From rural California to urban neighborhoods, where you live affects your health
Beloved San Francisco Zen Hospice Project Confronts Its Own End
Bartenders Learn How to Spot – and Reverse – Opioid Overdoses
Modoc Voters Agree to Sell Their Rural Hospital to Denver Entrepreneur
On the Ballot: The Fate of a Troubled Hospital in Modoc County
California Deaths From Powerful Opioid Fentanyl Rise in 2017
Where Do You Go When You Leave the Hospital But Are Homeless?
Choice Of Bay Area For AIDS Conference Exposes Tension Among Activists
San Francisco's Newest Tool to Prevent Opioid Overdoses Tests Drugs, Starts Conversations
A Firefighter in San Diego Confronts the Trauma of the Job
Sponsored
window.__IS_SSR__=true
window.__INITIAL_STATE__={"attachmentsReducer":{"audio_0":{"type":"attachments","id":"audio_0","imgSizes":{"kqedFullSize":{"file":"https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background0.jpg"}}},"audio_1":{"type":"attachments","id":"audio_1","imgSizes":{"kqedFullSize":{"file":"https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background1.jpg"}}},"audio_2":{"type":"attachments","id":"audio_2","imgSizes":{"kqedFullSize":{"file":"https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background2.jpg"}}},"audio_3":{"type":"attachments","id":"audio_3","imgSizes":{"kqedFullSize":{"file":"https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background3.jpg"}}},"audio_4":{"type":"attachments","id":"audio_4","imgSizes":{"kqedFullSize":{"file":"https://ww2.kqed.org/news/wp-content/themes/KQED-unified/img/audio_bgs/background4.jpg"}}},"placeholder":{"type":"attachments","id":"placeholder","imgSizes":{"thumbnail":{"file":"https://ww2.kqed.org/wp-content/uploads/sites/10/2018/01/GettyImages-896326950-160x96.jpg","width":160,"height":96,"mimeType":"image/jpeg"},"medium":{"file":"https://ww2.kqed.org/wp-content/uploads/sites/10/2018/01/GettyImages-896326950-800x478.jpg","width":800,"height":478,"mimeType":"image/jpeg"},"large":{"file":"https://ww2.kqed.org/wp-content/uploads/sites/10/2018/01/GettyImages-896326950-1020x610.jpg","width":1020,"height":610,"mimeType":"image/jpeg"},"fd-lrg":{"file":"https://ww2.kqed.org/wp-content/uploads/sites/10/2018/01/GettyImages-896326950-1920x1148.jpg","width":1920,"height":1148,"mimeType":"image/jpeg"},"fd-med":{"file":"https://ww2.kqed.org/wp-content/uploads/sites/10/2018/01/GettyImages-896326950-1180x705.jpg","width":1180,"height":705,"mimeType":"image/jpeg"},"fd-sm":{"file":"https://ww2.kqed.org/wp-content/uploads/sites/10/2018/01/GettyImages-896326950-960x574.jpg","width":960,"height":574,"mimeType":"image/jpeg"},"post-thumbnail":{"file":"https://ww2.kqed.org/wp-content/uploads/sites/10/2018/01/GettyImages-896326950-672x372.jpg","width":672,"height":372,"mimeType":"image/jpeg"},"twentyfourteen-full-width":{"file":"https://ww2.kqed.org/wp-content/uploads/sites/10/2018/01/GettyImages-896326950-1038x576.jpg","width":1038,"height":576,"mimeType":"image/jpeg"},"xxsmall":{"file":"https://ww2.kqed.org/wp-content/uploads/sites/10/2018/01/GettyImages-896326950-240x143.jpg","width":240,"height":143,"mimeType":"image/jpeg"},"xsmall":{"file":"https://ww2.kqed.org/wp-content/uploads/sites/10/2018/01/GettyImages-896326950-375x224.jpg","width":375,"height":224,"mimeType":"image/jpeg"},"small":{"file":"https://ww2.kqed.org/wp-content/uploads/sites/10/2018/01/GettyImages-896326950-520x311.jpg","width":520,"height":311,"mimeType":"image/jpeg"},"xlarge":{"file":"https://ww2.kqed.org/wp-content/uploads/sites/10/2018/01/GettyImages-896326950-1180x705.jpg","width":1180,"height":705,"mimeType":"image/jpeg"},"full-width":{"file":"https://ww2.kqed.org/wp-content/uploads/sites/10/2018/01/GettyImages-896326950-1920x1148.jpg","width":1920,"height":1148,"mimeType":"image/jpeg"},"guest-author-32":{"file":"https://ww2.kqed.org/wp-content/uploads/sites/10/2018/01/GettyImages-896326950-32x32.jpg","width":32,"height":32,"mimeType":"image/jpeg"},"guest-author-50":{"file":"https://ww2.kqed.org/wp-content/uploads/sites/10/2018/01/GettyImages-896326950-50x50.jpg","width":50,"height":50,"mimeType":"image/jpeg"},"guest-author-64":{"file":"https://ww2.kqed.org/wp-content/uploads/sites/10/2018/01/GettyImages-896326950-64x64.jpg","width":64,"height":64,"mimeType":"image/jpeg"},"guest-author-96":{"file":"https://ww2.kqed.org/wp-content/uploads/sites/10/2018/01/GettyImages-896326950-96x96.jpg","width":96,"height":96,"mimeType":"image/jpeg"},"guest-author-128":{"file":"https://ww2.kqed.org/wp-content/uploads/sites/10/2018/01/GettyImages-896326950-128x128.jpg","width":128,"height":128,"mimeType":"image/jpeg"},"detail":{"file":"https://ww2.kqed.org/wp-content/uploads/sites/10/2018/01/GettyImages-896326950-150x150.jpg","width":150,"height":150,"mimeType":"image/jpeg"},"kqedFullSize":{"file":"https://ww2.kqed.org/wp-content/uploads/sites/10/2018/01/GettyImages-896326950-e1514998105161.jpg","width":1920,"height":1148}}},"stateofhealth_364226":{"type":"attachments","id":"stateofhealth_364226","meta":{"index":"attachments_1591205162","site":"stateofhealth","id":"364226","found":true},"title":"George Kellar in ZHP foyer","publishDate":1534261834,"status":"inherit","parent":364223,"modified":1534296652,"caption":"George Kellar, executive director of the Zen Hospice Project, surveys the painting work at the guest house. It will be put on the market for sale in September.","credit":"April Dembosky/KQED","description":"George Kellar, executive director of the Zen Hospice Project, surveys the painting work at the guest house. It will be put on the market for sale in September.","imgSizes":{"thumbnail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-160x120.jpg","width":160,"height":120,"mimeType":"image/jpeg"},"medium":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-800x600.jpg","width":800,"height":600,"mimeType":"image/jpeg"},"medium_large":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-768x576.jpg","width":768,"height":576,"mimeType":"image/jpeg"},"large":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-1020x765.jpg","width":1020,"height":765,"mimeType":"image/jpeg"},"complete_open_graph":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-1200x900.jpg","width":1200,"height":900,"mimeType":"image/jpeg"},"fd-lrg":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-1920x1440.jpg","width":1920,"height":1440,"mimeType":"image/jpeg"},"fd-med":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-1180x885.jpg","width":1180,"height":885,"mimeType":"image/jpeg"},"fd-sm":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-960x720.jpg","width":960,"height":720,"mimeType":"image/jpeg"},"post-thumbnail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-672x372.jpg","width":672,"height":372,"mimeType":"image/jpeg"},"twentyfourteen-full-width":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-1038x576.jpg","width":1038,"height":576,"mimeType":"image/jpeg"},"xxsmall":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-240x180.jpg","width":240,"height":180,"mimeType":"image/jpeg"},"xsmall":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-375x281.jpg","width":375,"height":281,"mimeType":"image/jpeg"},"small":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-520x390.jpg","width":520,"height":390,"mimeType":"image/jpeg"},"xlarge":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-1180x885.jpg","width":1180,"height":885,"mimeType":"image/jpeg"},"full-width":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-1920x1440.jpg","width":1920,"height":1440,"mimeType":"image/jpeg"},"guest-author-32":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-32x32.jpg","width":32,"height":32,"mimeType":"image/jpeg"},"guest-author-50":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-50x50.jpg","width":50,"height":50,"mimeType":"image/jpeg"},"guest-author-64":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-64x64.jpg","width":64,"height":64,"mimeType":"image/jpeg"},"guest-author-96":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-96x96.jpg","width":96,"height":96,"mimeType":"image/jpeg"},"guest-author-128":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-128x128.jpg","width":128,"height":128,"mimeType":"image/jpeg"},"detail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-150x150.jpg","width":150,"height":150,"mimeType":"image/jpeg"},"kqedFullSize":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/08/George-Kellar-in-ZHP-foyer-e1534262172505.jpg","width":1920,"height":1440}},"fetchFailed":false,"isLoading":false},"stateofhealth_363841":{"type":"attachments","id":"stateofhealth_363841","meta":{"index":"attachments_1591205162","site":"stateofhealth","id":"363841","found":true},"title":"IMG_8627","publishDate":1528757007,"status":"inherit","parent":363838,"modified":1528764474,"caption":"Health educator Kristen Marshall leads a training on how to identify opioid overdoses, and how to administer the drug that can reverse them. Her audience is a group of people who work at bars, clubs and festivals.","credit":"Laura Klivans/KQED","description":null,"imgSizes":{"thumbnail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627-160x120.jpg","width":160,"height":120,"mimeType":"image/jpeg"},"medium":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627-800x600.jpg","width":800,"height":600,"mimeType":"image/jpeg"},"medium_large":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627-768x576.jpg","width":768,"height":576,"mimeType":"image/jpeg"},"large":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627-1020x765.jpg","width":1020,"height":765,"mimeType":"image/jpeg"},"complete_open_graph":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627-1200x900.jpg","width":1200,"height":900,"mimeType":"image/jpeg"},"fd-lrg":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627-1920x1440.jpg","width":1920,"height":1440,"mimeType":"image/jpeg"},"fd-med":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627-1180x885.jpg","width":1180,"height":885,"mimeType":"image/jpeg"},"fd-sm":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627-960x720.jpg","width":960,"height":720,"mimeType":"image/jpeg"},"post-thumbnail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627-672x372.jpg","width":672,"height":372,"mimeType":"image/jpeg"},"twentyfourteen-full-width":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627-1038x576.jpg","width":1038,"height":576,"mimeType":"image/jpeg"},"xxsmall":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627-240x180.jpg","width":240,"height":180,"mimeType":"image/jpeg"},"xsmall":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627-375x281.jpg","width":375,"height":281,"mimeType":"image/jpeg"},"small":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627-520x390.jpg","width":520,"height":390,"mimeType":"image/jpeg"},"xlarge":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627-1180x885.jpg","width":1180,"height":885,"mimeType":"image/jpeg"},"full-width":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627-1920x1440.jpg","width":1920,"height":1440,"mimeType":"image/jpeg"},"guest-author-32":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627-32x32.jpg","width":32,"height":32,"mimeType":"image/jpeg"},"guest-author-50":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627-50x50.jpg","width":50,"height":50,"mimeType":"image/jpeg"},"guest-author-64":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627-64x64.jpg","width":64,"height":64,"mimeType":"image/jpeg"},"guest-author-96":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627-96x96.jpg","width":96,"height":96,"mimeType":"image/jpeg"},"guest-author-128":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627-128x128.jpg","width":128,"height":128,"mimeType":"image/jpeg"},"detail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627-150x150.jpg","width":150,"height":150,"mimeType":"image/jpeg"},"kqedFullSize":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8627.jpg","width":4032,"height":3024}},"fetchFailed":false,"isLoading":false},"stateofhealth_363779":{"type":"attachments","id":"stateofhealth_363779","meta":{"index":"attachments_1591205162","site":"stateofhealth","id":"363779","found":true},"title":"rural-hospital-7","publishDate":1528171161,"status":"inherit","parent":363769,"modified":1528172983,"caption":"Surprise Valley’s hospital has 22 skilled nursing beds, one acute bed and three “swing” beds that can be used as needs arise. ","credit":"Heidi de Marco/Kaiser Health News","description":null,"imgSizes":{"thumbnail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-160x107.jpg","width":160,"height":107,"mimeType":"image/jpeg"},"medium":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-800x534.jpg","width":800,"height":534,"mimeType":"image/jpeg"},"medium_large":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-768x513.jpg","width":768,"height":513,"mimeType":"image/jpeg"},"large":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-1020x681.jpg","width":1020,"height":681,"mimeType":"image/jpeg"},"complete_open_graph":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-1200x801.jpg","width":1200,"height":801,"mimeType":"image/jpeg"},"fd-lrg":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-1920x1281.jpg","width":1920,"height":1281,"mimeType":"image/jpeg"},"fd-med":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-1180x788.jpg","width":1180,"height":788,"mimeType":"image/jpeg"},"fd-sm":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-960x641.jpg","width":960,"height":641,"mimeType":"image/jpeg"},"post-thumbnail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-672x372.jpg","width":672,"height":372,"mimeType":"image/jpeg"},"twentyfourteen-full-width":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-1038x576.jpg","width":1038,"height":576,"mimeType":"image/jpeg"},"xxsmall":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-240x160.jpg","width":240,"height":160,"mimeType":"image/jpeg"},"xsmall":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-375x250.jpg","width":375,"height":250,"mimeType":"image/jpeg"},"small":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-520x347.jpg","width":520,"height":347,"mimeType":"image/jpeg"},"xlarge":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-1180x788.jpg","width":1180,"height":788,"mimeType":"image/jpeg"},"full-width":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-1920x1281.jpg","width":1920,"height":1281,"mimeType":"image/jpeg"},"guest-author-32":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-32x32.jpg","width":32,"height":32,"mimeType":"image/jpeg"},"guest-author-50":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-50x50.jpg","width":50,"height":50,"mimeType":"image/jpeg"},"guest-author-64":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-64x64.jpg","width":64,"height":64,"mimeType":"image/jpeg"},"guest-author-96":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-96x96.jpg","width":96,"height":96,"mimeType":"image/jpeg"},"guest-author-128":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-128x128.jpg","width":128,"height":128,"mimeType":"image/jpeg"},"detail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-150x150.jpg","width":150,"height":150,"mimeType":"image/jpeg"},"kqedFullSize":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7.jpg","width":7360,"height":4912}},"fetchFailed":false,"isLoading":false},"stateofhealth_363775":{"type":"attachments","id":"stateofhealth_363775","meta":{"index":"attachments_1591205162","site":"stateofhealth","id":"363775","found":true},"title":"rural-hospital-11","publishDate":1528170592,"status":"inherit","parent":363769,"modified":1528170624,"caption":"Surprise Valley’s hospital has 22 skilled nursing beds, one acute bed and three “swing” beds that can be used as needs arise. ","credit":"Heidi de Marco/Kaiser Health News","description":null,"imgSizes":{"thumbnail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11-160x107.jpg","width":160,"height":107,"mimeType":"image/jpeg"},"medium":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11-800x534.jpg","width":800,"height":534,"mimeType":"image/jpeg"},"medium_large":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11-768x513.jpg","width":768,"height":513,"mimeType":"image/jpeg"},"large":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11-1020x681.jpg","width":1020,"height":681,"mimeType":"image/jpeg"},"complete_open_graph":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11-1200x801.jpg","width":1200,"height":801,"mimeType":"image/jpeg"},"fd-lrg":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11-1920x1281.jpg","width":1920,"height":1281,"mimeType":"image/jpeg"},"fd-med":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11-1180x787.jpg","width":1180,"height":787,"mimeType":"image/jpeg"},"fd-sm":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11-960x641.jpg","width":960,"height":641,"mimeType":"image/jpeg"},"post-thumbnail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11-672x372.jpg","width":672,"height":372,"mimeType":"image/jpeg"},"twentyfourteen-full-width":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11-1038x576.jpg","width":1038,"height":576,"mimeType":"image/jpeg"},"xxsmall":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11-240x160.jpg","width":240,"height":160,"mimeType":"image/jpeg"},"xsmall":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11-375x250.jpg","width":375,"height":250,"mimeType":"image/jpeg"},"small":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11-520x347.jpg","width":520,"height":347,"mimeType":"image/jpeg"},"xlarge":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11-1180x787.jpg","width":1180,"height":787,"mimeType":"image/jpeg"},"full-width":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11-1920x1281.jpg","width":1920,"height":1281,"mimeType":"image/jpeg"},"guest-author-32":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11-32x32.jpg","width":32,"height":32,"mimeType":"image/jpeg"},"guest-author-50":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11-50x50.jpg","width":50,"height":50,"mimeType":"image/jpeg"},"guest-author-64":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11-64x64.jpg","width":64,"height":64,"mimeType":"image/jpeg"},"guest-author-96":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11-96x96.jpg","width":96,"height":96,"mimeType":"image/jpeg"},"guest-author-128":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11-128x128.jpg","width":128,"height":128,"mimeType":"image/jpeg"},"detail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11-150x150.jpg","width":150,"height":150,"mimeType":"image/jpeg"},"kqedFullSize":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-11.jpg","width":6785,"height":4528}},"fetchFailed":false,"isLoading":false},"stateofhealth_363684":{"type":"attachments","id":"stateofhealth_363684","meta":{"index":"attachments_1591205162","site":"stateofhealth","id":"363684","found":true},"title":"RS3641_hand-pills","publishDate":1527288581,"status":"inherit","parent":363681,"modified":1527288663,"caption":"Deaths from fentanyl, which can be added to other drugs such as pills, tripled in 2017 in California.","credit":"Air Rabbit/Getty Images","description":"Deaths from fentanyl, which can be added to other drugs such as pills, tripled in 2017 in California.","imgSizes":{"thumbnail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/RS3641_hand-pills-160x106.jpg","width":160,"height":106,"mimeType":"image/jpeg"},"xxsmall":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/RS3641_hand-pills-240x160.jpg","width":240,"height":160,"mimeType":"image/jpeg"},"xsmall":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/RS3641_hand-pills-375x250.jpg","width":375,"height":250,"mimeType":"image/jpeg"},"small":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/RS3641_hand-pills-520x346.jpg","width":520,"height":346,"mimeType":"image/jpeg"},"guest-author-32":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/RS3641_hand-pills-32x32.jpg","width":32,"height":32,"mimeType":"image/jpeg"},"guest-author-50":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/RS3641_hand-pills-50x50.jpg","width":50,"height":50,"mimeType":"image/jpeg"},"guest-author-64":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/RS3641_hand-pills-64x64.jpg","width":64,"height":64,"mimeType":"image/jpeg"},"guest-author-96":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/RS3641_hand-pills-96x96.jpg","width":96,"height":96,"mimeType":"image/jpeg"},"guest-author-128":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/RS3641_hand-pills-128x128.jpg","width":128,"height":128,"mimeType":"image/jpeg"},"detail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/RS3641_hand-pills-150x150.jpg","width":150,"height":150,"mimeType":"image/jpeg"},"kqedFullSize":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/RS3641_hand-pills.jpg","width":550,"height":366}},"fetchFailed":false,"isLoading":false},"stateofhealth_363413":{"type":"attachments","id":"stateofhealth_363413","meta":{"index":"attachments_1591205162","site":"stateofhealth","id":"363413","found":true},"title":"IMG_8555","publishDate":1525381938,"status":"inherit","parent":363411,"modified":1525994418,"caption":"Suzanne