003cem>Smile and maybe tomorrow \u003c/em>\u003cbr>\n\u003cem>You’ll see the sun come shining through, for you. \u003c/em>\u003c/p>\n\u003cp>Three years ago, it was in this room, lined with porcelain dolls and stuffed animals, where Vroman-Nagy tried to kill herself. She was 15, a freshman in high school.\u003c/p>\n\u003cp>“Everything piled up, piled up, piled up until I just couldn’t handle it anymore,” she says. “So I had my anti-depressants and I took a handful of those. But then I thought better of it, and I told my mom. She took me to the emergency room.”\u003c/p>\n\u003cfigure id=\"attachment_191785\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-191785\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/RS19653_0506_RCLO_Shariah310a-qut.jpg\" alt=\"Shariah Vroman-Nagy in her bedroom in Redding, Calif. \" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19653_0506_RCLO_Shariah310a-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19653_0506_RCLO_Shariah310a-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19653_0506_RCLO_Shariah310a-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19653_0506_RCLO_Shariah310a-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19653_0506_RCLO_Shariah310a-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19653_0506_RCLO_Shariah310a-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19653_0506_RCLO_Shariah310a-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Shariah Vroman-Nagy in her bedroom in Redding, Calif. \u003ccite>(Andreas Fuhrmann/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There’s no adolescent psychiatric hospital in Redding, the small city in far northern California where Vroman-Nagy lives. So she was taken from the local ER to a hospital in Sacramento, an hour and a half drive to the south. She was there for eight days.\u003c/p>\n\u003cp>The doctors diagnosed her with bipolar disorder. They wanted to keep her longer, but they told her the insurance company wouldn’t cover it.\u003c/p>\n\u003cp>“I didn’t feel like I was ready because I had just been put on new medications,” she says. “In the past I’ve had reactions to medications, and some have not worked. So I wanted to wait and stay for observation a little bit longer.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/266972349&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/266972349'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Vroman-Nagy wasn’t alone with feeling that she was sent home too soon. Since 2010, the state received almost 900 appeals from patients saying their insurer unfairly denied inpatient mental health treatment, according to data from the \u003ca href=\"http://www.dmhc.ca.gov/fileacomplaint.aspx#.V04DLPkrKUl\">Department of Managed Health Care\u003c/a>, the main health insurance regulator in the state. The department overturned 47 percent of those decisions.\u003c/p>\n\u003cp>Insurers are allowed to deny coverage for certain treatments, if they determine that the care is not “medically necessary.” This determination is based on evidence-based clinical standards in both mental and medical care, but it has become a key battleground for mental health advocates.\u003c/p>\n\u003cp>They say insurers are able to \u003ca href=\"https://www.nami.org/About-NAMI/Publications-Reports/Public-Policy-Reports/A-Long-Road-Ahead/2015-ALongRoadAhead.pdf\" target=\"_blank\">deny mental health treatments\u003c/a> more often than other medical treatments, because it’s harder to prove when mental health care is medically necessary.\u003c/p>\n\u003cp>Determining the best treatment for depression, bipolar disorder, or anxiety disorders relies heavily on the subjective report of the patient, so it can be difficult to demonstrate how ill a person is.\u003c/p>\n\u003cp>“There aren’t blood tests in mental health, there aren’t X-rays in mental health,” says Keith Humphreys, Stanford psychiatrist and former White House advisor on mental health policy. “So, it’s easier to deny care for mental health than it is for things we've got physical evidence for.”\u003c/p>\n\u003cp>\u003cstrong>Outside the Hospital, Care Still Difficult to Find\u003c/strong>\u003c/p>\n\u003cp>After Vroman-Nagy went home, the hospital helped her find a therapist to continue the work she had begun on the inpatient unit. But the insurance company, Anthem Blue Cross, said no to that, too. They said the therapist wasn’t part of its network.\u003c/p>\n\u003cp>“We spent quite a long time with the insurance company battling them trying to get them to cover visits,” Vroman-Nagy says.\u003c/p>\n\u003cp>Anthem wanted her to see someone on its list of approved in-network providers, Vroman-Nagy says. At the time, that list was just six people, a common scarcity in \u003ca href=\"http://bhpr.hrsa.gov/shortage/hpsas/designationcriteria/mentalhealthhpsacriteria.html\" target=\"_blank\">rural parts\u003c/a> of the country. When Vroman-Nagy started calling them, they either told her their schedules were full or they were retired. So Vroman-Nagy decided to stick with the out-of-network therapist.\u003c/p>\n\u003cfigure id=\"attachment_191782\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-191782\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/RS19650_0506_RCLO_Shariah141a-qut.jpg\" alt=\"Shariah Vroman-Nagy and her father, Tom Nagy, at their home in Redding, Calif.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19650_0506_RCLO_Shariah141a-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19650_0506_RCLO_Shariah141a-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19650_0506_RCLO_Shariah141a-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19650_0506_RCLO_Shariah141a-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19650_0506_RCLO_Shariah141a-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19650_0506_RCLO_Shariah141a-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19650_0506_RCLO_Shariah141a-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Shariah Vroman-Nagy and her father, Tom Nagy, at their home in Redding, Calif. \u003ccite>(Andreas Fuhrmann/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Her father, Tom Nagy, supported the decision. “Because at that point, I’m mean you’re talking possible life and death issues,” he says. “That was my approach, to pay for it. Run up the charge cards.”\u003c/p>\n\u003cp>He ended up paying thousands of dollars out of pocket. Nagy is a teacher, and his wife is a nurse. They couldn’t afford to keep doing that.\u003c/p>\n\u003cp>By law in California, insurers are required to make special arrangements for patients to see an outside therapist if there are none in the plan, and they have to provide the care at the same copay or coinsurance as an in-network clinician. They can’t charge extra.\u003c/p>\n\u003cp>It’s unclear why Tom Nagy didn’t get that help. He had to fight and fight with the insurance company until he was finally reimbursed.\u003c/p>\n\u003cp>He went through \"two or three denials,\" then filed an appeal with Anthem. That was denied. So he filed a second appeal.\u003c/p>\n\u003cp>“It was literally a year-long process,” he says. \"As a parent, it’s hard enough to deal with these situations and be supportive, but then you get the whole financial thing, it just adds a whole other layer. It’s frustrating.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Psychiatrist Keith Humphreys says it’s rare to see someone keep up a fight with an insurance company as long as Nagy did.\u003c/p>\n\u003cp>“It's the easiest fight in the world to win for an insurer,” Humphreys says.\u003c/p>\n\u003cp>Most people would have given up long before, he says. Take someone with depression who has trouble concentrating or can’t get out of bed.\u003c/p>\n\u003cp>“Now you're demanding that I fill out eight pages of forms?” Humphreys says. “It's canted heavily against the people wanting the services, by the nature of the condition.”\u003c/p>\n\u003cp>In a statement, Anthem Blue Cross said it is “committed to providing access to high quality and affordable health care, including mental healthcare.” It has a variety of resources to help people find the best provider for them, the statement continues, including an online listing of available mental health providers, and customer service staff who can help with a search.\u003c/p>\n\u003cp>The company also launched a new online psychology service earlier this year, called LiveHealth Online Psychology, so patients who live in rural areas where it can sometimes be hard to find a clinician, can “talk face-to-face with a licensed therapist or psychologist through high-definition video on your smartphone, tablet or computer with a webcam.\"\u003c/p>\n\u003cp>\u003cstrong>Looking Toward the Future\u003c/strong>\u003c/p>\n\u003cp>It’s Shariah Vroman-Nagy’s spring break from college, and the preparations for the family trip to Disneyland continue. She says she really needs the vacation.\u003c/p>\n\u003cp>“They call it the happiest place on earth, and I really do feel that it makes me happy when I go,” Vroman-Nagy says. “I’m glad we get to go this week because I have been having a little depression going on.”\u003c/p>\n\u003cp>She and her parents run some errands before they leave town, including a stop at Walmart to stock up on snacks for the nine-hour drive.\u003c/p>\n\u003cp>“I have a question,” Vroman-Nagy says to the cashier. “You used to have Mickey Mouse shaped cheese. Do you not carry it anymore?”\u003c/p>\n\u003cp>Instead, she got \u003cem>Frozen\u003c/em>-themed cheese sticks, with characters from the hit Disney film on the package. The radio in her car is primed with a series of Disney soundtracks, from \u003cem>Tarzan\u003c/em> to \u003cem>Beauty and the Beast\u003c/em>, songs which Vroman-Nagy knows well from her days singing with a show choir in high school.\u003c/p>\n\u003cp>Overall, Vroman-Nagy is doing much better. She works part time at the local In-N-Out Burger, and she’s training to volunteer for a suicide hotline. She’s also studying psychology and music at the local junior college.\u003c/p>\n\u003cp>She plans to become an adolescent therapist one day. But first, she’d like to be a character singer at Disneyland.\u003c/p>\n\u003cp>“I would love to be in their entertainment,” she says, and imagines herself in a princess costume singing and dancing in the park’s stage shows or parades. “That would be my dream.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "floatright"
},
"numeric": [
"floatright"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Have a story about mental health that you think KQED should cover? Email reporter \u003ca href=\"mailto:adembosky@kqed.org\" target=\"_blank\">April Dembosky\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/191734/depressed-teens-struggle-to-find-mental-health-care-in-rural-california",
"authors": [
"3205"
],
"series": [
"stateofhealth_2768"
],
"categories": [
"stateofhealth_2442",
"stateofhealth_14",
"stateofhealth_13"
],
"tags": [
"stateofhealth_68",
"stateofhealth_2519"
],
"featImg": "stateofhealth_191783",
"label": "stateofhealth_2768"
},
"stateofhealth_191628": {
"type": "posts",
"id": "stateofhealth_191628",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "191628",
"score": null,
"sort": [
1464716261000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth"
},
"blocks": [],
"publishDate": 1464716261,
"format": "standard",
"disqusTitle": "Regulators Examining Whether Health Net Is Stiffing Drug Treatment Providers",
