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"content": "\u003cp>Hundreds of thousands of low-income, undocumented children in California will be eligible to enroll in full-scope health coverage through Medi-Cal starting on May 1 under legislation approved last year.\u003c/p>\n\u003cp>As officials try to get the word out about California's decision to open the program to children from low-income families regardless of immigration status, these kids will still face significant barriers to obtaining the coverage, says the \u003ca href=\"http://www.sbsun.com/social-affairs/20160323/group-gets-the-word-out-undocumented-children-now-eligible-for-health-care\" target=\"_blank\">\u003cem>San Bernardino County Sun\u003c/em>\u003c/a>.\u003c/p>\n\u003cp>Officials say they hope community clinics, religious groups and ethnic media outlets will help alert undocumented immigrants to enroll their children. Even so, state officials expect only about half of eligible kids to enroll in the program in its first year, the Sun writes.\u003c/p>\n\u003cp>Many undocumented families may be reluctant to participate out of fear that it would put at risk their chance to obtain a legal immigration status. Lack of empowerment and confusion over how and why to enroll may also make it difficult to reach the eligible families, experts say.\u003c/p>\n\u003cp>The expansion will extend Medi-Cal coverage to about 170,000 undocumented immigrant children under age 19. About 115,000 undocumented children are currently enrolled in restricted Medi-Cal programs and 55,000 eligible children aren’t receiving coverage, the Sun writes.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Also, the process of moving eligible children into full scope Medi-Cal from their current more limited plans creates administrative hurdles that could cause disruptions in care or even lead to families dropping out of the system, the \u003ca href=\"http://www.chcf.org/articles/2015/11/medical-enrolls-undocumented-kids\" target=\"_blank\">California Health Care Foundation\u003c/a> writes.\u003c/p>\n\u003cp>The Medi-Cal expansion will help these undocumented children get preventive care, such as physicals and immunizations, mental health care, and vision care, Assemblywoman Cheryl Brown, D-San Bernardino, told the Sun.\u003c/p>\n\u003cp>How to provide health care to undocumented immigrants has been the subject of recent political debate. Under the Affordable Care Act, undocumented immigrants were excluded from purchasing coverage through Covered California.\u003c/p>\n\u003cp>After rejecting the idea of covering both undocumented adults and children, California lawmakers granted full-scope coverage to the children as long as they meet the income standards. The program will cost $40 million in this year's budget and an estimated $132 million each following year.\u003c/p>\n\u003cp>\"This is a major investment that California is doing, and it's completely the reverse of what we’re seeing at the national level,\" said state Sen. Ricardo Lara, D-Bell Gardens, who led the health care expansion effort, told the \u003ca href=\"http://www.latimes.com/local/political/la-me-pc-california-immigrant-healthcare-20151009-story.html\" target=\"_blank\">\u003cem>Los Angeles Times\u003c/em>\u003c/a> in October.\u003c/p>\n\u003cp>Offering Medi-Cal coverage to undocumented children is a good long-term investment for the state, experts say. It will bring down health care costs by reducing trips to the emergency room for routine care and help ease stress on community health centers, which often treat undocumented patients without reimbursement, experts told \u003ca href=\"http://californiahealthline.org/morning-breakout/advocates-extending-medical-to-undocumented-kids-a-good-first-step/\" target=\"_blank\">\u003cem>California Healthline\u003c/em>\u003c/a> in July.\u003c/p>\n\u003cp>Eligible children can be enrolled in-person at \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/Pages/CountyOffices.aspx\" target=\"_blank\">county social services offices\u003c/a>, or online or by mail through \u003ca href=\"http://www.coveredca.com/\" target=\"_blank\">Covered California\u003c/a>, according to the \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/eligibility/Pages/SB75Children.aspx\" target=\"_blank\">California Department of Health Care Services\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We have a big challenge ahead of us to dispel the perception that undocumented people are forever left out,\" Daniel Zingale, senior vice president at the California Endowment told \u003cem>California Healthline\u003c/em>.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Hundreds of thousands of low-income, undocumented children in California will be eligible to enroll in full-scope health coverage through Medi-Cal starting on May 1 under legislation approved last year.\u003c/p>\n\u003cp>As officials try to get the word out about California's decision to open the program to children from low-income families regardless of immigration status, these kids will still face significant barriers to obtaining the coverage, says the \u003ca href=\"http://www.sbsun.com/social-affairs/20160323/group-gets-the-word-out-undocumented-children-now-eligible-for-health-care\" target=\"_blank\">\u003cem>San Bernardino County Sun\u003c/em>\u003c/a>.\u003c/p>\n\u003cp>Officials say they hope community clinics, religious groups and ethnic media outlets will help alert undocumented immigrants to enroll their children. Even so, state officials expect only about half of eligible kids to enroll in the program in its first year, the Sun writes.\u003c/p>\n\u003cp>Many undocumented families may be reluctant to participate out of fear that it would put at risk their chance to obtain a legal immigration status. Lack of empowerment and confusion over how and why to enroll may also make it difficult to reach the eligible families, experts say.\u003c/p>\n\u003cp>The expansion will extend Medi-Cal coverage to about 170,000 undocumented immigrant children under age 19. About 115,000 undocumented children are currently enrolled in restricted Medi-Cal programs and 55,000 eligible children aren’t receiving coverage, the Sun writes.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Also, the process of moving eligible children into full scope Medi-Cal from their current more limited plans creates administrative hurdles that could cause disruptions in care or even lead to families dropping out of the system, the \u003ca href=\"http://www.chcf.org/articles/2015/11/medical-enrolls-undocumented-kids\" target=\"_blank\">California Health Care Foundation\u003c/a> writes.\u003c/p>\n\u003cp>The Medi-Cal expansion will help these undocumented children get preventive care, such as physicals and immunizations, mental health care, and vision care, Assemblywoman Cheryl Brown, D-San Bernardino, told the Sun.\u003c/p>\n\u003cp>How to provide health care to undocumented immigrants has been the subject of recent political debate. Under the Affordable Care Act, undocumented immigrants were excluded from purchasing coverage through Covered California.\u003c/p>\n\u003cp>After rejecting the idea of covering both undocumented adults and children, California lawmakers granted full-scope coverage to the children as long as they meet the income standards. The program will cost $40 million in this year's budget and an estimated $132 million each following year.\u003c/p>\n\u003cp>\"This is a major investment that California is doing, and it's completely the reverse of what we’re seeing at the national level,\" said state Sen. Ricardo Lara, D-Bell Gardens, who led the health care expansion effort, told the \u003ca href=\"http://www.latimes.com/local/political/la-me-pc-california-immigrant-healthcare-20151009-story.html\" target=\"_blank\">\u003cem>Los Angeles Times\u003c/em>\u003c/a> in October.\u003c/p>\n\u003cp>Offering Medi-Cal coverage to undocumented children is a good long-term investment for the state, experts say. It will bring down health care costs by reducing trips to the emergency room for routine care and help ease stress on community health centers, which often treat undocumented patients without reimbursement, experts told \u003ca href=\"http://californiahealthline.org/morning-breakout/advocates-extending-medical-to-undocumented-kids-a-good-first-step/\" target=\"_blank\">\u003cem>California Healthline\u003c/em>\u003c/a> in July.\u003c/p>\n\u003cp>Eligible children can be enrolled in-person at \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/Pages/CountyOffices.aspx\" target=\"_blank\">county social services offices\u003c/a>, or online or by mail through \u003ca href=\"http://www.coveredca.com/\" target=\"_blank\">Covered California\u003c/a>, according to the \u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/eligibility/Pages/SB75Children.aspx\" target=\"_blank\">California Department of Health Care Services\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"We have a big challenge ahead of us to dispel the perception that undocumented people are forever left out,\" Daniel Zingale, senior vice president at the California Endowment told \u003cem>California Healthline\u003c/em>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Like Alcohol, Heavy Pot Use Linked to Economic, Social Problems",
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"content": "\u003cp>Persistent, heavy use of marijuana is associated with economic and social problems in adults, according to an international study led by researchers at UC Davis.\u003c/p>\n\u003cp>The analysis was done on a group of more than 900 people whom researchers have followed since they were born almost 40 years ago.\u003c/p>\n\u003cp>In the study, the people who smoked marijuana four or more times per week over many years were much more likely to end up in a lower social class than their parents.\u003c/p>\n\u003cp>\"By that we mean they ended up in jobs that were lower paying, they were less prestigious and they required less skills than jobs that their parents have,\" said lead author \u003ca href=\"https://www.ucdmc.ucdavis.edu/emergency/ourteam/faculty/cerda.html\" target=\"_blank\">Magdalena Cerda\u003c/a>, an associate professor of emergency medicine at UC Davis.\u003c/p>\n\u003cp>Cerda and other co-authors interviewed stressed that their study was observational and could not prove that marijuana use caused these problems, but the researchers took into account many factors that could skew results, including any history of criminal conviction for marijuana use, history of antisocial behavior during adolescence, impulsivity problems, and lower IQ.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"http://psychandneuro.duke.edu/people?Gurl=&Uil=6568&subpage=profile\" target=\"_blank\">Terrie Moffitt\u003c/a>, a professor in the department of psychology and neuroscience at Duke University, was a co-author of the study, published in the journal \u003ca href=\"http://www.psychologicalscience.org/index.php/publications/journals/clinical\" target=\"_blank\">Clinical Psychological Science\u003c/a>. She said that in the group, the longer people used marijuana, the more their credit ratings fell. \"So they were at the point in their late 30s where they wouldn't be able to get a mortgage or borrow money to start a small business,\" she said. \"So this is a pretty crippling level of financial difficulties.\"\u003c/p>\n\u003cp>The team also looked closely at people's job performance and relationship issues. Those who were long term, persistent users of marijuana, were more likely to have problems with coworkers and productivity problems, like calling in sick when they weren't actually sick, Moffitt said.\u003c/p>\n\u003cp>In short, long-term, persistent marijuana use was \"not safe\" for the users in their study, Cerda said. Problems were comparable to those seen in people who are dependent on alcohol.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/254670305\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\"We found that in the case of economic and social harms, cannabis was not safer than alcohol and, in fact, in the case of financial difficulties, cannabis was more harmful than alcohol.\"\u003c/p>\n\u003cp>Cerda said she was surprised when they saw that heavy pot users also reported more domestic violence than those who were not heavy users. \"We found that it was comparable to the effect of alcohol dependence on abuse,\" she said.\u003c/p>\n\u003cp>The people followed are part of the \u003ca href=\"http://dunedinstudy.otago.ac.nz\" target=\"_blank\">Dunedin Longitudinal Study\u003c/a>. Every child born in Dunedin, a city in New Zealand, between April, 1972 and March 1973 was enrolled and has been followed in three to six year intervals since. More than 1,000 papers have been published in the 40 years of follow up about everything from asthma to experience in the workforce. The group is mostly white, but of varying socio-economic levels that is similar to the general population of the U.S., Cerda said.\u003c/p>\n\u003cp>But critics say the study is inherently flawed, because all current recreational pot smokers in New Zealand -- and in much of the U.S. -- are people who are willing to break the law.\u003c/p>\n\u003cp>\"It's really not a good indicator of marijuana's effects itself,\" said Mason Tvert, communications director for the Marijuana Policy Project in Washington, D.C., \"but more of who's more likely to break the law and use marijuana.\"\u003c/p>\n\u003cp>Magdalena Cerda was on KQED Forum Wednesday morning talking about the study, and at least one caller had the same reaction as Tvert. (Others had stronger reactions, \u003ca href=\"http://www.kqed.org/a/forum/R201603230900\" target=\"_blank\">you can listen\u003c/a> if you want to hear more.)\u003c/p>\n\u003cp>But journalist David Downs, who writes \u003ca href=\"http://legalization%20nation%20east%20bay%20express\" target=\"_blank\">Legalization Nation\u003c/a> for the East Bay Express and described himself as supportive of updating both medicinal and recreational marijuana use laws, said he found the study \"super fascinating.\"\u003c/p>\n\u003cp>He said the study suggested a common sense approach.\u003c/p>\n\u003cp>\"If you drink a lot, if you smoke a lot, if you do any mind-altering activity heavily every day, I imagine it’s going to alter a lot of people’s life courses,\" Down said. \"I don’t hear anybody saying, 'Smoke pot every day, it’s going to turn out great.' \"\u003c/p>\n\u003cp>(Several people who called or emailed Forum said they were daily users and their lives were fine.)\u003c/p>\n\u003cp>Professor Wayne Hall directs the Centre for Youth Substance Abuse Research at Australia's University of Queensland. He was not involved with the study, but he said the findings about economic and social problems were consistent with other studies, including in \u003ca href=\"http://onlinelibrary.wiley.com/doi/10.1111/j.1468-0084.2007.00480.x/abstract\" target=\"_blank\">the Netherlands\u003c/a> where marijuana is \"defecto legal.\"\u003c/p>\n\u003cp>\"It's an important study,\" he said and seemed especially interested by the comparison with alcohol use.\u003c/p>\n\u003cp>\"It's telling us what people don't want to hear,\" he said. \"There are patterns with marijuana use that can provide the same social outcomes as patterns we see with drinking.\"\u003c/p>\n\u003cp>To be clear, this study did not look at health effects, which the authors agreed are far worse for alcohol than for marijuana. And because alcohol is more widely used it is \"still a bigger problem,\" UC Davis' Cerda said.\u003c/p>\n\u003cp>But the study comes as it's widely expected that a ballot measure to approve adult use of marijuana will be before California voters in November.\u003c/p>\n\u003cp>The study authors said they took no position on whether recreational marijuana should be legal. Moffitt said that among the study authors, some used marijuana and some did not. But the study highlights the importance of investing in programs to prevent regular marijuana use and to treat addiction early.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"What we don't know with legalization is if cannabis abuse will start to become more prevalent like alcohol abuse is,\" said Moffitt. \"That's the $64 million question.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Persistent, heavy use of marijuana is associated with economic and social problems in adults, according to an international study led by researchers at UC Davis.\u003c/p>\n\u003cp>The analysis was done on a group of more than 900 people whom researchers have followed since they were born almost 40 years ago.\u003c/p>\n\u003cp>In the study, the people who smoked marijuana four or more times per week over many years were much more likely to end up in a lower social class than their parents.\u003c/p>\n\u003cp>\"By that we mean they ended up in jobs that were lower paying, they were less prestigious and they required less skills than jobs that their parents have,\" said lead author \u003ca href=\"https://www.ucdmc.ucdavis.edu/emergency/ourteam/faculty/cerda.html\" target=\"_blank\">Magdalena Cerda\u003c/a>, an associate professor of emergency medicine at UC Davis.\u003c/p>\n\u003cp>Cerda and other co-authors interviewed stressed that their study was observational and could not prove that marijuana use caused these problems, but the researchers took into account many factors that could skew results, including any history of criminal conviction for marijuana use, history of antisocial behavior during adolescence, impulsivity problems, and lower IQ.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://psychandneuro.duke.edu/people?Gurl=&Uil=6568&subpage=profile\" target=\"_blank\">Terrie Moffitt\u003c/a>, a professor in the department of psychology and neuroscience at Duke University, was a co-author of the study, published in the journal \u003ca href=\"http://www.psychologicalscience.org/index.php/publications/journals/clinical\" target=\"_blank\">Clinical Psychological Science\u003c/a>. She said that in the group, the longer people used marijuana, the more their credit ratings fell. \"So they were at the point in their late 30s where they wouldn't be able to get a mortgage or borrow money to start a small business,\" she said. \"So this is a pretty crippling level of financial difficulties.\"\u003c/p>\n\u003cp>The team also looked closely at people's job performance and relationship issues. Those who were long term, persistent users of marijuana, were more likely to have problems with coworkers and productivity problems, like calling in sick when they weren't actually sick, Moffitt said.\u003c/p>\n\u003cp>In short, long-term, persistent marijuana use was \"not safe\" for the users in their study, Cerda said. Problems were comparable to those seen in people who are dependent on alcohol.\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/254670305&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/254670305'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\"We found that in the case of economic and social harms, cannabis was not safer than alcohol and, in fact, in the case of financial difficulties, cannabis was more harmful than alcohol.\"\u003c/p>\n\u003cp>Cerda said she was surprised when they saw that heavy pot users also reported more domestic violence than those who were not heavy users. \"We found that it was comparable to the effect of alcohol dependence on abuse,\" she said.\u003c/p>\n\u003cp>The people followed are part of the \u003ca href=\"http://dunedinstudy.otago.ac.nz\" target=\"_blank\">Dunedin Longitudinal Study\u003c/a>. Every child born in Dunedin, a city in New Zealand, between April, 1972 and March 1973 was enrolled and has been followed in three to six year intervals since. More than 1,000 papers have been published in the 40 years of follow up about everything from asthma to experience in the workforce. The group is mostly white, but of varying socio-economic levels that is similar to the general population of the U.S., Cerda said.\u003c/p>\n\u003cp>But critics say the study is inherently flawed, because all current recreational pot smokers in New Zealand -- and in much of the U.S. -- are people who are willing to break the law.\u003c/p>\n\u003cp>\"It's really not a good indicator of marijuana's effects itself,\" said Mason Tvert, communications director for the Marijuana Policy Project in Washington, D.C., \"but more of who's more likely to break the law and use marijuana.\"\u003c/p>\n\u003cp>Magdalena Cerda was on KQED Forum Wednesday morning talking about the study, and at least one caller had the same reaction as Tvert. (Others had stronger reactions, \u003ca href=\"http://www.kqed.org/a/forum/R201603230900\" target=\"_blank\">you can listen\u003c/a> if you want to hear more.)\u003c/p>\n\u003cp>But journalist David Downs, who writes \u003ca href=\"http://legalization%20nation%20east%20bay%20express\" target=\"_blank\">Legalization Nation\u003c/a> for the East Bay Express and described himself as supportive of updating both medicinal and recreational marijuana use laws, said he found the study \"super fascinating.\"\u003c/p>\n\u003cp>He said the study suggested a common sense approach.\u003c/p>\n\u003cp>\"If you drink a lot, if you smoke a lot, if you do any mind-altering activity heavily every day, I imagine it’s going to alter a lot of people’s life courses,\" Down said. \"I don’t hear anybody saying, 'Smoke pot every day, it’s going to turn out great.' \"\u003c/p>\n\u003cp>(Several people who called or emailed Forum said they were daily users and their lives were fine.)\u003c/p>\n\u003cp>Professor Wayne Hall directs the Centre for Youth Substance Abuse Research at Australia's University of Queensland. He was not involved with the study, but he said the findings about economic and social problems were consistent with other studies, including in \u003ca href=\"http://onlinelibrary.wiley.com/doi/10.1111/j.1468-0084.2007.00480.x/abstract\" target=\"_blank\">the Netherlands\u003c/a> where marijuana is \"defecto legal.\"\u003c/p>\n\u003cp>\"It's an important study,\" he said and seemed especially interested by the comparison with alcohol use.\u003c/p>\n\u003cp>\"It's telling us what people don't want to hear,\" he said. \"There are patterns with marijuana use that can provide the same social outcomes as patterns we see with drinking.\"\u003c/p>\n\u003cp>To be clear, this study did not look at health effects, which the authors agreed are far worse for alcohol than for marijuana. And because alcohol is more widely used it is \"still a bigger problem,\" UC Davis' Cerda said.\u003c/p>\n\u003cp>But the study comes as it's widely expected that a ballot measure to approve adult use of marijuana will be before California voters in November.\u003c/p>\n\u003cp>The study authors said they took no position on whether recreational marijuana should be legal. Moffitt said that among the study authors, some used marijuana and some did not. But the study highlights the importance of investing in programs to prevent regular marijuana use and to treat addiction early.