Adams in her office at A Woman's Place, a homeless drop-in center. The psychologist thinks Sen. Ed Hernandez's legislation on how homeless patients are discharged is a good step, but doesn't address the overall lack of services for her elderly, homeless clients. ","credit":"Laura Klivans/KQED","description":"Suzanne Adams in her office at A Woman's Place, a homeless drop-in center. The psychologist thinks Sen. Ed Hernandez's legislation on how homeless patients are discharged is a good step, but doesn't address the overall lack of services for her elderly, homeless clients. ","imgSizes":{"thumbnail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555-160x120.jpg","width":160,"height":120,"mimeType":"image/jpeg"},"medium":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555-800x600.jpg","width":800,"height":600,"mimeType":"image/jpeg"},"medium_large":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555-768x576.jpg","width":768,"height":576,"mimeType":"image/jpeg"},"large":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555-1020x765.jpg","width":1020,"height":765,"mimeType":"image/jpeg"},"complete_open_graph":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555-1200x900.jpg","width":1200,"height":900,"mimeType":"image/jpeg"},"fd-lrg":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555-1920x1440.jpg","width":1920,"height":1440,"mimeType":"image/jpeg"},"fd-med":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555-1180x885.jpg","width":1180,"height":885,"mimeType":"image/jpeg"},"fd-sm":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555-960x720.jpg","width":960,"height":720,"mimeType":"image/jpeg"},"post-thumbnail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555-672x372.jpg","width":672,"height":372,"mimeType":"image/jpeg"},"twentyfourteen-full-width":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555-1038x576.jpg","width":1038,"height":576,"mimeType":"image/jpeg"},"xxsmall":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555-240x180.jpg","width":240,"height":180,"mimeType":"image/jpeg"},"xsmall":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555-375x281.jpg","width":375,"height":281,"mimeType":"image/jpeg"},"small":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555-520x390.jpg","width":520,"height":390,"mimeType":"image/jpeg"},"xlarge":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555-1180x885.jpg","width":1180,"height":885,"mimeType":"image/jpeg"},"full-width":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555-1920x1440.jpg","width":1920,"height":1440,"mimeType":"image/jpeg"},"guest-author-32":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555-32x32.jpg","width":32,"height":32,"mimeType":"image/jpeg"},"guest-author-50":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555-50x50.jpg","width":50,"height":50,"mimeType":"image/jpeg"},"guest-author-64":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555-64x64.jpg","width":64,"height":64,"mimeType":"image/jpeg"},"guest-author-96":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555-96x96.jpg","width":96,"height":96,"mimeType":"image/jpeg"},"guest-author-128":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555-128x128.jpg","width":128,"height":128,"mimeType":"image/jpeg"},"detail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555-150x150.jpg","width":150,"height":150,"mimeType":"image/jpeg"},"kqedFullSize":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8555.jpg","width":4032,"height":3024}},"fetchFailed":false,"isLoading":false},"stateofhealth_363356":{"type":"attachments","id":"stateofhealth_363356","meta":{"index":"attachments_1591205162","site":"stateofhealth","id":"363356","found":true},"title":"Photo_Houses_in_San_Francisco","publishDate":1524611114,"status":"inherit","parent":363352,"modified":1524611166,"caption":"A row of homes on Capp Street, between 22nd and 23rd Streets, in San Francisco's Mission District.","credit":"Chad McClymond/Wikimedia Commons","description":null,"imgSizes":{"thumbnail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco-160x69.jpg","width":160,"height":69,"mimeType":"image/jpeg"},"medium":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco-800x343.jpg","width":800,"height":343,"mimeType":"image/jpeg"},"medium_large":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco-768x329.jpg","width":768,"height":329,"mimeType":"image/jpeg"},"large":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco-1020x437.jpg","width":1020,"height":437,"mimeType":"image/jpeg"},"complete_open_graph":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco-1200x514.jpg","width":1200,"height":514,"mimeType":"image/jpeg"},"fd-lrg":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco-1920x823.jpg","width":1920,"height":823,"mimeType":"image/jpeg"},"fd-med":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco-1180x506.jpg","width":1180,"height":506,"mimeType":"image/jpeg"},"fd-sm":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco-960x412.jpg","width":960,"height":412,"mimeType":"image/jpeg"},"post-thumbnail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco-672x372.jpg","width":672,"height":372,"mimeType":"image/jpeg"},"twentyfourteen-full-width":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco-1038x576.jpg","width":1038,"height":576,"mimeType":"image/jpeg"},"xxsmall":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco-240x103.jpg","width":240,"height":103,"mimeType":"image/jpeg"},"xsmall":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco-375x161.jpg","width":375,"height":161,"mimeType":"image/jpeg"},"small":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco-520x223.jpg","width":520,"height":223,"mimeType":"image/jpeg"},"xlarge":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco-1180x506.jpg","width":1180,"height":506,"mimeType":"image/jpeg"},"full-width":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco-1920x823.jpg","width":1920,"height":823,"mimeType":"image/jpeg"},"guest-author-32":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco-32x32.jpg","width":32,"height":32,"mimeType":"image/jpeg"},"guest-author-50":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco-50x50.jpg","width":50,"height":50,"mimeType":"image/jpeg"},"guest-author-64":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco-64x64.jpg","width":64,"height":64,"mimeType":"image/jpeg"},"guest-author-96":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco-96x96.jpg","width":96,"height":96,"mimeType":"image/jpeg"},"guest-author-128":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco-128x128.jpg","width":128,"height":128,"mimeType":"image/jpeg"},"detail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco-150x150.jpg","width":150,"height":150,"mimeType":"image/jpeg"},"kqedFullSize":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/Photo_Houses_in_San_Francisco.jpg","width":4024,"height":1725}},"fetchFailed":false,"isLoading":false},"stateofhealth_363147":{"type":"attachments","id":"stateofhealth_363147","meta":{"index":"attachments_1591205162","site":"stateofhealth","id":"363147","found":true},"title":"RS30262_IMG_8484-qut","publishDate":1522886401,"status":"inherit","parent":363143,"modified":1522892498,"caption":"Terry Morris, director of the 6th Street Harm Reduction Center, demonstrates how to test a drug for the presence of fentanyl with a fentanyl test strip.","credit":"Laura Klivans/KQED","description":"Terry Morris, director of the 6th Street Harm Reduction Center, demonstrates how to test a drug for the presence of fentanyl with a fentanyl test strip.","imgSizes":{"thumbnail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30262_IMG_8484-qut-160x120.jpg","width":160,"height":120,"mimeType":"image/jpeg"},"medium":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30262_IMG_8484-qut-800x600.jpg","width":800,"height":600,"mimeType":"image/jpeg"},"medium_large":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30262_IMG_8484-qut-768x576.jpg","width":768,"height":576,"mimeType":"image/jpeg"},"large":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30262_IMG_8484-qut-1020x765.jpg","width":1020,"height":765,"mimeType":"image/jpeg"},"fd-lrg":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30262_IMG_8484-qut-1920x1440.jpg","width":1920,"height":1440,"mimeType":"image/jpeg"},"fd-med":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30262_IMG_8484-qut-1180x885.jpg","width":1180,"height":885,"mimeType":"image/jpeg"},"fd-sm":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30262_IMG_8484-qut-960x720.jpg","width":960,"height":720,"mimeType":"image/jpeg"},"post-thumbnail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30262_IMG_8484-qut-672x372.jpg","width":672,"height":372,"mimeType":"image/jpeg"},"twentyfourteen-full-width":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30262_IMG_8484-qut-1038x576.jpg","width":1038,"height":576,"mimeType":"image/jpeg"},"xxsmall":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30262_IMG_8484-qut-240x180.jpg","width":240,"height":180,"mimeType":"image/jpeg"},"xsmall":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30262_IMG_8484-qut-375x281.jpg","width":375,"height":281,"mimeType":"image/jpeg"},"small":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30262_IMG_8484-qut-520x390.jpg","width":520,"height":390,"mimeType":"image/jpeg"},"xlarge":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30262_IMG_8484-qut-1180x885.jpg","width":1180,"height":885,"mimeType":"image/jpeg"},"full-width":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30262_IMG_8484-qut-1920x1440.jpg","width":1920,"height":1440,"mimeType":"image/jpeg"},"guest-author-32":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30262_IMG_8484-qut-32x32.jpg","width":32,"height":32,"mimeType":"image/jpeg"},"guest-author-50":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30262_IMG_8484-qut-50x50.jpg","width":50,"height":50,"mimeType":"image/jpeg"},"guest-author-64":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30262_IMG_8484-qut-64x64.jpg","width":64,"height":64,"mimeType":"image/jpeg"},"guest-author-96":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30262_IMG_8484-qut-96x96.jpg","width":96,"height":96,"mimeType":"image/jpeg"},"guest-author-128":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30262_IMG_8484-qut-128x128.jpg","width":128,"height":128,"mimeType":"image/jpeg"},"detail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30262_IMG_8484-qut-150x150.jpg","width":150,"height":150,"mimeType":"image/jpeg"},"kqedFullSize":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30262_IMG_8484-qut.jpg","width":1920,"height":1440}},"fetchFailed":false,"isLoading":false},"stateofhealth_363272":{"type":"attachments","id":"stateofhealth_363272","meta":{"index":"attachments_1591205162","site":"stateofhealth","id":"363272","found":true},"title":"first-responder-trauma-9","publishDate":1523657533,"status":"inherit","parent":363257,"modified":1523660197,"caption":"Firefighter Lindsey Nolan takes a break to call home on Jan. 9, 2018. Nolan says more mental health training would benefit his fellow firefighters. “If I knew how to recognize PTSD … I’d be a lot more comfortable approaching them and talking to them about what may or may not be going on in their life.” ","credit":"Heidi de Marco/Kaiser Health News","description":"Firefighter Lindsey Nolan takes a break to call home on Jan. 9, 2018. Nolan says more mental health training would benefit his fellow firefighters. “If I knew how to recognize PTSD … I’d be a lot more comfortable approaching them and talking to them about what may or may not be going on in their life.” ","imgSizes":{"thumbnail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-160x107.jpg","width":160,"height":107,"mimeType":"image/jpeg"},"medium":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-800x533.jpg","width":800,"height":533,"mimeType":"image/jpeg"},"medium_large":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-768x512.jpg","width":768,"height":512,"mimeType":"image/jpeg"},"large":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-1020x680.jpg","width":1020,"height":680,"mimeType":"image/jpeg"},"complete_open_graph":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-1200x800.jpg","width":1200,"height":800,"mimeType":"image/jpeg"},"fd-lrg":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-1920x1280.jpg","width":1920,"height":1280,"mimeType":"image/jpeg"},"fd-med":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-1180x787.jpg","width":1180,"height":787,"mimeType":"image/jpeg"},"fd-sm":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-960x640.jpg","width":960,"height":640,"mimeType":"image/jpeg"},"post-thumbnail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-672x372.jpg","width":672,"height":372,"mimeType":"image/jpeg"},"twentyfourteen-full-width":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-1038x576.jpg","width":1038,"height":576,"mimeType":"image/jpeg"},"xxsmall":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-240x160.jpg","width":240,"height":160,"mimeType":"image/jpeg"},"xsmall":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-375x250.jpg","width":375,"height":250,"mimeType":"image/jpeg"},"small":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-520x347.jpg","width":520,"height":347,"mimeType":"image/jpeg"},"xlarge":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-1180x787.jpg","width":1180,"height":787,"mimeType":"image/jpeg"},"full-width":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-1920x1280.jpg","width":1920,"height":1280,"mimeType":"image/jpeg"},"guest-author-32":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-32x32.jpg","width":32,"height":32,"mimeType":"image/jpeg"},"guest-author-50":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-50x50.jpg","width":50,"height":50,"mimeType":"image/jpeg"},"guest-author-64":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-64x64.jpg","width":64,"height":64,"mimeType":"image/jpeg"},"guest-author-96":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-96x96.jpg","width":96,"height":96,"mimeType":"image/jpeg"},"guest-author-128":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-128x128.jpg","width":128,"height":128,"mimeType":"image/jpeg"},"detail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-150x150.jpg","width":150,"height":150,"mimeType":"image/jpeg"},"kqedFullSize":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-9-e1523660210889.jpg","width":1920,"height":1280}},"fetchFailed":false,"isLoading":false}},"audioPlayerReducer":{"postId":"stream_live"},"authorsReducer":{"byline_stateofhealth_363815":{"type":"authors","id":"byline_stateofhealth_363815","meta":{"override":true},"slug":"byline_stateofhealth_363815","name":"\u003cstrong>Barbara Feder Ostrov\u003c/strong>\u003c/b> California Healthline","isLoading":false},"byline_stateofhealth_363769":{"type":"authors","id":"byline_stateofhealth_363769","meta":{"override":true},"slug":"byline_stateofhealth_363769","name":"Barbara Feder Ostrov, California Healthline","isLoading":false},"byline_stateofhealth_363352":{"type":"authors","id":"byline_stateofhealth_363352","meta":{"override":true},"slug":"byline_stateofhealth_363352","name":"Jocelyn Wiener","isLoading":false},"byline_stateofhealth_363257":{"type":"authors","id":"byline_stateofhealth_363257","meta":{"override":true},"slug":"byline_stateofhealth_363257","name":"\u003cstrong>\u003ca href=\"https://khn.org/news/author/heidi-de-marco/\">Heidi de Marco\u003c/a>\u003c/strong>\u003cbr>California Healthline","isLoading":false},"adembosky":{"type":"authors","id":"3205","meta":{"index":"authors_1591205172","id":"3205","found":true},"name":"April Dembosky","firstName":"April","lastName":"Dembosky","slug":"adembosky","email":"adembosky@kqed.org","display_author_email":false,"staff_mastheads":["news","science"],"title":"KQED Health Correspondent","bio":"April Dembosky is the health correspondent for KQED News and a regular contributor to NPR. She specializes in covering altered states of mind, from postpartum depression to methamphetamine-induced psychosis to the insanity defense. Her investigative series on insurance companies sidestepping mental health laws won multiple awards, including first place in beat reporting from the national Association of Health Care Journalists. She is the recipient of numerous other prizes and fellowships, including a national Edward R. Murrow award for investigative reporting, a Society of Professional Journalists award for long-form storytelling, and a Carter Center Fellowship for Mental Health Journalism.\r\n\r\nDembosky reported and produced \u003cem>Soundtrack of Silence\u003c/em>, an audio documentary about music and memory that is currently being made into a feature film by Paramount Pictures.\r\n\r\nBefore joining KQED in 2013, Dembosky covered technology and Silicon Valley for \u003cem>The Financial Times of London,\u003c/em> and contributed business and arts stories to \u003cem>Marketplace \u003c/em>and \u003cem>The New York Times.\u003c/em> She got her undergraduate degree in philosophy from Smith College and her master's in journalism from the University of California, Berkeley. She is a classically trained violinist and proud alum of the first symphony orchestra at Burning Man.","avatar":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twitter":"adembosky","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["author"]},{"site":"news","roles":["editor"]},{"site":"futureofyou","roles":["author"]},{"site":"stateofhealth","roles":["editor"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["editor"]}],"headData":{"title":"April Dembosky | KQED","description":"KQED Health Correspondent","ogImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/adembosky"},"lklivans":{"type":"authors","id":"8648","meta":{"index":"authors_1591205172","id":"8648","found":true},"name":"Laura Klivans","firstName":"Laura","lastName":"Klivans","slug":"lklivans","email":"lklivans@kqed.org","display_author_email":true,"staff_mastheads":["news","science"],"title":"Reporter and Host","bio":"Laura Klivans is a science reporter and the host of KQED's video series about tiny, amazing animals, \u003cem>Deep Look\u003c/em>. Her work can also be heard on NPR, \u003cem>Here & Now, \u003c/em>and PRI. Before working in audio, she taught, leading groups of students abroad. One of her favorite jobs was teaching on the Thai-Burmese border, working with immigrants and refugees.\r\n\r\nLaura has won three Northern California Area Emmys along with her Deep Look colleagues. She's won the North Gate Award for Excellence in Audio Reporting and the Gobind Behari Lal Award for a radio documentary about adults with imaginary friends. She's a fellowship junkie, completing the USC Center for Health Journalism's California Fellowship, UC Berkeley's Human Rights Fellowship and the Coro Fellowship in Public Affairs. Laura has a master’s in journalism from UC Berkeley and a master’s in education from Harvard.\r\n\r\nShe likes to eat chocolate for breakfast. She's also open to eating it all day long.","avatar":"https://secure.gravatar.com/avatar/af8e757bb8ce7b7fee6160ba66e37327?s=600&d=blank&r=g","twitter":"lauraklivans","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["editor"]},{"site":"stateofhealth","roles":["contributor","editor"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["editor"]}],"headData":{"title":"Laura Klivans | KQED","description":"Reporter and Host","ogImgSrc":"https://secure.gravatar.com/avatar/af8e757bb8ce7b7fee6160ba66e37327?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/af8e757bb8ce7b7fee6160ba66e37327?