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"content": "\u003cp>Genetically manipulated food remains generally safe for humans and the environment, a high-powered science advisory board declared in a report Tuesday.\u003c/p>\n\u003cp>The National Academies of Science, Engineering and Medicine concluded that tinkering with the genetics of what we eat doesn't produce the \"Frankenfood\" monster some opponents claim — but it isn't feeding the world with substantially increased yields, as proponents promised.\u003c/p>\n\u003cp>With the line between engineered and natural foods blurring thanks to newer techniques such as gene editing, the 408-page report said, regulators need to make their safety focus more on the end-product of the food that's made rather than the nuts and bolts of how it's made.\u003c/p>\n\u003cp>The report waltzed a bit around the hot political issue of whether genetically modified food should be labeled. The study's authors said labels aren't needed for food safety reasons but potentially could be justified because of transparency, social and cultural factors, somewhat similar to made-in-America stickers. That stance was praised by some environmental and consumer groups, but criticized by some scientists as unnecessary because the food poses no unique risks.\u003c/p>\n\u003cp>There's no evidence of environmental problems caused by genetically modified crops, but pesticide resistance is a problem, the report said. Farms that use genetically modified crops in general are helped, but it may be a different story for smaller farmers and in poorer areas of the world, it said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Most of the modified plants are soybean, cotton, corn and canola; in most cases, genetic tinkering has made them resistant to certain herbicides and insects. When farms switched from conventional crops to the engineered varieties, there was no substantial change in the yield compared to non-engineered food. Production in general is increasing in agriculture, but U.S. Department of Agriculture data don't show that genetically engineered crops are increasing at a higher rate, despite experimental results suggest that they should, the report said.\u003c/p>\n\u003cp>\"Farmers in general are gaining,\" with less pesticide use and a bit higher yield, academy committee chairman Fred Gould said at a Tuesday news conference.\u003c/p>\n\u003cp>The nuanced report first said it is important not to make sweeping statements on genetically engineered foods, which it called GE. Still, \"the committee concluded that no differences have been found that implicate a higher risk to human health safety from these GE foods than from their non-GE counterparts.\"\u003c/p>\n\u003cp>The National Academy, established by President Abraham Lincoln to provide scientific advice, has issued reports before saying it could find no safety problem with eating genetically modified food. But the academy committee chairman Fred Gould of North Carolina State University said this report is different because his study team started by listening to critics of such foods and examined anew more than 1,000 studies.\u003c/p>\n\u003cp>\"To some extent we know more about some genetically engineered food than we do about other food,\" committee member Dominique Brossard of the University of Wisconsin said. \"There are limits to what can be known about any food. That's something we're not used to hearing as consumers.\"\u003c/p>\n\u003cp>Many scientists who work on the issue but weren't part of the study team lauded the report as sensible, but not surprising.\u003c/p>\n\u003cp>Mark Sorrells at Cornell called it \"very well balanced, accurate, and reiterates much of what has already been published many times.\"\u003c/p>\n\u003cp>\"Science is science, facts are facts,\" emailed Bruce Chassy, an emeritus professor of biochemistry and food science at the University of Illinois. \"There's just no sound basis for their opposition just as there was never any scientific basis to believe GM plants should be viewed any differently than any other,\"\u003c/p>\n\u003cp>One dissenter was Charles Benbrook, who used to be at Washington State University but is now a private consultant. He said he feels the risks of genetically engineered food are more serious than more mainstream scientists do, and that the human health assessments aren't ample enough.\u003c/p>\n\u003cp>Some groups critical of genetically engineering foods criticized the report before it came out. Food & Water Watch criticized the National Academy as taking funding from biotechnology firms and using \"pro-GMO scientists\" to write its reports. The report was funded by the Burroughs Wellcome Fund, the Gordon and Betty Moore Foundation, the New Venture Fund, the U.S. Department of Agriculture and the academy itself — none of which have direct connections to the agricultural biotechnology industry. It was peer reviewed by outside experts and committee members are vetted for financial conflicts of interests, said academy spokesman William Kearney.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Unlike many scientists, Marion Nestle of New York University, who was a reviewer but not author of the report, said \"the report reveals how little is known about the effects of GE foods.\" She said if the people behind the report wanted to end the polarization over these foods, \"this won't do the trick.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Most of the modified plants are soybean, cotton, corn and canola; in most cases, genetic tinkering has made them resistant to certain herbicides and insects. When farms switched from conventional crops to the engineered varieties, there was no substantial change in the yield compared to non-engineered food. Production in general is increasing in agriculture, but U.S. Department of Agriculture data don't show that genetically engineered crops are increasing at a higher rate, despite experimental results suggest that they should, the report said.\u003c/p>\n\u003cp>\"Farmers in general are gaining,\" with less pesticide use and a bit higher yield, academy committee chairman Fred Gould said at a Tuesday news conference.\u003c/p>\n\u003cp>The nuanced report first said it is important not to make sweeping statements on genetically engineered foods, which it called GE. Still, \"the committee concluded that no differences have been found that implicate a higher risk to human health safety from these GE foods than from their non-GE counterparts.\"\u003c/p>\n\u003cp>The National Academy, established by President Abraham Lincoln to provide scientific advice, has issued reports before saying it could find no safety problem with eating genetically modified food. But the academy committee chairman Fred Gould of North Carolina State University said this report is different because his study team started by listening to critics of such foods and examined anew more than 1,000 studies.\u003c/p>\n\u003cp>\"To some extent we know more about some genetically engineered food than we do about other food,\" committee member Dominique Brossard of the University of Wisconsin said. \"There are limits to what can be known about any food. That's something we're not used to hearing as consumers.\"\u003c/p>\n\u003cp>Many scientists who work on the issue but weren't part of the study team lauded the report as sensible, but not surprising.\u003c/p>\n\u003cp>Mark Sorrells at Cornell called it \"very well balanced, accurate, and reiterates much of what has already been published many times.\"\u003c/p>\n\u003cp>\"Science is science, facts are facts,\" emailed Bruce Chassy, an emeritus professor of biochemistry and food science at the University of Illinois. \"There's just no sound basis for their opposition just as there was never any scientific basis to believe GM plants should be viewed any differently than any other,\"\u003c/p>\n\u003cp>One dissenter was Charles Benbrook, who used to be at Washington State University but is now a private consultant. He said he feels the risks of genetically engineered food are more serious than more mainstream scientists do, and that the human health assessments aren't ample enough.\u003c/p>\n\u003cp>Some groups critical of genetically engineering foods criticized the report before it came out. Food & Water Watch criticized the National Academy as taking funding from biotechnology firms and using \"pro-GMO scientists\" to write its reports. The report was funded by the Burroughs Wellcome Fund, the Gordon and Betty Moore Foundation, the New Venture Fund, the U.S. Department of Agriculture and the academy itself — none of which have direct connections to the agricultural biotechnology industry. It was peer reviewed by outside experts and committee members are vetted for financial conflicts of interests, said academy spokesman William Kearney.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Unlike many scientists, Marion Nestle of New York University, who was a reviewer but not author of the report, said \"the report reveals how little is known about the effects of GE foods.\" She said if the people behind the report wanted to end the polarization over these foods, \"this won't do the trick.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Move to Triple California's Tobacco Tax Appears Headed to Ballot",
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"content": "\u003cp>A well-financed campaign backed by billionaire environmentalist Tom Steyer, medical groups and organized labor said Monday that it collected more than 1 million signatures for a\u003ca href=\"https://www.oag.ca.gov/system/files/initiatives/pdfs/15-0081%20%28Tobacco%20Tax%20V3%29.pdf?\" target=\"_blank\"> ballot measure \u003c/a>to raise California's cigarette tax by $2 a pack.\u003c/p>\n\u003cp>Steyer and other leaders of the\u003ca href=\"http://www.savelivesca.com\" target=\"_blank\"> Save Lives California\u003c/a> coalition delivered boxes of petitions to the San Diego County of Registrar of Voters office and will do the same at county offices throughout the state in coming days in its bid to raise the tax to $2.87 a pack.\u003c/p>\n\u003cp>If 585,407 signatures are verified, the proposed state constitutional amendment would appear on an increasingly crowded Nov. 8 ballot alongside proposals to overturn a ban on single-use plastic bags at grocery stores and require actors to use condoms in adult films.\u003c/p>\n\u003cp>[contextly_sidebar id=\"CuC4lH6wKAyCJFkz7BkqwDDC4N5r71Ls\"]The announcement came less than a month after Democratic Gov. Jerry Brown \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/05/04/gov-brown-signs-major-tobacco-bills-raises-legal-age-to-21/\" target=\"_blank\">signed legislation\u003c/a> to make California the second state in the nation, following Hawaii, to raise the legal age to buy tobacco from 18 to 21. Beginning June 9, it will be a crime to sell or give tobacco to anyone under 21 — except military personnel.\u003c/p>\n\u003cp>The tax increase would apply to electronic cigarettes and other products with tobacco or nicotine. The measure calls for proceeds to be spent on Medi-Cal — the state's version of Medicaid — along with anti-smoking campaigns and medical research.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Steyer, a former hedge fund manager who has contributed $1 million, said at a news conference that the campaign is personal because his mother had a three-pack-a-day habit and died of lung cancer 14 years ago.\u003c/p>\n\u003cp>\"I think everybody in California has a family member, a close friend, whose lives have been tragically affected by tobacco ... This is going to make smokers pay their fair share,\" he said.\u003c/p>\n\u003cp>The increase would make California's cigarette tax the ninth-highest in the nation, according to the Campaign for Tobacco-Free Kids, an advocacy group. (Right now, \u003ca href=\"https://www.tobaccofreekids.org/research/factsheets/pdf/0097.pdf\" target=\"_blank\">California ranks 36th\u003c/a>.)New York has the nation's highest state tax at $4.35 a pack, and Virginia is lowest at 30 cents.\u003c/p>\n\u003cp>The weighted average cost for pack of cigarettes is $5.96 nationwide. The highest combined state-local tax rate is $6.16 in Chicago, with New York City second at $5.85 per pack.\u003c/p>\n\u003cp>The average per-pack cost in California, which prohibits local cigarette taxes, is about $5.50, said Debra Kelley, advocacy director of the American Lung Association. The $2-a-pack increase would raise that to about $7.50 if cigarette makers pass along the full amount to consumers.\u003c/p>\n\u003cp>David Sutton, a spokesman for tobacco company Altria Group Inc., said it opposes large targeted tobacco and e-vapor taxes. Altria is reviewing the California initiative and considering its options, he said.\u003c/p>\n\u003cp>The American Vaping Association said it would work to defeat the measure but was undecided how much it would spend.\u003c/p>\n\u003cp>\"Public health benefits every time a smoker switches to vaping,\" said George Conley, the group's president. \"By recklessly campaigning to equate the taxes on deadly cigarettes with smoke-free vapor products, it is clearer than ever that so called 'anti-smoking' activists have officially gone off the rails.\"\u003c/p>\n\u003cp>Backers of the tax increase contend that vaping lures young people to smoking tobacco.\u003c/p>\n\u003cp>The tobacco tax campaign reported this month that it spent $2.8 million during the first three months of the year and had more than $4 million in cash on hand. Major backers include the California Medical Association, California Association of Hospitals and Health Systems, and the Service Employees International Union.\u003c/p>\n\u003cp>Seven measures have collected enough signatures to qualify for the November ballot in the state, and an eighth — placed by the Legislature — would repeal prohibitions on multilingual instruction in public schools.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The tobacco tax joins four other measures, including a proposal to legalize recreational use of marijuana, that are pending signature verification.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A well-financed campaign backed by billionaire environmentalist Tom Steyer, medical groups and organized labor said Monday that it collected more than 1 million signatures for a\u003ca href=\"https://www.oag.ca.gov/system/files/initiatives/pdfs/15-0081%20%28Tobacco%20Tax%20V3%29.pdf?\" target=\"_blank\"> ballot measure \u003c/a>to raise California's cigarette tax by $2 a pack.\u003c/p>\n\u003cp>Steyer and other leaders of the\u003ca href=\"http://www.savelivesca.com\" target=\"_blank\"> Save Lives California\u003c/a> coalition delivered boxes of petitions to the San Diego County of Registrar of Voters office and will do the same at county offices throughout the state in coming days in its bid to raise the tax to $2.87 a pack.\u003c/p>\n\u003cp>If 585,407 signatures are verified, the proposed state constitutional amendment would appear on an increasingly crowded Nov. 8 ballot alongside proposals to overturn a ban on single-use plastic bags at grocery stores and require actors to use condoms in adult films.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>The announcement came less than a month after Democratic Gov. Jerry Brown \u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/05/04/gov-brown-signs-major-tobacco-bills-raises-legal-age-to-21/\" target=\"_blank\">signed legislation\u003c/a> to make California the second state in the nation, following Hawaii, to raise the legal age to buy tobacco from 18 to 21. Beginning June 9, it will be a crime to sell or give tobacco to anyone under 21 — except military personnel.\u003c/p>\n\u003cp>The tax increase would apply to electronic cigarettes and other products with tobacco or nicotine. The measure calls for proceeds to be spent on Medi-Cal — the state's version of Medicaid — along with anti-smoking campaigns and medical research.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Steyer, a former hedge fund manager who has contributed $1 million, said at a news conference that the campaign is personal because his mother had a three-pack-a-day habit and died of lung cancer 14 years ago.\u003c/p>\n\u003cp>\"I think everybody in California has a family member, a close friend, whose lives have been tragically affected by tobacco ... This is going to make smokers pay their fair share,\" he said.\u003c/p>\n\u003cp>The increase would make California's cigarette tax the ninth-highest in the nation, according to the Campaign for Tobacco-Free Kids, an advocacy group. (Right now, \u003ca href=\"https://www.tobaccofreekids.org/research/factsheets/pdf/0097.pdf\" target=\"_blank\">California ranks 36th\u003c/a>.)New York has the nation's highest state tax at $4.35 a pack, and Virginia is lowest at 30 cents.\u003c/p>\n\u003cp>The weighted average cost for pack of cigarettes is $5.96 nationwide. The highest combined state-local tax rate is $6.16 in Chicago, with New York City second at $5.85 per pack.\u003c/p>\n\u003cp>The average per-pack cost in California, which prohibits local cigarette taxes, is about $5.50, said Debra Kelley, advocacy director of the American Lung Association. The $2-a-pack increase would raise that to about $7.50 if cigarette makers pass along the full amount to consumers.\u003c/p>\n\u003cp>David Sutton, a spokesman for tobacco company Altria Group Inc., said it opposes large targeted tobacco and e-vapor taxes. Altria is reviewing the California initiative and considering its options, he said.\u003c/p>\n\u003cp>The American Vaping Association said it would work to defeat the measure but was undecided how much it would spend.\u003c/p>\n\u003cp>\"Public health benefits every time a smoker switches to vaping,\" said George Conley, the group's president. \"By recklessly campaigning to equate the taxes on deadly cigarettes with smoke-free vapor products, it is clearer than ever that so called 'anti-smoking' activists have officially gone off the rails.\"\u003c/p>\n\u003cp>Backers of the tax increase contend that vaping lures young people to smoking tobacco.\u003c/p>\n\u003cp>The tobacco tax campaign reported this month that it spent $2.8 million during the first three months of the year and had more than $4 million in cash on hand. Major backers include the California Medical Association, California Association of Hospitals and Health Systems, and the Service Employees International Union.