"title": "Regulators Examining Whether Health Net Is Stiffing Drug Treatment Providers",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>California insurance officials are looking into whether Health Net Inc. has improperly withheld payments to addiction treatment centers for months while the company investigates concerns about fraudulent claims.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Health Net has stopped payment for services already provided and it’s unconscionable.'\u003ccite>Stampp Corbin, Addiction Treatment Advocacy Coalition \u003c/cite>\u003c/aside>\n\u003cp>The California Department of Insurance began an inquiry after receiving numerous complaints from substance-abuse treatment facilities statewide that Health Net had not paid them since at least January, according to providers questioned by the agency. Health Net is California’s fourth-largest health insurer, acquired in March for $6 billion by Centene Corp., a St. Louis-based insurer.\u003c/p>\n\u003cp>Officials at the California Department of Managed Health Care, the state’s other insurance regulator, said they are reviewing a May 20 complaint about Health Net’s actions signed by executives and owners of 118 for-profit treatment centers.\u003c/p>\n\u003cp>The treatment providers say they can’t afford to accept Health Net patients without reimbursement, and that the insurer is harming its policyholders by limiting their access to treatment. Drug and alcohol treatment centers in Arizona have filed similar complaints about Health Net with insurance officials there.\u003c/p>\n\u003cp>A Health Net spokesman said “our policy is to not comment on these kinds of inquiries.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>All this comes as the country grapples with an opioid epidemic and more people need help getting sober.\u003c/p>\n\u003cp>“Health Net has stopped payment for services already provided and it’s unconscionable,” said Stampp Corbin, president of the Addiction Treatment Advocacy Coalition, a nonprofit group in Los Angeles that represents California’s for-profit treatment centers. “The net effect is some small facilities may go out of business if they had a high concentration of Health Net clients.”\u003c/p>\n\u003cp>Janice Rocco, the insurance department’s deputy commissioner, said she can’t comment specifically on complaints that are still under investigation.\u003c/p>\n\u003cp>“If we receive complaints from a number of providers about the same insurer not paying in a timely fashion, we would take that very seriously,” Rocco said. “We do communicate with insurers immediately when we receive these types of complaints.”\u003c/p>\n\u003cp>After confirming the complaints, a spokeswoman for the Department of Managed Health Care said “ensuring consumers have access to mental health services which they are entitled to under the law is a priority for the DMHC.”\u003c/p>\n\u003caside class=\"pullquote alignright\">Health Net is examining whether treatment providers paid kickbacks to brokers, labs or doctors who might give referrals.\u003c/aside>\n\u003cp>The current dispute began in January when Health Net’s director of special investigations, Matthew Ciganek, sent a letter to numerous treatment facilities in California outlining a “number of potential concerns” about “false and/or fraudulent claims.”\u003c/p>\n\u003cp>\u003ca href=\"https://californiahealthline.files.wordpress.com/2016/05/health-net-january-letter.pdf\" target=\"_blank\">In his Jan. 8 letter to providers\u003c/a>, Ciganek cited concerns that people who came for treatment from out of state were obtaining benefits for which they were not eligible because they didn’t “continually reside in our defined California service area.”\u003c/p>\n\u003cp>The letter also said Health Net was looking into allegations that providers had waived deductibles or copayments to attract patients or had paid kickbacks to brokers, testing labs, physicians or other providers who might give referrals.\u003c/p>\n\u003cp>The company followed up with similar letters to rehab facilities in March and, in addition, contacted patients for information about their treatment.\u003c/p>\n\u003cp>The letters to patients asked them to show evidence they had paid their deductibles, copays or coinsurance and to furnish a copy of the state license for the treatment facility they visited.\u003c/p>\n\u003cp>“This is to notify you there will be a delay in finalization of this claim until the requested information has been received,” Health Net said in its March letters to patients.\u003c/p>\n\u003cp>[contextly_sidebar id=\"PkgqpVSxuWYsUdCJN0h4IQQof6nk2jyE\"]In the meantime, some Health Net members say finding a treatment center has become more difficult.\u003c/p>\n\u003cp>Gary Millman of Santa Rosa said his adult son sought help in April for his heroin addiction, and two facilities refused to take him because they had concerns about his Health Net coverage.\u003c/p>\n\u003cp>“When they found out he had Health Net, they wouldn’t touch him,” Millman said. “The facilities don’t know if Health Net will come through on paying for treatment, yet the insurance company takes your money easy enough.”\u003c/p>\n\u003cp>Millman’s son eventually located a rehab center with the help of a family friend.\u003c/p>\n\u003cp>Health Net’s action comes after years of criticism and \u003ca href=\"http://www.cnn.com/2013/07/29/health/rehab-racket-siu-cir-part-one/\" target=\"_blank\">media coverage faulting health insurers and the state’s Medi-Cal program\u003c/a> for lax oversight of drug rehab facilities. Some have billed for services never provided or sought to boost revenues by enrolling patients in health plans without their knowledge.\u003c/p>\n\u003cp>Industry representatives acknowledge that the rehab business has a history of fraud and abuse that warrants close scrutiny, but they say Health Net’s audit goes too far.\u003c/p>\n\u003cp>“There are bad players in every industry, but this dragnet is too broad,” said Joan Borsten, a co-founder of the Malibu Beach Recovery Center and vice president of the Addiction Treatment Advocacy Coalition.\u003c/p>\n\u003cp>She said some treatment centers in the coalition report being owed $1 million or more by Health Net for residential or outpatient care. The total amount billed and left unpaid is unclear, she said.\u003c/p>\n\u003cp>Treatment providers in Arizona express similar frustrations.\u003c/p>\n\u003cp>In a recent letter to the Arizona Department of Insurance, the Northern Arizona Recovery Association said Health Net’s “sweeping and indiscriminate audit … has caused significant and undue hardship for quality providers, and more importantly, for the individuals who have paid their premiums and are seeking medically necessary services.”\u003c/p>\n\u003cp>A spokesman for the Arizona agency said it doesn’t comment on matters that might be under investigation.\u003c/p>\n\u003cp>Even before the present standstill over payments, Health Net fell short in ensuring its patients received timely treatment for drug and alcohol problems, data in California show.\u003c/p>\n\u003cp>Only 25 percent of Health Net’s HMO members started treatment within 14 days of being diagnosed with a drug or alcohol addiction, according to 2014 data from the California Office of the Patient Advocate. That was second-to-last among 10 health plans rated. The score for top health plans nationally was 44 percent.\u003c/p>\n\u003cp>Health Net did only slightly better on its PPO plans. Thirty-one percent received treatment within 14 days of diagnosis, placing Health Net fourth among six insurers that were rated. Nationally, top-performing PPO plans posted a treatment rate of 43 percent.\u003c/p>\n\u003cp>Health Net had similar below-average results for providing timely follow-up treatment for addicts.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>California Insurance Commissioner Dave Jones approved Centene’s acquisition of Health Net in March with a number of conditions. One of them is that the new company make efforts to improve Health Net’s ratings on the Patient Advocate’s report card.\u003c/p>\n\n",
"disqusIdentifier": "191628 http://ww2.kqed.org/stateofhealth/?p=191628",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2016/05/31/regulators-examining-whether-health-net-is-stiffing-drug-treatment-providers/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 1166,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 34
},
"modified": 1464716558,
"excerpt": "Health Net has been sifting claims for fraud, but regulators have received complaints that the insurer has not paid rehab claims in months.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Health Net has been sifting claims for fraud, but regulators have received complaints that the insurer has not paid rehab claims in months.",
"title": "Regulators Examining Whether Health Net Is Stiffing Drug Treatment Providers | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "Regulators Examining Whether Health Net Is Stiffing Drug Treatment Providers",
"datePublished": "2016-05-31T10:37:41-07:00",
"dateModified": "2016-05-31T10:42:38-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "regulators-examining-whether-health-net-is-stiffing-drug-treatment-providers",
"status": "publish",
"nprByline": "Chad Terhune\u003cbr />\u003ca href=\"http://californiahealthline.org/\">California Healthline\u003c/a>",
"path": "/stateofhealth/191628/regulators-examining-whether-health-net-is-stiffing-drug-treatment-providers",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California insurance officials are looking into whether Health Net Inc. has improperly withheld payments to addiction treatment centers for months while the company investigates concerns about fraudulent claims.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Health Net has stopped payment for services already provided and it’s unconscionable.'\u003ccite>Stampp Corbin, Addiction Treatment Advocacy Coalition \u003c/cite>\u003c/aside>\n\u003cp>The California Department of Insurance began an inquiry after receiving numerous complaints from substance-abuse treatment facilities statewide that Health Net had not paid them since at least January, according to providers questioned by the agency. Health Net is California’s fourth-largest health insurer, acquired in March for $6 billion by Centene Corp., a St. Louis-based insurer.\u003c/p>\n\u003cp>Officials at the California Department of Managed Health Care, the state’s other insurance regulator, said they are reviewing a May 20 complaint about Health Net’s actions signed by executives and owners of 118 for-profit treatment centers.\u003c/p>\n\u003cp>The treatment providers say they can’t afford to accept Health Net patients without reimbursement, and that the insurer is harming its policyholders by limiting their access to treatment. Drug and alcohol treatment centers in Arizona have filed similar complaints about Health Net with insurance officials there.\u003c/p>\n\u003cp>A Health Net spokesman said “our policy is to not comment on these kinds of inquiries.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>All this comes as the country grapples with an opioid epidemic and more people need help getting sober.\u003c/p>\n\u003cp>“Health Net has stopped payment for services already provided and it’s unconscionable,” said Stampp Corbin, president of the Addiction Treatment Advocacy Coalition, a nonprofit group in Los Angeles that represents California’s for-profit treatment centers. “The net effect is some small facilities may go out of business if they had a high concentration of Health Net clients.”\u003c/p>\n\u003cp>Janice Rocco, the insurance department’s deputy commissioner, said she can’t comment specifically on complaints that are still under investigation.\u003c/p>\n\u003cp>“If we receive complaints from a number of providers about the same insurer not paying in a timely fashion, we would take that very seriously,” Rocco said. “We do communicate with insurers immediately when we receive these types of complaints.”\u003c/p>\n\u003cp>After confirming the complaints, a spokeswoman for the Department of Managed Health Care said “ensuring consumers have access to mental health services which they are entitled to under the law is a priority for the DMHC.”\u003c/p>\n\u003caside class=\"pullquote alignright\">Health Net is examining whether treatment providers paid kickbacks to brokers, labs or doctors who might give referrals.\u003c/aside>\n\u003cp>The current dispute began in January when Health Net’s director of special investigations, Matthew Ciganek, sent a letter to numerous treatment facilities in California outlining a “number of potential concerns” about “false and/or fraudulent claims.”\u003c/p>\n\u003cp>\u003ca href=\"https://californiahealthline.files.wordpress.com/2016/05/health-net-january-letter.pdf\" target=\"_blank\">In his Jan. 8 letter to providers\u003c/a>, Ciganek cited concerns that people who came for treatment from out of state were obtaining benefits for which they were not eligible because they didn’t “continually reside in our defined California service area.”\u003c/p>\n\u003cp>The letter also said Health Net was looking into allegations that providers had waived deductibles or copayments to attract patients or had paid kickbacks to brokers, testing labs, physicians or other providers who might give referrals.\u003c/p>\n\u003cp>The company followed up with similar letters to rehab facilities in March and, in addition, contacted patients for information about their treatment.\u003c/p>\n\u003cp>The letters to patients asked them to show evidence they had paid their deductibles, copays or coinsurance and to furnish a copy of the state license for the treatment facility they visited.\u003c/p>\n\u003cp>“This is to notify you there will be a delay in finalization of this claim until the requested information has been received,” Health Net said in its March letters to patients.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>In the meantime, some Health Net members say finding a treatment center has become more difficult.\u003c/p>\n\u003cp>Gary Millman of Santa Rosa said his adult son sought help in April for his heroin addiction, and two facilities refused to take him because they had concerns about his Health Net coverage.\u003c/p>\n\u003cp>“When they found out he had Health Net, they wouldn’t touch him,” Millman said. “The facilities don’t know if Health Net will come through on paying for treatment, yet the insurance company takes your money easy enough.”\u003c/p>\n\u003cp>Millman’s son eventually located a rehab center with the help of a family friend.