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/lklivans"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"home","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"stateofhealth_364223":{"type":"posts","id":"stateofhealth_364223","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"364223","score":null,"sort":[1534295909000]},"guestAuthors":[],"slug":"beloved-san-francisco-zen-hospice-project-confronts-its-own-end","title":"Beloved San Francisco Zen Hospice Project Confronts Its Own End","publishDate":1534295909,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>It was late May when the body of the last person to die in the guest house of the \u003ca href=\"https://www.zenhospice.org/\" target=\"_blank\" rel=\"noopener\">Zen Hospice Project\u003c/a> was carried down the stairs and through the back garden, then sprinkled with flower petals.\u003c/p>\n\u003cp>The San Francisco institution was founded during the height of the AIDS crisis, a time when sick men were left to die alone in the hallways of county hospitals because staff were afraid to touch them. Buddhist practitioners bought the Victorian on Page Street to create a place where men could get compassionate care and die with dignity.\u003c/p>\n\u003cp>Now, after 30 years of caring for people with all kinds of illnesses, the house is closing its doors. The organization no longer has enough money to keep the program going.\u003c/p>\n\u003cp>“It’s a little chaotic in here,” says George Kellar, the executive director of the last two and a half years, as we walk through the foyer of the house. “It’s in total transition.”\u003c/p>\n\u003cp>All the furniture is gone. The floors are covered with canvas tarps. Blue tape lines the perimeter of the living room. Men in jumpsuits and face masks are painting the fireplace, tearing up the carpet on the stairway and power washing the windows.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>When the hospice issued its press release last week about this turn in the nonprofit’s fortunes, I noted the careful wording — that the guest house was “suspending” caregiving services, that they hoped they could “offer them again, at some point.” The implication was clear: Maybe a local tech billionaire could step in with a Hail Mary donation.\u003c/p>\n\u003cp>But this is a house that’s being primed for a realtor to stage it and put it up for sale.\u003c/p>\n\u003cp>“Five bedrooms, three bathrooms. It has a boarding house feel to it,” Kellar says as he gives me a tour of the upstairs. “It probably has that kind of history.”\u003c/p>\n\u003cp>Before the beds were cleared out, before all the nurses were laid off, the guest house had room for six residents. They called them “residents” not “patients.” This was their home, not a hospice. And they came here not to die, but to live fully until the end of their lives.\u003c/p>\n\u003cp>A corps of volunteers would sit with patients, sometimes for hours — just holding their hand, telling stories, singing songs. Kitchen staff prepared three meals a day to order for each resident, even when they could no longer eat.\u003c/p>\n\u003cp>“They can smell it, they can see it, if they want to taste that they can,\" Kellar says, adding that it's about letting the residents know \"they’re not discarded and ignored and not important.\"\u003c/p>\n\u003cp>The organization became a pioneer in what it means to die well. It helped shape a national movement away from sterile hospital deaths — hooked up to machines — to a mindful, aesthetic end that emphasized being present with what was happening.\u003c/p>\n\u003cp>Donors loved the mission and they were generous. Until the 2016 election.\u003c/p>\n\u003cp>“We’ve been struggling through 2017,” Kellar says.\u003c/p>\n\u003cp>This year, they’re more than $1 million short on their $2 million annual budget. Donors have been telling Kellar they have to cut back on their gifts to the hospice because they need to support issues that have come under attack during the Trump administration.\u003c/p>\n\u003cp>“Voting rights, or women in politics, or immigration help,” Kellar lists the other causes drawing donations instead of his organization. “And homeless, there’s a lot of interest in helping the homeless situation.”\u003c/p>\n\u003cfigure id=\"attachment_364227\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-364227\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/08/George-Kellar-looks-at-ZHP-art-book-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Kellar flips through a binder of art and embroidery pieces created by residents who died at the Zen Hospice Project's guest house. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Nationally, philanthropy experts are waiting to see if this is a broader trend. The economy is strong right now and charitable giving has increased since the 2016 election, says Stacy Palmer, editor of the Chronicle of Philanthropy. But it’s unclear if people are giving more overall or shifting their dollars to issues that are in the news a lot.\u003c/p>\n\u003cp>“People really have to make choices about which charities they care about the most,” Palmer says, and in a time of shifting priorities, it can be harder to get people to open their wallets when it comes to end-of-life issues.\u003c/p>\n\u003cp>“People don’t really like to hear about death, even though what hospices do is really make death so much easier. It’s a tough conversation,” she says. “Sometimes really important causes are the ones that suffer just because they are dealing with difficult subjects.”\u003c/p>\n\u003cp>But some of the blame sits with the Zen Hospice Project itself. It relied too much on loyal donors, and didn’t cultivate enough new ones, Kellar says. And, for all these years, the hospice has declined to get licensed under the government’s Medicare and Medicaid programs, closing the door on a steady stream of reimbursement payments.\u003c/p>\n\u003cp>“We don’t want to compromise our commitment to this compassionate model,” Kellar explains. “And if that commitment is compromised by the reporting requirements or by the regulatory requirements, we don’t want to go there.”\u003c/p>\n\u003cp>But idealism doesn’t pay the bills. And that’s one of the reasons Kellar was brought in four years ago: to bring some business savvy to the nonprofit. He’s a Zen Buddhist, and he’s also a Silicon Valley guy — a software engineer with a background in sales and operations.\u003c/p>\n\u003cp>At first, he became right-hand man to the executive director at the time, BJ Miller, a doctor and a charismatic visionary who put the Zen Hospice Project in the national conscience through a high-profile New York Times \u003ca href=\"https://www.nytimes.com/2017/01/03/magazine/one-mans-quest-to-change-the-way-we-die.html\" target=\"_blank\" rel=\"noopener\">interview\u003c/a> and a \u003ca href=\"https://www.ted.com/talks/bj_miller_what_really_matters_at_the_end_of_life\">TED talk\u003c/a> that’s been viewed more than 7.5 million times. In it, Miller talks about the importance of “sensuous, aesthetic gratification” at the end of life and how the Zen Hospice Project wants to help people enjoy the last of their time by way of the five senses.\u003c/p>\n\u003cp>“Seriously, with all the heavy-duty stuff happening under our roof, one of the most tried and true interventions we know of is to bake cookies,” he said, the smell providing sustenance on so many levels. “As long as we have our senses — even just one — we have at least the possibility of accessing what makes us feel human, connected.”\u003c/p>\n\u003cfigure id=\"attachment_364225\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-364225\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/08/ZHP-Cookie-Book-close-up-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Zen Hospice Project's cookie recipe book sits with other nostalgic items moved out of the guest house as it is readied for sale. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Kellar, on the other hand, talks about marketing and distribution and “scaling” operations.\u003c/p>\n\u003cp>“I am using businesslike terms to talk about it, but I think you have to,” he says.\u003c/p>\n\u003cp>When he took over the executive director position, the budget troubles were officially his responsibility.\u003c/p>\n\u003cp>One strategy he pursued was negotiating a partnership with some private insurance companies to have them reimburse for some of the hospice’s services. It’s an appealing value proposition for insurers: It costs $850 a day to care for each patient at the hospice, compared to the thousands and thousands of dollars in daily costs for someone to die in an ICU.\u003c/p>\n\u003cp>But after 18 months, there was still no agreement.\u003c/p>\n\u003cp>“We could no longer wait,” Kellar says.\u003c/p>\n\u003cp>Kellar presented the numbers to the board of directors, and they agreed they could no longer afford to keep the guest house going.\u003c/p>\n\u003cp>“As difficult and sad as it is, which it is, we’re letting it go,” Kellar says. “And that will create another space for something else to present itself. And maybe that something else is this massive opportunity.”\u003c/p>\n\u003cp>That could be an opportunity presented by the \u003ca href=\"https://www.caregiver.org/caregiver-statistics-demographics\" target=\"_blank\" rel=\"noopener\">43 million\u003c/a> informal caregivers in the U.S. — people taking care of their own ailing parents, spouses, or children — who need help. Kellar says if Zen Hospice Project sells the guest house, the organization can reinvest that money into its other programs: the volunteer program, which sends people to sit with the dying in the hospice floor of Laguna Honda Hospital, and the\u003ca href=\"https://www.zenhospice.org/education-training/mce/\" target=\"_blank\" rel=\"noopener\">Mindful Caregiver Education program\u003c/a>, which emphasizes caregivers taking care of themselves so they can take better care of others.\u003c/p>\n\u003cp>“Our mission is to transform the experience of dying and caregiving,” Kellar says. “And while we started at the bedside and continue at the bedside at Laguna Honda, it is now a time to focus on helping other people at the bedside by training and education.”\u003c/p>\n\u003cp>But selling this iconic San Francisco institution to as a private residence for 5 or 6 million dollars?\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“It’s not what I expected,” Kellar says, shifting from business guy to Zen guy. “I guess it’s a lesson in impermanence. And a lesson in ‘things change' and to not get as attached as we are because everybody here is very attached to this.”\u003c/p>\n\n","blocks":[],"excerpt":"Since the 2016 election, donors have been shifting their charitable dollars away from the hospice.","status":"publish","parent":0,"modified":1534296654,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":38,"wordCount":1555},"headData":{"title":"Beloved San Francisco Zen Hospice Project Confronts Its Own End | KQED","description":"Since the 2016 election, donors have been shifting their charitable dollars away from the hospice.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"364223 https://ww2.kqed.org/stateofhealth/?p=364223","disqusUrl":"https://ww2.kqed.org/stateofhealth/2018/08/14/beloved-san-francisco-zen-hospice-project-confronts-its-own-end/","disqusTitle":"Beloved San Francisco Zen Hospice Project Confronts Its Own End","audioTrackLength":366,"path":"/stateofhealth/364223/beloved-san-francisco-zen-hospice-project-confronts-its-own-end","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcrmag/2018/08/DemboskyZenHospiceProject.mp3","audioDuration":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>It was late May when the body of the last person to die in the guest house of the \u003ca href=\"https://www.zenhospice.org/\" target=\"_blank\" rel=\"noopener\">Zen Hospice Project\u003c/a> was carried down the stairs and through the back garden, then sprinkled with flower petals.\u003c/p>\n\u003cp>The San Francisco institution was founded during the height of the AIDS crisis, a time when sick men were left to die alone in the hallways of county hospitals because staff were afraid to touch them. Buddhist practitioners bought the Victorian on Page Street to create a place where men could get compassionate care and die with dignity.\u003c/p>\n\u003cp>Now, after 30 years of caring for people with all kinds of illnesses, the house is closing its doors. The organization no longer has enough money to keep the program going.\u003c/p>\n\u003cp>“It’s a little chaotic in here,” says George Kellar, the executive director of the last two and a half years, as we walk through the foyer of the house. “It’s in total transition.”\u003c/p>\n\u003cp>All the furniture is gone. The floors are covered with canvas tarps. Blue tape lines the perimeter of the living room. Men in jumpsuits and face masks are painting the fireplace, tearing up the carpet on the stairway and power washing the windows.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>When the hospice issued its press release last week about this turn in the nonprofit’s fortunes, I noted the careful wording — that the guest house was “suspending” caregiving services, that they hoped they could “offer them again, at some point.” The implication was clear: Maybe a local tech billionaire could step in with a Hail Mary donation.\u003c/p>\n\u003cp>But this is a house that’s being primed for a realtor to stage it and put it up for sale.\u003c/p>\n\u003cp>“Five bedrooms, three bathrooms. It has a boarding house feel to it,” Kellar says as he gives me a tour of the upstairs. “It probably has that kind of history.”\u003c/p>\n\u003cp>Before the beds were cleared out, before all the nurses were laid off, the guest house had room for six residents. They called them “residents” not “patients.” This was their home, not a hospice. And they came here not to die, but to live fully until the end of their lives.\u003c/p>\n\u003cp>A corps of volunteers would sit with patients, sometimes for hours — just holding their hand, telling stories, singing songs. Kitchen staff prepared three meals a day to order for each resident, even when they could no longer eat.\u003c/p>\n\u003cp>“They can smell it, they can see it, if they want to taste that they can,\" Kellar says, adding that it's about letting the residents know \"they’re not discarded and ignored and not important.\"\u003c/p>\n\u003cp>The organization became a pioneer in what it means to die well. It helped shape a national movement away from sterile hospital deaths — hooked up to machines — to a mindful, aesthetic end that emphasized being present with what was happening.\u003c/p>\n\u003cp>Donors loved the mission and they were generous. Until the 2016 election.\u003c/p>\n\u003cp>“We’ve been struggling through 2017,” Kellar says.\u003c/p>\n\u003cp>This year, they’re more than $1 million short on their $2 million annual budget. Donors have been telling Kellar they have to cut back on their gifts to the hospice because they need to support issues that have come under attack during the Trump administration.\u003c/p>\n\u003cp>“Voting rights, or women in politics, or immigration help,” Kellar lists the other causes drawing donations instead of his organization. “And homeless, there’s a lot of interest in helping the homeless situation.”\u003c/p>\n\u003cfigure id=\"attachment_364227\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-364227\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/08/George-Kellar-looks-at-ZHP-art-book-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Kellar flips through a binder of art and embroidery pieces created by residents who died at the Zen Hospice Project's guest house. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Nationally, philanthropy experts are waiting to see if this is a broader trend. The economy is strong right now and charitable giving has increased since the 2016 election, says Stacy Palmer, editor of the Chronicle of Philanthropy. But it’s unclear if people are giving more overall or shifting their dollars to issues that are in the news a lot.\u003c/p>\n\u003cp>“People really have to make choices about which charities they care about the most,” Palmer says, and in a time of shifting priorities, it can be harder to get people to open their wallets when it comes to end-of-life issues.\u003c/p>\n\u003cp>“People don’t really like to hear about death, even though what hospices do is really make death so much easier. It’s a tough conversation,” she says. “Sometimes really important causes are the ones that suffer just because they are dealing with difficult subjects.”\u003c/p>\n\u003cp>But some of the blame sits with the Zen Hospice Project itself. It relied too much on loyal donors, and didn’t cultivate enough new ones, Kellar says. And, for all these years, the hospice has declined to get licensed under the government’s Medicare and Medicaid programs, closing the door on a steady stream of reimbursement payments.\u003c/p>\n\u003cp>“We don’t want to compromise our commitment to this compassionate model,” Kellar explains. “And if that commitment is compromised by the reporting requirements or by the regulatory requirements, we don’t want to go there.”\u003c/p>\n\u003cp>But idealism doesn’t pay the bills. And that’s one of the reasons Kellar was brought in four years ago: to bring some business savvy to the nonprofit. He’s a Zen Buddhist, and he’s also a Silicon Valley guy — a software engineer with a background in sales and operations.\u003c/p>\n\u003cp>At first, he became right-hand man to the executive director at the time, BJ Miller, a doctor and a charismatic visionary who put the Zen Hospice Project in the national conscience through a high-profile New York Times \u003ca href=\"https://www.nytimes.com/2017/01/03/magazine/one-mans-quest-to-change-the-way-we-die.html\" target=\"_blank\" rel=\"noopener\">interview\u003c/a> and a \u003ca href=\"https://www.ted.com/talks/bj_miller_what_really_matters_at_the_end_of_life\">TED talk\u003c/a> that’s been viewed more than 7.5 million times. In it, Miller talks about the importance of “sensuous, aesthetic gratification” at the end of life and how the Zen Hospice Project wants to help people enjoy the last of their time by way of the five senses.\u003c/p>\n\u003cp>“Seriously, with all the heavy-duty stuff happening under our roof, one of the most tried and true interventions we know of is to bake cookies,” he said, the smell providing sustenance on so many levels. “As long as we have our senses — even just one — we have at least the possibility of accessing what makes us feel human, connected.”\u003c/p>\n\u003cfigure id=\"attachment_364225\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-364225\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/08/ZHP-Cookie-Book-close-up-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Zen Hospice Project's cookie recipe book sits with other nostalgic items moved out of the guest house as it is readied for sale. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Kellar, on the other hand, talks about marketing and distribution and “scaling” operations.\u003c/p>\n\u003cp>“I am using businesslike terms to talk about it, but I think you have to,” he says.\u003c/p>\n\u003cp>When he took over the executive director position, the budget troubles were officially his responsibility.\u003c/p>\n\u003cp>One strategy he pursued was negotiating a partnership with some private insurance companies to have them reimburse for some of the hospice’s services. It’s an appealing value proposition for insurers: It costs $850 a day to care for each patient at the hospice, compared to the thousands and thousands of dollars in daily costs for someone to die in an ICU.\u003c/p>\n\u003cp>But after 18 months, there was still no agreement.\u003c/p>\n\u003cp>“We could no longer wait,” Kellar says.\u003c/p>\n\u003cp>Kellar presented the numbers to the board of directors, and they agreed they could no longer afford to keep the guest house going.\u003c/p>\n\u003cp>“As difficult and sad as it is, which it is, we’re letting it go,” Kellar says. “And that will create another space for something else to present itself. And maybe that something else is this massive opportunity.”