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"What we don't know with legalization is if cannabis abuse will start to become more prevalent like alcohol abuse is,\" said Moffitt. \"That's the $64 million question.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Rapper Phife Dawg, of the iconic group Tribe Called Quest, is continuing to raise awareness around diabetes in his death, as he did in life, throughout his music career.\u003c/p>\n\u003cp>The rapper’s family confirmed Wednesday that \u003ca href=\"http://ww2.kqed.org/arts/2016/03/23/why-phife-mattered-remembering-hip-hops-relatable-mc/\" target=\"_blank\">Phife died at age 45\u003c/a> at his home near Antioch due to complications resulting from diabetes, sparking a wave of disease-related tributes on social media.\u003c/p>\n\u003cblockquote class=\"twitter-tweet\">\n\u003cp dir=\"ltr\" lang=\"en\">Rest in peace and poetry, Phife Dawg. We will continue the fight against Diabetes in your honor. \u003ca href=\"https://t.co/ofG6ATsq02\">pic.twitter.com/ofG6ATsq02\u003c/a>\u003c/p>\n\u003cp>— Youth Speaks (@youthspeaks) \u003ca href=\"https://twitter.com/youthspeaks/status/712686618096771072\">March 23, 2016\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>“Rest in peace and poetry, Phife Dawg. We will continue the fight against Diabetes in your honor,” Youth Speaks posted on Twitter.\u003c/p>\n\u003cp>Phife, born Malik Taylor, was diagnosed with diabetes when he was 19. It was May 1990, just one month after Tribe released its first album. Phife later talked about his struggle with the disease in interviews, and even rapped about it.\u003c/p>\n\u003cp>“Mr. Energetic, who me sound pathetic?/When’s the last time you heard a funky diabetic?” he rhymed in Tribe’s 1993 song “\u003ca href=\"http://genius.com/A-tribe-called-quest-oh-my-god-lyrics\" target=\"_blank\">Oh My God\u003c/a>.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In 2010, Phife told the \u003ca href=\"http://www.eastbayexpress.com/oakland/phife-dawgs-triumphal-return/Content?oid=2043994\" target=\"_blank\">East Bay Express\u003c/a> that he was working on a solo album, \"Songs in the Key of Phife,\" though it was never released. Reporter David MacFadden-Elliott got to hear a few samples in the IHOP parking lot after the interview, including a song about diabetes called “God Send.”\u003c/p>\n\u003cblockquote>\u003cp>“[It’s] a three-part song that turns from a smooth love joint into a warning from a doctor: 'You got to start dialysis.' The news ushers in a discordant, claustrophobic, pulsing beat that rocks, while voice-mail messages of support play for minutes on end. The song concludes with an emotional verse of thanks: \u003cem>If it wasn't for y'all/Who knows what would have happened?”\u003c/em>\u003c/p>\u003c/blockquote>\n\u003cp>It was a couple years after Phife’s initial diagnosis before he opened up about it, or even really took care of himself.\u003c/p>\n\u003cp>[contextly_sidebar id=\"TJXUTnoR8uufGFRG5wvhJikCbmLNY4hZ\"]His coming out was in a video interview on \u003ca href=\"http://www.dlife.com/dlifetv/video/phife-dawgs-dlife\" target=\"_blank\">dLife\u003c/a>, a website devoted to living with diabetes. He described finding out about his diagnosis. He was riding home from a concert in 1990 and kept asking the driver to pull over so he could go to the bathroom. He was really thirsty. When he got home, his grandmother, a nurse, did a test and confirmed he was diabetic.\u003c/p>\n\u003cp>“I thought it was over,” he told dLife. “I just automatically thought I was done rapping.”\u003c/p>\n\u003cp>He went into denial.\u003c/p>\n\u003cp>“I was just an idiot,” he said. “I still thought I was everybody else -- Twinkies, Suzie Qs, potato chips -- junk food anonymous.”\u003c/p>\n\u003cp>In 1992, Tribe was on \"The David Letterman Show\" and then immediately had to go to another shoot for \"The Dennis Miller Show.\" Pfife's blood sugar count was almost in the thousands -- normal levels are between 70 and 100.\u003c/p>\n\u003cp>“Everything was slow motion,” Phife described. “I couldn’t even do the show. I had to get hospitalized.”\u003c/p>\n\u003cp>Even then, he still struggled to get enough exercise and eat right.\u003c/p>\n\u003cp>“I’d get on the diet. Wouldn’t stick to the diet. Get back on diet, wouldn’t stick to the diet,” he said. “And it just got to point where I had to be put on dialysis.”\u003c/p>\n\u003cp>Phife was eventually put on a waiting list for a kidney transplant, and received one from his wife in 2008. By 2013, he was back on dialysis and back on the transplant list. In an interview with \u003ca href=\"http://www.npr.org/player/v2/mediaPlayer.html?action=1&t=1&islist=false&id=455764350&m=455936755\" target=\"_blank\">NPR\u003c/a> earlier this year, he talked about waiting for another kidney.\u003c/p>\n\u003cp>“I’m doing fine,” he said. “I really, really can’t complain. I could. But I won’t because God is really, really a good God.”\u003c/p>\n\u003cp>But he also had a message for other young people newly diagnosed with diabetes.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It’s not a game. You can lose your life because of this,” he said during the dLife interview. “You need to love yourself, love your life.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Rapper Phife Dawg, of the iconic group Tribe Called Quest, is continuing to raise awareness around diabetes in his death, as he did in life, throughout his music career.\u003c/p>\n\u003cp>The rapper’s family confirmed Wednesday that \u003ca href=\"http://ww2.kqed.org/arts/2016/03/23/why-phife-mattered-remembering-hip-hops-relatable-mc/\" target=\"_blank\">Phife died at age 45\u003c/a> at his home near Antioch due to complications resulting from diabetes, sparking a wave of disease-related tributes on social media.\u003c/p>\n\u003cblockquote class=\"twitter-tweet\">\n\u003cp dir=\"ltr\" lang=\"en\">Rest in peace and poetry, Phife Dawg. We will continue the fight against Diabetes in your honor. \u003ca href=\"https://t.co/ofG6ATsq02\">pic.twitter.com/ofG6ATsq02\u003c/a>\u003c/p>\n\u003cp>— Youth Speaks (@youthspeaks) \u003ca href=\"https://twitter.com/youthspeaks/status/712686618096771072\">March 23, 2016\u003c/a>\u003c/p>\u003c/blockquote>\n\u003cp>“Rest in peace and poetry, Phife Dawg. We will continue the fight against Diabetes in your honor,” Youth Speaks posted on Twitter.\u003c/p>\n\u003cp>Phife, born Malik Taylor, was diagnosed with diabetes when he was 19. It was May 1990, just one month after Tribe released its first album. Phife later talked about his struggle with the disease in interviews, and even rapped about it.\u003c/p>\n\u003cp>“Mr. Energetic, who me sound pathetic?/When’s the last time you heard a funky diabetic?” he rhymed in Tribe’s 1993 song “\u003ca href=\"http://genius.com/A-tribe-called-quest-oh-my-god-lyrics\" target=\"_blank\">Oh My God\u003c/a>.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In 2010, Phife told the \u003ca href=\"http://www.eastbayexpress.com/oakland/phife-dawgs-triumphal-return/Content?oid=2043994\" target=\"_blank\">East Bay Express\u003c/a> that he was working on a solo album, \"Songs in the Key of Phife,\" though it was never released. Reporter David MacFadden-Elliott got to hear a few samples in the IHOP parking lot after the interview, including a song about diabetes called “God Send.”\u003c/p>\n\u003cblockquote>\u003cp>“[It’s] a three-part song that turns from a smooth love joint into a warning from a doctor: 'You got to start dialysis.' The news ushers in a discordant, claustrophobic, pulsing beat that rocks, while voice-mail messages of support play for minutes on end. The song concludes with an emotional verse of thanks: \u003cem>If it wasn't for y'all/Who knows what would have happened?”\u003c/em>\u003c/p>\u003c/blockquote>\n\u003cp>It was a couple years after Phife’s initial diagnosis before he opened up about it, or even really took care of himself.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>His coming out was in a video interview on \u003ca href=\"http://www.dlife.com/dlifetv/video/phife-dawgs-dlife\" target=\"_blank\">dLife\u003c/a>, a website devoted to living with diabetes. He described finding out about his diagnosis. He was riding home from a concert in 1990 and kept asking the driver to pull over so he could go to the bathroom. He was really thirsty. When he got home, his grandmother, a nurse, did a test and confirmed he was diabetic.\u003c/p>\n\u003cp>“I thought it was over,” he told dLife. “I just automatically thought I was done rapping.”\u003c/p>\n\u003cp>He went into denial.\u003c/p>\n\u003cp>“I was just an idiot,” he said. “I still thought I was everybody else -- Twinkies, Suzie Qs, potato chips -- junk food anonymous.”\u003c/p>\n\u003cp>In 1992, Tribe was on \"The David Letterman Show\" and then immediately had to go to another shoot for \"The Dennis Miller Show.\" Pfife's blood sugar count was almost in the thousands -- normal levels are between 70 and 100.\u003c/p>\n\u003cp>“Everything was slow motion,” Phife described. “I couldn’t even do the show. I had to get hospitalized.”\u003c/p>\n\u003cp>Even then, he still struggled to get enough exercise and eat right.\u003c/p>\n\u003cp>“I’d get on the diet. Wouldn’t stick to the diet. Get back on diet, wouldn’t stick to the diet,” he said. “And it just got to point where I had to be put on dialysis.”\u003c/p>\n\u003cp>Phife was eventually put on a waiting list for a kidney transplant, and received one from his wife in 2008. By 2013, he was back on dialysis and back on the transplant list. In an interview with \u003ca href=\"http://www.npr.org/player/v2/mediaPlayer.html?action=1&t=1&islist=false&id=455764350&m=455936755\" target=\"_blank\">NPR\u003c/a> earlier this year, he talked about waiting for another kidney.\u003c/p>\n\u003cp>“I’m doing fine,” he said. “I really, really can’t complain. I could. But I won’t because God is really, really a good God.”\u003c/p>\n\u003cp>But he also had a message for other young people newly diagnosed with diabetes.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It’s not a game. You can lose your life because of this,” he said during the dLife interview. “You need to love yourself, love your life.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Pharmaceutical Companies Hiked Price on Aid in Dying Drug",
"title": "Pharmaceutical Companies Hiked Price on Aid in Dying Drug",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>When California's\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/05/governor-brown-signs-physician-assisted-suicide-bill-into-law-california-right-to-die/\" target=\"_blank\"> aid-in-dying law\u003c/a> takes effect this June, terminally ill patients who decide to end their lives could be faced with a hefty bill for the lethal medication. It retails for more than $3,000.\u003c/p>\n\u003cp>Valeant Pharmaceuticals, the company that makes the drug most commonly used in physician-assisted suicide, doubled the drug's price last year, one month after California lawmakers \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/01/22/california-bill-would-allow-terminally-ill-to-end-their-own-lives/\" target=\"_blank\">proposed legalizing the practice\u003c/a>.\u003c/p>\n\u003cp>“It’s just pharmaceutical company greed,” said David Grube, a family doctor in Oregon, where physician-assisted death has been legal for 20 years.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/254659907\" 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>The drug is Seconal, or secobarbital, its generic name. Originally developed in the 1930s as a sleeping pill, it fell out of favor when people died from taking too much, or from taking it in combination with alcohol. But when intended as a lethal medication to hasten the death of someone suffering from a terminal disease, Seconal is the drug of choice.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It works very quickly and very gently,” Grube says. “People fall asleep with no complications. It's a very gentle passing.”\u003c/p>\n\u003cp>In 2009, Grube remembers the price of a lethal dose of Seconal -- 100 capsules -- was less than $200. Over the next six years, it shot up to $1,500, according to drug price databases Medi-Span and First Databank. Then Valeant bought Seconal last February and immediately doubled the price to $3,000.\u003c/p>\n\u003cp>Most drug companies justify such hikes by pointing to high research costs. But Grube says that’s not the case with Seconal. It’s been around for 80 years.\u003c/p>\n\u003cp>“It’s not a complicated thing to make, there’s no research being done on it, there’s no development,” he says. “That to me is unconscionable.”\u003c/p>\n\u003cp>Valeant bought several other drugs at the same time it bought Seconal, raising some of those prices as much as 500 percent. That sparked a \u003ca href=\"http://www.npr.org/sections/health-shots/2015/12/09/458976680/senate-questions-egregious-price-hikes-for-specialty-medicines\" target=\"_blank\">congressional investigation\u003c/a> into its pricing practices. (The CEO resigned Monday amid an accounting controversy).\u003c/p>\n\u003caside class=\"pullquote alignright\">'You are literally, at that point, taking the money from children.'\u003ccite>Elizabeth Wallner, stage 4 cancer patient\u003c/cite>\u003c/aside>\n\u003cp>“Valeant sets prices for drugs based on a number of factors,” the company said in a statement, including the cost of developing or acquiring the drug, the availability of generics and the benefits of the drug compared with costly alternative treatments. “When possible, we offer patient assistance programs to mitigate the effects of price adjustments and keep out-of-pocket costs affordable for patients.”\u003c/p>\n\u003cp>The most likely explanation for raising the price of Seconal is the lack of generics, says Mick Kolassa, founding partner of Medical Marketing Economics, a firm that advises drug companies on how to price and market their drugs.\u003c/p>\n\u003cp>Seconal went off patent in the early '90s. There were some generics for a while, but then demand shrank and manufacturers abandoned them.\u003c/p>\n\u003cp>“So that meant when the current company bought it, they didn't have any generic competition, simply because the market got so small that it left,” Kolassa said. “So in situations like that, a company can acquire it and raise the price.”\u003c/p>\n\u003cp>Kolassa says it’s also possible that the demand for even the brand-name drug is so low that it’s hard to recoup the costs of making and selling it.\u003c/p>\n\u003cp>“Here's a company that said, well, we can raise the price, keep it on the market and make some money with it,” he said. “Or we can walk away and the product goes away.”\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/254347186\" 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>Whatever the explanation, what cancer patients like Elizabeth Wallner see is a drug company taking advantage. She has one word to describe the pharmaceutical executive who decided to double the price of Seconal: “Scumbag.”\u003c/p>\n\u003cp>Wallner was diagnosed with Stage 4 colon cancer five years ago. It spread to her liver and lungs. She always thought that if her suffering became too unbearable, she would consider ending her life. But she never thought about the price tag of the lethal drug.\u003c/p>\n\u003cp>“You're going to make money off my death,” she said.\u003c/p>\n\u003cp>She’s most worried about her son.\u003c/p>\n\u003cp>“You are literally, at that point, taking the money from children,” she said. “Everything I have, if I’m going to die tomorrow, everything I have will be left to my son who will be 20 years old and almost 100 percent on his own.”\u003c/p>\n\u003cp>[contextly_sidebar id=\"idxXpDM3MGhhfWlN5bJA10v3JP8sAgQZ\"]\u003c/p>\n\u003cp>Under the California aid-in-dying law, it is optional for health insurance companies to cover the costs of the practice. Most private insurers plan to do so, according to the California Association of Health Plans. So does the state’s \u003ca href=\"http://www.usnews.com/news/articles/2016-03-21/in-california-government-to-pick-up-the-tab-for-death-with-dignity\" target=\"_blank\">Medicaid program\u003c/a>.\u003c/p>\n\u003cp>But for patients who aren’t covered, there is a cheaper alternative: a three-part drug cocktail that can be mixed by a compounding pharmacy for about $400.\u003c/p>\n\u003cp>Grube says the cocktail works just as well, but doctors usually don't prescribe it because of the hassle some patients have to go through to get it. Seconal, on the other hand, is a ready-made pill, routinely available at most retail drugstores.\u003c/p>\n\u003cp>He says advocacy groups like Compassion & Choices are working on campaigns to reduce drug costs and to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/12/education-push-to-help-doctors-field-patients-assisted-death-requests/\" target=\"_blank\">educate doctors\u003c/a> and patients about the law.\u003c/p>\n\u003cp>“My dream is that any Californian who will choose aid in dying would have few burdens or barriers to jump through,” Grube said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Katie Orr contributed reporting from Sacramento. \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When California's\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/05/governor-brown-signs-physician-assisted-suicide-bill-into-law-california-right-to-die/\" target=\"_blank\"> aid-in-dying law\u003c/a> takes effect this June, terminally ill patients who decide to end their lives could be faced with a hefty bill for the lethal medication. It retails for more than $3,000.\u003c/p>\n\u003cp>Valeant Pharmaceuticals, the company that makes the drug most commonly used in physician-assisted suicide, doubled the drug's price last year, one month after California lawmakers \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/01/22/california-bill-would-allow-terminally-ill-to-end-their-own-lives/\" target=\"_blank\">proposed legalizing the practice\u003c/a>.\u003c/p>\n\u003cp>“It’s just pharmaceutical company greed,” said David Grube, a family doctor in Oregon, where physician-assisted death has been legal for 20 years.\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/254659907&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/254659907'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The drug is Seconal, or secobarbital, its generic name. Originally developed in the 1930s as a sleeping pill, it fell out of favor when people died from taking too much, or from taking it in combination with alcohol. But when intended as a lethal medication to hasten the death of someone suffering from a terminal disease, Seconal is the drug of choice.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It works very quickly and very gently,” Grube says. “People fall asleep with no complications. It's a very gentle passing.”\u003c/p>\n\u003cp>In 2009, Grube remembers the price of a lethal dose of Seconal -- 100 capsules -- was less than $200. Over the next six years, it shot up to $1,500, according to drug price databases Medi-Span and First Databank. Then Valeant bought Seconal last February and immediately doubled the price to $3,000.\u003c/p>\n\u003cp>Most drug companies justify such hikes by pointing to high research costs. But Grube says that’s not the case with Seconal. It’s been around for 80 years.\u003c/p>\n\u003cp>“It’s not a complicated thing to make, there’s no research being done on it, there’s no development,” he says. “That to me is unconscionable.”\u003c/p>\n\u003cp>Valeant bought several other drugs at the same time it bought Seconal, raising some of those prices as much as 500 percent. That sparked a \u003ca href=\"http://www.npr.org/sections/health-shots/2015/12/09/458976680/senate-questions-egregious-price-hikes-for-specialty-medicines\" target=\"_blank\">congressional investigation\u003c/a> into its pricing practices. (The CEO resigned Monday amid an accounting controversy).\u003c/p>\n\u003caside class=\"pullquote alignright\">'You are literally, at that point, taking the money from children.'\u003ccite>Elizabeth Wallner, stage 4 cancer patient\u003c/cite>\u003c/aside>\n\u003cp>“Valeant sets prices for drugs based on a number of factors,” the company said in a statement, including the cost of developing or acquiring the drug, the availability of generics and the benefits of the drug compared with costly alternative treatments. “When possible, we offer patient assistance programs to mitigate the effects of price adjustments and keep out-of-pocket costs affordable for patients.”\u003c/p>\n\u003cp>The most likely explanation for raising the price of Seconal is the lack of generics, says Mick Kolassa, founding partner of Medical Marketing Economics, a firm that advises drug companies on how to price and market their drugs.\u003c/p>\n\u003cp>Seconal went off patent in the early '90s. There were some generics for a while, but then demand shrank and manufacturers abandoned them.\u003c/p>\n\u003cp>“So that meant when the current company bought it, they didn't have any generic competition, simply because the market got so small that it left,” Kolassa said. “So in situations like that, a company can acquire it and raise the price.”\u003c/p>\n\u003cp>Kolassa says it’s also possible that the demand for even the brand-name drug is so low that it’s hard to recoup the costs of making and selling it.\u003c/p>\n\u003cp>“Here's a company that said, well, we can raise the price, keep it on the market and make some money with it,” he said. “Or we can walk away and the product goes away.”\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/254347186&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/254347186'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Whatever the explanation, what cancer patients like Elizabeth Wallner see is a drug company taking advantage. She has one word to describe the pharmaceutical executive who decided to double the price of Seconal: “Scumbag.”\u003c/p>\n\u003cp>Wallner was diagnosed with Stage 4 colon cancer five years ago. It spread to her liver and lungs. She always thought that if her suffering became too unbearable, she would consider ending her life. But she never thought about the price tag of the lethal drug.\u003c/p>\n\u003cp>“You're going to make money off my death,” she said.\u003c/p>\n\u003cp>She’s most worried about her son.\u003c/p>\n\u003cp>“You are literally, at that point, taking the money from children,” she said. “Everything I have, if I’m going to die tomorrow, everything I have will be left to my son who will be 20 years old and almost 100 percent on his own.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Under the California aid-in-dying law, it is optional for health insurance companies to cover the costs of the practice. Most private insurers plan to do so, according to the California Association of Health Plans. So does the state’s \u003ca href=\"http://www.usnews.com/news/articles/2016-03-21/in-california-government-to-pick-up-the-tab-for-death-with-dignity\" target=\"_blank\">Medicaid program\u003c/a>.\u003c/p>\n\u003cp>But for patients who aren’t covered, there is a cheaper alternative: a three-part drug cocktail that can be mixed by a compounding pharmacy for about $400.\u003c/p>\n\u003cp>Grube says the cocktail works just as well, but doctors usually don't prescribe it because of the hassle some patients have to go through to get it. Seconal, on the other hand, is a ready-made pill, routinely available at most retail drugstores.\u003c/p>\n\u003cp>He says advocacy groups like Compassion & Choices are working on campaigns to reduce drug costs and to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/12/education-push-to-help-doctors-field-patients-assisted-death-requests/\" target=\"_blank\">educate doctors\u003c/a> and patients about the law.\u003c/p>\n\u003cp>“My dream is that any Californian who will choose aid in dying would have few burdens or barriers to jump through,” Grube said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Katie Orr contributed reporting from Sacramento. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Hackers Demand Ransom from Two More Southern California Hospitals",
