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"disqusTitle": "Your Obamacare Tax Form May Have Errors. Here's Help.",
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"content": "\u003cp>Millions of Californians will receive Obamacare-related tax forms this year for the first time — if they haven’t already — including 13 million people who had Medi-Cal coverage in 2015.\u003c/p>\n\u003cp>These forms, called 1095s will help you prove to the Tax Man you had health insurance last year and don’t owe the Obamacare tax penalty for being uninsured.\u003c/p>\n\u003cp>Or, ahem, they might not.\u003c/p>\n\u003cp>Last year, tens of thousands of Californians \u003ca href=\"http://centerforhealthreporting.org/article/obamacares-tax-time-lessons\" target=\"_blank\">received incorrect 1095s\u003c/a> from Covered California and struggled with the agency’s resolution process. Covered California pledges to do better this year.\u003c/p>\n\u003cp>But already, some Medi-Cal and Covered California enrollees are discovering errors, and they will have to wait for fixes.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I received forms from both Covered California and Medi-Cal that were both completely inaccurate,” says Aimee Roolvink, 44, of Glendora.\u003c/p>\n\u003cp>“Good luck trying to file your taxes with forms that have inconsistent numbers.”\u003c/p>\n\u003cp>Today, I’ll explain who will receive the forms and what to do if they contain inaccuracies.\u003c/p>\n\u003cp>Let’s start with three points:\u003c/p>\n\u003cul>\n\u003cli>If you had a health plan through an insurance exchange such as Covered California last year, you must have a correct 1095-A form in hand to complete your taxes.\u003c/li>\n\u003cli>Most others, who had insurance from employers, the open market or government programs such as Medicare or Medi-Cal, will receive a 1095-B or 1095-C form. \u003ca href=\"https://www.irs.gov/Affordable-Care-Act/Questions-and-Answers-about-Health-Care-Information-Forms-for-Individuals\" target=\"_blank\">You don’t need these in hand to do your taxes\u003c/a>.\u003c/li>\n\u003cli>If you had insurance from multiple sources last year, you may receive more than one 1095.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>1095-A\u003c/strong>\u003c/p>\n\u003cp>This form, which comes from health insurance exchanges, like Covered California, lists the amount of tax credits you received to help pay your premiums.\u003c/p>\n\u003cp>“In terms of taxes, these forms are the most critical,” says Debra Hammer of Intuit TurboTax.\u003c/p>\n\u003cp>Why?\u003c/p>\n\u003cp>When you enrolled in your plan, you were asked to estimate your 2015 income, which determined your federal tax credits. (Many people refer to these as \"subsidies.\") When you complete your taxes this year, you’ll have to report whether your actual income varied from your estimate.\u003c/p>\n\u003cp>Since most of you received your tax credits in advance, you may either owe or be owed money if there’s a difference.\u003c/p>\n\u003cp>So, if you find mistakes on your form, request corrections quickly.\u003c/p>\n\u003cp>For errors in your personal information — name, birthdate, Social Security Number or address — call Covered California at 800-300-1506.\u003c/p>\n\u003cp>If there’s a mistake in the amount of tax credits you received or which months you were covered, or if your form is missing household members, fill out a \u003ca href=\"https://forms.nintex.com/FormHost.aspx?id=FV63pH13AmOIN5ru6fPkreV5UeQCEdouFwhQpns6P1Bz2VdwzdHA8fVj71PmkluZw3PUHu7yCU4PLT5_auIlAG-pY1CcHP2O5_pxPl2dI6LAOdQvQ-9QE2dQhmCGu9RM&TZOffset=480&TZStdOffset=-480&HasDST=true\" target=\"_blank\">dispute form online\u003c/a> or call the same phone number to have the form filled out for you. You can find the dispute form via \u003ca href=\"http://www.coveredca.com/members/\" target=\"_blank\">www.CoveredCA.com/members\u003c/a>.\u003c/p>\n\u003cp>The agency says it will issue a corrected 1095-A within 60 days of submission, though it blew the deadline for many consumers last year.\u003c/p>\n\u003cp>\u003cstrong>1095-B and 1095-C\u003c/strong>\u003c/p>\n\u003cp>1095-B forms are distributed by government-sponsored health programs (like Medicare and Medi-Cal), some employers and health insurance companies for policies purchased outside exchanges.\u003c/p>\n\u003cp>1095-C forms are issued by large employers and generally follow the same rules as 1095-Bs.\u003c/p>\n\u003cp>\u003ca href=\"https://www.irs.gov/uac/Recent-Development-2015-12-29-2015-Forms-1095B-1094B-1095C-and-1094C\" target=\"_blank\">The IRS has extended to March 31\u003c/a> the deadline for sending the B and C forms to you.\u003c/p>\n\u003cp>These forms are primarily informational and show which months you had coverage.\u003c/p>\n\u003cp>If you have a B or C form and had insurance all of last year, you can just check a box on your tax return, Hammer says. If you didn’t, you may owe a tax penalty — \u003ca href=\"http://centerforhealthreporting.org/article/how-dodge-obamacare-tax-penalty-legally\" target=\"_blank\">unless you qualify for one of Obamacare’s many exemptions\u003c/a>.\u003c/p>\n\u003cp>But you still need to make sure your forms are accurate, because the information is transmitted to the IRS, she says.\u003c/p>\n\u003cp>The Department of Health Care Services (DHCS), which administers Medi-Cal, is among the agencies sending out 1095-B forms for the first time. The department has established a toll-free help line (844-253-0883) that received more than 11,000 calls in January and more than 23,000 since November.\u003c/p>\n\u003cp>Confusingly, that phone number isn’t for people who discover mistakes on their forms. For that, you must\u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/Pages/CountyOffices.aspx\" target=\"_blank\"> contact your county Medi-Cal office \u003c/a>to request a correction.\u003c/p>\n\u003cp>If you receive\u003ca href=\"https://www.ssa.gov/ssi/text-over-ussi.htm\" target=\"_blank\"> Supplemental Security Income \u003c/a>(SSI) or \u003ca href=\"http://www.cdss.ca.gov/agedblinddisabled/pg1422.htm\" target=\"_blank\">State Supplementary Payment \u003c/a>(SSP) benefits, you must contact the Social Security Administration to update your information before you request a corrected form from your county, the department says.\u003c/p>\n\u003cp>Some large counties have dedicated phone lines to handle changes to Medi-Cal cases, which may include 1095 form corrections, says Cathy Senderling-McDonald, deputy executive director of the County Welfare Directors Association of California. Ask if your county is one.\u003c/p>\n\u003cp>But don’t expect quick action.\u003c/p>\n\u003cp>“In order to give the client … the revised information, the county needs to either be able to submit a request for a reprint to the state or print it out directly,” Senderling-McDonald says.\u003c/p>\n\u003cp>Counties can’t do that yet because the state computer system “has not been programmed to allow for reprints to be done,” she says.\u003c/p>\n\u003cp>That changes March 1 for information reportable to the IRS, says Tony Cava, DHCS spokesman. After that date, corrected forms will be mailed to consumers within 30 days of a request for fixes.\u003c/p>\n\u003cp>For information not reportable to the IRS, such as errors in personal information, replacement forms will be available starting April 1, he says.\u003c/p>\n\u003cp>Since that’s just two weeks before the tax filing deadline, it’s important to remember you can file your taxes while you await corrections to B and C forms.\u003c/p>\n\u003cp>“If you believe you had Medi-Cal for 10 months of the year, go ahead and fill out your tax form showing 10 months,” says Jen Flory, senior attorney at the Western Center on Law & Poverty.\u003c/p>\n\u003cp>If you’re among the Medi-Cal recipients who don’t have to file taxes because you earned less than the\u003ca href=\"https://www.irs.gov/Affordable-Care-Act/Individuals-and-Families/ACA-Individual-Shared-Responsibility-Provision-Calculating-the-Payment\" target=\"_blank\"> tax filing threshold,\u003c/a> you still don’t have to file even if you receive a 1095-B form, Flory added. (However, you must file taxes if you receive a 1095-A, she noted.)\u003c/p>\n\u003cp>Roolvink, the Glendora resident, submitted her Covered California dispute form in January and has spent dozens of hours on the phone trying to reach someone in her county Medi-Cal office. She’s still waiting for corrections to both 1095 forms.\u003c/p>\n\u003cp>Her forms showed that her husband and two daughters were on Medi-Cal when they actually had Covered California plans, she says.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“To say this is a problem is really an understatement,” she says. “It’s been a nightmare.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Millions of Californians will receive Obamacare-related tax forms this year for the first time — if they haven’t already — including 13 million people who had Medi-Cal coverage in 2015.\u003c/p>\n\u003cp>These forms, called 1095s will help you prove to the Tax Man you had health insurance last year and don’t owe the Obamacare tax penalty for being uninsured.\u003c/p>\n\u003cp>Or, ahem, they might not.\u003c/p>\n\u003cp>Last year, tens of thousands of Californians \u003ca href=\"http://centerforhealthreporting.org/article/obamacares-tax-time-lessons\" target=\"_blank\">received incorrect 1095s\u003c/a> from Covered California and struggled with the agency’s resolution process. Covered California pledges to do better this year.\u003c/p>\n\u003cp>But already, some Medi-Cal and Covered California enrollees are discovering errors, and they will have to wait for fixes.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I received forms from both Covered California and Medi-Cal that were both completely inaccurate,” says Aimee Roolvink, 44, of Glendora.\u003c/p>\n\u003cp>“Good luck trying to file your taxes with forms that have inconsistent numbers.”\u003c/p>\n\u003cp>Today, I’ll explain who will receive the forms and what to do if they contain inaccuracies.\u003c/p>\n\u003cp>Let’s start with three points:\u003c/p>\n\u003cul>\n\u003cli>If you had a health plan through an insurance exchange such as Covered California last year, you must have a correct 1095-A form in hand to complete your taxes.\u003c/li>\n\u003cli>Most others, who had insurance from employers, the open market or government programs such as Medicare or Medi-Cal, will receive a 1095-B or 1095-C form. \u003ca href=\"https://www.irs.gov/Affordable-Care-Act/Questions-and-Answers-about-Health-Care-Information-Forms-for-Individuals\" target=\"_blank\">You don’t need these in hand to do your taxes\u003c/a>.\u003c/li>\n\u003cli>If you had insurance from multiple sources last year, you may receive more than one 1095.\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>1095-A\u003c/strong>\u003c/p>\n\u003cp>This form, which comes from health insurance exchanges, like Covered California, lists the amount of tax credits you received to help pay your premiums.\u003c/p>\n\u003cp>“In terms of taxes, these forms are the most critical,” says Debra Hammer of Intuit TurboTax.\u003c/p>\n\u003cp>Why?\u003c/p>\n\u003cp>When you enrolled in your plan, you were asked to estimate your 2015 income, which determined your federal tax credits. (Many people refer to these as \"subsidies.\") When you complete your taxes this year, you’ll have to report whether your actual income varied from your estimate.\u003c/p>\n\u003cp>Since most of you received your tax credits in advance, you may either owe or be owed money if there’s a difference.\u003c/p>\n\u003cp>So, if you find mistakes on your form, request corrections quickly.\u003c/p>\n\u003cp>For errors in your personal information — name, birthdate, Social Security Number or address — call Covered California at 800-300-1506.\u003c/p>\n\u003cp>If there’s a mistake in the amount of tax credits you received or which months you were covered, or if your form is missing household members, fill out a \u003ca href=\"https://forms.nintex.com/FormHost.aspx?id=FV63pH13AmOIN5ru6fPkreV5UeQCEdouFwhQpns6P1Bz2VdwzdHA8fVj71PmkluZw3PUHu7yCU4PLT5_auIlAG-pY1CcHP2O5_pxPl2dI6LAOdQvQ-9QE2dQhmCGu9RM&TZOffset=480&TZStdOffset=-480&HasDST=true\" target=\"_blank\">dispute form online\u003c/a> or call the same phone number to have the form filled out for you. You can find the dispute form via \u003ca href=\"http://www.coveredca.com/members/\" target=\"_blank\">www.CoveredCA.com/members\u003c/a>.\u003c/p>\n\u003cp>The agency says it will issue a corrected 1095-A within 60 days of submission, though it blew the deadline for many consumers last year.\u003c/p>\n\u003cp>\u003cstrong>1095-B and 1095-C\u003c/strong>\u003c/p>\n\u003cp>1095-B forms are distributed by government-sponsored health programs (like Medicare and Medi-Cal), some employers and health insurance companies for policies purchased outside exchanges.\u003c/p>\n\u003cp>1095-C forms are issued by large employers and generally follow the same rules as 1095-Bs.\u003c/p>\n\u003cp>\u003ca href=\"https://www.irs.gov/uac/Recent-Development-2015-12-29-2015-Forms-1095B-1094B-1095C-and-1094C\" target=\"_blank\">The IRS has extended to March 31\u003c/a> the deadline for sending the B and C forms to you.\u003c/p>\n\u003cp>These forms are primarily informational and show which months you had coverage.\u003c/p>\n\u003cp>If you have a B or C form and had insurance all of last year, you can just check a box on your tax return, Hammer says. If you didn’t, you may owe a tax penalty — \u003ca href=\"http://centerforhealthreporting.org/article/how-dodge-obamacare-tax-penalty-legally\" target=\"_blank\">unless you qualify for one of Obamacare’s many exemptions\u003c/a>.\u003c/p>\n\u003cp>But you still need to make sure your forms are accurate, because the information is transmitted to the IRS, she says.\u003c/p>\n\u003cp>The Department of Health Care Services (DHCS), which administers Medi-Cal, is among the agencies sending out 1095-B forms for the first time. The department has established a toll-free help line (844-253-0883) that received more than 11,000 calls in January and more than 23,000 since November.\u003c/p>\n\u003cp>Confusingly, that phone number isn’t for people who discover mistakes on their forms. For that, you must\u003ca href=\"http://www.dhcs.ca.gov/services/medi-cal/Pages/CountyOffices.aspx\" target=\"_blank\"> contact your county Medi-Cal office \u003c/a>to request a correction.\u003c/p>\n\u003cp>If you receive\u003ca href=\"https://www.ssa.gov/ssi/text-over-ussi.htm\" target=\"_blank\"> Supplemental Security Income \u003c/a>(SSI) or \u003ca href=\"http://www.cdss.ca.gov/agedblinddisabled/pg1422.htm\" target=\"_blank\">State Supplementary Payment \u003c/a>(SSP) benefits, you must contact the Social Security Administration to update your information before you request a corrected form from your county, the department says.\u003c/p>\n\u003cp>Some large counties have dedicated phone lines to handle changes to Medi-Cal cases, which may include 1095 form corrections, says Cathy Senderling-McDonald, deputy executive director of the County Welfare Directors Association of California. Ask if your county is one.\u003c/p>\n\u003cp>But don’t expect quick action.\u003c/p>\n\u003cp>“In order to give the client … the revised information, the county needs to either be able to submit a request for a reprint to the state or print it out directly,” Senderling-McDonald says.\u003c/p>\n\u003cp>Counties can’t do that yet because the state computer system “has not been programmed to allow for reprints to be done,” she says.