\u003c/p>\n\u003cp>That could be an opportunity presented by the \u003ca href=\"https://www.caregiver.org/caregiver-statistics-demographics\" target=\"_blank\" rel=\"noopener\">43 million\u003c/a> informal caregivers in the U.S. — people taking care of their own ailing parents, spouses, or children — who need help. Kellar says if Zen Hospice Project sells the guest house, the organization can reinvest that money into its other programs: the volunteer program, which sends people to sit with the dying in the hospice floor of Laguna Honda Hospital, and the\u003ca href=\"https://www.zenhospice.org/education-training/mce/\" target=\"_blank\" rel=\"noopener\">Mindful Caregiver Education program\u003c/a>, which emphasizes caregivers taking care of themselves so they can take better care of others.\u003c/p>\n\u003cp>“Our mission is to transform the experience of dying and caregiving,” Kellar says. “And while we started at the bedside and continue at the bedside at Laguna Honda, it is now a time to focus on helping other people at the bedside by training and education.”\u003c/p>\n\u003cp>But selling this iconic San Francisco institution to as a private residence for 5 or 6 million dollars?\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It’s not what I expected,” Kellar says, shifting from business guy to Zen guy. “I guess it’s a lesson in impermanence. And a lesson in ‘things change' and to not get as attached as we are because everybody here is very attached to this.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/364223/beloved-san-francisco-zen-hospice-project-confronts-its-own-end","authors":["3205"],"categories":["stateofhealth_11","stateofhealth_1"],"tags":["stateofhealth_3260","stateofhealth_3023","stateofhealth_2519","stateofhealth_3030","stateofhealth_3261"],"featImg":"stateofhealth_364226","label":"stateofhealth"},"stateofhealth_363838":{"type":"posts","id":"stateofhealth_363838","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"363838","score":null,"sort":[1529600880000]},"guestAuthors":[],"slug":"bartenders-learn-how-to-spot-and-reverse-opioid-overdoses","title":"Bartenders Learn How to Spot – and Reverse – Opioid Overdoses","publishDate":1529600880,"format":"audio","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Health educator Kristen Marshall made herself comfortable on a bright red, pleather sofa at St. Mary’s Pub in San Francisco. She welcomed a group of 10 people who trickled inside from the midday sun. Some wore funky glasses, others had sleeve tattoos.\u003c/p>\n\u003cp>Marshall unloaded a few items from a shoulder bag onto a two-top table in front of her, including a nasal sprayer of the drug Narcan – the brand name for naloxone, a drug that reverses opioid overdoses.\u003c/p>\n\u003cp>Typically, Marshall educates an audience of people who use drugs. But as the opioid crisis continues to devastate communities, Marshall and her colleagues from the \u003ca href=\"http://harmreduction.org/\" target=\"_blank\" rel=\"noopener\">Harm Reduction Coalition\u003c/a> are getting more creative in their approach to saving lives. At this training, Marshall’s assembled a group of bartenders and club and festival employees.\u003c/p>\n\u003cp>Immediately, Marshall fielded a question about a famous scene from the movie “Pulp Fiction,” in which actress Uma Thurman's character overdoses on drugs and is dramatically revived. Instead of naloxone, her rescuers stab her directly in the heart with a large needle full of adrenaline.\u003c/p>\n\u003cp>“Two things,” Marshall said to the group. “Adrenaline doesn’t work to reverse an opioid overdose, and please don’t stab anybody in the heart with anything.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The audience laughed as Marshall raised her hand in a fist and yelled, “Quentin Tarantino!” in a feigned rage.\u003c/p>\n\u003cfigure id=\"attachment_363843\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-363843\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/IMG_8287-e1528757591523-800x525.jpg\" alt=\"A dose of Narcan, the brand name of naloxone, a drug that can reverse opioid overdoses. Narcan also comes as an injection.\" width=\"800\" height=\"525\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8287-e1528757591523-800x525.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8287-e1528757591523-160x105.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8287-e1528757591523-768x504.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8287-e1528757591523-1020x670.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8287-e1528757591523-1200x788.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8287-e1528757591523-1180x775.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8287-e1528757591523-960x630.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8287-e1528757591523-240x158.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8287-e1528757591523-375x246.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8287-e1528757591523-520x341.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A dose of Narcan, the brand name of naloxone, a drug that can reverse opioid overdoses. Narcan also comes as an injection. \u003ccite>(Laura Klivans/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Marshall then moved into more serious territory, speaking from her years of experience working at a needle exchange and sometimes administering naloxone to reverse an overdose.\u003c/p>\n\u003cp>She described telltale signs of what it looks like when someone is overdosing on opioids, such as heroin or fentanyl.\u003c/p>\n\u003cp>“Unable to maintain consciousness,” Marshall said. “Or they’re gonna be real hard to wake up, especially if alcohol is involved. And they’re not going to be breathing enough.”\u003c/p>\n\u003cp>A person’s body will droop, their skin will become ashen or bluish gray, she said.\u003c/p>\n\u003cp>Marshall instructed her pupils to call 911 as soon as they suspect an opioid overdose, and to use pain to try to wake an overdosing individual, like a knuckle rub to the sternum.\u003c/p>\n\u003cp>“If they go right back out or they just are not responsive, the next thing is the Narcan,” she instructed while picking up her Narcan nasal sprayer.\u003c/p>\n\u003cp>“Then you’re going to take this all the way up their nose,” Marshall said, pointing to a white plastic tip at the top of the tool. “One click. That’s it.”\u003c/p>\n\u003cp>Each attendee left with a box of Narcan to take to their next work shift.\u003c/p>\n\u003cfigure id=\"attachment_363842\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-363842\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/IMG_8660-800x600.jpg\" alt=\"Amy Rothbauer, a bartender at St. Marys Pub, poses with the box of Narcan that she keeps behind the bar, next to the first aid kit.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8660-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8660-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8660-768x576.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8660-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8660-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8660-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8660-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8660-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8660-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8660-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Amy Rothbauer, a bartender at St. Marys Pub, poses with the box of Narcan that she keeps behind the bar, next to the first aid kit. \u003ccite>(Laura Klivans/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>This training was Marshall’s tenth for the nightlife industry, including one for the entire staff of \u003ca href=\"https://www.facebook.com/HUSHconcerts/\" target=\"_blank\" rel=\"noopener\">HUSH Concerts\u003c/a>, a music production company in San Francisco. The initiative is funded by \u003ca href=\"https://www.sfdph.org/dph/default.asp\" target=\"_blank\" rel=\"noopener\">San Francisco’s Department of Public Health\u003c/a>.\u003c/p>\n\u003cp>At the HUSH offices on Treasure Island, creative director Robbie Kowal pointed to a photo on the wall of a good friend and DJ he worked with a lot.\u003c/p>\n\u003cp>“You can just see how effervescent a person he was,” Kowal said.\u003c/p>\n\u003cp>Kowal's friend died three years ago, and his colleagues still don’t know the cause.\u003c/p>\n\u003cp>After Kowal took a Narcan training, however, he began to suspect his friend died from an opioid overdose.\u003c/p>\n\u003cp>The signs were really all there, Kowal said. “Had people on that site had that kind of training, they might have been able to intervene.”\u003c/p>\n\u003cfigure id=\"attachment_363865\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-363865 size-medium\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/IMG_8767-e1528937107471-800x565.jpg\" alt=\"Robbie Kowal, creative director of HUSH Concerts in San Francisco, stands in front of a wall of concerts his company's produced.\" width=\"800\" height=\"565\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8767-e1528937107471-800x565.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8767-e1528937107471-160x113.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8767-e1528937107471-768x542.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8767-e1528937107471-1020x720.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8767-e1528937107471-1200x848.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8767-e1528937107471-1180x833.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8767-e1528937107471-960x678.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8767-e1528937107471-240x170.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8767-e1528937107471-375x265.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8767-e1528937107471-520x367.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Robbie Kowal, creative director of HUSH Concerts in San Francisco, stands in front of a wall of concerts his company's produced. \u003ccite>(Laura Klivans/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At many events, Kowal’s employees are often the only sober people present, working the after-hours shift from midnight to six or seven in the morning. Lots of patrons experiment with new substances, sometimes not knowing what’s in them.\u003c/p>\n\u003cp>That’s why Kowal had Kristen Marshall train his company. He hopes that someday, if needed, they can save a life.\u003c/p>\n\u003cp>HUSH Concerts has always sent emergency bags to each event they staff. Inside, there are adapters, plugs, anything a DJ may forget. Now, the first aid kit they carry includes two doses of Narcan.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We, who are of the after-hours community, who live this beautiful life that's very undersung, can actually make a difference for people,” Kowal said.\u003c/p>\n\n","blocks":[],"excerpt":"More people working at bars, clubs and festivals are now armed with naloxone, the drug that reverses opioid overdoses.","status":"publish","parent":0,"modified":1529600880,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":805},"headData":{"title":"Bartenders Learn How to Spot – and Reverse – Opioid Overdoses | KQED","description":"More people working at bars, clubs and festivals are now armed with naloxone, the drug that reverses opioid overdoses.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"363838 https://ww2.kqed.org/stateofhealth/?p=363838","disqusUrl":"https://ww2.kqed.org/stateofhealth/2018/06/21/bartenders-learn-how-to-spot-and-reverse-opioid-overdoses/","disqusTitle":"Bartenders Learn How to Spot – and Reverse – Opioid Overdoses","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/06/NarcaninBarsKlivans180621.mp3","path":"/stateofhealth/363838/bartenders-learn-how-to-spot-and-reverse-opioid-overdoses","audioDuration":null,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Health educator Kristen Marshall made herself comfortable on a bright red, pleather sofa at St. Mary’s Pub in San Francisco. She welcomed a group of 10 people who trickled inside from the midday sun. Some wore funky glasses, others had sleeve tattoos.\u003c/p>\n\u003cp>Marshall unloaded a few items from a shoulder bag onto a two-top table in front of her, including a nasal sprayer of the drug Narcan – the brand name for naloxone, a drug that reverses opioid overdoses.\u003c/p>\n\u003cp>Typically, Marshall educates an audience of people who use drugs. But as the opioid crisis continues to devastate communities, Marshall and her colleagues from the \u003ca href=\"http://harmreduction.org/\" target=\"_blank\" rel=\"noopener\">Harm Reduction Coalition\u003c/a> are getting more creative in their approach to saving lives. At this training, Marshall’s assembled a group of bartenders and club and festival employees.\u003c/p>\n\u003cp>Immediately, Marshall fielded a question about a famous scene from the movie “Pulp Fiction,” in which actress Uma Thurman's character overdoses on drugs and is dramatically revived. Instead of naloxone, her rescuers stab her directly in the heart with a large needle full of adrenaline.\u003c/p>\n\u003cp>“Two things,” Marshall said to the group. “Adrenaline doesn’t work to reverse an opioid overdose, and please don’t stab anybody in the heart with anything.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The audience laughed as Marshall raised her hand in a fist and yelled, “Quentin Tarantino!” in a feigned rage.\u003c/p>\n\u003cfigure id=\"attachment_363843\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-363843\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/IMG_8287-e1528757591523-800x525.jpg\" alt=\"A dose of Narcan, the brand name of naloxone, a drug that can reverse opioid overdoses. Narcan also comes as an injection.\" width=\"800\" height=\"525\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8287-e1528757591523-800x525.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8287-e1528757591523-160x105.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8287-e1528757591523-768x504.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8287-e1528757591523-1020x670.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8287-e1528757591523-1200x788.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8287-e1528757591523-1180x775.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8287-e1528757591523-960x630.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8287-e1528757591523-240x158.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8287-e1528757591523-375x246.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8287-e1528757591523-520x341.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">A dose of Narcan, the brand name of naloxone, a drug that can reverse opioid overdoses. Narcan also comes as an injection. \u003ccite>(Laura Klivans/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Marshall then moved into more serious territory, speaking from her years of experience working at a needle exchange and sometimes administering naloxone to reverse an overdose.\u003c/p>\n\u003cp>She described telltale signs of what it looks like when someone is overdosing on opioids, such as heroin or fentanyl.\u003c/p>\n\u003cp>“Unable to maintain consciousness,” Marshall said. “Or they’re gonna be real hard to wake up, especially if alcohol is involved. And they’re not going to be breathing enough.”\u003c/p>\n\u003cp>A person’s body will droop, their skin will become ashen or bluish gray, she said.\u003c/p>\n\u003cp>Marshall instructed her pupils to call 911 as soon as they suspect an opioid overdose, and to use pain to try to wake an overdosing individual, like a knuckle rub to the sternum.\u003c/p>\n\u003cp>“If they go right back out or they just are not responsive, the next thing is the Narcan,” she instructed while picking up her Narcan nasal sprayer.\u003c/p>\n\u003cp>“Then you’re going to take this all the way up their nose,” Marshall said, pointing to a white plastic tip at the top of the tool. “One click. That’s it.”\u003c/p>\n\u003cp>Each attendee left with a box of Narcan to take to their next work shift.\u003c/p>\n\u003cfigure id=\"attachment_363842\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-363842\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/IMG_8660-800x600.jpg\" alt=\"Amy Rothbauer, a bartender at St. Marys Pub, poses with the box of Narcan that she keeps behind the bar, next to the first aid kit.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8660-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8660-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8660-768x576.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8660-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8660-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8660-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8660-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8660-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8660-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8660-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Amy Rothbauer, a bartender at St. Marys Pub, poses with the box of Narcan that she keeps behind the bar, next to the first aid kit. \u003ccite>(Laura Klivans/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>This training was Marshall’s tenth for the nightlife industry, including one for the entire staff of \u003ca href=\"https://www.facebook.com/HUSHconcerts/\" target=\"_blank\" rel=\"noopener\">HUSH Concerts\u003c/a>, a music production company in San Francisco. The initiative is funded by \u003ca href=\"https://www.sfdph.org/dph/default.asp\" target=\"_blank\" rel=\"noopener\">San Francisco’s Department of Public Health\u003c/a>.\u003c/p>\n\u003cp>At the HUSH offices on Treasure Island, creative director Robbie Kowal pointed to a photo on the wall of a good friend and DJ he worked with a lot.\u003c/p>\n\u003cp>“You can just see how effervescent a person he was,” Kowal said.\u003c/p>\n\u003cp>Kowal's friend died three years ago, and his colleagues still don’t know the cause.\u003c/p>\n\u003cp>After Kowal took a Narcan training, however, he began to suspect his friend died from an opioid overdose.\u003c/p>\n\u003cp>The signs were really all there, Kowal said. “Had people on that site had that kind of training, they might have been able to intervene.”\u003c/p>\n\u003cfigure id=\"attachment_363865\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-363865 size-medium\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/IMG_8767-e1528937107471-800x565.jpg\" alt=\"Robbie Kowal, creative director of HUSH Concerts in San Francisco, stands in front of a wall of concerts his company's produced.\" width=\"800\" height=\"565\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8767-e1528937107471-800x565.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8767-e1528937107471-160x113.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8767-e1528937107471-768x542.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8767-e1528937107471-1020x720.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8767-e1528937107471-1200x848.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8767-e1528937107471-1180x833.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8767-e1528937107471-960x678.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8767-e1528937107471-240x170.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8767-e1528937107471-375x265.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/IMG_8767-e1528937107471-520x367.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Robbie Kowal, creative director of HUSH Concerts in San Francisco, stands in front of a wall of concerts his company's produced. \u003ccite>(Laura Klivans/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At many events, Kowal’s employees are often the only sober people present, working the after-hours shift from midnight to six or seven in the morning. Lots of patrons experiment with new substances, sometimes not knowing what’s in them.\u003c/p>\n\u003cp>That’s why Kowal had Kristen Marshall train his company. He hopes that someday, if needed, they can save a life.\u003c/p>\n\u003cp>HUSH Concerts has always sent emergency bags to each event they staff. Inside, there are adapters, plugs, anything a DJ may forget. Now, the first aid kit they carry includes two doses of Narcan.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We, who are of the after-hours community, who live this beautiful life that's very undersung, can actually make a difference for people,” Kowal said.