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"content": "\u003cfigure id=\"attachment_15577\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/172615408.jpg\">\u003cimg class=\"size-large wp-image-15577\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/172615408-640x472.jpg\" alt=\"A view of the the Statue of Liberty. (Timothy Clary/AFP/Getty Images)\" width=\"640\" height=\"472\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A view of the the Statue of Liberty. (Timothy Clary/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Mohan Iyer has been in a bind. He's lived in the U.S. since he came here for college from India in 1980. He ultimately got a job, a green card and became a citizen in 1994. Most of his siblings live here now, too.\u003c/p>\n\u003cp>After his father passed away two years ago, Iyer and his siblings have wanted their mother to move here. But there's one big problem: she is effectively barred from any kind of reliable health insurance.\u003c/p>\n\u003cp>\"Health care has been a big issue,\" said Iyer, who is 50 and lives in Menlo Park.\u003c/p>\n\u003caside class=\"pullquote alignleft\">New immigrants of any age can purchase health insurance on Covered California\u003c/aside>\n\u003cp>That's because new immigrants over age 65 are not eligible for Medicare. For legal immigrants like Iyer, who are people of working age, the impossibility of obtaining health insurance for their parents has been a barrier in their hopes of moving aging parents or grandparents to the U.S.\u003c/p>\n\u003cp>Americans over 65 tend not to worry much about health insurance, because of Medicare, the government insurance program for the elderly and the disabled. But while Medicare is available to virtually all citizens, starting at age 65, immigrants legally present in the U.S. for less than five years are not eligible.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And because of the very existence of Medicare, private insurance companies generally do not offer health insurance plans for those over 65. \"There are health insurance options,\" Iyer said, \"but these are usually catastrophic traveler's insurance. They usually have a very high deductible and they're expensive.\"\u003c/p>\n\u003cp>They also tend to exclude pre-existing conditions, he said.\u003c!--more-->\u003c/p>\n\u003cp>\"We've heard horror stories of elderly parents visiting their kids here, having a fall or a cardiac problem and the bill arrives in the range of $100,000.\"\u003c/p>\n\u003cp>As our conversation went on, Iyer was clearly at a loss of what to do. \"It's one thing to say I'll support my mom, and another to say I'm ready for a sudden, six-figure bill that I have to cover.\"\u003c/p>\n\u003cp>I asked him if he was aware that immigrants, even those here less than 5 years (a big cutoff point in immigration policy) were eligible to purchase health insurance In the Covered California marketplace, the new exchange set up to comply with the Affordable Care Act.\u003c/p>\n\u003cp>Iyer lit up. \"Oh, really? Wow, that is huge!\" he exclaimed. \"This has been something I've been sweating.\" He said that finding peace of mind on this issue would be \"a huge deal.\"\u003c/p>\n\u003cp>Tanya Broder in the Oakland office of the National Immigration Law Center said there's \"a lot of confusion\" about immigrants and the ACA. \"Most of the outreach materials and most of the material online are directed at citizens.\"\u003c/p>\n\u003cp>She pointed out that the ACA seems to make the presumption that most people over 65 are receiving Medicare.\u003c/p>\n\u003cp>\"But there's nothing prohibiting someone who is lawfully present in the U.S. but ineligible for Medicare or Medicaid from purchasing coverage in the exchange,\" Broder said.\u003c/p>\n\u003cp>Obamacare provides new options for immigrants under age 65 as well. California is participating in the Medicaid expansion, called Medi-Cal in California. For the first time, individuals (citizens and legal immigrants alike) who do not have children and are not disabled can apply to the program, as long as their income is less than 138 percent of poverty, about $15,500. Immigrants must be here legally, but they do not need to have a green card.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>We have more detail in our popular \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">Obamacare Guide\u003c/a>. Click on the \"I am an immigrant\" section.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And because of the very existence of Medicare, private insurance companies generally do not offer health insurance plans for those over 65. \"There are health insurance options,\" Iyer said, \"but these are usually catastrophic traveler's insurance. They usually have a very high deductible and they're expensive.\"\u003c/p>\n\u003cp>They also tend to exclude pre-existing conditions, he said.\u003c!--more-->\u003c/p>\n\u003cp>\"We've heard horror stories of elderly parents visiting their kids here, having a fall or a cardiac problem and the bill arrives in the range of $100,000.\"\u003c/p>\n\u003cp>As our conversation went on, Iyer was clearly at a loss of what to do. \"It's one thing to say I'll support my mom, and another to say I'm ready for a sudden, six-figure bill that I have to cover.\"\u003c/p>\n\u003cp>I asked him if he was aware that immigrants, even those here less than 5 years (a big cutoff point in immigration policy) were eligible to purchase health insurance In the Covered California marketplace, the new exchange set up to comply with the Affordable Care Act.\u003c/p>\n\u003cp>Iyer lit up. \"Oh, really? Wow, that is huge!\" he exclaimed. \"This has been something I've been sweating.\" He said that finding peace of mind on this issue would be \"a huge deal.\"\u003c/p>\n\u003cp>Tanya Broder in the Oakland office of the National Immigration Law Center said there's \"a lot of confusion\" about immigrants and the ACA. \"Most of the outreach materials and most of the material online are directed at citizens.\"\u003c/p>\n\u003cp>She pointed out that the ACA seems to make the presumption that most people over 65 are receiving Medicare.\u003c/p>\n\u003cp>\"But there's nothing prohibiting someone who is lawfully present in the U.S. but ineligible for Medicare or Medicaid from purchasing coverage in the exchange,\" Broder said.\u003c/p>\n\u003cp>Obamacare provides new options for immigrants under age 65 as well. California is participating in the Medicaid expansion, called Medi-Cal in California. For the first time, individuals (citizens and legal immigrants alike) who do not have children and are not disabled can apply to the program, as long as their income is less than 138 percent of poverty, about $15,500. Immigrants must be here legally, but they do not need to have a green card.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>We have more detail in our popular \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">Obamacare Guide\u003c/a>. Click on the \"I am an immigrant\" section.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_15322\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/P_Lee-e1380655682194.jpg\">\u003cimg class=\"size-large wp-image-15322\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/P_Lee-640x425.jpg\" alt=\"Covered California executive director Peter Lee speaking to advocates and reporters in San Francisco on Oct. 1. (Angela Hart/KQED)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Covered California executive director Peter Lee speaking to advocates and reporters in San Francisco on Oct. 1. (Angela Hart/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Officials with Covered California, the state's health insurance marketplace, announced their first week's results Tuesday morning, and they were pretty happy about the numbers:\u003c/p>\n\u003cul>\n\u003cli>987,440 unique visitors\u003c/li>\n\u003cli>16,311 applications completed\u003c/li>\n\u003cli>27,305 applications partially completed\u003c/li>\n\u003c/ul>\n\u003cp>\"These are big numbers and they're proof of the pent-up demand for coverage that is here in California and also across the nation,\" said Peter Lee, executive director of Covered California.\u003c/p>\n\u003cp>The three call centers around the state handled 59,003 calls. Lee pointed out that long wait times were cut to less than 4 minutes by last Friday.\u003c/p>\n\u003cp>At a meeting of health advocates in downtown Oakland, Ellen Wu, executive director of the California Pan-Ethnic Health Network let out what can only be termed a squeal of delight when she announced the numbers at the event.\u003c!--more-->\u003c/p>\n\u003cp>\"They sound great, don't they?\" Wu said. \"It's very exciting, ... shows that it's working.\" Wu also joked that advocates had been afraid to visit the Covered California website during its first few days, out of fear of making it crash. \"None of us wanted to be the one to bring it down,\" she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Covered California statistics cover Oct. 1-5, Monday to Saturday of last week. If you're wondering what a \"partially completed\" application means, think of logging on, creating an account, starting the enrollment process, then logging off to complete the task later.\u003c/p>\n\u003cp>Many Californians have been very excited about their new options, including \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/04/enrolling-in-covered-california-experience-from-one-san-franciscan-san-francisco-obamacare/\" target=\"_blank\">Paul Cello\u003c/a> of San Francisco, who signed up for a Blue Shield PPO last week. \"It's a whole 'nother world,\" he said.\u003c/p>\n\u003cp>An application may cover more than one person, such as a spouse or children. Covered California says the completed applications include 28,699 individuals. Formal enrollment numbers will not be released until mid-November when people can actually begin paying their premiums.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Covered California had not released projections for the first week of sign ups, so it's hard to put Tuesday's numbers in perspective. Still, the Associated Press reported a comparison to numbers from another state:\u003c/p>\n\u003cblockquote>\u003cp>... 15,000 applications were completed by Monday in Kentucky, a state with a population that is less than 12 percent of California's. Almost half of those applicants went on to buy an insurance plan, according to the Kentucky governor's office.\u003c/p>\u003c/blockquote>\n\u003cdiv>On Tuesday, Covered California also added a provider directory to its website, so that consumers can see if their doctor is in a health plan. This is a critical issue as many Covered California insurance plans have \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/05/29/why-californias-obamacare-premiums-are-lower-than-expected/\" target=\"_blank\">narrow networks of providers\u003c/a>.\u003c/div>\n\n",
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"excerpt": "Officials with Covered California, the state's health insurance marketplace, announced their first week's results Tuesday morning, and they were pretty happy about the numbers: 987,440 unique visitors, 16,311 applications completed, 27,305 applications partially completed.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_15322\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/P_Lee-e1380655682194.jpg\">\u003cimg class=\"size-large wp-image-15322\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/P_Lee-640x425.jpg\" alt=\"Covered California executive director Peter Lee speaking to advocates and reporters in San Francisco on Oct. 1. (Angela Hart/KQED)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Covered California executive director Peter Lee speaking to advocates and reporters in San Francisco on Oct. 1. (Angela Hart/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Officials with Covered California, the state's health insurance marketplace, announced their first week's results Tuesday morning, and they were pretty happy about the numbers:\u003c/p>\n\u003cul>\n\u003cli>987,440 unique visitors\u003c/li>\n\u003cli>16,311 applications completed\u003c/li>\n\u003cli>27,305 applications partially completed\u003c/li>\n\u003c/ul>\n\u003cp>\"These are big numbers and they're proof of the pent-up demand for coverage that is here in California and also across the nation,\" said Peter Lee, executive director of Covered California.\u003c/p>\n\u003cp>The three call centers around the state handled 59,003 calls. Lee pointed out that long wait times were cut to less than 4 minutes by last Friday.\u003c/p>\n\u003cp>At a meeting of health advocates in downtown Oakland, Ellen Wu, executive director of the California Pan-Ethnic Health Network let out what can only be termed a squeal of delight when she announced the numbers at the event.\u003c!--more-->\u003c/p>\n\u003cp>\"They sound great, don't they?\" Wu said. \"It's very exciting, ... shows that it's working.\" Wu also joked that advocates had been afraid to visit the Covered California website during its first few days, out of fear of making it crash. \"None of us wanted to be the one to bring it down,\" she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Covered California statistics cover Oct. 1-5, Monday to Saturday of last week. If you're wondering what a \"partially completed\" application means, think of logging on, creating an account, starting the enrollment process, then logging off to complete the task later.\u003c/p>\n\u003cp>Many Californians have been very excited about their new options, including \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/04/enrolling-in-covered-california-experience-from-one-san-franciscan-san-francisco-obamacare/\" target=\"_blank\">Paul Cello\u003c/a> of San Francisco, who signed up for a Blue Shield PPO last week. \"It's a whole 'nother world,\" he said.\u003c/p>\n\u003cp>An application may cover more than one person, such as a spouse or children. Covered California says the completed applications include 28,699 individuals. Formal enrollment numbers will not be released until mid-November when people can actually begin paying their premiums.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Covered California had not released projections for the first week of sign ups, so it's hard to put Tuesday's numbers in perspective. Still, the Associated Press reported a comparison to numbers from another state:\u003c/p>\n\u003cblockquote>\u003cp>... 15,000 applications were completed by Monday in Kentucky, a state with a population that is less than 12 percent of California's. Almost half of those applicants went on to buy an insurance plan, according to the Kentucky governor's office.\u003c/p>\u003c/blockquote>\n\u003cdiv>On Tuesday, Covered California also added a provider directory to its website, so that consumers can see if their doctor is in a health plan. This is a critical issue as many Covered California insurance plans have \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/05/29/why-californias-obamacare-premiums-are-lower-than-expected/\" target=\"_blank\">narrow networks of providers\u003c/a>.\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_15508\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003cimg class=\"size-full wp-image-15508\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/coveredca.jpg\" alt=\"Screenshot from CoveredCA.com, the website of Covered California.\" width=\"640\" height=\"360\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/10/coveredca.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/coveredca-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/coveredca-320x180.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Screenshot from CoveredCA.com, the website of Covered California.\u003c/figcaption>\u003c/figure>\n\u003cp>Covered California will not be releasing any enrollment figures until mid-November, but San Franciscan Paul Cello says he's already in — and reports his new insurance will have better benefits, at lower monthly cost than the plan he's on now.\u003c/p>\n\u003cp>Cello originally hails from Florida and says he has friends there who are not fans of the Affordable Care Act. So he didn't delay.\u003c/p>\n\u003cp>\"I really wanted to be one of those people who got in line and said, 'Look, this is a good thing,'\" he said, \"so I could really see what are the plans and how much do they cost.\"\u003c/p>\n\u003cp>He enrolled in a Blue Shield PPO plan with a $1,500 deductible and maximum out-of-pocket costs of $5,000. Because he qualifies for a subsidy, he'll pay $178 a month, shaving more than $300 a month off what he pays now.\u003c/p>\n\u003cp>\"It's like a whole 'nother world,\" he enthused. \"The coverage is better ... a lower premium, no pre-existing condition exclusions, I get mental health coverage, so there's way more coverage than I had and I'm going to be saving.\"\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Cello had employer-based insurance until 2003 when he left his job, then continued insurance with COBRA. But once that ran out, he was denied coverage on the individual market due to a heart defect he was born with — what he termed a \"wiring problem\" in his heart. He says the issue has never troubled him (although he might one day need a pacemaker), and that his health is good.\u003c/p>\n\u003cp>It showed up in a routine EKG, he said. \"Once it's on your record, (insurers) can deny you.\"\u003c/p>\n\u003cp>He finally found insurance on the state's \u003ca href=\"http://www.mrmib.ca.gov/mrmib/mrmip.shtml\" target=\"_blank\">high risk insurance plan\u003c/a>. But benefits were limited and the chief drawback was the annual max — $75,000. It's easy to imagine that a car accident or cancer diagnosis would send someone over the top pretty quickly.\u003c/p>\n\u003cp>\"It always felt like if anything big happened, I was going to be in trouble,\" he said.\u003c/p>\n\u003cp>Cello described himself as a freelancer — he's both a theater director and has his own consulting business. \"My income really fluctuates,\" he said. In the last few years, he says it's been around $50,000 a year.\u003c/p>\n\u003cp>But that's his gross income. Under the Affordable Care Act, subsidies are available for individuals with \u003ca href=\"http://ssa-custhelp.ssa.gov/app/answers/detail/a_id/1601/~/calculation-of-modified-adjusted-gross-income-(magi)\" target=\"_blank\">modified adjusted gross income\u003c/a> up to $46,000, meaning people can subtract unreimbursed business expenses from their gross income. Those deductions brought Cello's income down enough to earn him the subsidy.\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>[Related: Learn more about the ACA in\u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\"> KQED's guide: Obamacare Explained\u003c/a>]\u003c/strong>\u003c/p>\n\u003cp>As far as the sign-up process itself, Cello didn't find it too painful, although he did give up on the first day. By Wednesday, he says, traffic had \"calmed down.\"\u003c/p>\n\u003cp>He found the process of creating an account and entering income \"pretty straightforward,\" but when it got to actually picking a plan, \"you really have to do your homework,\" he said. He says he used charts on Covered California to compare plans, something that was already familiar to him.\u003c/p>\n\u003cp>\"It could be a little overwhelming for people who have not signed up for insurance\" in the past, he said.\u003c/p>\n\u003cp>Cello says he's had to make all kinds of choices because his insurance has been such a big expense — \"things like, not being able to put money away for savings,\" he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I have been waiting very impatiently for Jan. 1, 2014.\"\u003c/p>\n\n",