\u003c/p>\n\u003cp>That changes March 1 for information reportable to the IRS, says Tony Cava, DHCS spokesman. After that date, corrected forms will be mailed to consumers within 30 days of a request for fixes.\u003c/p>\n\u003cp>For information not reportable to the IRS, such as errors in personal information, replacement forms will be available starting April 1, he says.\u003c/p>\n\u003cp>Since that’s just two weeks before the tax filing deadline, it’s important to remember you can file your taxes while you await corrections to B and C forms.\u003c/p>\n\u003cp>“If you believe you had Medi-Cal for 10 months of the year, go ahead and fill out your tax form showing 10 months,” says Jen Flory, senior attorney at the Western Center on Law & Poverty.\u003c/p>\n\u003cp>If you’re among the Medi-Cal recipients who don’t have to file taxes because you earned less than the\u003ca href=\"https://www.irs.gov/Affordable-Care-Act/Individuals-and-Families/ACA-Individual-Shared-Responsibility-Provision-Calculating-the-Payment\" target=\"_blank\"> tax filing threshold,\u003c/a> you still don’t have to file even if you receive a 1095-B form, Flory added. (However, you must file taxes if you receive a 1095-A, she noted.)\u003c/p>\n\u003cp>Roolvink, the Glendora resident, submitted her Covered California dispute form in January and has spent dozens of hours on the phone trying to reach someone in her county Medi-Cal office. She’s still waiting for corrections to both 1095 forms.\u003c/p>\n\u003cp>Her forms showed that her husband and two daughters were on Medi-Cal when they actually had Covered California plans, she says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp class=\"inaugural\">On a recent morning, Dr. Brian Fenmore listened to the heartbeat of the baby growing inside a pregnant patient's belly at Providence Tarzana Medical Center.\u003c/p>\n\u003cp>Everything looked and sounded normal, he says. But the woman is 42-years-old, with diabetes. Fenmore explained that she's at higher risk of having a Cesarean birth. That spurred another discussion.\u003c/p>\n\u003cp>\"If you were to say to me, 'I'm done after this, and I want my tubes tied,' this is a discussion we have to have,\" Fenmore told his patient.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/249102583\" 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 American College of Obstetricians and Gynecologists says immediately following a C-section is\u003ca href=\"http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Health-Care-for-Underserved-Women/Access-to-Postpartum-Sterilization\" target=\"_blank\"> the \"ideal time\" to perform the tubal ligation procedure, \u003c/a>\"because of technical ease and convenience for the woman and physician.\" But Fenmore explained that under Providence's religiously-based ethical guidelines, he was prohibited from doing so.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Read the rest of the story on\u003ca href=\"http://www.scpr.org/news/2016/02/09/57313/ob-gyn-s-navigate-catholic-hospital-s-ethical-rule/\" target=\"_blank\"> KPCC\u003c/a>. \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp class=\"inaugural\">On a recent morning, Dr. Brian Fenmore listened to the heartbeat of the baby growing inside a pregnant patient's belly at Providence Tarzana Medical Center.\u003c/p>\n\u003cp>Everything looked and sounded normal, he says. But the woman is 42-years-old, with diabetes. Fenmore explained that she's at higher risk of having a Cesarean birth. That spurred another discussion.\u003c/p>\n\u003cp>\"If you were to say to me, 'I'm done after this, and I want my tubes tied,' this is a discussion we have to have,\" Fenmore told his patient.\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/249102583&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/249102583'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The American College of Obstetricians and Gynecologists says immediately following a C-section is\u003ca href=\"http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Health-Care-for-Underserved-Women/Access-to-Postpartum-Sterilization\" target=\"_blank\"> the \"ideal time\" to perform the tubal ligation procedure, \u003c/a>\"because of technical ease and convenience for the woman and physician.\" But Fenmore explained that under Providence's religiously-based ethical guidelines, he was prohibited from doing so.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Read the rest of the story on\u003ca href=\"http://www.scpr.org/news/2016/02/09/57313/ob-gyn-s-navigate-catholic-hospital-s-ethical-rule/\" target=\"_blank\"> KPCC\u003c/a>. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>New research finds that young transgender children who have “socially transitioned” — living their lives under the gender they identify with — had positive mental health outcomes.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘Crucially important’ research\u003ccite>Dr. Ilana Sherer, UCSF\u003c/cite>\u003c/aside>\n\u003cp>Until now, studies had shown significantly higher rates for depression and anxiety in transgender children. \u003ca href=\"http://williamsinstitute.law.ucla.edu/wp-content/uploads/AFSP-Williams-Suicide-Report-Final.pdf\" target=\"_blank\" rel=\"noopener\">Nearly half attempt suicide \u003c/a>by age 24.\u003c/p>\n\u003cp>Researchers at the University of Washington looked at 73 children ages 3-12 living as their identified gender and compared those children against two control groups — their own siblings and another group. They found average scores for depression and only slightly elevated anxiety rates.\u003c/p>\n\u003cp>“It puts out the possibility that being a transgender child doesn’t have to be associated with negative mental health outcomes in the way that to date the research has suggested,” said \u003ca href=\"https://depts.washington.edu/transyp/people/\" target=\"_blank\" rel=\"noopener\">Kristina Olson\u003c/a>, Ph.D., lead author of the study and director of the university’s TransYouth Project. She hopes to follow these children for 20 years.\u003c/p>\n\u003cp>It is the first analysis of mental health outcomes in a group of socially transitioned transgender children. The study was published in the journal Pediatrics.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Parents who had suspected their children might be transgender and began research on their own would find depressing mental health outcomes, until now.\u003c/p>\n\u003cp>“Those felt like terrifying statistics to hold as a parent,” said one mother (who did not want to be identified by name out of concern for her child’s privacy), 42, of Oakland, one of the families in the study. She and her partner have two children, an older girl and a second child, now 6, born as a boy.\u003c/p>\n\u003cp>By age 3 and a half “it became increasingly clear,” she said said, “that there was something going on … that was pulling him into the realm of traditional girliness, and as it continued, it grew in intensity and grew in its consistency.”\u003c/p>\n\u003cp>The intensity of gender identity was true of most kids in the study, “These are kids who are very persistent and insistent about their gender identity,” said Olson, “and those are the only kids that experts working in this area have advised that these social transitions might be useful for.”\u003c/p>\n\u003cp>The mother and her partner began researching on their own and later with experts. While she knew adults who had transitioned, “I had never heard of transgender children. I didn’t know it had the capability of dating back to such early childhood.”\u003c/p>\n\u003cp>Just before his 5th birthday her son asked to be called a girl. The Oakland mother and her partner supported their child’s choice to live as girl. She already had a gender neutral name and began dressing as a girl.\u003c/p>\n\u003cp>“Now having a child who has lived in their identified gender for a year and a half, I have no doubt that we’re making the right decision,” she said, adding that her daughter is well-adjusted at school and is accepted as a girl by her peers.\u003c/p>\n\u003cp>None of the children in the study had any medical or surgical treatments. “No one in the country does medical or surgical interventions with kids this young,” said Olson. Estimates of the rate of transgender children range from 0.3 to 0.8 percent of the population.\u003c/p>\n\u003cp>The group of children Olson is studying, initially 73, has now grown to 153. None has transitioned back. She said her project \u003ca href=\"https://depts.washington.edu/transyp/participate/\" target=\"_blank\" rel=\"noopener\">welcomes additional participants\u003c/a>.\u003c/p>\n\u003cp>In an accompanying editorial, Ilana Sherer a pediatrician and assistant medical director of UC San Francisco’s \u003ca href=\"https://www.ucsfbenioffchildrens.org/clinics/child_and_adolescent_gender_center/\" target=\"_blank\" rel=\"noopener\">Child and Adolescent Gender Center\u003c/a> called the research “crucially important.”\u003c/p>\n\u003cblockquote>\u003cp>“Olson and her colleagues give supporters of social transition evidence of what we have suspected all along: that socially transitioned children are doing fine, or at least as well as their age-matched peers and siblings. This finding is truly stunning in light of the numerous studies that show depression and anxiety … up to 3 times higher for non-socially transitioned children.”\u003c/p>\u003c/blockquote>\n\u003cp>For the children in this study, family support appears to be key. But Olson pointed out that it’s a big decision for a family to take the step of supporting a socially-transitioned child, and not all families today are likely to make this decision.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Probably there are some attributes about the families who have done this that are unique to them,” Olson said. She stressed the need for more research to illuminate whether it’s those “other qualities” or the social transition itself that promotes the positive mental health outcomes seen in this analysis.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>New research finds that young transgender children who have “socially transitioned” — living their lives under the gender they identify with — had positive mental health outcomes.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘Crucially important’ research\u003ccite>Dr. Ilana Sherer, UCSF\u003c/cite>\u003c/aside>\n\u003cp>Until now, studies had shown significantly higher rates for depression and anxiety in transgender children. \u003ca href=\"http://williamsinstitute.law.ucla.edu/wp-content/uploads/AFSP-Williams-Suicide-Report-Final.pdf\" target=\"_blank\" rel=\"noopener\">Nearly half attempt suicide \u003c/a>by age 24.\u003c/p>\n\u003cp>Researchers at the University of Washington looked at 73 children ages 3-12 living as their identified gender and compared those children against two control groups — their own siblings and another group. They found average scores for depression and only slightly elevated anxiety rates.\u003c/p>\n\u003cp>“It puts out the possibility that being a transgender child doesn’t have to be associated with negative mental health outcomes in the way that to date the research has suggested,” said \u003ca href=\"https://depts.washington.edu/transyp/people/\" target=\"_blank\" rel=\"noopener\">Kristina Olson\u003c/a>, Ph.D., lead author of the study and director of the university’s TransYouth Project. She hopes to follow these children for 20 years.\u003c/p>\n\u003cp>It is the first analysis of mental health outcomes in a group of socially transitioned transgender children. The study was published in the journal Pediatrics.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Parents who had suspected their children might be transgender and began research on their own would find depressing mental health outcomes, until now.\u003c/p>\n\u003cp>“Those felt like terrifying statistics to hold as a parent,” said one mother (who did not want to be identified by name out of concern for her child’s privacy), 42, of Oakland, one of the families in the study. She and her partner have two children, an older girl and a second child, now 6, born as a boy.\u003c/p>\n\u003cp>By age 3 and a half “it became increasingly clear,” she said said, “that there was something going on … that was pulling him into the realm of traditional girliness, and as it continued, it grew in intensity and grew in its consistency.”\u003c/p>\n\u003cp>The intensity of gender identity was true of most kids in the study, “These are kids who are very persistent and insistent about their gender identity,” said Olson, “and those are the only kids that experts working in this area have advised that these social transitions might be useful for.”\u003c/p>\n\u003cp>The mother and her partner began researching on their own and later with experts. While she knew adults who had transitioned, “I had never heard of transgender children. I didn’t know it had the capability of dating back to such early childhood.”\u003c/p>\n\u003cp>Just before his 5th birthday her son asked to be called a girl. The Oakland mother and her partner supported their child’s choice to live as girl. She already had a gender neutral name and began dressing as a girl.\u003c/p>\n\u003cp>“Now having a child who has lived in their identified gender for a year and a half, I have no doubt that we’re making the right decision,” she said, adding that her daughter is well-adjusted at school and is accepted as a girl by her peers.\u003c/p>\n\u003cp>None of the children in the study had any medical or surgical treatments. “No one in the country does medical or surgical interventions with kids this young,” said Olson. Estimates of the rate of transgender children range from 0.3 to 0.8 percent of the population.\u003c/p>\n\u003cp>The group of children Olson is studying, initially 73, has now grown to 153. None has transitioned back. She said her project \u003ca href=\"https://depts.washington.edu/transyp/participate/\" target=\"_blank\" rel=\"noopener\">welcomes additional participants\u003c/a>.\u003c/p>\n\u003cp>In an accompanying editorial, Ilana Sherer a pediatrician and assistant medical director of UC San Francisco’s \u003ca href=\"https://www.ucsfbenioffchildrens.org/clinics/child_and_adolescent_gender_center/\" target=\"_blank\" rel=\"noopener\">Child and Adolescent Gender Center\u003c/a> called the research “crucially important.”\u003c/p>\n\u003cblockquote>\u003cp>“Olson and her colleagues give supporters of social transition evidence of what we have suspected all along: that socially transitioned children are doing fine, or at least as well as their age-matched peers and siblings. This finding is truly stunning in light of the numerous studies that show depression and anxiety … up to 3 times higher for non-socially transitioned children.”\u003c/p>\u003c/blockquote>\n\u003cp>For the children in this study, family support appears to be key. But Olson pointed out that it’s a big decision for a family to take the step of supporting a socially-transitioned child, and not all families today are likely to make this decision.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Probably there are some attributes about the families who have done this that are unique to them,” Olson said. She stressed the need for more research to illuminate whether it’s those “other qualities” or the social transition itself that promotes the positive mental health outcomes seen in this analysis.