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/363838/bartenders-learn-how-to-spot-and-reverse-opioid-overdoses","authors":["8648"],"categories":["stateofhealth_11","stateofhealth_2746"],"tags":["stateofhealth_2808","stateofhealth_3254","stateofhealth_3253","stateofhealth_2519","stateofhealth_2656","stateofhealth_3255"],"featImg":"stateofhealth_363841","label":"stateofhealth"},"stateofhealth_363815":{"type":"posts","id":"stateofhealth_363815","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"363815","score":null,"sort":[1528414394000]},"guestAuthors":[],"slug":"modoc-voters-agree-to-sell-their-rural-hospital-to-denver-entrepreneur","title":"Modoc Voters Agree to Sell Their Rural Hospital to Denver Entrepreneur","publishDate":1528414394,"format":"standard","headTitle":"California Healthline | State of Health | KQED News","labelTerm":{"term":3036,"site":"stateofhealth"},"content":"\u003cp>Voters in a tiny northeastern California community this week agreed to sell their bankrupt hospital — struggling like many rural facilities nationally — to a Denver entrepreneur with a \u003ca href=\"https://californiahealthline.org/news/outsiders-swoop-in-vowing-to-rescue-rural-hospitals-short-on-hope-and-money/\">controversial plan for its revival\u003c/a>.\u003c/p>\n\u003cp>Beau Gertz, who owns Denver-based lab-testing and nutraceutical companies, will buy 26-bed Surprise Valley Community Hospital in Cedarville, Calif., taking over its debt of \u003ca href=\"https://californiahealthline.org/news/outsiders-swoop-in-vowing-to-rescue-rural-hospitals-short-on-hope-and-money/\">at least $4 million.\u003c/a> Another out-of-town investor had managed it for a few months then “abandoned” it, according to bankruptcy documents. Gertz’s offer, already accepted by the district hospital’s board and approved by a federal bankruptcy judge, required the approval of local residents in Tuesday’s election.\u003c/p>\n\u003cp>Nearly 84 percent of those who voted backed the deal, although turnout was light.\u003c/p>\n\u003cp>The woes of Surprise Valley exemplify the brutal environment faced by America’s rural hospitals, which are disappearing by the dozens due to declining populations, economic troubles, corporate consolidation and, sometimes, self-inflicted wounds.\u003c/p>\n\u003cp>Some Surprise Valley voters felt they had little choice but to approve the sale: Had they rejected it, the hospital almost certainly would have closed immediately, since no other “white knight” has come forward with a plan to rescue it.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Bonnie Madrigal, a former certified nursing assistant at the hospital, said Gertz convinced her that he could help.\u003c/p>\n\u003cp>“Now that I have children, keeping the hospital is the most important thing to me,” said Madrigal, 26, of nearby Eagleville. “I know how much improvement the hospital needs … but once I listened to Beau, I heard hope. I feel like with Beau, the debt is going to be off our shoulders, and we’ll work together as a community to make things better.”\u003c/p>\n\u003cp>Gertz has told residents he wants to create a “wellness center” offering vitamin infusions, genetic testing, personalized medicine and other health services for well-heeled patients. He has promised to keep the hospital’s nursing home wing open and preserve its emergency room and ambulance services.\u003c/p>\n\u003cp>But some in the community worry that his plans will fail and the local residents will be responsible for even more debt. Gertz said that to help Surprise Valley Community pay for it all, he would bill for lab tests on patients who’ve never set foot in the hospital. He said they will be treated through telemedicine, by doctors who connect with them through video and other technology.\u003c/p>\n\u003cp>“We felt that to vote yes would be to bail out the [hospital] board and forgive it for all the mistakes it’s made,” said Ray March, 83, of Cedarville, who owns a trade and travel publishing company with his wife, Barbara. “It’s much better in our opinion to shut the hospital down, start clean and listen to some other good advice, which they never did. Now it’s a marriage and they’ve got to figure out how in hell they are going to make it work.”\u003c/p>\n\u003cp>\u003ca href=\"https://californiahealthline.org/news/outsiders-swoop-in-vowing-to-rescue-rural-hospitals-short-on-hope-and-money/\">Some experts contend\u003c/a> that, in general, lab billing for faraway patients is legally questionable — and the practice has drawn lawsuits and government scrutiny in other states.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Gertz, who has not faced such suits, did not respond to a request for comment.\u003c/p>\n\n","blocks":[],"excerpt":"Residents of Surprise Valley, in the state’s northeastern corner, voted to sell its hospital to a businessman with a controversial plan to bring in revenue. ","status":"publish","parent":0,"modified":1528414394,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":14,"wordCount":563},"headData":{"title":"Modoc Voters Agree to Sell Their Rural Hospital to Denver Entrepreneur | KQED","description":"Residents of Surprise Valley, in the state’s northeastern corner, voted to sell its hospital to a businessman with a controversial plan to bring in revenue. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"363815 https://ww2.kqed.org/stateofhealth/?p=363815","disqusUrl":"https://ww2.kqed.org/stateofhealth/2018/06/07/modoc-voters-agree-to-sell-their-rural-hospital-to-denver-entrepreneur/","disqusTitle":"Modoc Voters Agree to Sell Their Rural Hospital to Denver Entrepreneur","nprByline":"\u003cstrong>Barbara Feder Ostrov\u003c/strong>\u003c/b> California Healthline","path":"/stateofhealth/363815/modoc-voters-agree-to-sell-their-rural-hospital-to-denver-entrepreneur","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Voters in a tiny northeastern California community this week agreed to sell their bankrupt hospital — struggling like many rural facilities nationally — to a Denver entrepreneur with a \u003ca href=\"https://californiahealthline.org/news/outsiders-swoop-in-vowing-to-rescue-rural-hospitals-short-on-hope-and-money/\">controversial plan for its revival\u003c/a>.\u003c/p>\n\u003cp>Beau Gertz, who owns Denver-based lab-testing and nutraceutical companies, will buy 26-bed Surprise Valley Community Hospital in Cedarville, Calif., taking over its debt of \u003ca href=\"https://californiahealthline.org/news/outsiders-swoop-in-vowing-to-rescue-rural-hospitals-short-on-hope-and-money/\">at least $4 million.\u003c/a> Another out-of-town investor had managed it for a few months then “abandoned” it, according to bankruptcy documents. Gertz’s offer, already accepted by the district hospital’s board and approved by a federal bankruptcy judge, required the approval of local residents in Tuesday’s election.\u003c/p>\n\u003cp>Nearly 84 percent of those who voted backed the deal, although turnout was light.\u003c/p>\n\u003cp>The woes of Surprise Valley exemplify the brutal environment faced by America’s rural hospitals, which are disappearing by the dozens due to declining populations, economic troubles, corporate consolidation and, sometimes, self-inflicted wounds.\u003c/p>\n\u003cp>Some Surprise Valley voters felt they had little choice but to approve the sale: Had they rejected it, the hospital almost certainly would have closed immediately, since no other “white knight” has come forward with a plan to rescue it.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Bonnie Madrigal, a former certified nursing assistant at the hospital, said Gertz convinced her that he could help.\u003c/p>\n\u003cp>“Now that I have children, keeping the hospital is the most important thing to me,” said Madrigal, 26, of nearby Eagleville. “I know how much improvement the hospital needs … but once I listened to Beau, I heard hope. I feel like with Beau, the debt is going to be off our shoulders, and we’ll work together as a community to make things better.”\u003c/p>\n\u003cp>Gertz has told residents he wants to create a “wellness center” offering vitamin infusions, genetic testing, personalized medicine and other health services for well-heeled patients. He has promised to keep the hospital’s nursing home wing open and preserve its emergency room and ambulance services.\u003c/p>\n\u003cp>But some in the community worry that his plans will fail and the local residents will be responsible for even more debt. Gertz said that to help Surprise Valley Community pay for it all, he would bill for lab tests on patients who’ve never set foot in the hospital. He said they will be treated through telemedicine, by doctors who connect with them through video and other technology.\u003c/p>\n\u003cp>“We felt that to vote yes would be to bail out the [hospital] board and forgive it for all the mistakes it’s made,” said Ray March, 83, of Cedarville, who owns a trade and travel publishing company with his wife, Barbara. “It’s much better in our opinion to shut the hospital down, start clean and listen to some other good advice, which they never did. Now it’s a marriage and they’ve got to figure out how in hell they are going to make it work.”\u003c/p>\n\u003cp>\u003ca href=\"https://californiahealthline.org/news/outsiders-swoop-in-vowing-to-rescue-rural-hospitals-short-on-hope-and-money/\">Some experts contend\u003c/a> that, in general, lab billing for faraway patients is legally questionable — and the practice has drawn lawsuits and government scrutiny in other states.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Gertz, who has not faced such suits, did not respond to a request for comment.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/363815/modoc-voters-agree-to-sell-their-rural-hospital-to-denver-entrepreneur","authors":["byline_stateofhealth_363815"],"categories":["stateofhealth_11","stateofhealth_2746","stateofhealth_1"],"tags":["stateofhealth_3251","stateofhealth_3252"],"affiliates":["stateofhealth_3036"],"featImg":"stateofhealth_363779","label":"stateofhealth_3036"},"stateofhealth_363769":{"type":"posts","id":"stateofhealth_363769","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"363769","score":null,"sort":[1528176296000]},"guestAuthors":[],"slug":"on-the-ballot-the-fate-of-a-troubled-hospital-in-modoc-county","title":"On the Ballot: The Fate of a Troubled Hospital in Modoc County","publishDate":1528176296,"format":"audio","headTitle":"California Healthline | State of Health | KQED News","labelTerm":{"term":3036,"site":"stateofhealth"},"content":"\u003cp>CEDARVILLE, Calif. — Beau Gertz faced a crowd of worried locals at this town’s senior center, hoping to sell them on his vision for their long-beloved — but now bankrupt — hospital.\u003c/p>\n\u003cp>In worn blue jeans and an untucked shirt, the bearded entrepreneur from Denver pledged at this town hall meeting in March to revive the Surprise Valley Community Hospital — a place many in the audience counted on to set their broken bones, stitch up cattle-tagging cuts and tend to aging loved ones.\u003c/p>\n\u003cp>\u003ca href=\"https://www.linkedin.com/in/beau-gertz-22528015b/\">Gertz\u003c/a> said that if they vote June 5 to let him buy their tiny public hospital, he will retain vital medical services. Better still, he said, he’d like to open a “wellness center” to attract well-heeled outsiders — one that would offer telehealth, addiction treatment, physical therapy, genetic testing, intravenous vitamin infusions, even massage. Cedarville’s failing hospital, now at least $4 million in debt, would not just bounce back but thrive, he said.\u003c/p>\n\u003cp>Gertz, 34, a former weightlifter who runs clinical-lab and nutraceutical companies, unveiled his plan to pay for it: He’d use the 26-bed hospital to bill insurers for lab tests regardless of where patients lived. Through telemedicine technology, doctors working for Surprise Valley could order tests for people who’d never set foot there.\u003c/p>\n\u003cfigure id=\"attachment_363787\" class=\"wp-caption alignnone\" style=\"max-width: 7039px\">\u003cimg class=\"size-full wp-image-363787\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/rural-hospital-16.jpg\" alt=\"\" width=\"7039\" height=\"4698\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16.jpg 7039w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16-520x347.jpg 520w\" sizes=\"(max-width: 7039px) 100vw, 7039px\">\u003cfigcaption class=\"wp-caption-text\">Businessman Beau Gertz faced a tough crowd of worried locals at a recent board meeting in Cedarville, Calif. \u003ccite>(Heidi de Marco/Kaiser Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>To some of the 100 or so people at the meeting that night, Gertz’s plan offered hope. To others, it sounded suspiciously familiar: Just months before, another out-of-towner had proposed a similar deal — only to disappear.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Outsiders “come in and promise the moon,” said Jeanne Goldman, 72, a retired businesswoman. “The [hospital’s] board is just so desperate with all the debt, and they pray this angel’s going to come along and fix it. If this was a shoe store in Surprise Valley, I could care less, but it’s a hospital.”\u003c/p>\n\u003cfigure id=\"attachment_363779\" class=\"wp-caption alignnone\" style=\"max-width: 7360px\">\u003cimg class=\"size-full wp-image-363779\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/rural-hospital-7.jpg\" alt=\"\" width=\"7360\" height=\"4912\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7.jpg 7360w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-520x347.jpg 520w\" sizes=\"(max-width: 7360px) 100vw, 7360px\">\u003cfigcaption class=\"wp-caption-text\">Surprise Valley’s hospital has 22 skilled nursing beds, one acute bed and three “swing” beds that can be used as needs arise. \u003ccite>(Heidi de Marco/Kaiser Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Looking For Salvation\u003c/strong>\u003c/p>\n\u003cp>The woes of Surprise Valley Community Hospital reflect an increasingly brutal environment for America’s rural hospitals, which are disappearing by the dozens amid declining populations, economic troubles, corporate consolidation and, sometimes, self-inflicted wounds.\u003c/p>\n\u003cp>Nationwide, \u003ca href=\"http://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/\">83 of 2,375\u003c/a> rural hospitals have closed since 2010, according to the North Carolina Rural Health Research Program. These often-remote hospitals — some with 10, 15, 25 beds — have been targeted by management companies or potential buyers who promise much but often deliver little while lining their own pockets, according to allegations in court cases, a Missouri state audit and media reports.\u003c/p>\n\u003cp>Enticed by such outsiders, some struggling rural hospitals around the country have embraced lab billing for faraway patients as a rescue plan. That’s because Medicare and commercial insurers tend to pay more for tests to sustain endangered rural hospitals compared with urban hospitals and especially outpatient labs. In general, this kind of remote billing is controversial and legally murky, and it recently has resulted in allegations of fraud in several states, according to government documents and media reports.\u003c/p>\n\u003cp>Rural hospital boards, however, tend not to have expertise in the health care business. The president of Surprise Valley Community’s board, for instance, is a rancher. Another board member owns a local motel; a third, a construction company. That lack of experience “leaves them vulnerable in many cases,” said Terry Hill of the nonprofit National Rural Health Resource Center, based in Duluth, Minn.\u003c/p>\n\u003cfigure id=\"attachment_363791\" class=\"wp-caption alignnone\" style=\"max-width: 7360px\">\u003cimg class=\"size-full wp-image-363791\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/rural-hospital-5.jpg\" alt=\"\" width=\"7360\" height=\"4912\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5.jpg 7360w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5-520x347.jpg 520w\" sizes=\"(max-width: 7360px) 100vw, 7360px\">\u003cfigcaption class=\"wp-caption-text\">Jean Bilodeaux, 74, a journalist who lives in Cedarville, Calif., says members of the hospital board \"blew up\" at her when she raised important questions about the hospital’s finances in stories she wrote for the Modoc County Record, a weekly newspaper. \u003ccite>(Heidi de Marco/Kaiser Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Seeking to distinguish himself from other would-be rescuers who ran into legal trouble, Gertz described his proposal to residents as perfectly legal — a legitimate use of telemedicine, essentially remote treatment via electronic communication such as video. “If you do it correctly,” he said in an interview with Kaiser Health News, “there is a nice profit margin. There [are] extra visits you can get from telemedicine but … it has to be billed correctly and it can’t be abused.”\u003c/p>\n\u003cp>Gertz runs several companies — founded within the last four years — including two labs, SeroDynamics and Cadira Labs, as well as a wellness company called CadiraMD.\u003c/p>\n\u003cp>He pledged in \u003ca href=\"https://www.documentcloud.org/documents/4450993-Surprise-Valley-Community-Hospital-Bankruptcy.html#document/p9/a426112\">court documents\u003c/a> to buy the bankrupt hospital for $4 million and cover its debts, saying he had lined up a $4 billion New York company as a financial backer. Kaiser Health News was unable to locate the company under the name Gertz cited, Next Genesis Development Group. He did not respond to emails seeking clarification on the issue.\u003c/p>\n\u003cp>Gertz, who acknowledged that he had never before run a hospital, was asked at the same \u003ca href=\"http://modoccountyca.iqm2.com/Citizens/SplitView.aspx?Mode=Video&MeetingID=1770&Format=Agenda\">gathering\u003c/a> whether he had disclosed his “financials” to the hospital board. “As a private entity, I don’t have to show my financials and I have not provided my financials to the board,” he replied.\u003c/p>\n\u003cp>It was not clear whether board members had ever asked. Surprise Valley Health Care District board President John Erquiaga declined to comment.\u003c/p>\n\u003cp>\u003cstrong>A Sad Decline\u003c/strong>\u003c/p>\n\u003cp>Surrounded by the Warner and Modoc mountains and forests in California’s northeastern corner, Surprise Valley is home to four small communities. The largest is Cedarville, population 514, at last count.\u003c/p>\n\u003cp>The valley, covered in sagebrush and greasewood, is part of Modoc County, one of California’s poorest, with \u003ca href=\"https://www.ftb.ca.gov/Data/Individuals/Median-income.shtml\">a median income of about $30,000\u003c/a>. The closest hospital with an emergency room is roughly 25 miles away, over a mountain pass.\u003c/p>\n\u003cfigure id=\"attachment_363784\" class=\"wp-caption alignnone\" style=\"max-width: 6360px\">\u003cimg class=\"size-full wp-image-363784\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/rural-hospital-2.jpg\" alt=\"\" width=\"6360\" height=\"4245\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2.jpg 6360w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2-520x347.jpg 520w\" sizes=\"(max-width: 6360px) 100vw, 6360px\">\u003cfigcaption class=\"wp-caption-text\">Cedarville, a hamlet of about 514 residents, is in one of California’s poorest counties, with a median income of roughly $30,000. The closest hospital with an emergency room is about 25 miles away over a mountain pass. \u003ccite>(Heidi de Marco/Kaiser Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>One of hundreds of rural hospitals built with help from the 1946 federal \u003ca href=\"https://www.npr.org/sections/health-shots/2016/10/02/495775518/a-bygone-era-when-bipartisanship-led-to-health-care-transformation\">Hill-Burton Act\u003c/a>, the Surprise Valley hospital opened in 1952 to serve a thriving ranching community. But it has struggled since, closing in 1981, reopening as a health clinic in 1985, then reconverting to a hospital in 1986.\u003c/p>\n\u003cp>A county grand jury \u003ca href=\"http://gsmall.us/GJ/FinalReports/2014-2015/GrandJuryReport2014-2015-MCR.pdf\">report\u003c/a> in 2014-15 found that “mismanagement of the [hospital district] has been evident for at least the past five years.”