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"excerpt": "Covered California will not be releasing any enrollment figures until mid-November, but San Franciscan Paul Cello says he's already in — and reports his new insurance will have better benefits, at lower monthly cost than the plan he's on now.\r\n\r\nCello originally hails from Florida and says he has friends there who are not fans of the Affordable Care Act. So he didn't delay.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_15508\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003cimg class=\"size-full wp-image-15508\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/coveredca.jpg\" alt=\"Screenshot from CoveredCA.com, the website of Covered California.\" width=\"640\" height=\"360\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/10/coveredca.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/coveredca-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/coveredca-320x180.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Screenshot from CoveredCA.com, the website of Covered California.\u003c/figcaption>\u003c/figure>\n\u003cp>Covered California will not be releasing any enrollment figures until mid-November, but San Franciscan Paul Cello says he's already in — and reports his new insurance will have better benefits, at lower monthly cost than the plan he's on now.\u003c/p>\n\u003cp>Cello originally hails from Florida and says he has friends there who are not fans of the Affordable Care Act. So he didn't delay.\u003c/p>\n\u003cp>\"I really wanted to be one of those people who got in line and said, 'Look, this is a good thing,'\" he said, \"so I could really see what are the plans and how much do they cost.\"\u003c/p>\n\u003cp>He enrolled in a Blue Shield PPO plan with a $1,500 deductible and maximum out-of-pocket costs of $5,000. Because he qualifies for a subsidy, he'll pay $178 a month, shaving more than $300 a month off what he pays now.\u003c/p>\n\u003cp>\"It's like a whole 'nother world,\" he enthused. \"The coverage is better ... a lower premium, no pre-existing condition exclusions, I get mental health coverage, so there's way more coverage than I had and I'm going to be saving.\"\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Cello had employer-based insurance until 2003 when he left his job, then continued insurance with COBRA. But once that ran out, he was denied coverage on the individual market due to a heart defect he was born with — what he termed a \"wiring problem\" in his heart. He says the issue has never troubled him (although he might one day need a pacemaker), and that his health is good.\u003c/p>\n\u003cp>It showed up in a routine EKG, he said. \"Once it's on your record, (insurers) can deny you.\"\u003c/p>\n\u003cp>He finally found insurance on the state's \u003ca href=\"http://www.mrmib.ca.gov/mrmib/mrmip.shtml\" target=\"_blank\">high risk insurance plan\u003c/a>. But benefits were limited and the chief drawback was the annual max — $75,000. It's easy to imagine that a car accident or cancer diagnosis would send someone over the top pretty quickly.\u003c/p>\n\u003cp>\"It always felt like if anything big happened, I was going to be in trouble,\" he said.\u003c/p>\n\u003cp>Cello described himself as a freelancer — he's both a theater director and has his own consulting business. \"My income really fluctuates,\" he said. In the last few years, he says it's been around $50,000 a year.\u003c/p>\n\u003cp>But that's his gross income. Under the Affordable Care Act, subsidies are available for individuals with \u003ca href=\"http://ssa-custhelp.ssa.gov/app/answers/detail/a_id/1601/~/calculation-of-modified-adjusted-gross-income-(magi)\" target=\"_blank\">modified adjusted gross income\u003c/a> up to $46,000, meaning people can subtract unreimbursed business expenses from their gross income. Those deductions brought Cello's income down enough to earn him the subsidy.\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>[Related: Learn more about the ACA in\u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\"> KQED's guide: Obamacare Explained\u003c/a>]\u003c/strong>\u003c/p>\n\u003cp>As far as the sign-up process itself, Cello didn't find it too painful, although he did give up on the first day. By Wednesday, he says, traffic had \"calmed down.\"\u003c/p>\n\u003cp>He found the process of creating an account and entering income \"pretty straightforward,\" but when it got to actually picking a plan, \"you really have to do your homework,\" he said. He says he used charts on Covered California to compare plans, something that was already familiar to him.\u003c/p>\n\u003cp>\"It could be a little overwhelming for people who have not signed up for insurance\" in the past, he said.\u003c/p>\n\u003cp>Cello says he's had to make all kinds of choices because his insurance has been such a big expense — \"things like, not being able to put money away for savings,\" he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I have been waiting very impatiently for Jan. 1, 2014.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Obamacare Downside: Reports of Premiums Going Up",
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"content": "\u003cfigure id=\"attachment_15499\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/luke-SOH-sized1.jpg\">\u003cimg class=\"size-full wp-image-15499\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/luke-SOH-sized1.jpg\" alt=\"luke-SOH-sized\" width=\"640\" height=\"360\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/10/luke-SOH-sized1.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/luke-SOH-sized1-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/luke-SOH-sized1-320x180.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Luke Donavan reviews information from Kaiser, detailing how his health insurance coverage will change on Jan. 1. His family's premiums are going up. (Lisa Aliferis/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>The notice from Kaiser came in the mail about ten days ago.\u003c/p>\n\u003cp>Luke Donavan's health insurance premiums were going up. A lot.\u003c/p>\n\u003cp>Donavan, 41 of San Francisco, is self-employed and buys his own health insurance. Currently he pays $841 per month for insurance for himself, his wife and three young children. But, Kaiser is canceling that policy and offering him a new one that fully complies with the Affordable Care Act. Effective Jan. 1, his family's premium is going up to $1,000, with a higher deductible.\u003c/p>\n\u003cp>Donavan says he voted for Obama in both elections and calls himself a \"big proponent\" of the health law. He has a pretty calm demeanor and says he was \"surprised\" by this news from Kaiser.\u003c/p>\n\u003cp>\"I just keep coming back to the name 'Affordable Care Act,'\" he said. \"I thought I'd pay the same or less for better coverage.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Subsidies are available for people to buy insurance, but they are dependent on income. Donavan says he earns too much to qualify.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Indeed, nationally, \u003ca href=\"http://kff.org/health-reform/issue-brief/quantifying-tax-credits-for-people-now-buying-insurance-on-their-own/\" target=\"_blank\">a recent study\u003c/a> from the non-partisan Kaiser Family Foundation (not affiliated with Kaiser Permanente) found that just over half of people currently buying insurance on the individual market will see their premiums go down.\u003c/p>\n\u003cp>Larry Levitt, senior vice president with the foundation, says that Donavan's situation \"encapsulates the diversity of experiences\" that people are likely to have with Obamacare.\u003c/p>\n\u003cp>Some people may pay higher premiums, he said, \"and the reason those premiums are going up is because people with pre-existing conditions will now be able to get insurance, and those people often have very high medical bills. That money has to come from somewhere.\"\u003c/p>\n\u003cp>Meanwhile, Kaiser Permanente said in a statement that any individual's premiums depends on the coverage they currently have:\u003c/p>\n\u003cblockquote>\u003cp>Some provisions of the Affordable Care Act may contribute to premium increases, while others may contribute to reductions in premiums for the coverage that will be available starting in 2014. ...\u003c/p>\n\u003cp>The law mandates more comprehensive coverage starting in 2014. This means more services will be covered by insurance. ... As a result of these improvements, the cost of coverage – in the form of the monthly premium – will increase for some members, simply to pay for the expanded coverage.\u003c/p>\n\u003cp>It’s important to note that individuals with some of the more expensive coverage plans – high-benefit plans, and others such as COBRA continuation plans – may see lower premiums next year.\u003c/p>\u003c/blockquote>\n\u003cp>But all this background is little comfort for Donavan. He acknowledges that his out-of-pocket maximum is less, and his new policy \"definitely protects from catastrophic bankruptcy situations, but most people, the first thing you think about is what's my monthly and what's my deductible.\" Those are both more expensive under his new policy.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This post has been updated to clarify that Donavan buys his own insurance and that he received notice his policy was canceled. \u003c/em>\u003c/p>\n\n",
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"excerpt": "The notice from Kaiser came in the mail about ten days ago.\r\n\r\nLuke Donavan's health insurance premiums were going up. A lot.\r\n\r\nDonavan, 41, of San Francisco, currently pays $841 per month for health insurance for himself, his wife and three young children. Effective Jan. 1, that's going up to $1,000, with a higher deductible.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_15499\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/luke-SOH-sized1.jpg\">\u003cimg class=\"size-full wp-image-15499\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/luke-SOH-sized1.jpg\" alt=\"luke-SOH-sized\" width=\"640\" height=\"360\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/10/luke-SOH-sized1.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/luke-SOH-sized1-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/luke-SOH-sized1-320x180.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Luke Donavan reviews information from Kaiser, detailing how his health insurance coverage will change on Jan. 1. His family's premiums are going up. (Lisa Aliferis/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>The notice from Kaiser came in the mail about ten days ago.\u003c/p>\n\u003cp>Luke Donavan's health insurance premiums were going up. A lot.\u003c/p>\n\u003cp>Donavan, 41 of San Francisco, is self-employed and buys his own health insurance. Currently he pays $841 per month for insurance for himself, his wife and three young children. But, Kaiser is canceling that policy and offering him a new one that fully complies with the Affordable Care Act. Effective Jan. 1, his family's premium is going up to $1,000, with a higher deductible.\u003c/p>\n\u003cp>Donavan says he voted for Obama in both elections and calls himself a \"big proponent\" of the health law. He has a pretty calm demeanor and says he was \"surprised\" by this news from Kaiser.\u003c/p>\n\u003cp>\"I just keep coming back to the name 'Affordable Care Act,'\" he said. \"I thought I'd pay the same or less for better coverage.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Subsidies are available for people to buy insurance, but they are dependent on income. Donavan says he earns too much to qualify.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Indeed, nationally, \u003ca href=\"http://kff.org/health-reform/issue-brief/quantifying-tax-credits-for-people-now-buying-insurance-on-their-own/\" target=\"_blank\">a recent study\u003c/a> from the non-partisan Kaiser Family Foundation (not affiliated with Kaiser Permanente) found that just over half of people currently buying insurance on the individual market will see their premiums go down.\u003c/p>\n\u003cp>Larry Levitt, senior vice president with the foundation, says that Donavan's situation \"encapsulates the diversity of experiences\" that people are likely to have with Obamacare.\u003c/p>\n\u003cp>Some people may pay higher premiums, he said, \"and the reason those premiums are going up is because people with pre-existing conditions will now be able to get insurance, and those people often have very high medical bills. That money has to come from somewhere.\"\u003c/p>\n\u003cp>Meanwhile, Kaiser Permanente said in a statement that any individual's premiums depends on the coverage they currently have:\u003c/p>\n\u003cblockquote>\u003cp>Some provisions of the Affordable Care Act may contribute to premium increases, while others may contribute to reductions in premiums for the coverage that will be available starting in 2014. ...\u003c/p>\n\u003cp>The law mandates more comprehensive coverage starting in 2014. This means more services will be covered by insurance. ... As a result of these improvements, the cost of coverage – in the form of the monthly premium – will increase for some members, simply to pay for the expanded coverage.\u003c/p>\n\u003cp>It’s important to note that individuals with some of the more expensive coverage plans – high-benefit plans, and others such as COBRA continuation plans – may see lower premiums next year.\u003c/p>\u003c/blockquote>\n\u003cp>But all this background is little comfort for Donavan. He acknowledges that his out-of-pocket maximum is less, and his new policy \"definitely protects from catastrophic bankruptcy situations, but most people, the first thing you think about is what's my monthly and what's my deductible.\" Those are both more expensive under his new policy.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This post has been updated to clarify that Donavan buys his own insurance and that he received notice his policy was canceled. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_15476\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-15476\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/BradStevens-copy-640x482.jpg\" alt=\"Brad Stevens used to think he didn’t need health insurance. (Sarah Varney/Kaiser Health News)\" width=\"640\" height=\"482\">\u003cfigcaption class=\"wp-caption-text\">Brad Stevens used to think he didn’t need health insurance. (Sarah Varney/Kaiser Health News)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Sarah Varney, for\u003ca href=\"http://www.kaiserhealthnews.org/Stories/2013/October/03/Profile-of-A-Not-So-Young-Invincible.aspx\" target=\"_blank\"> Kaiser Health News\u003c/a> and \u003ca href=\"http://www.npr.org/blogs/health/2013/10/03/228515204/medicaid-looks-good-to-a-former-young-invincible\" target=\"_blank\">NPR\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>Have you heard about the young invincibles? That's the name given to \u003ca href=\"http://www.scpr.org/news/2013/09/27/39510/young-invincibles-a-key-to-success-of-obamacare/\" target=\"_blank\">young people who think nothing bad can happen\u003c/a> to them.