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Levels of harmful flame-retardant chemicals in women’s breast milk have dropped by nearly 40 percent since California’s decade-old ban on these chemicals took effect, \u003ca href=\"http://www.sciencedirect.com/science/article/pii/S0045653515303659\" target=\"_blank\">according to a new study\u003c/a> by state environmental scientists.\u003c/p>\n\u003caside class=\"pullquote alignright\">'It shows that regulatory and public health interventions do work.'\u003ccite>Dr. Barbara Lee, Calif. Department of Toxic Substances Control\u003c/cite>\u003c/aside>\n\u003cp>The chemicals, called PBDEs, were widely used for decades in household products including furniture, crib mattresses and televisions. They tend to leach out of products like furniture and can settle in household dust, tainting homes and offices and accumulating in both people and animals.\u003c/p>\n\u003cp>They persist in body fluids and fat for years, and are associated with neurological and thyroid disorders. In particular, researchers have linked fetal exposure to high levels of PBDEs to IQ deficits and hyperactivity.\u003c/p>\n\u003cp>California phased out the use of two of the main types of PBDEs in 2006. There is no federal ban on PBDEs, but the U.S. Environmental Protection Agency has worked with manufacturers to phase out production. The European Union banned PBDEs in 2004, but the chemicals may be present in products imported from other countries or U.S. products manufactured before the mid-2000s.\u003c/p>\n\u003cp>The study, sponsored by the California Department of Toxic Substances Control and conducted by researchers from the agency’s Environmental Chemistry Laboratory in Berkeley, was published in the peer-reviewed journal \u003ca href=\"http://www.sciencedirect.com/science/article/pii/S0045653515303659\" target=\"_blank\">Chemosphere\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Scientists measured PBDE levels in the breast milk of 66 first-time mothers recruited at a Santa Rosa clinic between 2009 and 2012. They compared the levels to another group of 82 first-time mothers from around the state, tested in 2003-2005, before the ban took effect — and found a 39 percent decline.\u003c/p>\n\u003cp>The study’s results echo those from a previous department study showing a similar decline in PBDE levels in the blood of San Francisco women.\u003c/p>\n\u003cp>“It’s really wonderful news,” said Barbara Lee, director of the department. “It shows that regulatory and public health interventions do work.”\u003c/p>\n\u003cp>But the study revealed other sobering data: PBDE levels in the post-ban group of mothers remained high enough that nearly 30 percent of their breastfed babies would be exposed to the chemicals at levels above what the EPA says is safe.\u003c/p>\n\u003cp>Tracey Woodruff, professor and director of the Program on Reproductive Health and the Environment at the UC San Francisco School of Medicine, said she was pleased by the study’s results.\u003c/p>\n\u003cp>“It’s one more piece of evidence that the state did the right thing” in banning PBDEs. But, she said, the chemicals are “like that bad houseguest that hangs around.”\u003c/p>\n\u003cp>“We made a mistake by using them in the beginning. You can’t pull the genie back into the lamp,” Woodruff said. “We still have people with exposures that are going to be problematic — and we’re going to be seeing problems for years.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by\u003ca href=\"http://californiahealthline.org/news/levels-of-flame-retardant-in-breast-milk-are-down/\" target=\"_blank\"> California Healthline\u003c/a>.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Levels of harmful flame-retardant chemicals in women’s breast milk have dropped by nearly 40 percent since California’s decade-old ban on these chemicals took effect, \u003ca href=\"http://www.sciencedirect.com/science/article/pii/S0045653515303659\" target=\"_blank\">according to a new study\u003c/a> by state environmental scientists.\u003c/p>\n\u003caside class=\"pullquote alignright\">'It shows that regulatory and public health interventions do work.'\u003ccite>Dr. Barbara Lee, Calif. Department of Toxic Substances Control\u003c/cite>\u003c/aside>\n\u003cp>The chemicals, called PBDEs, were widely used for decades in household products including furniture, crib mattresses and televisions. They tend to leach out of products like furniture and can settle in household dust, tainting homes and offices and accumulating in both people and animals.\u003c/p>\n\u003cp>They persist in body fluids and fat for years, and are associated with neurological and thyroid disorders. In particular, researchers have linked fetal exposure to high levels of PBDEs to IQ deficits and hyperactivity.\u003c/p>\n\u003cp>California phased out the use of two of the main types of PBDEs in 2006. There is no federal ban on PBDEs, but the U.S. Environmental Protection Agency has worked with manufacturers to phase out production. The European Union banned PBDEs in 2004, but the chemicals may be present in products imported from other countries or U.S. products manufactured before the mid-2000s.\u003c/p>\n\u003cp>The study, sponsored by the California Department of Toxic Substances Control and conducted by researchers from the agency’s Environmental Chemistry Laboratory in Berkeley, was published in the peer-reviewed journal \u003ca href=\"http://www.sciencedirect.com/science/article/pii/S0045653515303659\" target=\"_blank\">Chemosphere\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Scientists measured PBDE levels in the breast milk of 66 first-time mothers recruited at a Santa Rosa clinic between 2009 and 2012. They compared the levels to another group of 82 first-time mothers from around the state, tested in 2003-2005, before the ban took effect — and found a 39 percent decline.\u003c/p>\n\u003cp>The study’s results echo those from a previous department study showing a similar decline in PBDE levels in the blood of San Francisco women.\u003c/p>\n\u003cp>“It’s really wonderful news,” said Barbara Lee, director of the department. “It shows that regulatory and public health interventions do work.”\u003c/p>\n\u003cp>But the study revealed other sobering data: PBDE levels in the post-ban group of mothers remained high enough that nearly 30 percent of their breastfed babies would be exposed to the chemicals at levels above what the EPA says is safe.\u003c/p>\n\u003cp>Tracey Woodruff, professor and director of the Program on Reproductive Health and the Environment at the UC San Francisco School of Medicine, said she was pleased by the study’s results.\u003c/p>\n\u003cp>“It’s one more piece of evidence that the state did the right thing” in banning PBDEs. But, she said, the chemicals are “like that bad houseguest that hangs around.”\u003c/p>\n\u003cp>“We made a mistake by using them in the beginning. You can’t pull the genie back into the lamp,” Woodruff said. “We still have people with exposures that are going to be problematic — and we’re going to be seeing problems for years.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by\u003ca href=\"http://californiahealthline.org/news/levels-of-flame-retardant-in-breast-milk-are-down/\" target=\"_blank\"> California Healthline\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Battle Erupts Over Changes in California Autism Coverage",
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"content": "\u003cp>Hilary Baldi can’t get her mind around the idea that she might have to stop seeing many of the children with autism whom she has been helping for years.\u003c/p>\n\u003caside class=\"pullquote alignright\">Thousands of children receiving autism services could be forced to look for new providers under new state rules.\u003c/aside>\n\u003cp>Baldi has been running a nonprofit called Behavioral Intervention for Autism for 23 years now. She has offices in Emeryville and Fresno.\u003c/p>\n\u003cp>But now she fears she will have to shutter the Fresno office and discontinue therapy for about two-thirds of the 80 children she sees.\u003c/p>\n\u003cp>According to children’s health advocates, roughly half of the providers who work with the 9,000 children with autism at the state’s regional centers could be excluded from seeing those kids as the state shifts to managed care.\u003c/p>\n\u003cp>Beginning March 1, the state Department of Health Care Services will start the transition at 21 regional centers across the state. These centers are nonprofits that contract with the state to provide services for people with developmental disabilities.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>State officials say the regional centers will continue to serve the kids. The children will not experience a disruption in service because no one will lose a provider without another one lined up, they say.\u003c/p>\n\u003cp>The change is merely a shift in payment systems, according to state officials — moving from a Medi-Cal program run by the regional centers to one coordinated by managed care companies.\u003c/p>\n\u003cp>But as a practical matter, advocates say, the families of up to half of these kids could find themselves searching for new providers. The reason: The state’s new rules seem to exclude longtime providers from payment unless they are supervised by people with newer credentials.\u003c/p>\n\u003cp>That could force people like Baldi to stop seeing regional center clients.\u003c/p>\n\u003cp>“I don’t know how [these children] are going to get absorbed. There are so many people on waiting lists now, I can’t imagine thousands of families suddenly needing to find a new provider,” Baldi said. “I don’t know where they’re going to go.”\u003c/p>\n\u003cp>A few weeks ago, children’s advocates and parents said they were reassured by the state’s promises that the transition would be nearly seamless and that the same providers would be caring for the kids. But now these groups say they are deeply concerned because, after talking to state officials about the new rules, it became clear that about half of the providers would not be authorized to perform the same duties as before.\u003c/p>\n\u003cp>Children’s advocates say under the rules only providers with newer credentials can be paid for care. Providers trained a dozen or more years ago cannot, if they are practicing on their own, the advocates say.\u003c/p>\n\u003cp>Demand for services is already greater than supply and the advocates say these rules will make matters far worse.\u003c/p>\n\u003cp>Children with autism don’t handle change well and need consistent care, Baldi said.\u003c/p>\n\u003cp>“We’re talking about children who have fallen behind already,” Baldi said. “There’s a gap between them and other kids, and that gap will get bigger and bigger if they go without therapy.”\u003c/p>\n\u003cp>Dan Unumb agreed. He is executive director of the Autism Legal Resource Center for Autism Speaks, a national advocacy group based in New York City with offices in Los Angeles.\u003c/p>\n\u003cp>“If you’ve eliminated half of the providers in the regional centers, where are you going to get new providers?” Unumb said. “Where is the other half going to come from? That’s the big question. How are they going to do this?”\u003c/p>\n\u003cp>[contextly_sidebar id=\"QQv9e8noG6vNCxBIYQ03pp6euGAczahd\"]Autism Speaks is a sponsor of a recently introduced bill by Sen. Holly Mitchell (D-Los Angeles) that seeks to eliminate the rule excluding so many providers from payment.\u003c/p>\n\u003cp>“It would ensure that children who need autism treatment continue to have access to the critical behavioral health treatments that they need,” Mitchell said in an email.\u003c/p>\n\u003cp>But Unumb said that the department’s transition of these kids is expected to be finished before any bill can become law.\u003c/p>\n\u003cp>“What’s going to happen is there are a whole group of providers who can’t serve the kids they’ve been serving. So in practical terms, you’re going to have kids who are not having continuity of care,” Unumb said.\u003c/p>\n\u003cp>The department has promised “continuity of service,” which is slightly different from continuity of care, Unumb said. The state doesn’t have a legal obligation to ensure beneficiaries keep the same provider.\u003c/p>\n\u003cp>“Folks feel they were misled,” Unumb said, “because this should just be a financing change. Families aren’t going to be perusing the State Plan Amendment and then cross-referencing the Institutions and Welfare Code to see if they can keep their provider. This whole thing is so unnecessary.”\u003c/p>\n\u003cp>Anthony Cava, information officer at the Department of Health Care Services, said by email that the same providers can do exactly what they’ve been doing, as long as they meet the guidelines issued by the department.\u003c/p>\n\u003cp>“The existing practices of … providers to care for children receiving [behavioral health treatment] services will remain the same,” Cava wrote, “and they can provide care under the direct supervision of a behavior analyst or behavior management consultant.”\u003c/p>\n\u003cp>According to Kristin Jacobson, executive director of Autism Deserves Equal Coverage in Burlingame, the state is downplaying the consequences.\u003c/p>\n\u003cp>“It’s sort of a technical song-and-dance, where it appears that they’re saying all of the providers can continue what they’re doing, but in practice they can only do the same thing if they’re now supervised,” Jacobson said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I mean, we’ve all been hoping that all providers will be able to provide the same services, but what [the department] has put out in writing doesn’t reflect that,” she said. “If you look at the numbers of providers who are excluded, you very well could be wiping out half the kids.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Hilary Baldi can’t get her mind around the idea that she might have to stop seeing many of the children with autism whom she has been helping for years.\u003c/p>\n\u003caside class=\"pullquote alignright\">Thousands of children receiving autism services could be forced to look for new providers under new state rules.\u003c/aside>\n\u003cp>Baldi has been running a nonprofit called Behavioral Intervention for Autism for 23 years now. She has offices in Emeryville and Fresno.\u003c/p>\n\u003cp>But now she fears she will have to shutter the Fresno office and discontinue therapy for about two-thirds of the 80 children she sees.\u003c/p>\n\u003cp>According to children’s health advocates, roughly half of the providers who work with the 9,000 children with autism at the state’s regional centers could be excluded from seeing those kids as the state shifts to managed care.\u003c/p>\n\u003cp>Beginning March 1, the state Department of Health Care Services will start the transition at 21 regional centers across the state. These centers are nonprofits that contract with the state to provide services for people with developmental disabilities.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>State officials say the regional centers will continue to serve the kids. The children will not experience a disruption in service because no one will lose a provider without another one lined up, they say.\u003c/p>\n\u003cp>The change is merely a shift in payment systems, according to state officials — moving from a Medi-Cal program run by the regional centers to one coordinated by managed care companies.\u003c/p>\n\u003cp>But as a practical matter, advocates say, the families of up to half of these kids could find themselves searching for new providers. The reason: The state’s new rules seem to exclude longtime providers from payment unless they are supervised by people with newer credentials.