\u003c/p>\n\u003cp>By last summer, those in charge didn’t seem up to the task of running a modern hospital. By then, it was hardly a hospital at all. Crushed by debt, it primarily offered nursing home care, an emergency room, a volunteer ambulance service and just one acute care bed, with three others available if needed.\u003c/p>\n\u003cfigure id=\"attachment_363780\" class=\"wp-caption alignnone\" style=\"max-width: 7360px\">\u003cimg class=\"size-full wp-image-363780\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/rural-hospital-12.jpg\" alt=\"\" width=\"7360\" height=\"4912\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12.jpg 7360w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12-520x347.jpg 520w\" sizes=\"(max-width: 7360px) 100vw, 7360px\">\u003cfigcaption class=\"wp-caption-text\">Besides its ER and volunteer-staffed ambulance service, Surprise Valley’s hospital in recent years has functioned mostly as a nursing home, saddled with crushing debt. \u003ccite>(Heidi de Marco/Kaiser Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>When state inspectors arrived last June, they found chaos. The hospital’s chief nursing officer resigned during the inspection. Staffers reported unpaid checks to vendors hidden in drawers. Inspectors learned that the hospital had sent home temporary nurses because it couldn’t pay them, according to their \u003ca href=\"https://www.documentcloud.org/documents/4375718-Surprise-Valley-Community-Hospital-CDPH.html\">report\u003c/a>.\u003c/p>\n\u003cp>The hospital’s then-chief administrator, Richard Cornwell — who staffers said had instructed them to hide the checks, according to the report — had taken a leave of absence and was nowhere to be found. Cornwell, a health care accountant from Montana, was later \u003ca href=\"https://www.documentcloud.org/documents/4475172-Surprise-Valley-Community-Hospital-Board-Meeting.html#document/p1/a424645\">fired\u003c/a> and replaced with the hospital’s lab director, who in turn resigned, according to public records. Reached by Kaiser Health News, Cornwell declined to comment.\u003c/p>\n\u003cp>Federal regulators \u003ca href=\"https://www.documentcloud.org/documents/4361541-Surprise-Valley-DPNA-Ltr.html\">suspended\u003c/a> Medicare and Medicaid payments to the hospital — a rarely invoked financial penalty — over concerns about patient care. Those payments have since been reinstated, but a follow-up state \u003ca href=\"https://www.documentcloud.org/documents/4376728-Surprise-Valley-Community-Hospital-CDPH-11-14-17.html\">inspection\u003c/a> in November 2017 identified more patient care concerns.\u003c/p>\n\u003cfigure id=\"attachment_363792\" class=\"wp-caption alignnone\" style=\"max-width: 4912px\">\u003cimg class=\"size-full wp-image-363792\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/rural-hospital-27.jpg\" alt=\"\" width=\"4912\" height=\"7360\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27.jpg 4912w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27-160x240.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27-800x1199.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27-768x1151.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27-1020x1528.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27-801x1200.jpg 801w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27-1180x1768.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27-960x1438.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27-240x360.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27-375x562.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27-520x779.jpg 520w\" sizes=\"(max-width: 4912px) 100vw, 4912px\">\u003cfigcaption class=\"wp-caption-text\">Eric Shpilman, a retired probation officer who lives in Fort Bidwell, Calif., works at a ranch in Cedarville. He says his wife received “unspeakable” treatment at the hospital before she died. But he also believes that “if the hospital closes, it’s irreplaceable.” \u003ccite>(Heidi de Marco/Kaiser Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Infighting ensued, with some residents fiercely committed to keeping the hospital open and others favoring closure, perhaps replacing it with a small clinic. Local journalist Jean Bilodeaux, 74, said board members often kept the public in the dark, failing to show up for their own meetings and sometimes making decisions outside public view.\u003c/p>\n\u003cp>When Bilodeaux raised questions about the hospital’s finances in the \u003ca href=\"http://www.modocrecord.com/\">Modoc County Record\u003c/a>, a weekly newspaper, she recalled, board members “started screaming at me,” she said. Now “I don’t even step foot in that hospital.”\u003c/p>\n\u003cp>Ben Zandstra, 65, a pastor in Cedarville, said that while Cornwell was in charge, he too got a chilly reception at the hospital, where he had long played guitar for patients on Christmas Eve. “I became persona non grata. It’s the most divisive thing I’ve seen in the years I’ve lived here.”\u003c/p>\n\u003cfigure id=\"attachment_363781\" class=\"wp-caption alignnone\" style=\"max-width: 4712px\">\u003cimg class=\"size-full wp-image-363781\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/rural-hospital-25.jpg\" alt=\"\" width=\"4712\" height=\"3145\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25.jpg 4712w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25-520x347.jpg 520w\" sizes=\"(max-width: 4712px) 100vw, 4712px\">\u003cfigcaption class=\"wp-caption-text\">Ben Zandstra, pastor of the Surprise Valley Community Church in Cedarville, Calif., says the hospital’s administrators made clear he was no longer welcome at the hospital after he voiced concerns about its financial management. \u003ccite>(Heidi de Marco/Kaiser Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>A White Knight, Vanished\u003c/strong>\u003c/p>\n\u003cp>Even residents who say they have experienced poor care at Surprise Valley Community believe its continued existence in some form is crucial — for its 50 or so jobs, for its ER, and because it puts the region on the map.\u003c/p>\n\u003cp>Eric Shpilman, 61, a retired probation officer, said his now-deceased wife received “unspeakable” treatment at Surprise Valley. But to shut it down? “It would take out the heart of Surprise Valley, the heart out of Cedarville.”\u003c/p>\n\u003cp>Last summer, the board turned to an outside management company for help.\u003c/p>\n\u003cp>Jorge Perez, CEO of Kansas City-based EmpowerHMS — which promises on its \u003ca href=\"http://empowerhms.com/\">website\u003c/a> to “rescue rural hospitals” — agreed to take over Surprise Valley’s debt and operate the hospital for three years, according to a \u003ca href=\"https://www.documentcloud.org/documents/4380014-SVHCD-Management-Agreement-With-EmpowerHMS-LLC.html\">management agreement\u003c/a> with the board.\u003c/p>\n\u003cp>In the two months after EmpowerHMS took over management, Surprise Valley’s revenue more than doubled, according to financial \u003ca href=\"https://www.documentcloud.org/documents/4486153-Surprise-Valley-Community-Hospital-Financials.html\">documents\u003c/a> provided by the hospital.\u003c/p>\n\u003cp>Then, according to hospital officials’ public statements, the company stopped making the promised payments, and they haven’t been able to contact EmpowerHMS or Perez since. In January, when Surprise Valley filed for bankruptcy, documents filed in court said EmpowerHMS had \u003ca href=\"https://www.documentcloud.org/documents/4361505-Surprise-Valley-Community-Hospital-Bankruptcy.html#document/p5/a424651\">“abandoned”\u003c/a> the hospital.\u003c/p>\n\u003cfigure id=\"attachment_363795\" class=\"wp-caption alignnone\" style=\"max-width: 7289px\">\u003cimg class=\"size-full wp-image-363795\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/rural-hospital-9.jpg\" alt=\"\" width=\"7289\" height=\"4865\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9.jpg 7289w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9-520x347.jpg 520w\" sizes=\"(max-width: 7289px) 100vw, 7289px\">\u003cfigcaption class=\"wp-caption-text\">The interior of Surprise Valley Community Hospital. \u003ccite>(Heidi de Marco/Kaiser Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Around the time Perez took over, he and companies with which he was involved were \u003ca href=\"http://kcur.org/post/vulnerable-rural-hospitals-face-tough-decisions-profitable-questionable-billing-schemes#stream/0\">dogged by allegations\u003c/a> of improper laboratory billing at facilities in \u003ca href=\"https://www.documentcloud.org/documents/4389070-BCBS-v-Sharkey-Issaquena-Hospital-Mission.html\">Mississippi\u003c/a>, \u003ca href=\"https://www.cbsnews.com/news/how-some-rural-hospitals-were-used-to-score-huge-paydays/\">Florida\u003c/a>, \u003ca href=\"https://www.documentcloud.org/documents/4359356-Aetna-v-People-s-Choice-Hospital-COMPLAINT.html\">Oklahoma\u003c/a> and \u003ca href=\"https://www.documentcloud.org/documents/4431631-RightChoice-Managed-Care-Aetna-BCBS-v-Hospital.html\">Missouri\u003c/a>, according to ongoing \u003ca href=\"https://www.documentcloud.org/documents/4431631-RightChoice-Managed-Care-Aetna-BCBS-v-Hospital.html#document/p3/a426046\">lawsuits\u003c/a> by insurers and others, a state \u003ca href=\"https://app.auditor.mo.gov/Repository/Press/2017074829206.pdf\">audit\u003c/a> and media reports. Missouri’s attorney general in May opened an investigation into one of the hospitals Perez managed, and Sen. Claire McCaskill (D-Mo.) recently \u003ca href=\"http://kcur.org/post/mccaskill-calls-federal-investigation-billing-practices-missouri-hospital#stream/0\">called for a federal investigation\u003c/a> into lab billing practices at one of the hospitals.\u003c/p>\n\u003cp>Medicare rules and commercial insurance contracts, with some exceptions, require people to be treated on an inpatient or outpatient basis by the hospitals that are billing for their lab tests. But insurers have alleged in court documents that hospitals Perez was involved with billed for tests — to the tune of at least $175 million — on patients never seen at those facilities. Perez \u003ca href=\"http://sideeffectspublicmedia.org/post/vulnerable-rural-hospitals-face-tough-decisions-profitable-questionable-billing-schemes\">has maintained\u003c/a> that what he is doing is legal and that it generates revenue that rural hospitals desperately need, according to Side Effects Public Media.\u003c/p>\n\u003cp>Experts say insurers are catching on to voluminous billing by hospitals in communities that typically have generated a tiny number of tests. At one Sonoma County district hospital not associated with Perez, an insurer recently demanded repayment for $13.5 million in suspect billings, forcing the hospital to suspend the lucrative program and \u003ca href=\"http://www.pressdemocrat.com/news/8329877-181/palm-drive-health-care-district\">put itself up for sale.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_363796\" class=\"wp-caption alignnone\" style=\"max-width: 7360px\">\u003cimg class=\"size-full wp-image-363796\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/rural-hospital-10.jpg\" alt=\"\" width=\"7360\" height=\"4912\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10.jpg 7360w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10-520x347.jpg 520w\" sizes=\"(max-width: 7360px) 100vw, 7360px\">\u003cfigcaption class=\"wp-caption-text\">The Surprise Valley Health Care District is a public facility and supported by taxes on homeowners. \u003ccite>(Heidi de Marco/Kaiser Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lab tests for out-of-town patients have “been a growing scheme in the last year, slightly longer,” said Karen Weintraub, executive vice president of Healthcare Fraud Shield, which consults for insurers. “There’s an incentive to bill for things not necessary or even services not rendered. It also may not be proper based on contracts with insurers. The dollars are getting large.”\u003c/p>\n\u003cp>Some residents were aware of controversy surrounding Perez and his companies and said they tried to warn the hospital district board. “All they wanted to hear was, ‘We will pay the bills,’” Bilodeaux said.\u003c/p>\n\u003cp>Neither Perez nor EmpowerHMS returned requests for comment. However, Michael Murtha, president of the \u003ca href=\"http://ruralhospitalalliance.com/\">National Alliance of Rural Hospitals\u003c/a>, said in an email that he was responding on behalf of Perez, who chairs the coalition’s board.\u003c/p>\n\u003cp>“The mission to rescue rural hospitals and set them on a path of sustainability is a difficult undertaking, and it would be a disservice to their communities to preclude struggling facilities from availing themselves of every legal and regulatory means to generate badly needed revenue,” Murtha wrote, in part.\u003c/p>\n\u003cp>“Such pioneering efforts are not always welcomed by those who have benefited from the status quo,” he said.\u003c/p>\n\u003cp>Regarding Perez’s role at Surprise Valley, Murtha wrote that Perez tried to help save the facility by “effectively” donating over $250,000 but then discovered it faced “more challenges than had been initially realized.” Murtha said Perez worked to attract others who might be better able to help the hospital.\u003c/p>\n\u003cp>\u003cstrong>A New Savior?\u003c/strong>\u003c/p>\n\u003cp>One of those “others” in Perez’s orbit was Gertz, the Denver entrepreneur, who arrived in Surprise Valley several months ago.\u003c/p>\n\u003cp>The Denver executive told residents and Kaiser Health News that he operated a lab that previously performed tests for hospitals owned or managed by Perez’s companies. At one hospital board meeting, Gertz also said he had \u003ca href=\"https://www.dropbox.com/sh/1ahmugqny8sa6nj/AAD0IuNkT-Pn-mqXUCGBVDAEa?dl=0&preview=ambi-board-meeting-2.wav\">handled marketing for Perez companies for 1½ years.\u003c/a>\u003c/p>\n\u003cp>However, he said he had parted ways with Perez after learning of his controversial dealings in other states, and Gertz said Perez now owes him more than $14 million. (Gertz and his companies have not been named as defendants in lawsuits reviewed by Kaiser Health News involving Perez and his companies.)\u003c/p>\n\u003cp>“I come in with a certain guilt by association,” he told the Modoc County Board of Supervisors in April, according to a \u003ca href=\"http://modoccountyca.iqm2.com/Citizens/SplitView.aspx?Mode=Video&MeetingID=1770&Format=Agenda\">recording\u003c/a> of the meeting. But Gertz sought to assuage any concerns, telling the supervisors he had a “passion” for rural life. He’d grown up on a farm, he said, where he “hung out with the chickens” and cleaned the stables every morning.\u003c/p>\n\u003cp>Gertz said his plan was different from Perez’s and legal because the hospital and one of his Denver labs, SeroDynamics, had become one business. With the hospital board’s approval earlier this year, he loaned the district $2.5 million for it to buy SeroDynamics — effectively an advance on the hospital’s purchase price of $4 million, according to bankruptcy court \u003ca href=\"https://www.documentcloud.org/documents/4451070-Surprise-Valley-Community-Hospital-Bankruptcy.html#document/p34/a424718\">documents\u003c/a>. SeroDynamics’ \u003ca href=\"https://www.serodyn.com/\">website\u003c/a> now proclaims the lab a “wholly-owned subsidiary” of the Surprise Valley hospital, with “national reach.”\u003c/p>\n\u003cp>Robert Michel, a clinical laboratory management consultant who learned of the terms of the transaction from a reporter, offered a critical assessment. “The essence of this arrangement is to use the hospital’s existing managed-care contracts with generous payment terms for lab tests as a vehicle to bill for claims in other states,” said Michel, editor-in-chief of \u003ca href=\"https://www.darkintelligencegroup.com/\">a trade magazine\u003c/a> for the lab industry. This arrangement “should ring all sorts of bells” for the hospital board, he said.\u003c/p>\n\u003cp>For now, Gertz has said, dollars are flowing in. According to the journalist Jean Bilodeaux, Gertz phoned in to a Surprise Valley hospital board meeting last month to report that the lab billing so far had netted about $300,000. According to bankruptcy court documents, 80 percent of the profits will go to his companies, 20 percent to the hospital.\u003c/p>\n\u003cp>Those are terms some in Surprise Valley are willing to live with.\u003c/p>\n\u003cp>The next step, for Gertz, is taking ownership of Surprise Valley’s entire operation. For the 1,500 district residents, voting no on Tuesday almost certainly means closure, leaving taxpayers with potentially more debt, including any money they may owe Gertz.\u003c/p>\n\u003cp>That is good enough reason to go with the Denver entrepreneur, said acting hospital administrator Bill Bostic.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“He’s got something we haven’t got — which is money,” Bostic said.\u003c/p>\n\n","blocks":[],"excerpt":"Voters in Surprise Valley, Calif. must decide whether to sell their public hospital to an outside investor with an unusual business plan.","status":"publish","parent":0,"modified":1528309938,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":58,"wordCount":2924},"headData":{"title":"On the Ballot: The Fate of a Troubled Hospital in Modoc County | KQED","description":"Voters in Surprise Valley, Calif. must decide whether to sell their public hospital to an outside investor with an unusual business plan.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"363769 https://ww2.kqed.org/stateofhealth/?p=363769","disqusUrl":"https://ww2.kqed.org/stateofhealth/2018/06/04/on-the-ballot-the-fate-of-a-troubled-hospital-in-modoc-county/","disqusTitle":"On the Ballot: The Fate of a Troubled Hospital in Modoc County","nprByline":"Barbara Feder Ostrov, California Healthline","path":"/stateofhealth/363769/on-the-ballot-the-fate-of-a-troubled-hospital-in-modoc-county","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/06/TCRamRuralHospitals.mp3","audioDuration":null,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>CEDARVILLE, Calif. — Beau Gertz faced a crowd of worried locals at this town’s senior center, hoping to sell them on his vision for their long-beloved — but now bankrupt — hospital.\u003c/p>\n\u003cp>In worn blue jeans and an untucked shirt, the bearded entrepreneur from Denver pledged at this town hall meeting in March to revive the Surprise Valley Community Hospital — a place many in the audience counted on to set their broken bones, stitch up cattle-tagging cuts and tend to aging loved ones.\u003c/p>\n\u003cp>\u003ca href=\"https://www.linkedin.com/in/beau-gertz-22528015b/\">Gertz\u003c/a> said that if they vote June 5 to let him buy their tiny public hospital, he will retain vital medical services. Better still, he said, he’d like to open a “wellness center” to attract well-heeled outsiders — one that would offer telehealth, addiction treatment, physical therapy, genetic testing, intravenous vitamin infusions, even massage. Cedarville’s failing hospital, now at least $4 million in debt, would not just bounce back but thrive, he said.\u003c/p>\n\u003cp>Gertz, 34, a former weightlifter who runs clinical-lab and nutraceutical companies, unveiled his plan to pay for it: He’d use the 26-bed hospital to bill insurers for lab tests regardless of where patients lived. Through telemedicine technology, doctors working for Surprise Valley could order tests for people who’d never set foot there.\u003c/p>\n\u003cfigure id=\"attachment_363787\" class=\"wp-caption alignnone\" style=\"max-width: 7039px\">\u003cimg class=\"size-full wp-image-363787\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/rural-hospital-16.jpg\" alt=\"\" width=\"7039\" height=\"4698\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16.jpg 7039w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-16-520x347.jpg 520w\" sizes=\"(max-width: 7039px) 100vw, 7039px\">\u003cfigcaption class=\"wp-caption-text\">Businessman Beau Gertz faced a tough crowd of worried locals at a recent board meeting in Cedarville, Calif. \u003ccite>(Heidi de Marco/Kaiser Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>To some of the 100 or so people at the meeting that night, Gertz’s plan offered hope. To others, it sounded suspiciously familiar: Just months before, another out-of-towner had proposed a similar deal — only to disappear.