\u003c/p>\n\u003cp>Seven measures have collected enough signatures to qualify for the November ballot in the state, and an eighth — placed by the Legislature — would repeal prohibitions on multilingual instruction in public schools.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The tobacco tax joins four other measures, including a proposal to legalize recreational use of marijuana, that are pending signature verification.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Presidential candidates like to float solutions to long-standing problems. Making those solutions stick is another thing altogether.\u003c/p>\n\u003cp>When it comes to health care, the enactment of the Affordable Care Act, rather than tamping down chatter about how to insure people, seems only to have spurred more of it.\u003c/p>\n\u003cp>But you know what? There's a reason some problems are long-standing. They may have no easy solution. Or the solution isn't politically feasible. Or there's a solution that sounds good on the campaign trail but isn't likely to actually work.\u003c/p>\n\u003cp>In the first of a series of videos about health policy promises that sound like a good idea but maybe aren't, Julie Rovner explores why increasing competition in health insurance by allowing sales of policies across state lines might not be such a hot idea after all.\u003c/p>\n\u003cp>One of the seven planks outlined by Donald Trump in a health plan his campaign \u003ca href=\"http://www.npr.org/sections/health-shots/2016/03/03/469019745/trump-health-plan-recycles-gop-chestnuts-and-adds-a-populist-wrinkle\">released in March\u003c/a> calls for interstate sales of insurance.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Watch and listen as Julie explains why selling insurance across state lines isn't all it's cracked up to be. Spoiler alert: Georgia, Maine and Wyoming already allow it, and insurers haven't taken advantage of the option.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Presidential candidates like to float solutions to long-standing problems. Making those solutions stick is another thing altogether.\u003c/p>\n\u003cp>When it comes to health care, the enactment of the Affordable Care Act, rather than tamping down chatter about how to insure people, seems only to have spurred more of it.\u003c/p>\n\u003cp>But you know what? There's a reason some problems are long-standing. They may have no easy solution. Or the solution isn't politically feasible. Or there's a solution that sounds good on the campaign trail but isn't likely to actually work.\u003c/p>\n\u003cp>In the first of a series of videos about health policy promises that sound like a good idea but maybe aren't, Julie Rovner explores why increasing competition in health insurance by allowing sales of policies across state lines might not be such a hot idea after all.\u003c/p>\n\u003cp>One of the seven planks outlined by Donald Trump in a health plan his campaign \u003ca href=\"http://www.npr.org/sections/health-shots/2016/03/03/469019745/trump-health-plan-recycles-gop-chestnuts-and-adds-a-populist-wrinkle\">released in March\u003c/a> calls for interstate sales of insurance.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Teresa Lopez is a single mother of three. Two of her kids are undocumented.\u003c/p>\n\u003cp>She says within her own family, there’s inequality when it comes to health care.\u003c/p>\n\u003cp>“It’s very difficult to find help for my kids who weren’t born here,” she says in Spanish. “I feel bad that one of them has good benefits and the others don’t.”\u003c/p>\n\u003cp>[contextly_sidebar id=\"eZYFaTAYe3DNzEiruyuujW3GRB3mylY4\"]But that will change on Monday, when 170,000 undocumented children in California become eligible for comprehensive health care through the state’s Medi-Cal program for people who are low income.\u003c/p>\n\u003cp>Then, all of Lopez’ kids will have the same access to routine doctor visits, dental, and mental health care.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Some parents have been reluctant to sign up their kids, for fear of exposing other adult family members to risk of deportation, or of compromising future efforts to obtain legal status.\u003c/p>\n\u003cp>Lawmakers are touring the state through the weekend, stopping in Los Angeles, Fresno, and Orange County to dispel those fears. They’re reassuring families that no information used to enroll children in coverage will be shared with immigration officials. And they’re touting the benefits of coverage.\u003c/p>\n\u003cp>They say children who have health insurance \u003ca href=\"http://kff.org/report-section/the-impact-of-the-childrens-health-insurance-program-chip-issue-brief/\" target=\"_blank\">do better in school\u003c/a>, are more likely to get a high school diploma, and are less likely to become entwined in the criminal justice system.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/263963780\" 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>Sen. Ricardo Lara, D-Long Beach, the author of the bill that expanded full Medi-Cal coverage to undocumented children, said kids will no longer have to forgo care for a broken arm or hospitalization because their parents can’t pay for it.\u003c/p>\n\u003cp>“Children shouldn’t be worrying about how their parents are going to afford their health care,” he said Thursday at the Mission Neighborhood Health Center, a community clinic in San Francisco. “Children should be focused on their education.”\u003c/p>\n\u003cp>The expanded Medi-Cal program will cost the state $40 million this year and $132 million each year after that.\u003c/p>\n\u003cp>[contextly_sidebar id=\"CVDfpcHl6Kir3c9SbM58GhGyS9oG1LmJ\"]Critics say the program is too expensive and will allow families who are here illegally to set down deeper roots.\u003c/p>\n\u003cp>Sen. Lara said the program will be a test for that. He wants to demonstrate that offering health insurance to kids will have overall benefits for the economy, so that he can make a case for extending health insurance to undocumented adults, too.\u003c/p>\n\u003cp>He is sponsoring two bills this year. One of them, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201520160SB10\" target=\"_blank\">SB 10\u003c/a>, would allow undocumented adults to buy unsubsidized health plans through the state exchange, Covered California. Another,\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201520160SB1418\" target=\"_blank\"> SB 1418\u003c/a>, would extend Medi-Cal benefits to income-eligible adults, regardless of immigration status.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We’re going to be able to take care of our abuelitos and abuelitas, our aunts and uncles, who have sacrificed their entire lives in this country and in this state to make it a better place, ensuring they also have some sort of care,” Lara said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Teresa Lopez is a single mother of three. Two of her kids are undocumented.\u003c/p>\n\u003cp>She says within her own family, there’s inequality when it comes to health care.\u003c/p>\n\u003cp>“It’s very difficult to find help for my kids who weren’t born here,” she says in Spanish. “I feel bad that one of them has good benefits and the others don’t.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>But that will change on Monday, when 170,000 undocumented children in California become eligible for comprehensive health care through the state’s Medi-Cal program for people who are low income.\u003c/p>\n\u003cp>Then, all of Lopez’ kids will have the same access to routine doctor visits, dental, and mental health care.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Some parents have been reluctant to sign up their kids, for fear of exposing other adult family members to risk of deportation, or of compromising future efforts to obtain legal status.\u003c/p>\n\u003cp>Lawmakers are touring the state through the weekend, stopping in Los Angeles, Fresno, and Orange County to dispel those fears. They’re reassuring families that no information used to enroll children in coverage will be shared with immigration officials. And they’re touting the benefits of coverage.\u003c/p>\n\u003cp>They say children who have health insurance \u003ca href=\"http://kff.org/report-section/the-impact-of-the-childrens-health-insurance-program-chip-issue-brief/\" target=\"_blank\">do better in school\u003c/a>, are more likely to get a high school diploma, and are less likely to become entwined in the criminal justice system.\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/263963780&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/263963780'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Sen. Ricardo Lara, D-Long Beach, the author of the bill that expanded full Medi-Cal coverage to undocumented children, said kids will no longer have to forgo care for a broken arm or hospitalization because their parents can’t pay for it.\u003c/p>\n\u003cp>“Children shouldn’t be worrying about how their parents are going to afford their health care,” he said Thursday at the Mission Neighborhood Health Center, a community clinic in San Francisco. “Children should be focused on their education.”\u003c/p>\n\u003cp>The expanded Medi-Cal program will cost the state $40 million this year and $132 million each year after that.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Critics say the program is too expensive and will allow families who are here illegally to set down deeper roots.\u003c/p>\n\u003cp>Sen. Lara said the program will be a test for that. He wants to demonstrate that offering health insurance to kids will have overall benefits for the economy, so that he can make a case for extending health insurance to undocumented adults, too.\u003c/p>\n\u003cp>He is sponsoring two bills this year. One of them, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201520160SB10\" target=\"_blank\">SB 10\u003c/a>, would allow undocumented adults to buy unsubsidized health plans through the state exchange, Covered California. Another,\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201520160SB1418\" target=\"_blank\"> SB 1418\u003c/a>, would extend Medi-Cal benefits to income-eligible adults, regardless of immigration status.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We’re going to be able to take care of our abuelitos and abuelitas, our aunts and uncles, who have sacrificed their entire lives in this country and in this state to make it a better place, ensuring they also have some sort of care,” Lara said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cstrong>Update: 2:30 p.m.\u003c/strong>\u003c/p>\n\u003cp>Soda tax proponents in San Francisco said at a City Hall press conference this morning that they had gathered twice the number of signatures needed to place a penny-per-ounce soda tax on the November ballot.\u003c/p>\n\u003cp>Just one problem -- the deadline to submit the signatures was yesterday at 5 p.m.\u003c/p>\n\u003cp>\"The code is clear, the petition shall be void,\" John Arntz, San Francisco's director of elections, told me.\u003c/p>\n\u003cp>But proponents are undeterred by what they are calling a \"technical error.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Yoyo Chan, spokesperson for San Francisco Supervisor Malia Cohen, said the supervisor plans to introduce a measure to the board later this month.\u003c/p>\n\u003cp>\"The plan is to do a four-signature initiative,\" Chan said. \"So it only requires four members of the Board of Supervisors.\" The board would be required to hold a public hearing, but a full vote is not needed.\u003c/p>\n\u003cp>In 2014, San Francisco's board also placed a measure on the ballot, but that was through what Chan called a \"legislative function,\" requiring multiple hearings and a majority vote.\u003c/p>\n\u003cp>\"In this case,\" Chan said, \"we submit it, and that's it.\" The deadline to submit is June 21.\u003c/p>\n\u003cp>Chan declined to say which other members of the board would introduce the bill with Cohen. But Supervisors Scott Wiener, John Avalos, Eric Mar and Mark Farrell all backed the signature effort.\u003c/p>\n\u003cp>Chan and Monica Chinchilla, spokesperson for the Campaign Against Diabetes, which spearheaded the signature drive, both declined to say how the deadline was missed.\u003c/p>\n\u003cp>Arntz said his department sent the campaign a letter last November with the city attorney's title and summary for the proposed measure. The letter clearly stated the timeframe for signature gathering and deadline as follows:\u003c/p>\n\u003cblockquote>\u003cp>You must file your petition within 180 days from the date of the City Attorney's Title and Summary, November 13, 2015. This means your petition must be turned in to our office by 5:00pm, May 11, 2016. You will need 9, 711 valid signatures to qualify for the ballot.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>SAN FRANCISCO (AP) — San Francisco's elections director said Thursday he will reject a petition to place a sugary drink tax on the November ballot, after it missed a key deadline by one day.\u003c/p>\n\u003cp>Backers of a tax on sugary sweetened beverages announced earlier in the morning that they had collected more than 18,000 signatures for the petition, well over the 9,485 required.\u003c/p>\n\u003cp>But elections director John Arntz, whose office verifies the signatures, said the campaign missed the deadline to submit those signatures.\u003c/p>\n\u003cp>Representatives for the campaign could not be reached immediately for comment.\u003c/p>\n\u003cp>Earlier in the day, they vowed to beat soda companies whose products they say contribute to obesity, diabetes and a host of other health ills.\u003c/p>\n\u003cp>Berkeley, California, became the first city in the country to approve a soda tax, in 2014. That year, a San Francisco campaign for a sugary drink tax failed at the ballot, as it did not get the two-thirds approval needed for a dedicated tax.\u003c/p>\n\u003cp>This year's petition is a general tax, which needs a simple majority.\u003c/p>\n\u003cp>Oakland officials have placed a sugary sweetened drink tax on the November ballot.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story will be updated.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update: 2:30 p.m.\u003c/strong>\u003c/p>\n\u003cp>Soda tax proponents in San Francisco said at a City Hall press conference this morning that they had gathered twice the number of signatures needed to place a penny-per-ounce soda tax on the November ballot.\u003c/p>\n\u003cp>Just one problem -- the deadline to submit the signatures was yesterday at 5 p.m.\u003c/p>\n\u003cp>\"The code is clear, the petition shall be void,\" John Arntz, San Francisco's director of elections, told me.\u003c/p>\n\u003cp>But proponents are undeterred by what they are calling a \"technical error.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Yoyo Chan, spokesperson for San Francisco Supervisor Malia Cohen, said the supervisor plans to introduce a measure to the board later this month.\u003c/p>\n\u003cp>\"The plan is to do a four-signature initiative,\" Chan said. \"So it only requires four members of the Board of Supervisors.\" The board would be required to hold a public hearing, but a full vote is not needed.\u003c/p>\n\u003cp>In 2014, San Francisco's board also placed a measure on the ballot, but that was through what Chan called a \"legislative function,\" requiring multiple hearings and a majority vote.\u003c/p>\n\u003cp>\"In this case,\" Chan said, \"we submit it, and that's it.\" The deadline to submit is June 21.\u003c/p>\n\u003cp>Chan declined to say which other members of the board would introduce the bill with Cohen. But Supervisors Scott Wiener, John Avalos, Eric Mar and Mark Farrell all backed the signature effort.\u003c/p>\n\u003cp>Chan and Monica Chinchilla, spokesperson for the Campaign Against Diabetes, which spearheaded the signature drive, both declined to say how the deadline was missed.\u003c/p>\n\u003cp>Arntz said his department sent the campaign a letter last November with the city attorney's title and summary for the proposed measure. The letter clearly stated the timeframe for signature gathering and deadline as follows:\u003c/p>\n\u003cblockquote>\u003cp>You must file your petition within 180 days from the date of the City Attorney's Title and Summary, November 13, 2015. This means your petition must be turned in to our office by 5:00pm, May 11, 2016. You will need 9, 711 valid signatures to qualify for the ballot.\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>SAN FRANCISCO (AP) — San Francisco's elections director said Thursday he will reject a petition to place a sugary drink tax on the November ballot, after it missed a key deadline by one day.\u003c/p>\n\u003cp>Backers of a tax on sugary sweetened beverages announced earlier in the morning that they had collected more than 18,000 signatures for the petition, well over the 9,485 required.\u003c/p>\n\u003cp>But elections director John Arntz, whose office verifies the signatures, said the campaign missed the deadline to submit those signatures.\u003c/p>\n\u003cp>Representatives for the campaign could not be reached immediately for comment.\u003c/p>\n\u003cp>Earlier in the day, they vowed to beat soda companies whose products they say contribute to obesity, diabetes and a host of other health ills.\u003c/p>\n\u003cp>Berkeley, California, became the first city in the country to approve a soda tax, in 2014. That year, a San Francisco campaign for a sugary drink tax failed at the ballot, as it did not get the two-thirds approval needed for a dedicated tax.\u003c/p>\n\u003cp>This year's petition is a general tax, which needs a simple majority.\u003c/p>\n\u003cp>Oakland officials have placed a sugary sweetened drink tax on the November ballot.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story will be updated.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "'Highly Uncertain' If Prescription Drug Ballot Initiative Will Save California Money",