\u003c/p>\n\u003cp>That could force people like Baldi to stop seeing regional center clients.\u003c/p>\n\u003cp>“I don’t know how [these children] are going to get absorbed. There are so many people on waiting lists now, I can’t imagine thousands of families suddenly needing to find a new provider,” Baldi said. “I don’t know where they’re going to go.”\u003c/p>\n\u003cp>A few weeks ago, children’s advocates and parents said they were reassured by the state’s promises that the transition would be nearly seamless and that the same providers would be caring for the kids. But now these groups say they are deeply concerned because, after talking to state officials about the new rules, it became clear that about half of the providers would not be authorized to perform the same duties as before.\u003c/p>\n\u003cp>Children’s advocates say under the rules only providers with newer credentials can be paid for care. Providers trained a dozen or more years ago cannot, if they are practicing on their own, the advocates say.\u003c/p>\n\u003cp>Demand for services is already greater than supply and the advocates say these rules will make matters far worse.\u003c/p>\n\u003cp>Children with autism don’t handle change well and need consistent care, Baldi said.\u003c/p>\n\u003cp>“We’re talking about children who have fallen behind already,” Baldi said. “There’s a gap between them and other kids, and that gap will get bigger and bigger if they go without therapy.”\u003c/p>\n\u003cp>Dan Unumb agreed. He is executive director of the Autism Legal Resource Center for Autism Speaks, a national advocacy group based in New York City with offices in Los Angeles.\u003c/p>\n\u003cp>“If you’ve eliminated half of the providers in the regional centers, where are you going to get new providers?” Unumb said. “Where is the other half going to come from? That’s the big question. How are they going to do this?”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Autism Speaks is a sponsor of a recently introduced bill by Sen. Holly Mitchell (D-Los Angeles) that seeks to eliminate the rule excluding so many providers from payment.\u003c/p>\n\u003cp>“It would ensure that children who need autism treatment continue to have access to the critical behavioral health treatments that they need,” Mitchell said in an email.\u003c/p>\n\u003cp>But Unumb said that the department’s transition of these kids is expected to be finished before any bill can become law.\u003c/p>\n\u003cp>“What’s going to happen is there are a whole group of providers who can’t serve the kids they’ve been serving. So in practical terms, you’re going to have kids who are not having continuity of care,” Unumb said.\u003c/p>\n\u003cp>The department has promised “continuity of service,” which is slightly different from continuity of care, Unumb said. The state doesn’t have a legal obligation to ensure beneficiaries keep the same provider.\u003c/p>\n\u003cp>“Folks feel they were misled,” Unumb said, “because this should just be a financing change. Families aren’t going to be perusing the State Plan Amendment and then cross-referencing the Institutions and Welfare Code to see if they can keep their provider. This whole thing is so unnecessary.”\u003c/p>\n\u003cp>Anthony Cava, information officer at the Department of Health Care Services, said by email that the same providers can do exactly what they’ve been doing, as long as they meet the guidelines issued by the department.\u003c/p>\n\u003cp>“The existing practices of … providers to care for children receiving [behavioral health treatment] services will remain the same,” Cava wrote, “and they can provide care under the direct supervision of a behavior analyst or behavior management consultant.”\u003c/p>\n\u003cp>According to Kristin Jacobson, executive director of Autism Deserves Equal Coverage in Burlingame, the state is downplaying the consequences.\u003c/p>\n\u003cp>“It’s sort of a technical song-and-dance, where it appears that they’re saying all of the providers can continue what they’re doing, but in practice they can only do the same thing if they’re now supervised,” Jacobson said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I mean, we’ve all been hoping that all providers will be able to provide the same services, but what [the department] has put out in writing doesn’t reflect that,” she said. “If you look at the numbers of providers who are excluded, you very well could be wiping out half the kids.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California Regulator Sued over Delayed Mental Health Appeals",
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"content": "\u003cp>Let’s say you have a son who develops a drug problem or becomes suicidal. His doctor says he needs extensive treatment at a residential mental health center. But your insurance company denies the coverage.\u003c/p>\n\u003cp>Consumers\u003ca href=\"https://www.dmhc.ca.gov/FileaComplaint/IndependentMedicalReviewComplaintForm.aspx#.Vs4EhfkrKUk\" target=\"_blank\"> can appeal those decisions \u003c/a>to California’s Department of Managed Health Care, which will review the insurance company’s decision and either uphold it or overturn it.\u003c/p>\n\u003cp>Under law, the agency has six days to complete an urgent review, upon receipt of a complete application. \u003ca href=\"http://www.psych-appeal.com/california-dmhc-sued-for-unlawful-handling-of-mental-health-appeals/\" target=\"_blank\"> A lawsuit \u003c/a>filed late Tuesday alleges that the agency routinely violates review deadlines, sometimes taking weeks or longer to render a decision.\u003c/p>\n\u003cp>“The consequences of not receiving a timely decision can be devastating,\" says Meiram Bendat, an attorney for the plaintiffs and president of Psych-Appeal, a mental health advocacy law firm. \"Patients must decide whether to pay for costly treatments out of pocket, with the very real possibility of not getting reimbursed – or simply say ‘no’ and forego the care they desperately need.\"\u003c/p>\n\u003cp>The Department of Managed Health Care regulates health insurance plans that cover 25 million Californians. The number of people affected by the urgent review process addressed in the lawsuit is relatively few. Last year, the agency reviewed 1,789 insurance denials for care; 508 were handled on a expedited basis; and 15 percent of those (78 cases) were for mental health conditions.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The department would not comment on the lawsuit directly, but said its top priority is to protect the health care rights of consumers.\u003c/p>\n\u003cp>“We take our responsibility very seriously in assisting health care consumers to receive medically necessary care when they need it,\" said Rachel Arrezola, deputy director of communications.\u003c/p>\n\u003cp>The lawsuit was filed in Los Angeles Superior Court on behalf of Evolve Growth Initiatives, which operates adolescent mental health and substance abuse treatment facilities in California and New York.\u003c/p>\n\u003cp>Evolve CEO Mendi Baron says delays in rendering appeal decisions put mental health providers in an awkward position.\u003c/p>\n\u003cp>“Mental health providers often delay or terminate care instead of taking on the risks associated with these delayed appeals” Baron says. “While Evolve does not discharge patients pending appeals, we find that if they can’t pay for treatment themselves, many patients simply won’t stay in treatment.”\u003c/p>\n\u003cp>The lawsuit filed against the Department of Managed Health Care is unusual. Consumer health advocates recently applauded the agency for taking a hard line on enforcing \u003ca href=\"http://www.dol.gov/ebsa/mentalhealthparity/\" target=\"_blank\">mental health parity regulations \u003c/a>–- which require health insurers to provide mental health benefits equal to medical care. The agency fined Kaiser Permanente $4 million in 2013 for not providing patients timely access to mental health appointments and for effectively dissuading individual therapy. In 2014, Kaiser agreed to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/09/09/kaiser-agrees-to-pay-4-million-fine-over-mental-health-care-drops-lawsuit/\" target=\"_blank\">pay the fine\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“DMHC may tout mental health parity,” Baron said, “but its practices are making a mockery of actual mental health care.”\u003c/p>\n\n",
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"excerpt": "Under law, the state has six days for an urgent review of denial of coverage. The lawsuit alleges the state takes weeks or longer.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Let’s say you have a son who develops a drug problem or becomes suicidal. His doctor says he needs extensive treatment at a residential mental health center. But your insurance company denies the coverage.\u003c/p>\n\u003cp>Consumers\u003ca href=\"https://www.dmhc.ca.gov/FileaComplaint/IndependentMedicalReviewComplaintForm.aspx#.Vs4EhfkrKUk\" target=\"_blank\"> can appeal those decisions \u003c/a>to California’s Department of Managed Health Care, which will review the insurance company’s decision and either uphold it or overturn it.\u003c/p>\n\u003cp>Under law, the agency has six days to complete an urgent review, upon receipt of a complete application. \u003ca href=\"http://www.psych-appeal.com/california-dmhc-sued-for-unlawful-handling-of-mental-health-appeals/\" target=\"_blank\"> A lawsuit \u003c/a>filed late Tuesday alleges that the agency routinely violates review deadlines, sometimes taking weeks or longer to render a decision.\u003c/p>\n\u003cp>“The consequences of not receiving a timely decision can be devastating,\" says Meiram Bendat, an attorney for the plaintiffs and president of Psych-Appeal, a mental health advocacy law firm. \"Patients must decide whether to pay for costly treatments out of pocket, with the very real possibility of not getting reimbursed – or simply say ‘no’ and forego the care they desperately need.\"\u003c/p>\n\u003cp>The Department of Managed Health Care regulates health insurance plans that cover 25 million Californians. The number of people affected by the urgent review process addressed in the lawsuit is relatively few. Last year, the agency reviewed 1,789 insurance denials for care; 508 were handled on a expedited basis; and 15 percent of those (78 cases) were for mental health conditions.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The department would not comment on the lawsuit directly, but said its top priority is to protect the health care rights of consumers.\u003c/p>\n\u003cp>“We take our responsibility very seriously in assisting health care consumers to receive medically necessary care when they need it,\" said Rachel Arrezola, deputy director of communications.\u003c/p>\n\u003cp>The lawsuit was filed in Los Angeles Superior Court on behalf of Evolve Growth Initiatives, which operates adolescent mental health and substance abuse treatment facilities in California and New York.\u003c/p>\n\u003cp>Evolve CEO Mendi Baron says delays in rendering appeal decisions put mental health providers in an awkward position.\u003c/p>\n\u003cp>“Mental health providers often delay or terminate care instead of taking on the risks associated with these delayed appeals” Baron says. “While Evolve does not discharge patients pending appeals, we find that if they can’t pay for treatment themselves, many patients simply won’t stay in treatment.”\u003c/p>\n\u003cp>The lawsuit filed against the Department of Managed Health Care is unusual. Consumer health advocates recently applauded the agency for taking a hard line on enforcing \u003ca href=\"http://www.dol.gov/ebsa/mentalhealthparity/\" target=\"_blank\">mental health parity regulations \u003c/a>–- which require health insurers to provide mental health benefits equal to medical care. The agency fined Kaiser Permanente $4 million in 2013 for not providing patients timely access to mental health appointments and for effectively dissuading individual therapy. In 2014, Kaiser agreed to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/09/09/kaiser-agrees-to-pay-4-million-fine-over-mental-health-care-drops-lawsuit/\" target=\"_blank\">pay the fine\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“DMHC may tout mental health parity,” Baron said, “but its practices are making a mockery of actual mental health care.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Half of Gay Black Men Will Get HIV, CDC Analysis Shows",
"title": "Half of Gay Black Men Will Get HIV, CDC Analysis Shows",
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"content": "\u003cp>NEW YORK (AP) — About half of gay and bisexual black men will be diagnosed with the AIDS virus in their lifetime, according to the \u003ca href=\"http://www.cdc.gov/nchhstp/newsroom/docs/factsheets/lifetime-risk-hiv-dx-us.pdf\" target=\"_blank\">first-ever comprehensive national estimates\u003c/a> from the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Overall, for the average American, the odds of an HIV infection is 1 in 99 and has been declining.\u003c/p>\n\u003cp>But the risk varies widely for different groups. For example, the projection is 1 in 2 for gay black men but fewer than 1 in 2,500 for heterosexual white men.\u003c/p>\n\u003cp>\"The differences are stark,\" said Dr. Jonathan Mermin of the CDC's National Center for HIV/AIDS. The CDC released the estimates at a Boston medical conference on Tuesday.\u003c/p>\n\u003cp>HIV, or human immunodeficiency virus, is spread mainly through sex and sharing needles for injecting drugs. In the U.S., infections have long been most common in men who have sex with men. Since AIDS was first identified more than 30 years ago, medicines have changed it from a death sentence to a chronic threat.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The report provides an unusually vivid picture of what's been happening with HIV infections. The estimates were calculated from HIV diagnosis and death figures from 2009 through 2013.\u003c/p>\n\u003cp>New HIV infections have been falling in the United States, to about 40,000 annually. A disproportionately large share — about 10,000 cases — has been in gay and bisexual black men. That number has been holding steady while infections in other groups have fallen.\u003c/p>\n\u003cp>The lifetime risk of HIV has also has been declining. Several years ago, the CDC put that estimate at less than 1 in 78 for all Americans. It fell about 20 percent, to 1 in 99, and dropped for both men and women. That suggests prevention efforts are paying off, Mermin said.\u003c/p>\n\u003cp>The earlier estimate was based on 33 states; the \u003ca href=\"http://www.cdc.gov/nchhstp/newsroom/docs/factsheets/lifetime-risk-hiv-dx-us.pdf\" target=\"_blank\">new report\u003c/a> covers all 50 states and the District of Columbia. That allowed the agency — for the first time — to calculate lifetime risk for specific groups, like gay black men, and for states.\u003c/p>\n\u003cp>Again, the overall risk that the average American will be diagnosed with HIV during his or her lifetime is 1 in 99.\u003c/p>\n\u003cp>Findings include:\u003c/p>\n\u003cul>\n\u003cli>Based on geography, the chances of being diagnosed with HIV is highest in Washington, D.C., and Southern states like Georgia, Florida, Louisiana and Maryland.\u003c/li>\n\u003cli>The risk is lowest in North Dakota. One in 670 residents of that state will be diagnosed with HIV, compared to about 1 in 50 in Maryland and Georgia.\u003c/li>\n\u003cli>In California, the overall risk is 1 in 102\u003c/li>\n\u003cli>Gay and bisexual men have the highest risk, but there are racial differences within that group. For gay white men it's about 1 in 11 — a significantly smaller proportion than the estimate for blacks and Hispanics.