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Outsiders “come in and promise the moon,” said Jeanne Goldman, 72, a retired businesswoman. “The [hospital’s] board is just so desperate with all the debt, and they pray this angel’s going to come along and fix it. If this was a shoe store in Surprise Valley, I could care less, but it’s a hospital.”\u003c/p>\n\u003cfigure id=\"attachment_363779\" class=\"wp-caption alignnone\" style=\"max-width: 7360px\">\u003cimg class=\"size-full wp-image-363779\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/rural-hospital-7.jpg\" alt=\"\" width=\"7360\" height=\"4912\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7.jpg 7360w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-7-520x347.jpg 520w\" sizes=\"(max-width: 7360px) 100vw, 7360px\">\u003cfigcaption class=\"wp-caption-text\">Surprise Valley’s hospital has 22 skilled nursing beds, one acute bed and three “swing” beds that can be used as needs arise. \u003ccite>(Heidi de Marco/Kaiser Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Looking For Salvation\u003c/strong>\u003c/p>\n\u003cp>The woes of Surprise Valley Community Hospital reflect an increasingly brutal environment for America’s rural hospitals, which are disappearing by the dozens amid declining populations, economic troubles, corporate consolidation and, sometimes, self-inflicted wounds.\u003c/p>\n\u003cp>Nationwide, \u003ca href=\"http://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/\">83 of 2,375\u003c/a> rural hospitals have closed since 2010, according to the North Carolina Rural Health Research Program. These often-remote hospitals — some with 10, 15, 25 beds — have been targeted by management companies or potential buyers who promise much but often deliver little while lining their own pockets, according to allegations in court cases, a Missouri state audit and media reports.\u003c/p>\n\u003cp>Enticed by such outsiders, some struggling rural hospitals around the country have embraced lab billing for faraway patients as a rescue plan. That’s because Medicare and commercial insurers tend to pay more for tests to sustain endangered rural hospitals compared with urban hospitals and especially outpatient labs. In general, this kind of remote billing is controversial and legally murky, and it recently has resulted in allegations of fraud in several states, according to government documents and media reports.\u003c/p>\n\u003cp>Rural hospital boards, however, tend not to have expertise in the health care business. The president of Surprise Valley Community’s board, for instance, is a rancher. Another board member owns a local motel; a third, a construction company. That lack of experience “leaves them vulnerable in many cases,” said Terry Hill of the nonprofit National Rural Health Resource Center, based in Duluth, Minn.\u003c/p>\n\u003cfigure id=\"attachment_363791\" class=\"wp-caption alignnone\" style=\"max-width: 7360px\">\u003cimg class=\"size-full wp-image-363791\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/rural-hospital-5.jpg\" alt=\"\" width=\"7360\" height=\"4912\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5.jpg 7360w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-5-520x347.jpg 520w\" sizes=\"(max-width: 7360px) 100vw, 7360px\">\u003cfigcaption class=\"wp-caption-text\">Jean Bilodeaux, 74, a journalist who lives in Cedarville, Calif., says members of the hospital board \"blew up\" at her when she raised important questions about the hospital’s finances in stories she wrote for the Modoc County Record, a weekly newspaper. \u003ccite>(Heidi de Marco/Kaiser Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Seeking to distinguish himself from other would-be rescuers who ran into legal trouble, Gertz described his proposal to residents as perfectly legal — a legitimate use of telemedicine, essentially remote treatment via electronic communication such as video. “If you do it correctly,” he said in an interview with Kaiser Health News, “there is a nice profit margin. There [are] extra visits you can get from telemedicine but … it has to be billed correctly and it can’t be abused.”\u003c/p>\n\u003cp>Gertz runs several companies — founded within the last four years — including two labs, SeroDynamics and Cadira Labs, as well as a wellness company called CadiraMD.\u003c/p>\n\u003cp>He pledged in \u003ca href=\"https://www.documentcloud.org/documents/4450993-Surprise-Valley-Community-Hospital-Bankruptcy.html#document/p9/a426112\">court documents\u003c/a> to buy the bankrupt hospital for $4 million and cover its debts, saying he had lined up a $4 billion New York company as a financial backer. Kaiser Health News was unable to locate the company under the name Gertz cited, Next Genesis Development Group. He did not respond to emails seeking clarification on the issue.\u003c/p>\n\u003cp>Gertz, who acknowledged that he had never before run a hospital, was asked at the same \u003ca href=\"http://modoccountyca.iqm2.com/Citizens/SplitView.aspx?Mode=Video&MeetingID=1770&Format=Agenda\">gathering\u003c/a> whether he had disclosed his “financials” to the hospital board. “As a private entity, I don’t have to show my financials and I have not provided my financials to the board,” he replied.\u003c/p>\n\u003cp>It was not clear whether board members had ever asked. Surprise Valley Health Care District board President John Erquiaga declined to comment.\u003c/p>\n\u003cp>\u003cstrong>A Sad Decline\u003c/strong>\u003c/p>\n\u003cp>Surrounded by the Warner and Modoc mountains and forests in California’s northeastern corner, Surprise Valley is home to four small communities. The largest is Cedarville, population 514, at last count.\u003c/p>\n\u003cp>The valley, covered in sagebrush and greasewood, is part of Modoc County, one of California’s poorest, with \u003ca href=\"https://www.ftb.ca.gov/Data/Individuals/Median-income.shtml\">a median income of about $30,000\u003c/a>. The closest hospital with an emergency room is roughly 25 miles away, over a mountain pass.\u003c/p>\n\u003cfigure id=\"attachment_363784\" class=\"wp-caption alignnone\" style=\"max-width: 6360px\">\u003cimg class=\"size-full wp-image-363784\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/rural-hospital-2.jpg\" alt=\"\" width=\"6360\" height=\"4245\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2.jpg 6360w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-2-520x347.jpg 520w\" sizes=\"(max-width: 6360px) 100vw, 6360px\">\u003cfigcaption class=\"wp-caption-text\">Cedarville, a hamlet of about 514 residents, is in one of California’s poorest counties, with a median income of roughly $30,000. The closest hospital with an emergency room is about 25 miles away over a mountain pass. \u003ccite>(Heidi de Marco/Kaiser Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>One of hundreds of rural hospitals built with help from the 1946 federal \u003ca href=\"https://www.npr.org/sections/health-shots/2016/10/02/495775518/a-bygone-era-when-bipartisanship-led-to-health-care-transformation\">Hill-Burton Act\u003c/a>, the Surprise Valley hospital opened in 1952 to serve a thriving ranching community. But it has struggled since, closing in 1981, reopening as a health clinic in 1985, then reconverting to a hospital in 1986.\u003c/p>\n\u003cp>A county grand jury \u003ca href=\"http://gsmall.us/GJ/FinalReports/2014-2015/GrandJuryReport2014-2015-MCR.pdf\">report\u003c/a> in 2014-15 found that “mismanagement of the [hospital district] has been evident for at least the past five years.”\u003c/p>\n\u003cp>By last summer, those in charge didn’t seem up to the task of running a modern hospital. By then, it was hardly a hospital at all. Crushed by debt, it primarily offered nursing home care, an emergency room, a volunteer ambulance service and just one acute care bed, with three others available if needed.\u003c/p>\n\u003cfigure id=\"attachment_363780\" class=\"wp-caption alignnone\" style=\"max-width: 7360px\">\u003cimg class=\"size-full wp-image-363780\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/rural-hospital-12.jpg\" alt=\"\" width=\"7360\" height=\"4912\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12.jpg 7360w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-12-520x347.jpg 520w\" sizes=\"(max-width: 7360px) 100vw, 7360px\">\u003cfigcaption class=\"wp-caption-text\">Besides its ER and volunteer-staffed ambulance service, Surprise Valley’s hospital in recent years has functioned mostly as a nursing home, saddled with crushing debt. \u003ccite>(Heidi de Marco/Kaiser Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>When state inspectors arrived last June, they found chaos. The hospital’s chief nursing officer resigned during the inspection. Staffers reported unpaid checks to vendors hidden in drawers. Inspectors learned that the hospital had sent home temporary nurses because it couldn’t pay them, according to their \u003ca href=\"https://www.documentcloud.org/documents/4375718-Surprise-Valley-Community-Hospital-CDPH.html\">report\u003c/a>.\u003c/p>\n\u003cp>The hospital’s then-chief administrator, Richard Cornwell — who staffers said had instructed them to hide the checks, according to the report — had taken a leave of absence and was nowhere to be found. Cornwell, a health care accountant from Montana, was later \u003ca href=\"https://www.documentcloud.org/documents/4475172-Surprise-Valley-Community-Hospital-Board-Meeting.html#document/p1/a424645\">fired\u003c/a> and replaced with the hospital’s lab director, who in turn resigned, according to public records. Reached by Kaiser Health News, Cornwell declined to comment.\u003c/p>\n\u003cp>Federal regulators \u003ca href=\"https://www.documentcloud.org/documents/4361541-Surprise-Valley-DPNA-Ltr.html\">suspended\u003c/a> Medicare and Medicaid payments to the hospital — a rarely invoked financial penalty — over concerns about patient care. Those payments have since been reinstated, but a follow-up state \u003ca href=\"https://www.documentcloud.org/documents/4376728-Surprise-Valley-Community-Hospital-CDPH-11-14-17.html\">inspection\u003c/a> in November 2017 identified more patient care concerns.\u003c/p>\n\u003cfigure id=\"attachment_363792\" class=\"wp-caption alignnone\" style=\"max-width: 4912px\">\u003cimg class=\"size-full wp-image-363792\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/rural-hospital-27.jpg\" alt=\"\" width=\"4912\" height=\"7360\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27.jpg 4912w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27-160x240.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27-800x1199.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27-768x1151.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27-1020x1528.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27-801x1200.jpg 801w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27-1180x1768.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27-960x1438.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27-240x360.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27-375x562.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-27-520x779.jpg 520w\" sizes=\"(max-width: 4912px) 100vw, 4912px\">\u003cfigcaption class=\"wp-caption-text\">Eric Shpilman, a retired probation officer who lives in Fort Bidwell, Calif., works at a ranch in Cedarville. He says his wife received “unspeakable” treatment at the hospital before she died. But he also believes that “if the hospital closes, it’s irreplaceable.” \u003ccite>(Heidi de Marco/Kaiser Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Infighting ensued, with some residents fiercely committed to keeping the hospital open and others favoring closure, perhaps replacing it with a small clinic. Local journalist Jean Bilodeaux, 74, said board members often kept the public in the dark, failing to show up for their own meetings and sometimes making decisions outside public view.\u003c/p>\n\u003cp>When Bilodeaux raised questions about the hospital’s finances in the \u003ca href=\"http://www.modocrecord.com/\">Modoc County Record\u003c/a>, a weekly newspaper, she recalled, board members “started screaming at me,” she said. Now “I don’t even step foot in that hospital.”\u003c/p>\n\u003cp>Ben Zandstra, 65, a pastor in Cedarville, said that while Cornwell was in charge, he too got a chilly reception at the hospital, where he had long played guitar for patients on Christmas Eve. “I became persona non grata. It’s the most divisive thing I’ve seen in the years I’ve lived here.”\u003c/p>\n\u003cfigure id=\"attachment_363781\" class=\"wp-caption alignnone\" style=\"max-width: 4712px\">\u003cimg class=\"size-full wp-image-363781\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/rural-hospital-25.jpg\" alt=\"\" width=\"4712\" height=\"3145\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25.jpg 4712w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-25-520x347.jpg 520w\" sizes=\"(max-width: 4712px) 100vw, 4712px\">\u003cfigcaption class=\"wp-caption-text\">Ben Zandstra, pastor of the Surprise Valley Community Church in Cedarville, Calif., says the hospital’s administrators made clear he was no longer welcome at the hospital after he voiced concerns about its financial management. \u003ccite>(Heidi de Marco/Kaiser Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>A White Knight, Vanished\u003c/strong>\u003c/p>\n\u003cp>Even residents who say they have experienced poor care at Surprise Valley Community believe its continued existence in some form is crucial — for its 50 or so jobs, for its ER, and because it puts the region on the map.\u003c/p>\n\u003cp>Eric Shpilman, 61, a retired probation officer, said his now-deceased wife received “unspeakable” treatment at Surprise Valley. But to shut it down? “It would take out the heart of Surprise Valley, the heart out of Cedarville.”\u003c/p>\n\u003cp>Last summer, the board turned to an outside management company for help.\u003c/p>\n\u003cp>Jorge Perez, CEO of Kansas City-based EmpowerHMS — which promises on its \u003ca href=\"http://empowerhms.com/\">website\u003c/a> to “rescue rural hospitals” — agreed to take over Surprise Valley’s debt and operate the hospital for three years, according to a \u003ca href=\"https://www.documentcloud.org/documents/4380014-SVHCD-Management-Agreement-With-EmpowerHMS-LLC.html\">management agreement\u003c/a> with the board.\u003c/p>\n\u003cp>In the two months after EmpowerHMS took over management, Surprise Valley’s revenue more than doubled, according to financial \u003ca href=\"https://www.documentcloud.org/documents/4486153-Surprise-Valley-Community-Hospital-Financials.html\">documents\u003c/a> provided by the hospital.\u003c/p>\n\u003cp>Then, according to hospital officials’ public statements, the company stopped making the promised payments, and they haven’t been able to contact EmpowerHMS or Perez since. In January, when Surprise Valley filed for bankruptcy, documents filed in court said EmpowerHMS had \u003ca href=\"https://www.documentcloud.org/documents/4361505-Surprise-Valley-Community-Hospital-Bankruptcy.html#document/p5/a424651\">“abandoned”\u003c/a> the hospital.\u003c/p>\n\u003cfigure id=\"attachment_363795\" class=\"wp-caption alignnone\" style=\"max-width: 7289px\">\u003cimg class=\"size-full wp-image-363795\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/rural-hospital-9.jpg\" alt=\"\" width=\"7289\" height=\"4865\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9.jpg 7289w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-9-520x347.jpg 520w\" sizes=\"(max-width: 7289px) 100vw, 7289px\">\u003cfigcaption class=\"wp-caption-text\">The interior of Surprise Valley Community Hospital. \u003ccite>(Heidi de Marco/Kaiser Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Around the time Perez took over, he and companies with which he was involved were \u003ca href=\"http://kcur.org/post/vulnerable-rural-hospitals-face-tough-decisions-profitable-questionable-billing-schemes#stream/0\">dogged by allegations\u003c/a> of improper laboratory billing at facilities in \u003ca href=\"https://www.documentcloud.org/documents/4389070-BCBS-v-Sharkey-Issaquena-Hospital-Mission.html\">Mississippi\u003c/a>, \u003ca href=\"https://www.cbsnews.com/news/how-some-rural-hospitals-were-used-to-score-huge-paydays/\">Florida\u003c/a>, \u003ca href=\"https://www.documentcloud.org/documents/4359356-Aetna-v-People-s-Choice-Hospital-COMPLAINT.html\">Oklahoma\u003c/a> and \u003ca href=\"https://www.documentcloud.org/documents/4431631-RightChoice-Managed-Care-Aetna-BCBS-v-Hospital.html\">Missouri\u003c/a>, according to ongoing \u003ca href=\"https://www.documentcloud.org/documents/4431631-RightChoice-Managed-Care-Aetna-BCBS-v-Hospital.html#document/p3/a426046\">lawsuits\u003c/a> by insurers and others, a state \u003ca href=\"https://app.auditor.mo.gov/Repository/Press/2017074829206.pdf\">audit\u003c/a> and media reports. Missouri’s attorney general in May opened an investigation into one of the hospitals Perez managed, and Sen. Claire McCaskill (D-Mo.) recently \u003ca href=\"http://kcur.org/post/mccaskill-calls-federal-investigation-billing-practices-missouri-hospital#stream/0\">called for a federal investigation\u003c/a> into lab billing practices at one of the hospitals.\u003c/p>\n\u003cp>Medicare rules and commercial insurance contracts, with some exceptions, require people to be treated on an inpatient or outpatient basis by the hospitals that are billing for their lab tests. But insurers have alleged in court documents that hospitals Perez was involved with billed for tests — to the tune of at least $175 million — on patients never seen at those facilities. Perez \u003ca href=\"http://sideeffectspublicmedia.org/post/vulnerable-rural-hospitals-face-tough-decisions-profitable-questionable-billing-schemes\">has maintained\u003c/a> that what he is doing is legal and that it generates revenue that rural hospitals desperately need, according to Side Effects Public Media.\u003c/p>\n\u003cp>Experts say insurers are catching on to voluminous billing by hospitals in communities that typically have generated a tiny number of tests. At one Sonoma County district hospital not associated with Perez, an insurer recently demanded repayment for $13.5 million in suspect billings, forcing the hospital to suspend the lucrative program and \u003ca href=\"http://www.pressdemocrat.com/news/8329877-181/palm-drive-health-care-district\">put itself up for sale.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_363796\" class=\"wp-caption alignnone\" style=\"max-width: 7360px\">\u003cimg class=\"size-full wp-image-363796\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/06/rural-hospital-10.jpg\" alt=\"\" width=\"7360\" height=\"4912\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10.jpg 7360w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/06/rural-hospital-10-520x347.jpg 520w\" sizes=\"(max-width: 7360px) 100vw, 7360px\">\u003cfigcaption class=\"wp-caption-text\">The Surprise Valley Health Care District is a public facility and supported by taxes on homeowners. \u003ccite>(Heidi de Marco/Kaiser Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Lab tests for out-of-town patients have “been a growing scheme in the last year, slightly longer,” said Karen Weintraub, executive vice president of Healthcare Fraud Shield, which consults for insurers. “There’s an incentive to bill for things not necessary or even services not rendered. It also may not be proper based on contracts with insurers. The dollars are getting large.”\u003c/p>\n\u003cp>Some residents were aware of controversy surrounding Perez and his companies and said they tried to warn the hospital district board. “All they wanted to hear was, ‘We will pay the bills,’” Bilodeaux said.\u003c/p>\n\u003cp>Neither Perez nor EmpowerHMS returned requests for comment. However, Michael Murtha, president of the \u003ca href=\"http://ruralhospitalalliance.com/\">National Alliance of Rural Hospitals\u003c/a>, said in an email that he was responding on behalf of Perez, who chairs the coalition’s board.\u003c/p>\n\u003cp>“The mission to rescue rural hospitals and set them on a path of sustainability is a difficult undertaking, and it would be a disservice to their communities to preclude struggling facilities from availing themselves of every legal and regulatory means to generate badly needed revenue,” Murtha wrote, in part.\u003c/p>\n\u003cp>“Such pioneering efforts are not always welcomed by those who have benefited from the status quo,” he said.