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"content": "\u003cp>It is “highly uncertain” how much money the state of California would save if a ballot measure to cap drug prices passes in November — and it might not save money at all. That’s the key finding in a preliminary report by the Legislative Analyst’s Office.\u003c/p>\n\u003caside class=\"pullquote alignright\">'I guarantee you won’t get the VA price, because the VA price will cease to exist. Drug companies are not going to take that kind of loss.'\u003ccite>Jeffrey McCombs, USC health economist\u003c/cite>\u003c/aside>\n\u003cp>The ballot initiative, known as the\u003ca href=\"https://oag.ca.gov/system/files/initiatives/pdfs/15-0009%20(Prescription%20Drug%20Costs).pdf\" target=\"_blank\"> Drug Price Relief Act\u003c/a>, would prohibit the state from paying more for a prescription drug than the lowest price paid by the U.S. Department of Veterans Affairs. The VA is thought by proponents of the measure to get the best bargains from drug companies.\u003c/p>\n\u003cp>But the financial impact on the state is unclear, the analyst’s office said, for two reasons.\u003c/p>\n\u003cp>One, the lowest prices paid by the VA are not known and there’s no guarantee they will be revealed to the public — or to state officials.\u003c/p>\n\u003cp>Two, it’s unclear how drug companies would react if the measure became law: The companies might, for example, raise prices on the VA, nullifying the intended effect.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The VA does publish drug prices, but has not confirmed those prices are the lowest it pays, the analyst’s report noted. Without that information, the Department of Health Care Services could not know whether the prices paid by state agencies equaled what the VA was paying. Under the measure, it would be the department’s job to calculate the net cost of drugs — including rebates and discounts — for state health programs.\u003c/p>\n\u003cp>The analyst’s office has tried to verify the lowest prices, but the VA wouldn’t provide the information, Ben Johnson, a fiscal and policy analyst at analyst’s office, told state lawmakers in an informational hearing on the ballot initiative Tuesday. Drug manufacturers often require confidentiality clauses in price negotiations.\u003c/p>\n\u003cp>The report echoes one of the main arguments made by opponents of the measure, who say it would be difficult or impossible to implement if the state doesn’t know the lowest prices paid by the VA.\u003c/p>\n\u003cp>In the most recent fiscal year, state health programs spent about $4.2 billion on prescription drugs. However, the figure excludes drug spending by Medi-Cal managed care plans, which account for 77 percent of total Medi-Cal enrollment.\u003c/p>\n\u003cp>[contextly_sidebar id=\"uYjl4qMwAU9X6AOqiY3sNQtOX192cv1y\"]The ballot initiative is intended to benefit nearly 5 million Californians, mostly Medi-Cal fee for service enrollees, public employees and retirees. It would not apply to the 10.3 million state residents enrolled in Medi-Cal managed care.\u003c/p>\n\u003cp>Even if the VA’s lowest prices could be identified and the measure enforced, according to the report, drug manufacturers would be free to respond in various ways.\u003c/p>\n\u003cp>They could refuse to offer VA-level prices to the state. They could offer the state the same reduced prices they charge the VA and then raise the prices on other drugs purchased by the state but not by the VA. Or, they could raise VA prices.\u003c/p>\n\u003cp>The last has been tried before, with success. Prof. Jeffrey McCombs, a health economist at the University of Southern California Schaeffer Center for Health Policy and Economics, said that in the early 1990s, Congress passed a law requiring pharmaceutical companies to give Medicaid the same discounts they gave the VA.\u003c/p>\n\u003cp>In response, drug companies raised prices, and the discounts evaporated. Congress then eliminated the link between VA and Medicaid pricing.\u003c/p>\n\u003cp>“I guarantee you won’t get the VA price because the VA price will cease to exist,” McCombs said. “Drug companies are not going to take that kind of loss.”\u003c/p>\n\u003cp>[contextly_sidebar id=\"1f5eym6MAgB6NPX4rRq4eOwJhhkhtPvN\"]The Drug Price Relief Act is sponsored by the Los Angeles-based AIDS Healthcare Foundation.\u003c/p>\n\u003cp>At Tuesday’s State House hearing, Assemblyman David Chiu, D-San Francisco, said the measure was important because the legislature has failed to address soaring drug prices and now voters will get a say.\u003c/p>\n\u003cp>“Regardless of what happens in November, it is my hope that we are able to move this conversation forward,” Chiu said after pressing opponents of the initiative for alternative solutions.\u003c/p>\n\u003cp>Garry South, lead strategist for supporters of the measure, said the AIDS Healthcare Foundation pushed it because the high cost of prescription medications often means patients who need them can’t get them.\u003c/p>\n\u003cp>“What good is it to have a life-saving drug if people can’t afford to take it?” South said.\u003c/p>\n\u003cp>The California Nurses Association also endorses the measure. Zenei Cortez, the union’s co-president, said it offers the best chance to stop the drug industry’s “excessive greed.”\u003c/p>\n\u003cp>But some veterans and patient advocacy groups say the initiative could do more harm than good.\u003c/p>\n\u003cp>“This measure is misleading and unworkable,” Hollaine Hopkins, executive director of the Lupus Foundation of Southern California, said in a prepared statement. “It will lead to increased red tape and bureaucracy, and could actually increase costs for the state’s taxpayers.”\u003c/p>\n\u003cp>Kathy Fairbanks, spokeswoman for Californians Against the Misleading Rx Measure, the lead group opposing the initiative, said it could actually increase drug prices and lead to higher insurance premiums. The group is mostly financed by pharmaceutical companies.\u003c/p>\n\u003cp>Fairbanks said the measure could invalidate existing rebate agreements between drug companies and the state, jacking up prescription costs by tens of millions of dollars.\u003c/p>\n\u003cp>In reply, South said that only the pharmaceutical companies have the power to hike drug prices. “These are not predictions; these are threats,” he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Opponents of the measure had raised \u003ca href=\"http://www.fppc.ca.gov/transparency/top-contributors/nov-16-gen-v2.html\" target=\"_blank\">more than $58 million as of May 4\u003c/a>, according to the California Fair Political Practices Commission. The AIDS Healthcare Foundation has raised a little more than $4 million in support of the initiative.\u003c/p>\n\n",
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"excerpt": "A Nov. ballot measure caps state-paid drug prices to the lowest paid by the Veteran's Association. Problem: The VA won’t say what those prices are.",
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"description": "A Nov. ballot measure caps state-paid drug prices to the lowest paid by the Veteran's Association. Problem: The VA won’t say what those prices are.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>It is “highly uncertain” how much money the state of California would save if a ballot measure to cap drug prices passes in November — and it might not save money at all. That’s the key finding in a preliminary report by the Legislative Analyst’s Office.\u003c/p>\n\u003caside class=\"pullquote alignright\">'I guarantee you won’t get the VA price, because the VA price will cease to exist. Drug companies are not going to take that kind of loss.'\u003ccite>Jeffrey McCombs, USC health economist\u003c/cite>\u003c/aside>\n\u003cp>The ballot initiative, known as the\u003ca href=\"https://oag.ca.gov/system/files/initiatives/pdfs/15-0009%20(Prescription%20Drug%20Costs).pdf\" target=\"_blank\"> Drug Price Relief Act\u003c/a>, would prohibit the state from paying more for a prescription drug than the lowest price paid by the U.S. Department of Veterans Affairs. The VA is thought by proponents of the measure to get the best bargains from drug companies.\u003c/p>\n\u003cp>But the financial impact on the state is unclear, the analyst’s office said, for two reasons.\u003c/p>\n\u003cp>One, the lowest prices paid by the VA are not known and there’s no guarantee they will be revealed to the public — or to state officials.\u003c/p>\n\u003cp>Two, it’s unclear how drug companies would react if the measure became law: The companies might, for example, raise prices on the VA, nullifying the intended effect.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The VA does publish drug prices, but has not confirmed those prices are the lowest it pays, the analyst’s report noted. Without that information, the Department of Health Care Services could not know whether the prices paid by state agencies equaled what the VA was paying. Under the measure, it would be the department’s job to calculate the net cost of drugs — including rebates and discounts — for state health programs.\u003c/p>\n\u003cp>The analyst’s office has tried to verify the lowest prices, but the VA wouldn’t provide the information, Ben Johnson, a fiscal and policy analyst at analyst’s office, told state lawmakers in an informational hearing on the ballot initiative Tuesday. Drug manufacturers often require confidentiality clauses in price negotiations.\u003c/p>\n\u003cp>The report echoes one of the main arguments made by opponents of the measure, who say it would be difficult or impossible to implement if the state doesn’t know the lowest prices paid by the VA.\u003c/p>\n\u003cp>In the most recent fiscal year, state health programs spent about $4.2 billion on prescription drugs. However, the figure excludes drug spending by Medi-Cal managed care plans, which account for 77 percent of total Medi-Cal enrollment.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>The ballot initiative is intended to benefit nearly 5 million Californians, mostly Medi-Cal fee for service enrollees, public employees and retirees. It would not apply to the 10.3 million state residents enrolled in Medi-Cal managed care.\u003c/p>\n\u003cp>Even if the VA’s lowest prices could be identified and the measure enforced, according to the report, drug manufacturers would be free to respond in various ways.\u003c/p>\n\u003cp>They could refuse to offer VA-level prices to the state. They could offer the state the same reduced prices they charge the VA and then raise the prices on other drugs purchased by the state but not by the VA. Or, they could raise VA prices.\u003c/p>\n\u003cp>The last has been tried before, with success. Prof. Jeffrey McCombs, a health economist at the University of Southern California Schaeffer Center for Health Policy and Economics, said that in the early 1990s, Congress passed a law requiring pharmaceutical companies to give Medicaid the same discounts they gave the VA.\u003c/p>\n\u003cp>In response, drug companies raised prices, and the discounts evaporated. Congress then eliminated the link between VA and Medicaid pricing.\u003c/p>\n\u003cp>“I guarantee you won’t get the VA price because the VA price will cease to exist,” McCombs said. “Drug companies are not going to take that kind of loss.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>The Drug Price Relief Act is sponsored by the Los Angeles-based AIDS Healthcare Foundation.\u003c/p>\n\u003cp>At Tuesday’s State House hearing, Assemblyman David Chiu, D-San Francisco, said the measure was important because the legislature has failed to address soaring drug prices and now voters will get a say.\u003c/p>\n\u003cp>“Regardless of what happens in November, it is my hope that we are able to move this conversation forward,” Chiu said after pressing opponents of the initiative for alternative solutions.\u003c/p>\n\u003cp>Garry South, lead strategist for supporters of the measure, said the AIDS Healthcare Foundation pushed it because the high cost of prescription medications often means patients who need them can’t get them.\u003c/p>\n\u003cp>“What good is it to have a life-saving drug if people can’t afford to take it?” South said.\u003c/p>\n\u003cp>The California Nurses Association also endorses the measure. Zenei Cortez, the union’s co-president, said it offers the best chance to stop the drug industry’s “excessive greed.”\u003c/p>\n\u003cp>But some veterans and patient advocacy groups say the initiative could do more harm than good.\u003c/p>\n\u003cp>“This measure is misleading and unworkable,” Hollaine Hopkins, executive director of the Lupus Foundation of Southern California, said in a prepared statement. “It will lead to increased red tape and bureaucracy, and could actually increase costs for the state’s taxpayers.”\u003c/p>\n\u003cp>Kathy Fairbanks, spokeswoman for Californians Against the Misleading Rx Measure, the lead group opposing the initiative, said it could actually increase drug prices and lead to higher insurance premiums. The group is mostly financed by pharmaceutical companies.\u003c/p>\n\u003cp>Fairbanks said the measure could invalidate existing rebate agreements between drug companies and the state, jacking up prescription costs by tens of millions of dollars.\u003c/p>\n\u003cp>In reply, South said that only the pharmaceutical companies have the power to hike drug prices. “These are not predictions; these are threats,” he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Opponents of the measure had raised \u003ca href=\"http://www.fppc.ca.gov/transparency/top-contributors/nov-16-gen-v2.html\" target=\"_blank\">more than $58 million as of May 4\u003c/a>, according to the California Fair Political Practices Commission. The AIDS Healthcare Foundation has raised a little more than $4 million in support of the initiative.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "How Your Bicycling Data Can Help San Francisco (and Other Cities) Build Safer Streets",
"title": "How Your Bicycling Data Can Help San Francisco (and Other Cities) Build Safer Streets",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>Cyclists often find themselves pedaling between huge trucks and speeding cars or stranded when protected bike lanes abruptly end at busy intersections.\u003c/p>\n\u003cp>Chris Cassidy moved to San Francisco in 2005. He used to cycle through Market Street, a busy downtown thoroughfare.\u003c/p>\n\u003cp>\"It was definitely the kind of biking experience that was really only for some of the more courageous among us,\" he says. \"You would be sharing a lane with much larger vehicles going faster than you when people were not as used to sharing the lane.\"\u003c/p>\n\u003cp>Before San Francisco, Cassidy was in Washington, D.C., where he said he was hit by taxi doors twice when he was cycling in the protected lanes.\u003c/p>\n\u003cp>\"They just stopped, and the passenger opened the door to the bike lane,\" he says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Cyclists and pedestrians often pass on knowledge about which roads or intersections to avoid through word of mouth or social media.\u003c/p>\n\u003cp>Now some cities and companies are experimenting with technology to record that information — which can be crucial in helping design or improve bike and pedestrian paths. And transportation planners are turning to data from apps that cyclists and runners use to track themselves.\u003c/p>\n\u003cp>With the exploding popularity in bikes and many millennials' \u003ca href=\"http://www.npr.org/2016/02/11/466178523/like-millennials-more-older-americans-steering-away-from-driving\" target=\"_blank\">distaste for driving\u003c/a>, the need for better streets is gaining attention.\u003c/p>\n\u003cp>\u003cstrong>What Does It Take To Build A Bike \u003c/strong>\u003cstrong>Lane?\u003c/strong>\u003c/p>\n\u003cp>San Francisco has a goal to eliminate traffic deaths by 2024. According to the \u003ca href=\"https://www.sfmta.com/sites/default/files/projects/2015/vision-zero-san-francisco.pdf\">city's \"Vision Zero\" report\u003c/a>, more than half of traffic deaths in the city are pedestrians, compared to 14 percent nationally.\u003c/p>\n\u003cp>Cassidy, now the spokesperson for the San Francisco Biking Coalition, says enforcement and smart engineering based on data are key to reaching that goal.\u003c/p>\n\u003cp>\"The first piece of data is where are injuries happening — where people are using streets currently and where they are doing so that is proving unsafe,\" he says.\u003c/p>\n\u003cp>Technology plays a big role in how that information is collected, says Jamie Parks, a manager with the city's Municipal Transportation Agency.\u003c/p>\n\u003cp>\"Whether it's data analysis to look at where crashes have occurred so we can improve safety, or analyzing bicycle counts to understand where demand is, or getting feedback from the public,\" Parks says.\u003c/p>\n\u003cp>The agency has issued an \u003ca href=\"https://www.sfmta.com/sites/default/files/reports/2016/Annual%20Bicycle%20Count%20Report%202015_04152016.pdf\" target=\"_blank\">annual bicycle count report\u003c/a> for over a decade now. Initially, it had to rely on sending people to count bicycles on the streets for a two-hour period.\u003c/p>\n\u003cp>Last year, the department added several automated bike counters that consist of a wire loop embedded in the pavement, allowing round-the-clock data collection with more accuracy.\u003c/p>\n\u003cp>Alex Dodds and Emiko Atherton from Smart Growth America are championing a new way of designing streets.\u003c/p>\n\u003cp>\"Historically roads have been built to facilitate the most number of cars as possible, and usually that means wide lanes, lots of space for cars to go faster,\" Dodds says. \"Often planners will add a bike lane. They'll just plop it on ... it's very unsafe for everyone.\"\u003c/p>\n\u003cp>The \u003ca href=\"http://www.smartgrowthamerica.org/complete-streets/complete-streets-fundamentals/complete-streets-faq\" target=\"_blank\">\"Complete Streets Approach\"\u003c/a> means building streets that accommodate the needs of a variety of users — drivers, cyclists, children and wheelchair users.\u003c/p>\n\u003cp>\"It doesn't mean every roadway is outfitted with a sidewalk or a bike lane, but there is a network that allows people to travel,\" Atherton says. \"So we start to look at patterns of how people are using roadways or what streets are bikers using.\"\u003c/p>\n\u003cp>The Department of Transportation does have national data from surveys \u003ca href=\"http://www.pedbikeinfo.org/data/factsheet_general.cfm\" target=\"_blank\">about who walks or bikes\u003c/a> and \u003ca href=\"http://www.pedbikeinfo.org/data/factsheet_crash.cfm\" target=\"_blank\">crash statistics\u003c/a>, but it may not be as helpful in determining which streets are used or in measuring effectiveness of street designs.