\u003c/li>\n\u003cli>Among heterosexuals, blacks are far more likely to be infected than other racial groups. For example, 1 in 49 black women compared to 1 in 1,083 white women.\u003c/li>\n\u003c/ul>\n\u003cp>“You see this community that is at far higher risk for HIV infection, but there almost seems to be a concerted effort not to talk about it,” Greg Millett, vice president and director of Public Policy at AmfAR, the Foundation for AIDS Research, told \u003ca href=\"http://www.bloomberg.com/news/articles/2016-02-23/gay-black-men-are-still-bearing-the-brunt-of-the-hiv-crisis\" target=\"_blank\">Bloomberg News\u003c/a>. He was not involved in the research, but did work at CDC until 2014.\u003c/p>\n\u003cp>In a \u003ca href=\"http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)60899-X/abstract\" target=\"_blank\">2012 analysis,\u003c/a> Millett found the disparity was not linked to gay black men engaging in riskier sex. As Bloomberg reports:\u003c/p>\n\u003cblockquote>\u003cp>Rather, he cites such structural barriers as access to health insurance that have made it harder for blacks to get HIV testing and treatment that can control the virus and reduce the risk of infecting a partner.\u003c/p>\u003c/blockquote>\n\u003cp>Marguerita Lightfoot, director of the UC San Francisco Center for AIDS Prevention called the numbers \"shocking.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"UwZFLWI6km758gDhJI39O7UhloU3at8y\"]She agreed that HIV testing is a first step toward reducing the risk of infected men spreading the virus to others. With treatments available today, the virus can be reduced to undetectable levels in the bloodstream, making it virtually impossible to infect others.\u003c/p>\n\u003cp>For those who are negative, a key strategy that has become available just in the last two years is \"PrEP\" -- pre-exposure prophylaxis -- a pill that can dramatically reduce the risk of acquiring the virus. \"The big thing we can be doing is making sure young, black men in particular get access to PrEP,\" Lightfoot said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The report is a \"wake up call,\" Lightfoot said. \"We know clearly who we need to be targeting. We just need to get to work.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>NEW YORK (AP) — About half of gay and bisexual black men will be diagnosed with the AIDS virus in their lifetime, according to the \u003ca href=\"http://www.cdc.gov/nchhstp/newsroom/docs/factsheets/lifetime-risk-hiv-dx-us.pdf\" target=\"_blank\">first-ever comprehensive national estimates\u003c/a> from the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Overall, for the average American, the odds of an HIV infection is 1 in 99 and has been declining.\u003c/p>\n\u003cp>But the risk varies widely for different groups. For example, the projection is 1 in 2 for gay black men but fewer than 1 in 2,500 for heterosexual white men.\u003c/p>\n\u003cp>\"The differences are stark,\" said Dr. Jonathan Mermin of the CDC's National Center for HIV/AIDS. The CDC released the estimates at a Boston medical conference on Tuesday.\u003c/p>\n\u003cp>HIV, or human immunodeficiency virus, is spread mainly through sex and sharing needles for injecting drugs. In the U.S., infections have long been most common in men who have sex with men. Since AIDS was first identified more than 30 years ago, medicines have changed it from a death sentence to a chronic threat.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The report provides an unusually vivid picture of what's been happening with HIV infections. The estimates were calculated from HIV diagnosis and death figures from 2009 through 2013.\u003c/p>\n\u003cp>New HIV infections have been falling in the United States, to about 40,000 annually. A disproportionately large share — about 10,000 cases — has been in gay and bisexual black men. That number has been holding steady while infections in other groups have fallen.\u003c/p>\n\u003cp>The lifetime risk of HIV has also has been declining. Several years ago, the CDC put that estimate at less than 1 in 78 for all Americans. It fell about 20 percent, to 1 in 99, and dropped for both men and women. That suggests prevention efforts are paying off, Mermin said.\u003c/p>\n\u003cp>The earlier estimate was based on 33 states; the \u003ca href=\"http://www.cdc.gov/nchhstp/newsroom/docs/factsheets/lifetime-risk-hiv-dx-us.pdf\" target=\"_blank\">new report\u003c/a> covers all 50 states and the District of Columbia. That allowed the agency — for the first time — to calculate lifetime risk for specific groups, like gay black men, and for states.\u003c/p>\n\u003cp>Again, the overall risk that the average American will be diagnosed with HIV during his or her lifetime is 1 in 99.\u003c/p>\n\u003cp>Findings include:\u003c/p>\n\u003cul>\n\u003cli>Based on geography, the chances of being diagnosed with HIV is highest in Washington, D.C., and Southern states like Georgia, Florida, Louisiana and Maryland.\u003c/li>\n\u003cli>The risk is lowest in North Dakota. One in 670 residents of that state will be diagnosed with HIV, compared to about 1 in 50 in Maryland and Georgia.\u003c/li>\n\u003cli>In California, the overall risk is 1 in 102\u003c/li>\n\u003cli>Gay and bisexual men have the highest risk, but there are racial differences within that group. For gay white men it's about 1 in 11 — a significantly smaller proportion than the estimate for blacks and Hispanics.\u003c/li>\n\u003cli>Among heterosexuals, blacks are far more likely to be infected than other racial groups. For example, 1 in 49 black women compared to 1 in 1,083 white women.\u003c/li>\n\u003c/ul>\n\u003cp>“You see this community that is at far higher risk for HIV infection, but there almost seems to be a concerted effort not to talk about it,” Greg Millett, vice president and director of Public Policy at AmfAR, the Foundation for AIDS Research, told \u003ca href=\"http://www.bloomberg.com/news/articles/2016-02-23/gay-black-men-are-still-bearing-the-brunt-of-the-hiv-crisis\" target=\"_blank\">Bloomberg News\u003c/a>. He was not involved in the research, but did work at CDC until 2014.\u003c/p>\n\u003cp>In a \u003ca href=\"http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)60899-X/abstract\" target=\"_blank\">2012 analysis,\u003c/a> Millett found the disparity was not linked to gay black men engaging in riskier sex. As Bloomberg reports:\u003c/p>\n\u003cblockquote>\u003cp>Rather, he cites such structural barriers as access to health insurance that have made it harder for blacks to get HIV testing and treatment that can control the virus and reduce the risk of infecting a partner.\u003c/p>\u003c/blockquote>\n\u003cp>Marguerita Lightfoot, director of the UC San Francisco Center for AIDS Prevention called the numbers \"shocking.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>She agreed that HIV testing is a first step toward reducing the risk of infected men spreading the virus to others. With treatments available today, the virus can be reduced to undetectable levels in the bloodstream, making it virtually impossible to infect others.\u003c/p>\n\u003cp>For those who are negative, a key strategy that has become available just in the last two years is \"PrEP\" -- pre-exposure prophylaxis -- a pill that can dramatically reduce the risk of acquiring the virus. \"The big thing we can be doing is making sure young, black men in particular get access to PrEP,\" Lightfoot said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The report is a \"wake up call,\" Lightfoot said. \"We know clearly who we need to be targeting. We just need to get to work.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Investigators from the Centers for Disease Control and Prevention are currently in Palo Alto, in the second of a two-week study on youth suicide.\u003c/p>\n\u003cp>The region reeled from a suicide cluster that began in 2009, when five teens killed themselves in a span of nine months, mainly by stepping in front of speeding commuter trains. The community launched into action, developing numerous support programs and prevention strategies. But then another cluster hit in 2014, when another four teens committed suicide.\u003c/p>\n\u003cp>Local health officials asked the CDC to help them understand why.\u003c/p>\n\u003cp>“One of the key objectives the CDC has is to inventory all the different prevention strategies that have been put in place by schools and community groups,” said Dr. Sara Cody, public health officer for Santa Clara County. “Then they can provide recommendations, like, ‘This looks great, keep it up,’ or ‘Change the strategy in this way.’ It’s a nice opportunity to have outside professional feedback.”\u003c/p>\n\u003cp>[contextly_sidebar id=\"g0H1ja6o46avKDWFgCPc9wnnOGcm1GuD\"]The CDC sent five staff members to town, including three epidemic intelligence service officers, working from 6 a.m. to 9 p.m., Cody says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>So far, they’ve spent most of their days analyzing data.\u003c/p>\n\u003cp>“Coroner's reports. Vital statistics. Emergency Room. School surveys,” says Mary Gloner, executive director of Project Safety Net, a Palo Alto network of community groups aimed at fostering youth well-being. “They’re really abstracting all that information to help better understand the suicides that either led to fatalities or not.”\u003c/p>\n\u003cp>Most evenings, the CDC investigators attend meetings to talk about the community’s suicide prevention strategies. For example, after the first suicides, family and friends set up a “railroad watch” by the train tracks to prevent teens who may have gone there to end their lives. Gloner says the CDC asked several questions about this.\u003c/p>\n\u003cp>“You know, what was the genesis of it, what were the challenges, and where has it evolved to,” she says. “At first, family members and neighbors organized themselves. They developed a schedule. Then the city of Palo Alto helped support them. Now the police department is working with a vendor to have track watchers.”\u003c/p>\n\u003cp>The CDC will also review local media coverage, to see how it may have contributed to copycat suicides. Kelly McBride, a media ethicist with the Poynter Institute, says there are two mistakes reporters make when covering a teen suicide.\u003c/p>\n\u003cp>“One is being very explicit and descriptive about the cause of death,” she says. “And the second thing is (the reporting) is overly simplistic and attributes the suicide to a single issue or glorifies the individual as being perfect ... and just having this one problem, like a bad test grade or a breakup.”\u003c/p>\n\u003cp>If a young person is struggling and vulnerable to suicide, McBride says, reading an overly simplistic portrayal of another person’s suicide can make it look like “a reasonable option to someone whose brain is not functioning the same as a healthy human being.”\u003c/p>\n\u003cp>Dr. Cody says this has been a concern in Palo Alto, where local media covered the suicides with great intensity and, she says, perhaps not always in keeping with guidelines for responsible suicide coverage.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The CDC will be in Palo Alto until Friday. Investigators will write a preliminary report shortly after, and then an in-depth report later this year.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Investigators from the Centers for Disease Control and Prevention are currently in Palo Alto, in the second of a two-week study on youth suicide.\u003c/p>\n\u003cp>The region reeled from a suicide cluster that began in 2009, when five teens killed themselves in a span of nine months, mainly by stepping in front of speeding commuter trains. The community launched into action, developing numerous support programs and prevention strategies. But then another cluster hit in 2014, when another four teens committed suicide.\u003c/p>\n\u003cp>Local health officials asked the CDC to help them understand why.\u003c/p>\n\u003cp>“One of the key objectives the CDC has is to inventory all the different prevention strategies that have been put in place by schools and community groups,” said Dr. Sara Cody, public health officer for Santa Clara County. “Then they can provide recommendations, like, ‘This looks great, keep it up,’ or ‘Change the strategy in this way.’ It’s a nice opportunity to have outside professional feedback.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>The CDC sent five staff members to town, including three epidemic intelligence service officers, working from 6 a.m. to 9 p.m., Cody says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>So far, they’ve spent most of their days analyzing data.\u003c/p>\n\u003cp>“Coroner's reports. Vital statistics. Emergency Room. School surveys,” says Mary Gloner, executive director of Project Safety Net, a Palo Alto network of community groups aimed at fostering youth well-being. “They’re really abstracting all that information to help better understand the suicides that either led to fatalities or not.”\u003c/p>\n\u003cp>Most evenings, the CDC investigators attend meetings to talk about the community’s suicide prevention strategies. For example, after the first suicides, family and friends set up a “railroad watch” by the train tracks to prevent teens who may have gone there to end their lives. Gloner says the CDC asked several questions about this.\u003c/p>\n\u003cp>“You know, what was the genesis of it, what were the challenges, and where has it evolved to,” she says. “At first, family members and neighbors organized themselves. They developed a schedule. Then the city of Palo Alto helped support them. Now the police department is working with a vendor to have track watchers.”\u003c/p>\n\u003cp>The CDC will also review local media coverage, to see how it may have contributed to copycat suicides. Kelly McBride, a media ethicist with the Poynter Institute, says there are two mistakes reporters make when covering a teen suicide.\u003c/p>\n\u003cp>“One is being very explicit and descriptive about the cause of death,” she says. “And the second thing is (the reporting) is overly simplistic and attributes the suicide to a single issue or glorifies the individual as being perfect ... and just having this one problem, like a bad test grade or a breakup.”\u003c/p>\n\u003cp>If a young person is struggling and vulnerable to suicide, McBride says, reading an overly simplistic portrayal of another person’s suicide can make it look like “a reasonable option to someone whose brain is not functioning the same as a healthy human being.”\u003c/p>\n\u003cp>Dr. Cody says this has been a concern in Palo Alto, where local media covered the suicides with great intensity and, she says, perhaps not always in keeping with guidelines for responsible suicide coverage.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The CDC will be in Palo Alto until Friday. Investigators will write a preliminary report shortly after, and then an in-depth report later this year.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>SACRAMENTO, Calif. (AP) — California's inspector general gave a failing grade to medical care at a fourth prison Monday as the state tries to regain responsibility for health treatment after a decade of federal control.\u003c/p>\n\u003cp>Valley State Prison in Chowchilla received a failing grade in nine of the 14 benchmarks used by inspectors. Medical records often were missing, misfiled, incomplete or illegible. Medicine often was not provided as needed. Essential supplies and basic equipment were missing from many examination rooms.