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"content": "\u003cp>Hackers demanded a ransom from two more Southern California hospitals last week and federal authorities are investigating the case.\u003c/p>\n\u003cp>Prime Healthcare Services Inc., a fast-growing national hospital chain, said the attackers infiltrated computer servers on Friday at two of its California hospitals, Chino Valley Medical Center in Chino and Desert Valley Hospital in Victorville.\u003c/p>\n\u003cp>The company said the cyberattack had not affected patient safety or compromised records on patients or staff.\u003c/p>\n\u003cp>Two sources familiar with the investigation said the hackers had demanded a ransom to unlock the hospital computer systems, similar to what happened\u003ca href=\"http://californiahealthline.org/news/state-attorney-general-says-health-care-lags-in-computer-security/\" target=\"_blank\"> last month at Hollywood Presbyterian Medical Center in Los Angeles\u003c/a>. Hollywood Presbyterian said it paid $17,000 in bitcoin to hackers to regain access to the institution’s computers.\u003c/p>\n\u003cp>Fred Ortega, a spokesman for Prime Healthcare, declined to comment on whether Prime received a ransom demand or paid any money, citing the ongoing investigation.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“This is similar to challenges hospitals across the country are facing, and we have taken extraordinary steps to protect and expeditiously find a resolution to this disruption,” Ortega said. “The concern now is to let law enforcement do their thing and find the culprit.”\u003c/p>\n\u003cp>FBI spokeswoman Laura Eimiller said Tuesday “we are investigating a compromise of the network at these locations.” She declined to discuss specifics of the case. The FBI also has been investigating the attack at Hollywood Presbyterian.\u003c/p>\n\u003cp>Ortega said the two Prime hospitals affected remain operational and steps are being taken to restore their computer systems to full functionality. He said some IT systems were shut down by hospital staff as a preventive measure so malicious software didn’t spread further.\u003c/p>\n\u003cp>The company said it’s working with data security experts and the California Department of Public Health on the matter.\u003c/p>\n\u003cp>Prime Healthcare, based in Ontario, Calif., has acquired struggling hospitals across the country and has become one of the nation’s largest health systems. It runs 42 hospitals in 14 states. The company is led by its outspoken chairman and chief executive, Dr. Prem Reddy.\u003c/p>\n\u003cp>A series of high-profile data breaches in the past year have raised fresh questions about the ability of hospitals, health insurers and other medical providers to safeguard the vast troves of electronic medical records and other sensitive data they are stockpiling on millions of Americans.\u003c/p>\n\u003cp>Prime Healthcare has faced trouble over lapses on patient privacy in the past.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In 2013, the company agreed to a $275,000 settlement to resolve \u003ca href=\"http://articles.latimes.com/2013/jun/11/business/la-fi-mo-prime-healthcare-patient-privacy-20130611\" target=\"_blank\">a federal investigation involving a breach of patient confidentiality\u003c/a>. Officials found that Prime’s Shasta Regional Medical Center had shared a woman’s medical files with journalists and sent an email about her treatment to all hospital employees.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Hackers demanded a ransom from two more Southern California hospitals last week and federal authorities are investigating the case.\u003c/p>\n\u003cp>Prime Healthcare Services Inc., a fast-growing national hospital chain, said the attackers infiltrated computer servers on Friday at two of its California hospitals, Chino Valley Medical Center in Chino and Desert Valley Hospital in Victorville.\u003c/p>\n\u003cp>The company said the cyberattack had not affected patient safety or compromised records on patients or staff.\u003c/p>\n\u003cp>Two sources familiar with the investigation said the hackers had demanded a ransom to unlock the hospital computer systems, similar to what happened\u003ca href=\"http://californiahealthline.org/news/state-attorney-general-says-health-care-lags-in-computer-security/\" target=\"_blank\"> last month at Hollywood Presbyterian Medical Center in Los Angeles\u003c/a>. Hollywood Presbyterian said it paid $17,000 in bitcoin to hackers to regain access to the institution’s computers.\u003c/p>\n\u003cp>Fred Ortega, a spokesman for Prime Healthcare, declined to comment on whether Prime received a ransom demand or paid any money, citing the ongoing investigation.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“This is similar to challenges hospitals across the country are facing, and we have taken extraordinary steps to protect and expeditiously find a resolution to this disruption,” Ortega said. “The concern now is to let law enforcement do their thing and find the culprit.”\u003c/p>\n\u003cp>FBI spokeswoman Laura Eimiller said Tuesday “we are investigating a compromise of the network at these locations.” She declined to discuss specifics of the case. The FBI also has been investigating the attack at Hollywood Presbyterian.\u003c/p>\n\u003cp>Ortega said the two Prime hospitals affected remain operational and steps are being taken to restore their computer systems to full functionality. He said some IT systems were shut down by hospital staff as a preventive measure so malicious software didn’t spread further.\u003c/p>\n\u003cp>The company said it’s working with data security experts and the California Department of Public Health on the matter.\u003c/p>\n\u003cp>Prime Healthcare, based in Ontario, Calif., has acquired struggling hospitals across the country and has become one of the nation’s largest health systems. It runs 42 hospitals in 14 states. The company is led by its outspoken chairman and chief executive, Dr. Prem Reddy.\u003c/p>\n\u003cp>A series of high-profile data breaches in the past year have raised fresh questions about the ability of hospitals, health insurers and other medical providers to safeguard the vast troves of electronic medical records and other sensitive data they are stockpiling on millions of Americans.\u003c/p>\n\u003cp>Prime Healthcare has faced trouble over lapses on patient privacy in the past.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In 2013, the company agreed to a $275,000 settlement to resolve \u003ca href=\"http://articles.latimes.com/2013/jun/11/business/la-fi-mo-prime-healthcare-patient-privacy-20130611\" target=\"_blank\">a federal investigation involving a breach of patient confidentiality\u003c/a>. Officials found that Prime’s Shasta Regional Medical Center had shared a woman’s medical files with journalists and sent an email about her treatment to all hospital employees.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Renewed Battle To Pass 'Surprise' Medical Bills Legislation",
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"content": "\u003cp>Have you ever gone in for a medical procedure you knew was covered by your health plan, only to be hit weeks later by a large, unexpected bill from a doctor whose name you didn’t even recognize?\u003c/p>\n\u003cp>If so, you’re not alone. More than one in five Californians with private health insurance reported receiving “surprise” medical bills at least once over the previous two years, according to a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/05/07/nearly-1-in-4-californians-hit-by-surprise-medical-bills/\" target=\"_blank\">2015 Consumer Reports survey\u003c/a>.\u003c/p>\n\u003cp>Today in Sacramento, consumer advocates will launch a campaign they hope will eliminate such surprises. Legislation introduced last year by Assembly member Rob Bonta, D-Oakland, is back, after falling just three Assembly votes short of passage in 2015.\u003c/p>\n\u003cp>The California Medical Association is fighting Bonta’s bill, and it is busy preparing a plan of its own with a different approach to the problem — one that puts more of the financial onus on insurers and gives doctors a better deal.\u003c/p>\n\u003cp>At issue: the practice at many hospitals and outpatient surgery centers of using doctors not covered by a patient’s insurance plan — specialists such as anesthesiologists, pathologists and radiologists — for procedures that are otherwise covered.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Because health plans typically pay a small fraction of the charges by these “out of network” specialists, consumers get saddled with their bills. And what they charge is often a lot more than what the insurers pay their in-network docs.\u003c/p>\n\u003cp>Under Bonta’s proposal, health plans would pay these specialists more or less what they pay their covered physicians for similar care. The specialists would accept that level of payment and stop sending big bills to patients.\u003c/p>\n\u003cp>The CMA says this plan would put too big a squeeze on doctors’ pocketbooks. Instead, the association wants to set the payments in line with what the doctors charge.\u003c/p>\n\u003cp>Michael Dondero of Long Beach has experienced the unsettling feeling of coming home to a large, unexpected medical bill. He had hernia surgery last year that was pre-approved by his health plan, held in a hospital covered under the plan and performed by a physician who was also part of the covered network.\u003c/p>\n\u003cp>“And yes, it went fantastic,” Dondero said. “I’m feeling a lot better now.”\u003c/p>\n\u003cp>But about a month after the surgery, Dondero received something that didn’t make him feel so good: an unexpected bill for $771. It turned out the anesthesiologist on duty during his procedure was not covered by his insurance.\u003c/p>\n\u003cp>“To me it was a real eye-opener,” Dondero said. “I just assumed an in-network procedure at an in-network hospital would be covered. But you know what happens when we assume.”\u003c/p>\n\u003cp>Dondero appealed to his insurance company, and after a month of back and forth letters and phone calls, he ended up paying a much smaller amount.\u003c/p>\n\u003cp>Both the Bonta bill and the proposal being drafted by the physicians’ association share the goal of ensuring that patients won’t get the kind of unwanted surprise that landed in Dondero’s mailbox.\u003c/p>\n\u003cp>But after that, the plans diverge. Bonta’s plan is more palatable to the health plans than the one being crafted by the medical association, which would claw back the financial advantage for specialist doctors.\u003c/p>\n\u003cp>Many specialists say the benchmark established by Bonta’s bill is far too low, claiming it would cut physician compensation by two-thirds.\u003c/p>\n\u003cp>In Bonta’s plan, physicians who think they were underpaid can appeal through an independent review.\u003c/p>\n\u003cp>Still, the medical association argues that the bill essentially penalizes doctors for insurer networks that are too small to meet the needs of patients. Doctors should not be forced to pick up the slack when health plans don’t have enough specialists to perform the medical services they’ve promised to cover, the association says.\u003c/p>\n\u003cp>Janus Norman, a senior vice president of the CMA, says the Bonta bill would create a disincentive for health plans to negotiate reasonable rates with providers.\u003c/p>\n\u003cp>The crux, Norman said, is whether surprise bills are ultimately the responsibility of the health plans or the doctors who generate them.\u003c/p>\n\u003cp>Bonta said the argument is not that simple, and that he has spent a year trying to find the middle ground between insurers and physicians.\u003c/p>\n\u003cp>“The challenge has always been getting reimbursed appropriately, and that’s where the fight has been,” Bonta said. “It’s not fully within the ambit of plans to determine who’s in the network, and it’s not fully in the ambit of providers to determine that.”\u003c/p>\n\u003cp>But one thing is clear, he said: “You can’t punish the patient if they do everything right. They schedule it in advance; it’s in the network. It’s not on the patient to find out which providers that day are in the network or not.”\u003c/p>\n\u003cp>Health Access California, a consumer advocacy group based in Sacramento that is sponsoring the Bonta bill, expects to announce today that the California Labor Federation has signed on as co-sponsor. Anthony Wright, executive director of Health Access, said he hopes this expanded support will help tip the scale in favor of the bill’s passage.\u003c/p>\n\u003cp>Wright argued that physicians bear a substantial share of responsibility for the surprise bill problem, and that they have stood in the way of fixing it. So now they should be willing to work out an arrangement that suits everyone, he said.\u003c/p>\n\u003cp>“We are working to end surprise billing, yet the California Medical Association has delayed and held that process hostage for a year to demand high reimbursement rates for its members,” Wright said. “We’ve put a lot of options on the table, and CMA has rejected all of them.”\u003c/p>\n\u003cp>Norman countered that doctors do want to fix the problem, but that the cause of it is the increasingly restricted choice of providers offered by health plans.\u003c/p>\n\u003cp>The medical association’s plan to get higher rates for doctors, based on an average of what similar physicians charge, is a method already employed in other states, including New York and Connecticut.\u003c/p>\n\u003cp>Bill Barcellona, chief lobbyist at the California Association of Provider Groups, which represents physicians that negotiate with insurance companies, said the proposal could throw the payment system out of whack, with some physicians receiving rates “200 percent higher” than what they currently get.\u003c/p>\n\u003cp>Bonta said he hopes to negotiate a compromise but won’t tolerate an attempt by the medical association to push its own agenda at the risk of undermining the main objective of eliminating surprise bills for consumers.\u003c/p>\n\u003cp>He said he is prepared to counter the competing proposal from the association, if necessary, by pushing his own bill through quickly — possibly as early as April.\u003c/p>\n\u003cp>“It isn’t my preference to push this over the finish line, but we will do that if we’re pushed,” he said.\u003c/p>\n\u003cp>Dondero said his surprise bill blindsided him a little, but that in retrospect it shouldn’t have. He urged others to contest such bills, like he did.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“I think usually when other people get that bill, they just pay it,” he said. “But you can fight it. The thing is, you don’t take ‘no’ for an answer the first go-round.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Have you ever gone in for a medical procedure you knew was covered by your health plan, only to be hit weeks later by a large, unexpected bill from a doctor whose name you didn’t even recognize?\u003c/p>\n\u003cp>If so, you’re not alone. More than one in five Californians with private health insurance reported receiving “surprise” medical bills at least once over the previous two years, according to a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/05/07/nearly-1-in-4-californians-hit-by-surprise-medical-bills/\" target=\"_blank\">2015 Consumer Reports survey\u003c/a>.\u003c/p>\n\u003cp>Today in Sacramento, consumer advocates will launch a campaign they hope will eliminate such surprises. Legislation introduced last year by Assembly member Rob Bonta, D-Oakland, is back, after falling just three Assembly votes short of passage in 2015.\u003c/p>\n\u003cp>The California Medical Association is fighting Bonta’s bill, and it is busy preparing a plan of its own with a different approach to the problem — one that puts more of the financial onus on insurers and gives doctors a better deal.\u003c/p>\n\u003cp>At issue: the practice at many hospitals and outpatient surgery centers of using doctors not covered by a patient’s insurance plan — specialists such as anesthesiologists, pathologists and radiologists — for procedures that are otherwise covered.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Because health plans typically pay a small fraction of the charges by these “out of network” specialists, consumers get saddled with their bills. And what they charge is often a lot more than what the insurers pay their in-network docs.\u003c/p>\n\u003cp>Under Bonta’s proposal, health plans would pay these specialists more or less what they pay their covered physicians for similar care. The specialists would accept that level of payment and stop sending big bills to patients.\u003c/p>\n\u003cp>The CMA says this plan would put too big a squeeze on doctors’ pocketbooks. Instead, the association wants to set the payments in line with what the doctors charge.\u003c/p>\n\u003cp>Michael Dondero of Long Beach has experienced the unsettling feeling of coming home to a large, unexpected medical bill. He had hernia surgery last year that was pre-approved by his health plan, held in a hospital covered under the plan and performed by a physician who was also part of the covered network.\u003c/p>\n\u003cp>“And yes, it went fantastic,” Dondero said. “I’m feeling a lot better now.”\u003c/p>\n\u003cp>But about a month after the surgery, Dondero received something that didn’t make him feel so good: an unexpected bill for $771. It turned out the anesthesiologist on duty during his procedure was not covered by his insurance.\u003c/p>\n\u003cp>“To me it was a real eye-opener,” Dondero said. “I just assumed an in-network procedure at an in-network hospital would be covered. But you know what happens when we assume.”\u003c/p>\n\u003cp>Dondero appealed to his insurance company, and after a month of back and forth letters and phone calls, he ended up paying a much smaller amount.\u003c/p>\n\u003cp>Both the Bonta bill and the proposal being drafted by the physicians’ association share the goal of ensuring that patients won’t get the kind of unwanted surprise that landed in Dondero’s mailbox.\u003c/p>\n\u003cp>But after that, the plans diverge. Bonta’s plan is more palatable to the health plans than the one being crafted by the medical association, which would claw back the financial advantage for specialist doctors.\u003c/p>\n\u003cp>Many specialists say the benchmark established by Bonta’s bill is far too low, claiming it would cut physician compensation by two-thirds.\u003c/p>\n\u003cp>In Bonta’s plan, physicians who think they were underpaid can appeal through an independent review.\u003c/p>\n\u003cp>Still, the medical association argues that the bill essentially penalizes doctors for insurer networks that are too small to meet the needs of patients. Doctors should not be forced to pick up the slack when health plans don’t have enough specialists to perform the medical services they’ve promised to cover, the association says.\u003c/p>\n\u003cp>Janus Norman, a senior vice president of the CMA, says the Bonta bill would create a disincentive for health plans to negotiate reasonable rates with providers.\u003c/p>\n\u003cp>The crux, Norman said, is whether surprise bills are ultimately the responsibility of the health plans or the doctors who generate them.\u003c/p>\n\u003cp>Bonta said the argument is not that simple, and that he has spent a year trying to find the middle ground between insurers and physicians.\u003c/p>\n\u003cp>“The challenge has always been getting reimbursed appropriately, and that’s where the fight has been,” Bonta said. “It’s not fully within the ambit of plans to determine who’s in the network, and it’s not fully in the ambit of providers to determine that.”\u003c/p>\n\u003cp>But one thing is clear, he said: “You can’t punish the patient if they do everything right. They schedule it in advance; it’s in the network. It’s not on the patient to find out which providers that day are in the network or not.”\u003c/p>\n\u003cp>Health Access California, a consumer advocacy group based in Sacramento that is sponsoring the Bonta bill, expects to announce today that the California Labor Federation has signed on as co-sponsor. Anthony Wright, executive director of Health Access, said he hopes this expanded support will help tip the scale in favor of the bill’s passage.\u003c/p>\n\u003cp>Wright argued that physicians bear a substantial share of responsibility for the surprise bill problem, and that they have stood in the way of fixing it. So now they should be willing to work out an arrangement that suits everyone, he said.\u003c/p>\n\u003cp>“We are working to end surprise billing, yet the California Medical Association has delayed and held that process hostage for a year to demand high reimbursement rates for its members,” Wright said. “We’ve put a lot of options on the table, and CMA has rejected all of them.”\u003c/p>\n\u003cp>Norman countered that doctors do want to fix the problem, but that the cause of it is the increasingly restricted choice of providers offered by health plans.\u003c/p>\n\u003cp>The medical association’s plan to get higher rates for doctors, based on an average of what similar physicians charge, is a method already employed in other states, including New York and Connecticut.\u003c/p>\n\u003cp>Bill Barcellona, chief lobbyist at the California Association of Provider Groups, which represents physicians that negotiate with insurance companies, said the proposal could throw the payment system out of whack, with some physicians receiving rates “200 percent higher” than what they currently get.\u003c/p>\n\u003cp>Bonta said he hopes to negotiate a compromise but won’t tolerate an attempt by the medical association to push its own agenda at the risk of undermining the main objective of eliminating surprise bills for consumers.\u003c/p>\n\u003cp>He said he is prepared to counter the competing proposal from the association, if necessary, by pushing his own bill through quickly — possibly as early as April.\u003c/p>\n\u003cp>“It isn’t my preference to push this over the finish line, but we will do that if we’re pushed,” he said.\u003c/p>\n\u003cp>Dondero said his surprise bill blindsided him a little, but that in retrospect it shouldn’t have. He urged others to contest such bills, like he did.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I think usually when other people get that bill, they just pay it,” he said. “But you can fight it. The thing is, you don’t take ‘no’ for an answer the first go-round.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California's Obamacare Marketplace Aims To Kick Out Poor-Performing Hospitals",