\u003c/p>\n\u003cp>Dodds says Smart Growth America \u003ca href=\"http://www.smartgrowthamerica.org/best-complete-streets-policies-of-2015\" target=\"_blank\">published a report\u003c/a> last year that examined the outcome of the Complete Streets programs.\u003c/p>\n\u003cp>\"It was really hard for us to get answers because so few transportation agencies collect information about what happens after you added a bike lane,\" Dodds says. \"There is just not enough data out there about who is biking, and where they are biking, and where they walk.\"\u003c/p>\n\u003cp>\u003cstrong>Technology Taking A Crack At Data Collection\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_183727\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg class=\"wp-image-183727 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/sf-traffic.gif\" alt=\"A screenshot from Strava Metro, showcasing street-by-street visualizations of biking and commuting data.\" width=\"1200\" height=\"646\">\u003cfigcaption class=\"wp-caption-text\">A compilation of screenshots from Strava Metro, showcasing street-by-street visualizations of biking and commuting data. \u003ccite>(Courtesy: Strava)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Strava developed \u003ca href=\"https://www.strava.com/features\">software and an app\u003c/a> that allows cyclers and runners to track their journey and compare their achievements with others. It left the company with a huge database of how people move — and it decided to launch \u003ca href=\"http://metro.strava.com/\" target=\"_blank\">Strava Metro\u003c/a>, a service that shows movement street by street. Data from users is anonymized and aggregated.\u003c/p>\n\u003cp>The idea started, co-founder Michael Horvath says, when an employee in the Oregon Department of Transportation, who was also a Strava user, reached out to the company. She asked if the \u003ca href=\"http://bikeportland.org/2014/05/01/odot-embarks-on-big-data-project-with-purchase-of-strava-dataset-105375\" target=\"_blank\">department could use the data\u003c/a> that Strava collected. Six months later, Horvath launched Strava Metro.\u003c/p>\n\u003cp>\"Before you can make changes, you have to know what is going on,\" he says.\u003c/p>\n\u003cp>For example, Horvath says, Strava used the data to find out how pedestrians and cyclists get to the \u003ca href=\"http://www.travelportland.com/article/tilikum-crossing/\" target=\"_blank\">Tilikum Crossing\u003c/a>, a bridge that recently opened in Portland, Ore. It helped the city figure out where it should build pathways leading to the bridge.\u003c/p>\n\u003cfigure id=\"attachment_183723\" class=\"wp-caption aligncenter\" style=\"max-width: 1281px\">\u003cimg class=\"size-full wp-image-183723\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/strava-2_custom-2f6758590b92dea22b66d9a4ff01d8ca61522930.png\" alt=\"A screenshot from the Strava Labs website shows the visualization of biking activity data around the world. The Strava Global Heatmap is free of charge for advocacy organizations and the general public to access online.\" width=\"1281\" height=\"899\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/05/strava-2_custom-2f6758590b92dea22b66d9a4ff01d8ca61522930.png 1281w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/strava-2_custom-2f6758590b92dea22b66d9a4ff01d8ca61522930-400x281.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/strava-2_custom-2f6758590b92dea22b66d9a4ff01d8ca61522930-800x561.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/strava-2_custom-2f6758590b92dea22b66d9a4ff01d8ca61522930-768x539.png 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/strava-2_custom-2f6758590b92dea22b66d9a4ff01d8ca61522930-1180x828.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/strava-2_custom-2f6758590b92dea22b66d9a4ff01d8ca61522930-960x674.png 960w\" sizes=\"(max-width: 1281px) 100vw, 1281px\">\u003cfigcaption class=\"wp-caption-text\">A screenshot from the Strava Labs website shows the visualization of biking activity data around the world. The Strava Global Heatmap is free of charge for advocacy organizations and the general public to access online. \u003ccite>(Courtesy: Strava)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Strava Metro is not the only database collecting such information. The San Francisco County Transportation Authority created a \u003ca href=\"http://www.sfcta.org/modeling-and-travel-forecasting/cycletracks-iphone-and-android\" target=\"_blank\">CycleTracks app\u003c/a> in 2009 to track biking route choices in the city and other cities from Austin to Toronto are using it to collect data.\u003c/p>\n\u003cp>\u003ca href=\"http://metro.strava.com/faq/\" target=\"_blank\">According to Strava\u003c/a>, over 6 million GPS-tracked activities are uploaded to its database every week from around the globe. The cost to its clients — which include state and local governments — depends on the number of Strava members in a particular area. The company charges the clients 80 cents per member for a year.\u003c/p>\n\u003cp>While Parks says he would love to have the data — especially about cross-platform transportation choices, he still has concerns.\u003c/p>\n\u003cp>\"People who use the Strava app may not be representative of the average cyclist in SF,\" Parks says. \"It might be for recreational routes.\"\u003c/p>\n\u003cp>But using technology to track demand for pedestrian or bike paths is already a leap from how engineers used to detect demand for sidewalks or pathways, Dodds says.\u003c/p>\n\u003cp>\"Sometimes if they build a new neighborhood but they don't put in enough sidewalks, people just walk where they wish to walk ... they cut the corner and kill all the grass,\" she says. \"That is one very straightforward way for engineers to say obviously people want a sidewalk here.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Zhai Yun Tan is a digital news intern.\u003c/em>\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=Your+Workout+Data+Might+Be+Helping+Cities+Build+Safer+Streets&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Cyclists often find themselves pedaling between huge trucks and speeding cars or stranded when protected bike lanes abruptly end at busy intersections.\u003c/p>\n\u003cp>Chris Cassidy moved to San Francisco in 2005. He used to cycle through Market Street, a busy downtown thoroughfare.\u003c/p>\n\u003cp>\"It was definitely the kind of biking experience that was really only for some of the more courageous among us,\" he says. \"You would be sharing a lane with much larger vehicles going faster than you when people were not as used to sharing the lane.\"\u003c/p>\n\u003cp>Before San Francisco, Cassidy was in Washington, D.C., where he said he was hit by taxi doors twice when he was cycling in the protected lanes.\u003c/p>\n\u003cp>\"They just stopped, and the passenger opened the door to the bike lane,\" he says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Cyclists and pedestrians often pass on knowledge about which roads or intersections to avoid through word of mouth or social media.\u003c/p>\n\u003cp>Now some cities and companies are experimenting with technology to record that information — which can be crucial in helping design or improve bike and pedestrian paths. And transportation planners are turning to data from apps that cyclists and runners use to track themselves.\u003c/p>\n\u003cp>With the exploding popularity in bikes and many millennials' \u003ca href=\"http://www.npr.org/2016/02/11/466178523/like-millennials-more-older-americans-steering-away-from-driving\" target=\"_blank\">distaste for driving\u003c/a>, the need for better streets is gaining attention.\u003c/p>\n\u003cp>\u003cstrong>What Does It Take To Build A Bike \u003c/strong>\u003cstrong>Lane?\u003c/strong>\u003c/p>\n\u003cp>San Francisco has a goal to eliminate traffic deaths by 2024. According to the \u003ca href=\"https://www.sfmta.com/sites/default/files/projects/2015/vision-zero-san-francisco.pdf\">city's \"Vision Zero\" report\u003c/a>, more than half of traffic deaths in the city are pedestrians, compared to 14 percent nationally.\u003c/p>\n\u003cp>Cassidy, now the spokesperson for the San Francisco Biking Coalition, says enforcement and smart engineering based on data are key to reaching that goal.\u003c/p>\n\u003cp>\"The first piece of data is where are injuries happening — where people are using streets currently and where they are doing so that is proving unsafe,\" he says.\u003c/p>\n\u003cp>Technology plays a big role in how that information is collected, says Jamie Parks, a manager with the city's Municipal Transportation Agency.\u003c/p>\n\u003cp>\"Whether it's data analysis to look at where crashes have occurred so we can improve safety, or analyzing bicycle counts to understand where demand is, or getting feedback from the public,\" Parks says.\u003c/p>\n\u003cp>The agency has issued an \u003ca href=\"https://www.sfmta.com/sites/default/files/reports/2016/Annual%20Bicycle%20Count%20Report%202015_04152016.pdf\" target=\"_blank\">annual bicycle count report\u003c/a> for over a decade now. Initially, it had to rely on sending people to count bicycles on the streets for a two-hour period.\u003c/p>\n\u003cp>Last year, the department added several automated bike counters that consist of a wire loop embedded in the pavement, allowing round-the-clock data collection with more accuracy.\u003c/p>\n\u003cp>Alex Dodds and Emiko Atherton from Smart Growth America are championing a new way of designing streets.\u003c/p>\n\u003cp>\"Historically roads have been built to facilitate the most number of cars as possible, and usually that means wide lanes, lots of space for cars to go faster,\" Dodds says. \"Often planners will add a bike lane. They'll just plop it on ... it's very unsafe for everyone.\"\u003c/p>\n\u003cp>The \u003ca href=\"http://www.smartgrowthamerica.org/complete-streets/complete-streets-fundamentals/complete-streets-faq\" target=\"_blank\">\"Complete Streets Approach\"\u003c/a> means building streets that accommodate the needs of a variety of users — drivers, cyclists, children and wheelchair users.\u003c/p>\n\u003cp>\"It doesn't mean every roadway is outfitted with a sidewalk or a bike lane, but there is a network that allows people to travel,\" Atherton says. \"So we start to look at patterns of how people are using roadways or what streets are bikers using.\"\u003c/p>\n\u003cp>The Department of Transportation does have national data from surveys \u003ca href=\"http://www.pedbikeinfo.org/data/factsheet_general.cfm\" target=\"_blank\">about who walks or bikes\u003c/a> and \u003ca href=\"http://www.pedbikeinfo.org/data/factsheet_crash.cfm\" target=\"_blank\">crash statistics\u003c/a>, but it may not be as helpful in determining which streets are used or in measuring effectiveness of street designs.\u003c/p>\n\u003cp>Dodds says Smart Growth America \u003ca href=\"http://www.smartgrowthamerica.org/best-complete-streets-policies-of-2015\" target=\"_blank\">published a report\u003c/a> last year that examined the outcome of the Complete Streets programs.\u003c/p>\n\u003cp>\"It was really hard for us to get answers because so few transportation agencies collect information about what happens after you added a bike lane,\" Dodds says. \"There is just not enough data out there about who is biking, and where they are biking, and where they walk.\"\u003c/p>\n\u003cp>\u003cstrong>Technology Taking A Crack At Data Collection\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_183727\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg class=\"wp-image-183727 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/sf-traffic.gif\" alt=\"A screenshot from Strava Metro, showcasing street-by-street visualizations of biking and commuting data.\" width=\"1200\" height=\"646\">\u003cfigcaption class=\"wp-caption-text\">A compilation of screenshots from Strava Metro, showcasing street-by-street visualizations of biking and commuting data. \u003ccite>(Courtesy: Strava)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Strava developed \u003ca href=\"https://www.strava.com/features\">software and an app\u003c/a> that allows cyclers and runners to track their journey and compare their achievements with others. It left the company with a huge database of how people move — and it decided to launch \u003ca href=\"http://metro.strava.com/\" target=\"_blank\">Strava Metro\u003c/a>, a service that shows movement street by street. Data from users is anonymized and aggregated.\u003c/p>\n\u003cp>The idea started, co-founder Michael Horvath says, when an employee in the Oregon Department of Transportation, who was also a Strava user, reached out to the company. She asked if the \u003ca href=\"http://bikeportland.org/2014/05/01/odot-embarks-on-big-data-project-with-purchase-of-strava-dataset-105375\" target=\"_blank\">department could use the data\u003c/a> that Strava collected. Six months later, Horvath launched Strava Metro.\u003c/p>\n\u003cp>\"Before you can make changes, you have to know what is going on,\" he says.\u003c/p>\n\u003cp>For example, Horvath says, Strava used the data to find out how pedestrians and cyclists get to the \u003ca href=\"http://www.travelportland.com/article/tilikum-crossing/\" target=\"_blank\">Tilikum Crossing\u003c/a>, a bridge that recently opened in Portland, Ore. It helped the city figure out where it should build pathways leading to the bridge.\u003c/p>\n\u003cfigure id=\"attachment_183723\" class=\"wp-caption aligncenter\" style=\"max-width: 1281px\">\u003cimg class=\"size-full wp-image-183723\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/strava-2_custom-2f6758590b92dea22b66d9a4ff01d8ca61522930.png\" alt=\"A screenshot from the Strava Labs website shows the visualization of biking activity data around the world. The Strava Global Heatmap is free of charge for advocacy organizations and the general public to access online.\" width=\"1281\" height=\"899\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/05/strava-2_custom-2f6758590b92dea22b66d9a4ff01d8ca61522930.png 1281w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/strava-2_custom-2f6758590b92dea22b66d9a4ff01d8ca61522930-400x281.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/strava-2_custom-2f6758590b92dea22b66d9a4ff01d8ca61522930-800x561.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/strava-2_custom-2f6758590b92dea22b66d9a4ff01d8ca61522930-768x539.png 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/strava-2_custom-2f6758590b92dea22b66d9a4ff01d8ca61522930-1180x828.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/strava-2_custom-2f6758590b92dea22b66d9a4ff01d8ca61522930-960x674.png 960w\" sizes=\"(max-width: 1281px) 100vw, 1281px\">\u003cfigcaption class=\"wp-caption-text\">A screenshot from the Strava Labs website shows the visualization of biking activity data around the world. The Strava Global Heatmap is free of charge for advocacy organizations and the general public to access online. \u003ccite>(Courtesy: Strava)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Strava Metro is not the only database collecting such information. The San Francisco County Transportation Authority created a \u003ca href=\"http://www.sfcta.org/modeling-and-travel-forecasting/cycletracks-iphone-and-android\" target=\"_blank\">CycleTracks app\u003c/a> in 2009 to track biking route choices in the city and other cities from Austin to Toronto are using it to collect data.\u003c/p>\n\u003cp>\u003ca href=\"http://metro.strava.com/faq/\" target=\"_blank\">According to Strava\u003c/a>, over 6 million GPS-tracked activities are uploaded to its database every week from around the globe. The cost to its clients — which include state and local governments — depends on the number of Strava members in a particular area. The company charges the clients 80 cents per member for a year.\u003c/p>\n\u003cp>While Parks says he would love to have the data — especially about cross-platform transportation choices, he still has concerns.\u003c/p>\n\u003cp>\"People who use the Strava app may not be representative of the average cyclist in SF,\" Parks says. \"It might be for recreational routes.\"\u003c/p>\n\u003cp>But using technology to track demand for pedestrian or bike paths is already a leap from how engineers used to detect demand for sidewalks or pathways, Dodds says.\u003c/p>\n\u003cp>\"Sometimes if they build a new neighborhood but they don't put in enough sidewalks, people just walk where they wish to walk ... they cut the corner and kill all the grass,\" she says. \"That is one very straightforward way for engineers to say obviously people want a sidewalk here.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Zhai Yun Tan is a digital news intern.\u003c/em>\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=Your+Workout+Data+Might+Be+Helping+Cities+Build+Safer+Streets&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California's Obamacare Premiums May Rise 8 Percent Next Year",