\u003c/p>\n\u003cp>Problems included a failure to provide inmates with follow-up care after initial appointments. Some appointments were delayed for months, while others never occurred, inspectors found. Nurses repeatedly failed to carry out doctors' orders, to identify and act on patients' medical problems, or to recognize those with urgent needs.\u003c/p>\n\u003cp>In one case, a patient who went untreated for low blood sodium for three weeks had a seizure that required life-support measures and sent him to an intensive care unit at an outside hospital.\u003c/p>\n\u003cp>\"Poor care resulted in bad or potentially really bad outcomes,\" said Steven Fama, an attorney with the Berkeley-based Prison Law Office that represents ill inmates.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The medium-security prison houses nearly 3,400 inmates about 40 miles northwest of Fresno.\u003c/p>\n\u003cp>Joyce Hayhoe, a spokeswoman for the federal receiver who runs the prison health care system, said officials are fixing the problems.\u003c/p>\n\u003cp>The inspector general previously found that prisons in Delano, Susanville and Vacaville are providing inadequate care.\u003c/p>\n\u003cp>Seven other prisons have received passing grades, and one prison, in Folsom, has been returned to state control.\u003c/p>\n\u003cp>U.S. District Judge Thelton Henderson said last year that the state must successfully operate all 34 adult prisons for a year before he considers ending a long-running class action lawsuit.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Henderson seized control a decade ago after he found that conditions were so poor that an average of an inmate a week was dying of medical malpractice or neglect.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>SACRAMENTO, Calif. (AP) — California's inspector general gave a failing grade to medical care at a fourth prison Monday as the state tries to regain responsibility for health treatment after a decade of federal control.\u003c/p>\n\u003cp>Valley State Prison in Chowchilla received a failing grade in nine of the 14 benchmarks used by inspectors. Medical records often were missing, misfiled, incomplete or illegible. Medicine often was not provided as needed. Essential supplies and basic equipment were missing from many examination rooms.\u003c/p>\n\u003cp>Problems included a failure to provide inmates with follow-up care after initial appointments. Some appointments were delayed for months, while others never occurred, inspectors found. Nurses repeatedly failed to carry out doctors' orders, to identify and act on patients' medical problems, or to recognize those with urgent needs.\u003c/p>\n\u003cp>In one case, a patient who went untreated for low blood sodium for three weeks had a seizure that required life-support measures and sent him to an intensive care unit at an outside hospital.\u003c/p>\n\u003cp>\"Poor care resulted in bad or potentially really bad outcomes,\" said Steven Fama, an attorney with the Berkeley-based Prison Law Office that represents ill inmates.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The medium-security prison houses nearly 3,400 inmates about 40 miles northwest of Fresno.\u003c/p>\n\u003cp>Joyce Hayhoe, a spokeswoman for the federal receiver who runs the prison health care system, said officials are fixing the problems.\u003c/p>\n\u003cp>The inspector general previously found that prisons in Delano, Susanville and Vacaville are providing inadequate care.\u003c/p>\n\u003cp>Seven other prisons have received passing grades, and one prison, in Folsom, has been returned to state control.\u003c/p>\n\u003cp>U.S. District Judge Thelton Henderson said last year that the state must successfully operate all 34 adult prisons for a year before he considers ending a long-running class action lawsuit.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Henderson seized control a decade ago after he found that conditions were so poor that an average of an inmate a week was dying of medical malpractice or neglect.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>A San Francisco Board of Supervisors committee voted Monday to raise the legal age to buy tobacco products from 18 to 21. The vote of the Land Use Committee was 3-0 to prohibit retailers from selling tobacco products -- including smokeless tobacco and e-cigarettes -- to those under age 21.\u003c/p>\n\u003cp>The full board will consider the ordinance next Tuesday, March 1. If the measure passes and is signed by the mayor, San Francisco would join \u003ca href=\"http://tobacco21.org/wp-content/uploads/2014/02/Tobacco-21-Cities-new22.pdf\" target=\"_blank\">more than 120 cities nationally \u003c/a>-- including Boston and New York -- in approving the change. Hawaii raised the age statewide, effective Jan. 1. In California, Healdsburg and \u003ca href=\"http://www.prnewswire.com/news-releases/berkeley-raises-smoking-age-to-21-300210500.html\" target=\"_blank\">Berkeley \u003c/a>have both approved the higher age. A bill in the California Assembly to raise the age statewide stalled last fall.\u003c/p>\n\u003cp>Proponents of the change say that many teenagers access cigarettes and other tobacco products from friends who are old enough to legally buy them. Raising the age to 21 moves legal buyers out of the social circle of most high school students, advocates say.\u003c/p>\n\u003cp>\"This is an important public health issue,\" said Supervisor Scott Wiener, one of the sponsors of the ordinance, who said that teenagers who take up smoking are more likely to get \"hooked for the long term,\" but those who start older are less likely to do so.\u003c/p>\n\u003cp>\"If we can make it harder for young people to get access to tobacco, we will see significant public health benefits,\" he said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A landmark study from the prestigious Institute of Medicine reached a similar conclusion in \u003ca href=\"https://iom.nationalacademies.org/~/media/Files/Report%20Files/2015/TobaccoMinAge/tobacco_minimum_age_report_brief.pdf\" target=\"_blank\">an analysis published last year\u003c/a>. The panel found that if the minimum legal age to buy tobacco were raised to 21, tobacco use by would drop by 12 percent by the time today's teens reached adulthood.\u003c/p>\n\u003cp>David Sutton, a spokesman for tobacco industry leader Altria, the parent company of Philip Morris, said that the company supports the minimum age of 18 and called the question of raising the minimum age \"a complex issue.\"\u003c/p>\n\u003cp>He said cities and states should defer to Congress and the Food and Drug Administration to \"evaluate the issue.\"\u003c/p>\n\u003cp>Tom Briant, with the National Association of Tobacco Outlets, raised a different issue. He said that California law \"specifically preempts a local government from adopting a higher age to buy tobacco products.\" The \u003ca href=\"http://www.pressdemocrat.com/news/4606690-181/healdsburg-suspends-its-over-21-requirement\" target=\"_blank\">Santa Rosa Press Democrat reported\u003c/a> that Healdsburg ultimately suspended enforcement of raising the minimum age to 21 after being threatened with a lawsuit by Briant's organization.\u003c/p>\n\u003cp>While California law sets many aspects of tobacco regulation, including the minimum age of purchase, Wiener is confident that San Francisco's ordinance would withstand legal scrutiny.\u003c/p>\n\u003cp>\"We believe -- and our city attorney believes -- that this ordinance is very compatible with state law,\" he said. \"We will prevail in a challenge and a lawsuit by the tobacco industry.\"\u003c/p>\n\u003cp>Briant also said his organization believes that people who are 18 should have the right to make decisions about what lawful products to use. \"Since someone who is 18 can get married, can serve in the military, can vote,\" he said, \"they are of age to make an adult decision whether or not to buy or use tobacco products.\"\u003c/p>\n\u003cp>Advocates of the change counter that the drinking age is 21, and many states set 21 as the minimum age for casino gambling.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>A national survey from the Centers for Disease Control and Prevention last year found that three out of four adults favor making 21 the minimum age for sale of tobacco products -- and that includes seven out of 10 current adult smokers.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A San Francisco Board of Supervisors committee voted Monday to raise the legal age to buy tobacco products from 18 to 21. The vote of the Land Use Committee was 3-0 to prohibit retailers from selling tobacco products -- including smokeless tobacco and e-cigarettes -- to those under age 21.\u003c/p>\n\u003cp>The full board will consider the ordinance next Tuesday, March 1. If the measure passes and is signed by the mayor, San Francisco would join \u003ca href=\"http://tobacco21.org/wp-content/uploads/2014/02/Tobacco-21-Cities-new22.pdf\" target=\"_blank\">more than 120 cities nationally \u003c/a>-- including Boston and New York -- in approving the change. Hawaii raised the age statewide, effective Jan. 1. In California, Healdsburg and \u003ca href=\"http://www.prnewswire.com/news-releases/berkeley-raises-smoking-age-to-21-300210500.html\" target=\"_blank\">Berkeley \u003c/a>have both approved the higher age. A bill in the California Assembly to raise the age statewide stalled last fall.\u003c/p>\n\u003cp>Proponents of the change say that many teenagers access cigarettes and other tobacco products from friends who are old enough to legally buy them. Raising the age to 21 moves legal buyers out of the social circle of most high school students, advocates say.\u003c/p>\n\u003cp>\"This is an important public health issue,\" said Supervisor Scott Wiener, one of the sponsors of the ordinance, who said that teenagers who take up smoking are more likely to get \"hooked for the long term,\" but those who start older are less likely to do so.\u003c/p>\n\u003cp>\"If we can make it harder for young people to get access to tobacco, we will see significant public health benefits,\" he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A landmark study from the prestigious Institute of Medicine reached a similar conclusion in \u003ca href=\"https://iom.nationalacademies.org/~/media/Files/Report%20Files/2015/TobaccoMinAge/tobacco_minimum_age_report_brief.pdf\" target=\"_blank\">an analysis published last year\u003c/a>. The panel found that if the minimum legal age to buy tobacco were raised to 21, tobacco use by would drop by 12 percent by the time today's teens reached adulthood.\u003c/p>\n\u003cp>David Sutton, a spokesman for tobacco industry leader Altria, the parent company of Philip Morris, said that the company supports the minimum age of 18 and called the question of raising the minimum age \"a complex issue.\"\u003c/p>\n\u003cp>He said cities and states should defer to Congress and the Food and Drug Administration to \"evaluate the issue.\"\u003c/p>\n\u003cp>Tom Briant, with the National Association of Tobacco Outlets, raised a different issue. He said that California law \"specifically preempts a local government from adopting a higher age to buy tobacco products.\" The \u003ca href=\"http://www.pressdemocrat.com/news/4606690-181/healdsburg-suspends-its-over-21-requirement\" target=\"_blank\">Santa Rosa Press Democrat reported\u003c/a> that Healdsburg ultimately suspended enforcement of raising the minimum age to 21 after being threatened with a lawsuit by Briant's organization.\u003c/p>\n\u003cp>While California law sets many aspects of tobacco regulation, including the minimum age of purchase, Wiener is confident that San Francisco's ordinance would withstand legal scrutiny.\u003c/p>\n\u003cp>\"We believe -- and our city attorney believes -- that this ordinance is very compatible with state law,\" he said. \"We will prevail in a challenge and a lawsuit by the tobacco industry.\"\u003c/p>\n\u003cp>Briant also said his organization believes that people who are 18 should have the right to make decisions about what lawful products to use. \"Since someone who is 18 can get married, can serve in the military, can vote,\" he said, \"they are of age to make an adult decision whether or not to buy or use tobacco products.\"\u003c/p>\n\u003cp>Advocates of the change counter that the drinking age is 21, and many states set 21 as the minimum age for casino gambling.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>A national survey from the Centers for Disease Control and Prevention last year found that three out of four adults favor making 21 the minimum age for sale of tobacco products -- and that includes seven out of 10 current adult smokers.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Abandoned Nursing Home Residents Live Months in Hospital, Waiting",
"title": "Abandoned Nursing Home Residents Live Months in Hospital, Waiting",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>A bad bout of pneumonia sent Bruce Anderson to Sutter Medical Center in Sacramento last May. As soon as he recovered, hospital staff tried to return him to the nursing home where he had been living for four years.\u003c/p>\n\u003caside class=\"pullquote alignright\">After patient recovered from pneumonia, his nursing home refused to take him back.\u003c/aside>\n\u003cp>But the home refused to readmit him, even after being ordered to do so by the state. Nearly nine months later, Anderson, 66, is still in the hospital.\u003c/p>\n\u003cp>“I’m frustrated,” said his daughter, Sara Anderson. “You cannot just dump someone in the hospital.”\u003c/p>\n\u003cp>Anderson said her father, who has a brain injury that causes dementia-like symptoms, is confined to the hospital bed and frequently given anti-psychotic medications. She believes the nursing home, Norwood Pines Alzheimer’s Care Center, refused to readmit him because it wanted to make room for more lucrative and less burdensome residents.\u003c/p>\n\u003cp>“I didn’t have any question this was about money,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Nursing home residents are entitled to hearings under federal law to determine whether they should be readmitted after hospitalization. The state Department of Health Care Services holds the administrative hearings, but has said it is not responsible for enforcing the rulings.\u003c/p>\n\u003cp>But the state Department of Public Health, which oversees nursing homes, neglects to enforce the rulings and sometimes disagrees with them, according to advocates and court documents.\u003c/p>\n\u003cp>That leaves residents like Anderson, who won his hearing in July, with little recourse — and not many places to go. And since many nursing home residents have publicly-funded insurance, it means taxpayers are on the hook for hospital stays long after the patients are ready for discharge.\u003c/p>\n\u003cp>“Federal and state law have created a complicated and expensive process to ensure residents are not abandoned by their nursing homes,” said Tony Chicotel, a staff attorney at the nonprofit California Advocates for Nursing Home Reform. “It fundamentally doesn’t work.”\u003c/p>\n\u003cp>Chicotel said the outcome is “profoundly problematic” — vulnerable residents are abandoned by the nursing homes and then by the state.\u003c/p>\n\u003cp>Bruce Anderson, two other displaced nursing home residents and California Advocates for Nursing Home Reform are plaintiffs in a pending lawsuit against the California Health and Human Services agency.