\u003c/p>\n\u003cp>Enrollment of healthy people like them in insurance under the Affordable Care Act is key to offsetting the costs of older, less healthy buyers.\u003c/p>\n\u003cp>Brad Stevens is 54-years-old and not so invincible anymore. He has been uninsured for most of his adult life — \"ever since about 24 when I finished college,\" he says. \"Basically, I've always tried to take care of myself and be healthy and exercise and eat right and take vitamins and that type of thing.\"\u003c/p>\n\u003cp>During the three decades Stevens has spent without health coverage, there have been numerous attempts to curb the ranks of the uninsured in the U.S. Now, the Affordable Care Act is changing the nation's insurance market.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Stevens, who lives in Lakeport, on the west shore of northern California's Clear Lake, has plenty of company. Twenty percent of California's population is uninsured; some 5 million people could gain coverage under the health law.\u003c/p>\n\u003cp>The\u003ca href=\"http://www.kff.org/health-reform/report/californias-uninsured-on-the-eve-of-aca-open-enrollment/\" target=\"_blank\"> Kaiser Family Foundation surveyed 2,000 of California's uninsured\u003c/a> on the eve of the opening of health care exchanges across the country. Stevens took part in the survey, which aims to follow the same people over the next two years. (Kaiser Health News is an editorially independent program of the Kaiser Family Foundation.)\u003c/p>\n\u003cp>Over the years, Stevens wasn't interested in the debate over how best to provide health care to the uninsured. He didn't view it as an issue for him. \"I'm the epitome of health, and so I didn't have much concern. My health care was working out every day, eating right and taking care of myself,\" he says.\u003c!--more-->\u003c/p>\n\u003cp>But that began to change. One day eight years ago, while cycling on a country road in Lakeport, Stevens took a spill and separated his shoulder.\u003c/p>\n\u003cp>By then he had worked in a number of jobs, usually working with his hands. He'd been a building contractor, manager of a fruit warehouse and lately, a massage therapist. In pain for six months and with only $2,000 to his name, Stevens got medical help from the county.\u003c/p>\n\u003cp>That wasn't the end of his health troubles. One day, he says, \"Boom! I ended up with cancer, thyroid cancer.\"\u003c/p>\n\u003cp>Because of the health care law, Stevens will qualify for Medi-Cal, California's version of Medicaid, the federal program for low-income families and individuals. Before the health law, Medi-Cal was available only to children, pregnant women and the disabled. Now all low-income people in states that are expanding Medicaid will qualify. Stevens earns less than $15,000 a year in his struggling massage business.\u003c/p>\n\u003cp>Stevens says he is relieved that he won't have to worry about being denied coverage for \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2013/October/01/preexisting-condition-consumers-insurance-obamacare-marketplaces.aspx?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+khn%2Fstories+%28Kaiser+Health+News+-+Stories%29\">pre-existing conditions\u003c/a>, another change made by the law.\u003c/p>\n\u003cp>Besides his separated shoulder and thyroid cancer, which is being controlled with medicine, there's a history of multiple sclerosis in his family. In the past, he avoided getting tested for the disease out of fear that the results would make it impossible to qualify for insurance.\u003c/p>\n\u003cp>Stevens says he worries about his massage patients. \"People are hurting, and they need help,\" he says. \"I don't think Congress has a clue. Fifty-five-year-old people are falling apart. They can't swing a hammer 'til they're 70 or 80, like some congressman who sits at a desk and jaws.\"\u003c/p>\n\u003cp>In the past, Stevens occasionally went to the county fairgrounds when a volunteer group offered free medical checkups. Now he's anxious to sign up for Medi-Cal, although he hopes he won't have any more health problems.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I hope I don't need to use it,\" he says. \"I'm thinking I'm going to get ... peace of mind from it.\"\u003c/p>\n\n",
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"excerpt": "Have you heard about the young invincibles? That's the name given to young people who think nothing bad can happen to them.\r\n\r\nEnrollment of healthy people like them in insurance under the Affordable Care Act is key to offsetting the costs of older, less healthy buyers.\r\n\r\nBrad Stevens is 54-years-old and not so invincible anymore.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_15476\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-15476\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/BradStevens-copy-640x482.jpg\" alt=\"Brad Stevens used to think he didn’t need health insurance. (Sarah Varney/Kaiser Health News)\" width=\"640\" height=\"482\">\u003cfigcaption class=\"wp-caption-text\">Brad Stevens used to think he didn’t need health insurance. (Sarah Varney/Kaiser Health News)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Sarah Varney, for\u003ca href=\"http://www.kaiserhealthnews.org/Stories/2013/October/03/Profile-of-A-Not-So-Young-Invincible.aspx\" target=\"_blank\"> Kaiser Health News\u003c/a> and \u003ca href=\"http://www.npr.org/blogs/health/2013/10/03/228515204/medicaid-looks-good-to-a-former-young-invincible\" target=\"_blank\">NPR\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>Have you heard about the young invincibles? That's the name given to \u003ca href=\"http://www.scpr.org/news/2013/09/27/39510/young-invincibles-a-key-to-success-of-obamacare/\" target=\"_blank\">young people who think nothing bad can happen\u003c/a> to them.\u003c/p>\n\u003cp>Enrollment of healthy people like them in insurance under the Affordable Care Act is key to offsetting the costs of older, less healthy buyers.\u003c/p>\n\u003cp>Brad Stevens is 54-years-old and not so invincible anymore. He has been uninsured for most of his adult life — \"ever since about 24 when I finished college,\" he says. \"Basically, I've always tried to take care of myself and be healthy and exercise and eat right and take vitamins and that type of thing.\"\u003c/p>\n\u003cp>During the three decades Stevens has spent without health coverage, there have been numerous attempts to curb the ranks of the uninsured in the U.S. Now, the Affordable Care Act is changing the nation's insurance market.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Stevens, who lives in Lakeport, on the west shore of northern California's Clear Lake, has plenty of company. Twenty percent of California's population is uninsured; some 5 million people could gain coverage under the health law.\u003c/p>\n\u003cp>The\u003ca href=\"http://www.kff.org/health-reform/report/californias-uninsured-on-the-eve-of-aca-open-enrollment/\" target=\"_blank\"> Kaiser Family Foundation surveyed 2,000 of California's uninsured\u003c/a> on the eve of the opening of health care exchanges across the country. Stevens took part in the survey, which aims to follow the same people over the next two years. (Kaiser Health News is an editorially independent program of the Kaiser Family Foundation.)\u003c/p>\n\u003cp>Over the years, Stevens wasn't interested in the debate over how best to provide health care to the uninsured. He didn't view it as an issue for him. \"I'm the epitome of health, and so I didn't have much concern. My health care was working out every day, eating right and taking care of myself,\" he says.\u003c!--more-->\u003c/p>\n\u003cp>But that began to change. One day eight years ago, while cycling on a country road in Lakeport, Stevens took a spill and separated his shoulder.\u003c/p>\n\u003cp>By then he had worked in a number of jobs, usually working with his hands. He'd been a building contractor, manager of a fruit warehouse and lately, a massage therapist. In pain for six months and with only $2,000 to his name, Stevens got medical help from the county.\u003c/p>\n\u003cp>That wasn't the end of his health troubles. One day, he says, \"Boom! I ended up with cancer, thyroid cancer.\"\u003c/p>\n\u003cp>Because of the health care law, Stevens will qualify for Medi-Cal, California's version of Medicaid, the federal program for low-income families and individuals. Before the health law, Medi-Cal was available only to children, pregnant women and the disabled. Now all low-income people in states that are expanding Medicaid will qualify. Stevens earns less than $15,000 a year in his struggling massage business.\u003c/p>\n\u003cp>Stevens says he is relieved that he won't have to worry about being denied coverage for \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2013/October/01/preexisting-condition-consumers-insurance-obamacare-marketplaces.aspx?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+khn%2Fstories+%28Kaiser+Health+News+-+Stories%29\">pre-existing conditions\u003c/a>, another change made by the law.\u003c/p>\n\u003cp>Besides his separated shoulder and thyroid cancer, which is being controlled with medicine, there's a history of multiple sclerosis in his family. In the past, he avoided getting tested for the disease out of fear that the results would make it impossible to qualify for insurance.\u003c/p>\n\u003cp>Stevens says he worries about his massage patients. \"People are hurting, and they need help,\" he says. \"I don't think Congress has a clue. Fifty-five-year-old people are falling apart. They can't swing a hammer 'til they're 70 or 80, like some congressman who sits at a desk and jaws.\"\u003c/p>\n\u003cp>In the past, Stevens occasionally went to the county fairgrounds when a volunteer group offered free medical checkups. Now he's anxious to sign up for Medi-Cal, although he hopes he won't have any more health problems.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I hope I don't need to use it,\" he says. \"I'm thinking I'm going to get ... peace of mind from it.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Vaccine Refusals Fueled California Whooping Cough Epidemic",
"title": "Vaccine Refusals Fueled California Whooping Cough Epidemic",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_15266\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-15266\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/149948672-640x452.jpg\" alt=\"Students leaving a vaccine clinic after being vaccinated against whooping cough at a middle school in Los Angeles. (Kevork Djansezian/Getty Images)\" width=\"640\" height=\"452\">\u003cfigcaption class=\"wp-caption-text\">Student leaves a vaccine clinic at a Los Angeles middle school after being immunized against whooping cough. (Kevork Djansezian/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Nancy Shute\u003c/strong>, \u003ca href=\"http://www.npr.org/blogs/health/2013/09/25/226147147/vaccine-refusals-fueled-californias-whooping-cough-epidemic\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>When the whooping cough vaccine was invented in the 1940s, doctors thought they had finally licked the illness, which is especially dangerous for babies. But then it came roaring back.\u003c/p>\n\u003cp>In 2010, a whooping cough outbreak in California sickened 9,120 people, more than in any year since 1947. Ten infants died; babies are too young to be vaccinated.\u003c/p>\n\u003cp>Public health officials suspected that the increased numbers of parents who refused to vaccinate their children played a role, but they couldn't be sure.\u003c/p>\n\u003cp>Vaccine refusal was indeed a factor, researchers now say. They compared the location and number of whooping cough, or pertussis, cases in that outbreak with the \u003ca href=\"http://ww2.kqed.org/news/2013/08/21/marin-vaccinations/\" target=\"_blank\">personal belief exemptions\u003c/a> filed by parents who chose not to vaccinate for reasons other than a child's health. (Some children with compromised immune systems aren't able to be vaccinated.)\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Pertussis is very contagious, spreading quickly through a community. So the researchers had to map not only the location of outbreak clusters, but also when they appeared.\u003c!--more-->\u003c/p>\n\u003cp>They found that people who lived in areas with high rates of personal belief exemptions were 2 1/2 times more likely to live in a place with lots of pertussis cases. \"The exemptions clustered spatially and were associated with clusters of cases,\" Jessica Atwell, a graduate student at Johns Hopkins Bloomberg School of Public Health and lead author on the study, told NPR. It was \u003ca href=\"http://pediatrics.aappublications.org/content/early/2013/09/24/peds.2013-0878.abstract\">published online\u003c/a> in the journal \u003cem>Pediatrics\u003c/em>.\u003c/p>\n\u003cp>Both exemptions and clusters of pertussis cases tended to be in neighborhoods with higher levels of education and income. Statewide about 2 percent of parents file an exemption, but the number varied hugely from one community to the text. In some schools more than three-quarters of the families filed exemptions.\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>[Related: \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/09/06/more-california-parents-opting-out-of-vaccines-look-up-your-school-online/\" target=\"_blank\">More California Parents Opt Out of Vaccines; Look Up Your School Online\u003c/a>]\u003c/strong>\u003c/p>\n\u003cp>When the number of people vaccinated drops below 95 percent, a community loses\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" target=\"_blank\"> herd immunity \u003c/a>to highly contagious germs like pertussis, and babies and other unvaccinated people can get sick. In 2010, 91 percent of kindergarteners were up to date on their shots in California.\u003c/p>\n\u003cp>Vaccine refusal wasn't the only factor fueling the California outbreak. Pertussis is a cyclical disease. Protection from the current version of pertussis vaccine appears to fade \u003ca href=\"http://www.npr.org/blogs/health/2012/09/13/161062792/whooping-cough-vaccines-protection-fades-quickly\">more quickly than doctors originally thought\u003c/a>, so many older children vaccinated as youngsters were no longer immune to the bacterium. And many adults had never gotten a booster.\u003c/p>\n\u003cp>Finally, this study couldn't tell if the parents who filed exemptions had vaccinated their children against some diseases, or which ones.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>California has since launched a statewide campaign to get both children and adults vaccinated, with a booster required for attendance at middle school. While parents can still file a personal belief exemption, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" target=\"_blank\">a new state law \u003c/a>taking effect Jan. 1, 2014 will require them to meet with a health care provider first.\u003c/p>\n\n",