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"content": "\u003cp>California's insurance exchange is threatening to cut hospitals from its networks for poor performance or high costs, a \u003ca href=\"http://hbex.coveredca.com/stakeholders/plan-management/PDFs/2017_QHP_Issuer_Contract_Attachment_7_3_4_2016_Redline.pdf\">novel proposal\u003c/a> that is drawing heavy fire from medical providers and insurers.\u003c/p>\n\u003cp>The goal is to boost the overall quality of patient care and make coverage more affordable, said Peter Lee, executive director of the Covered California exchange.\u003c/p>\n\u003cp>\"The first few years were about getting people in the door for coverage,\" said Lee, a key figure in the rollout of the federal health law. \"We are now shifting our attention to changing the underlying delivery system to make it more cost effective and higher quality. We don't want to throw anyone out, but we don't want to pay for bad quality care either.\"\u003c/p>\n\u003cp>It appears to be the first proposal of its kind in the country. The exchange's five-member board is slated to vote on it next month. If approved, insurers would need to identify hospital \"outliers\" on cost and quality starting in 2018. Medical groups and doctors would be rated after that.\u003c/p>\n\u003cp>Providers who don't measure up stand to lose insured patients and suffer a black eye that could sully their reputations with employers and other big customers.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>By 2019, health plans would be expected to expel poor performers from their exchange networks.\u003c/p>\n\u003cp>The idea has already sparked fierce opposition. Doctors and hospitals accuse the exchange of overstepping its authority and failing to spell out the specific measures they would be judged on.\u003c/p>\n\u003cp>Health insurers, normally at odds with providers, have joined them in the fight. The insurers are balking at the prospect of disclosing their negotiated rates with providers. Health plans have long resisted efforts that would let competitors or the public see the deals they make with doctors and hospitals.\u003c/p>\n\u003cp>But scrutinizing the negotiated rates would help the exchange identify high-cost providers and allow policyholders with high deductibles to see the differences in price before undergoing a surgery or imaging test.\u003c/p>\n\u003cp>Lee said it's time for the exchange to move beyond enrollment and flex its market power on behalf of its 1.5 million members. He said insurers haven't been tough enough on hospitals and doctors.\u003c/p>\n\u003cp>Other public exchanges or large employers could try to replicate the idea, putting more pressure on providers and insurers. Lee has shared his proposal with other state marketplaces, government officials and employer groups to promote similar efforts.\u003c/p>\n\u003cp>Still, there are limits to this strategy. Exceptions would be granted if excluding a hospital or doctor from a network meant an area wouldn't have a sufficient number of providers. Insurers could appeal and offer other reasons for keeping a provider in the network.\u003c/p>\n\u003cp>\"California is definitely ahead of the pack when it comes to taking an active purchasing role, and exclusion is a pretty big threat,\" said Sabrina Corlette, a research professor at Georgetown University's Center on Health Insurance Reforms. \"There may be a dominant hospital system that's charging through the nose, but without them you don't have an adequate network. It will be interesting to see how Covered California threads that needle.\"\u003c/p>\n\u003cp>The composition of networks has typically been left up to insurers. Until now, most of the discussion has centered on the proliferation of narrow networks, with a limited range of providers, sold under the Affordable Care Act as a way to hold down rates. A \u003ca href=\"http://ldi.upenn.edu/sites/default/files/rte/state-narrow-networks.pdf\">study\u003c/a> in 2015 found that 75 percent of Covered California plans had narrow physician networks, with more restricted choices than all but three other states.\u003c/p>\n\u003cp>\"I don't know of anyone even close to trying this,\" said Dan Polsky, the study's author and executive director of the Leonard Davis Institute of Health Economics at the University of Pennsylvania. \"I applaud Covered California for being bold to improve quality and reduce costs, but I worry about the implementation.\"\u003c/p>\n\u003cp>Polsky said measuring quality can be complicated, and steps must be taken to ensure hospitals and doctors aren't penalized for treating sicker patients or serving lower-income areas. Most quality-boosting efforts use financial bonuses and penalties rather than exclusion.\u003c/p>\n\u003cp>Under the Covered California plan, hospitals would be judged on a wide range of performance and safety measures, from rates of readmission and hospital-acquired infections to adverse drug events. The exchange said it will draw on existing measures already tracked by Medicare and other groups, and it will work with hospitals, consumer advocates and other experts over the next 18 months to finalize the details.\u003c/p>\n\u003cp>The California Hospital Association said the exchange is moving too fast and acting too much like a regulator.\u003c/p>\n\u003cp>\"The devil is in the details, and the rapidity of this concerns us,\" said Dr. David Perrott, chief medical officer at the state hospital trade group. \"We understand value-based purchasing is here in some form and we do not oppose that. But Covered California is charging ahead with this assessment and trying to figure out the answers when it hasn't been worked out.\"\u003c/p>\n\u003cp>California physicians warn that the exchange's proposal could further reduce networks that are already too thin for patients.\u003c/p>\n\u003cp>\"Right now, one of the biggest problems in healthcare is limited access to specialty care. This allows more narrowing of the networks under spurious guidelines,\" said Dr. Ted Mazer, a board member of the California Medical Association and a head and neck surgeon in San Diego.\u003c/p>\n\u003cp>Charles Bacchi, chief executive of the California Association of Health Plans, predicted that Covered California's idea will backfire, discouraging hospitals and doctors from participating in the exchange and driving up premiums as a result.\u003c/p>\n\u003cp>\"It's the right goal but the wrong approach,\" Bacchi said. \"Covered California is proposing a top-down, arbitrary measurement system that carries a big stick. This can make it difficult for health plans and providers to work together constructively.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by Kaiser Health News, which publishes \u003ca href=\"http://californiahealthline.org/news/california-insurance-marketplace-wants-to-kick-out-poor-performing-hospitals/\" target=\"_blank\">California Healthline\u003c/a>, a service of the California HealthCare Foundation. Follow Chad Terhune on Twitter: \u003ca href=\"https://twitter.com/chadterhune\">@chadterhune\u003c/a>.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 Kaiser Health News.\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California's insurance exchange is threatening to cut hospitals from its networks for poor performance or high costs, a \u003ca href=\"http://hbex.coveredca.com/stakeholders/plan-management/PDFs/2017_QHP_Issuer_Contract_Attachment_7_3_4_2016_Redline.pdf\">novel proposal\u003c/a> that is drawing heavy fire from medical providers and insurers.\u003c/p>\n\u003cp>The goal is to boost the overall quality of patient care and make coverage more affordable, said Peter Lee, executive director of the Covered California exchange.\u003c/p>\n\u003cp>\"The first few years were about getting people in the door for coverage,\" said Lee, a key figure in the rollout of the federal health law. \"We are now shifting our attention to changing the underlying delivery system to make it more cost effective and higher quality. We don't want to throw anyone out, but we don't want to pay for bad quality care either.\"\u003c/p>\n\u003cp>It appears to be the first proposal of its kind in the country. The exchange's five-member board is slated to vote on it next month. If approved, insurers would need to identify hospital \"outliers\" on cost and quality starting in 2018. Medical groups and doctors would be rated after that.\u003c/p>\n\u003cp>Providers who don't measure up stand to lose insured patients and suffer a black eye that could sully their reputations with employers and other big customers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>By 2019, health plans would be expected to expel poor performers from their exchange networks.\u003c/p>\n\u003cp>The idea has already sparked fierce opposition. Doctors and hospitals accuse the exchange of overstepping its authority and failing to spell out the specific measures they would be judged on.\u003c/p>\n\u003cp>Health insurers, normally at odds with providers, have joined them in the fight. The insurers are balking at the prospect of disclosing their negotiated rates with providers. Health plans have long resisted efforts that would let competitors or the public see the deals they make with doctors and hospitals.\u003c/p>\n\u003cp>But scrutinizing the negotiated rates would help the exchange identify high-cost providers and allow policyholders with high deductibles to see the differences in price before undergoing a surgery or imaging test.\u003c/p>\n\u003cp>Lee said it's time for the exchange to move beyond enrollment and flex its market power on behalf of its 1.5 million members. He said insurers haven't been tough enough on hospitals and doctors.\u003c/p>\n\u003cp>Other public exchanges or large employers could try to replicate the idea, putting more pressure on providers and insurers. Lee has shared his proposal with other state marketplaces, government officials and employer groups to promote similar efforts.\u003c/p>\n\u003cp>Still, there are limits to this strategy. Exceptions would be granted if excluding a hospital or doctor from a network meant an area wouldn't have a sufficient number of providers. Insurers could appeal and offer other reasons for keeping a provider in the network.\u003c/p>\n\u003cp>\"California is definitely ahead of the pack when it comes to taking an active purchasing role, and exclusion is a pretty big threat,\" said Sabrina Corlette, a research professor at Georgetown University's Center on Health Insurance Reforms. \"There may be a dominant hospital system that's charging through the nose, but without them you don't have an adequate network. It will be interesting to see how Covered California threads that needle.\"\u003c/p>\n\u003cp>The composition of networks has typically been left up to insurers. Until now, most of the discussion has centered on the proliferation of narrow networks, with a limited range of providers, sold under the Affordable Care Act as a way to hold down rates. A \u003ca href=\"http://ldi.upenn.edu/sites/default/files/rte/state-narrow-networks.pdf\">study\u003c/a> in 2015 found that 75 percent of Covered California plans had narrow physician networks, with more restricted choices than all but three other states.\u003c/p>\n\u003cp>\"I don't know of anyone even close to trying this,\" said Dan Polsky, the study's author and executive director of the Leonard Davis Institute of Health Economics at the University of Pennsylvania. \"I applaud Covered California for being bold to improve quality and reduce costs, but I worry about the implementation.\"\u003c/p>\n\u003cp>Polsky said measuring quality can be complicated, and steps must be taken to ensure hospitals and doctors aren't penalized for treating sicker patients or serving lower-income areas. Most quality-boosting efforts use financial bonuses and penalties rather than exclusion.\u003c/p>\n\u003cp>Under the Covered California plan, hospitals would be judged on a wide range of performance and safety measures, from rates of readmission and hospital-acquired infections to adverse drug events. The exchange said it will draw on existing measures already tracked by Medicare and other groups, and it will work with hospitals, consumer advocates and other experts over the next 18 months to finalize the details.\u003c/p>\n\u003cp>The California Hospital Association said the exchange is moving too fast and acting too much like a regulator.\u003c/p>\n\u003cp>\"The devil is in the details, and the rapidity of this concerns us,\" said Dr. David Perrott, chief medical officer at the state hospital trade group. \"We understand value-based purchasing is here in some form and we do not oppose that. But Covered California is charging ahead with this assessment and trying to figure out the answers when it hasn't been worked out.\"\u003c/p>\n\u003cp>California physicians warn that the exchange's proposal could further reduce networks that are already too thin for patients.\u003c/p>\n\u003cp>\"Right now, one of the biggest problems in healthcare is limited access to specialty care. This allows more narrowing of the networks under spurious guidelines,\" said Dr. Ted Mazer, a board member of the California Medical Association and a head and neck surgeon in San Diego.\u003c/p>\n\u003cp>Charles Bacchi, chief executive of the California Association of Health Plans, predicted that Covered California's idea will backfire, discouraging hospitals and doctors from participating in the exchange and driving up premiums as a result.\u003c/p>\n\u003cp>\"It's the right goal but the wrong approach,\" Bacchi said. \"Covered California is proposing a top-down, arbitrary measurement system that carries a big stick. This can make it difficult for health plans and providers to work together constructively.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by Kaiser Health News, which publishes \u003ca href=\"http://californiahealthline.org/news/california-insurance-marketplace-wants-to-kick-out-poor-performing-hospitals/\" target=\"_blank\">California Healthline\u003c/a>, a service of the California HealthCare Foundation. Follow Chad Terhune on Twitter: \u003ca href=\"https://twitter.com/chadterhune\">@chadterhune\u003c/a>.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 Kaiser Health News.\u003c/div>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "State Won't Move Fragile Kids to Managed Care -- For Now",
"title": "State Won't Move Fragile Kids to Managed Care -- For Now",
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"content": "\u003cp>Lauren Brady, a Whittier resident, has lived all her 19 years with Rett syndrome, a rare neurological illness that can cause seizures and limits muscle movement. She can’t speak, needs a feeding tube and uses a wheelchair to get around.\u003c/p>\n\u003cp>“It affects her from head to toe, but we don’t let all of that get in our way,” her mother, Sherri Brady said this week. “Lauren has lots of friends; she goes horseback riding. Next weekend she’s going on a ski trip.”\u003c/p>\n\u003cp>That Lauren can even contemplate those activities is testimony to a $2.9 billion a year state program, \u003ca href=\"http://www.dhcs.ca.gov/services/ccs/Pages/default.aspx\" target=\"_blank\">California Children’s Services\u003c/a>, her mother said. The program provides specialized care to some 180,000 children and young adults who suffer from a range of complicated, debilitating illnesses including Rett syndrome, sickle cell anemia, cancer, cerebral palsy, hemophilia and more.\u003c/p>\n\u003cp>In recent years, Sherri Brady and other parents of children in the program have lived in fear that the care of their kids could be disrupted — at what they see as a great risk of physical and emotional harm. That’s because the state’s Department of Health Care Services ultimately wants to move all the children into managed care.\u003c/p>\n\u003cp>But the first phase of that move, which would have targeted just under one-fifth of the children beginning next January, is now on hold. The state Assembly’s influential budget subcommittee voted earlier this week to shelve it and send the department back to the drawing board. The Senate’s budget subcommittee is expected to endorse that ruling next week.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>This means all of those children will be able to keep seeing the same providers and get the same services they’ve been receiving — at least for now.\u003c/p>\n\u003cp>That’s a big relief to their parents, who fear that in managed care their children could lose relationships with the caregivers who know them best and could face difficulty getting appointments with specialists.\u003c/p>\n\u003cp>“It’s wonderful that the legislators did this,” said Sherri Brady. But she knows her battle isn’t over.\u003c/p>\n\u003cp>The state has been under pressure for years to restructure the program both to improve the care it delivers and reduce its cost, according to a \u003ca href=\"http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/PDF%20A/PDF%20AssessingTheCAChildrensServicesProgram.pdf\" target=\"_blank\">study by the California Health Care Foundation\u003c/a>.\u003c/p>\n\u003cp>“This isn’t the end of it,” Brady said. We’ve been fighting it and we’ll keep fighting it.”\u003c/p>\n\u003cp>Brady has trouble understanding why the state wants to move the kids into managed care. “To make a change that could be harmful for individuals who already live with such harm, that’s just not right,” she said.\u003c/p>\n\u003cp>Jennifer Kent, director of the California Department of Health Care Services, testified to the Assembly subcommittee that the first-phase proposal to move nearly 20 percent of the the kids into managed care plans would provide them with better care.\u003c/p>\n\u003cp>“One of the key components is because (California Children's Services) is a program around a condition rather than a child, the different payers don’t look at the whole child,” Kent said. “We want to better manage the care of these children across the spectrum.”\u003c/p>\n\u003cp>Under managed care, health plans are paid fixed rates to cover and coordinate nearly all health care services for patients.\u003c/p>\n\u003cp>Kent told legislators the department’s plan was “budget-neutral,” meaning it would result neither in savings nor additional costs for taxpayers.\u003c/p>\n\u003cp>Nearly half the cost of the program, or about $1.4 billion, is paid for out of the state’s general fund, according to Kent’s department.\u003c/p>\n\u003cp>About 70 percent of children in the program get benefits from Medi-Cal, the state-federal health coverage program for people with low incomes. The other 30 percent have private insurance, but the state helps pay for some of the care not covered by their insurers. The federal and county governments also pick up a portion of the tab.\u003c/p>\n\u003cp>Assuming the Senate subcommittee concurs with its Assembly counterpart, the health department will be instructed to develop a new proposal requiring what is known in Capitol lingo as “enabling legislation,” and ultimately floor votes in both houses. The process is expected to take a long time, though nobody can say how long.\u003c/p>\n\u003cp>Child advocates fear that the ultimate outcome will be the same — the kids will end up being moved into managed care.\u003c/p>\n\u003cp>“The assumption has always been that the state wants to move all of the kids,” said Yvette Baptiste, executive director of the Eastern Los Angeles Family Resource Center in Alhambra, which helps children with developmental disabilities and their families.\u003c/p>\n\u003cp>Before the Assembly subcommittee voted, its staff had recommended rejecting the department’s plan out of concern that the children’s quality of care could be compromised.\u003c/p>\n\u003cp>The Legislative Analyst’s Office agreed, as did a conga line of children’s advocates, providers and families, who all appeared at the hearing to urge the legislature to scrub the proposal from the calendar.\u003c/p>\n\u003cp>California Children’s Services, established in 1927, is one of the oldest public health programs in the nation.\u003c/p>\n\u003cp>The subcommittee chairman, Tony Thurmond, D-Richmond, said that given the program’s longevity and the apparent satisfaction of the children’s families, he didn’t want to change it.\u003c/p>\n\u003cp>“If this is one of the oldest programs around and it’s something we can hold up as a shining example of how to do things right, then let’s not mess with it,” Thurmond said.\u003c/p>\n\u003cfigure id=\"attachment_161060\" class=\"wp-caption aligncenter\" style=\"max-width: 770px\">\u003cimg class=\"size-full wp-image-161060\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/fragile-kids_finnie_770.jpg\" alt=\"Lisa and Jaheen Finnie of Brentwood. Jaheen is 14 and has a rare condition that, since he was 3 years old, sometimes causes his brain fluid to leak, and that prompts episodes of meningitis. \" width=\"770\" height=\"513\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/03/fragile-kids_finnie_770.jpg 770w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/fragile-kids_finnie_770-400x266.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/fragile-kids_finnie_770-768x512.jpg 768w\" sizes=\"(max-width: 770px) 100vw, 770px\">\u003cfigcaption class=\"wp-caption-text\">Lisa and Jaheen Finnie of Brentwood. Jaheen is 14 and has a rare condition that, since he was 3 years old, sometimes causes his brain fluid to leak, and that prompts episodes of meningitis. \u003ccite>(David Gorn/California Healthline)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>That was music to the ears of Lisa Finnie and her 14-year-old son Jaheen of Brentwood, 45 miles east of Oakland. Jaheen struggles with a rare medical condition that sometimes causes brain fluid to leak from his skull.\u003c/p>\n\u003cp>Since he was 3, Jaheen has had six surgeries and survived seven bouts of life-threatening meningitis caused by the defect. He has had periods of blindness, and at one point was in a coma for a month.\u003c/p>\n\u003cp>But right now, Jaheen can see just fine. His only outward signs of the condition are faulty hearing and a face that droops a bit on one side.