\u003c/p>\n\u003cp>Their suit, filed in federal court in San Francisco last November, alleges that the state is violating U.S. laws aimed at protecting nursing home residents from being “dumped” at hospitals. A hearing on the case is scheduled for next month.\u003c/p>\n\u003cp>Attorney Matthew Borden, who is representing the plaintiffs, said he wants the federal court to require California to establish a hearing process that complies with federal law and to enforce the rulings.\u003c/p>\n\u003cp>“We are not asking for the moon,” he said. “What is the point of a hearing if no one is going to enforce it? … This illustrates how futile this process is.”\u003c/p>\n\u003cfigure id=\"attachment_151639\" class=\"wp-caption alignright\" style=\"max-width: 370px\">\u003cimg class=\"wp-image-151639 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/anderson-1-e1455917041798.jpg\" alt=\"Bruce Anderson about a year before his accident. \" width=\"370\" height=\"370\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/02/anderson-1-e1455917041798.jpg 370w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/anderson-1-e1455917041798-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/anderson-1-e1455917041798-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/anderson-1-e1455917041798-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/anderson-1-e1455917041798-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/anderson-1-e1455917041798-75x75.jpg 75w\" sizes=\"(max-width: 370px) 100vw, 370px\">\u003cfigcaption class=\"wp-caption-text\">Bruce Anderson about a year before his accident. \u003ccite>(Courtesy of Sara Anderson)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The state’s Health and Human Services agency, which oversees both health departments involved, declined to comment, as did its attorneys at the California Department of Justice.\u003c/p>\n\u003cp>The defense lawyers filed a motion to dismiss the case, however, arguing that the plaintiffs haven’t presented evidence of a “systemic problem” with regard to residents who are not readmitted to facilities after winning their administrative hearings.\u003c/p>\n\u003cp>The defense motion also lays out several ways in which state officials could enforce administrative hearing orders, including civil penalties against nursing homes. But Chicotel, of California Advocates for Nursing Home Reform, said the state doesn’t avail itself of the enforcement mechanisms.\u003c/p>\n\u003cp>Deborah Pacyna, public affairs director of the California Association of Health Facilities, the trade association for nursing homes, said facilities can’t always take residents back after hospitalization — even if the administrative ruling is in the resident’s favor.\u003c/p>\n\u003cp>For example, nursing homes are prohibited by law from taking residents if they are dangers to themselves or others — or if the facility can’t provide adequate care for them, Pacyna said.\u003c/p>\n\u003cp>She said Bruce Anderson did pose a danger — that he had assaulted a staff member and law enforcement officers. The nursing home said in the administrative hearing that it believed Anderson would be better off in a psychiatric facility, according to the ruling.\u003c/p>\n\u003cp>“This is not about money,” she said. “This is about patient safety … The nursing home has to take into account the safety of the entire population.”\u003c/p>\n\u003cp>Regardless of motive, the refusal of nursing homes to readmit residents can put hospitals in a difficult situation. Patients can linger in the hospital for a year or more as staff members search for places that can accommodate their serious physical or behavioral needs, said Pat Blaisdell, vice president for the continuum of care at the California Hospital Association.\u003c/p>\n\u003cp>“It’s a major problem,” she said, noting that on any given day there are a few hundred people in hospital beds around the state who shouldn’t be there. That takes up valuable beds, staffing time and money that would be better spent on patients who genuinely need to be there.\u003c/p>\n\u003cp>Medi-Cal pays hospitals about $400 a day for these patients — far less than what it takes to provide care for them, Blaisdell said. Nursing homes also receive meager reimbursement from Medi-Cal, which Blaisdell said she believes is likely a factor when they decide not to readmit residents.\u003c/p>\n\u003cp>Whatever the reason, keeping patients hospitalized when they don’t need to be is medically bad for them, she said.\u003c/p>\n\u003cp>John Wilson, 61, is another one of the other plaintiffs in the lawsuit. He spent seven months at St. John’s Pleasant Valley Hospital in Camarillo after the hospital’s parent company, which owns the skilled nursing unit where he had resided, refused to readmit him to it. Wilson has ALS, a degenerative neurological disorder commonly known as Lou Gehrig’s disease, and he needs a ventilator to breathe.\u003c/p>\n\u003cp>Wilson’s son, Jeremy Wilson, said that in the past his father had gone to the hospital frequently for pneumonia, skin infections and other ailments, and each time the skilled nursing unit took him back. But last April, after Wilson got a bacterial infection and ended up in the intensive care unit, a social worker said he would not be accepted back into the nursing facility.\u003c/p>\n\u003cp>The family appealed the decision, and won its case in an administrative readmission hearing. But the facility still refused to readmit Wilson, his son said.\u003c/p>\n\u003cp>Jeremy Wilson said he was angry that the nursing home didn’t comply with the order — and that the state didn’t do anything about it. But after he pushed for months, the nursing home finally allowed his father to return, he said.\u003c/p>\n\u003cp>“He was basically in a jail for seven months,” the son said. “He couldn’t get in a wheelchair and go down into the garden. He was literally stuck in the room, and from a psychological standpoint, it took a great toll on him.”\u003c/p>\n\u003cp>Sara Anderson said she is still trying to get her father out of Sutter Medical Center in Sacramento. She, too, sees the toll it is taking on him. He has grown weaker and he misses his home at Norwood Pines — and playing bingo with the other residents, she said.\u003c/p>\n\u003cp>Anderson said the hospital staff is nice to him and he is receiving good care, but he really needs to be in a skilled nursing facility — not an acute care hospital.\u003c/p>\n\u003cp>She worries that it still may be a long time before her father is discharged, and that when he is, he will be sent someplace far from her home in San Joaquin County. Finding a place for him is very difficult, she said. “Places do not want to take someone like him … He is a hard sell.”\u003c/p>\n\u003cp>Beyond her father’s situation, Anderson said she wants the state to fix the way it handles nursing home readmission disputes. “This suit is really for the next family whose loved one gets dumped in the hospital,” she said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"http://khn.org/\" target=\"_blank\">Kaiser Health News\u003c/a>, an editorially independent program of the \u003ca href=\"http://kff.org/\" target=\"\">Kaiser Family Foundation\u003c/a>.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A bad bout of pneumonia sent Bruce Anderson to Sutter Medical Center in Sacramento last May. As soon as he recovered, hospital staff tried to return him to the nursing home where he had been living for four years.\u003c/p>\n\u003caside class=\"pullquote alignright\">After patient recovered from pneumonia, his nursing home refused to take him back.\u003c/aside>\n\u003cp>But the home refused to readmit him, even after being ordered to do so by the state. Nearly nine months later, Anderson, 66, is still in the hospital.\u003c/p>\n\u003cp>“I’m frustrated,” said his daughter, Sara Anderson. “You cannot just dump someone in the hospital.”\u003c/p>\n\u003cp>Anderson said her father, who has a brain injury that causes dementia-like symptoms, is confined to the hospital bed and frequently given anti-psychotic medications. She believes the nursing home, Norwood Pines Alzheimer’s Care Center, refused to readmit him because it wanted to make room for more lucrative and less burdensome residents.\u003c/p>\n\u003cp>“I didn’t have any question this was about money,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nursing home residents are entitled to hearings under federal law to determine whether they should be readmitted after hospitalization. The state Department of Health Care Services holds the administrative hearings, but has said it is not responsible for enforcing the rulings.\u003c/p>\n\u003cp>But the state Department of Public Health, which oversees nursing homes, neglects to enforce the rulings and sometimes disagrees with them, according to advocates and court documents.\u003c/p>\n\u003cp>That leaves residents like Anderson, who won his hearing in July, with little recourse — and not many places to go. And since many nursing home residents have publicly-funded insurance, it means taxpayers are on the hook for hospital stays long after the patients are ready for discharge.\u003c/p>\n\u003cp>“Federal and state law have created a complicated and expensive process to ensure residents are not abandoned by their nursing homes,” said Tony Chicotel, a staff attorney at the nonprofit California Advocates for Nursing Home Reform. “It fundamentally doesn’t work.”\u003c/p>\n\u003cp>Chicotel said the outcome is “profoundly problematic” — vulnerable residents are abandoned by the nursing homes and then by the state.\u003c/p>\n\u003cp>Bruce Anderson, two other displaced nursing home residents and California Advocates for Nursing Home Reform are plaintiffs in a pending lawsuit against the California Health and Human Services agency.\u003c/p>\n\u003cp>Their suit, filed in federal court in San Francisco last November, alleges that the state is violating U.S. laws aimed at protecting nursing home residents from being “dumped” at hospitals. A hearing on the case is scheduled for next month.\u003c/p>\n\u003cp>Attorney Matthew Borden, who is representing the plaintiffs, said he wants the federal court to require California to establish a hearing process that complies with federal law and to enforce the rulings.\u003c/p>\n\u003cp>“We are not asking for the moon,” he said. “What is the point of a hearing if no one is going to enforce it? … This illustrates how futile this process is.”\u003c/p>\n\u003cfigure id=\"attachment_151639\" class=\"wp-caption alignright\" style=\"max-width: 370px\">\u003cimg class=\"wp-image-151639 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/anderson-1-e1455917041798.jpg\" alt=\"Bruce Anderson about a year before his accident. \" width=\"370\" height=\"370\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/02/anderson-1-e1455917041798.jpg 370w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/anderson-1-e1455917041798-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/anderson-1-e1455917041798-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/anderson-1-e1455917041798-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/anderson-1-e1455917041798-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/anderson-1-e1455917041798-75x75.jpg 75w\" sizes=\"(max-width: 370px) 100vw, 370px\">\u003cfigcaption class=\"wp-caption-text\">Bruce Anderson about a year before his accident. \u003ccite>(Courtesy of Sara Anderson)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The state’s Health and Human Services agency, which oversees both health departments involved, declined to comment, as did its attorneys at the California Department of Justice.\u003c/p>\n\u003cp>The defense lawyers filed a motion to dismiss the case, however, arguing that the plaintiffs haven’t presented evidence of a “systemic problem” with regard to residents who are not readmitted to facilities after winning their administrative hearings.\u003c/p>\n\u003cp>The defense motion also lays out several ways in which state officials could enforce administrative hearing orders, including civil penalties against nursing homes. But Chicotel, of California Advocates for Nursing Home Reform, said the state doesn’t avail itself of the enforcement mechanisms.\u003c/p>\n\u003cp>Deborah Pacyna, public affairs director of the California Association of Health Facilities, the trade association for nursing homes, said facilities can’t always take residents back after hospitalization — even if the administrative ruling is in the resident’s favor.\u003c/p>\n\u003cp>For example, nursing homes are prohibited by law from taking residents if they are dangers to themselves or others — or if the facility can’t provide adequate care for them, Pacyna said.\u003c/p>\n\u003cp>She said Bruce Anderson did pose a danger — that he had assaulted a staff member and law enforcement officers. The nursing home said in the administrative hearing that it believed Anderson would be better off in a psychiatric facility, according to the ruling.\u003c/p>\n\u003cp>“This is not about money,” she said. “This is about patient safety … The nursing home has to take into account the safety of the entire population.”\u003c/p>\n\u003cp>Regardless of motive, the refusal of nursing homes to readmit residents can put hospitals in a difficult situation. Patients can linger in the hospital for a year or more as staff members search for places that can accommodate their serious physical or behavioral needs, said Pat Blaisdell, vice president for the continuum of care at the California Hospital Association.\u003c/p>\n\u003cp>“It’s a major problem,” she said, noting that on any given day there are a few hundred people in hospital beds around the state who shouldn’t be there. That takes up valuable beds, staffing time and money that would be better spent on patients who genuinely need to be there.\u003c/p>\n\u003cp>Medi-Cal pays hospitals about $400 a day for these patients — far less than what it takes to provide care for them, Blaisdell said. Nursing homes also receive meager reimbursement from Medi-Cal, which Blaisdell said she believes is likely a factor when they decide not to readmit residents.\u003c/p>\n\u003cp>Whatever the reason, keeping patients hospitalized when they don’t need to be is medically bad for them, she said.\u003c/p>\n\u003cp>John Wilson, 61, is another one of the other plaintiffs in the lawsuit. He spent seven months at St. John’s Pleasant Valley Hospital in Camarillo after the hospital’s parent company, which owns the skilled nursing unit where he had resided, refused to readmit him to it. Wilson has ALS, a degenerative neurological disorder commonly known as Lou Gehrig’s disease, and he needs a ventilator to breathe.\u003c/p>\n\u003cp>Wilson’s son, Jeremy Wilson, said that in the past his father had gone to the hospital frequently for pneumonia, skin infections and other ailments, and each time the skilled nursing unit took him back. But last April, after Wilson got a bacterial infection and ended up in the intensive care unit, a social worker said he would not be accepted back into the nursing facility.\u003c/p>\n\u003cp>The family appealed the decision, and won its case in an administrative readmission hearing. But the facility still refused to readmit Wilson, his son said.\u003c/p>\n\u003cp>Jeremy Wilson said he was angry that the nursing home didn’t comply with the order — and that the state didn’t do anything about it. But after he pushed for months, the nursing home finally allowed his father to return, he said.\u003c/p>\n\u003cp>“He was basically in a jail for seven months,” the son said. “He couldn’t get in a wheelchair and go down into the garden. He was literally stuck in the room, and from a psychological standpoint, it took a great toll on him.”