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"excerpt": "In 2010, a whooping cough outbreak in California sickened 9,120 people, more than in any year since 1947. Ten infants died; babies are too young to be vaccinated.\r\n\r\nPublic health officials suspected that the increased numbers of parents who refused to vaccinate their children played a role, but they couldn't be sure.\r\n\r\nVaccine refusal was indeed a factor, researchers now say. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_15266\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-15266\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/149948672-640x452.jpg\" alt=\"Students leaving a vaccine clinic after being vaccinated against whooping cough at a middle school in Los Angeles. (Kevork Djansezian/Getty Images)\" width=\"640\" height=\"452\">\u003cfigcaption class=\"wp-caption-text\">Student leaves a vaccine clinic at a Los Angeles middle school after being immunized against whooping cough. (Kevork Djansezian/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Nancy Shute\u003c/strong>, \u003ca href=\"http://www.npr.org/blogs/health/2013/09/25/226147147/vaccine-refusals-fueled-californias-whooping-cough-epidemic\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>When the whooping cough vaccine was invented in the 1940s, doctors thought they had finally licked the illness, which is especially dangerous for babies. But then it came roaring back.\u003c/p>\n\u003cp>In 2010, a whooping cough outbreak in California sickened 9,120 people, more than in any year since 1947. Ten infants died; babies are too young to be vaccinated.\u003c/p>\n\u003cp>Public health officials suspected that the increased numbers of parents who refused to vaccinate their children played a role, but they couldn't be sure.\u003c/p>\n\u003cp>Vaccine refusal was indeed a factor, researchers now say. They compared the location and number of whooping cough, or pertussis, cases in that outbreak with the \u003ca href=\"http://ww2.kqed.org/news/2013/08/21/marin-vaccinations/\" target=\"_blank\">personal belief exemptions\u003c/a> filed by parents who chose not to vaccinate for reasons other than a child's health. (Some children with compromised immune systems aren't able to be vaccinated.)\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Pertussis is very contagious, spreading quickly through a community. So the researchers had to map not only the location of outbreak clusters, but also when they appeared.\u003c!--more-->\u003c/p>\n\u003cp>They found that people who lived in areas with high rates of personal belief exemptions were 2 1/2 times more likely to live in a place with lots of pertussis cases. \"The exemptions clustered spatially and were associated with clusters of cases,\" Jessica Atwell, a graduate student at Johns Hopkins Bloomberg School of Public Health and lead author on the study, told NPR. It was \u003ca href=\"http://pediatrics.aappublications.org/content/early/2013/09/24/peds.2013-0878.abstract\">published online\u003c/a> in the journal \u003cem>Pediatrics\u003c/em>.\u003c/p>\n\u003cp>Both exemptions and clusters of pertussis cases tended to be in neighborhoods with higher levels of education and income. Statewide about 2 percent of parents file an exemption, but the number varied hugely from one community to the text. In some schools more than three-quarters of the families filed exemptions.\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>[Related: \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/09/06/more-california-parents-opting-out-of-vaccines-look-up-your-school-online/\" target=\"_blank\">More California Parents Opt Out of Vaccines; Look Up Your School Online\u003c/a>]\u003c/strong>\u003c/p>\n\u003cp>When the number of people vaccinated drops below 95 percent, a community loses\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" target=\"_blank\"> herd immunity \u003c/a>to highly contagious germs like pertussis, and babies and other unvaccinated people can get sick. In 2010, 91 percent of kindergarteners were up to date on their shots in California.\u003c/p>\n\u003cp>Vaccine refusal wasn't the only factor fueling the California outbreak. Pertussis is a cyclical disease. Protection from the current version of pertussis vaccine appears to fade \u003ca href=\"http://www.npr.org/blogs/health/2012/09/13/161062792/whooping-cough-vaccines-protection-fades-quickly\">more quickly than doctors originally thought\u003c/a>, so many older children vaccinated as youngsters were no longer immune to the bacterium. And many adults had never gotten a booster.\u003c/p>\n\u003cp>Finally, this study couldn't tell if the parents who filed exemptions had vaccinated their children against some diseases, or which ones.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>California has since launched a statewide campaign to get both children and adults vaccinated, with a booster required for attendance at middle school. While parents can still file a personal belief exemption, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" target=\"_blank\">a new state law \u003c/a>taking effect Jan. 1, 2014 will require them to meet with a health care provider first.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "3 Out of 4 Uninsured Californians Eligible, But Unaware of Obamacare Benefits",
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"content": "\u003cfigure id=\"attachment_15231\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-15231\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/139379802-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Sarah Varney,\u003c/strong>\u003ca href=\"http://www.kaiserhealthnews.org/Stories/2013/September/26/uninsured-Californians-new-era-of-coverage.aspx\" target=\"_blank\"> Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>As uninsured Californians head into a new era of health coverage, they're worried about costs and unaware of the help they'll get from the government, a new survey finds.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.kff.org/health-reform/report/californias-uninsured-on-the-eve-of-aca-open-enrollment\" target=\"_blank\">survey\u003c/a>, by the Kaiser Family Foundation, found that three out of four Californians who earn modest incomes and could buy government-subsidized private coverage wrongly believe they're not eligible for federal assistance or simply don't know if they qualify.\u003c/p>\n\u003cp>In addition, many undocumented immigrants, who constitute about a fifth of the state's uninsured population, erroneously believe they will be eligible for coverage. The law specifically bars them from getting coverage from the state's new health insurance marketplace, which opens next Tuesday, for coverage beginning Jan.1, 2014.\u003c/p>\n\u003cp>\"This has been, for so long, a political debate,\" said Anthony Wright, executive director of Health Access, a Sacramento-based consumer advocacy group. \"We're just starting to move it into a practical reality. Now that the benefits are close at hand, there is a concerted effort to educate people about what their benefits are.\"\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>California is one of two dozen states preparing to dramatically expand Medicaid (called Medi-Cal in California), the federal-state insurance program for the poor.\u003c/p>\n\u003cp>But the survey found only half of newly eligible low-income Californians assume they will qualify. The nonpartisan Kaiser Family Foundation surveyed some 2,000 uninsured Californians from mid-July until the end of August, a summertime lull before a burst of planned advertising and outreach efforts.\u003c/p>\n\u003cp>\"There is a lot of confusion about the messaging in the news and at the federal level,\" said Sonya Vasquez, policy director for Community Health Councils, a Los Angeles-based group that is part of a statewide enrollment effort getting underway. \"With the enrollment program, that is going to shift.\"\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>[Related Content: \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">Obamacare Explained -- A Guide for Californians\u003c/a>]\u003c/strong>\u003c/p>\n\u003cp>The cost of health coverage will likely be a key factor in the law's adoption: The survey found 57 percent of California's uninsured say they have little financial security, and 64 percent report forgoing needed medical care because of cost, including skipping recommended treatments and leaving prescriptions unfilled.\u003c/p>\n\u003cp>\"Having health insurance is important, but economically it was not possible,\" said survey respondent Lissette Melgar, 46, who has been uninsured since her divorce five years ago. \"I began to have a pain in my back, and I need health insurance for this.\" Melgar, who lives in Tracy (San Joaquin County), will likely qualify for Medi-Cal given her low income. She said, in Spanish, that she understands the health care system is changing, \"but (I) don't know how.\"\u003c/p>\n\u003cp>The state's health insurance marketplace, \u003ca href=\"http://www.coveredca.com/\">Covered California\u003c/a>, began airing television advertisements in several small markets earlier this month, and expects to be on the airwaves in major markets, such as Los Angeles, in October. Anxiety over the cost of coverage \"reminds us that we have to push forward on the message that the plans are affordable,\" Vasquez said, \"and some people may not have to pay hardly anything, if at all\" if they \u003ca href=\"http://kff.org/interactive/subsidy-calculator/\" target=\"_blank\">qualify for subsidies\u003c/a>.\u003c/p>\n\u003cp>Health policy experts were buoyed by the uninsured's strong desire for coverage: Eight in 10 of those eligible under the Affordable Care Act’s coverage expansion feel they need health insurance and 57 percent believe health insurance is worth the money. \"That tells me that people do value health coverage and will take action to get themselves covered if it's affordable,\" said Michael Cousineau, a professor at the University of Southern California's school of medicine. \"I just don't think it's going to happen overnight.\"\u003c/p>\n\u003cp>Undocumented immigrants have misplaced expectations of the Affordable Care Act, according to the survey. The law specifically forbids illegal immigrants from buying insurance in the state exchanges, and they are already barred from enrolling in Medi-Cal. Yet the survey found 49 percent believe they may qualify for Medi-Cal and 43 percent expect to shop for coverage on the exchange.\u003c/p>\n\u003cp>Sindi Duarte, an undocumented immigrant from Antioch, has not seen any ads about the coverage expansion. \"I don't know much about it,\" said Duarte, 19, who was born in Guatemala and entered the United States with her parents when she was 2. She recently received a permit to remain in the U.S. under an immigration policy adopted last June by President Barack Obama, and in April was diagnosed with multiple sclerosis. She is receiving some care for her condition, but has no health insurance. She is uncertain if the law will help her. \"I thought I was (eligible for insurance), but I’m not completely sure.\"\u003c/p>\n\u003cp>The survey is unusual in that the foundation expects to track the same pool of people, who are entering the open enrollment period uninsured, for as long as two years to assess the effectiveness of the Medi-Cal expansion and Covered California, the new insurance marketplace meant to ease the burden of buying health coverage.\u003c/p>\n\u003cp>\"Only through a poll like this can we see what Obamacare means for real people,\" said Mollyann Brodie, director of public opinion and survey research at the foundation. \"Is it impacting their lives? Is it helping or not? What's working and not working about the law?\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Kaiser Health News (KHN) is a nonprofit news organization covering health care policy and politics. It is an editorially independent program of the \u003ca href=\"http://www.kff.org/\" target=\"_blank\">Kaiser Family Foundation\u003c/a>.\u003c/em>\u003c/p>\n\n",
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"excerpt": "The survey, by the Kaiser Family Foundation, found that three out of four Californians who earn modest incomes and could buy government-subsidized private coverage believe, wrongly, that they're not eligible for federal assistance or they simply don't know if they qualify.\r\n\r\nIn addition, many undocumented immigrants, who comprise about a fifth of the state's uninsured population, erroneously believe they will be eligible for coverage",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_15231\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-15231\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/139379802-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Sarah Varney,\u003c/strong>\u003ca href=\"http://www.kaiserhealthnews.org/Stories/2013/September/26/uninsured-Californians-new-era-of-coverage.aspx\" target=\"_blank\"> Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>As uninsured Californians head into a new era of health coverage, they're worried about costs and unaware of the help they'll get from the government, a new survey finds.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.kff.org/health-reform/report/californias-uninsured-on-the-eve-of-aca-open-enrollment\" target=\"_blank\">survey\u003c/a>, by the Kaiser Family Foundation, found that three out of four Californians who earn modest incomes and could buy government-subsidized private coverage wrongly believe they're not eligible for federal assistance or simply don't know if they qualify.\u003c/p>\n\u003cp>In addition, many undocumented immigrants, who constitute about a fifth of the state's uninsured population, erroneously believe they will be eligible for coverage. The law specifically bars them from getting coverage from the state's new health insurance marketplace, which opens next Tuesday, for coverage beginning Jan.1, 2014.\u003c/p>\n\u003cp>\"This has been, for so long, a political debate,\" said Anthony Wright, executive director of Health Access, a Sacramento-based consumer advocacy group. \"We're just starting to move it into a practical reality. Now that the benefits are close at hand, there is a concerted effort to educate people about what their benefits are.\"\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California is one of two dozen states preparing to dramatically expand Medicaid (called Medi-Cal in California), the federal-state insurance program for the poor.\u003c/p>\n\u003cp>But the survey found only half of newly eligible low-income Californians assume they will qualify. The nonpartisan Kaiser Family Foundation surveyed some 2,000 uninsured Californians from mid-July until the end of August, a summertime lull before a burst of planned advertising and outreach efforts.\u003c/p>\n\u003cp>\"There is a lot of confusion about the messaging in the news and at the federal level,\" said Sonya Vasquez, policy director for Community Health Councils, a Los Angeles-based group that is part of a statewide enrollment effort getting underway. \"With the enrollment program, that is going to shift.\"\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>[Related Content: \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">Obamacare Explained -- A Guide for Californians\u003c/a>]\u003c/strong>\u003c/p>\n\u003cp>The cost of health coverage will likely be a key factor in the law's adoption: The survey found 57 percent of California's uninsured say they have little financial security, and 64 percent report forgoing needed medical care because of cost, including skipping recommended treatments and leaving prescriptions unfilled.\u003c/p>\n\u003cp>\"Having health insurance is important, but economically it was not possible,\" said survey respondent Lissette Melgar, 46, who has been uninsured since her divorce five years ago. \"I began to have a pain in my back, and I need health insurance for this.\" Melgar, who lives in Tracy (San Joaquin County), will likely qualify for Medi-Cal given her low income. She said, in Spanish, that she understands the health care system is changing, \"but (I) don't know how.\"\u003c/p>\n\u003cp>The state's health insurance marketplace, \u003ca href=\"http://www.coveredca.com/\">Covered California\u003c/a>, began airing television advertisements in several small markets earlier this month, and expects to be on the airwaves in major markets, such as Los Angeles, in October. Anxiety over the cost of coverage \"reminds us that we have to push forward on the message that the plans are affordable,\" Vasquez said, \"and some people may not have to pay hardly anything, if at all\" if they \u003ca href=\"http://kff.org/interactive/subsidy-calculator/\" target=\"_blank\">qualify for subsidies\u003c/a>.\u003c/p>\n\u003cp>Health policy experts were buoyed by the uninsured's strong desire for coverage: Eight in 10 of those eligible under the Affordable Care Act’s coverage expansion feel they need health insurance and 57 percent believe health insurance is worth the money. \"That tells me that people do value health coverage and will take action to get themselves covered if it's affordable,\" said Michael Cousineau, a professor at the University of Southern California's school of medicine. \"I just don't think it's going to happen overnight.\"\u003c/p>\n\u003cp>Undocumented immigrants have misplaced expectations of the Affordable Care Act, according to the survey. The law specifically forbids illegal immigrants from buying insurance in the state exchanges, and they are already barred from enrolling in Medi-Cal. Yet the survey found 49 percent believe they may qualify for Medi-Cal and 43 percent expect to shop for coverage on the exchange.\u003c/p>\n\u003cp>Sindi Duarte, an undocumented immigrant from Antioch, has not seen any ads about the coverage expansion. \"I don't know much about it,\" said Duarte, 19, who was born in Guatemala and entered the United States with her parents when she was 2. She recently received a permit to remain in the U.S. under an immigration policy adopted last June by President Barack Obama, and in April was diagnosed with multiple sclerosis. She is receiving some care for her condition, but has no health insurance. She is uncertain if the law will help her. \"I thought I was (eligible for insurance), but I’m not completely sure.\"\u003c/p>\n\u003cp>The survey is unusual in that the foundation expects to track the same pool of people, who are entering the open enrollment period uninsured, for as long as two years to assess the effectiveness of the Medi-Cal expansion and Covered California, the new insurance marketplace meant to ease the burden of buying health coverage.\u003c/p>\n\u003cp>\"Only through a poll like this can we see what Obamacare means for real people,\" said Mollyann Brodie, director of public opinion and survey research at the foundation. \"Is it impacting their lives? Is it helping or not? What's working and not working about the law?\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Kaiser Health News (KHN) is a nonprofit news organization covering health care policy and politics. It is an editorially independent program of the \u003ca href=\"http://www.kff.org/\" target=\"_blank\">Kaiser Family Foundation\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Federal Health Officials to Launch Study of Valley Fever",