\u003c/p>\n\u003cp>Health Net’s action comes after years of criticism and \u003ca href=\"http://www.cnn.com/2013/07/29/health/rehab-racket-siu-cir-part-one/\" target=\"_blank\">media coverage faulting health insurers and the state’s Medi-Cal program\u003c/a> for lax oversight of drug rehab facilities. Some have billed for services never provided or sought to boost revenues by enrolling patients in health plans without their knowledge.\u003c/p>\n\u003cp>Industry representatives acknowledge that the rehab business has a history of fraud and abuse that warrants close scrutiny, but they say Health Net’s audit goes too far.\u003c/p>\n\u003cp>“There are bad players in every industry, but this dragnet is too broad,” said Joan Borsten, a co-founder of the Malibu Beach Recovery Center and vice president of the Addiction Treatment Advocacy Coalition.\u003c/p>\n\u003cp>She said some treatment centers in the coalition report being owed $1 million or more by Health Net for residential or outpatient care. The total amount billed and left unpaid is unclear, she said.\u003c/p>\n\u003cp>Treatment providers in Arizona express similar frustrations.\u003c/p>\n\u003cp>In a recent letter to the Arizona Department of Insurance, the Northern Arizona Recovery Association said Health Net’s “sweeping and indiscriminate audit … has caused significant and undue hardship for quality providers, and more importantly, for the individuals who have paid their premiums and are seeking medically necessary services.”\u003c/p>\n\u003cp>A spokesman for the Arizona agency said it doesn’t comment on matters that might be under investigation.\u003c/p>\n\u003cp>Even before the present standstill over payments, Health Net fell short in ensuring its patients received timely treatment for drug and alcohol problems, data in California show.\u003c/p>\n\u003cp>Only 25 percent of Health Net’s HMO members started treatment within 14 days of being diagnosed with a drug or alcohol addiction, according to 2014 data from the California Office of the Patient Advocate. That was second-to-last among 10 health plans rated. The score for top health plans nationally was 44 percent.\u003c/p>\n\u003cp>Health Net did only slightly better on its PPO plans. Thirty-one percent received treatment within 14 days of diagnosis, placing Health Net fourth among six insurers that were rated. Nationally, top-performing PPO plans posted a treatment rate of 43 percent.\u003c/p>\n\u003cp>Health Net had similar below-average results for providing timely follow-up treatment for addicts.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "floatright"
},
"numeric": [
"floatright"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California Insurance Commissioner Dave Jones approved Centene’s acquisition of Health Net in March with a number of conditions. One of them is that the new company make efforts to improve Health Net’s ratings on the Patient Advocate’s report card.\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/191628/regulators-examining-whether-health-net-is-stiffing-drug-treatment-providers",
"authors": [
"byline_stateofhealth_191628"
],
"categories": [
"stateofhealth_13"
],
"tags": [
"stateofhealth_68",
"stateofhealth_2519"
],
"featImg": "stateofhealth_22731",
"label": "stateofhealth"
},
"stateofhealth_188922": {
"type": "posts",
"id": "stateofhealth_188922",
"meta": {
"index": "posts_1716263798",
"site": "stateofhealth",
"id": "188922",
"score": null,
"sort": [
1464701431000
]
},
"parent": 0,
"labelTerm": {
"site": "stateofhealth",
"term": 2768
},
"blocks": [],
"publishDate": 1464701431,
"format": "image",
"disqusTitle": "San Diego Mother Mourns While Mental Health Gaps Persist",
"title": "San Diego Mother Mourns While Mental Health Gaps Persist",
"headTitle": "State of Mind | State of Health | KQED News",
"content": "\u003cp>Maria Spivey was driving the #1 bus in San Diego one spring day two years ago, when her cellphone started ringing and ringing. She figured it was her 17-year-old daughter Chloe.\u003c/p>\n\u003cp>\"There was no way I could stop and answer the phone,\" she remembers. So she kept going.\u003c/p>\n\u003cp>\"When I get to the end of the line,\" she told herself, \"I'll take a break. I'll call Chloe.\"\u003c/p>\n\u003cp>When she got to the terminal, the calls became more insistent. Now it was her partner, Charles.\u003c/p>\n\u003cp>“‘You need to get home,’” Spivey remembers him telling her. “’Get home now.’”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>She rushed home to find police cars parked in every direction outside her house. Charles opened her car door.\u003c/p>\n\u003cp>\"Chloe's gone,\" he told her.\u003c/p>\n\u003cp>Chloe had killed herself.\u003c/p>\n\u003cp>“I think I almost fell to my knees,” Spivey says, holding back tears. “But I didn’t want to lose complete control. My kids were watching me.”\u003c/p>\n\u003cfigure id=\"attachment_189450\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-189450\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/RS19311_IMG_1779-e1464305449405.jpg\" alt=\"Maria Spivey, riding a bus in San Diego. She's on leave from her job as a driver. \" width=\"1920\" height=\"1920\">\u003cfigcaption class=\"wp-caption-text\">Maria Spivey, riding a bus in San Diego. She's on leave from her job as a driver. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At first Spivey blamed herself.\u003cstrong> \u003c/strong>But later, she blamed Kaiser Permanente. Spivey says the HMO failed to take care of her daughter. When Chloe started having trouble with depression and anxiety in middle school, Kaiser told her she couldn’t get weekly individual therapy.\u003c/p>\n\u003cp>“There's no one-on-one,” Spivey remembers being told.\u003c/p>\n\u003cp>Chloe had attempted suicide once before, when she was 16. Even then, Kaiser did not schedule her into individual therapy. Instead she was put into a weekly group for teens with drug abuse problems.\u003c/p>\n\u003cp>“They didn't discuss depression, anxiety, PTSD,\" Spivey says. No one asked if she was feeling suicidal. “Chloe told me more often than not, ‘Mom, this is not what I need.'\"\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/266777047\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>\u003cstrong>History of Complaints\u003c/strong>\u003c/p>\n\u003cp>Complaints like these had been building up at Kaiser for years. Mental health clinicians at Kaiser who were members of the National Union of Healthcare Workers started to organize across the state. They sent thousands of pages of internal Kaiser documents to state regulators.\u003c/p>\n\u003cp>The clinicians said Kaiser was understaffing its psychiatric department. They said patients were being shuttled into groups or forced to wait four to six weeks for individual therapy appointments.\u003c/p>\n\u003cp>The Department of Managed Health Care, the main regulator of health insurers in the state, found merit in these claims and \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/09/09/kaiser-agrees-to-pay-4-million-fine-over-mental-health-care-drops-lawsuit/\" target=\"_blank\">fined Kaiser\u003c/a> $4 million, which Kaiser initially contested, then agreed to pay in 2014.\u003c/p>\n\u003cp>But the union was still not satisfied. It said patients were still waiting too long for appointments, and in 2015, they went \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/01/12/kaiser-mental-health-workers-launch-7-day-strike/\" target=\"_blank\">on strike\u003c/a>.\u003c/p>\n\u003cp>Kaiser eventually reached a contract agreement with the union, building more time into therapists’ schedules for patient care, and offering “competitive” salaries and benefits, said Yener Balan, Kaiser’s executive director of behavioral health quality, in a statement. It also hired hundreds of new therapists last year and is \"aggressively\" recruiting more.\u003c/p>\n\u003cp>“Kaiser Permanente is actively working to meet the challenges that everyone in the mental health treatment community is facing,” Balan said. “As one of the largest mental health providers in California, we recognize that we are in a position to lead, and that is what we are committed to do.\"\u003c/p>\n\u003cp>While the union is pleased with the changes, union president Sal Roselli says there’s still more work to do.\u003c/p>\n\u003cp>“We want to make Kaiser the poster child to take to other [insurance] providers, in terms of how to do it right,” he says.\u003c/p>\n\u003cp>\u003cstrong>Kaiser May Be 'Victim of Their Own Data' \u003c/strong>\u003c/p>\n\u003cp>Kaiser is the only insurance company that’s been fined in California for forcing patients to wait excessively long for mental health visits. But is it really the only one with problems?\u003c/p>\n\u003cp>Last year in Sacramento, Shelley Rouillard, the head the state's Department of Managed Health Care, testified before a senate committee on mental health that Kaiser's integrated system -- where the insurer and medical provider are one entity -- made it something of an easy target.\u003c/p>\n\u003cp>“Kaiser probably has much better data than anyone else,” she told state lawmakers. \"And so to some extent they may be a victim of their own data.”\u003c/p>\n\u003cp>[contextly_sidebar id=\"Pj1zuPmPSNXAFV3QoGyu3PznrAQcrKbd\"]Other insurers don’t have a centralized call center that tracks appointment wait times, like Kaiser. They have fragmented networks of self-employed therapists. There’s no way to count how many calls a patient makes before they find one who’s available. Or how many patients simply give up.\u003c/p>\n\u003cp>Right now in California, insurance companies monitor themselves to make sure they have enough clinicians. Insurers are responsible for surveying therapists in their directories to make sure they are accepting new patients. But these surveys do not simulate the typical patient experience -– as therapists’ answers about whether they are taking new patients can vary dramatically if the person calling is a patient or the insurance company who pays them.\u003c/p>\n\u003cp>For example, a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/05/23/single-moms-search-for-therapist-foiled-by-insurance-companies/\" target=\"_blank\">KQED survey of 100 psychologists \u003c/a>in the Blue Shield network in San Francisco found that only 28 were actually taking new patients, a rate Rouillard said was “not acceptable.”\u003c/p>\n\u003cp>Mental health clinicians and advocates criticize the Department of Managed Health Care for going easy on insurance companies.\u003c/p>\n\u003cp>The fines are too low and too infrequent, says Meiram Bendat, a plaintiffs’ lawyer in Los Angeles. “They’re a slow bureaucracy that takes way too long to respond to consumer complaints.”\u003c/p>\n\u003cp>\u003cstrong>Difficulty of Enforcement \u003c/strong>\u003c/p>\n\u003cp>Rouillard says the mental health parity laws her agency is tasked with enforcing are extremely complicated, so it makes more sense to work with the companies to correct problems.\u003c/p>\n\u003cp>“We want the plans to do the right thing from the beginning,\" Rouillard says. \"It's worth it to spend the time to help them understand what the law is and what their responsibilities are and for us to work with them to get it right.”\u003c/p>\n\u003cp>Right now, the agency is reviewing health insurance plans’ mental health benefits. Where there are violations of the law -- say a plan charges a higher copay for mental health services compared to other medical services -- the agency tells the insurer to fix the plan so the copays are the same. Of 25 insurance companies reviewed this year, 24 had a violation like this, according to the department. Later this year, department officials will visit insurance companies on site to audit patient files.\u003c/p>\n\u003cp>“It's been a good process,” Rouillard says. “It’s been a little long and dragged out, but we’re getting there and we’ll see on the back end how well it really works.”\u003c/p>\n\u003cp>Other states are taking a much more aggressive approach.\u003c/p>\n\u003cp>In New York, the state attorney general has been suing insurers, using subpoena power to demand data from companies about what kind of care patients are actually getting, not just what the companies say they’re giving.\u003c/p>\n\u003cp>“It doesn’t seem like there’s any lack of winnable cases available,” says Keith Humphreys, a psychiatrist at Stanford who served as a policy advisor to the Obama administration. “The reason we see that in New York is not that New York is an unusual place -- but that you had a public official who was engaged enough and talented enough to expose it.”\u003c/p>\n\u003cp>He calls the New York attorney general a hero.\u003c/p>\n\u003cp>The investigations pursued in New York and by California's Department of Managed Health Care have depended largely on consumers submitting complaints about their health plans. This can be a tall order for people suffering from a mental illness, who may be too distraught, or even cognitively impaired by their condition to navigate the web of agencies, and the web of forms. Advocates believe the number of complaints submitted to regulators represent only a fraction of potential violations of mental health laws.\u003c/p>\n\u003cp>Maria Spivey says when her daughter Chloe was struggling, she didn’t have the energy to file a complaint with state regulators. She didn’t know how -- or even that it was an option.\u003c/p>\n\u003cp>“I didn’t have time to waste on Kaiser and what they weren’t doing for Chloe,\" she says. \"I was trying to save Chloe and find people that would help me.”\u003c/p>\n\u003cp>Spivey is now one of several plaintiffs in a lawsuit against Kaiser. She wants to see Kaiser make a more meaningful overhaul to its mental health system -- to provide one-on-one therapy to all patients who need it, as soon as they need it.\u003c/p>\n\u003cp>\u003cem>Consumers who feel they have been unfairly denied mental health coverage can file a complaint with the \u003ca href=\"http://www.dmhc.ca.gov/fileacomplaint.aspx#.V0dHwFeOuUg\" target=\"_blank\">Department of Managed Health Care\u003c/a> or the \u003ca href=\"http://www.insurance.ca.gov/01-consumers/101-help/\" target=\"_blank\">Department of Insurance\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Got a story about mental health that you think KQED should cover? Email reporter \u003ca href=\"mailto:adembosky@kqed.org\" target=\"_blank\">April Dembosky\u003c/a>.\u003c/em>\u003c/p>\n\n",