"title": "California's Obamacare Premiums May Rise 8 Percent Next Year",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>California’s health insurance exchange estimates that its Obamacare premiums may rise 8 percent on average next year, which would end two consecutive years of more modest 4 percent increases.\u003c/p>\n\u003caside class=\"pullquote alignright\">Final rates won’t be known until July after Covered California conducts private negotiations with health plans\u003c/aside>\n\u003cp>The projected rate increase in California, included in the \u003ca href=\"http://board.coveredca.com/meetings/2016/5-12/2016-17-CoveredCA-Proposed-Budget.pdf\" target=\"_blank\">exchange’s proposed annual budget\u003c/a>, comes amid growing nationwide concern about insurers seeking double-digit premium hikes in the health law’s insurance marketplaces.\u003c/p>\n\u003cp>Any increases in California, a closely watched state in the health law rollout, are sure to draw intense scrutiny during a presidential election. Republicans are quick to seize on rate hikes as further proof that President Barack Obama’s signature law isn’t doing enough to hold down health care costs for the average consumer.\u003c/p>\n\u003cp>Insurers in California have submitted initial rates for 2017, but the final figures won’t be known until July after state officials conduct private negotiations.\u003c/p>\n\u003cp>Peter Lee, executive director of Covered California, underscored that the estimate was preliminary but said some one-time factors under the Affordable Care Act mean “2017 will be an adjustment year” for rates.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We shouldn’t put too much focus on this 8 percent number when we will know the reality in two months,” Lee told California Healthline on Tuesday. “There are a number of reasons 2017 will have higher rate increases than the last few years. But we believe in California we won’t see the significant headwinds many other states are experiencing.”\u003c/p>\n\u003cp>[contextly_sidebar id=\"Xh5FmUmlPmuJ7DvqU73CGLqck09caN8t\"]Lee said the expiration this year of two federal programs that have helped health insurers offset expensive medical claims and cover sick patients in general will affect premium rates across the country. In addition, he cited ever-increasing medical costs, particularly for expensive specialty drugs.\u003c/p>\n\u003cp>The nation’s largest health insurer, UnitedHealth Group, already has said it will exit all but a handful of state exchanges after suffering substantial losses on individual policies.\u003c/p>\n\u003cp>Lee declined to comment on whether UnitedHealth has submitted a bid to continue selling in Covered California next year.\u003c/p>\n\u003cp>Health-policy experts said the California rate projection mirrors an upward trend around the country as health insurers reassess their pricing and strategy under Obamacare.\u003c/p>\n\u003cp>“None of us should be surprised to see average rate increases that are slightly higher than last year,” said Sabrina Corlette, a research professor at Georgetown University’s Center on Health Insurance Reforms. “It’s still really difficult to discern where we will end up.”\u003c/p>\n\u003cp>Robert Laszewski, a health care consultant in Alexandria, Virginia, and a frequent critic of Covered California, said Californians will be fortunate if the 8 percent projection holds up.\u003c/p>\n\u003cp>“That is not a troubling rate increase,” he said. “California is coming back toward the average. A bunch of states would die for just an 8 percent increase in 2017.”\u003c/p>\n\u003cp>A bigger concern, Laszewski said, is the tepid growth in Covered California’s enrollment and what that may mean for future premiums.\u003c/p>\n\u003cp>As part of its proposed budget for the next fiscal year, starting July 1, the state exchange expects its annual enrollment to grow by only 2 percent over the next year to 1.34 million. Covered California counts about 1.4 million as currently enrolled but that figure is expected to drop to 1.32 million as of June 30 through normal attrition as people get insurance elsewhere or drop coverage.\u003c/p>\n\u003cp>Sign-ups are crucial for keeping a diverse mix of enrollees and spreading the insurance costs across a pool of healthy and sick policyholders.\u003c/p>\n\u003cp>About 3 million Californians remain uninsured, but fewer than 1.4 million of them are eligible for premium subsidies under the Affordable Care Act, according to the exchange’s proposed budget.\u003c/p>\n\u003cp>[contextly_sidebar id=\"nFru5suNyUJbvUf5pa4fLByUhvOyuk0V\"]Lee said California already boasts one of the healthiest risk pools in the country, which insurers have cited as a main reason for the lower-than-average rate increases the past two years. He said the exchange signs up hundreds of thousands of new enrollees each year, but that’s offset by high turnover as many people leave the marketplace for job-based coverage, Medicare or Medicaid.\u003c/p>\n\u003cp>The average tenure of a Covered California enrollee is about 25 months, according to exchange data.\u003c/p>\n\u003cp>Over time, Covered California expects the gradual increases in the state’s minimum wage to $15 an hour could shift more low-income people from Medi-Cal, the state’s Medicaid program, to subsidized exchange policies as their pay increases. By 2020, the exchange expects to reach enrollment of 1.52 million.\u003c/p>\n\u003cp>“California grew very rapidly in the first few years and now we have reached a cruising altitude after three years. We are projecting modest net growth,” Lee said. “I think any questions about the sustainability [of exchanges] are just pure hot air.”\u003c/p>\n\u003cp>Covered California’s five-member board will discuss the proposed $308 million budget at a meeting Thursday and vote on it next month.\u003c/p>\n\u003cp>The proposed budget for 2017 is 8 percent lower than the current year budget, reflecting the slower enrollment growth and the fact that Covered California must operate next year without federal startup funds for the first time.\u003c/p>\n\u003cp>The exchange is planning to draw on $58 million in reserves for operations, and it wants to raise its surcharge on customer policies to 4 percent of premiums, up from 3.4 percent now, or $13.95 per member per month.\u003c/p>\n\u003cp>Covered California doesn’t receive money from the state’s general fund and relies on policyholder assessments to pay for marketing, service center operations and other expenses.\u003c/p>\n\u003cp>Health insurers have urged the exchange not to pass on any unnecessary costs to consumers.\u003c/p>\n\u003cp>[contextly_sidebar id=\"lRHYKQKJ0CMGRRDG5ZwtNzoEhBbgJplp\"]“Price is the number one factor impacting consumers when they enroll, so we must always keep an eye toward affordability,” said Charles Bacchi, chief executive of the California Association of Health Plans. “We urge Covered California to move cautiously before increasing this fee and look for cost savings.”\u003c/p>\n\u003cp>The exchange is proposing to spend $2 million to establish an ombudsman program to help resolve customer service problems.\u003c/p>\n\u003cp>Consumer groups have criticized Covered California for failing to fix long-standing enrollment and tax-related errors that have blocked people from getting coverage and left some with unforeseen bills.\u003c/p>\n\u003cp>Last month, \u003ca href=\"http://californiahealthline.org/news/lawmakers-demand-quick-action-on-covered-california-pregnancy-snafu/\" target=\"_blank\">federal lawmakers called on Covered California\u003c/a> to resolve a problem that has caused some pregnant women to be dropped from their health plans and enrolled in Medi-Cal without notice or consent.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“Absolutely, some consumers have had problems with customer service,” Lee said. “We are making significant investments to do better.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California’s health insurance exchange estimates that its Obamacare premiums may rise 8 percent on average next year, which would end two consecutive years of more modest 4 percent increases.\u003c/p>\n\u003caside class=\"pullquote alignright\">Final rates won’t be known until July after Covered California conducts private negotiations with health plans\u003c/aside>\n\u003cp>The projected rate increase in California, included in the \u003ca href=\"http://board.coveredca.com/meetings/2016/5-12/2016-17-CoveredCA-Proposed-Budget.pdf\" target=\"_blank\">exchange’s proposed annual budget\u003c/a>, comes amid growing nationwide concern about insurers seeking double-digit premium hikes in the health law’s insurance marketplaces.\u003c/p>\n\u003cp>Any increases in California, a closely watched state in the health law rollout, are sure to draw intense scrutiny during a presidential election. Republicans are quick to seize on rate hikes as further proof that President Barack Obama’s signature law isn’t doing enough to hold down health care costs for the average consumer.\u003c/p>\n\u003cp>Insurers in California have submitted initial rates for 2017, but the final figures won’t be known until July after state officials conduct private negotiations.\u003c/p>\n\u003cp>Peter Lee, executive director of Covered California, underscored that the estimate was preliminary but said some one-time factors under the Affordable Care Act mean “2017 will be an adjustment year” for rates.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We shouldn’t put too much focus on this 8 percent number when we will know the reality in two months,” Lee told California Healthline on Tuesday. “There are a number of reasons 2017 will have higher rate increases than the last few years. But we believe in California we won’t see the significant headwinds many other states are experiencing.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Lee said the expiration this year of two federal programs that have helped health insurers offset expensive medical claims and cover sick patients in general will affect premium rates across the country. In addition, he cited ever-increasing medical costs, particularly for expensive specialty drugs.\u003c/p>\n\u003cp>The nation’s largest health insurer, UnitedHealth Group, already has said it will exit all but a handful of state exchanges after suffering substantial losses on individual policies.\u003c/p>\n\u003cp>Lee declined to comment on whether UnitedHealth has submitted a bid to continue selling in Covered California next year.\u003c/p>\n\u003cp>Health-policy experts said the California rate projection mirrors an upward trend around the country as health insurers reassess their pricing and strategy under Obamacare.\u003c/p>\n\u003cp>“None of us should be surprised to see average rate increases that are slightly higher than last year,” said Sabrina Corlette, a research professor at Georgetown University’s Center on Health Insurance Reforms. “It’s still really difficult to discern where we will end up.”\u003c/p>\n\u003cp>Robert Laszewski, a health care consultant in Alexandria, Virginia, and a frequent critic of Covered California, said Californians will be fortunate if the 8 percent projection holds up.\u003c/p>\n\u003cp>“That is not a troubling rate increase,” he said. “California is coming back toward the average. A bunch of states would die for just an 8 percent increase in 2017.”\u003c/p>\n\u003cp>A bigger concern, Laszewski said, is the tepid growth in Covered California’s enrollment and what that may mean for future premiums.\u003c/p>\n\u003cp>As part of its proposed budget for the next fiscal year, starting July 1, the state exchange expects its annual enrollment to grow by only 2 percent over the next year to 1.34 million. Covered California counts about 1.4 million as currently enrolled but that figure is expected to drop to 1.32 million as of June 30 through normal attrition as people get insurance elsewhere or drop coverage.\u003c/p>\n\u003cp>Sign-ups are crucial for keeping a diverse mix of enrollees and spreading the insurance costs across a pool of healthy and sick policyholders.\u003c/p>\n\u003cp>About 3 million Californians remain uninsured, but fewer than 1.4 million of them are eligible for premium subsidies under the Affordable Care Act, according to the exchange’s proposed budget.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Lee said California already boasts one of the healthiest risk pools in the country, which insurers have cited as a main reason for the lower-than-average rate increases the past two years. He said the exchange signs up hundreds of thousands of new enrollees each year, but that’s offset by high turnover as many people leave the marketplace for job-based coverage, Medicare or Medicaid.\u003c/p>\n\u003cp>The average tenure of a Covered California enrollee is about 25 months, according to exchange data.\u003c/p>\n\u003cp>Over time, Covered California expects the gradual increases in the state’s minimum wage to $15 an hour could shift more low-income people from Medi-Cal, the state’s Medicaid program, to subsidized exchange policies as their pay increases. By 2020, the exchange expects to reach enrollment of 1.52 million.\u003c/p>\n\u003cp>“California grew very rapidly in the first few years and now we have reached a cruising altitude after three years. We are projecting modest net growth,” Lee said. “I think any questions about the sustainability [of exchanges] are just pure hot air.”\u003c/p>\n\u003cp>Covered California’s five-member board will discuss the proposed $308 million budget at a meeting Thursday and vote on it next month.\u003c/p>\n\u003cp>The proposed budget for 2017 is 8 percent lower than the current year budget, reflecting the slower enrollment growth and the fact that Covered California must operate next year without federal startup funds for the first time.\u003c/p>\n\u003cp>The exchange is planning to draw on $58 million in reserves for operations, and it wants to raise its surcharge on customer policies to 4 percent of premiums, up from 3.4 percent now, or $13.95 per member per month.\u003c/p>\n\u003cp>Covered California doesn’t receive money from the state’s general fund and relies on policyholder assessments to pay for marketing, service center operations and other expenses.\u003c/p>\n\u003cp>Health insurers have urged the exchange not to pass on any unnecessary costs to consumers.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>“Price is the number one factor impacting consumers when they enroll, so we must always keep an eye toward affordability,” said Charles Bacchi, chief executive of the California Association of Health Plans. “We urge Covered California to move cautiously before increasing this fee and look for cost savings.”\u003c/p>\n\u003cp>The exchange is proposing to spend $2 million to establish an ombudsman program to help resolve customer service problems.\u003c/p>\n\u003cp>Consumer groups have criticized Covered California for failing to fix long-standing enrollment and tax-related errors that have blocked people from getting coverage and left some with unforeseen bills.\u003c/p>\n\u003cp>Last month, \u003ca href=\"http://californiahealthline.org/news/lawmakers-demand-quick-action-on-covered-california-pregnancy-snafu/\" target=\"_blank\">federal lawmakers called on Covered California\u003c/a> to resolve a problem that has caused some pregnant women to be dropped from their health plans and enrolled in Medi-Cal without notice or consent.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Absolutely, some consumers have had problems with customer service,” Lee said. “We are making significant investments to do better.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>When smoking rates decline, health care spending declines, too, and fast. An \u003ca href=\"http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002020\" target=\"_blank\">analysis\u003c/a> from researchers at UC San Francisco finds that if 10 percent of smokers nationwide quit, it would save a whopping $63 billion in national health care costs the next year.\u003c/p>\n\u003cp>Stan Glantz, a professor of medicine at UCSF and director of its Center for Tobacco Control Research and Education, was co-author of the study, which found that a 10 percent decline in both prevalence of smoking and per-person cigarette consumption would save one percent of total health care cost.\u003c/p>\n\u003cp>\"That doesn't sound like much,\" said Glantz, \"but the amount of money that our society spends on health care costs is gigantic, so if you can cut that by a percent, that's a big effect.\"\u003c/p>\n\u003cp>Research has long shown that smoking cessation saves money in the long run, but this study focused on year-over-year savings.\u003c/p>\n\u003cp>UCSF scientists conducted a state-by-state comparison of smoking prevalence and health care costs, compared to the national smoking rate.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In California the smoking rate is 11-12 percent compared to \u003ca href=\"http://www.cdc.gov/tobacco/data_statistics/fact_sheets/adult_data/cig_smoking/\" target=\"_blank\">17 percent \u003c/a>nationally. The state's smoking rate is lower, Glantz said, because of California's long history of anti-smoking campaigns and clean indoor air policies (which were strengthened last week when\u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/05/04/gov-brown-signs-major-tobacco-bills-raises-legal-age-to-21/\" target=\"_blank\"> Gov. Jerry Brown signed five anti-tobacco bills\u003c/a> into law. )\u003c/p>\n\u003cp>In addition, Californians who do smoke are smoking less than the national average, Glantz said. \"When you put those together, California's saving about $15 billion a year in medical costs, every year.\"\u003c/p>\n\u003cp>California's annual health care spending, public and private, was about \u003ca href=\"http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/PDF%20H/PDF%20HealthCareCosts12CAQRG.pdf\" target=\"_blank\">$230 billion in 2009\u003c/a>, according to the California HealthCare Foundation.\u003c/p>\n\u003cp>While the risks for some diseases, like smoking-related cancers, develop over years, risks for other disease drop quickly after smoking cessation. The risk of heart attack and stroke drop by \"about half in the first year after smoking cessation,\" the authors write.\u003c/p>\n\u003cp>It's all those heart attacks and strokes that don't happen, and other health risks avoided, such as asthma attacks, that save money. Those savings \"grow with time,\" Glantz said, \"by the reduced costs of not having to take care of the ongoing chronic illnesses which are generated\" by smoking.\u003c/p>\n\u003cp>The researchers also calculated the excess cost for states that have a smoking rate above the national average.\u003c/p>\n\u003cp>The study was published in \u003ca href=\"http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002020\" target=\"_blank\">Plos Medicine\u003c/a>.\u003c/p>\n\u003cp>The analysis has crucial policy implications, Glantz believes, since state lawmakers are often focused on balancing next year's budget.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"What we're showing is it's not 20 years from now,\" he said, \"it's next year that you start to see these (savings), and of course they grow with time.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When smoking rates decline, health care spending declines, too, and fast. An \u003ca href=\"http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002020\" target=\"_blank\">analysis\u003c/a> from researchers at UC San Francisco finds that if 10 percent of smokers nationwide quit, it would save a whopping $63 billion in national health care costs the next year.\u003c/p>\n\u003cp>Stan Glantz, a professor of medicine at UCSF and director of its Center for Tobacco Control Research and Education, was co-author of the study, which found that a 10 percent decline in both prevalence of smoking and per-person cigarette consumption would save one percent of total health care cost.