"title": "Federal Health Officials to Launch Study of Valley Fever",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_15170\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-15170\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/81030094-640x426.jpg\" alt=\"A bull kicks up dust on a farm south of Bakersfield. Valley fever spores are carried by the wind in the dry, desert southwest, including California's Central Valley. (David McNew/Getty Images)\" width=\"640\" height=\"426\">\u003cfigcaption class=\"wp-caption-text\">A bull kicks up dust on a farm south of Bakersfield. Valley fever spores are carried by the wind in the dry, desert southwest, including California's Central Valley. (David McNew/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Rachel Cook,\u003c/strong> \u003ca href=\"http://www.reportingonhealth.org/valleyfever/story\" target=\"_blank\">Reporting on Health Collaborative\u003c/a>\u003c/p>\n\u003cp>The leaders of the Centers for Disease Control and the National Institutes of Health announced they will launch a clinical trial to get a better understanding of how to treat valley fever. The announcement was made Monday as part of a two-day symposium on valley fever being held in Bakersfield.\u003c/p>\n\u003cp>The randomized control trial will cost millions of dollars and involve roughly 1,000 patients, and it could help determine the best practices for treating the fungal infection.\u003c/p>\n\u003cp>“It will take some time to mount this trial, to plan it, to put it forward,\" said Dr. Francis Collins, director of the NIH. \"But I just want to assure all of you from this part of California that we’re serious about trying to get some of those answers even in the face of difficult budget times,” Collins said.\u003c/p>\n\u003cp>California's San Joaquin Valley is\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/29/valley-fever-cases-skyrocketing-says-cdc/\" target=\"_blank\"> a valley fever hot spot\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“What we’ve seen is a steady increase in the number of diagnosed cases of valley fever, or coccidioidomycosis,” said Dr. Thomas Frieden, director of the CDC. “We don’t know why that’s happened and there’s a lot that we need to learn.”\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Symposium participants called the announcement a major development in the fight against valley fever. The news comes after U.S. Rep. Kevin McCarthy, (R-Bakersfield), who spearheaded the symposium, courted the leaders of the CDC and NIH for months about valley fever.\u003c/p>\n\u003cp>The trial will involve some 1,000 people diagnosed with community-acquired pneumonia, the most common presentation of valley fever. Half will be randomly chosen to receive either a traditional antibiotic used to treat bacterial pneumonia or placebo; the other half will be treated with the antibiotic plus fluconazole, an anti-fungal medication frequently used to treat valley fever.\u003c/p>\n\u003cp>The patients will be tested immediately and then every two weeks to see if they have valley fever and which treatments prove most effective. Collins said the trial will spread awareness about the disease and educate people about diagnostics and treatment.\u003c/p>\n\u003cp>“We all recognize that there’s more that needs to be done. There’s so many unknowns (about valley fever),” Collins said. “We don’t know exactly what the right treatment is for people who become infected with this fungus.”\u003c/p>\n\u003cp>Dr. Royce Johnson, Kern Medical Center’s chief of infectious disease, called the trial exciting news.\u003c/p>\n\u003cp>“There is a real difference of opinion about who should be treated, when they should be treated and how much they should be treated with,” Johnson said. “It would answer some of those questions.”\u003c/p>\n\u003cp>After the trial was announced to reporters, about 200 people attended a public forum. The gathering brought together people battling the disease, doctors working to developed a vaccine, and past and present politicians.\u003c/p>\n\u003cp>“This is a particularly unusual (event) because this is not as common a condition as many of the things that Dr. Frieden and I spend our time worrying about,” Collins said. “But it is a compelling situation because of the rise in (reported cases) and the fact that there’s so many unknowns that could be answers so it seems like the right time to get all of the smart people together and see what we can do.”\u003c/p>\n\u003cp>Men, women and one little girl shared their stories of living with valley fever. Many asked specific questions about their own condition and symptoms, telling stories of misdiagnosis and uncertainty.\u003c/p>\n\u003cp>Darrin Blackmon, Sr., of Buttonwillow brought a plastic bag filled with medications and bills he has accrued while dealing with the disease for one year.\u003c/p>\n\u003cp>“It’s an honor, it’s a privilege to still be living,” Blackmon said after briefly meeting Frieden. “When I first got it, oh your body (makes) you feel like you (are) dying already.”\u003c/p>\n\u003cp>Lisa Limbeck of Rosamond has lived with valley fever for five years, and the virus has settled in her brain. She says she's had several brain operations and takes daily antifungal treatments. She copes with chronic pain which she compared to a day-long severe migraine.\u003c/p>\n\u003cp>“I just wanted to hear other stories of people who’ve battled what I’ve gone through and how they’re coping and how they’re living and how it’s changed their world because I know it’s changed mine,” she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>She said she hoped public health leaders would be open to new ideas for advancing testing and technologies to understand valley fever.\u003c/p>\n\n",
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"excerpt": "The leaders of the Centers for Disease Control and the National Institutes of Health announced they will launch a clinical trial to get a better understanding of how to treat valley fever, they announced in Bakersfield Monday.\r\n\r\nThe endeavour, announced as part of a two-day valley fever symposium, will cost millions of dollars and involve roughly 1,000 patients. The randomized control trial could help determine the best practices for treating the fungal infection.",
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"description": "The leaders of the Centers for Disease Control and the National Institutes of Health announced they will launch a clinical trial to get a better understanding of how to treat valley fever, they announced in Bakersfield Monday.\r\n\r\nThe endeavour, announced as part of a two-day valley fever symposium, will cost millions of dollars and involve roughly 1,000 patients. The randomized control trial could help determine the best practices for treating the fungal infection.",
"title": "Federal Health Officials to Launch Study of Valley Fever | KQED",
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"headline": "Federal Health Officials to Launch Study of Valley Fever",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_15170\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-15170\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/81030094-640x426.jpg\" alt=\"A bull kicks up dust on a farm south of Bakersfield. Valley fever spores are carried by the wind in the dry, desert southwest, including California's Central Valley. (David McNew/Getty Images)\" width=\"640\" height=\"426\">\u003cfigcaption class=\"wp-caption-text\">A bull kicks up dust on a farm south of Bakersfield. Valley fever spores are carried by the wind in the dry, desert southwest, including California's Central Valley. (David McNew/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Rachel Cook,\u003c/strong> \u003ca href=\"http://www.reportingonhealth.org/valleyfever/story\" target=\"_blank\">Reporting on Health Collaborative\u003c/a>\u003c/p>\n\u003cp>The leaders of the Centers for Disease Control and the National Institutes of Health announced they will launch a clinical trial to get a better understanding of how to treat valley fever. The announcement was made Monday as part of a two-day symposium on valley fever being held in Bakersfield.\u003c/p>\n\u003cp>The randomized control trial will cost millions of dollars and involve roughly 1,000 patients, and it could help determine the best practices for treating the fungal infection.\u003c/p>\n\u003cp>“It will take some time to mount this trial, to plan it, to put it forward,\" said Dr. Francis Collins, director of the NIH. \"But I just want to assure all of you from this part of California that we’re serious about trying to get some of those answers even in the face of difficult budget times,” Collins said.\u003c/p>\n\u003cp>California's San Joaquin Valley is\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/29/valley-fever-cases-skyrocketing-says-cdc/\" target=\"_blank\"> a valley fever hot spot\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“What we’ve seen is a steady increase in the number of diagnosed cases of valley fever, or coccidioidomycosis,” said Dr. Thomas Frieden, director of the CDC. “We don’t know why that’s happened and there’s a lot that we need to learn.”\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Symposium participants called the announcement a major development in the fight against valley fever. The news comes after U.S. Rep. Kevin McCarthy, (R-Bakersfield), who spearheaded the symposium, courted the leaders of the CDC and NIH for months about valley fever.\u003c/p>\n\u003cp>The trial will involve some 1,000 people diagnosed with community-acquired pneumonia, the most common presentation of valley fever. Half will be randomly chosen to receive either a traditional antibiotic used to treat bacterial pneumonia or placebo; the other half will be treated with the antibiotic plus fluconazole, an anti-fungal medication frequently used to treat valley fever.\u003c/p>\n\u003cp>The patients will be tested immediately and then every two weeks to see if they have valley fever and which treatments prove most effective. Collins said the trial will spread awareness about the disease and educate people about diagnostics and treatment.\u003c/p>\n\u003cp>“We all recognize that there’s more that needs to be done. There’s so many unknowns (about valley fever),” Collins said. “We don’t know exactly what the right treatment is for people who become infected with this fungus.”\u003c/p>\n\u003cp>Dr. Royce Johnson, Kern Medical Center’s chief of infectious disease, called the trial exciting news.\u003c/p>\n\u003cp>“There is a real difference of opinion about who should be treated, when they should be treated and how much they should be treated with,” Johnson said. “It would answer some of those questions.”\u003c/p>\n\u003cp>After the trial was announced to reporters, about 200 people attended a public forum. The gathering brought together people battling the disease, doctors working to developed a vaccine, and past and present politicians.\u003c/p>\n\u003cp>“This is a particularly unusual (event) because this is not as common a condition as many of the things that Dr. Frieden and I spend our time worrying about,” Collins said. “But it is a compelling situation because of the rise in (reported cases) and the fact that there’s so many unknowns that could be answers so it seems like the right time to get all of the smart people together and see what we can do.”\u003c/p>\n\u003cp>Men, women and one little girl shared their stories of living with valley fever. Many asked specific questions about their own condition and symptoms, telling stories of misdiagnosis and uncertainty.\u003c/p>\n\u003cp>Darrin Blackmon, Sr., of Buttonwillow brought a plastic bag filled with medications and bills he has accrued while dealing with the disease for one year.\u003c/p>\n\u003cp>“It’s an honor, it’s a privilege to still be living,” Blackmon said after briefly meeting Frieden. “When I first got it, oh your body (makes) you feel like you (are) dying already.”\u003c/p>\n\u003cp>Lisa Limbeck of Rosamond has lived with valley fever for five years, and the virus has settled in her brain. She says she's had several brain operations and takes daily antifungal treatments. She copes with chronic pain which she compared to a day-long severe migraine.\u003c/p>\n\u003cp>“I just wanted to hear other stories of people who’ve battled what I’ve gone through and how they’re coping and how they’re living and how it’s changed their world because I know it’s changed mine,” she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>She said she hoped public health leaders would be open to new ideas for advancing testing and technologies to understand valley fever.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "How Many Die From Medical Mistakes In U.S. Hospitals?",
"title": "How Many Die From Medical Mistakes In U.S. Hospitals?",
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"content": "\u003cfigure id=\"attachment_15137\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-15137\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/150379807-640x355.jpg\" alt=\"An updated estimate says at least 210,000 patients die from medical mistakes in U.S. hospitals a year. (Getty Images)\" width=\"640\" height=\"355\">\u003cfigcaption class=\"wp-caption-text\">An updated estimate says at least 210,000 patients die from medical mistakes in U.S. hospitals a year. (Getty Images) \u003ccite>(iStock/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Marshall Allen\u003c/strong>, \u003ca href=\"http://www.propublica.org/article/how-many-die-from-medical-mistakes-in-us-hospitals\" target=\"_blank\">Pro Publica\u003c/a>\u003c/p>\n\u003cp>It seems that every time researchers estimate how often a medical mistake contributes to a hospital patient's death, the numbers come out worse.\u003c/p>\n\u003cp>In 1999, the Institute of Medicine published the famous \"To Err Is Human\" report, which dropped a bombshell on the medical community by reporting that up to 98,000 people a year die because of mistakes in hospitals. The number was initially disputed, but is now widely accepted by doctors and hospital officials — and quoted ubiquitously in the media.\u003c/p>\n\u003cp>In 2010, the Office of Inspector General for the Department of Health and Human Services said that bad hospital care contributed to the deaths of 180,000 patients in Medicare alone in a given year.\u003c/p>\n\u003cp>Now comes a \u003ca href=\"http://journals.lww.com/journalpatientsafety/Fulltext/2013/09000/A_New,_Evidence_based_Estimate_of_Patient_Harms.2.aspx\" target=\"_blank\">study in the current issue\u003c/a> of the \u003cem>Journal of Patient Safety\u003c/em> that says the numbers may be much higher — between \u003ca href=\"https://www.documentcloud.org/documents/781687-john-james-a-new-evidence-based-estimate-of.html#document/p1/a117333\">210,000 and 440,000 patients\u003c/a> each year who go to the hospital for care suffer some type of preventable harm that contributes to their death.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>That would make medical errors the \u003ca href=\"http://www.cdc.gov/nchs/fastats/lcod.htm\">third-leading cause of death in America\u003c/a>, behind heart disease, which is the first, and cancer, which is second.\u003c/p>\n\u003cp>The new estimates were developed by John T. James, a \u003ca href=\"http://quest.nasa.gov/smore/team/jjames.html\">toxicologist at NASA\u003c/a>'s space center in Houston who runs an advocacy organization called \u003ca href=\"http://patientsafetyamerica.com/\">Patient Safety America\u003c/a>. James has also \u003ca href=\"http://sandbox.patientsafetyamerica.com/a-sea-of-broken-hearts/\">written a book\u003c/a> about the death of his 19-year-old son after what James maintains was negligent hospital care.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Asked about the higher estimates, a spokesman for the American Hospital Association said the group has more confidence in the IOM's estimate of 98,000 deaths. ProPublica asked three prominent patient safety researchers to review James' study, however, and all said his methods and findings were credible.\u003c/p>\n\u003cp>What's the right number? Nobody knows for sure. There's never been an actual count of how many patients experience preventable harm. So we're left with approximations, which are imperfect in part because of inaccuracies in medical records and the reluctance of some providers to report mistakes.\u003c/p>\n\u003cp>Patient safety experts say measuring the problem is nonetheless important because estimates bring awareness and research dollars to a major public health problem that persists despite decades of improvement efforts.\u003c/p>\n\u003cp>\"We need to get a sense of the magnitude of this,\" James said in an interview.\u003c/p>\n\u003cp>James based his estimates on the findings of four recent studies that identified preventable harm suffered by patients — known as \"adverse events\" in the medical vernacular — using a screening method called the \u003ca href=\"http://www.ihi.org/knowledge/Pages/Tools/IHIGlobalTriggerToolforMeasuringAEs.aspx\">Global Trigger Tool\u003c/a>, which guides reviewers through medical records, searching for signs of infection, injury or error. Medical records flagged during the initial screening are reviewed by a doctor, who determines the extent of the harm.