"disqusIdentifier": "188922 http://ww2.kqed.org/stateofhealth/?p=188922",
"disqusUrl": "https://ww2.kqed.org/stateofhealth/2016/05/31/teen-tragedy-highlights-gap-in-mental-health-enforcement/",
"stats": {
"hasVideo": false,
"hasChartOrMap": false,
"hasAudio": false,
"hasPolis": false,
"wordCount": 1580,
"hasGoogleForm": false,
"hasGallery": false,
"hasHearkenModule": false,
"iframeSrcs": [],
"paragraphCount": 49
},
"modified": 1464902980,
"excerpt": "Maria Spivey's daughter had attempted suicide in the past, but had trouble getting one-on-one counseling approved by her insurance plan.",
"headData": {
"twImgId": "",
"twTitle": "",
"ogTitle": "",
"ogImgId": "",
"twDescription": "",
"description": "Maria Spivey's daughter had attempted suicide in the past, but had trouble getting one-on-one counseling approved by her insurance plan.",
"title": "San Diego Mother Mourns While Mental Health Gaps Persist | KQED",
"ogDescription": "",
"schema": {
"@context": "https://schema.org",
"@type": "Article",
"headline": "San Diego Mother Mourns While Mental Health Gaps Persist",
"datePublished": "2016-05-31T06:30:31-07:00",
"dateModified": "2016-06-02T14:29:40-07:00",
"image": "https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"
}
},
"guestAuthors": [],
"slug": "teen-tragedy-highlights-gap-in-mental-health-enforcement",
"status": "publish",
"path": "/stateofhealth/188922/teen-tragedy-highlights-gap-in-mental-health-enforcement",
"audioTrackLength": null,
"parsedContent": [
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Maria Spivey was driving the #1 bus in San Diego one spring day two years ago, when her cellphone started ringing and ringing. She figured it was her 17-year-old daughter Chloe.\u003c/p>\n\u003cp>\"There was no way I could stop and answer the phone,\" she remembers. So she kept going.\u003c/p>\n\u003cp>\"When I get to the end of the line,\" she told herself, \"I'll take a break. I'll call Chloe.\"\u003c/p>\n\u003cp>When she got to the terminal, the calls became more insistent. Now it was her partner, Charles.\u003c/p>\n\u003cp>“‘You need to get home,’” Spivey remembers him telling her. “’Get home now.’”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "fullwidth"
},
"numeric": [
"fullwidth"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>She rushed home to find police cars parked in every direction outside her house. Charles opened her car door.\u003c/p>\n\u003cp>\"Chloe's gone,\" he told her.\u003c/p>\n\u003cp>Chloe had killed herself.\u003c/p>\n\u003cp>“I think I almost fell to my knees,” Spivey says, holding back tears. “But I didn’t want to lose complete control. My kids were watching me.”\u003c/p>\n\u003cfigure id=\"attachment_189450\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-189450\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/06/RS19311_IMG_1779-e1464305449405.jpg\" alt=\"Maria Spivey, riding a bus in San Diego. She's on leave from her job as a driver. \" width=\"1920\" height=\"1920\">\u003cfigcaption class=\"wp-caption-text\">Maria Spivey, riding a bus in San Diego. She's on leave from her job as a driver. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At first Spivey blamed herself.\u003cstrong> \u003c/strong>But later, she blamed Kaiser Permanente. Spivey says the HMO failed to take care of her daughter. When Chloe started having trouble with depression and anxiety in middle school, Kaiser told her she couldn’t get weekly individual therapy.\u003c/p>\n\u003cp>“There's no one-on-one,” Spivey remembers being told.\u003c/p>\n\u003cp>Chloe had attempted suicide once before, when she was 16. Even then, Kaiser did not schedule her into individual therapy. Instead she was put into a weekly group for teens with drug abuse problems.\u003c/p>\n\u003cp>“They didn't discuss depression, anxiety, PTSD,\" Spivey says. No one asked if she was feeling suicidal. “Chloe told me more often than not, ‘Mom, this is not what I need.'\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/266777047&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/266777047'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cstrong>History of Complaints\u003c/strong>\u003c/p>\n\u003cp>Complaints like these had been building up at Kaiser for years. Mental health clinicians at Kaiser who were members of the National Union of Healthcare Workers started to organize across the state. They sent thousands of pages of internal Kaiser documents to state regulators.\u003c/p>\n\u003cp>The clinicians said Kaiser was understaffing its psychiatric department. They said patients were being shuttled into groups or forced to wait four to six weeks for individual therapy appointments.\u003c/p>\n\u003cp>The Department of Managed Health Care, the main regulator of health insurers in the state, found merit in these claims and \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/09/09/kaiser-agrees-to-pay-4-million-fine-over-mental-health-care-drops-lawsuit/\" target=\"_blank\">fined Kaiser\u003c/a> $4 million, which Kaiser initially contested, then agreed to pay in 2014.\u003c/p>\n\u003cp>But the union was still not satisfied. It said patients were still waiting too long for appointments, and in 2015, they went \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/01/12/kaiser-mental-health-workers-launch-7-day-strike/\" target=\"_blank\">on strike\u003c/a>.\u003c/p>\n\u003cp>Kaiser eventually reached a contract agreement with the union, building more time into therapists’ schedules for patient care, and offering “competitive” salaries and benefits, said Yener Balan, Kaiser’s executive director of behavioral health quality, in a statement. It also hired hundreds of new therapists last year and is \"aggressively\" recruiting more.\u003c/p>\n\u003cp>“Kaiser Permanente is actively working to meet the challenges that everyone in the mental health treatment community is facing,” Balan said. “As one of the largest mental health providers in California, we recognize that we are in a position to lead, and that is what we are committed to do.\"\u003c/p>\n\u003cp>While the union is pleased with the changes, union president Sal Roselli says there’s still more work to do.\u003c/p>\n\u003cp>“We want to make Kaiser the poster child to take to other [insurance] providers, in terms of how to do it right,” he says.\u003c/p>\n\u003cp>\u003cstrong>Kaiser May Be 'Victim of Their Own Data' \u003c/strong>\u003c/p>\n\u003cp>Kaiser is the only insurance company that’s been fined in California for forcing patients to wait excessively long for mental health visits. But is it really the only one with problems?\u003c/p>\n\u003cp>Last year in Sacramento, Shelley Rouillard, the head the state's Department of Managed Health Care, testified before a senate committee on mental health that Kaiser's integrated system -- where the insurer and medical provider are one entity -- made it something of an easy target.\u003c/p>\n\u003cp>“Kaiser probably has much better data than anyone else,” she told state lawmakers. \"And so to some extent they may be a victim of their own data.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Other insurers don’t have a centralized call center that tracks appointment wait times, like Kaiser. They have fragmented networks of self-employed therapists. There’s no way to count how many calls a patient makes before they find one who’s available. Or how many patients simply give up.\u003c/p>\n\u003cp>Right now in California, insurance companies monitor themselves to make sure they have enough clinicians. Insurers are responsible for surveying therapists in their directories to make sure they are accepting new patients. But these surveys do not simulate the typical patient experience -– as therapists’ answers about whether they are taking new patients can vary dramatically if the person calling is a patient or the insurance company who pays them.\u003c/p>\n\u003cp>For example, a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/05/23/single-moms-search-for-therapist-foiled-by-insurance-companies/\" target=\"_blank\">KQED survey of 100 psychologists \u003c/a>in the Blue Shield network in San Francisco found that only 28 were actually taking new patients, a rate Rouillard said was “not acceptable.”\u003c/p>\n\u003cp>Mental health clinicians and advocates criticize the Department of Managed Health Care for going easy on insurance companies.\u003c/p>\n\u003cp>The fines are too low and too infrequent, says Meiram Bendat, a plaintiffs’ lawyer in Los Angeles. “They’re a slow bureaucracy that takes way too long to respond to consumer complaints.”\u003c/p>\n\u003cp>\u003cstrong>Difficulty of Enforcement \u003c/strong>\u003c/p>\n\u003cp>Rouillard says the mental health parity laws her agency is tasked with enforcing are extremely complicated, so it makes more sense to work with the companies to correct problems.\u003c/p>\n\u003cp>“We want the plans to do the right thing from the beginning,\" Rouillard says. \"It's worth it to spend the time to help them understand what the law is and what their responsibilities are and for us to work with them to get it right.”\u003c/p>\n\u003cp>Right now, the agency is reviewing health insurance plans’ mental health benefits. Where there are violations of the law -- say a plan charges a higher copay for mental health services compared to other medical services -- the agency tells the insurer to fix the plan so the copays are the same. Of 25 insurance companies reviewed this year, 24 had a violation like this, according to the department. Later this year, department officials will visit insurance companies on site to audit patient files.\u003c/p>\n\u003cp>“It's been a good process,” Rouillard says. “It’s been a little long and dragged out, but we’re getting there and we’ll see on the back end how well it really works.”\u003c/p>\n\u003cp>Other states are taking a much more aggressive approach.\u003c/p>\n\u003cp>In New York, the state attorney general has been suing insurers, using subpoena power to demand data from companies about what kind of care patients are actually getting, not just what the companies say they’re giving.\u003c/p>\n\u003cp>“It doesn’t seem like there’s any lack of winnable cases available,” says Keith Humphreys, a psychiatrist at Stanford who served as a policy advisor to the Obama administration. “The reason we see that in New York is not that New York is an unusual place -- but that you had a public official who was engaged enough and talented enough to expose it.”\u003c/p>\n\u003cp>He calls the New York attorney general a hero.\u003c/p>\n\u003cp>The investigations pursued in New York and by California's Department of Managed Health Care have depended largely on consumers submitting complaints about their health plans. This can be a tall order for people suffering from a mental illness, who may be too distraught, or even cognitively impaired by their condition to navigate the web of agencies, and the web of forms. Advocates believe the number of complaints submitted to regulators represent only a fraction of potential violations of mental health laws.\u003c/p>\n\u003cp>Maria Spivey says when her daughter Chloe was struggling, she didn’t have the energy to file a complaint with state regulators. She didn’t know how -- or even that it was an option.\u003c/p>\n\u003cp>“I didn’t have time to waste on Kaiser and what they weren’t doing for Chloe,\" she says. \"I was trying to save Chloe and find people that would help me.”\u003c/p>\n\u003cp>Spivey is now one of several plaintiffs in a lawsuit against Kaiser. She wants to see Kaiser make a more meaningful overhaul to its mental health system -- to provide one-on-one therapy to all patients who need it, as soon as they need it.\u003c/p>\n\u003cp>\u003cem>Consumers who feel they have been unfairly denied mental health coverage can file a complaint with the \u003ca href=\"http://www.dmhc.ca.gov/fileacomplaint.aspx#.V0dHwFeOuUg\" target=\"_blank\">Department of Managed Health Care\u003c/a> or the \u003ca href=\"http://www.insurance.ca.gov/01-consumers/101-help/\" target=\"_blank\">Department of Insurance\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