\u003c/p>\n\u003cp>“I kind of smile on one side right now,” Jaheen explained. “I’m learning how to get this side of my face up,” he said, touching his left cheek.\u003c/p>\n\u003cp>His mom Lisa credits the Children’s Services program with helping her family survive and thrive, she said.\u003c/p>\n\u003cp>“I don’t know what we’d do without it.”\u003c/p>\n\u003cfigure id=\"attachment_161061\" class=\"wp-caption alignright\" style=\"max-width: 370px\">\u003cimg class=\"size-full wp-image-161061\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/fragile-kids_mia_370.jpg\" alt=\"Mia Vasquez, 8 , has cerebral palsy and bone deformities.\" width=\"370\" height=\"464\">\u003cfigcaption class=\"wp-caption-text\">Mia Vasquez, 8 , has cerebral palsy and bone deformities. \u003ccite>(Courtesy of Emelyn Lacayo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>That sentiment was echoed by Emelyn Lacayo of Hayward, the mother of a seven-year-old daughter, Mia, who has cerebral palsy, bone deformities and is also believed to suffer from a rare condition called Cockayne syndrome.\u003c/p>\n\u003cp>“The doctors thought she wouldn’t live past a year, but she’s almost 8 now,” Lacayo said.\u003c/p>\n\u003cp>A possible transition into managed care worries Lacayo, because Mia might lose one of her key specialists.\u003c/p>\n\u003cp>“Our biggest fear is that Mia would fall through the cracks,” she said. “You can’t just throw us into managed care. These are kids who need the specialty care.”\u003c/p>\n\u003cp>Lacayo says the state has long wanted to replace this high-need, high-cost program, and she was heartened when the subcommittee applied the brakes to the plan that would have started to do that. But she understands the fight has only been put off for another day.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“We’re okay for now, but we still have a lot of work to do,” she said. “The moral of the story is, these kids are expensive, yes — but they need that care,” Lacayo said. “They didn’t choose to have these conditions.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Lauren Brady, a Whittier resident, has lived all her 19 years with Rett syndrome, a rare neurological illness that can cause seizures and limits muscle movement. She can’t speak, needs a feeding tube and uses a wheelchair to get around.\u003c/p>\n\u003cp>“It affects her from head to toe, but we don’t let all of that get in our way,” her mother, Sherri Brady said this week. “Lauren has lots of friends; she goes horseback riding. Next weekend she’s going on a ski trip.”\u003c/p>\n\u003cp>That Lauren can even contemplate those activities is testimony to a $2.9 billion a year state program, \u003ca href=\"http://www.dhcs.ca.gov/services/ccs/Pages/default.aspx\" target=\"_blank\">California Children’s Services\u003c/a>, her mother said. The program provides specialized care to some 180,000 children and young adults who suffer from a range of complicated, debilitating illnesses including Rett syndrome, sickle cell anemia, cancer, cerebral palsy, hemophilia and more.\u003c/p>\n\u003cp>In recent years, Sherri Brady and other parents of children in the program have lived in fear that the care of their kids could be disrupted — at what they see as a great risk of physical and emotional harm. That’s because the state’s Department of Health Care Services ultimately wants to move all the children into managed care.\u003c/p>\n\u003cp>But the first phase of that move, which would have targeted just under one-fifth of the children beginning next January, is now on hold. The state Assembly’s influential budget subcommittee voted earlier this week to shelve it and send the department back to the drawing board. The Senate’s budget subcommittee is expected to endorse that ruling next week.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>This means all of those children will be able to keep seeing the same providers and get the same services they’ve been receiving — at least for now.\u003c/p>\n\u003cp>That’s a big relief to their parents, who fear that in managed care their children could lose relationships with the caregivers who know them best and could face difficulty getting appointments with specialists.\u003c/p>\n\u003cp>“It’s wonderful that the legislators did this,” said Sherri Brady. But she knows her battle isn’t over.\u003c/p>\n\u003cp>The state has been under pressure for years to restructure the program both to improve the care it delivers and reduce its cost, according to a \u003ca href=\"http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/PDF%20A/PDF%20AssessingTheCAChildrensServicesProgram.pdf\" target=\"_blank\">study by the California Health Care Foundation\u003c/a>.\u003c/p>\n\u003cp>“This isn’t the end of it,” Brady said. We’ve been fighting it and we’ll keep fighting it.”\u003c/p>\n\u003cp>Brady has trouble understanding why the state wants to move the kids into managed care. “To make a change that could be harmful for individuals who already live with such harm, that’s just not right,” she said.\u003c/p>\n\u003cp>Jennifer Kent, director of the California Department of Health Care Services, testified to the Assembly subcommittee that the first-phase proposal to move nearly 20 percent of the the kids into managed care plans would provide them with better care.\u003c/p>\n\u003cp>“One of the key components is because (California Children's Services) is a program around a condition rather than a child, the different payers don’t look at the whole child,” Kent said. “We want to better manage the care of these children across the spectrum.”\u003c/p>\n\u003cp>Under managed care, health plans are paid fixed rates to cover and coordinate nearly all health care services for patients.\u003c/p>\n\u003cp>Kent told legislators the department’s plan was “budget-neutral,” meaning it would result neither in savings nor additional costs for taxpayers.\u003c/p>\n\u003cp>Nearly half the cost of the program, or about $1.4 billion, is paid for out of the state’s general fund, according to Kent’s department.\u003c/p>\n\u003cp>About 70 percent of children in the program get benefits from Medi-Cal, the state-federal health coverage program for people with low incomes. The other 30 percent have private insurance, but the state helps pay for some of the care not covered by their insurers. The federal and county governments also pick up a portion of the tab.\u003c/p>\n\u003cp>Assuming the Senate subcommittee concurs with its Assembly counterpart, the health department will be instructed to develop a new proposal requiring what is known in Capitol lingo as “enabling legislation,” and ultimately floor votes in both houses. The process is expected to take a long time, though nobody can say how long.\u003c/p>\n\u003cp>Child advocates fear that the ultimate outcome will be the same — the kids will end up being moved into managed care.\u003c/p>\n\u003cp>“The assumption has always been that the state wants to move all of the kids,” said Yvette Baptiste, executive director of the Eastern Los Angeles Family Resource Center in Alhambra, which helps children with developmental disabilities and their families.\u003c/p>\n\u003cp>Before the Assembly subcommittee voted, its staff had recommended rejecting the department’s plan out of concern that the children’s quality of care could be compromised.\u003c/p>\n\u003cp>The Legislative Analyst’s Office agreed, as did a conga line of children’s advocates, providers and families, who all appeared at the hearing to urge the legislature to scrub the proposal from the calendar.\u003c/p>\n\u003cp>California Children’s Services, established in 1927, is one of the oldest public health programs in the nation.\u003c/p>\n\u003cp>The subcommittee chairman, Tony Thurmond, D-Richmond, said that given the program’s longevity and the apparent satisfaction of the children’s families, he didn’t want to change it.\u003c/p>\n\u003cp>“If this is one of the oldest programs around and it’s something we can hold up as a shining example of how to do things right, then let’s not mess with it,” Thurmond said.\u003c/p>\n\u003cfigure id=\"attachment_161060\" class=\"wp-caption aligncenter\" style=\"max-width: 770px\">\u003cimg class=\"size-full wp-image-161060\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/fragile-kids_finnie_770.jpg\" alt=\"Lisa and Jaheen Finnie of Brentwood. Jaheen is 14 and has a rare condition that, since he was 3 years old, sometimes causes his brain fluid to leak, and that prompts episodes of meningitis. \" width=\"770\" height=\"513\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/03/fragile-kids_finnie_770.jpg 770w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/fragile-kids_finnie_770-400x266.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/fragile-kids_finnie_770-768x512.jpg 768w\" sizes=\"(max-width: 770px) 100vw, 770px\">\u003cfigcaption class=\"wp-caption-text\">Lisa and Jaheen Finnie of Brentwood. Jaheen is 14 and has a rare condition that, since he was 3 years old, sometimes causes his brain fluid to leak, and that prompts episodes of meningitis. \u003ccite>(David Gorn/California Healthline)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>That was music to the ears of Lisa Finnie and her 14-year-old son Jaheen of Brentwood, 45 miles east of Oakland. Jaheen struggles with a rare medical condition that sometimes causes brain fluid to leak from his skull.\u003c/p>\n\u003cp>Since he was 3, Jaheen has had six surgeries and survived seven bouts of life-threatening meningitis caused by the defect. He has had periods of blindness, and at one point was in a coma for a month.\u003c/p>\n\u003cp>But right now, Jaheen can see just fine. His only outward signs of the condition are faulty hearing and a face that droops a bit on one side.\u003c/p>\n\u003cp>“I kind of smile on one side right now,” Jaheen explained. “I’m learning how to get this side of my face up,” he said, touching his left cheek.\u003c/p>\n\u003cp>His mom Lisa credits the Children’s Services program with helping her family survive and thrive, she said.\u003c/p>\n\u003cp>“I don’t know what we’d do without it.”\u003c/p>\n\u003cfigure id=\"attachment_161061\" class=\"wp-caption alignright\" style=\"max-width: 370px\">\u003cimg class=\"size-full wp-image-161061\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/fragile-kids_mia_370.jpg\" alt=\"Mia Vasquez, 8 , has cerebral palsy and bone deformities.\" width=\"370\" height=\"464\">\u003cfigcaption class=\"wp-caption-text\">Mia Vasquez, 8 , has cerebral palsy and bone deformities. \u003ccite>(Courtesy of Emelyn Lacayo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>That sentiment was echoed by Emelyn Lacayo of Hayward, the mother of a seven-year-old daughter, Mia, who has cerebral palsy, bone deformities and is also believed to suffer from a rare condition called Cockayne syndrome.\u003c/p>\n\u003cp>“The doctors thought she wouldn’t live past a year, but she’s almost 8 now,” Lacayo said.\u003c/p>\n\u003cp>A possible transition into managed care worries Lacayo, because Mia might lose one of her key specialists.\u003c/p>\n\u003cp>“Our biggest fear is that Mia would fall through the cracks,” she said. “You can’t just throw us into managed care. These are kids who need the specialty care.”\u003c/p>\n\u003cp>Lacayo says the state has long wanted to replace this high-need, high-cost program, and she was heartened when the subcommittee applied the brakes to the plan that would have started to do that. But she understands the fight has only been put off for another day.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We’re okay for now, but we still have a lot of work to do,” she said. “The moral of the story is, these kids are expensive, yes — but they need that care,” Lacayo said. “They didn’t choose to have these conditions.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Fear Of Future Health Problems Plagues Porter Ranch Gas Leak Victims",
"title": "Fear Of Future Health Problems Plagues Porter Ranch Gas Leak Victims",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>Kavita Ramchandani loved everything about evenings in her backyard: how the full moon lit up the sky, the way the breeze seemed to talk to her, the smell of the pine trees. She bought the single-story hillside house in this upscale Los Angeles County suburb after emigrating from India, and from the first night it felt like home.\u003c/p>\n\u003cp>Then last fall, gas started leaking from a well at a nearby storage facility, and Ramchandani, 53, began wheezing, getting nose bleeds and persistent headaches. She left her home in January.\u003c/p>\n\u003cp>Now, she says, the house just feels foreign. And scary.\u003c/p>\n\u003cp>Gabriel Khanlian, a 39-year old Porter Ranch resident, said he, too, became really worried after his 2-year-old daughter got a body rash and his sons, 5 and 8, had several bloody noses, stomachaches and burning eyes.\u003c/p>\n\u003cp>He started feeling horrible too — with nausea and body aches. “It felt like someone was hammering my head,” Khanlian said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Southern California Gas Company announced Feb. 18 that after nearly four months, it had permanently sealed the leaking well, and residents who had evacuated their homes could safely return.\u003c/p>\n\u003cp>The gas company, which had been picking up the tab for evacuees staying in hotels and motels, said it would pay for one additional week. But a Superior Court judge ordered the gas company on March 2 to continue paying for the temporary accommodations until March 18, allowing time for more air testing. The company said it has paid about $36 million in relocation expenses for about 3,400 households.\u003c/p>\n\u003cp>Ramchandani said she can’t afford to pay for the hotel once the gas company stops footing the bill, but she fears returning to Porter Ranch. “I’m worried about my health,” she said. “What if the breathlessness continues? What will I do then?”\u003c/p>\n\u003cp>The massive and unprecedented leak at the Aliso Canyon storage facility prompted Gov. Jerry Brown to declare a state of emergency in early January. Criminal charges and civil lawsuits against the gas company followed. Community leaders and politicians demanded more regulation of the aging facilities.\u003c/p>\n\u003cp>Legislators in Sacramento have jumped into the fray, proposing a bill to require more testing before the company can restart operations.\u003c/p>\n\u003cp>The leak has fueled concerns about the long-term health of residents exposed to methane, benzene and other chemicals. As part of his emergency declaration, Brown pledged to convene an independent panel of medical and scientific experts to review potential health risks.\u003c/p>\n\u003cp>Some residents have reported symptoms such as coughing, dizziness, stomachaches and nausea, according to the Los Angeles County Public Health Department. Department officials have said the symptoms should stop now that the well has been sealed.\u003c/p>\n\u003cp>But Ramchandani and others are worried that their health problems will continue — or worsen — when they go home. They fear what could happen in the future because of their recent exposure to the gas and chemicals.\u003c/p>\n\u003cp>Health officials maintain that the risk of long-term health problems is small. They say the main component in the emissions from the facility was methane, an odorless gas that doesn’t generally cause health problems when inhaled. The storage facility also released mercaptans, pungent smelling gases that are added to make a leak easy to detect.\u003c/p>\n\u003cp>The leaking gas also contained benzene — a carcinogen — and other related chemicals. But health officials said benzene levels during the leak were no greater in Porter Ranch than in other areas of Los Angeles County.\u003c/p>\n\u003cp>“We already have bad air in Los Angeles,” said Cyrus Rangan, who directs the toxicology and environmental assessment bureau for the L.A. County Department of Public Health. “You’d never say our air is the best in the world overall. But at least we can say we are not looking at levels that are far and above what you would normally breathe here.”\u003c/p>\n\u003cp>The state’s Office of Environmental Health Hazard Assessment also evaluated air samples collected by the gas company between November and January and determined that none of the potentially harmful compounds in the leaked emissions were at high enough concentrations to pose serious health problems. Any increase in cancer risk to people in Porter Ranch is therefore very small, the office concluded.\u003c/p>\n\u003cp>Rangan said the vast majority of the symptoms are due to the odorants, which can irritate the eyes, skin and respiratory system. He said the emissions are not associated with lasting health problems.\u003c/p>\n\u003cp>Not everyone is convinced. Democratic Rep. Brad Sherman, who lives in Porter Ranch, said he’s concerned that the level of benzene was above standards on at least several days.\u003c/p>\n\u003cp>“I would guess that this not going to turn out to be as significant as Flint, Michigan, but that is a guess from somebody who didn’t go to medical school,” Sherman said. “It’s not enough to plug the well. You’ve got to make sure that the air is pure.”\u003c/p>\n\u003cfigure id=\"attachment_160130\" class=\"wp-caption aligncenter\" style=\"max-width: 770px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/porter-ranch-6.jpg\" rel=\"attachment wp-att-160130\">\u003cimg class=\"size-full wp-image-160130\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/porter-ranch-6.jpg\" alt=\"Jacki Swift, 53, at her rental house in Chatsworth, Calif. on on Tuesday, February 16, 2016. After the leak started, Swift’s family relocated but she believes the new house isn’t far enough away from the Porter Ranch gas leak.\" width=\"770\" height=\"514\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/03/porter-ranch-6.jpg 770w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/porter-ranch-6-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/porter-ranch-6-768x513.jpg 768w\" sizes=\"(max-width: 770px) 100vw, 770px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jacki Swift, 53, at her rental house in Chatsworth, Calif. on on Tuesday, February 16, 2016. After the leak started, Swift’s family relocated but she believes the new house isn’t far enough away from the Porter Ranch gas leak. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The public health department and the South Coast Air Quality Management District are continuing to monitor the air. Residents are also being asked to report ongoing odors.\u003c/p>\n\u003cp>This week, the gas company also began assessing homes where residents have reported brown spots that might be residue from the leak.\u003c/p>\n\u003cp>Gas company officials said the residue is not likely to be in many residential air ducts, which are sealed in most homes so outside air does not enter. In the “very few systems” that do take in some air from the outside, filters should stop particles from circulating in the home, the company said.\u003c/p>\n\u003cp>Mike Danko, an attorney representing Porter Ranch residents in one of the civil lawsuits, said he believes the gas company has understated the impact without strong data. Only time will tell how the leak ultimately affects the residents’ health, he said.\u003c/p>\n\u003cp>“There is no question that the bloody noses, the nausea, the skin irritation is going to pass with time,” Danko said. “The people now have to live under a cloud of what is going to happen 10, 20, 30 years down the road. No one should have to live with that.”\u003c/p>\n\u003cp>Dr. Jeffrey Nordella, medical director at Porter Ranch Quality Care, which provides both primary and urgent care, said he immediately saw an uptick in patients with common symptoms last fall.\u003c/p>\n\u003cp>Nordella said he has been screening patients with blood work, chest x-rays and lung function tests. One morning in late February, Ramchandani came in for a follow-up visit. The Bollywood singer told him she didn’t have a history of breathing problems but that her wheezing had been so bad she had to turn down work.\u003c/p>\n\u003cp>Pulling up her test results, Nordella informed her she had limited lung function. He prescribed an inhaler and suggested a visit to a pulmonologist.\u003c/p>\n\u003cp>Ramchandani is anxious about what is to come. “Constantly at the back of mind, I am thinking, ‘What if I get cancer?’” she said.\u003c/p>\n\u003cp>“That’s why we need to keep following you,” Nordella told her.\u003c/p>\n\u003cp>In a shopping center across the street sit two storefronts set up by the gas company, where residents can request air purifiers and weather stripping. They can also file reimbursement claims and ask a toxicologist questions.\u003c/p>\n\u003cp>Jacki Swift, 53, said she has gone to the center several times to ask for help. After the leak started, she and her family packed up their dog, their clothes and their grandson’s toys and relocated to a rented home in Chatsworth.\u003c/p>\n\u003cp>Sitting on a rented couch in the living room one day last month, Swift said she believed the new house wasn’t far enough away from Porter Ranch. Her headaches have continued, and her daughter continues to get bright red, itchy rashes all over her body, she said.\u003c/p>\n\u003cp>“It’s really scary,” Swift said. “I feel like we are guinea pigs.”\u003c/p>\n\u003cp>Every time they go to Porter Ranch to get the mail or check on their house, the symptoms get worse, she said.\u003c/p>\n\u003cp>Swift said she wonders if the gas company knows more than they are saying about the chemicals. “I think they are choosing their words carefully to diminish our fears, to make us feel safe,” she said. “But I don’t feel safe. I want to know if there are toxins in my home.”\u003c/p>\n\u003cp>Swift wants to move out of the area but knows that could be difficult because, “who is going to buy a house in Porter Ranch?”\u003c/p>\n\u003cp>Khanlian, on the other hand, said he just wants to move back home. He has lived in Porter Ranch for nearly 15 years and owns two homes in the area. He is the secretary of his homeowners’ association and part of a community group called “Save Porter Ranch,” which opposes oil and gas drilling and pre-dates the recent leak.\u003c/p>\n\u003cp>The doctors told Khanlian they didn’t know what was causing his family’s symptoms, which he said had begun before the gas company announced the leak. But Khanlian suspected it had something to do with an unbearable smell of gas outside. He told his children they couldn’t ride their bikes or go in the swimming pool.\u003c/p>\n\u003cp>Then the gas company announced the leak, and Khanlian and his family relocated to Reseda. As the smell subsided, the family moved back in briefly, but left again after Khanlian’s wife, Aleeza, started suffering a recurrence of nausea and headaches. Khanlian wants the gas company to test the soil, water and air.\u003c/p>\n\u003cp>From his front door in Porter Ranch, he can look up at the hill where the once-leaking well sits. He said he expects more problems in the future. “The whole facility is so outdated,” he said. “How do we know we aren’t going to have another gas leak?”\u003c/p>\n\u003cp>Meanwhile, Khanlian said, he is closely monitoring his family’s symptoms and hoping the officials are right that the health effects of the gas leak will be short-lived.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story was produced by Kaiser Health News, an editorially independent program of the Kaiser Family Foundation.\u003c/em>\u003c/p>\n\n",