\u003c/p>\n\u003cp>\"That doesn't sound like much,\" said Glantz, \"but the amount of money that our society spends on health care costs is gigantic, so if you can cut that by a percent, that's a big effect.\"\u003c/p>\n\u003cp>Research has long shown that smoking cessation saves money in the long run, but this study focused on year-over-year savings.\u003c/p>\n\u003cp>UCSF scientists conducted a state-by-state comparison of smoking prevalence and health care costs, compared to the national smoking rate.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In California the smoking rate is 11-12 percent compared to \u003ca href=\"http://www.cdc.gov/tobacco/data_statistics/fact_sheets/adult_data/cig_smoking/\" target=\"_blank\">17 percent \u003c/a>nationally. The state's smoking rate is lower, Glantz said, because of California's long history of anti-smoking campaigns and clean indoor air policies (which were strengthened last week when\u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/05/04/gov-brown-signs-major-tobacco-bills-raises-legal-age-to-21/\" target=\"_blank\"> Gov. Jerry Brown signed five anti-tobacco bills\u003c/a> into law. )\u003c/p>\n\u003cp>In addition, Californians who do smoke are smoking less than the national average, Glantz said. \"When you put those together, California's saving about $15 billion a year in medical costs, every year.\"\u003c/p>\n\u003cp>California's annual health care spending, public and private, was about \u003ca href=\"http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/PDF%20H/PDF%20HealthCareCosts12CAQRG.pdf\" target=\"_blank\">$230 billion in 2009\u003c/a>, according to the California HealthCare Foundation.\u003c/p>\n\u003cp>While the risks for some diseases, like smoking-related cancers, develop over years, risks for other disease drop quickly after smoking cessation. The risk of heart attack and stroke drop by \"about half in the first year after smoking cessation,\" the authors write.\u003c/p>\n\u003cp>It's all those heart attacks and strokes that don't happen, and other health risks avoided, such as asthma attacks, that save money. Those savings \"grow with time,\" Glantz said, \"by the reduced costs of not having to take care of the ongoing chronic illnesses which are generated\" by smoking.\u003c/p>\n\u003cp>The researchers also calculated the excess cost for states that have a smoking rate above the national average.\u003c/p>\n\u003cp>The study was published in \u003ca href=\"http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002020\" target=\"_blank\">Plos Medicine\u003c/a>.\u003c/p>\n\u003cp>The analysis has crucial policy implications, Glantz believes, since state lawmakers are often focused on balancing next year's budget.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"What we're showing is it's not 20 years from now,\" he said, \"it's next year that you start to see these (savings), and of course they grow with time.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Let the courts decide.\u003c/p>\n\u003cp>That appears to be the stance of the California Department of Education as state regulators have so far declined to answer pleas from school districts to clarify what California’s new vaccination law means for the 700,000 students who receive special education services.\u003c/p>\n\u003caside class=\"pullquote alignright\">Tension between state law mandating vaccines for virtually all students and federal law requiring services for special ed students \u003c/aside>\n\u003cp>Known as \u003ca class=\"external\" href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB277\" target=\"_blank\">Senate Bill 277\u003c/a>, the state law makes California one of \u003ca class=\"external\" href=\"http://www.ncsl.org/research/health/school-immunization-exemption-state-laws.aspx\" target=\"_blank\">three\u003c/a> states to permit exemptions to school vaccinations only for medical reasons.\u003c/p>\n\u003cp>Gone are exemptions based on religious or personal beliefs. The law says all public and private school students must be vaccinated against 10 communicable diseases unless they have a medical exemption, they are home-schooled or they are enrolled in independent study with no classroom instruction.\u003c/p>\n\u003cp>With school districts beginning to enforce the law on July 1, legal experts say a conflict is likely to arise between the state mandate and the federal Individuals with Disabilities Education Act, which says students who qualify for special education services, such as intensive reading interventions that are provided in general classrooms, must receive those services. A conflict also has the potential to unite two impassioned groups of parents — those who oppose vaccinations and those who insist on the right of students to receive special education services in mainstream classrooms, attorneys said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[contextly_sidebar id=\"RzCoOu28F4oCnl3RdfxSSMmp01KRQ7iw\"]But what if the special education student is unvaccinated? Would that student be allowed to attend school? Or would an unvaccinated special education student have to receive services at home? Lawyers have lined up on both sides of the issue, offering conflicting opinions on how the state law intends school districts to carry out its mandate. It’s an argument that lawyers on both sides say is likely to end up in court.\u003c/p>\n\u003cp>The California Department of Education has said it will not be providing guidance on interpreting the new law, although it typically does so with new legislation, said Greg Rhoten, chairman of the Special Education Local Plan Area Administrators of California, which represents special education programs in the state. Rhoten said he asked two experts -- Fred Balcom, the director of the special education division of the California Department of Education who retired last year, and Chris Drouin, now the interim director of special education -- for guidance from the department and was told by both that none would be forthcoming.\u003c/p>\n\u003cp>He said he was told to follow guidance from the California Department of Public Health. “That wasn’t helpful to us,” Rhoten said, noting that public health department officials are not likely to be well-versed in special education law.\u003c/p>\n\u003cp>“I assume the state is trying to be careful about assuming risk for interpretation of the law,” which could make the department a party to a lawsuit, Rhoten said. “In the end, it’s the implementers,” he said, referring to the school districts. “They’re the ones who have to make the calls and do their best.”\u003c/p>\n\u003cp>In lieu of state guidance, districts have hired lawyers or turned to their general counsel for advice on how to proceed. Los Angeles Unified School District, which serves more than 640,000 K-12 students, said that on the advice of legal counsel, the district \u003ca href=\"http://edsource.org/2016/some-districts-exempt-students-in-special-ed-from-vaccination-law/92868\">will not require\u003c/a> students in special education to comply with required immunizations if that requirement would prevent them from getting services, including instruction in general education classrooms, to which they are legally entitled.\u003c/p>\n\u003cp>The California Department of Education referred media inquiries about the vaccination law to the California Department of Public Health, which in turn, referred questioners to its \u003ca class=\"external\" href=\"http://www.shotsforschool.org/laws/sb277faq/\" target=\"_blank\">Senate Bill 277 Frequently Asked Questions\u003c/a> web page. Last month, the department quietly posted \u003ca class=\"external\" href=\"http://www.shotsforschool.org/laws/sb277faq/#Q3A\" target=\"_blank\">an update\u003c/a> that had been long anticipated by districts, but the information fell short of providing helpful guidance, some lawyers said.\u003c/p>\n\u003cp>[contextly_sidebar id=\"8uBPZ6s0m8Np0oB5t2hQs51ACsD2QKrY\"]In describing students who have individualized education programs through special education, the update explained in words underlined for emphasis that “parents or guardians must continue to provide immunization records for these students to their schools, and schools must continue to maintain and report records of immunizations that have been received for these students.”\u003c/p>\n\u003cp>But does “continue to provide immunization records” mean that students in special education must be vaccinated? Ronald Wenkart, general counsel for the Orange County Office of Education, says it does. “You wouldn’t have a record if you were not immunized,” said Wenkart, who has become a bit of a Kremlinologist in trying to decipher the text of the law and the public health department updates. His office has advised districts that the intention of the law — to improve immunization rates — calls for all students who receive special education services to be vaccinated, unless they have a medical exemption.\u003c/p>\n\u003cp>“This is about the same guidance we got to begin with,” said Paul Lavigne, executive director of the Greater Anaheim Special Education Local Plan Area. “The law is vague on it. It says students need to receive IEP services but it also says they need to be vaccinated. More guidance would be great.”\u003c/p>\n\u003cp>“I would have hoped that if the state were to clarify this, they would provide a little more specific clarification than that,” said Jonathan Read, a partner at the law firm Fagen Friedman & Fulfrost.\u003c/p>\n\u003cp>At the same time, a March 1 revision to the California Department of Education Audit Guide, which instructs auditors how to monitor district compliance with the law, states that auditors who are checking on immunization compliance \u003ca class=\"external\" href=\"https://www.documentcloud.org/documents/2822871-2015-16-Supplemental-Audit-Guide-March-2016-PDF-1.html#document/p44/a292701\" target=\"_blank\">should exclude\u003c/a> students who have individualized education programs and receive special education services.\u003c/p>\n\u003cp>Wenkart said the audit guidance would create further confusion. “That will give people the false impression that these kids don’t have to be vaccinated,” he said.\u003c/p>\n\u003cp>With this much uncertainty, the issue will likely make its way to court, said Rhoten of the statewide special education association. “What happens is that case law gets made,” he said.\u003c/p>\n\u003cp>Rhoten offered this scenario: A district decides that an unvaccinated special education student must be taught at home. The student’s parents file a complaint, arguing that their child is not receiving a “free and appropriate education” in the least restrictive environment. The matter goes before an administrative judge in a due process hearing. The judge considers the student’s right to special education services as well as the school’s obligation to protect the health and safety of other students and staff. One way or another, a ruling is made.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“Then things get decided,” Rhoten said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Let the courts decide.\u003c/p>\n\u003cp>That appears to be the stance of the California Department of Education as state regulators have so far declined to answer pleas from school districts to clarify what California’s new vaccination law means for the 700,000 students who receive special education services.\u003c/p>\n\u003caside class=\"pullquote alignright\">Tension between state law mandating vaccines for virtually all students and federal law requiring services for special ed students \u003c/aside>\n\u003cp>Known as \u003ca class=\"external\" href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB277\" target=\"_blank\">Senate Bill 277\u003c/a>, the state law makes California one of \u003ca class=\"external\" href=\"http://www.ncsl.org/research/health/school-immunization-exemption-state-laws.aspx\" target=\"_blank\">three\u003c/a> states to permit exemptions to school vaccinations only for medical reasons.\u003c/p>\n\u003cp>Gone are exemptions based on religious or personal beliefs. The law says all public and private school students must be vaccinated against 10 communicable diseases unless they have a medical exemption, they are home-schooled or they are enrolled in independent study with no classroom instruction.\u003c/p>\n\u003cp>With school districts beginning to enforce the law on July 1, legal experts say a conflict is likely to arise between the state mandate and the federal Individuals with Disabilities Education Act, which says students who qualify for special education services, such as intensive reading interventions that are provided in general classrooms, must receive those services. A conflict also has the potential to unite two impassioned groups of parents — those who oppose vaccinations and those who insist on the right of students to receive special education services in mainstream classrooms, attorneys said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>But what if the special education student is unvaccinated? Would that student be allowed to attend school? Or would an unvaccinated special education student have to receive services at home? Lawyers have lined up on both sides of the issue, offering conflicting opinions on how the state law intends school districts to carry out its mandate. It’s an argument that lawyers on both sides say is likely to end up in court.\u003c/p>\n\u003cp>The California Department of Education has said it will not be providing guidance on interpreting the new law, although it typically does so with new legislation, said Greg Rhoten, chairman of the Special Education Local Plan Area Administrators of California, which represents special education programs in the state. Rhoten said he asked two experts -- Fred Balcom, the director of the special education division of the California Department of Education who retired last year, and Chris Drouin, now the interim director of special education -- for guidance from the department and was told by both that none would be forthcoming.\u003c/p>\n\u003cp>He said he was told to follow guidance from the California Department of Public Health. “That wasn’t helpful to us,” Rhoten said, noting that public health department officials are not likely to be well-versed in special education law.\u003c/p>\n\u003cp>“I assume the state is trying to be careful about assuming risk for interpretation of the law,” which could make the department a party to a lawsuit, Rhoten said. “In the end, it’s the implementers,” he said, referring to the school districts. “They’re the ones who have to make the calls and do their best.”\u003c/p>\n\u003cp>In lieu of state guidance, districts have hired lawyers or turned to their general counsel for advice on how to proceed. Los Angeles Unified School District, which serves more than 640,000 K-12 students, said that on the advice of legal counsel, the district \u003ca href=\"http://edsource.org/2016/some-districts-exempt-students-in-special-ed-from-vaccination-law/92868\">will not require\u003c/a> students in special education to comply with required immunizations if that requirement would prevent them from getting services, including instruction in general education classrooms, to which they are legally entitled.\u003c/p>\n\u003cp>The California Department of Education referred media inquiries about the vaccination law to the California Department of Public Health, which in turn, referred questioners to its \u003ca class=\"external\" href=\"http://www.shotsforschool.org/laws/sb277faq/\" target=\"_blank\">Senate Bill 277 Frequently Asked Questions\u003c/a> web page. Last month, the department quietly posted \u003ca class=\"external\" href=\"http://www.shotsforschool.org/laws/sb277faq/#Q3A\" target=\"_blank\">an update\u003c/a> that had been long anticipated by districts, but the information fell short of providing helpful guidance, some lawyers said.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>In describing students who have individualized education programs through special education, the update explained in words underlined for emphasis that “parents or guardians must continue to provide immunization records for these students to their schools, and schools must continue to maintain and report records of immunizations that have been received for these students.”\u003c/p>\n\u003cp>But does “continue to provide immunization records” mean that students in special education must be vaccinated? Ronald Wenkart, general counsel for the Orange County Office of Education, says it does. “You wouldn’t have a record if you were not immunized,” said Wenkart, who has become a bit of a Kremlinologist in trying to decipher the text of the law and the public health department updates. His office has advised districts that the intention of the law — to improve immunization rates — calls for all students who receive special education services to be vaccinated, unless they have a medical exemption.\u003c/p>\n\u003cp>“This is about the same guidance we got to begin with,” said Paul Lavigne, executive director of the Greater Anaheim Special Education Local Plan Area. “The law is vague on it. It says students need to receive IEP services but it also says they need to be vaccinated. More guidance would be great.”\u003c/p>\n\u003cp>“I would have hoped that if the state were to clarify this, they would provide a little more specific clarification than that,” said Jonathan Read, a partner at the law firm Fagen Friedman & Fulfrost.\u003c/p>\n\u003cp>At the same time, a March 1 revision to the California Department of Education Audit Guide, which instructs auditors how to monitor district compliance with the law, states that auditors who are checking on immunization compliance \u003ca class=\"external\" href=\"https://www.documentcloud.org/documents/2822871-2015-16-Supplemental-Audit-Guide-March-2016-PDF-1.html#document/p44/a292701\" target=\"_blank\">should exclude\u003c/a> students who have individualized education programs and receive special education services.\u003c/p>\n\u003cp>Wenkart said the audit guidance would create further confusion. “That will give people the false impression that these kids don’t have to be vaccinated,” he said.\u003c/p>\n\u003cp>With this much uncertainty, the issue will likely make its way to court, said Rhoten of the statewide special education association. “What happens is that case law gets made,” he said.\u003c/p>\n\u003cp>Rhoten offered this scenario: A district decides that an unvaccinated special education student must be taught at home. The student’s parents file a complaint, arguing that their child is not receiving a “free and appropriate education” in the least restrictive environment. The matter goes before an administrative judge in a due process hearing. The judge considers the student’s right to special education services as well as the school’s obligation to protect the health and safety of other students and staff. One way or another, a ruling is made.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Stanford Study: How To Teach Children That Failure Is Secret To Success",