"attributes": {
"named": {},
"numeric": []
}
},
{
"type": "component",
"content": "",
"name": "ad",
"attributes": {
"named": {
"label": "floatright"
},
"numeric": [
"floatright"
]
}
},
{
"type": "contentString",
"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Got a story about mental health that you think KQED should cover? Email reporter \u003ca href=\"mailto:adembosky@kqed.org\" target=\"_blank\">April Dembosky\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
"attributes": {
"named": {},
"numeric": []
}
}
],
"link": "/stateofhealth/188922/teen-tragedy-highlights-gap-in-mental-health-enforcement",
"authors": [
"3205"
],
"series": [
"stateofhealth_2768"
],
"categories": [
"stateofhealth_13"
],
"tags": [
"stateofhealth_68",
"stateofhealth_2519"
],
"featImg": "stateofhealth_189895",
"label": "stateofhealth_2768"
}
},
"podcastsReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": false,
"podcasts": {}
},
"radioProgramsReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": false,
"radioPrograms": {}
},
"radioSearchSegmentsReducer": {},
"programsReducer": {
"all-things-considered": {
"id": "all-things-considered",
"title": "All Things Considered",
"info": "Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.",
"airtime": "MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/all-things-considered/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/all-things-considered"
},
"american-suburb-podcast": {
"id": "american-suburb-podcast",
"title": "American Suburb: The Podcast",
"tagline": "The flip side of gentrification, told through one town",
"info": "Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg",
"officialWebsiteLink": "/news/series/american-suburb-podcast",
"meta": {
"site": "news",
"source": "kqed",
"order": 19
},
"link": "/news/series/american-suburb-podcast/",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/RBrW",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328",
"tuneIn": "https://tunein.com/radio/American-Suburb-p1086805/",
"rss": "https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"
}
},
"baycurious": {
"id": "baycurious",
"title": "Bay Curious",
"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Bay Curious",
"officialWebsiteLink": "/news/series/baycurious",
"meta": {
"site": "news",
"source": "kqed",
"order": 3
},
"link": "/podcasts/baycurious",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/bay-curious/id1172473406",
"npr": "https://www.npr.org/podcasts/500557090/bay-curious",
"rss": "https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast",
"amazon": "https://music.amazon.com/podcasts/9a90d476-aa04-455d-9a4c-0871ed6216d4/bay-curious",
"stitcher": "https://www.stitcher.com/podcast/kqed/bay-curious",
"spotify": "https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"
}
},
"bbc-world-service": {
"id": "bbc-world-service",
"title": "BBC World Service",
"info": "The day's top stories from BBC News compiled twice daily in the week, once at weekends.",
"airtime": "MON-FRI 9pm-10pm, TUE-FRI 1am-2am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.bbc.co.uk/sounds/play/live:bbc_world_service",
"meta": {
"site": "news",
"source": "BBC World Service"
},
"link": "/radio/program/bbc-world-service",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2",
"tuneIn": "https://tunein.com/radio/BBC-World-Service-p455581/",
"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The California Report",
"officialWebsiteLink": "/californiareport",
"meta": {
"site": "news",
"source": "kqed",
"order": 8
},
"link": "/californiareport",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/kqeds-the-california-report/id79681292",
"amazon": "https://music.amazon.com/podcasts/26099305-72af-4542-9dde-ac1807fe36d5/kqed-s-the-california-report",
"npr": "https://www.npr.org/podcasts/432285393/the-california-report",
"stitcher": "https://www.stitcher.com/podcast/kqedfm-kqeds-the-california-report-podcast-8838",
"rss": "https://ww2.kqed.org/news/tag/tcram/feed/podcast"
}
},
"californiareportmagazine": {
"id": "californiareportmagazine",
"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Magazine-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The California Report Magazine",
"officialWebsiteLink": "/californiareportmagazine",
"meta": {
"site": "news",
"source": "kqed",
"order": 10
},
"link": "/californiareportmagazine",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-california-report-magazine/id1314750545",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
"npr": "https://www.npr.org/podcasts/564733126/the-california-report-magazine",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-california-report-magazine",
"rss": "https://ww2.kqed.org/news/tag/tcrmag/feed/podcast"
}
},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
"officialWebsiteLink": "https://www.cityarts.net/",
"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
"title": "Close All Tabs",
"tagline": "Your irreverent guide to the trends redefining our world",
"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/02/CAT_2_Tile-scaled.jpg",
"imageAlt": "KQED Close All Tabs",
"officialWebsiteLink": "/podcasts/closealltabs",
"meta": {
"site": "news",
"source": "kqed",
"order": 1
},
"link": "/podcasts/closealltabs",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/close-all-tabs/id214663465",
"rss": "https://feeds.megaphone.fm/KQINC6993880386",
"amazon": "https://music.amazon.com/podcasts/92d9d4ac-67a3-4eed-b10a-fb45d45b1ef2/close-all-tabs",
"spotify": "https://open.spotify.com/show/6LAJFHnGK1pYXYzv6SIol6?si=deb0cae19813417c"
}
},
"code-switch-life-kit": {
"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
"airtime": "SUN 9pm-10pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/code-switch-life-kit",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
"spotify": "https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV",
"rss": "https://feeds.npr.org/510312/podcast.xml"
}
},
"commonwealth-club": {
"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.commonwealthclub.org/podcasts",
"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2",
"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
"tuneIn": "https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"
}
},
"forum": {
"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
"officialWebsiteLink": "/forum",
"meta": {
"site": "news",
"source": "kqed",
"order": 9
},
"link": "/forum",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
"npr": "https://www.npr.org/podcasts/432307980/forum",
"stitcher": "https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast",
"rss": "https://feeds.megaphone.fm/KQINC9557381633"
}
},
"freakonomics-radio": {
"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/4s8b",
"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
}
},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
"airtime": "MON-FRI 7pm-8pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Fresh-Air-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/fresh-air/",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/fresh-air",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/4s8b",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Fresh-Air-p17/",
"rss": "https://feeds.npr.org/381444908/podcast.xml"
}
},
"here-and-now": {
"id": "here-and-now",
"title": "Here & Now",
"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
"airtime": "MON-THU 11am-12pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Here-And-Now-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "http://www.wbur.org/hereandnow",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/here-and-now",
"subsdcribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=426698661",
"tuneIn": "https://tunein.com/radio/Here--Now-p211/",
"rss": "https://feeds.npr.org/510051/podcast.xml"
}
},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/hiddenbrain.jpg",
"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
"site": "news",
"source": "NPR"
},
"link": "/radio/program/hidden-brain",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/hidden-brain/id1028908750?mt=2",
"tuneIn": "https://tunein.com/podcasts/Science-Podcasts/Hidden-Brain-p787503/",
"rss": "https://feeds.npr.org/510308/podcast.xml"
}
},
"how-i-built-this": {
"id": "how-i-built-this",
"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/how-i-built-this",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
"tuneIn": "https://tunein.com/podcasts/Arts--Culture-Podcasts/How-I-Built-This-p910896/",
"rss": "https://feeds.npr.org/510313/podcast.xml"
}
},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
"imageAlt": "KQED Hyphenación",
"officialWebsiteLink": "/podcasts/hyphenacion",
"meta": {
"site": "news",
"source": "kqed",
"order": 15
},
"link": "/podcasts/hyphenacion",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/hyphenaci%C3%B3n/id1191591838",
"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
"youtube": "https://www.youtube.com/c/kqedarts",
"amazon": "https://music.amazon.com/podcasts/6c3dd23c-93fb-4aab-97ba-1725fa6315f1/hyphenaci%C3%B3n",
"rss": "https://feeds.megaphone.fm/KQINC2275451163"
}
},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Political Mind of Jerry Brown",
"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
"site": "news",
"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
"subscribe": {
"npr": "https://www.npr.org/podcasts/790253322/the-political-mind-of-jerry-brown",
"apple": "https://itunes.apple.com/us/podcast/id1492194549",
"rss": "https://ww2.kqed.org/news/series/jerrybrown/feed/podcast/",
"tuneIn": "http://tun.in/pjGcK",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-political-mind-of-jerry-brown",
"spotify": "https://open.spotify.com/show/54C1dmuyFyKMFttY6X2j6r?si=K8SgRCoISNK6ZbjpXrX5-w",
"amazon": "https://music.amazon.com/podcasts/44420f75-3b0e-4301-ab3b-16da6b09e543/the-political-mind-of-jerry-brown"
}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/xtTd",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Latino-USA-p621/",
"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
"subscribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201853034&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/APM-Marketplace-p88/",
"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
"site": "news",
"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
"spotify": "https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"
}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
"npr": "https://rpb3r.app.goo.gl/onourwatch",
"spotify": "https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x",
"tuneIn": "https://tunein.com/radio/On-Our-Watch-p1436229/",
"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
"site": "news",
"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
"meta": {
"site": "news",
"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
"meta": {
"site": "radio",
"source": "kqed",
"order": 14
},
"link": "/perspectives",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/id73801135",
"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"
}
},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
"officialWebsiteLink": "https://www.npr.org/sections/money/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/M4f5",
"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
"tuneIn": "https://tunein.com/podcasts/Business--Economics-Podcasts/Planet-Money-p164680/",
"rss": "https://feeds.npr.org/510289/podcast.xml"
}
},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Political Breakdown",
"officialWebsiteLink": "/podcasts/politicalbreakdown",
"meta": {
"site": "radio",
"source": "kqed",
"order": 5
},
"link": "/podcasts/politicalbreakdown",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/political-breakdown/id1327641087",
"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
"npr": "https://www.npr.org/podcasts/572155894/political-breakdown",
"stitcher": "https://www.stitcher.com/podcast/kqed/political-breakdown",
"spotify": "https://open.spotify.com/show/07RVyIjIdk2WDuVehvBMoN",
"rss": "https://ww2.kqed.org/news/tag/political-breakdown/feed/podcast"
}
},
"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
"meta": {
"site": "news",
"source": "Possible"
},
"link": "/radio/program/possible",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/possible/id1677184070",
"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
}
},
"pri-the-world": {
"id": "pri-the-world",
"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pri.org/programs/the-world",
"meta": {
"site": "news",
"source": "PRI"
},
"link": "/radio/program/pri-the-world",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pris-the-world-latest-edition/id278196007?mt=2",
"tuneIn": "https://tunein.com/podcasts/News--Politics-Podcasts/PRIs-The-World-p24/",
"rss": "http://feeds.feedburner.com/pri/theworld"
}
},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
"airtime": "SUN 12am-1am, SAT 2pm-3pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/radiolab1400.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/radiolab/",
"meta": {
"site": "science",
"source": "WNYC"
},