\u003c/p>\n\u003cp>In the four studies, which examined records of more than 4,200 patients hospitalized between 2002 and 2008, researchers found serious adverse events in as many as 21 percent of cases reviewed and rates of lethal adverse events as high as 1.4 percent of cases.\u003c/p>\n\u003cp>By combining the findings and extrapolating across 34 million hospitalizations in 2007, James concluded that preventable errors contribute to the \u003ca href=\"https://www.documentcloud.org/documents/781687-john-james-a-new-evidence-based-estimate-of.html#document/p1/a117333\">deaths of 210,000\u003c/a> hospital patients annually.\u003c/p>\n\u003cp>That is the baseline. The actual number more than doubles, James reasoned, because the trigger tool doesn't catch errors in which treatment should have been provided but wasn't, because it's known that medical records are missing some evidence of harm, and because diagnostic errors aren't captured.\u003c/p>\n\u003cp>An estimate of 440,000 deaths from care in hospitals \"is roughly one-sixth of all deaths that occur in the United States each year,\" James wrote in his study. He also cited other research that's shown hospital reporting systems and peer-review capture only a fraction of patient harm or negligent care.\u003c/p>\n\u003cp>\"Perhaps it is time for a national patient bill of rights for hospitalized patients,\" James wrote. \"All evidence points to the need for much more patient involvement in identifying harmful events and participating in rigorous follow-up investigations to identify root causes.\"\u003c/p>\n\u003cp>Dr. Lucian Leape, a Harvard pediatrician who is referred to the \u003ca href=\"http://careers.bmj.com/careers/advice/view-article.html?id=20010023\">\"father of patient safety,\"\u003c/a> was on the committee that wrote the \"To Err Is Human\" report. He told ProPublica that he has confidence in the four studies and the estimate by James.\u003c/p>\n\u003cp>\u003cstrong>Numbers need updating\u003c/strong>\u003c/p>\n\u003cp>Members of the Institute of Medicine committee knew at the time that their estimate of medical errors was low, he said. \"It was based on a rather crude method compared to what we do now,\" Leape said. Plus, medicine has become much more complex in recent decades, which leads to more mistakes, he said.\u003c/p>\n\u003cp>Dr. David Classen, one of \u003ca href=\"http://webmm.ahrq.gov/perspective.aspx?perspectiveID=119\">the leading developers \u003c/a>of the Global Trigger Tool, said the James study is a sound use of the tool and a \"great contribution.\" He said it's important to update the numbers from the \"To Err Is Human\" report because in addition to the obvious suffering, preventable harm leads to enormous financial costs.\u003c/p>\n\u003cp>Dr. Marty Makary, a surgeon at Johns Hopkins Hospital whose book \u003cem>Unaccountable\u003c/em> calls for greater transparency in health care, said the James estimate shows that eliminating medical errors must become a national priority. He said it's also important to increase the awareness of the potential of unintended consequences when doctors perform procedure and tests. The risk of harm needs to be factored into conversations with patients, he said.\u003c/p>\n\u003cp>Leape, Classen and Makary all said it's time to stop citing the 98,000 number.\u003c/p>\n\u003cp>Still, hospital association spokesman Akin Demehin said the group is sticking with the Institute of Medicine's estimate. Demehin said the IOM figure is based on a larger sampling of medical charts and that there's no consensus the Global Trigger Tool can be used to make a nationwide estimate. He said the tool is better suited for use in individual hospitals.\u003c/p>\n\u003cp>The AHA is not attempting to come up with its own estimate, Demehin said.\u003c/p>\n\u003cp>Dr. David Mayer, vice president of quality and safety at Maryland-based \u003ca href=\"http://www.medstarhealth.org/body.cfm?id=556404\">MedStar Health\u003c/a>, said people can make arguments about how many patient deaths are hastened by poor hospital care, but that's not really the point. All the estimates, even on the low end, expose a crisis, he said.\u003c/p>\n\u003cp>\"Way too many people are being harmed by unintentional medical error,\" Mayer said, \"and it needs to be corrected.\"\u003c/p>\n\u003cp>\u003ca href=\"http://www.propublica.org/about/\">ProPublica\u003c/a>\u003cem> is an independent, nonprofit newsroom that produces investigative journalism in the public interest.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Copyright 2013 National Public Radio (\u003ca href=\"http://www.npr.org/blogs/health/2013/09/20/224507654/how-many-die-from-medical-mistakes-in-u-s-hospitals\">Source\u003c/a>).\u003c/p>\n\n",
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"excerpt": "It seems that every time researchers estimate how often a medical mistake contributes to a hospital patient's death, the numbers come out worse.\r\n\r\nIn 1999, the Institute of Medicine published the famous \"To Err Is Human\" report, which dropped a bombshell on the medical community by reporting that up to 98,000 people a year die because of mistakes in hospitals. The number was initially disputed, but is now widely accepted by doctors and hospital officials — and quoted ubiquitously in the media.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_15137\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-15137\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/150379807-640x355.jpg\" alt=\"An updated estimate says at least 210,000 patients die from medical mistakes in U.S. hospitals a year. (Getty Images)\" width=\"640\" height=\"355\">\u003cfigcaption class=\"wp-caption-text\">An updated estimate says at least 210,000 patients die from medical mistakes in U.S. hospitals a year. (Getty Images) \u003ccite>(iStock/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Marshall Allen\u003c/strong>, \u003ca href=\"http://www.propublica.org/article/how-many-die-from-medical-mistakes-in-us-hospitals\" target=\"_blank\">Pro Publica\u003c/a>\u003c/p>\n\u003cp>It seems that every time researchers estimate how often a medical mistake contributes to a hospital patient's death, the numbers come out worse.\u003c/p>\n\u003cp>In 1999, the Institute of Medicine published the famous \"To Err Is Human\" report, which dropped a bombshell on the medical community by reporting that up to 98,000 people a year die because of mistakes in hospitals. The number was initially disputed, but is now widely accepted by doctors and hospital officials — and quoted ubiquitously in the media.\u003c/p>\n\u003cp>In 2010, the Office of Inspector General for the Department of Health and Human Services said that bad hospital care contributed to the deaths of 180,000 patients in Medicare alone in a given year.\u003c/p>\n\u003cp>Now comes a \u003ca href=\"http://journals.lww.com/journalpatientsafety/Fulltext/2013/09000/A_New,_Evidence_based_Estimate_of_Patient_Harms.2.aspx\" target=\"_blank\">study in the current issue\u003c/a> of the \u003cem>Journal of Patient Safety\u003c/em> that says the numbers may be much higher — between \u003ca href=\"https://www.documentcloud.org/documents/781687-john-james-a-new-evidence-based-estimate-of.html#document/p1/a117333\">210,000 and 440,000 patients\u003c/a> each year who go to the hospital for care suffer some type of preventable harm that contributes to their death.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That would make medical errors the \u003ca href=\"http://www.cdc.gov/nchs/fastats/lcod.htm\">third-leading cause of death in America\u003c/a>, behind heart disease, which is the first, and cancer, which is second.\u003c/p>\n\u003cp>The new estimates were developed by John T. James, a \u003ca href=\"http://quest.nasa.gov/smore/team/jjames.html\">toxicologist at NASA\u003c/a>'s space center in Houston who runs an advocacy organization called \u003ca href=\"http://patientsafetyamerica.com/\">Patient Safety America\u003c/a>. James has also \u003ca href=\"http://sandbox.patientsafetyamerica.com/a-sea-of-broken-hearts/\">written a book\u003c/a> about the death of his 19-year-old son after what James maintains was negligent hospital care.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Asked about the higher estimates, a spokesman for the American Hospital Association said the group has more confidence in the IOM's estimate of 98,000 deaths. ProPublica asked three prominent patient safety researchers to review James' study, however, and all said his methods and findings were credible.\u003c/p>\n\u003cp>What's the right number? Nobody knows for sure. There's never been an actual count of how many patients experience preventable harm. So we're left with approximations, which are imperfect in part because of inaccuracies in medical records and the reluctance of some providers to report mistakes.\u003c/p>\n\u003cp>Patient safety experts say measuring the problem is nonetheless important because estimates bring awareness and research dollars to a major public health problem that persists despite decades of improvement efforts.\u003c/p>\n\u003cp>\"We need to get a sense of the magnitude of this,\" James said in an interview.\u003c/p>\n\u003cp>James based his estimates on the findings of four recent studies that identified preventable harm suffered by patients — known as \"adverse events\" in the medical vernacular — using a screening method called the \u003ca href=\"http://www.ihi.org/knowledge/Pages/Tools/IHIGlobalTriggerToolforMeasuringAEs.aspx\">Global Trigger Tool\u003c/a>, which guides reviewers through medical records, searching for signs of infection, injury or error. Medical records flagged during the initial screening are reviewed by a doctor, who determines the extent of the harm.\u003c/p>\n\u003cp>In the four studies, which examined records of more than 4,200 patients hospitalized between 2002 and 2008, researchers found serious adverse events in as many as 21 percent of cases reviewed and rates of lethal adverse events as high as 1.4 percent of cases.\u003c/p>\n\u003cp>By combining the findings and extrapolating across 34 million hospitalizations in 2007, James concluded that preventable errors contribute to the \u003ca href=\"https://www.documentcloud.org/documents/781687-john-james-a-new-evidence-based-estimate-of.html#document/p1/a117333\">deaths of 210,000\u003c/a> hospital patients annually.\u003c/p>\n\u003cp>That is the baseline. The actual number more than doubles, James reasoned, because the trigger tool doesn't catch errors in which treatment should have been provided but wasn't, because it's known that medical records are missing some evidence of harm, and because diagnostic errors aren't captured.\u003c/p>\n\u003cp>An estimate of 440,000 deaths from care in hospitals \"is roughly one-sixth of all deaths that occur in the United States each year,\" James wrote in his study. He also cited other research that's shown hospital reporting systems and peer-review capture only a fraction of patient harm or negligent care.\u003c/p>\n\u003cp>\"Perhaps it is time for a national patient bill of rights for hospitalized patients,\" James wrote. \"All evidence points to the need for much more patient involvement in identifying harmful events and participating in rigorous follow-up investigations to identify root causes.\"\u003c/p>\n\u003cp>Dr. Lucian Leape, a Harvard pediatrician who is referred to the \u003ca href=\"http://careers.bmj.com/careers/advice/view-article.html?id=20010023\">\"father of patient safety,\"\u003c/a> was on the committee that wrote the \"To Err Is Human\" report. He told ProPublica that he has confidence in the four studies and the estimate by James.\u003c/p>\n\u003cp>\u003cstrong>Numbers need updating\u003c/strong>\u003c/p>\n\u003cp>Members of the Institute of Medicine committee knew at the time that their estimate of medical errors was low, he said. \"It was based on a rather crude method compared to what we do now,\" Leape said. Plus, medicine has become much more complex in recent decades, which leads to more mistakes, he said.\u003c/p>\n\u003cp>Dr. David Classen, one of \u003ca href=\"http://webmm.ahrq.gov/perspective.aspx?perspectiveID=119\">the leading developers \u003c/a>of the Global Trigger Tool, said the James study is a sound use of the tool and a \"great contribution.\" He said it's important to update the numbers from the \"To Err Is Human\" report because in addition to the obvious suffering, preventable harm leads to enormous financial costs.\u003c/p>\n\u003cp>Dr. Marty Makary, a surgeon at Johns Hopkins Hospital whose book \u003cem>Unaccountable\u003c/em> calls for greater transparency in health care, said the James estimate shows that eliminating medical errors must become a national priority. He said it's also important to increase the awareness of the potential of unintended consequences when doctors perform procedure and tests. The risk of harm needs to be factored into conversations with patients, he said.\u003c/p>\n\u003cp>Leape, Classen and Makary all said it's time to stop citing the 98,000 number.\u003c/p>\n\u003cp>Still, hospital association spokesman Akin Demehin said the group is sticking with the Institute of Medicine's estimate. Demehin said the IOM figure is based on a larger sampling of medical charts and that there's no consensus the Global Trigger Tool can be used to make a nationwide estimate. He said the tool is better suited for use in individual hospitals.\u003c/p>\n\u003cp>The AHA is not attempting to come up with its own estimate, Demehin said.\u003c/p>\n\u003cp>Dr. David Mayer, vice president of quality and safety at Maryland-based \u003ca href=\"http://www.medstarhealth.org/body.cfm?id=556404\">MedStar Health\u003c/a>, said people can make arguments about how many patient deaths are hastened by poor hospital care, but that's not really the point. All the estimates, even on the low end, expose a crisis, he said.\u003c/p>\n\u003cp>\"Way too many people are being harmed by unintentional medical error,\" Mayer said, \"and it needs to be corrected.\"\u003c/p>\n\u003cp>\u003ca href=\"http://www.propublica.org/about/\">ProPublica\u003c/a>\u003cem> is an independent, nonprofit newsroom that produces investigative journalism in the public interest.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Student Nurses Fight to Curb TB on LA's Skid Row",
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"content": "\u003cfigure id=\"attachment_15053\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/SkidRowTB1-e1379375456727.jpg\">\u003cimg class=\"size-large wp-image-15053\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/SkidRowTB1-640x479.jpg\" alt=\"Family nurse-practitioner Hannah Bampton and medical assistant Antonio Vera of the UCLA School of Nursing Public Health Center administer a skin test for tuberculosis to Craig Mason at the Union Rescue Mission in Los Angeles. (Photo/Chris Richard)\" width=\"640\" height=\"479\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Family nurse-practitioner Hannah Bampton and medical assistant Antonio Vera of the UCLA School of Nursing Public Health Center administer a skin test for tuberculosis to Craig Mason at the Union Rescue Mission in Los Angeles. (Photo/Chris Richard)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Chris Richard\u003c/strong>\u003c/p>\n\u003cp>In his four months on Los Angeles’ Skid Row, Matthew Morales says he’s learned what clothes to wear so he doesn’t stand out too much, how to keep clean, how to travel light. He’s learned to trust those survival skills.\u003c/p>\n\u003cp>But, when I met him, he was rattled. He was waiting in line for a tuberculosis test. He takes the disease seriously.\u003c/p>\n\u003cp>“I worry about it a lot,” he said. “You just never know when you’re going to come in contact with the wrong person, somebody who could be a carrier.”\u003c/p>\n\u003cp>A scourge in much of the world, tuberculosis has long been seen in this country as a relic of the past. In 2011, the most recent year for which national statistics are available, the Centers for Disease Control and Prevention \u003ca href=\"http://www.cdc.gov/tb/statistics/reports/2011/table1.htm\">reported\u003c/a> slightly more than three cases per 100,000 people.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But TB persists among the homeless. And on LA's Skid Row, where crowding and unsanitary conditions help spread the disease, it’s made an alarming advance.\u003c/p>\n\u003cp>Since 2007, officials have identified some 94 cases in the area, 77 of them among the homeless. Half of those cases have been reported in the last two years. So far, 17 people have died, said Robert Kim-Farley, director of communicable disease control and prevention for the Los Angeles County health department.\u003c/p>\n\u003cp>In February, county, state and federal health authorities\u003ca href=\"http://articles.latimes.com/2013/feb/22/local/la-me-tb-outbreak-20130222\" target=\"_blank\"> announced a coordinated effort\u003c/a> to contain a persistent outbreak in the downtown neighborhood dotted with cardboard shanties and tent encampments.