"title": "Stanford Study: How To Teach Children That Failure Is Secret To Success",
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"content": "\u003cp>Is failure a positive opportunity to learn and grow, or is it a negative experience that hinders success? How parents answer that question has a big influence on how much children think they can improve their intelligence through hard work, a study says.\u003c/p>\n\u003cp>\"Parents are a really critical force in child development when you think about how motivation and mindsets develop,\" says \u003ca href=\"http://https/psychology.stanford.edu/node/2343\">Kyla Haimovitz\u003c/a>, a professor of psychology at Stanford University. She coauthored the \u003ca href=\"http://pss.sagepub.com/content/early/2016/04/23/0956797616639727.abstract\" target=\"_blank\">study, published\u003c/a> in \u003cem>Psychological Science\u003c/em> with colleague \u003ca href=\"http://https/psychology.stanford.edu/cdweck\">Carol Dweck\u003c/a>, who \u003ca href=\"http://https/www.ted.com/speakers/carol_dweck\">pioneered\u003c/a> \u003ca href=\"http://mindsetonline.com/abouttheauthor/\">research on mindsets\u003c/a>. \"Parents have this powerful effect really early on and throughout childhood to send messages about what is failure, how to respond to it.\"\u003c/p>\n\u003cp>Although there's been a lot of research on how these forces play out, relatively little looks at what parents can do to motivate their kids in school, Haimovitz says. This study begins filling that gap.\u003c/p>\n\u003cp>\"There is a fair amount of evidence showing that when children view their abilities as more malleable and something they can change over time, then they deal with obstacles in a more constructive way,\" says \u003ca href=\"http://heymanlab.ucsd.edu/\">Gail Heyman\u003c/a>, a professor of psychology at the University of California at San Diego who was not involved in this study.\u003c/p>\n\u003cp>But communicating that message to children is not so .\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Parents need to represent this to their kids in the ways they react about their kids' failures and setbacks,\" Haimovitz says. \"We need to really think about what's visible to the other person, what message I'm sending in terms of my words and my deeds.\"\u003c/p>\n\u003cp>In other words, if a child comes home with a D on a math test, how a parent responds will influence how the child perceives their own ability to learn math. Even a well-intentioned, comforting response of \"It's okay, you're still a great writer\" may send the message that it's time to give up on math rather than learn from the problems they got wrong, Haimovitz explains.\u003c/p>\n\u003cp>She and Dweck conducted a series of smaller studies to explore how the interactions between parents' failure and intelligence mindsets affected their children's beliefs about intelligence.\u003c/p>\n\u003cp>First they interviewed 73 parents and their fourth- and fifth-grade children about their beliefs on failure and intelligence. The parents were mostly mothers with at least a college degree; they lived in the Bay Area. The questions focused on whether they viewed intelligence as something that could change and whether they saw failure as positive, facilitating growth and enhancing productivity or as negative, debilitating and inhibiting learning.\u003c/p>\n\u003cp>The way children perceived \"being smart\" was not related to how their parents perceived intelligence, but it was related to how their parents reacted toward failure.\u003c/p>\n\u003cp>\"Parents who had more of a failure-is-debilitating mindset had children who were significantly more likely to believe that intelligence is fixed,\" they found, even after accounting for how parents perceived their children's academic success.\u003c/p>\n\u003cp>\"The more parents believed that failure is debilitating, the more likely their children were to see them as concerned with their performance outcomes and grades rather than their learning and improvement,\" the study found.\u003c/p>\n\u003cp>Then the researchers surveyed 160 different parents online to find out how they would respond to their child coming home with a failing quiz grade. Those who saw failure as negative were more likely to worry about their child's abilities in that subject or to comfort their child about not being talented in all subjects. But parents who saw failure as an opportunity were more likely to ask their child what they learned from the quiz, what they still can learn and whether asking the teacher for help would be useful.\u003c/p>\n\u003cp>Through two more surveys of 102 Bay Area parents and their children and 100 fourth- and fifth-grade students, the researchers found that children could correctly identify their parents' beliefs about failure but not necessarily about intelligence — and it was the former that matched up with the children's own beliefs about intelligence. Finally, the researchers conducted a randomized experiment with 132 parents to discover whether parents' failure beliefs directly cause their children's beliefs through parents' reactions to failure: they did.\u003c/p>\n\u003cp>\"The takeaway is that when your child is struggling on something or has setbacks, don't focus on their abilities, focus on what they can learn from it,\" Haimovitz says. One way, she says, is to ask a child: \"How can you use this as a jumping-off point?\"\u003c/p>\n\u003cp>But it's unclear how much the study's findings relate to children of various ethnic, racial and socioeconomic backgrounds. Related research Heyman has done in China revealed a mixed bag in terms of results.\u003c/p>\n\u003cp>\"Cultures have very different beliefs about effort and ability, and asking subtly different questions you can get different answers,\" Heyman says.\u003c/p>\n\u003cp>Whereas academic success often correlates with athletic or social success among white students, the same is not necessarily true among black or Latino students, according to \u003ca href=\"http://gero.usc.edu/faculty/abdou/\">Cleopatra Abdou\u003c/a>, an assistant professor of psychology at the University of Southern California. What is consistent across cultures, however, is the powerful influence that beliefs people internalize as children follow them through life.\u003c/p>\n\u003cp>\"The messages we get from our parents, whether explicitly or symbolically or subconsciously, stay with us and are very hard to unlearn and to overcome\" if they're not helpful, she says. \"Sometimes we have internalized faulty beliefs or beliefs that don't serve us.\"\u003c/p>\n\u003cp>Further, taking the learn-from-failure message too far might backfire eventually. \"If you're being told this message you can learn anything and you've done everything you can and you're not getting anywhere, then maybe at a certain point you say you're going to say I just don't believe this,\" she adds.\u003c/p>\n\u003cp>Further, children's mindsets can also be influenced by their temperament, such as their tolerance for frustration, she says.\u003c/p>\n\u003cp>\"One thing we do know in recent years, there's too much blaming of parents,\" Heyman says. \"Temperament is extremely important and it's biologically based, and to deny that causes all kinds of problems.\"\u003c/p>\n\u003cp>The challenge for parents is to support children without setting them up for failure.\u003c/p>\n\u003cp>\"There's this very difficult fine line between parents and teachers helping children enough so that they can do things on their own that they couldn't do otherwise but not to help them so much that they expect other people to do it for them and don't get pulled up to a higher level,\" Heyman says. \"You slowly pull back as the kids get better on their own. but not let them flail around so much that they get frustrated and give up.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Tara Haelle is the co-author of \u003c/em>\u003ca href=\"http://www.npr.org/books/titles/473075468/the-informed-parent-a-science-based-resource-for-your-childs-first-four-years\">The Informed Parent: A Science-Based Resource for Your Child's First Four Years\u003c/a>\u003cem>. She's on Twitter: \u003c/em>\u003ca href=\"https://twitter.com/tarahaelle\">@tarahaelle\u003c/a>\u003c/p>\n\u003chr>\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=How+To+Teach+Children+That+Failure+Is+The+Secret+To+Success&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Is failure a positive opportunity to learn and grow, or is it a negative experience that hinders success? How parents answer that question has a big influence on how much children think they can improve their intelligence through hard work, a study says.\u003c/p>\n\u003cp>\"Parents are a really critical force in child development when you think about how motivation and mindsets develop,\" says \u003ca href=\"http://https/psychology.stanford.edu/node/2343\">Kyla Haimovitz\u003c/a>, a professor of psychology at Stanford University. She coauthored the \u003ca href=\"http://pss.sagepub.com/content/early/2016/04/23/0956797616639727.abstract\" target=\"_blank\">study, published\u003c/a> in \u003cem>Psychological Science\u003c/em> with colleague \u003ca href=\"http://https/psychology.stanford.edu/cdweck\">Carol Dweck\u003c/a>, who \u003ca href=\"http://https/www.ted.com/speakers/carol_dweck\">pioneered\u003c/a> \u003ca href=\"http://mindsetonline.com/abouttheauthor/\">research on mindsets\u003c/a>. \"Parents have this powerful effect really early on and throughout childhood to send messages about what is failure, how to respond to it.\"\u003c/p>\n\u003cp>Although there's been a lot of research on how these forces play out, relatively little looks at what parents can do to motivate their kids in school, Haimovitz says. This study begins filling that gap.\u003c/p>\n\u003cp>\"There is a fair amount of evidence showing that when children view their abilities as more malleable and something they can change over time, then they deal with obstacles in a more constructive way,\" says \u003ca href=\"http://heymanlab.ucsd.edu/\">Gail Heyman\u003c/a>, a professor of psychology at the University of California at San Diego who was not involved in this study.\u003c/p>\n\u003cp>But communicating that message to children is not so .\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Parents need to represent this to their kids in the ways they react about their kids' failures and setbacks,\" Haimovitz says. \"We need to really think about what's visible to the other person, what message I'm sending in terms of my words and my deeds.\"\u003c/p>\n\u003cp>In other words, if a child comes home with a D on a math test, how a parent responds will influence how the child perceives their own ability to learn math. Even a well-intentioned, comforting response of \"It's okay, you're still a great writer\" may send the message that it's time to give up on math rather than learn from the problems they got wrong, Haimovitz explains.\u003c/p>\n\u003cp>She and Dweck conducted a series of smaller studies to explore how the interactions between parents' failure and intelligence mindsets affected their children's beliefs about intelligence.\u003c/p>\n\u003cp>First they interviewed 73 parents and their fourth- and fifth-grade children about their beliefs on failure and intelligence. The parents were mostly mothers with at least a college degree; they lived in the Bay Area. The questions focused on whether they viewed intelligence as something that could change and whether they saw failure as positive, facilitating growth and enhancing productivity or as negative, debilitating and inhibiting learning.\u003c/p>\n\u003cp>The way children perceived \"being smart\" was not related to how their parents perceived intelligence, but it was related to how their parents reacted toward failure.\u003c/p>\n\u003cp>\"Parents who had more of a failure-is-debilitating mindset had children who were significantly more likely to believe that intelligence is fixed,\" they found, even after accounting for how parents perceived their children's academic success.\u003c/p>\n\u003cp>\"The more parents believed that failure is debilitating, the more likely their children were to see them as concerned with their performance outcomes and grades rather than their learning and improvement,\" the study found.\u003c/p>\n\u003cp>Then the researchers surveyed 160 different parents online to find out how they would respond to their child coming home with a failing quiz grade. Those who saw failure as negative were more likely to worry about their child's abilities in that subject or to comfort their child about not being talented in all subjects. But parents who saw failure as an opportunity were more likely to ask their child what they learned from the quiz, what they still can learn and whether asking the teacher for help would be useful.\u003c/p>\n\u003cp>Through two more surveys of 102 Bay Area parents and their children and 100 fourth- and fifth-grade students, the researchers found that children could correctly identify their parents' beliefs about failure but not necessarily about intelligence — and it was the former that matched up with the children's own beliefs about intelligence. Finally, the researchers conducted a randomized experiment with 132 parents to discover whether parents' failure beliefs directly cause their children's beliefs through parents' reactions to failure: they did.\u003c/p>\n\u003cp>\"The takeaway is that when your child is struggling on something or has setbacks, don't focus on their abilities, focus on what they can learn from it,\" Haimovitz says. One way, she says, is to ask a child: \"How can you use this as a jumping-off point?\"\u003c/p>\n\u003cp>But it's unclear how much the study's findings relate to children of various ethnic, racial and socioeconomic backgrounds. Related research Heyman has done in China revealed a mixed bag in terms of results.\u003c/p>\n\u003cp>\"Cultures have very different beliefs about effort and ability, and asking subtly different questions you can get different answers,\" Heyman says.\u003c/p>\n\u003cp>Whereas academic success often correlates with athletic or social success among white students, the same is not necessarily true among black or Latino students, according to \u003ca href=\"http://gero.usc.edu/faculty/abdou/\">Cleopatra Abdou\u003c/a>, an assistant professor of psychology at the University of Southern California. What is consistent across cultures, however, is the powerful influence that beliefs people internalize as children follow them through life.\u003c/p>\n\u003cp>\"The messages we get from our parents, whether explicitly or symbolically or subconsciously, stay with us and are very hard to unlearn and to overcome\" if they're not helpful, she says. \"Sometimes we have internalized faulty beliefs or beliefs that don't serve us.\"\u003c/p>\n\u003cp>Further, taking the learn-from-failure message too far might backfire eventually. \"If you're being told this message you can learn anything and you've done everything you can and you're not getting anywhere, then maybe at a certain point you say you're going to say I just don't believe this,\" she adds.\u003c/p>\n\u003cp>Further, children's mindsets can also be influenced by their temperament, such as their tolerance for frustration, she says.\u003c/p>\n\u003cp>\"One thing we do know in recent years, there's too much blaming of parents,\" Heyman says. \"Temperament is extremely important and it's biologically based, and to deny that causes all kinds of problems.\"\u003c/p>\n\u003cp>The challenge for parents is to support children without setting them up for failure.\u003c/p>\n\u003cp>\"There's this very difficult fine line between parents and teachers helping children enough so that they can do things on their own that they couldn't do otherwise but not to help them so much that they expect other people to do it for them and don't get pulled up to a higher level,\" Heyman says. \"You slowly pull back as the kids get better on their own. but not let them flail around so much that they get frustrated and give up.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Tara Haelle is the co-author of \u003c/em>\u003ca href=\"http://www.npr.org/books/titles/473075468/the-informed-parent-a-science-based-resource-for-your-childs-first-four-years\">The Informed Parent: A Science-Based Resource for Your Child's First Four Years\u003c/a>\u003cem>. She's on Twitter: \u003c/em>\u003ca href=\"https://twitter.com/tarahaelle\">@tarahaelle\u003c/a>\u003c/p>\n\u003chr>\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=How+To+Teach+Children+That+Failure+Is+The+Secret+To+Success&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Mission Neighbors Vow to Save Beloved UCSF Clinic",