"link": "/radio/program/radiolab",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/radiolab/id152249110?mt=2",
"tuneIn": "https://tunein.com/radio/RadioLab-p68032/",
"rss": "https://feeds.wnyc.org/radiolab"
}
},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
"airtime": "SAT 4pm-5pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/reveal300px.png",
"officialWebsiteLink": "https://www.revealnews.org/episodes/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/reveal",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/reveal/id886009669",
"tuneIn": "https://tunein.com/radio/Reveal-p679597/",
"rss": "http://feeds.revealradio.org/revealpodcast"
}
},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Rightnowish-Podcast-Tile-500x500-1.jpg",
"imageAlt": "KQED Rightnowish with Pendarvis Harshaw",
"officialWebsiteLink": "/podcasts/rightnowish",
"meta": {
"site": "arts",
"source": "kqed",
"order": 16
},
"link": "/podcasts/rightnowish",
"subscribe": {
"npr": "https://www.npr.org/podcasts/721590300/rightnowish",
"rss": "https://ww2.kqed.org/arts/programs/rightnowish/feed/podcast",
"apple": "https://podcasts.apple.com/us/podcast/rightnowish/id1482187648",
"stitcher": "https://www.stitcher.com/podcast/kqed/rightnowish",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMxMjU5MTY3NDc4",
"spotify": "https://open.spotify.com/show/7kEJuafTzTVan7B78ttz1I"
}
},
"science-friday": {
"id": "science-friday",
"title": "Science Friday",
"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
"airtime": "FRI 11am-1pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Science-Friday-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/science-friday",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/science-friday",
"subscribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=73329284&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Science-Friday-p394/",
"rss": "http://feeds.wnyc.org/science-friday"
}
},
"snap-judgment": {
"id": "snap-judgment",
"title": "Snap Judgment",
"tagline": "Real stories with killer beats",
"info": "The Snap Judgment radio show and podcast mixes real stories with killer beats to produce cinematic, dramatic radio. Snap's musical brand of storytelling dares listeners to see the world through the eyes of another. This is storytelling... with a BEAT!! Snap first aired on public radio stations nationwide in July 2010. Today, Snap Judgment airs on over 450 public radio stations and is brought to the airwaves by KQED & PRX.",
"airtime": "SAT 1pm-2pm, 9pm-10pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/05/Snap-Judgment-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Snap Judgment",
"officialWebsiteLink": "https://snapjudgment.org",
"meta": {
"site": "arts",
"source": "kqed",
"order": 4
},
"link": "https://snapjudgment.org",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/snap-judgment/id283657561",
"npr": "https://www.npr.org/podcasts/449018144/snap-judgment",
"stitcher": "https://www.pandora.com/podcast/snap-judgment/PC:241?source=stitcher-sunset",
"spotify": "https://open.spotify.com/show/3Cct7ZWmxHNAtLgBTqjC5v",
"rss": "https://snap.feed.snapjudgment.org/"
}
},
"soldout": {
"id": "soldout",
"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
"info": "Sold Out: Rethinking Housing in America",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Sold-Out-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Sold Out: Rethinking Housing in America",
"officialWebsiteLink": "/podcasts/soldout",
"meta": {
"site": "news",
"source": "kqed",
"order": 13
},
"link": "/podcasts/soldout",
"subscribe": {
"npr": "https://www.npr.org/podcasts/911586047/s-o-l-d-o-u-t-a-new-future-for-housing",
"apple": "https://podcasts.apple.com/us/podcast/introducing-sold-out-rethinking-housing-in-america/id1531354937",
"rss": "https://feeds.megaphone.fm/soldout",
"spotify": "https://open.spotify.com/show/38dTBSk2ISFoPiyYNoKn1X",
"stitcher": "https://www.stitcher.com/podcast/kqed/sold-out-rethinking-housing-in-america",
"tunein": "https://tunein.com/radio/SOLD-OUT-Rethinking-Housing-in-America-p1365871/"
}
},
"spooked": {
"id": "spooked",
"title": "Spooked",
"tagline": "True-life supernatural stories",
"info": "",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/10/Spooked-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Spooked",
"officialWebsiteLink": "https://spookedpodcast.org/",
"meta": {
"site": "news",
"source": "kqed",
"order": 7
},
"link": "https://spookedpodcast.org/",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/spooked/id1279361017",
"npr": "https://www.npr.org/podcasts/549547848/snap-judgment-presents-spooked",
"spotify": "https://open.spotify.com/show/76571Rfl3m7PLJQZKQIGCT",
"rss": "https://feeds.simplecast.com/TBotaapn"
}
},
"tech-nation": {
"id": "tech-nation",
"title": "Tech Nation Radio Podcast",
"info": "Tech Nation is a weekly public radio program, hosted by Dr. Moira Gunn. Founded in 1993, it has grown from a simple interview show to a multi-faceted production, featuring conversations with noted technology and science leaders, and a weekly science and technology-related commentary.",
"airtime": "FRI 10pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Tech-Nation-Radio-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "http://technation.podomatic.com/",
"meta": {
"site": "science",
"source": "Tech Nation Media"
},
"link": "/radio/program/tech-nation",
"subscribe": {
"rss": "https://technation.podomatic.com/rss2.xml"
}
},
"ted-radio-hour": {
"id": "ted-radio-hour",
"title": "TED Radio Hour",
"info": "The TED Radio Hour is a journey through fascinating ideas, astonishing inventions, fresh approaches to old problems, and new ways to think and create.",
"airtime": "SUN 3pm-4pm, SAT 10pm-11pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/tedRadioHour.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/ted-radio-hour/?showDate=2018-06-22",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/ted-radio-hour",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/8vsS",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=523121474&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/TED-Radio-Hour-p418021/",
"rss": "https://feeds.npr.org/510298/podcast.xml"
}
},
"thebay": {
"id": "thebay",
"title": "The Bay",
"tagline": "Local news to keep you rooted",
"info": "Host Devin Katayama walks you through the biggest story of the day with reporters and newsmakers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Bay-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Bay",
"officialWebsiteLink": "/podcasts/thebay",
"meta": {
"site": "radio",
"source": "kqed",
"order": 2
},
"link": "/podcasts/thebay",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-bay/id1350043452",
"amazon": "https://music.amazon.com/podcasts/d800ea4c-7a2c-42f2-b861-edaf78a5db0b/the-bay",
"npr": "https://www.npr.org/podcasts/586725995/the-bay",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-bay",
"spotify": "https://open.spotify.com/show/4BIKBKIujizLHlIlBNaAqQ",
"rss": "https://feeds.megaphone.fm/KQINC8259786327"
}
},
"thelatest": {
"id": "thelatest",
"title": "The Latest",
"tagline": "Trusted local news in real time",
"info": "",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/05/The-Latest-2025-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Latest",
"officialWebsiteLink": "/thelatest",
"meta": {
"site": "news",
"source": "kqed",
"order": 6
},
"link": "/thelatest",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-latest-from-kqed/id1197721799",
"npr": "https://www.npr.org/podcasts/1257949365/the-latest-from-k-q-e-d",
"spotify": "https://open.spotify.com/show/5KIIXMgM9GTi5AepwOYvIZ?si=bd3053fec7244dba",
"rss": "https://feeds.megaphone.fm/KQINC9137121918"
}
},
"theleap": {
"id": "theleap",
"title": "The Leap",
"tagline": "What if you closed your eyes, and jumped?",
"info": "Stories about people making dramatic, risky changes, told by award-winning public radio reporter Judy Campbell.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Leap-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Leap",
"officialWebsiteLink": "/podcasts/theleap",
"meta": {
"site": "news",
"source": "kqed",
"order": 17
},
"link": "/podcasts/theleap",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/the-leap/id1046668171",
"npr": "https://www.npr.org/podcasts/447248267/the-leap",
"stitcher": "https://www.stitcher.com/podcast/kqed/the-leap",
"spotify": "https://open.spotify.com/show/3sSlVHHzU0ytLwuGs1SD1U",
"rss": "https://ww2.kqed.org/news/programs/the-leap/feed/podcast"
}
},
"the-moth-radio-hour": {
"id": "the-moth-radio-hour",
"title": "The Moth Radio Hour",
"info": "Since its launch in 1997, The Moth has presented thousands of true stories, told live and without notes, to standing-room-only crowds worldwide. Moth storytellers stand alone, under a spotlight, with only a microphone and a roomful of strangers. The storyteller and the audience embark on a high-wire act of shared experience which is both terrifying and exhilarating. Since 2008, The Moth podcast has featured many of our favorite stories told live on Moth stages around the country. For information on all of our programs and live events, visit themoth.org.",
"airtime": "SAT 8pm-9pm and SUN 11am-12pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/theMoth.jpg",
"officialWebsiteLink": "https://themoth.org/",
"meta": {
"site": "arts",
"source": "prx"
},
"link": "/radio/program/the-moth-radio-hour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/the-moth-podcast/id275699983?mt=2",
"tuneIn": "https://tunein.com/radio/The-Moth-p273888/",
"rss": "http://feeds.themoth.org/themothpodcast"
}
},
"the-new-yorker-radio-hour": {
"id": "the-new-yorker-radio-hour",
"title": "The New Yorker Radio Hour",
"info": "The New Yorker Radio Hour is a weekly program presented by the magazine's editor, David Remnick, and produced by WNYC Studios and The New Yorker. Each episode features a diverse mix of interviews, profiles, storytelling, and an occasional burst of humor inspired by the magazine, and shaped by its writers, artists, and editors. This isn't a radio version of a magazine, but something all its own, reflecting the rich possibilities of audio storytelling and conversation. Theme music for the show was composed and performed by Merrill Garbus of tUnE-YArDs.",
"airtime": "SAT 10am-11am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-New-Yorker-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/tnyradiohour",
"meta": {
"site": "arts",
"source": "WNYC"
},
"link": "/radio/program/the-new-yorker-radio-hour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/id1050430296",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/New-Yorker-Radio-Hour-p803804/",
"rss": "https://feeds.feedburner.com/newyorkerradiohour"
}
},
"the-sam-sanders-show": {
"id": "the-sam-sanders-show",
"title": "The Sam Sanders Show",
"info": "One of public radio's most dynamic voices, Sam Sanders helped launch The NPR Politics Podcast and hosted NPR's hit show It's Been A Minute. Now, the award-winning host returns with something brand new, The Sam Sanders Show. Every week, Sam Sanders and friends dig into the culture that shapes our lives: what's driving the biggest trends, how artists really think, and even the memes you can't stop scrolling past. Sam is beloved for his way of unpacking the world and bringing you up close to fresh currents and engaging conversations. The Sam Sanders Show is smart, funny and always a good time.",
"airtime": "FRI 12-1pm AND SAT 11am-12pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/11/The-Sam-Sanders-Show-Podcast-Tile-400x400-1.jpg",
"officialWebsiteLink": "https://www.kcrw.com/shows/the-sam-sanders-show/latest",
"meta": {
"site": "arts",
"source": "KCRW"
},
"link": "https://www.kcrw.com/shows/the-sam-sanders-show/latest",
"subscribe": {
"rss": "https://feed.cdnstream1.com/zjb/feed/download/ac/28/59/ac28594c-e1d0-4231-8728-61865cdc80e8.xml"
}
},
"the-splendid-table": {
"id": "the-splendid-table",
"title": "The Splendid Table",
"info": "\u003cem>The Splendid Table\u003c/em> hosts our nation's conversations about cooking, sustainability and food culture.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Splendid-Table-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.splendidtable.org/",
"airtime": "SUN 10-11 pm",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/the-splendid-table"
},
"this-american-life": {
"id": "this-american-life",
"title": "This American Life",
"info": "This American Life is a weekly public radio show, heard by 2.2 million people on more than 500 stations. Another 2.5 million people download the weekly podcast. It is hosted by Ira Glass, produced in collaboration with Chicago Public Media, delivered to stations by PRX The Public Radio Exchange, and has won all of the major broadcasting awards.",
"airtime": "SAT 12pm-1pm, 7pm-8pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/thisAmericanLife.png",
"officialWebsiteLink": "https://www.thisamericanlife.org/",
"meta": {
"site": "news",
"source": "wbez"
},
"link": "/radio/program/this-american-life",
"subscribe": {
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201671138&at=11l79Y&ct=nprdirectory",
"rss": "https://www.thisamericanlife.org/podcast/rss.xml"