\u003c/p>\n\u003cp>Kim-Farley said through a genetic analysis, researchers have established that a unique strain of tuberculosis is centered on Skid Row, and is being passed from person to person there. With intensive medication, TB is curable. But authorities estimate that more than 4,500 people may have been exposed to the disease.\u003c/p>\n\u003cp>The challenge is to find out who they are and to get them to agree to treatment. That’s where the UCLA School of Nursing’s Public Health Center fits in.\u003c/p>\n\u003cp>Homeless people can be suspicious or even fearful of government efforts to hep them, Kim-Farley said. “So these community providers that are known and trusted by the community are very important.”\u003c/p>\n\u003cp>One recent morning a UCLA team visited the Union Rescue Mission in the heart of Skid Row and set up a table laden with test kits in the Mission's dayroom.\u003c/p>\n\u003cp>Of the 15 men who lined up for tests, most said they’ve heard little about the outbreak and were only getting tested because it’s mandatory for anyone staying in the Mission dormitory for five days or more.\u003c/p>\n\u003cp>But, Matthew Morales was an exception. He knew the risks.\u003c/p>\n\u003cp>“You have people coughing right in your face down here,” he said. “I’m a big fan of those sanitary wipes to try to kill bacteria, but I don’t think that’s going to help much with something like TB. So, when I get a chance like this to make sure I’m OK, I’m going to take it.”\u003c/p>\n\u003cp>Andy Bales, the Mission’s chief executive, said a lot of people are both worried and poorly informed.\u003c/p>\n\u003cp>“Early on, I talked to a woman on the street about coming in, and she said, ‘No, I don’t want to come in to the Mission. I might get TB,’” he said.\u003c/p>\n\u003cp>“She’s certainly more at risk being on the street than she is at the Mission where people are screened and people are receiving health care. But the information gets lost, and people become misinformed.”\u003c/p>\n\u003cp>Mary Marfisee, the Health Center’s medical director, said she and her students are doing all they can to disseminate facts, and to test as many people as possible.\u003c/p>\n\u003cp>“Our people at the Mission know who’s there every day, so if they see somebody they don’t know, they ask them if they want a test,” she said.\u003c/p>\n\u003cp>The Health Center also enlists the aid of medical students from a program jointly run by the UCLA Geffen School of Medicine and Drew University that trains physicians to serve the homeless and poor.\u003c/p>\n\u003cp>Third-year Drew student Cara Quant said she’d never seen a positive TB test before she started at the Mission. So far, out of the 100 people she’s helped to screen, four results have come back positive, Quant said.\u003c/p>\n\u003cp>Marfisee said before county officials announced the outbreak in February, she sometimes had trouble obtaining treatment for homeless people known to have been exposed to tuberculosis but whose infection remained “latent,” or largely asymptomatic. Since then, county health officials and Skid Row community providers have started to work together, including jointly developing a treatment regimen that can be completed in weeks instead of months. That’s much better suited to a transient population, Marfisee said.\u003c/p>\n\u003cp>The UCLA team includes medical assistant Antonio Vera, who was homeless and a patient at the clinic before Marfisee encouraged him to go to school to train for his current job with the university.\u003c/p>\n\u003cp>“He’s very astute and sensitive to people’s needs,” Marfisee said. “They may come by for a TB screening, but often, within a couple minutes, Antonio’s able to pick up on some other health condition that needs attention, and we’re able to attend to that, too.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“A lot of people want to get out of here, just like I did,” Vera said. “That’s why I pursued the knowledge of case management, so I could help them climb up the ladder and get out of this hole.”\u003c/p>\n\n",
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"excerpt": "In his four months on Los Angeles’ Skid Row, Matthew Morales says he’s learned what clothes to wear so he doesn’t stand out too much, how to keep clean, how to travel light. He’s learned to trust those survival skills.\r\n\r\nBut, when I met him, he was rattled. He was waiting in line for a tuberculosis test. He takes the disease seriously.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_15053\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/SkidRowTB1-e1379375456727.jpg\">\u003cimg class=\"size-large wp-image-15053\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/SkidRowTB1-640x479.jpg\" alt=\"Family nurse-practitioner Hannah Bampton and medical assistant Antonio Vera of the UCLA School of Nursing Public Health Center administer a skin test for tuberculosis to Craig Mason at the Union Rescue Mission in Los Angeles. (Photo/Chris Richard)\" width=\"640\" height=\"479\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Family nurse-practitioner Hannah Bampton and medical assistant Antonio Vera of the UCLA School of Nursing Public Health Center administer a skin test for tuberculosis to Craig Mason at the Union Rescue Mission in Los Angeles. (Photo/Chris Richard)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Chris Richard\u003c/strong>\u003c/p>\n\u003cp>In his four months on Los Angeles’ Skid Row, Matthew Morales says he’s learned what clothes to wear so he doesn’t stand out too much, how to keep clean, how to travel light. He’s learned to trust those survival skills.\u003c/p>\n\u003cp>But, when I met him, he was rattled. He was waiting in line for a tuberculosis test. He takes the disease seriously.\u003c/p>\n\u003cp>“I worry about it a lot,” he said. “You just never know when you’re going to come in contact with the wrong person, somebody who could be a carrier.”\u003c/p>\n\u003cp>A scourge in much of the world, tuberculosis has long been seen in this country as a relic of the past. In 2011, the most recent year for which national statistics are available, the Centers for Disease Control and Prevention \u003ca href=\"http://www.cdc.gov/tb/statistics/reports/2011/table1.htm\">reported\u003c/a> slightly more than three cases per 100,000 people.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But TB persists among the homeless. And on LA's Skid Row, where crowding and unsanitary conditions help spread the disease, it’s made an alarming advance.\u003c/p>\n\u003cp>Since 2007, officials have identified some 94 cases in the area, 77 of them among the homeless. Half of those cases have been reported in the last two years. So far, 17 people have died, said Robert Kim-Farley, director of communicable disease control and prevention for the Los Angeles County health department.\u003c/p>\n\u003cp>In February, county, state and federal health authorities\u003ca href=\"http://articles.latimes.com/2013/feb/22/local/la-me-tb-outbreak-20130222\" target=\"_blank\"> announced a coordinated effort\u003c/a> to contain a persistent outbreak in the downtown neighborhood dotted with cardboard shanties and tent encampments.\u003c/p>\n\u003cp>Kim-Farley said through a genetic analysis, researchers have established that a unique strain of tuberculosis is centered on Skid Row, and is being passed from person to person there. With intensive medication, TB is curable. But authorities estimate that more than 4,500 people may have been exposed to the disease.\u003c/p>\n\u003cp>The challenge is to find out who they are and to get them to agree to treatment. That’s where the UCLA School of Nursing’s Public Health Center fits in.\u003c/p>\n\u003cp>Homeless people can be suspicious or even fearful of government efforts to hep them, Kim-Farley said. “So these community providers that are known and trusted by the community are very important.”\u003c/p>\n\u003cp>One recent morning a UCLA team visited the Union Rescue Mission in the heart of Skid Row and set up a table laden with test kits in the Mission's dayroom.\u003c/p>\n\u003cp>Of the 15 men who lined up for tests, most said they’ve heard little about the outbreak and were only getting tested because it’s mandatory for anyone staying in the Mission dormitory for five days or more.\u003c/p>\n\u003cp>But, Matthew Morales was an exception. He knew the risks.\u003c/p>\n\u003cp>“You have people coughing right in your face down here,” he said. “I’m a big fan of those sanitary wipes to try to kill bacteria, but I don’t think that’s going to help much with something like TB. So, when I get a chance like this to make sure I’m OK, I’m going to take it.”\u003c/p>\n\u003cp>Andy Bales, the Mission’s chief executive, said a lot of people are both worried and poorly informed.\u003c/p>\n\u003cp>“Early on, I talked to a woman on the street about coming in, and she said, ‘No, I don’t want to come in to the Mission. I might get TB,’” he said.\u003c/p>\n\u003cp>“She’s certainly more at risk being on the street than she is at the Mission where people are screened and people are receiving health care. But the information gets lost, and people become misinformed.”\u003c/p>\n\u003cp>Mary Marfisee, the Health Center’s medical director, said she and her students are doing all they can to disseminate facts, and to test as many people as possible.\u003c/p>\n\u003cp>“Our people at the Mission know who’s there every day, so if they see somebody they don’t know, they ask them if they want a test,” she said.\u003c/p>\n\u003cp>The Health Center also enlists the aid of medical students from a program jointly run by the UCLA Geffen School of Medicine and Drew University that trains physicians to serve the homeless and poor.\u003c/p>\n\u003cp>Third-year Drew student Cara Quant said she’d never seen a positive TB test before she started at the Mission. So far, out of the 100 people she’s helped to screen, four results have come back positive, Quant said.\u003c/p>\n\u003cp>Marfisee said before county officials announced the outbreak in February, she sometimes had trouble obtaining treatment for homeless people known to have been exposed to tuberculosis but whose infection remained “latent,” or largely asymptomatic. Since then, county health officials and Skid Row community providers have started to work together, including jointly developing a treatment regimen that can be completed in weeks instead of months. That’s much better suited to a transient population, Marfisee said.\u003c/p>\n\u003cp>The UCLA team includes medical assistant Antonio Vera, who was homeless and a patient at the clinic before Marfisee encouraged him to go to school to train for his current job with the university.\u003c/p>\n\u003cp>“He’s very astute and sensitive to people’s needs,” Marfisee said. “They may come by for a TB screening, but often, within a couple minutes, Antonio’s able to pick up on some other health condition that needs attention, and we’re able to attend to that, too.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“A lot of people want to get out of here, just like I did,” Vera said. “That’s why I pursued the knowledge of case management, so I could help them climb up the ladder and get out of this hole.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "How a Video Game Can Make an Aging Brain Young(er) Again",
"title": "How a Video Game Can Make an Aging Brain Young(er) Again",
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"content": "\u003cp>\u003cstrong>By Angela Hart\u003c/strong>\u003c/p>\n\u003cp>Who knew playing video games might be good for you?\u003c/p>\n\u003cp>A provocative \u003ca href=\"http://gazzaleylab.ucsf.edu/home/gazzaleylab/Anguera_Nature_2013.pdf\" target=\"_blank\">new study \u003c/a>from researchers at UC San Francisco shows that playing a specially designed video game increased the ability to multitask for people in their 60s, 70s and 80s.\u003c/p>\n\u003cp>Adam Gazzaley of UCSF's Neuroscience Imaging Center led the study. He recruited 174 people over 60 to play NeuroRacer, a custom-built game that forced participants to navigate winding roads, quickly turn left and right, go uphill and downhill -- and then click a button whenever a distracting green sign pops up. Take a look:\u003c/p>\n\u003cp>\u003ciframe src=\"http://www.npr.org/templates/event/embeddedVideo.php?storyId=218892225&mediaId=\" frameborder=\"0\" scrolling=\"no\" width=\"600\" height=\"338\">\u003c/iframe>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The participants played the video game three times a week for a month and improved cognitive functions of the brain, not only in multitasking but also in paying attention for longer time spans. In fact, they improved so much that they reached the level of an untrained 20-year-old. This is the first time this kind of improvement has been demonstrated, the researchers noted in their study.\u003c/p>\n\u003cp>Gazzaley explained more on \u003ca href=\"http://www.kqed.org/a/forum/R201309101000\" target=\"_blank\">KQED's \"Forum\u003c/a>\" recently. He said the idea is to identify the brain's \"plasticity,\" meaning its ability to change even as it ages -- a concept that brain researchers haven't always thought possible.\u003c!--more-->\u003c/p>\n\u003cp>\"We've been showing in the brain what happens as we get older,\" Gazzaley said. \"Working memory and sustained attention decline. After telling that sort of bad news for the last decade, around five years ago, I got inspired to see if we could do anything about it.\"\u003c/p>\n\u003cp>The overall goal, Gazzaley said, was to identify what changes in the brain by targeting what he called the \"sweet spot\" in testing study participants. The video game was designed at a level where it's not too difficult to be frustrating, but not so easy that it becomes boring.\u003c/p>\n\u003cp>\"We think that this maximally targets plasticity in the brain by pushing it right at that level of your ability,\" Gazzaley told \"Forum\" host Michael Krasny.\u003c/p>\n\u003cp>The study was published in the journal Nature. The authors wrote that \"a custom-designed video game can ... serve as a powerful tool for cognitive enhancement.\"\u003c/p>\n\u003cp>Gazzaley acknowledged that his approach has its critics.\u003c/p>\n\u003cp>\"I think that the field is controversial, but not because of the foundational concept that the brain is plastic and can change,\" Gazzaley said. \"Every neuroscientist I've ever met believes in the plasticity of the brain. The question is -- and I guess the controversy that ensues around it is -- what is the most appropriate way of tapping that plasticity.\"\u003c/p>\n\u003cp>In designing the study, Gazzaley took his initial idea to his video game friends, who developed the game. Gazzaley was aware of earlier research showing that first-person shooter video games played by younger adults also improved brain functions, such as distraction resistance and the ability to maintain attention levels.\u003c/p>\n\u003cp>\"It's exciting,\" Gazzaley said. \"It shows that video games and the dynamics involved in them can be used to have very powerful impacts on the brain, especially when targeted.\" He said he doesn't expect that this one study is a definitive answer \"but rather a step in how we can go about carefully developing and then validating our tools to change the brain in an impactful way.\"\u003c/p>\n\u003cp>Gazzaley and other researchers are now using the brain-scanning technology built into NeuroRacer to develop more advanced versions of the game, and continue to experiment on improving brain functions.\u003c/p>\n\u003cp>\"In terms of being balanced, this does not imply that all video games are effective,\" Gazzaley said. \"There's a lot more research that needs to be done to understand it.\"\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cp>Listen to Adam Gazzaley on KQED's Forum:\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201309101000.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201309101000.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"excerpt": "Who knew playing video games might be good for you?\r\n\r\nA provocative new study from researchers at UC San Francisco showed that playing a specially designed video game increased the ability to multitask for people in their 60s, 70s and 80s.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Angela Hart\u003c/strong>\u003c/p>\n\u003cp>Who knew playing video games might be good for you?\u003c/p>\n\u003cp>A provocative \u003ca href=\"http://gazzaleylab.ucsf.edu/home/gazzaleylab/Anguera_Nature_2013.pdf\" target=\"_blank\">new study \u003c/a>from researchers at UC San Francisco shows that playing a specially designed video game increased the ability to multitask for people in their 60s, 70s and 80s.\u003c/p>\n\u003cp>Adam Gazzaley of UCSF's Neuroscience Imaging Center led the study. He recruited 174 people over 60 to play NeuroRacer, a custom-built game that forced participants to navigate winding roads, quickly turn left and right, go uphill and downhill -- and then click a button whenever a distracting green sign pops up. Take a look:\u003c/p>\n\u003cp>\u003ciframe src=\"http://www.npr.org/templates/event/embeddedVideo.php?storyId=218892225&mediaId=\" frameborder=\"0\" scrolling=\"no\" width=\"600\" height=\"338\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The participants played the video game three times a week for a month and improved cognitive functions of the brain, not only in multitasking but also in paying attention for longer time spans. In fact, they improved so much that they reached the level of an untrained 20-year-old. This is the first time this kind of improvement has been demonstrated, the researchers noted in their study.