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"content": "\u003cp>Facing a budget in the red and a loss of patients, UC San Francisco officials plan to close a beloved family planning clinic for low-income teens and young adults in the city's Mission District.\u003c/p>\n\u003cp>The New Generation Health Center, which has provided free reproductive health care for two decades to patients as young as 13, is scheduled to close its doors on July 31.\u003c/p>\n\u003cp>Health providers say the decision could imperil at-risk Latino and African-American youth who already like and trust New Generation's confidential and prompt services. Concerned residents and others say they want to find funds, or pressure UCSF, to keep the clinic open.\u003c/p>\n\u003cp>Over the last five years, the clinic's finances have been decimated by decreases in grant revenue and a potentially irreversible loss in patients, says \u003ca href=\"https://obgyn.ucsf.edu/san-francisco-general-hospital/rebecca-jackson-md\" target=\"_blank\">Dr. Rebecca Jackson\u003c/a>, a UCSF professor of obstetrics and gynecology and supervisor at New Generation.\u003c/p>\n\u003cp>\"This was an awful, awful, heart-wrenching decision to have to make,\" says Jackson. \"New Gen is a very special place. They really take their mission seriously, which is empowering young people to make decisions in a world and in an age where it’s hard to have a choice.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Jackson and her staff have been working for weeks to transition New Generation's 2,200 patients to nearby clinics with similar services, such as Mission Neighborhood Health Center and 3rd Street Youth Center & Clinic.\u003c/p>\n\u003cfigure id=\"attachment_180822\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-180822 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/RS19400_IMG_9941-qut.jpg\" alt=\"Dr. Rebecca Jackson, New Generation's main supervisor, and Dr. Valerie French (right), medical director, listen to speakers at the forum. After the meeting, Jackson said she was hopeful New Generation could find more funds to stay open "given the huge outpouring of concerned people and some of them saying we think we can solve this."\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19400_IMG_9941-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19400_IMG_9941-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19400_IMG_9941-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19400_IMG_9941-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19400_IMG_9941-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19400_IMG_9941-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19400_IMG_9941-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Rebecca Jackson, New Generation's main supervisor, and Dr. Valerie French (right), medical director, listen to speakers at the forum. After the meeting, Jackson said she was hopeful New Generation could find more funds to stay open \"given the huge outpouring of concerned people and some of them saying 'we think we can solve this.' \" \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Residents Vow to Fight for Clinic\u003c/strong>\u003c/p>\n\u003cp>The news of the closure did not sit well with several Mission residents, students, health providers and youth advocates at a forum with UCSF officials last week.\u003c/p>\n\u003cp>A funeral-like mood pervaded a packed auditorium to discuss the clinic's closure. Jackson and Dr. Sue Carlisle, a UCSF Medical School vice dean, spoke about the financial reasons for the closure and efforts to ensure all patients are matched with \"best fit\" clinics in the area.\u003c/p>\n\u003cp>Still, speaker after speaker called on a new effort to save New Generation, not shutter it.\u003c/p>\n\u003cp>\"What we have to do as a community is not take this and stand together and fight back. We need to hold UCSF accountable,\" said Ronnishia Johnson, who grew up in the nearby Bayview neighborhood. \"From my perspective this is nothing but them turning their backs on the community.\"\u003c/p>\n\u003cp>Nataly Ortiz, who become a mom as a teen, says it's hard for local Latina and undocumented teens to get same or next-day appointments for reproductive health in clinics other than New Generation.\u003c/p>\n\u003cp>\"S\u003cspan style=\"font-weight: 400\">ometimes it’s a very emotional case of being scared of being pregnant at a very young age,\" said Ortiz, who refers patients to New Generation through her work at a neighborhood nonprofit. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"They need a clinic like this. So for you to take it away, it’s just saying our community doesn’t matter, the people that benefit from this clinic don't matter. But I'm here to tell you, we do matter!\" Ortiz said to UCSF officials. \u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_180898\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-180898\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/RS19406_IMG_9992-qut.jpg\" alt=\"More than 2,200 patients will be affected by UCSF plans to close the New Generation Health Center on July 31. The youth-oriented family planning clinic will be open for appointments until July 22. \" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19406_IMG_9992-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19406_IMG_9992-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19406_IMG_9992-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19406_IMG_9992-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19406_IMG_9992-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19406_IMG_9992-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19406_IMG_9992-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">More than 2,200 patients will be affected by UCSF plans to close the New Generation Health Center on July 31. The youth-oriented family planning clinic will be open for appointments until July 22. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Affordable Care Act 'Hurting' Family Planning Clinics\u003c/strong>\u003c/p>\n\u003cp>Ironically, the Affordable Care Act (ACA) is partly to blame for New Generation's troubles, says Jackson.\u003c/p>\n\u003cp>Under the ACA, more people have become eligible for Medi-Cal, the state's health insurance program for people who are low income. Many New Generation clients are choosing to get their reproductive services addressed with their new doctor or medical clinic that handles all their health needs. Other family planning and specialty clinics are also feeling this \u003ca href=\"http://www.npr.org/sections/health-shots/2014/02/10/272997468/family-planning-squeezed-in-california-by-health-law\" target=\"_blank\">squeeze\u003c/a>.\u003c/p>\n\u003cp>\"For a lot of people, it's more convenient to get that [reproductive] care at the same time they are getting the rest of their health care,\" Jackson says.\u003c/p>\n\u003cp>Still, she added, \"a small subset\" of patients want to keep reproductive health care separate.\u003c/p>\n\u003cp>One of those patients is Rocio Navarro, a student at Abraham Lincoln High School.\u003c/p>\n\u003cp>\"Where else would I go where I won’t run into my parents, where I won’t run into my aunt, where I won’t run into my neighbors?\" asked Rocio, 15. \"This makes me really mad. The Mission is our neighborhood and that's where this place should stay!\"\u003c/p>\n\u003cp>\u003cb>San Francisco Teen Pregnancy Among Lowest in California\u003c/b>\u003c/p>\n\u003cp>Jackson believes that funders who previously supported New Generation's operations have \"different priorities\" because the city's teen pregnancy rate is very low.\u003c/p>\n\u003cp>Community advocates and school nurses credit resources like New Generation with helping drive that rate down. They worry that dismantling what they see as a well-oiled, efficient system that provides excellent services will chip away at that public health achievement because at-risk teens will fall through the cracks.\u003c/p>\n\u003cp>\"They are still sexually active,\" says Mary-Michael Watts, a nurse at the Mission High School Wellness Center who often refers students to New Generation, and is critical of the closure. \"I applaud these young people that are taking responsibility for not getting pregnant … and they are really safe and competent hands at New Generation.\"\u003c/p>\n\u003cp>UCSF and San Francisco's public health department are planning to hold a second community forum to include more people directly affected by the closure, possibly by the end of this month. No date has been confirmed yet.\u003c/p>\n\u003cp>Last year, UCSF raised more than $600 million in \u003ca href=\"https://www.ucsf.edu/about/facts-figures\" target=\"_blank\">private contributions\u003c/a>, the highest total of any public U.S. university, according to the Council for Aid to Education.\u003c/p>\n\u003cp>Nearly all of those funds go toward specific programs and projects, says Jackson, and like most community clinics, New Generation must survive on its own clinical and grant revenue.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"I’m hoping maybe now with the community being involved that some new idea will come up or people will be outraged enough they’ll want to fund it to stay open,\" said Jackson.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Facing a budget in the red and a loss of patients, UC San Francisco officials plan to close a beloved family planning clinic for low-income teens and young adults in the city's Mission District.\u003c/p>\n\u003cp>The New Generation Health Center, which has provided free reproductive health care for two decades to patients as young as 13, is scheduled to close its doors on July 31.\u003c/p>\n\u003cp>Health providers say the decision could imperil at-risk Latino and African-American youth who already like and trust New Generation's confidential and prompt services. Concerned residents and others say they want to find funds, or pressure UCSF, to keep the clinic open.\u003c/p>\n\u003cp>Over the last five years, the clinic's finances have been decimated by decreases in grant revenue and a potentially irreversible loss in patients, says \u003ca href=\"https://obgyn.ucsf.edu/san-francisco-general-hospital/rebecca-jackson-md\" target=\"_blank\">Dr. Rebecca Jackson\u003c/a>, a UCSF professor of obstetrics and gynecology and supervisor at New Generation.\u003c/p>\n\u003cp>\"This was an awful, awful, heart-wrenching decision to have to make,\" says Jackson. \"New Gen is a very special place. They really take their mission seriously, which is empowering young people to make decisions in a world and in an age where it’s hard to have a choice.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Jackson and her staff have been working for weeks to transition New Generation's 2,200 patients to nearby clinics with similar services, such as Mission Neighborhood Health Center and 3rd Street Youth Center & Clinic.\u003c/p>\n\u003cfigure id=\"attachment_180822\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-180822 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/RS19400_IMG_9941-qut.jpg\" alt=\"Dr. Rebecca Jackson, New Generation's main supervisor, and Dr. Valerie French (right), medical director, listen to speakers at the forum. After the meeting, Jackson said she was hopeful New Generation could find more funds to stay open "given the huge outpouring of concerned people and some of them saying we think we can solve this."\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19400_IMG_9941-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19400_IMG_9941-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19400_IMG_9941-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19400_IMG_9941-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19400_IMG_9941-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19400_IMG_9941-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19400_IMG_9941-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Rebecca Jackson, New Generation's main supervisor, and Dr. Valerie French (right), medical director, listen to speakers at the forum. After the meeting, Jackson said she was hopeful New Generation could find more funds to stay open \"given the huge outpouring of concerned people and some of them saying 'we think we can solve this.' \" \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Residents Vow to Fight for Clinic\u003c/strong>\u003c/p>\n\u003cp>The news of the closure did not sit well with several Mission residents, students, health providers and youth advocates at a forum with UCSF officials last week.\u003c/p>\n\u003cp>A funeral-like mood pervaded a packed auditorium to discuss the clinic's closure. Jackson and Dr. Sue Carlisle, a UCSF Medical School vice dean, spoke about the financial reasons for the closure and efforts to ensure all patients are matched with \"best fit\" clinics in the area.\u003c/p>\n\u003cp>Still, speaker after speaker called on a new effort to save New Generation, not shutter it.\u003c/p>\n\u003cp>\"What we have to do as a community is not take this and stand together and fight back. We need to hold UCSF accountable,\" said Ronnishia Johnson, who grew up in the nearby Bayview neighborhood. \"From my perspective this is nothing but them turning their backs on the community.\"\u003c/p>\n\u003cp>Nataly Ortiz, who become a mom as a teen, says it's hard for local Latina and undocumented teens to get same or next-day appointments for reproductive health in clinics other than New Generation.\u003c/p>\n\u003cp>\"S\u003cspan style=\"font-weight: 400\">ometimes it’s a very emotional case of being scared of being pregnant at a very young age,\" said Ortiz, who refers patients to New Generation through her work at a neighborhood nonprofit. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"They need a clinic like this. So for you to take it away, it’s just saying our community doesn’t matter, the people that benefit from this clinic don't matter. But I'm here to tell you, we do matter!\" Ortiz said to UCSF officials. \u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_180898\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-180898\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/RS19406_IMG_9992-qut.jpg\" alt=\"More than 2,200 patients will be affected by UCSF plans to close the New Generation Health Center on July 31. The youth-oriented family planning clinic will be open for appointments until July 22. \" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19406_IMG_9992-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19406_IMG_9992-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19406_IMG_9992-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19406_IMG_9992-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19406_IMG_9992-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19406_IMG_9992-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/RS19406_IMG_9992-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">More than 2,200 patients will be affected by UCSF plans to close the New Generation Health Center on July 31. The youth-oriented family planning clinic will be open for appointments until July 22. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Affordable Care Act 'Hurting' Family Planning Clinics\u003c/strong>\u003c/p>\n\u003cp>Ironically, the Affordable Care Act (ACA) is partly to blame for New Generation's troubles, says Jackson.\u003c/p>\n\u003cp>Under the ACA, more people have become eligible for Medi-Cal, the state's health insurance program for people who are low income. Many New Generation clients are choosing to get their reproductive services addressed with their new doctor or medical clinic that handles all their health needs. Other family planning and specialty clinics are also feeling this \u003ca href=\"http://www.npr.org/sections/health-shots/2014/02/10/272997468/family-planning-squeezed-in-california-by-health-law\" target=\"_blank\">squeeze\u003c/a>.\u003c/p>\n\u003cp>\"For a lot of people, it's more convenient to get that [reproductive] care at the same time they are getting the rest of their health care,\" Jackson says.\u003c/p>\n\u003cp>Still, she added, \"a small subset\" of patients want to keep reproductive health care separate.\u003c/p>\n\u003cp>One of those patients is Rocio Navarro, a student at Abraham Lincoln High School.\u003c/p>\n\u003cp>\"Where else would I go where I won’t run into my parents, where I won’t run into my aunt, where I won’t run into my neighbors?\" asked Rocio, 15. \"This makes me really mad. The Mission is our neighborhood and that's where this place should stay!\"\u003c/p>\n\u003cp>\u003cb>San Francisco Teen Pregnancy Among Lowest in California\u003c/b>\u003c/p>\n\u003cp>Jackson believes that funders who previously supported New Generation's operations have \"different priorities\" because the city's teen pregnancy rate is very low.\u003c/p>\n\u003cp>Community advocates and school nurses credit resources like New Generation with helping drive that rate down. They worry that dismantling what they see as a well-oiled, efficient system that provides excellent services will chip away at that public health achievement because at-risk teens will fall through the cracks.\u003c/p>\n\u003cp>\"They are still sexually active,\" says Mary-Michael Watts, a nurse at the Mission High School Wellness Center who often refers students to New Generation, and is critical of the closure. \"I applaud these young people that are taking responsibility for not getting pregnant … and they are really safe and competent hands at New Generation.\"\u003c/p>\n\u003cp>UCSF and San Francisco's public health department are planning to hold a second community forum to include more people directly affected by the closure, possibly by the end of this month. No date has been confirmed yet.\u003c/p>\n\u003cp>Last year, UCSF raised more than $600 million in \u003ca href=\"https://www.ucsf.edu/about/facts-figures\" target=\"_blank\">private contributions\u003c/a>, the highest total of any public U.S. university, according to the Council for Aid to Education.\u003c/p>\n\u003cp>Nearly all of those funds go toward specific programs and projects, says Jackson, and like most community clinics, New Generation must survive on its own clinical and grant revenue.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"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.",
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"possible": {
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"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.",
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"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.",
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},
"radiolab": {
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"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.",
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},
"reveal": {
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"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.",
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"officialWebsiteLink": "https://www.revealnews.org/episodes/",
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},
"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.",
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},
"science-friday": {
"id": "science-friday",
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"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.",
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"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": {}
}
}
}