\u003c/p>\n\u003cp>Sara Anderson said she is still trying to get her father out of Sutter Medical Center in Sacramento. She, too, sees the toll it is taking on him. He has grown weaker and he misses his home at Norwood Pines — and playing bingo with the other residents, she said.\u003c/p>\n\u003cp>Anderson said the hospital staff is nice to him and he is receiving good care, but he really needs to be in a skilled nursing facility — not an acute care hospital.\u003c/p>\n\u003cp>She worries that it still may be a long time before her father is discharged, and that when he is, he will be sent someplace far from her home in San Joaquin County. Finding a place for him is very difficult, she said. “Places do not want to take someone like him … He is a hard sell.”\u003c/p>\n\u003cp>Beyond her father’s situation, Anderson said she wants the state to fix the way it handles nursing home readmission disputes. “This suit is really for the next family whose loved one gets dumped in the hospital,” she said.\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 \u003ca href=\"http://khn.org/\" target=\"_blank\">Kaiser Health News\u003c/a>, an editorially independent program of the \u003ca href=\"http://kff.org/\" target=\"\">Kaiser Family Foundation\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>This season, Downton Abbey has a new plot line that has health wonks on the edge of their seats: a heated debate about hospital consolidation that closely parallels what’s going on in the U.S. health care system today.\u003c/p>\n\u003cp>If you’re not a Downton fan (and even if you are), here’s a quick plot recap.\u003c/p>\n\u003caside class=\"pullquote alignright\">'The royal Yorkshire county hospital wants to take over our little hospital, which is outrageous!'\u003ccite> Dowager Countess of Grantham \u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>It’s 1925 for the lords and ladies at \u003ca href=\"http://www.pbs.org/wgbh/masterpiece/downtonabbey/\" target=\"_blank\">Downton Abbey \u003c/a>— think flapper dresses, cocktail parties and women’s rights. A big hospital in the nearby city of York is making a play to take over the Downton Cottage Hospital next to the posh estate. Or as Maggie Smith’s character, the Dowager Countess of Grantham, sees it, “The royal Yorkshire county hospital wants to take over our little hospital, which is outrageous!”\u003c/p>\n\u003cp>The battle lines have been drawn between the Dowager Countess, who wants the hospital to stay a small community endeavor, and the rest of the family, which hopes the merger will turn the dinky open-ward affair into a first-rate modern medical institution.\u003c/p>\n\u003cp>Health care historian Howard Markel, who runs the \u003ca href=\"http://chm.med.umich.edu/\" target=\"_blank\">Center for the History of Medicine at the University of Michigan\u003c/a>, said the conceit is actually fairly accurate.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“The 1920s really begins the golden age of medicine,” he explained. Before then, hospitals didn’t have much to offer in the way of treatment.\u003c/p>\n\u003cp>“They were really based on old time 19th century medicine, and what that entails is basically nursing. You feed people, you make them comfortable.”\u003c/p>\n\u003cp>There weren’t many medications — no antibiotics, insulin or even intravenous fluids.\u003c/p>\n\u003cp>But in the early 20th century, all sorts of new medical technologies came onto the scene — new ways to peer into the body, new medications and pathogen-free surgeries.\u003c/p>\n\u003cp>To provide modern care, “you need X-ray machines of all kinds, you need a chemistry laboratory and you need special operating rooms,” said Markel, all of which cost much more than the gauze and broth of the past.\u003c/p>\n\u003cp>Cities started to build bigger, grander hospitals, which in turn started to absorb the smaller, old-fashioned hospitals in the surrounding towns and villages.\u003c/p>\n\u003cp>Those mergers did have some benefits for local populations. “If we form such a partnership, our patients would have more access to more modern equipment. To more advanced treatments,” Downton Abbey’s Lord Merton noted on the show.\u003c/p>\n\u003cp>Many of his real-life contemporaries agreed, making the golden age of medicine a heyday for hospital consolidation on both sides of the pond.\u003c/p>\n\u003cp>Nowadays, said Kathy McDonald, who directs the \u003ca href=\"http://healthpolicy.fsi.stanford.edu/\" target=\"_blank\">Stanford University Center for Health Policy\u003c/a>, we appear to be in another Downton-like consolidation surge here in the U.S.\u003c/p>\n\u003cp>“It’s been since about 2010 that there’s been sort of an uptick in terms of consolidations,” said McDonald. About 100 mergers and acquisitions occur each year right now, about twice as many as there were before 2010, she said.\u003c/p>\n\u003cp>But this time around, it’s not about technology — it’s about finances. Hospitals want to be part of larger networks to flex their muscles in negotiations for profitable contracts with insurers. And thanks to the Affordable Care Act, they are now often paid based on the quality and efficiency of the care they provide, rather than for each test or procedure. Actually tracking how good their quality is turns out to be very expensive. And it can be more economical to team up to manage care and track quality.\u003c/p>\n\u003cp>“They might be providing perfectly good quality, but if they can’t prove it, then they’re not going to get paid as well,” said McDonald.\u003c/p>\n\u003cp>Those mergers can have real consequences for communities, which may see a local hospital transform or even disappear entirely.\u003c/p>\n\u003cp>“Just like on Downton Abbey, the local hospital is a resource that people care about. They employ people in a community and they take care of people,” said McDonald. So the debates continue, now as then.\u003c/p>\n\u003cp>And true to form, the indomitable Dowager Countess tells us exactly what she thinks about all this so-called progress: “For years, I’ve watched governments take control of our lives and their argument is always the same: fewer costs, greater efficiency. But the result is the same too. Less control by the people, more control by the state.”\u003c/p>\n\u003cp>So whose side are the experts on in this Downton debate?\u003c/p>\n\u003cp>“Personally I love Maggie Smith and have loved her since I was a young boy, so I’m on her side as a fan,” said Markel.\u003c/p>\n\u003cp>But, he adds, the other side is probably right.\u003c/p>\n\u003cp>McDonald is also on the side of progress. But even for health care policy experts, it’s hard to argue against the Dowager Countess.\u003c/p>\n\u003cp>There are plenty of Downton fans who say the whole hospital plot line is kind of a snoozer. Maybe it’s no surprise — the wonks love it.\u003c/p>\n\u003cp>“Health care just matters to people, so even though we might not be paying attention to this plot line, we probably should,” said McDonald.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>And with an audience of nearly 10 million viewers this season, there’s a good chance at least a few people are.\u003c/p>\n\n",
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"excerpt": "Plenty of Downton fans think the hospital consolidation plot is a snoozer, but health policy wonks love the parallels to today.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>This season, Downton Abbey has a new plot line that has health wonks on the edge of their seats: a heated debate about hospital consolidation that closely parallels what’s going on in the U.S. health care system today.\u003c/p>\n\u003cp>If you’re not a Downton fan (and even if you are), here’s a quick plot recap.\u003c/p>\n\u003caside class=\"pullquote alignright\">'The royal Yorkshire county hospital wants to take over our little hospital, which is outrageous!'\u003ccite> Dowager Countess of Grantham \u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>It’s 1925 for the lords and ladies at \u003ca href=\"http://www.pbs.org/wgbh/masterpiece/downtonabbey/\" target=\"_blank\">Downton Abbey \u003c/a>— think flapper dresses, cocktail parties and women’s rights. A big hospital in the nearby city of York is making a play to take over the Downton Cottage Hospital next to the posh estate. Or as Maggie Smith’s character, the Dowager Countess of Grantham, sees it, “The royal Yorkshire county hospital wants to take over our little hospital, which is outrageous!”\u003c/p>\n\u003cp>The battle lines have been drawn between the Dowager Countess, who wants the hospital to stay a small community endeavor, and the rest of the family, which hopes the merger will turn the dinky open-ward affair into a first-rate modern medical institution.\u003c/p>\n\u003cp>Health care historian Howard Markel, who runs the \u003ca href=\"http://chm.med.umich.edu/\" target=\"_blank\">Center for the History of Medicine at the University of Michigan\u003c/a>, said the conceit is actually fairly accurate.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The 1920s really begins the golden age of medicine,” he explained. Before then, hospitals didn’t have much to offer in the way of treatment.\u003c/p>\n\u003cp>“They were really based on old time 19th century medicine, and what that entails is basically nursing. You feed people, you make them comfortable.”\u003c/p>\n\u003cp>There weren’t many medications — no antibiotics, insulin or even intravenous fluids.\u003c/p>\n\u003cp>But in the early 20th century, all sorts of new medical technologies came onto the scene — new ways to peer into the body, new medications and pathogen-free surgeries.\u003c/p>\n\u003cp>To provide modern care, “you need X-ray machines of all kinds, you need a chemistry laboratory and you need special operating rooms,” said Markel, all of which cost much more than the gauze and broth of the past.\u003c/p>\n\u003cp>Cities started to build bigger, grander hospitals, which in turn started to absorb the smaller, old-fashioned hospitals in the surrounding towns and villages.\u003c/p>\n\u003cp>Those mergers did have some benefits for local populations. “If we form such a partnership, our patients would have more access to more modern equipment. To more advanced treatments,” Downton Abbey’s Lord Merton noted on the show.\u003c/p>\n\u003cp>Many of his real-life contemporaries agreed, making the golden age of medicine a heyday for hospital consolidation on both sides of the pond.\u003c/p>\n\u003cp>Nowadays, said Kathy McDonald, who directs the \u003ca href=\"http://healthpolicy.fsi.stanford.edu/\" target=\"_blank\">Stanford University Center for Health Policy\u003c/a>, we appear to be in another Downton-like consolidation surge here in the U.S.\u003c/p>\n\u003cp>“It’s been since about 2010 that there’s been sort of an uptick in terms of consolidations,” said McDonald. About 100 mergers and acquisitions occur each year right now, about twice as many as there were before 2010, she said.\u003c/p>\n\u003cp>But this time around, it’s not about technology — it’s about finances. Hospitals want to be part of larger networks to flex their muscles in negotiations for profitable contracts with insurers. And thanks to the Affordable Care Act, they are now often paid based on the quality and efficiency of the care they provide, rather than for each test or procedure. Actually tracking how good their quality is turns out to be very expensive. And it can be more economical to team up to manage care and track quality.\u003c/p>\n\u003cp>“They might be providing perfectly good quality, but if they can’t prove it, then they’re not going to get paid as well,” said McDonald.\u003c/p>\n\u003cp>Those mergers can have real consequences for communities, which may see a local hospital transform or even disappear entirely.\u003c/p>\n\u003cp>“Just like on Downton Abbey, the local hospital is a resource that people care about. They employ people in a community and they take care of people,” said McDonald. So the debates continue, now as then.\u003c/p>\n\u003cp>And true to form, the indomitable Dowager Countess tells us exactly what she thinks about all this so-called progress: “For years, I’ve watched governments take control of our lives and their argument is always the same: fewer costs, greater efficiency. But the result is the same too. Less control by the people, more control by the state.”\u003c/p>\n\u003cp>So whose side are the experts on in this Downton debate?\u003c/p>\n\u003cp>“Personally I love Maggie Smith and have loved her since I was a young boy, so I’m on her side as a fan,” said Markel.\u003c/p>\n\u003cp>But, he adds, the other side is probably right.\u003c/p>\n\u003cp>McDonald is also on the side of progress. But even for health care policy experts, it’s hard to argue against the Dowager Countess.\u003c/p>\n\u003cp>There are plenty of Downton fans who say the whole hospital plot line is kind of a snoozer. Maybe it’s no surprise — the wonks love it.\u003c/p>\n\u003cp>“Health care just matters to people, so even though we might not be paying attention to this plot line, we probably should,” said McDonald.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>And with an audience of nearly 10 million viewers this season, there’s a good chance at least a few people are.\u003c/p>\n\n\u003c/div>\u003c/p>",
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},
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"info": "The day's top stories from BBC News compiled twice daily in the week, once at weekends.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg",
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},
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},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/californiareport",
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"order": 8
},
"link": "/californiareport",
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},
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"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
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"order": 10
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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},
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"order": 1
},
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"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
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"order": 9
},
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"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
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},
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"id": "fresh-air",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"hidden-brain": {
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"source": "NPR"
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"how-i-built-this": {
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"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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"hyphenacion": {
"id": "hyphenacion",
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"order": 18
},
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},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
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},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/onourwatch",
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"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
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