}
},
"tinydeskradio": {
"id": "tinydeskradio",
"title": "Tiny Desk Radio",
"info": "We're bringing the best of Tiny Desk to the airwaves, only on public radio.",
"airtime": "SUN 8pm and SAT 9pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/04/300x300-For-Member-Station-Logo-Tiny-Desk-Radio-@2x.png",
"officialWebsiteLink": "https://www.npr.org/series/g-s1-52030/tiny-desk-radio",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/tinydeskradio",
"subscribe": {
"rss": "https://feeds.npr.org/g-s1-52030/rss.xml"
}
},
"wait-wait-dont-tell-me": {
"id": "wait-wait-dont-tell-me",
"title": "Wait Wait... Don't Tell Me!",
"info": "Peter Sagal and Bill Kurtis host the weekly NPR News quiz show alongside some of the best and brightest news and entertainment personalities.",
"airtime": "SUN 10am-11am, SAT 11am-12pm, SAT 6pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Wait-Wait-Podcast-Tile-300x300-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/wait-wait-dont-tell-me/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/wait-wait-dont-tell-me",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/Xogv",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=121493804&at=11l79Y&ct=nprdirectory",
"tuneIn": "https://tunein.com/radio/Wait-Wait-Dont-Tell-Me-p46/",
"rss": "https://feeds.npr.org/344098539/podcast.xml"
}
},
"weekend-edition-saturday": {
"id": "weekend-edition-saturday",
"title": "Weekend Edition Saturday",
"info": "Weekend Edition Saturday wraps up the week's news and offers a mix of analysis and features on a wide range of topics, including arts, sports, entertainment, and human interest stories. The two-hour program is hosted by NPR's Peabody Award-winning Scott Simon.",
"airtime": "SAT 5am-10am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Weekend-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/weekend-edition-saturday/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/weekend-edition-saturday"
},
"weekend-edition-sunday": {
"id": "weekend-edition-sunday",
"title": "Weekend Edition Sunday",
"info": "Weekend Edition Sunday features interviews with newsmakers, artists, scientists, politicians, musicians, writers, theologians and historians. The program has covered news events from Nelson Mandela's 1990 release from a South African prison to the capture of Saddam Hussein.",
"airtime": "SUN 5am-10am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Weekend-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/weekend-edition-sunday/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/weekend-edition-sunday"
}
},
"racesReducer": {},
"racesGenElectionReducer": {},
"racesGenElection2026Reducer": {},
"racesGenElection2026PresidentialReducer": {},
"radioSchedulesReducer": {},
"listsReducer": {
"posts/stateofhealth?category=tests-treatments": {
"isFetching": false,
"latestQuery": {
"from": 36,
"size": 12
},
"vitalsOnly": false,
"totalRequested": 12,
"isLoading": false,
"isLoadingMore": true,
"total": {
"value": 411,
"relation": "eq"
},
"items": [
"stateofhealth_206784",
"stateofhealth_205822",
"stateofhealth_205539",
"stateofhealth_198989",
"stateofhealth_204789",
"stateofhealth_201177",
"stateofhealth_196569",
"stateofhealth_195134",
"stateofhealth_192287",
"stateofhealth_191734",
"stateofhealth_191628",
"stateofhealth_188922"
],
"complete": true
}
},
"recallGuideReducer": {
"intros": {},
"policy": {},
"candidates": {}
},
"savedArticleReducer": {
"articles": [],
"status": {}
},
"newslettersReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": false,
"newsletters": {},
"isSubscribing": false,
"isUnsubscribing": false,
"subscribedNewsletters": {}
},
"termsReducer": {
"about": {
"name": "About",
"type": "terms",
"id": "about",
"slug": "about",
"link": "/about",
"taxonomy": "site"
},
"arts": {
"name": "Arts & Culture",
"grouping": [
"arts",
"pop",
"trulyca"
],
"description": "KQED Arts provides daily in-depth coverage of the Bay Area's music, art, film, performing arts, literature and arts news, as well as cultural commentary and criticism.",
"type": "terms",
"id": "arts",
"slug": "arts",
"link": "/arts",
"taxonomy": "site"
},
"artschool": {
"name": "Art School",
"parent": "arts",
"type": "terms",
"id": "artschool",
"slug": "artschool",
"link": "/artschool",
"taxonomy": "site"
},
"bayareabites": {
"name": "KQED food",
"grouping": [
"food",
"bayareabites",
"checkplease"
],
"parent": "food",
"type": "terms",
"id": "bayareabites",
"slug": "bayareabites",
"link": "/food",
"taxonomy": "site"
},
"bayareahiphop": {
"name": "Bay Area Hiphop",
"type": "terms",
"id": "bayareahiphop",
"slug": "bayareahiphop",
"link": "/bayareahiphop",
"taxonomy": "site"
},
"campaign21": {
"name": "Campaign 21",
"type": "terms",
"id": "campaign21",
"slug": "campaign21",
"link": "/campaign21",
"taxonomy": "site"
},
"careers": {
"name": "Careers",
"type": "terms",
"id": "careers",
"slug": "careers",
"link": "/careers",
"taxonomy": "site"
},
"checkplease": {
"name": "KQED food",
"grouping": [
"food",
"bayareabites",
"checkplease"
],
"parent": "food",
"type": "terms",
"id": "checkplease",
"slug": "checkplease",
"link": "/food",
"taxonomy": "site"
},
"education": {
"name": "Education",
"grouping": [
"education"
],
"type": "terms",
"id": "education",
"slug": "education",
"link": "/education",
"taxonomy": "site"
},
"elections": {
"name": "Elections",
"type": "terms",
"id": "elections",
"slug": "elections",
"link": "/elections",
"taxonomy": "site"
},
"events": {
"name": "Events",
"type": "terms",
"id": "events",
"slug": "events",
"link": "/events",
"taxonomy": "site"
},
"event": {
"name": "Event",
"alias": "events",
"type": "terms",
"id": "event",
"slug": "event",
"link": "/event",
"taxonomy": "site"
},
"filmschoolshorts": {
"name": "Film School Shorts",
"type": "terms",
"id": "filmschoolshorts",
"slug": "filmschoolshorts",
"link": "/filmschoolshorts",
"taxonomy": "site"
},
"food": {
"name": "KQED food",
"grouping": [
"food",
"bayareabites",
"checkplease"
],
"type": "terms",
"id": "food",
"slug": "food",
"link": "/food",
"taxonomy": "site"
},
"forum": {
"name": "Forum",
"relatedContentQuery": "posts/forum?",
"parent": "news",
"type": "terms",
"id": "forum",
"slug": "forum",
"link": "/forum",
"taxonomy": "site"
},
"futureofyou": {
"name": "Future of You",
"grouping": [
"science",
"futureofyou"
],
"parent": "science",
"type": "terms",
"id": "futureofyou",
"slug": "futureofyou",
"link": "/futureofyou",
"taxonomy": "site"
},
"jpepinheart": {
"name": "KQED food",
"relatedContentQuery": "posts/food,bayareabites,checkplease",
"parent": "food",
"type": "terms",
"id": "jpepinheart",
"slug": "jpepinheart",
"link": "/food",
"taxonomy": "site"
},
"liveblog": {
"name": "Live Blog",
"type": "terms",
"id": "liveblog",
"slug": "liveblog",
"link": "/liveblog",
"taxonomy": "site"
},
"livetv": {
"name": "Live TV",
"parent": "tv",
"type": "terms",
"id": "livetv",
"slug": "livetv",
"link": "/livetv",
"taxonomy": "site"
},
"lowdown": {
"name": "The Lowdown",
"relatedContentQuery": "posts/lowdown?",
"parent": "news",
"type": "terms",
"id": "lowdown",
"slug": "lowdown",
"link": "/lowdown",
"taxonomy": "site"
},
"mindshift": {
"name": "Mindshift",
"parent": "news",
"description": "MindShift explores the future of education by highlighting the innovative – and sometimes counterintuitive – ways educators and parents are helping all children succeed.",
"type": "terms",
"id": "mindshift",
"slug": "mindshift",
"link": "/mindshift",
"taxonomy": "site"
},
"news": {
"name": "News",
"grouping": [
"news",
"forum"
],
"type": "terms",
"id": "news",
"slug": "news",
"link": "/news",
"taxonomy": "site"
},
"newsletters": {
"name": "newsletters",
"type": "terms",
"id": "newsletters",
"slug": "newsletters",
"link": "/newsletters",
"taxonomy": "site"
},
"perspectives": {
"name": "Perspectives",
"parent": "radio",
"type": "terms",
"id": "perspectives",
"slug": "perspectives",
"link": "/perspectives",
"taxonomy": "site"
},
"podcasts": {
"name": "Podcasts",
"type": "terms",
"id": "podcasts",
"slug": "podcasts",
"link": "/podcasts",
"taxonomy": "site"
},
"pop": {
"name": "Pop",
"parent": "arts",
"type": "terms",
"id": "pop",
"slug": "pop",
"link": "/pop",
"taxonomy": "site"
},
"pressroom": {
"name": "Pressroom",
"type": "terms",
"id": "pressroom",
"slug": "pressroom",
"link": "/pressroom",
"taxonomy": "site"
},
"quest": {
"name": "Quest",
"parent": "science",
"type": "terms",
"id": "quest",
"slug": "quest",
"link": "/quest",
"taxonomy": "site"
},
"radio": {
"name": "Radio",
"grouping": [
"forum",
"perspectives"
],
"description": "Listen to KQED Public Radio – home of Forum and The California Report – on 88.5 FM in San Francisco, 89.3 FM in Sacramento, 88.3 FM in Santa Rosa and 88.1 FM in Martinez.",
"type": "terms",
"id": "radio",
"slug": "radio",
"link": "/radio",
"taxonomy": "site"
},
"root": {
"name": "KQED",
"image": "https://ww2.kqed.org/app/uploads/2020/02/KQED-OG-Image@1x.png",
"imageWidth": 1200,
"imageHeight": 630,
"headData": {
"title": "KQED | News, Radio, Podcasts, TV | Public Media for Northern California",
"description": "KQED provides public radio, television, and independent reporting on issues that matter to the Bay Area. We’re the NPR and PBS member station for Northern California."
},
"type": "terms",
"id": "root",
"slug": "root",
"link": "/root",
"taxonomy": "site"
},
"science": {
"name": "Science",
"grouping": [
"science",
"futureofyou"
],
"description": "KQED Science brings you award-winning science and environment coverage from the Bay Area and beyond.",
"type": "terms",
"id": "science",
"slug": "science",
"link": "/science",
"taxonomy": "site"
},
"stateofhealth": {
"name": "State of Health",
"parent": "science",
"type": "terms",
"id": "stateofhealth",
"slug": "stateofhealth",
"link": "/stateofhealth",
"taxonomy": "site"
},
"support": {
"name": "Support",
"type": "terms",
"id": "support",
"slug": "support",
"link": "/support",
"taxonomy": "site"
},
"thedolist": {
"name": "The Do List",
"parent": "arts",
"type": "terms",
"id": "thedolist",
"slug": "thedolist",
"link": "/thedolist",
"taxonomy": "site"
},
"trulyca": {
"name": "Truly CA",
"grouping": [
"arts",
"pop",
"trulyca"
],
"parent": "arts",
"type": "terms",
"id": "trulyca",
"slug": "trulyca",
"link": "/trulyca",
"taxonomy": "site"
},
"tv": {
"name": "TV",
"type": "terms",
"id": "tv",
"slug": "tv",
"link": "/tv",
"taxonomy": "site"
},
"voterguide": {
"name": "Voter Guide",
"parent": "elections",
"alias": "elections",
"type": "terms",
"id": "voterguide",
"slug": "voterguide",
"link": "/voterguide",
"taxonomy": "site"
},
"guiaelectoral": {
"name": "Guia Electoral",
"parent": "elections",
"alias": "elections",
"type": "terms",
"id": "guiaelectoral",
"slug": "guiaelectoral",
"link": "/guiaelectoral",
"taxonomy": "site"
},
"stateofhealth_category_tests-treatments": {
"isLoading": true
},
"stateofhealth_13": {
"type": "terms",
"id": "stateofhealth_13",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "13",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Tests & Treatments",
"description": "Information and new research about advances in discovering and treating diseases and conditions.",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "Information and new research about advances in discovering and treating diseases and conditions.",
"title": "Tests & Treatments Archives | KQED Arts",
"ogDescription": null
},
"ttid": 13,
"slug": "tests-treatments",
"isLoading": false,
"link": "/stateofhealth/category/tests-treatments"
},
"stateofhealth_14": {
"type": "terms",
"id": "stateofhealth_14",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "14",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Policy",
"description": "Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed",
"title": "Policy Archives | KQED Arts",
"ogDescription": null
},
"ttid": 14,
"slug": "policy",
"isLoading": false,
"link": "/stateofhealth/category/policy"
},
"stateofhealth_160": {
"type": "terms",
"id": "stateofhealth_160",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "160",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Abortion",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Abortion Archives | KQED Arts",
"ogDescription": null
},
"ttid": 160,
"slug": "abortion",
"isLoading": false,
"link": "/stateofhealth/tag/abortion"
},
"stateofhealth_2519": {
"type": "terms",
"id": "stateofhealth_2519",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "2519",
"found": true
},
"relationships": {},
"featImg": null,
"name": "News",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "News Archives | KQED Arts",
"ogDescription": null
},
"ttid": 2528,
"slug": "news",
"isLoading": false,
"link": "/stateofhealth/tag/news"
},
"stateofhealth_397": {
"type": "terms",
"id": "stateofhealth_397",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "397",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Women's Health",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Women's Health Archives | KQED Arts",
"ogDescription": null
},
"ttid": 398,
"slug": "womens-health",
"isLoading": false,
"link": "/stateofhealth/tag/womens-health"
},
"stateofhealth_2492": {
"type": "terms",
"id": "stateofhealth_2492",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "2492",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Price Check",