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"excerpt": "A month after the leak was sealed, concerns remain about the long-term health of residents exposed to methane, benzene and other chemicals. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Kavita Ramchandani loved everything about evenings in her backyard: how the full moon lit up the sky, the way the breeze seemed to talk to her, the smell of the pine trees. She bought the single-story hillside house in this upscale Los Angeles County suburb after emigrating from India, and from the first night it felt like home.\u003c/p>\n\u003cp>Then last fall, gas started leaking from a well at a nearby storage facility, and Ramchandani, 53, began wheezing, getting nose bleeds and persistent headaches. She left her home in January.\u003c/p>\n\u003cp>Now, she says, the house just feels foreign. And scary.\u003c/p>\n\u003cp>Gabriel Khanlian, a 39-year old Porter Ranch resident, said he, too, became really worried after his 2-year-old daughter got a body rash and his sons, 5 and 8, had several bloody noses, stomachaches and burning eyes.\u003c/p>\n\u003cp>He started feeling horrible too — with nausea and body aches. “It felt like someone was hammering my head,” Khanlian said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Southern California Gas Company announced Feb. 18 that after nearly four months, it had permanently sealed the leaking well, and residents who had evacuated their homes could safely return.\u003c/p>\n\u003cp>The gas company, which had been picking up the tab for evacuees staying in hotels and motels, said it would pay for one additional week. But a Superior Court judge ordered the gas company on March 2 to continue paying for the temporary accommodations until March 18, allowing time for more air testing. The company said it has paid about $36 million in relocation expenses for about 3,400 households.\u003c/p>\n\u003cp>Ramchandani said she can’t afford to pay for the hotel once the gas company stops footing the bill, but she fears returning to Porter Ranch. “I’m worried about my health,” she said. “What if the breathlessness continues? What will I do then?”\u003c/p>\n\u003cp>The massive and unprecedented leak at the Aliso Canyon storage facility prompted Gov. Jerry Brown to declare a state of emergency in early January. Criminal charges and civil lawsuits against the gas company followed. Community leaders and politicians demanded more regulation of the aging facilities.\u003c/p>\n\u003cp>Legislators in Sacramento have jumped into the fray, proposing a bill to require more testing before the company can restart operations.\u003c/p>\n\u003cp>The leak has fueled concerns about the long-term health of residents exposed to methane, benzene and other chemicals. As part of his emergency declaration, Brown pledged to convene an independent panel of medical and scientific experts to review potential health risks.\u003c/p>\n\u003cp>Some residents have reported symptoms such as coughing, dizziness, stomachaches and nausea, according to the Los Angeles County Public Health Department. Department officials have said the symptoms should stop now that the well has been sealed.\u003c/p>\n\u003cp>But Ramchandani and others are worried that their health problems will continue — or worsen — when they go home. They fear what could happen in the future because of their recent exposure to the gas and chemicals.\u003c/p>\n\u003cp>Health officials maintain that the risk of long-term health problems is small. They say the main component in the emissions from the facility was methane, an odorless gas that doesn’t generally cause health problems when inhaled. The storage facility also released mercaptans, pungent smelling gases that are added to make a leak easy to detect.\u003c/p>\n\u003cp>The leaking gas also contained benzene — a carcinogen — and other related chemicals. But health officials said benzene levels during the leak were no greater in Porter Ranch than in other areas of Los Angeles County.\u003c/p>\n\u003cp>“We already have bad air in Los Angeles,” said Cyrus Rangan, who directs the toxicology and environmental assessment bureau for the L.A. County Department of Public Health. “You’d never say our air is the best in the world overall. But at least we can say we are not looking at levels that are far and above what you would normally breathe here.”\u003c/p>\n\u003cp>The state’s Office of Environmental Health Hazard Assessment also evaluated air samples collected by the gas company between November and January and determined that none of the potentially harmful compounds in the leaked emissions were at high enough concentrations to pose serious health problems. Any increase in cancer risk to people in Porter Ranch is therefore very small, the office concluded.\u003c/p>\n\u003cp>Rangan said the vast majority of the symptoms are due to the odorants, which can irritate the eyes, skin and respiratory system. He said the emissions are not associated with lasting health problems.\u003c/p>\n\u003cp>Not everyone is convinced. Democratic Rep. Brad Sherman, who lives in Porter Ranch, said he’s concerned that the level of benzene was above standards on at least several days.\u003c/p>\n\u003cp>“I would guess that this not going to turn out to be as significant as Flint, Michigan, but that is a guess from somebody who didn’t go to medical school,” Sherman said. “It’s not enough to plug the well. You’ve got to make sure that the air is pure.”\u003c/p>\n\u003cfigure id=\"attachment_160130\" class=\"wp-caption aligncenter\" style=\"max-width: 770px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/porter-ranch-6.jpg\" rel=\"attachment wp-att-160130\">\u003cimg class=\"size-full wp-image-160130\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/porter-ranch-6.jpg\" alt=\"Jacki Swift, 53, at her rental house in Chatsworth, Calif. on on Tuesday, February 16, 2016. After the leak started, Swift’s family relocated but she believes the new house isn’t far enough away from the Porter Ranch gas leak.\" width=\"770\" height=\"514\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/03/porter-ranch-6.jpg 770w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/porter-ranch-6-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/porter-ranch-6-768x513.jpg 768w\" sizes=\"(max-width: 770px) 100vw, 770px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jacki Swift, 53, at her rental house in Chatsworth, Calif. on on Tuesday, February 16, 2016. After the leak started, Swift’s family relocated but she believes the new house isn’t far enough away from the Porter Ranch gas leak. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The public health department and the South Coast Air Quality Management District are continuing to monitor the air. Residents are also being asked to report ongoing odors.\u003c/p>\n\u003cp>This week, the gas company also began assessing homes where residents have reported brown spots that might be residue from the leak.\u003c/p>\n\u003cp>Gas company officials said the residue is not likely to be in many residential air ducts, which are sealed in most homes so outside air does not enter. In the “very few systems” that do take in some air from the outside, filters should stop particles from circulating in the home, the company said.\u003c/p>\n\u003cp>Mike Danko, an attorney representing Porter Ranch residents in one of the civil lawsuits, said he believes the gas company has understated the impact without strong data. Only time will tell how the leak ultimately affects the residents’ health, he said.\u003c/p>\n\u003cp>“There is no question that the bloody noses, the nausea, the skin irritation is going to pass with time,” Danko said. “The people now have to live under a cloud of what is going to happen 10, 20, 30 years down the road. No one should have to live with that.”\u003c/p>\n\u003cp>Dr. Jeffrey Nordella, medical director at Porter Ranch Quality Care, which provides both primary and urgent care, said he immediately saw an uptick in patients with common symptoms last fall.\u003c/p>\n\u003cp>Nordella said he has been screening patients with blood work, chest x-rays and lung function tests. One morning in late February, Ramchandani came in for a follow-up visit. The Bollywood singer told him she didn’t have a history of breathing problems but that her wheezing had been so bad she had to turn down work.\u003c/p>\n\u003cp>Pulling up her test results, Nordella informed her she had limited lung function. He prescribed an inhaler and suggested a visit to a pulmonologist.\u003c/p>\n\u003cp>Ramchandani is anxious about what is to come. “Constantly at the back of mind, I am thinking, ‘What if I get cancer?’” she said.\u003c/p>\n\u003cp>“That’s why we need to keep following you,” Nordella told her.\u003c/p>\n\u003cp>In a shopping center across the street sit two storefronts set up by the gas company, where residents can request air purifiers and weather stripping. They can also file reimbursement claims and ask a toxicologist questions.\u003c/p>\n\u003cp>Jacki Swift, 53, said she has gone to the center several times to ask for help. After the leak started, she and her family packed up their dog, their clothes and their grandson’s toys and relocated to a rented home in Chatsworth.\u003c/p>\n\u003cp>Sitting on a rented couch in the living room one day last month, Swift said she believed the new house wasn’t far enough away from Porter Ranch. Her headaches have continued, and her daughter continues to get bright red, itchy rashes all over her body, she said.\u003c/p>\n\u003cp>“It’s really scary,” Swift said. “I feel like we are guinea pigs.”\u003c/p>\n\u003cp>Every time they go to Porter Ranch to get the mail or check on their house, the symptoms get worse, she said.\u003c/p>\n\u003cp>Swift said she wonders if the gas company knows more than they are saying about the chemicals. “I think they are choosing their words carefully to diminish our fears, to make us feel safe,” she said. “But I don’t feel safe. I want to know if there are toxins in my home.”\u003c/p>\n\u003cp>Swift wants to move out of the area but knows that could be difficult because, “who is going to buy a house in Porter Ranch?”\u003c/p>\n\u003cp>Khanlian, on the other hand, said he just wants to move back home. He has lived in Porter Ranch for nearly 15 years and owns two homes in the area. He is the secretary of his homeowners’ association and part of a community group called “Save Porter Ranch,” which opposes oil and gas drilling and pre-dates the recent leak.\u003c/p>\n\u003cp>The doctors told Khanlian they didn’t know what was causing his family’s symptoms, which he said had begun before the gas company announced the leak. But Khanlian suspected it had something to do with an unbearable smell of gas outside. He told his children they couldn’t ride their bikes or go in the swimming pool.\u003c/p>\n\u003cp>Then the gas company announced the leak, and Khanlian and his family relocated to Reseda. As the smell subsided, the family moved back in briefly, but left again after Khanlian’s wife, Aleeza, started suffering a recurrence of nausea and headaches. Khanlian wants the gas company to test the soil, water and air.\u003c/p>\n\u003cp>From his front door in Porter Ranch, he can look up at the hill where the once-leaking well sits. He said he expects more problems in the future. “The whole facility is so outdated,” he said. “How do we know we aren’t going to have another gas leak?”\u003c/p>\n\u003cp>Meanwhile, Khanlian said, he is closely monitoring his family’s symptoms and hoping the officials are right that the health effects of the gas leak will be short-lived.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by Kaiser Health News, an editorially independent program of the Kaiser Family Foundation.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Help is Scarce, Expensive as Family Struggles With Daughter's Mental Illness",
"title": "Help is Scarce, Expensive as Family Struggles With Daughter's Mental Illness",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>In March 2010, Pam Lipp received the call she’d been dreading for months. She figured it would come from one of three places: the police, the hospital or the morgue. Instead, it was her husband, Doug, saying that he’d just received word that their 18-year-old daughter, Amanda, a freshman at Chico State University in California, was being held at a psychiatric crisis center after trying to throw herself in front of a moving car. Amanda had lost her grip on reality and fallen into a state of psychosis. She’d started selling off her belongings and believed that cameras were following her everywhere.\u003c/p>\n\u003cp>Doug was away at a speaking engagement, so Pam jumped in the car with a friend and raced to the crisis center two hours away. When they arrived, they found Amanda, curled up in a ball on the floor in a fetal position, sobbing. “I was hallucinating. I thought I was a doctor. When my mom got there, I realized I was the one in trouble,” says Amanda. “Nothing prepares you for seeing your child in such turmoil. I felt helpless,” says Pam.\u003c/p>\n\u003caside class=\"alignright\">The mental health parity law helps guarantee consumers fair access to mental health care. If you believe you’ve been unfairly denied or charged for treatment, you can start by reaching out to a consumer advocacy organization. Two resources to try: \u003ca href=\"https://www.paritytrack.org/\" target=\"_blank\">ParityTrack\u003c/a> and \u003ca href=\"https://parityispersonal.org/\" target=\"_blank\">The Parity Implementation Coalition\u003c/a>.\u003c/aside>\n\u003cp>Amanda was soon diagnosed with bipolar disorder, a mental illness characterized by manic highs, depressive lows and possible periods of psychosis. Although the diagnosis provided a new direction to what had been an all-consuming journey for the Lipp family, it was just one stop on the bumpy road to navigating the mental health system. The Lipps are not alone: Nearly one in five Americans experiences a mental illness in any given year, but fewer than half of them receive treatment.\u003c/p>\n\u003cp>\u003cstrong>Early Signs\u003c/strong>\u003c/p>\n\u003cp>Amanda first started acting out when she was in middle school in Fair Oaks, California. She had extreme mood swings and explosive arguments with her parents. Pam and Doug, who run a small business together, hoped it was typical adolescent drama that would soon fade. “We never knew which Amanda we were going to get,” Pam recalls — the edgy Amanda looking for a heated debate, or the down, depressed Amanda who would retreat to her room. Eventually, the intensity and unpredictability of her moods made them realize she needed professional help.\u003c/p>\n\u003caside class=\"pullquote alignright\">When you break a leg, you get a cast and people sign it and put smiley faces on it. When you’re given a mental illness diagnosis, you’re cast out.”\u003c/aside>\n\u003cp>They took her to the family doctor, who agreed that Amanda required more help but said that she didn’t have anyone to refer her to. Instead, the doctor recommended that Pam request a copy of all the therapists in her zip code who worked with her insurance company and call down the list. Pam called dozens of practitioners, leaving message after message. Not only was the list outdated, but most were too busy to even see her daughter and the ones who were highly recommended didn’t accept her insurance anymore.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>For her part, Amanda was reluctant about seeing a therapist. She worried about what other people might think, and that it would change the image she had of herself. “I was the popular kid who people looked up to,” says Amanda. “I thought that if my friends saw me as someone to be pitied, they wouldn’t lean on me anymore. Part of me wanted to get help, yet the other part of me didn’t want to admit I needed it.”\u003c/p>\n\u003cp>She agreed to give therapy a try and Pam found someone Amanda was comfortable with. Yet, at an out-of-pocket rate of $120 per hour, the Lipps just couldn’t afford the amount of care she needed, which was about three sessions per week. She visited a psychiatrist and was diagnosed with depression and put on an antidepressant. Despite the treatment, Amanda continued to spiral downward — staying out late, self-medicating with drugs and arguing with her family.\u003c/p>\n\u003cp>During those years, Pam says, she and Doug were living one exhausting day to the next. They had three children to raise, but taking care of Amanda consumed their lives. “We felt like we were in prison in our own home with all the hostility and upheaval.”\u003c/p>\n\u003cp>By the time Amanda headed to college, she was barely speaking to her parents.\u003c/p>\n\u003cp>\u003cstrong>Fighting For Care\u003c/strong>\u003c/p>\n\u003cp>Amanda’s bipolar diagnosis was a turning point — it meant that she could begin to receive the treatment she desperately needed. But it wasn’t easy to find at first.\u003c/p>\n\u003cp>The crisis center would only hold her for a maximum of 72 hours, and Amanda needed much more treatment than that. When Pam asked where her daughter would be sent next, the doctor told her Amanda would be discharged and likely end up back in the center.\u003c/p>\n\u003cp>So Pam spent the next day in the crisis center waiting room, desperately calling one psychiatric hospital after another to find a place to send Amanda. They were all full. She begged them to call her back when they had an opening, but they told her they couldn’t reserve a spot. Instead, they told her to call every half hour in the hope that she’d be able to grab the next available bed. Pam plugged her cellphone into the waiting room wall and repeatedly called each one on speed dial. “You go into mother-bear mode, where you dig in and do what you have to do to protect your cub. I knew I couldn’t stop until Amanda had the help she needed,” says Pam.\u003c/p>\n\u003cp>After eight hours of continuous dialing, Pam finally found Amanda an open bed at a hospital near their home. For Pam, it was a huge relief that her daughter was safe. “We felt like we were finally entering a new phase of tackling her condition. In the hospital, at least we knew where she was and that she was under a watchful eye. We felt safest knowing she didn’t have a choice to leave.”\u003c/p>\n\u003cp>But Amanda had a different perspective. She didn’t see her psychosis as a disease — she saw it as a transformation where she was finally able to face her vulnerability and deal with her issues.\u003c/p>\n\u003cp>“In the hospital, I felt like a prisoner,” she says. “I felt trapped in a space where people were always watching me and monitoring my behavior.” Amanda is an artist who finds solace in creativity, but she says the staff in the hospital was more focused on trying to treat her medically and didn’t seem to value what she was doing with her art. “Trying to express myself and heal felt impossible,” she says.\u003c/p>\n\u003cp>\u003cstrong>Figuring Out Finances\u003c/strong>\u003c/p>\n\u003cp>While Amanda was in the hospital, Pam was gripped with fear over the coverage of the treatment. “I was terrified that insurance would run out and we’d lose our savings and everything we’d worked for.”\u003c/p>\n\u003cp>Fortunately, a federal law passed in 2008 guarantees that mental illnesses be covered “at parity” with any other disease, without special limitations. Her insurer informed Pam that any care Amanda needed would be covered. “I was so relieved,” says Pam.\u003c/p>\n\u003cp>After a month in the hospital, two months of a full-time outpatient program, the temporary help of an antipsychotic medication and years of therapy with a new psychologist, Amanda made an impressive recovery, learning to manage her condition.\u003c/p>\n\u003cp>A key point for her was a change in perspective. She went from seeing her symptoms as evidence of illness to seeing them as strengths that she could use to her benefit. For example, she could turn a period of introspection that she might have previously seen as “depression” into a piece of art.\u003c/p>\n\u003cp>\u003cstrong>Living Out Loud\u003c/strong>\u003c/p>\n\u003cp>Many families end up running into similar obstacles — they don’t know where to go for proper care or they’re worried about the cost. But there’s also the stigma of mental illness that prevents people from reaching out because they fear judgment or worry that it might affect their jobs.\u003c/p>\n\u003cp>“When you break a leg, you get a cast and people sign it and put smiley faces on it. When you’re given a mental illness diagnosis, you’re cast out,” says Amanda, who is now a 24-year-old college graduate and member of the board of California’s National Alliance on Mental Illness, an advocacy group.\u003c/p>\n\u003cp>Fortunately, Pam wasn’t afraid of the stigma, having learned from her own family’s mistakes. “I grew up in an environment where everything was pushed under the rug,” she says. “People were suffering from mental illness, but they blamed it on other things like migraines. In reality, they needed therapy. I wasn’t going to let that happen with Amanda.”\u003c/p>\n\u003cp>Pam faced the stigma head-on and was completely open with her friends about what was happening. While this didn’t help the Lipps crack the code on their daughter’s illness earlier, it gave them strength when they needed it.\u003c/p>\n\u003cp>“Mental illness is not usually a casserole disease — when you tell your friends that a family member is suffering from a mental illness, they don’t deliver a lasagna. But in our case, our friends did because we were open about it,” says Pam.\u003c/p>\n\u003cp>People rallied around her. In particular, Pam was already part of a monthly mothers’ group that got together to make care packages for their children in college. The other women urged her to keep coming to the group and making care packages for Amanda throughout her illness. “They were my rock of friendship. It truly took a village and a community of friends to help Amanda heal,” says Pam.\u003c/p>\n\u003cp>\u003cstrong>Finding Hope\u003c/strong>\u003c/p>\n\u003cp>Hard-won strides in the area of mental illness like the parity law helped Pam and her family get through the crisis intact, but it was a difficult road.\u003c/p>\n\u003cp>“We’re so proud of Amanda and everything she’s overcome,” says Pam. That doesn’t mean she’s stopped worrying. “We experienced a mental health emergency, an illness and a recovery, and now we’re stable. But every day I wake up and worry, could she relapse?” For anyone with a history of psychosis, another breakdown is always a possibility.