\u003c/p>\n\u003cp>Gazzaley explained more on \u003ca href=\"http://www.kqed.org/a/forum/R201309101000\" target=\"_blank\">KQED's \"Forum\u003c/a>\" recently. He said the idea is to identify the brain's \"plasticity,\" meaning its ability to change even as it ages -- a concept that brain researchers haven't always thought possible.\u003c!--more-->\u003c/p>\n\u003cp>\"We've been showing in the brain what happens as we get older,\" Gazzaley said. \"Working memory and sustained attention decline. After telling that sort of bad news for the last decade, around five years ago, I got inspired to see if we could do anything about it.\"\u003c/p>\n\u003cp>The overall goal, Gazzaley said, was to identify what changes in the brain by targeting what he called the \"sweet spot\" in testing study participants. The video game was designed at a level where it's not too difficult to be frustrating, but not so easy that it becomes boring.\u003c/p>\n\u003cp>\"We think that this maximally targets plasticity in the brain by pushing it right at that level of your ability,\" Gazzaley told \"Forum\" host Michael Krasny.\u003c/p>\n\u003cp>The study was published in the journal Nature. The authors wrote that \"a custom-designed video game can ... serve as a powerful tool for cognitive enhancement.\"\u003c/p>\n\u003cp>Gazzaley acknowledged that his approach has its critics.\u003c/p>\n\u003cp>\"I think that the field is controversial, but not because of the foundational concept that the brain is plastic and can change,\" Gazzaley said. \"Every neuroscientist I've ever met believes in the plasticity of the brain. The question is -- and I guess the controversy that ensues around it is -- what is the most appropriate way of tapping that plasticity.\"\u003c/p>\n\u003cp>In designing the study, Gazzaley took his initial idea to his video game friends, who developed the game. Gazzaley was aware of earlier research showing that first-person shooter video games played by younger adults also improved brain functions, such as distraction resistance and the ability to maintain attention levels.\u003c/p>\n\u003cp>\"It's exciting,\" Gazzaley said. \"It shows that video games and the dynamics involved in them can be used to have very powerful impacts on the brain, especially when targeted.\" He said he doesn't expect that this one study is a definitive answer \"but rather a step in how we can go about carefully developing and then validating our tools to change the brain in an impactful way.\"\u003c/p>\n\u003cp>Gazzaley and other researchers are now using the brain-scanning technology built into NeuroRacer to develop more advanced versions of the game, and continue to experiment on improving brain functions.\u003c/p>\n\u003cp>\"In terms of being balanced, this does not imply that all video games are effective,\" Gazzaley said. \"There's a lot more research that needs to be done to understand it.\"\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cp>Listen to Adam Gazzaley on KQED's Forum:\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201309101000.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201309101000.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Valley Fever Hospitalizations Increase Dramatically in California",
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"content": "\u003cfigure id=\"attachment_14958\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/85475461-e1379002502902.jpg\">\u003cimg class=\"size-large wp-image-14958\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/85475461-640x431.jpg\" alt=\"Fungal spores that cause valley fever are carried in the dust. Activities including farming in the Central Valley contribute to the spread of the spores. (Robin Beck/Getty Images)\" width=\"640\" height=\"431\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Fungal spores that cause valley fever are carried in the dust. Activities including farming in the Central Valley contribute to the spread of the spores. (Robin Beck/Getty Images) \u003ccite>(Robin Beck/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"color: #000000\">(AP) - \u003c/span>\u003cspan style=\"color: #000000\">The annual rate of hospitalizations for valley fever, a potentially lethal but often misdiagnosed disease, has doubled over the past 12 years in California, according to a study published on Wednesday by the Centers for Disease Control and Prevention.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">\u003c/span>\u003c/p>\n\u003caside class=\"pullquote alignleft\">California's rates of reported fever cases increased by more than six-fold over the past decade. \u003c/aside>\n\u003cp>The fever — which is caused by a fungus found in soil and can be contracted by simply breathing in the spores from dust disturbed by wind or other activity — has cost more than $2 billion in hospital charges over about a decade, the study found.\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">The study, conducted by researchers at the California Department of Public Health, was published in the October 2013 issue of Emerging Infectious Diseases, CDC's monthly peer-reviewed public health journal.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">Valley fever is prevalent in arid regions of the U.S., especially in California and Arizona, as well as in Mexico, Central and South America. It is not spread person-to-person.\u003c!--more-->\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">While in most cases the fever results in no symptoms, in about 40 percent of the cases it causes mild to severe flu-like symptoms or more serious infections. In some cases, it can spread to the brain, bones, skin, even eyes, leading to blindness, skin abscesses, lung failure, even death.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">People who show symptoms of the disease can require expensive treatments, prolonged absence from work or school, multiple hospitalizations, and years of monitoring.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">California's rates of reported fever cases increased by more than six-fold over the past decade. Fever cases rose from about 700 in 1998 to more than 5,500 cases reported in 2011, according to the CDC.\u003c/span>\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>[Related:\u003c/strong> \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/05/13/valley-fever-cases-soar-in-west-yet-off-the-radar-of-east-coast-policymakers/\" target=\"_blank\">Valley Fever Cases Soar in West, Yet Off Radar of East Coast Policymakers\u003c/a>\u003cstrong>]\u003c/strong>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">A warming climate, drought and changing rainfall patterns are factors that have led to the steep increase invalley fever, researchers say. Improved reporting methods and better diagnosis also partially explain the increase.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">In California, the fever is endemic in the San Joaquin Valley, including Fresno, Kings, Kern, Madera, San Luis Obispo, and Tulare counties.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">From 2000 to 2011, there were 25,217 valley fever-associated hospitalizations in the state; hospitalizations increased from 1,074 in 2000 to 3,197 in 2011.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">A total of 1,220 patients hospitalized for valley fever — 8 percent of the total number hospitalized — died during the initial or subsequent hospitalization.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">About half of the patients initially hospitalized for the fever in California resided in the endemic San Joaquin Valley.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">Those most at risk for hospitalization were men, African Americans and Hispanics, and older people, the study found.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">A third of those initially hospitalized had other health conditions that could increase the fever's severity, including diabetes, HIV or AIDS, and pregnancy.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">About 9 percent of the initially hospitalized valley fever patients were admitted from \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/07/03/state-to-transfer-inmates-from-prisons-plagued-by-valley-fever/\" target=\"_blank\">a prison or jail\u003c/a>. Earlier this year, a federal health official ordered the transfer of more than 3,000 exceptionally vulnerable inmates from two San Joaquin Valley prisons where several dozen have died of the disease in recent years.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">Researchers say the best way to minimize long-term illnesses and deaths is early diagnosis, close follow-up of patients and appropriate treatment of those at risk for severe disease. Thus, increasing awareness and early recognition of the disease among health care providers and the public is key.\u003c/span>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_14958\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/85475461-e1379002502902.jpg\">\u003cimg class=\"size-large wp-image-14958\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/85475461-640x431.jpg\" alt=\"Fungal spores that cause valley fever are carried in the dust. Activities including farming in the Central Valley contribute to the spread of the spores. (Robin Beck/Getty Images)\" width=\"640\" height=\"431\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Fungal spores that cause valley fever are carried in the dust. Activities including farming in the Central Valley contribute to the spread of the spores. (Robin Beck/Getty Images) \u003ccite>(Robin Beck/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"color: #000000\">(AP) - \u003c/span>\u003cspan style=\"color: #000000\">The annual rate of hospitalizations for valley fever, a potentially lethal but often misdiagnosed disease, has doubled over the past 12 years in California, according to a study published on Wednesday by the Centers for Disease Control and Prevention.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">\u003c/span>\u003c/p>\n\u003caside class=\"pullquote alignleft\">California's rates of reported fever cases increased by more than six-fold over the past decade. \u003c/aside>\n\u003cp>The fever — which is caused by a fungus found in soil and can be contracted by simply breathing in the spores from dust disturbed by wind or other activity — has cost more than $2 billion in hospital charges over about a decade, the study found.\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">The study, conducted by researchers at the California Department of Public Health, was published in the October 2013 issue of Emerging Infectious Diseases, CDC's monthly peer-reviewed public health journal.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">Valley fever is prevalent in arid regions of the U.S., especially in California and Arizona, as well as in Mexico, Central and South America. It is not spread person-to-person.\u003c!--more-->\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">While in most cases the fever results in no symptoms, in about 40 percent of the cases it causes mild to severe flu-like symptoms or more serious infections. In some cases, it can spread to the brain, bones, skin, even eyes, leading to blindness, skin abscesses, lung failure, even death.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">People who show symptoms of the disease can require expensive treatments, prolonged absence from work or school, multiple hospitalizations, and years of monitoring.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">California's rates of reported fever cases increased by more than six-fold over the past decade. Fever cases rose from about 700 in 1998 to more than 5,500 cases reported in 2011, according to the CDC.\u003c/span>\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>[Related:\u003c/strong> \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/05/13/valley-fever-cases-soar-in-west-yet-off-the-radar-of-east-coast-policymakers/\" target=\"_blank\">Valley Fever Cases Soar in West, Yet Off Radar of East Coast Policymakers\u003c/a>\u003cstrong>]\u003c/strong>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">A warming climate, drought and changing rainfall patterns are factors that have led to the steep increase invalley fever, researchers say. Improved reporting methods and better diagnosis also partially explain the increase.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">In California, the fever is endemic in the San Joaquin Valley, including Fresno, Kings, Kern, Madera, San Luis Obispo, and Tulare counties.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">From 2000 to 2011, there were 25,217 valley fever-associated hospitalizations in the state; hospitalizations increased from 1,074 in 2000 to 3,197 in 2011.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">A total of 1,220 patients hospitalized for valley fever — 8 percent of the total number hospitalized — died during the initial or subsequent hospitalization.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">About half of the patients initially hospitalized for the fever in California resided in the endemic San Joaquin Valley.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">Those most at risk for hospitalization were men, African Americans and Hispanics, and older people, the study found.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">A third of those initially hospitalized had other health conditions that could increase the fever's severity, including diabetes, HIV or AIDS, and pregnancy.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">About 9 percent of the initially hospitalized valley fever patients were admitted from \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/07/03/state-to-transfer-inmates-from-prisons-plagued-by-valley-fever/\" target=\"_blank\">a prison or jail\u003c/a>. Earlier this year, a federal health official ordered the transfer of more than 3,000 exceptionally vulnerable inmates from two San Joaquin Valley prisons where several dozen have died of the disease in recent years.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">Researchers say the best way to minimize long-term illnesses and deaths is early diagnosis, close follow-up of patients and appropriate treatment of those at risk for severe disease. Thus, increasing awareness and early recognition of the disease among health care providers and the public is key.\u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>",
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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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},
"link": "/radio/program/bbc-world-service",
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"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/californiareport",
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"source": "kqed",
"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.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
"city-arts": {
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"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
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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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"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
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"order": 1
},
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
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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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"meta": {
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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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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"freakonomics-radio": {
"id": "freakonomics-radio",
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"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"here-and-now": {
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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": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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},
"link": "/radio/program/how-i-built-this",
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"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"order": 15
},
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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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"officialWebsiteLink": "/podcasts/jerrybrown",
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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": {
"site": "news",
"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"
},
"link": "/radio/program/masters-of-scale",
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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",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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