"description": null,
"taxonomy": "series",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Price Check Archives | KQED Arts",
"ogDescription": null
},
"ttid": 802,
"slug": "price-check",
"isLoading": false,
"link": "/stateofhealth/series/price-check"
},
"stateofhealth_2442": {
"type": "terms",
"id": "stateofhealth_2442",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "2442",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Health Insurance",
"description": null,
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Health Insurance Archives | KQED Arts",
"ogDescription": null
},
"ttid": 2453,
"slug": "health-insurance",
"isLoading": false,
"link": "/stateofhealth/category/health-insurance"
},
"stateofhealth_482": {
"type": "terms",
"id": "stateofhealth_482",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "482",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Health Care Costs",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Health Care Costs Archives | KQED Arts",
"ogDescription": null
},
"ttid": 483,
"slug": "health-care-costs",
"isLoading": false,
"link": "/stateofhealth/tag/health-care-costs"
},
"stateofhealth_2640": {
"type": "terms",
"id": "stateofhealth_2640",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "2640",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Drug Prices",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Drug Prices Archives | KQED Arts",
"ogDescription": null
},
"ttid": 2649,
"slug": "drug-prices",
"isLoading": false,
"link": "/stateofhealth/tag/drug-prices"
},
"stateofhealth_11": {
"type": "terms",
"id": "stateofhealth_11",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "11",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Community Health",
"description": "\r\n\r\nFrom rural California to urban neighborhoods, where you live affects your health",
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "From rural California to urban neighborhoods, where you live affects your health",
"title": "Community Health Archives | KQED Arts",
"ogDescription": null
},
"ttid": 11,
"slug": "place-matters",
"isLoading": false,
"link": "/stateofhealth/category/place-matters"
},
"stateofhealth_155": {
"type": "terms",
"id": "stateofhealth_155",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "155",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Autism",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Autism Archives | KQED Arts",
"ogDescription": null
},
"ttid": 155,
"slug": "autism",
"isLoading": false,
"link": "/stateofhealth/tag/autism"
},
"stateofhealth_96": {
"type": "terms",
"id": "stateofhealth_96",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "96",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Children's Health",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Children's Health Archives | KQED Arts",
"ogDescription": null
},
"ttid": 96,
"slug": "childrens-health",
"isLoading": false,
"link": "/stateofhealth/tag/childrens-health"
},
"stateofhealth_2746": {
"type": "terms",
"id": "stateofhealth_2746",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "2746",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Public Health",
"description": null,
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Public Health Archives | KQED Arts",
"ogDescription": null
},
"ttid": 2755,
"slug": "public-health",
"isLoading": false,
"link": "/stateofhealth/category/public-health"
},
"stateofhealth_313": {
"type": "terms",
"id": "stateofhealth_313",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "313",
"found": true
},
"relationships": {},
"featImg": null,
"name": "HIV/AIDS",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "HIV/AIDS Archives | KQED Arts",
"ogDescription": null
},
"ttid": 314,
"slug": "hivaids",
"isLoading": false,
"link": "/stateofhealth/tag/hivaids"
},
"stateofhealth_2650": {
"type": "terms",
"id": "stateofhealth_2650",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "2650",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Drug Costs",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Drug Costs Archives | KQED Arts",
"ogDescription": null
},
"ttid": 2659,
"slug": "drug-costs",
"isLoading": false,
"link": "/stateofhealth/tag/drug-costs"
},
"stateofhealth_2656": {
"type": "terms",
"id": "stateofhealth_2656",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "2656",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Opioids",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Opioids Archives | KQED Arts",
"ogDescription": null
},
"ttid": 2665,
"slug": "opioids",
"isLoading": false,
"link": "/stateofhealth/tag/opioids"
},
"stateofhealth_141": {
"type": "terms",
"id": "stateofhealth_141",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "141",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Pain Treatment",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Pain Treatment Archives | KQED Arts",
"ogDescription": null
},
"ttid": 141,
"slug": "pain-treatment",
"isLoading": false,
"link": "/stateofhealth/tag/pain-treatment"
},
"stateofhealth_31": {
"type": "terms",
"id": "stateofhealth_31",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "31",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Vaccines",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Vaccines Archives | KQED Arts",
"ogDescription": null
},
"ttid": 31,
"slug": "vaccines",
"isLoading": false,
"link": "/stateofhealth/tag/vaccines"
},
"stateofhealth_2407": {
"type": "terms",
"id": "stateofhealth_2407",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "2407",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Digital Health",
"description": null,
"taxonomy": "category",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Digital Health Archives | KQED Arts",
"ogDescription": null
},
"ttid": 2418,
"slug": "digital-health",
"isLoading": false,
"link": "/stateofhealth/category/digital-health"
},
"stateofhealth_914": {
"type": "terms",
"id": "stateofhealth_914",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "914",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Aid in Dying",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Aid in Dying Archives | KQED Arts",
"ogDescription": null
},
"ttid": 917,
"slug": "aid-in-dying",
"isLoading": false,
"link": "/stateofhealth/tag/aid-in-dying"
},
"stateofhealth_40": {
"type": "terms",
"id": "stateofhealth_40",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "40",
"found": true
},
"relationships": {},
"featImg": null,
"name": "End of Life Care",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "End of Life Care Archives | KQED Arts",
"ogDescription": null
},
"ttid": 40,
"slug": "end-of-life-care",
"isLoading": false,
"link": "/stateofhealth/tag/end-of-life-care"
},
"stateofhealth_754": {
"type": "terms",
"id": "stateofhealth_754",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "754",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Physician-assisted Suicide",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Physician-assisted Suicide Archives | KQED Arts",
"ogDescription": null
},
"ttid": 756,
"slug": "physician-assisted-suicide",
"isLoading": false,
"link": "/stateofhealth/tag/physician-assisted-suicide"
},
"stateofhealth_2768": {
"type": "terms",
"id": "stateofhealth_2768",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "2768",
"found": true
},
"relationships": {},
"featImg": "https://ww2.kqed.org/app/uploads/sites/27/2016/08/RS20817_State-of-Mind-qut.jpg",
"name": "State of Mind",
"description": "\u003ch1>Sorry, The Therapist Can't See You -- Not Now, Not Anytime Soon\u003c/h1>\r\nMore than 43 million Americans have depression, anxiety, or another mental health condition. But more than half never get help. Recent laws were supposed to make it easier for Californians to access treatment, but many still face roadblocks, even with insurance. In this special series by KQED's The California Report and State of Health we travel across the state to find out why it’s so difficult to get mental health care.\r\n\r\nListen to the half-hour radio special here:\r\n\r\n[soundcloud url=\"https://api.soundcloud.com/tracks/279045541\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\r\n\u003cbr />\r\nExplore each of these stories below. We talk to a single \u003ca href=\"https://ww2.kqed.org/stateofhealth/2016/05/23/single-moms-search-for-therapist-foiled-by-insurance-companies/\" target=\"_blank\">mom looking for help\u003c/a> in San Francisco, where there are lots of therapists. And we meet a \u003ca href=\"https://ww2.kqed.org/stateofhealth/2016/06/01/depressed-teens-struggle-to-find-mental-health-care-in-rural-california/\" target=\"_blank\">young woman in Shasta County\u003c/a>, where there aren’t.\r\n\r\nWe talk to the \u003ca href=\"https://ww2.kqed.org/stateofhealth/2016/05/24/just-like-patients-therapists-also-battle-insurance-red-tape/\" target=\"_blank\">therapists who are trying\u003c/a> to help. We explore the current \u003ca href=\"https://ww2.kqed.org/stateofhealth/2016/05/31/teen-tragedy-highlights-gap-in-mental-health-enforcement/\" target=\"_blank\">state of enforcement\u003c/a>. And we take a step back in history to understand how psychotherapy became a \u003ca href=\"https://ww2.kqed.org/stateofhealth/2016/05/24/how-therapy-became-a-hobby-of-the-wealthy-rather-than-a-necessity-for-the-mentally-ill/\" target=\"_blank\">hobby of the wealthy\u003c/a> rather than a critical service for those in need.",
"taxonomy": "series",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": "Sorry, The Therapist Can't See You -- Not Now, Not Anytime Soon More than 43 million Americans have depression, anxiety, or another mental health condition. But more than half never get help. Recent laws were supposed to make it easier for Californians to access treatment, but many still face roadblocks, even with insurance. In this special series by KQED's The California Report and State of Health we travel across the state to find out why it’s so difficult to get mental health care. Listen to the half-hour radio special here: [soundcloud url=\"https://api.soundcloud.com/tracks/279045541\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /] Explore each of these stories below. We talk to a single mom looking for help in San Francisco, where there are lots of therapists. And we meet a young woman in Shasta County, where there aren’t. We talk to the therapists who are trying to help. We explore the current state of enforcement. And we take a step back in history to understand how psychotherapy became a hobby of the wealthy rather than a critical service for those in need.",
"title": "State of Mind Archives | KQED Arts",
"ogDescription": null
},
"ttid": 2777,
"slug": "state-of-mind",
"isLoading": false,
"link": "/stateofhealth/series/state-of-mind"
},
"stateofhealth_68": {
"type": "terms",
"id": "stateofhealth_68",
"meta": {
"index": "terms_1716263798",
"site": "stateofhealth",
"id": "68",
"found": true
},
"relationships": {},
"featImg": null,
"name": "Mental Health",
"description": null,
"taxonomy": "tag",
"headData": {
"twImgId": null,
"twTitle": null,
"ogTitle": null,
"ogImgId": null,
"twDescription": null,
"description": null,
"title": "Mental Health Archives | KQED Arts",
"ogDescription": null
},
"ttid": 68,
"slug": "mental-health",
"isLoading": false,
"link": "/stateofhealth/tag/mental-health"
}
},
"userPermissionsReducer": {
"wpLoggedIn": false
},
"eventsReducer": {},
"fssReducer": {},
"tvDailyScheduleReducer": {},
"tvWeeklyScheduleReducer": {},
"tvPrimetimeScheduleReducer": {},
"tvMonthlyScheduleReducer": {},
"userAccountReducer": {
"user": {
"email": null,
"emailStatus": "EMAIL_UNVALIDATED",
"loggedStatus": "LOGGED_OUT",
"loggingChecked": false,
"articles": [],
"firstName": null,
"lastName": null,
"phoneNumber": null,
"fetchingMembership": false,
"membershipError": false,
"memberships": [
{
"id": null,
"startDate": null,
"firstName": null,
"lastName": null,
"familyNumber": null,
"memberNumber": null,
"memberSince": null,
"expirationDate": null,
"pfsEligible": false,
"isSustaining": false,
"membershipLevel": "Prospect",
"membershipStatus": "Non Member",
"lastGiftDate": null,
"renewalDate": null,
"lastDonationAmount": null
}
]
},
"authModal": {
"isOpen": false,
"view": "LANDING_VIEW"
},
"error": null
},
"youthMediaReducer": {},
"checkPleaseReducer": {
"filterData": {
"region": {
"key": "Restaurant Region",
"filters": [
"Any Region"
]
},
"cuisine": {
"key": "Restaurant Cuisine",
"filters": [
"Any Cuisine"
]
}
},
"restaurantDataById": {},
"restaurantIdsSorted": [],
"error": null
},
"userAgentReducer": {
"userAgent": "Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)",
"isBot": true
},
"requestOutcomesReducer": {
"notFound": []
},
"navPromosReducer": {
"isFetching": false,
"fetchFailed": false,
"hasFetched": true,
"promos": {
"news": {
"name": "2026 Voter Guide",
"link": "/voterguide",
"imageURL": "https://cdn.kqed.org/wp-content/uploads/2026/10/Nav-News-Nov2026ElectionCoverage@2x-7bd4aad4.png",
"description": "Get informed in minutes with our Voter Guide for California’s November 3 election."
},
"podcasts-radio": {},
"video-tv": {},
"events": {},
"support": {}
}
}
}