\u003c/p>\n\u003cp>Now armed with knowledge and experience, Pam feels more confident. And in the meantime, both mother and daughter are dedicated to raising awareness and helping other families find the hope and the care they need in a system that often seems to be working against them.\u003c/p>\n\u003cp>For women facing similar situations, Pam has this advice: “Treat mental health concerns like you would any condition. Don’t let the stigma be a roadblock to getting yourself and your family the care that’s needed. If your gut tells you there’s something going on with your child, look the issue in the face and get the help you need.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This article is part of an editorial partnership between Woman’s Day and Kaiser Health News and is the first in a series focusing on mental health.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In March 2010, Pam Lipp received the call she’d been dreading for months. She figured it would come from one of three places: the police, the hospital or the morgue. Instead, it was her husband, Doug, saying that he’d just received word that their 18-year-old daughter, Amanda, a freshman at Chico State University in California, was being held at a psychiatric crisis center after trying to throw herself in front of a moving car. Amanda had lost her grip on reality and fallen into a state of psychosis. She’d started selling off her belongings and believed that cameras were following her everywhere.\u003c/p>\n\u003cp>Doug was away at a speaking engagement, so Pam jumped in the car with a friend and raced to the crisis center two hours away. When they arrived, they found Amanda, curled up in a ball on the floor in a fetal position, sobbing. “I was hallucinating. I thought I was a doctor. When my mom got there, I realized I was the one in trouble,” says Amanda. “Nothing prepares you for seeing your child in such turmoil. I felt helpless,” says Pam.\u003c/p>\n\u003caside class=\"alignright\">The mental health parity law helps guarantee consumers fair access to mental health care. If you believe you’ve been unfairly denied or charged for treatment, you can start by reaching out to a consumer advocacy organization. Two resources to try: \u003ca href=\"https://www.paritytrack.org/\" target=\"_blank\">ParityTrack\u003c/a> and \u003ca href=\"https://parityispersonal.org/\" target=\"_blank\">The Parity Implementation Coalition\u003c/a>.\u003c/aside>\n\u003cp>Amanda was soon diagnosed with bipolar disorder, a mental illness characterized by manic highs, depressive lows and possible periods of psychosis. Although the diagnosis provided a new direction to what had been an all-consuming journey for the Lipp family, it was just one stop on the bumpy road to navigating the mental health system. The Lipps are not alone: Nearly one in five Americans experiences a mental illness in any given year, but fewer than half of them receive treatment.\u003c/p>\n\u003cp>\u003cstrong>Early Signs\u003c/strong>\u003c/p>\n\u003cp>Amanda first started acting out when she was in middle school in Fair Oaks, California. She had extreme mood swings and explosive arguments with her parents. Pam and Doug, who run a small business together, hoped it was typical adolescent drama that would soon fade. “We never knew which Amanda we were going to get,” Pam recalls — the edgy Amanda looking for a heated debate, or the down, depressed Amanda who would retreat to her room. Eventually, the intensity and unpredictability of her moods made them realize she needed professional help.\u003c/p>\n\u003caside class=\"pullquote alignright\">When you break a leg, you get a cast and people sign it and put smiley faces on it. When you’re given a mental illness diagnosis, you’re cast out.”\u003c/aside>\n\u003cp>They took her to the family doctor, who agreed that Amanda required more help but said that she didn’t have anyone to refer her to. Instead, the doctor recommended that Pam request a copy of all the therapists in her zip code who worked with her insurance company and call down the list. Pam called dozens of practitioners, leaving message after message. Not only was the list outdated, but most were too busy to even see her daughter and the ones who were highly recommended didn’t accept her insurance anymore.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>For her part, Amanda was reluctant about seeing a therapist. She worried about what other people might think, and that it would change the image she had of herself. “I was the popular kid who people looked up to,” says Amanda. “I thought that if my friends saw me as someone to be pitied, they wouldn’t lean on me anymore. Part of me wanted to get help, yet the other part of me didn’t want to admit I needed it.”\u003c/p>\n\u003cp>She agreed to give therapy a try and Pam found someone Amanda was comfortable with. Yet, at an out-of-pocket rate of $120 per hour, the Lipps just couldn’t afford the amount of care she needed, which was about three sessions per week. She visited a psychiatrist and was diagnosed with depression and put on an antidepressant. Despite the treatment, Amanda continued to spiral downward — staying out late, self-medicating with drugs and arguing with her family.\u003c/p>\n\u003cp>During those years, Pam says, she and Doug were living one exhausting day to the next. They had three children to raise, but taking care of Amanda consumed their lives. “We felt like we were in prison in our own home with all the hostility and upheaval.”\u003c/p>\n\u003cp>By the time Amanda headed to college, she was barely speaking to her parents.\u003c/p>\n\u003cp>\u003cstrong>Fighting For Care\u003c/strong>\u003c/p>\n\u003cp>Amanda’s bipolar diagnosis was a turning point — it meant that she could begin to receive the treatment she desperately needed. But it wasn’t easy to find at first.\u003c/p>\n\u003cp>The crisis center would only hold her for a maximum of 72 hours, and Amanda needed much more treatment than that. When Pam asked where her daughter would be sent next, the doctor told her Amanda would be discharged and likely end up back in the center.\u003c/p>\n\u003cp>So Pam spent the next day in the crisis center waiting room, desperately calling one psychiatric hospital after another to find a place to send Amanda. They were all full. She begged them to call her back when they had an opening, but they told her they couldn’t reserve a spot. Instead, they told her to call every half hour in the hope that she’d be able to grab the next available bed. Pam plugged her cellphone into the waiting room wall and repeatedly called each one on speed dial. “You go into mother-bear mode, where you dig in and do what you have to do to protect your cub. I knew I couldn’t stop until Amanda had the help she needed,” says Pam.\u003c/p>\n\u003cp>After eight hours of continuous dialing, Pam finally found Amanda an open bed at a hospital near their home. For Pam, it was a huge relief that her daughter was safe. “We felt like we were finally entering a new phase of tackling her condition. In the hospital, at least we knew where she was and that she was under a watchful eye. We felt safest knowing she didn’t have a choice to leave.”\u003c/p>\n\u003cp>But Amanda had a different perspective. She didn’t see her psychosis as a disease — she saw it as a transformation where she was finally able to face her vulnerability and deal with her issues.\u003c/p>\n\u003cp>“In the hospital, I felt like a prisoner,” she says. “I felt trapped in a space where people were always watching me and monitoring my behavior.” Amanda is an artist who finds solace in creativity, but she says the staff in the hospital was more focused on trying to treat her medically and didn’t seem to value what she was doing with her art. “Trying to express myself and heal felt impossible,” she says.\u003c/p>\n\u003cp>\u003cstrong>Figuring Out Finances\u003c/strong>\u003c/p>\n\u003cp>While Amanda was in the hospital, Pam was gripped with fear over the coverage of the treatment. “I was terrified that insurance would run out and we’d lose our savings and everything we’d worked for.”\u003c/p>\n\u003cp>Fortunately, a federal law passed in 2008 guarantees that mental illnesses be covered “at parity” with any other disease, without special limitations. Her insurer informed Pam that any care Amanda needed would be covered. “I was so relieved,” says Pam.\u003c/p>\n\u003cp>After a month in the hospital, two months of a full-time outpatient program, the temporary help of an antipsychotic medication and years of therapy with a new psychologist, Amanda made an impressive recovery, learning to manage her condition.\u003c/p>\n\u003cp>A key point for her was a change in perspective. She went from seeing her symptoms as evidence of illness to seeing them as strengths that she could use to her benefit. For example, she could turn a period of introspection that she might have previously seen as “depression” into a piece of art.\u003c/p>\n\u003cp>\u003cstrong>Living Out Loud\u003c/strong>\u003c/p>\n\u003cp>Many families end up running into similar obstacles — they don’t know where to go for proper care or they’re worried about the cost. But there’s also the stigma of mental illness that prevents people from reaching out because they fear judgment or worry that it might affect their jobs.\u003c/p>\n\u003cp>“When you break a leg, you get a cast and people sign it and put smiley faces on it. When you’re given a mental illness diagnosis, you’re cast out,” says Amanda, who is now a 24-year-old college graduate and member of the board of California’s National Alliance on Mental Illness, an advocacy group.\u003c/p>\n\u003cp>Fortunately, Pam wasn’t afraid of the stigma, having learned from her own family’s mistakes. “I grew up in an environment where everything was pushed under the rug,” she says. “People were suffering from mental illness, but they blamed it on other things like migraines. In reality, they needed therapy. I wasn’t going to let that happen with Amanda.”\u003c/p>\n\u003cp>Pam faced the stigma head-on and was completely open with her friends about what was happening. While this didn’t help the Lipps crack the code on their daughter’s illness earlier, it gave them strength when they needed it.\u003c/p>\n\u003cp>“Mental illness is not usually a casserole disease — when you tell your friends that a family member is suffering from a mental illness, they don’t deliver a lasagna. But in our case, our friends did because we were open about it,” says Pam.\u003c/p>\n\u003cp>People rallied around her. In particular, Pam was already part of a monthly mothers’ group that got together to make care packages for their children in college. The other women urged her to keep coming to the group and making care packages for Amanda throughout her illness. “They were my rock of friendship. It truly took a village and a community of friends to help Amanda heal,” says Pam.\u003c/p>\n\u003cp>\u003cstrong>Finding Hope\u003c/strong>\u003c/p>\n\u003cp>Hard-won strides in the area of mental illness like the parity law helped Pam and her family get through the crisis intact, but it was a difficult road.\u003c/p>\n\u003cp>“We’re so proud of Amanda and everything she’s overcome,” says Pam. That doesn’t mean she’s stopped worrying. “We experienced a mental health emergency, an illness and a recovery, and now we’re stable. But every day I wake up and worry, could she relapse?” For anyone with a history of psychosis, another breakdown is always a possibility.\u003c/p>\n\u003cp>Now armed with knowledge and experience, Pam feels more confident. And in the meantime, both mother and daughter are dedicated to raising awareness and helping other families find the hope and the care they need in a system that often seems to be working against them.\u003c/p>\n\u003cp>For women facing similar situations, Pam has this advice: “Treat mental health concerns like you would any condition. Don’t let the stigma be a roadblock to getting yourself and your family the care that’s needed. If your gut tells you there’s something going on with your child, look the issue in the face and get the help you need.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Will California End Daylight Saving Time?",
"title": "Will California End Daylight Saving Time?",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>Get ready to set your clock forward this Sunday for the start of daylight saving time. If the thought of losing an hour of sleep makes you roll your eyes and grumble, you are not alone. Recent \u003ca href=\"http://www.rasmussenreports.com/public_content/lifestyle/general_lifestyle/march_2014/just_33_see_the_purpose_of_daylight_saving_time\" target=\"_blank\">national polls\u003c/a> show that nearly half of adults think daylight saving time is not worth the hassle.\u003c/p>\n\u003cp>One local critic of turning his clock forward in the spring and back in the fall is Richard Chavez. He frequents the daily lunch for seniors at the Berryessa Community Center in San Jose.\u003c/p>\n\u003cp>\"A lot of us seniors, we forget. It's confusing,\" says Chavez, after finishing the last of a fish sandwich. \"You get used to the time, and then they are changing it again. Just leave it alone one way or the other!\"\u003c/p>\n\u003cp>Chavez remembers when California voters first approved the statewide observance of daylight saving time in 1949 through a ballot proposition.\u003c/p>\n\u003cfigure id=\"attachment_158456\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"wp-image-158456 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/RS18783_IMG_9612.JPG-qut-400x267.jpg\" alt=\"Richard Chavez, at the Berryesa Community Center in San Jose, supports Assemblymember Chu's proposal to let California voters decide whether the state should keep one standard time year round.\" width=\"400\" height=\"267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18783_IMG_9612.JPG-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18783_IMG_9612.JPG-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18783_IMG_9612.JPG-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18783_IMG_9612.JPG-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18783_IMG_9612.JPG-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18783_IMG_9612.JPG-qut-960x640.jpg 960w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003cfigcaption class=\"wp-caption-text\">Richard Chavez, at Berryessa Community Center's dining room in San Jose. He supports Assemblymember Chu's proposal to let California voters weigh on whether the state should keep moving clocks one hour forward in the spring and one hour back in the fall. \u003ccite>(Farida Jhabvala Romero / KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Those\u003ca href=\"http://repository.uchastings.edu/cgi/viewcontent.cgi?article=1501&context=ca_ballot_props\" target=\"_blank\"> 1949 supporters said the practice\u003c/a> \"gives people an extra hour of daylight after they get home, and thus increases public health and industrial efficiency,\" among other advantages. But Chavez contends he has never personally felt much benefit from it.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>After feedback from constituents like Chavez, Assemblymember Kansen Chu, D-San Jose, introduced a bill that would allow voters to weigh in on whether the state should keep the practice of switching to daylight saving time. Potential alternatives, according to Chu, would be for the state to observe either standard time or daylight saving time permanently.\u003c/p>\n\u003cp>\"A lot of my constituents would love to stay on daylight saving time year round,\" said Chu. \"The older you get, giving up an hour of sleep has more impact on your physical condition.\"\u003c/p>\n\u003cp>Chu cites recent studies linking the jetlag effect some people feel right after changing to daylight saving time with an uptick of \u003ca href=\"https://www.sciencedaily.com/releases/2014/03/140329175108.htm\" target=\"_blank\">heart attacks\u003c/a>, and traffic and workplace\u003ca href=\"http://www.sleep-journal.com/article/S1389-9457%2800%2900032-0/abstract?nl=nytnow&em_pos=large&emc=edit_nn_20150309\" target=\"_blank\"> injuries\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_158687\" class=\"wp-caption aligncenter\" style=\"max-width: 943px\">\u003ca href=\"http://repository.uchastings.edu/cgi/viewcontent.cgi?article=1501&context=ca_ballot_props\" rel=\"attachment wp-att-158687\">\u003cimg class=\"size-full wp-image-158687\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/Screen-Shot-2016-03-11-at-11.43.42-AM.png\" alt=\"Proposition 12, passed by California voters in 1949, established daylight saving time in California. \" width=\"943\" height=\"606\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/03/Screen-Shot-2016-03-11-at-11.43.42-AM.png 943w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/Screen-Shot-2016-03-11-at-11.43.42-AM-400x257.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/Screen-Shot-2016-03-11-at-11.43.42-AM-800x514.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/Screen-Shot-2016-03-11-at-11.43.42-AM-768x494.png 768w\" sizes=\"(max-width: 943px) 100vw, 943px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Proposition 12, passed by California voters in 1949, established daylight saving time in California. \u003ccite>(UC Hastings Scholarship Repository)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Why Do We Have Daylight Saving Time Anyway?\u003c/strong>\u003c/p>\n\u003cp>Benjamin Franklin proposed making more efficient use of daylight to save candles in a 1784 \u003ca href=\"http://www.webexhibits.org/daylightsaving/franklin3.html\" target=\"_blank\">letter\u003c/a>. But British businessman William Willett is credited with spreading the idea of tinkering with clocks to make better use of daylight in Britain and other parts of Europe.\u003c/p>\n\u003cp>Willett persistently lobbied the British parliament to adopt this change in the early 1900s. However, he died before Britons began observing it in 1916, a few months after Germany became the first country to implement the practice.\u003c/p>\n\u003cp>The U.S. as a whole first tried daylight saving time during World War I to save energy, and then again during World War II. But afterward, the decision to adopt daylight saving was up to cities and towns. Chaos ensued.\u003c/p>\n\u003cp>\"You could have one town that doesn't have daylight saving time, the neighboring town does, and then the third neighboring town has daylight saving time but starts and ends in different dates. So it got to be very confusing,\" says David Prerau, author of \u003ca href=\"http://www.amazon.com/Seize-Daylight-Curious-Contentious-Saving/dp/1560257962\" target=\"_blank\">\u003cem>Seize the Daylight: The Curious and Contentious Story of Daylight Saving Time\u003c/em>.\u003c/a>\u003c/p>\n\u003cp>Iowa alone had 23 different sets of starting and ending dates for daylight saving time, says Prerau, causing a major headache for businessmen and others traveling from one town to another.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/251396920\" 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>Congress intervened in 1966 with the \u003ca href=\"https://www.transportation.gov/regulations/time-act\" target=\"_blank\">Uniform Time Act \u003c/a>that gave states two options: keep daylight saving time during federally mandated dates or stay on standard time year round. Most states opted for a coordinated daylight saving time. (Hawaii never observed it; Arizona opted out in 1968.) Initially, daylight saving time lasted only six months.\u003c/p>\n\u003cp>The U.S. Department of Transportation, which oversees the uniform \u003ca href=\"https://www.transportation.gov/regulations/daylight-saving-time\" target=\"_blank\">observance\u003c/a> of daylight saving time, says having most people go about their business while the sun is shining saves electricity, prevents traffic deaths and injuries, and even reduces crime.\u003c/p>\n\u003cp>Prerau researched for years the benefits of daylight saving time for the federal government, when the country was looking for ways to reduce energy consumption during the 1970s oil crisis. After the results were out, Congress issued months-long extensions of the practice in 1974 and 1975.\u003c/p>\n\u003cp>Today, daylight saving time \u003ca href=\"http://www.webexhibits.org/daylightsaving/b.html\" target=\"_blank\">begins\u003c/a> at 2 a.m. on the second Sunday in March, and ends at 2 a.m. the first Sunday of November.\u003c/p>\n\u003cp>Still, not everyone agrees with those energy saving claims, including one\u003ca href=\"http://www.nber.org/papers/w14429\" target=\"_blank\"> widely cited study\u003c/a> conducted after Indiana adopted daylight saving time in 2006 questions its effects.\u003c/p>\n\u003cp>\"Energy consumption is much more complex than back in the 40s,\" says Assemblymember Chu, an electrical engineer who used to work for IBM.\u003cb> \"\u003c/b>It's about time for us to revisit this practice that we have been doing for the last 70 years.\"\u003c/p>\n\u003cp>Prerau counters that adjusting our clocks to maximize activity during daylight continues to be worth it.\u003c/p>\n\u003cp>\"\u003cspan style=\"font-weight: 400\">The negatives of switching the clock a\u003c/span>ffect some people the first few days of a daylight saving time period, at most\u003cb>,\u003c/b>\" says Prerau. \"But the benefits go on for eight months.\"\u003c/p>\n\u003cfigure id=\"attachment_158455\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-158455 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/RS18781_IMG_9624.JPG-qut.jpg\" alt=\"Betty Smith, 81, and Bill Painter, 75, at the Berryesa Community Center in San Jose. Unlike other seniors who frequent the center's lunch program, they agree Daylight Saving Time is a "good thing."\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18781_IMG_9624.JPG-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18781_IMG_9624.JPG-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18781_IMG_9624.JPG-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18781_IMG_9624.JPG-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18781_IMG_9624.JPG-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18781_IMG_9624.JPG-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18781_IMG_9624.JPG-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Betty Smith, 81, and Bill Painter, 75, frequent the Berryessa Community Center in San Jose. Unlike other seniors there, Smith says switching to daylight saving time is a \"good thing,\" and Painter agrees. \u003ccite>(Farida Jhabvala Romero / KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For California or other states to opt daylight saving time year round (instead of standard time), Congress would have to amend federal law. Chu is working on a resolution that -- if approved by the Legislature -- would make that request to Congress.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Quitting the current switch to daylight saving time would leave California out of sync with most of the country. Prerau says that could hurt businesses and cause headaches in airline and other transportation schedules.\u003c/p>\n\n",
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"excerpt": "A California legislator wants to let voters decide whether the state should have one standard time year round.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Get ready to set your clock forward this Sunday for the start of daylight saving time. If the thought of losing an hour of sleep makes you roll your eyes and grumble, you are not alone. Recent \u003ca href=\"http://www.rasmussenreports.com/public_content/lifestyle/general_lifestyle/march_2014/just_33_see_the_purpose_of_daylight_saving_time\" target=\"_blank\">national polls\u003c/a> show that nearly half of adults think daylight saving time is not worth the hassle.\u003c/p>\n\u003cp>One local critic of turning his clock forward in the spring and back in the fall is Richard Chavez. He frequents the daily lunch for seniors at the Berryessa Community Center in San Jose.\u003c/p>\n\u003cp>\"A lot of us seniors, we forget. It's confusing,\" says Chavez, after finishing the last of a fish sandwich. \"You get used to the time, and then they are changing it again. Just leave it alone one way or the other!\"\u003c/p>\n\u003cp>Chavez remembers when California voters first approved the statewide observance of daylight saving time in 1949 through a ballot proposition.\u003c/p>\n\u003cfigure id=\"attachment_158456\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"wp-image-158456 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/RS18783_IMG_9612.JPG-qut-400x267.jpg\" alt=\"Richard Chavez, at the Berryesa Community Center in San Jose, supports Assemblymember Chu's proposal to let California voters decide whether the state should keep one standard time year round.\" width=\"400\" height=\"267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18783_IMG_9612.JPG-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18783_IMG_9612.JPG-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18783_IMG_9612.JPG-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18783_IMG_9612.JPG-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18783_IMG_9612.JPG-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18783_IMG_9612.JPG-qut-960x640.jpg 960w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003cfigcaption class=\"wp-caption-text\">Richard Chavez, at Berryessa Community Center's dining room in San Jose. He supports Assemblymember Chu's proposal to let California voters weigh on whether the state should keep moving clocks one hour forward in the spring and one hour back in the fall. \u003ccite>(Farida Jhabvala Romero / KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Those\u003ca href=\"http://repository.uchastings.edu/cgi/viewcontent.cgi?article=1501&context=ca_ballot_props\" target=\"_blank\"> 1949 supporters said the practice\u003c/a> \"gives people an extra hour of daylight after they get home, and thus increases public health and industrial efficiency,\" among other advantages. But Chavez contends he has never personally felt much benefit from it.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>After feedback from constituents like Chavez, Assemblymember Kansen Chu, D-San Jose, introduced a bill that would allow voters to weigh in on whether the state should keep the practice of switching to daylight saving time. Potential alternatives, according to Chu, would be for the state to observe either standard time or daylight saving time permanently.\u003c/p>\n\u003cp>\"A lot of my constituents would love to stay on daylight saving time year round,\" said Chu. \"The older you get, giving up an hour of sleep has more impact on your physical condition.\"\u003c/p>\n\u003cp>Chu cites recent studies linking the jetlag effect some people feel right after changing to daylight saving time with an uptick of \u003ca href=\"https://www.sciencedaily.com/releases/2014/03/140329175108.htm\" target=\"_blank\">heart attacks\u003c/a>, and traffic and workplace\u003ca href=\"http://www.sleep-journal.com/article/S1389-9457%2800%2900032-0/abstract?nl=nytnow&em_pos=large&emc=edit_nn_20150309\" target=\"_blank\"> injuries\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_158687\" class=\"wp-caption aligncenter\" style=\"max-width: 943px\">\u003ca href=\"http://repository.uchastings.edu/cgi/viewcontent.cgi?article=1501&context=ca_ballot_props\" rel=\"attachment wp-att-158687\">\u003cimg class=\"size-full wp-image-158687\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/Screen-Shot-2016-03-11-at-11.43.42-AM.png\" alt=\"Proposition 12, passed by California voters in 1949, established daylight saving time in California. \" width=\"943\" height=\"606\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/03/Screen-Shot-2016-03-11-at-11.43.42-AM.png 943w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/Screen-Shot-2016-03-11-at-11.43.42-AM-400x257.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/Screen-Shot-2016-03-11-at-11.43.42-AM-800x514.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/Screen-Shot-2016-03-11-at-11.43.42-AM-768x494.png 768w\" sizes=\"(max-width: 943px) 100vw, 943px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Proposition 12, passed by California voters in 1949, established daylight saving time in California. \u003ccite>(UC Hastings Scholarship Repository)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Why Do We Have Daylight Saving Time Anyway?\u003c/strong>\u003c/p>\n\u003cp>Benjamin Franklin proposed making more efficient use of daylight to save candles in a 1784 \u003ca href=\"http://www.webexhibits.org/daylightsaving/franklin3.html\" target=\"_blank\">letter\u003c/a>. But British businessman William Willett is credited with spreading the idea of tinkering with clocks to make better use of daylight in Britain and other parts of Europe.\u003c/p>\n\u003cp>Willett persistently lobbied the British parliament to adopt this change in the early 1900s. However, he died before Britons began observing it in 1916, a few months after Germany became the first country to implement the practice.\u003c/p>\n\u003cp>The U.S. as a whole first tried daylight saving time during World War I to save energy, and then again during World War II. But afterward, the decision to adopt daylight saving was up to cities and towns. Chaos ensued.\u003c/p>\n\u003cp>\"You could have one town that doesn't have daylight saving time, the neighboring town does, and then the third neighboring town has daylight saving time but starts and ends in different dates. So it got to be very confusing,\" says David Prerau, author of \u003ca href=\"http://www.amazon.com/Seize-Daylight-Curious-Contentious-Saving/dp/1560257962\" target=\"_blank\">\u003cem>Seize the Daylight: The Curious and Contentious Story of Daylight Saving Time\u003c/em>.\u003c/a>\u003c/p>\n\u003cp>Iowa alone had 23 different sets of starting and ending dates for daylight saving time, says Prerau, causing a major headache for businessmen and others traveling from one town to another.\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/251396920&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/251396920'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Congress intervened in 1966 with the \u003ca href=\"https://www.transportation.gov/regulations/time-act\" target=\"_blank\">Uniform Time Act \u003c/a>that gave states two options: keep daylight saving time during federally mandated dates or stay on standard time year round. Most states opted for a coordinated daylight saving time. (Hawaii never observed it; Arizona opted out in 1968.) Initially, daylight saving time lasted only six months.\u003c/p>\n\u003cp>The U.S. Department of Transportation, which oversees the uniform \u003ca href=\"https://www.transportation.gov/regulations/daylight-saving-time\" target=\"_blank\">observance\u003c/a> of daylight saving time, says having most people go about their business while the sun is shining saves electricity, prevents traffic deaths and injuries, and even reduces crime.\u003c/p>\n\u003cp>Prerau researched for years the benefits of daylight saving time for the federal government, when the country was looking for ways to reduce energy consumption during the 1970s oil crisis. After the results were out, Congress issued months-long extensions of the practice in 1974 and 1975.\u003c/p>\n\u003cp>Today, daylight saving time \u003ca href=\"http://www.webexhibits.org/daylightsaving/b.html\" target=\"_blank\">begins\u003c/a> at 2 a.m. on the second Sunday in March, and ends at 2 a.m. the first Sunday of November.\u003c/p>\n\u003cp>Still, not everyone agrees with those energy saving claims, including one\u003ca href=\"http://www.nber.org/papers/w14429\" target=\"_blank\"> widely cited study\u003c/a> conducted after Indiana adopted daylight saving time in 2006 questions its effects.\u003c/p>\n\u003cp>\"Energy consumption is much more complex than back in the 40s,\" says Assemblymember Chu, an electrical engineer who used to work for IBM.\u003cb> \"\u003c/b>It's about time for us to revisit this practice that we have been doing for the last 70 years.\"\u003c/p>\n\u003cp>Prerau counters that adjusting our clocks to maximize activity during daylight continues to be worth it.\u003c/p>\n\u003cp>\"\u003cspan style=\"font-weight: 400\">The negatives of switching the clock a\u003c/span>ffect some people the first few days of a daylight saving time period, at most\u003cb>,\u003c/b>\" says Prerau. \"But the benefits go on for eight months.\"\u003c/p>\n\u003cfigure id=\"attachment_158455\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-158455 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/03/RS18781_IMG_9624.JPG-qut.jpg\" alt=\"Betty Smith, 81, and Bill Painter, 75, at the Berryesa Community Center in San Jose. Unlike other seniors who frequent the center's lunch program, they agree Daylight Saving Time is a "good thing."\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18781_IMG_9624.JPG-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18781_IMG_9624.JPG-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18781_IMG_9624.JPG-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18781_IMG_9624.JPG-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18781_IMG_9624.JPG-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18781_IMG_9624.JPG-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/03/RS18781_IMG_9624.JPG-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Betty Smith, 81, and Bill Painter, 75, frequent the Berryessa Community Center in San Jose. Unlike other seniors there, Smith says switching to daylight saving time is a \"good thing,\" and Painter agrees. \u003ccite>(Farida Jhabvala Romero / KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For California or other states to opt daylight saving time year round (instead of standard time), Congress would have to amend federal law. Chu is working on a resolution that -- if approved by the Legislature -- would make that request to Congress.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Quitting the current switch to daylight saving time would leave California out of sync with most of the country. Prerau says that could hurt businesses and cause headaches in airline and other transportation schedules.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>California Gov. Jerry Brown \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/05/governor-brown-signs-physician-assisted-suicide-bill-into-law-california-right-to-die/\" target=\"_blank\">signed landmark legislation\u003c/a> last October that would allow terminally ill people to request life-ending medication from their physicians.\u003c/p>\n\u003cp>But no one knew when the law would take effect, because of the unusual way in which the law was passed -- in a legislative \"extraordinary session\" called by Gov. Brown. The bill could not go into effect until 90 days after the session adjourned.\u003c/p>\n\u003cp>That was this morning, after the Senate sent\u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/03/10/california-legislature-raises-tobacco-age-to-21-on-to-gov-brown/\" target=\"_blank\"> new tobacco regulations \u003c/a>to the governor's desk and means the \"\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162AB15\" target=\"_blank\">End of Life Option Act\u003c/a>\" will go into effect June 9.\u003c/p>\n\u003cp>\"We're glad to finally have arrived at this day where we have a date certain,\" said Sen. Bill Monning, D-Carmel, in an interview.\u003c/p>\n\u003cp>[contextly_sidebar id=\"QprUvNgADZTCik5lQFnDPC4zn6m3MBQ0\"]\"It's a historic achievement for California, and for a limited universe of people dealing with a terminal illness, it could indeed be a transformative way of giving them the option of a compassionate end-of-life process.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Disability-rights advocates fought hard last year against passage of the act and continue to voice concern.\u003c/p>\n\u003cp>Golden said it's impossible to know if a depressed patient went to many doctors who all denied the request for lethal medication before finding one who agreed to write the prescription.\u003c/p>\n\u003cp>\"We are looking ahead at measures to protect people from abuse,\" said Marilyn Golden, senior policy analyst with the Disability Rights Education & Defense Fund, \"and to explore and inform doctors, nurses and pharmacists that they don't have to participate.\"\u003c/p>\n\u003cp>As written, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162AB15\" target=\"_blank\">the law \u003c/a>requires two doctors to agree that a patient has six months or less to live before prescribing the drugs. Patients must be able to swallow the medication themselves and must affirm in writing 48 hours before taking the medication that they will do so.\u003c/p>\n\u003cp>California is the \u003ca href=\"http://ww2.kqed.org/lowdown/2015/10/06/california-becomes-fifth-state-to-legalize-physician-assisted-suicide-interactive-map/\" target=\"_blank\">fifth state\u003c/a> to permit this end of life option. It joins Vermont, Oregon, Washington and Montana.\u003c/p>\n\u003cp>Across the state, some patients with advanced cancer welcomed the news.\u003c/p>\n\u003cp>\"It gives me a great peace of mind to know that I will not be forced to die slowly and painfully,\" said Elizabeth Wallner, in a release from Compassion & Choices, an advocacy group. Wallner, 52, of Sacramento, is a single mother\u003cstrong> \u003c/strong>with stage IV colon cancer that has spread to her liver and lungs.\u003c/p>\n\u003cp>\"It gives great comfort to know that the agonizingly traumatic image of me suffering will not be my family's last memory of me,\" she said.\u003c/p>\n\u003cp>Sen. Monning expressed his gratitude to people who worked for passage of the law, some in their final days:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Brittany Maynard\u003c/strong>, an Orange County woman with brain cancer who moved to Oregon to take advantage of aid-in-dying there. Before she died, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/03/25/posthumous-brittany-maynard-video-supports-calif-death-with-dignity-bill/\" target=\"_blank\">she recorded a video\u003c/a> that was shown during hearings on the \"End of Life Option Act\" in Sacramento\u003c/li>\n\u003cli>\u003cstrong>Jennifer Glass\u003c/strong>, of San Mateo, who helped to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/04/07/death-with-dignity-advocates-launch-new-campaign-for-physician-assisted-suicide-in-california/\" target=\"_blank\">launch the campaign in 2014\u003c/a>, then died of lung cancer last year\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"http://www.latimes.com/local/politics/la-me-0212-christy-odonnell-20160212-story.html\" target=\"_blank\">Christy O'Donnell\u003c/a>\u003c/strong>, 47, of Los Angeles, who died of lung cancer last month\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\n\u003cp>\"I really believe we use today to mark and dedicate the memory .. of some true champions,\" Monning said.\u003c/p>\n\n",
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"excerpt": "The law had to wait until 90 days after the end of a \"special session\" of the legislature. It was adjourned on Thursday.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California Gov. Jerry Brown \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/05/governor-brown-signs-physician-assisted-suicide-bill-into-law-california-right-to-die/\" target=\"_blank\">signed landmark legislation\u003c/a> last October that would allow terminally ill people to request life-ending medication from their physicians.\u003c/p>\n\u003cp>But no one knew when the law would take effect, because of the unusual way in which the law was passed -- in a legislative \"extraordinary session\" called by Gov. Brown. The bill could not go into effect until 90 days after the session adjourned.\u003c/p>\n\u003cp>That was this morning, after the Senate sent\u003ca href=\"http://ww2.kqed.org/stateofhealth/2016/03/10/california-legislature-raises-tobacco-age-to-21-on-to-gov-brown/\" target=\"_blank\"> new tobacco regulations \u003c/a>to the governor's desk and means the \"\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162AB15\" target=\"_blank\">End of Life Option Act\u003c/a>\" will go into effect June 9.\u003c/p>\n\u003cp>\"We're glad to finally have arrived at this day where we have a date certain,\" said Sen. Bill Monning, D-Carmel, in an interview.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\"It's a historic achievement for California, and for a limited universe of people dealing with a terminal illness, it could indeed be a transformative way of giving them the option of a compassionate end-of-life process.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Disability-rights advocates fought hard last year against passage of the act and continue to voice concern.\u003c/p>\n\u003cp>Golden said it's impossible to know if a depressed patient went to many doctors who all denied the request for lethal medication before finding one who agreed to write the prescription.\u003c/p>\n\u003cp>\"We are looking ahead at measures to protect people from abuse,\" said Marilyn Golden, senior policy analyst with the Disability Rights Education & Defense Fund, \"and to explore and inform doctors, nurses and pharmacists that they don't have to participate.\"\u003c/p>\n\u003cp>As written, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520162AB15\" target=\"_blank\">the law \u003c/a>requires two doctors to agree that a patient has six months or less to live before prescribing the drugs. Patients must be able to swallow the medication themselves and must affirm in writing 48 hours before taking the medication that they will do so.\u003c/p>\n\u003cp>California is the \u003ca href=\"http://ww2.kqed.org/lowdown/2015/10/06/california-becomes-fifth-state-to-legalize-physician-assisted-suicide-interactive-map/\" target=\"_blank\">fifth state\u003c/a> to permit this end of life option. It joins Vermont, Oregon, Washington and Montana.\u003c/p>\n\u003cp>Across the state, some patients with advanced cancer welcomed the news.\u003c/p>\n\u003cp>\"It gives me a great peace of mind to know that I will not be forced to die slowly and painfully,\" said Elizabeth Wallner, in a release from Compassion & Choices, an advocacy group. Wallner, 52, of Sacramento, is a single mother\u003cstrong> \u003c/strong>with stage IV colon cancer that has spread to her liver and lungs.\u003c/p>\n\u003cp>\"It gives great comfort to know that the agonizingly traumatic image of me suffering will not be my family's last memory of me,\" she said.\u003c/p>\n\u003cp>Sen. Monning expressed his gratitude to people who worked for passage of the law, some in their final days:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Brittany Maynard\u003c/strong>, an Orange County woman with brain cancer who moved to Oregon to take advantage of aid-in-dying there. Before she died, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/03/25/posthumous-brittany-maynard-video-supports-calif-death-with-dignity-bill/\" target=\"_blank\">she recorded a video\u003c/a> that was shown during hearings on the \"End of Life Option Act\" in Sacramento\u003c/li>\n\u003cli>\u003cstrong>Jennifer Glass\u003c/strong>, of San Mateo, who helped to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/04/07/death-with-dignity-advocates-launch-new-campaign-for-physician-assisted-suicide-in-california/\" target=\"_blank\">launch the campaign in 2014\u003c/a>, then died of lung cancer last year\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"http://www.latimes.com/local/politics/la-me-0212-christy-odonnell-20160212-story.html\" target=\"_blank\">Christy O'Donnell\u003c/a>\u003c/strong>, 47, of Los Angeles, who died of lung cancer last month\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\n\u003cp>\"I really believe we use today to mark and dedicate the memory .. of some true champions,\" Monning said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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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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"marketplace": {
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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},
"mindshift": {
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"morning-edition": {
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"onourwatch": {
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"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"on-the-media": {
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"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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},
"pbs-newshour": {
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},
"perspectives": {
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"order": 14
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"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
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"politicalbreakdown": {
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"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
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"order": 5
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
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"source": "Possible"
},
"link": "/radio/program/possible",
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"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
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},
"pri-the-world": {
"id": "pri-the-world",
"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
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},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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