\u003c/p>\n\u003cp>Regarding Perez’s role at Surprise Valley, Murtha wrote that Perez tried to help save the facility by “effectively” donating over $250,000 but then discovered it faced “more challenges than had been initially realized.” Murtha said Perez worked to attract others who might be better able to help the hospital.\u003c/p>\n\u003cp>\u003cstrong>A New Savior?\u003c/strong>\u003c/p>\n\u003cp>One of those “others” in Perez’s orbit was Gertz, the Denver entrepreneur, who arrived in Surprise Valley several months ago.\u003c/p>\n\u003cp>The Denver executive told residents and Kaiser Health News that he operated a lab that previously performed tests for hospitals owned or managed by Perez’s companies. At one hospital board meeting, Gertz also said he had \u003ca href=\"https://www.dropbox.com/sh/1ahmugqny8sa6nj/AAD0IuNkT-Pn-mqXUCGBVDAEa?dl=0&preview=ambi-board-meeting-2.wav\">handled marketing for Perez companies for 1½ years.\u003c/a>\u003c/p>\n\u003cp>However, he said he had parted ways with Perez after learning of his controversial dealings in other states, and Gertz said Perez now owes him more than $14 million. (Gertz and his companies have not been named as defendants in lawsuits reviewed by Kaiser Health News involving Perez and his companies.)\u003c/p>\n\u003cp>“I come in with a certain guilt by association,” he told the Modoc County Board of Supervisors in April, according to a \u003ca href=\"http://modoccountyca.iqm2.com/Citizens/SplitView.aspx?Mode=Video&MeetingID=1770&Format=Agenda\">recording\u003c/a> of the meeting. But Gertz sought to assuage any concerns, telling the supervisors he had a “passion” for rural life. He’d grown up on a farm, he said, where he “hung out with the chickens” and cleaned the stables every morning.\u003c/p>\n\u003cp>Gertz said his plan was different from Perez’s and legal because the hospital and one of his Denver labs, SeroDynamics, had become one business. With the hospital board’s approval earlier this year, he loaned the district $2.5 million for it to buy SeroDynamics — effectively an advance on the hospital’s purchase price of $4 million, according to bankruptcy court \u003ca href=\"https://www.documentcloud.org/documents/4451070-Surprise-Valley-Community-Hospital-Bankruptcy.html#document/p34/a424718\">documents\u003c/a>. SeroDynamics’ \u003ca href=\"https://www.serodyn.com/\">website\u003c/a> now proclaims the lab a “wholly-owned subsidiary” of the Surprise Valley hospital, with “national reach.”\u003c/p>\n\u003cp>Robert Michel, a clinical laboratory management consultant who learned of the terms of the transaction from a reporter, offered a critical assessment. “The essence of this arrangement is to use the hospital’s existing managed-care contracts with generous payment terms for lab tests as a vehicle to bill for claims in other states,” said Michel, editor-in-chief of \u003ca href=\"https://www.darkintelligencegroup.com/\">a trade magazine\u003c/a> for the lab industry. This arrangement “should ring all sorts of bells” for the hospital board, he said.\u003c/p>\n\u003cp>For now, Gertz has said, dollars are flowing in. According to the journalist Jean Bilodeaux, Gertz phoned in to a Surprise Valley hospital board meeting last month to report that the lab billing so far had netted about $300,000. According to bankruptcy court documents, 80 percent of the profits will go to his companies, 20 percent to the hospital.\u003c/p>\n\u003cp>Those are terms some in Surprise Valley are willing to live with.\u003c/p>\n\u003cp>The next step, for Gertz, is taking ownership of Surprise Valley’s entire operation. For the 1,500 district residents, voting no on Tuesday almost certainly means closure, leaving taxpayers with potentially more debt, including any money they may owe Gertz.\u003c/p>\n\u003cp>That is good enough reason to go with the Denver entrepreneur, said acting hospital administrator Bill Bostic.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“He’s got something we haven’t got — which is money,” Bostic said.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/363769/on-the-ballot-the-fate-of-a-troubled-hospital-in-modoc-county","authors":["byline_stateofhealth_363769"],"categories":["stateofhealth_11","stateofhealth_14","stateofhealth_2746","stateofhealth_1"],"tags":["stateofhealth_3250","stateofhealth_2808","stateofhealth_2519","stateofhealth_3249"],"affiliates":["stateofhealth_3036"],"featImg":"stateofhealth_363775","label":"stateofhealth_3036"},"stateofhealth_363681":{"type":"posts","id":"stateofhealth_363681","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"363681","score":null,"sort":[1527293376000]},"guestAuthors":[],"slug":"california-deaths-from-powerful-opioid-fentanyl-triple-in-2017","title":"California Deaths From Powerful Opioid Fentanyl Rise in 2017","publishDate":1527293376,"format":"audio","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>\u003cem>Updated June 18.\u003c/em>\u003c/p>\n\u003cp>Preliminary numbers show California's overdose deaths from the synthetic opioid fentanyl increased by 57% in 2017, according to the state's \u003ca href=\"https://discovery.cdph.ca.gov/CDIC/ODdash/\" target=\"_blank\" rel=\"noopener\">Opioid Overdose Surveillance Dashboard\u003c/a>.\u003c/p>\n\u003cp>Fentanyl overdoses claimed 373 Californians, according to the Dashboard, an online tool that gathers data from the \u003ca href=\"https://www.cdph.ca.gov/\" target=\"_blank\" rel=\"noopener\">California Department of Public Health\u003c/a>, the \u003ca href=\"https://www.oshpd.ca.gov/\" target=\"_blank\" rel=\"noopener\">Office of Statewide Health Planning and Development\u003c/a>, and the \u003ca href=\"https://oag.ca.gov/cures\" target=\"_blank\" rel=\"noopener\">Controlled Substance Utilization Review and Evaluation System\u003c/a>.\u003c/p>\n\u003cp>Fentanyl is up to 50 times more powerful than heroin and can be 100 times more potent than morphine. It's often added to other street drugs, and can overwhelm and kill someone who has no tolerance.\u003c/p>\n\u003cp>The number of overdose deaths last year could rise, however, according to \u003ca href=\"http://cfar.ucsf.edu/people/phillip-coffin\" target=\"_blank\" rel=\"noopener\">Dr. Phillip Coffin\u003c/a> of the \u003ca href=\"https://www.sfdph.org/dph/default.asp\" target=\"_blank\" rel=\"noopener\">San Francisco Department of Public Health\u003c/a>. He said determinations on causes of death are still being closed in some 2017 cases.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Fentanyl has long been behind high rates of opioid deaths in the eastern U.S., but the potent drug has not brought the same crisis to the West, including California, Coffin said. But that's changing.\u003c/p>\n\u003cp>\"We're definitely seeing a change in the market. We definitely are seeing fentanyl sold as fentanyl on the street. And that's new over the last couple of years,\" Coffin said.\u003c/p>\n\u003cp>The number of total opioid deaths -- including from heroin, prescription pain medication, morphine and fentanyl -- is down slightly from 2016.\u003c/p>\n\u003cp>Coffin attributes this to prevention efforts across the state, which include distribution of naloxone, a drug that reverses opioid overdoses, \u003ca href=\"https://www.kqed.org/stateofhealth/363143/san-franciscos-newest-tool-to-prevent-opioid-overdoses-tests-drugs-starts-conversations\" target=\"_blank\" rel=\"noopener\">fentanyl test strips\u003c/a>, and safer prescribing practices by doctors.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>The number of overdose deaths from fentanyl has been changed to reflect the latest information released from the California Department of Public Health. Their original numbers erroneously stated that 746 people had died from fentanyl overdoses. The actual number is 373. \u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"While overall opioid deaths are holding steady, one dangerous drug is cause for concern.","status":"publish","parent":0,"modified":1529372315,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":12,"wordCount":306},"headData":{"title":"California Deaths From Powerful Opioid Fentanyl Rise in 2017 | KQED","description":"While overall opioid deaths are holding steady, one dangerous drug is cause for concern.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"363681 https://ww2.kqed.org/stateofhealth/?p=363681","disqusUrl":"https://ww2.kqed.org/stateofhealth/2018/05/25/california-deaths-from-powerful-opioid-fentanyl-triple-in-2017/","disqusTitle":"California Deaths From Powerful Opioid Fentanyl Rise in 2017","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/2018/05/2wayFentanylOverdosesRise.mp3","path":"/stateofhealth/363681/california-deaths-from-powerful-opioid-fentanyl-triple-in-2017","audioDuration":null,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated June 18.\u003c/em>\u003c/p>\n\u003cp>Preliminary numbers show California's overdose deaths from the synthetic opioid fentanyl increased by 57% in 2017, according to the state's \u003ca href=\"https://discovery.cdph.ca.gov/CDIC/ODdash/\" target=\"_blank\" rel=\"noopener\">Opioid Overdose Surveillance Dashboard\u003c/a>.\u003c/p>\n\u003cp>Fentanyl overdoses claimed 373 Californians, according to the Dashboard, an online tool that gathers data from the \u003ca href=\"https://www.cdph.ca.gov/\" target=\"_blank\" rel=\"noopener\">California Department of Public Health\u003c/a>, the \u003ca href=\"https://www.oshpd.ca.gov/\" target=\"_blank\" rel=\"noopener\">Office of Statewide Health Planning and Development\u003c/a>, and the \u003ca href=\"https://oag.ca.gov/cures\" target=\"_blank\" rel=\"noopener\">Controlled Substance Utilization Review and Evaluation System\u003c/a>.\u003c/p>\n\u003cp>Fentanyl is up to 50 times more powerful than heroin and can be 100 times more potent than morphine. It's often added to other street drugs, and can overwhelm and kill someone who has no tolerance.\u003c/p>\n\u003cp>The number of overdose deaths last year could rise, however, according to \u003ca href=\"http://cfar.ucsf.edu/people/phillip-coffin\" target=\"_blank\" rel=\"noopener\">Dr. Phillip Coffin\u003c/a> of the \u003ca href=\"https://www.sfdph.org/dph/default.asp\" target=\"_blank\" rel=\"noopener\">San Francisco Department of Public Health\u003c/a>. He said determinations on causes of death are still being closed in some 2017 cases.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Fentanyl has long been behind high rates of opioid deaths in the eastern U.S., but the potent drug has not brought the same crisis to the West, including California, Coffin said. But that's changing.\u003c/p>\n\u003cp>\"We're definitely seeing a change in the market. We definitely are seeing fentanyl sold as fentanyl on the street. And that's new over the last couple of years,\" Coffin said.\u003c/p>\n\u003cp>The number of total opioid deaths -- including from heroin, prescription pain medication, morphine and fentanyl -- is down slightly from 2016.\u003c/p>\n\u003cp>Coffin attributes this to prevention efforts across the state, which include distribution of naloxone, a drug that reverses opioid overdoses, \u003ca href=\"https://www.kqed.org/stateofhealth/363143/san-franciscos-newest-tool-to-prevent-opioid-overdoses-tests-drugs-starts-conversations\" target=\"_blank\" rel=\"noopener\">fentanyl test strips\u003c/a>, and safer prescribing practices by doctors.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>The number of overdose deaths from fentanyl has been changed to reflect the latest information released from the California Department of Public Health. Their original numbers erroneously stated that 746 people had died from fentanyl overdoses. The actual number is 373. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/363681/california-deaths-from-powerful-opioid-fentanyl-triple-in-2017","authors":["8648"],"categories":["stateofhealth_11","stateofhealth_2746"],"tags":["stateofhealth_2808","stateofhealth_3237","stateofhealth_2519","stateofhealth_2656"],"featImg":"stateofhealth_363684","label":"stateofhealth"},"stateofhealth_363411":{"type":"posts","id":"stateofhealth_363411","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"363411","score":null,"sort":[1525991676000]},"guestAuthors":[],"slug":"where-do-you-go-when-you-leave-the-hospital-but-are-homeless","title":"Where Do You Go When You Leave the Hospital But Are Homeless?","publishDate":1525991676,"format":"audio","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>\u003cspan style=\"font-weight: 400\">Suzanne Adams stood outside \u003ca href=\"http://www.catsinc.org/a-woman-s-place.html\" target=\"_blank\" rel=\"noopener\">A Woman’s Place\u003c/a>, a homeless drop-in center in San Francisco. Adams, who works there as a psychologist, pointed to the curb near the front entrance. It's where taxis regularly drop off homeless patients who have just been discharged from the hospital. \u003c/span>\u003c/p>\n\u003cp>\"Generally speaking the driver is kind enough to assist some of these women in exiting the vehicle and grabbing some of their belongings,\" Adams said. \"The patient or client enters in through our door sometimes bewildered and confused as to why they’re here.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Many of the women are elderly. Some have never been to A Woman's Place before the taxi drops them off, while others are regulars. Whatever the case, the center just isn’t prepared to take in medically fragile patients straight from the hospital, according to Adams. It’s not a clinic, and it’s not even a shelter. Women and families can stop in to take showers, do laundry or get counseling. There aren’t any beds, just a television set and lots of chairs. \u003c/span>\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1152\" target=\"_blank\" rel=\"noopener\">A bill\u003c/a> under consideration in Sacramento aims to address this practice, which some advocates call \"patient dumping.\" They say hospitals commonly discharge homeless patients by sending them to social service agencies or other nonprofits, and they do this without contacting those locations first.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Adams said this “dumping” happens at least once a week at A Woman's Place. One of the cases that haunts her involves an elderly woman who has a serious mental illness. Recently, the client had deteriorated so much that she couldn’t use the toilet alone. \u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"She wasn’t leaving the building under her own accord,\" Adams said. \"She wasn’t accessing food or water without the assistance of other people. She tried to pay me a dollar the other day to go buy her some ramen so that she could eat.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Adams sent the woman to the hospital, hoping psychiatric services would help. \u003c/span>\u003c/p>\n\u003cp>\"Unfortunately, less than 24 hours later, she returned here,\" Adams said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The same client was resting at the center on the day a KQED reporter visited, sitting in a black chair that she favors. Adams said the woman’s mental illness still wasn't well-controlled, so she couldn't speak coherently or consent to an interview. \u003c/span>\u003c/p>\n\u003cp>\"In an ideal world, she would be transferred to a 'board and care' or an assisted living facility, where they could manage her mental health as well as her medical health in a fashion that we simply don’t have the infrastructure for,\" Adams said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The legislation moving through the state Senate would require that patients be discharged to one of four \"safe and appropriate\" locations: their primary dwelling (as identified by the homeless patient), another health center or hospital, a nonprofit or social service agency that has given written consent to accept the patient, or an alternative spot that the patient has consented to go to, in writing. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003ca href=\"http://sd22.senate.ca.gov/\" target=\"_blank\" rel=\"noopener\">Sen. Ed Hernandez\u003c/a>, D-West Covina, introduced the bill. He said hospitals, as part of society, have obligations to homeless Californians. \u003c/span>\u003c/p>\n\u003cp>\"If they fall down and have a heart attack, and somebody sends them to the hospital, we’re required by law -- which is the humane thing to do -- to treat those individuals,\" said Hernandez, who is an optometrist and chair of the Senate Health Committee. He was referring to a federal law called \u003ca href=\"https://www.acep.org/news-media-top-banner/emtala/#sm.000005tj0xf3geeirxddg2ghqr9qa\" target=\"_blank\" rel=\"noopener\">EMTALA\u003c/a>, which mandates that emergency rooms accept and treat everyone, regardless of ability to pay.\u003c/p>\n\u003cp>But EMTALA doesn't address how patients are discharged from ERs. \"Once they’re treated, the humane thing is to figure out where we’re going to place them, as opposed to just leaving them out in the street immediately,\" Hernandez said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">His bill would require some additional work on the part of ER staffers at California hospitals, such as getting consent from a shelter where the hospital wants to send the patient. \u003c/span>\u003c/p>\n\u003cp>\"I can’t imagine that it’s going to be that costly to pick up the phone,\" Hernandez said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The legislation also lays out a checklist of things to do before discharge. For example, the patient must be hydrated, have recently eaten and be dressed in weather-appropriate clothing. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But hospitals are pushing back, saying the list is too specific, and doesn’t give hospital workers enough flexibility to decide what’s right for each patient. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003ca href=\"https://www.calhospital.org/profile/peggy-broussard-wheeler\" target=\"_blank\" rel=\"noopener\">Peggy Wheeler\u003c/a> is the vice president for rural health and governance for the \u003ca href=\"https://www.calhospital.org/\" target=\"_blank\" rel=\"noopener\">California Hospital Association\u003c/a>. She said the bill would put yet another burden on emergency care. \u003c/span>\u003c/p>\n\u003cp>\"Hospital ERs are overcrowded,\" Wheeler said. \"If we had to hold on to a patient in a bed in the ER, that’s one less bed, two less beds, three less beds that would be available for other members of the community that need to come in and use the ER.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Adams, the psychologist at A Woman’s Place, thinks the bill is a good step. But she said it doesn’t get at the \u003c/span>\u003cspan style=\"font-weight: 400\">root \u003c/span>\u003cspan style=\"font-weight: 400\">problem, which is that the Bay Area doesn’t have enough options for patients who still need help \u003c/span>\u003cspan style=\"font-weight: 400\">after\u003c/span>\u003cspan style=\"font-weight: 400\"> they leave the hospital. There aren’t enough nursing homes, rehabilitation units or assisted care programs for elderly, low-income or disabled patients. \u003c/span>\u003c/p>\n\u003cp>\"It’s a health insurance issue, it’s an aging issue, it’s a lack of infrastructure and funding,\" Adams said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Until that gets fixed, Adams fears many patients will continue to shuttle between hospitals, the shelter system and the street. \u003c/span>\u003c/p>\n\n","blocks":[],"excerpt":"Legislation moving through the state Senate would require patients to be released to one of four \"safe and appropriate\" locations.","status":"publish","parent":0,"modified":1525994461,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":25,"wordCount":957},"headData":{"title":"Where Do You Go When You Leave the Hospital But Are Homeless? | KQED","description":"Legislation moving through the state Senate would require patients to be released to one of four "safe and appropriate" locations.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"363411 https://ww2.kqed.org/stateofhealth/?p=363411","disqusUrl":"https://ww2.kqed.org/stateofhealth/2018/05/10/where-do-you-go-when-you-leave-the-hospital-but-are-homeless/","disqusTitle":"Where Do You Go When You Leave the Hospital But Are Homeless?","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/2018/05/KlivansPatientDumping.mp3","path":"/stateofhealth/363411/where-do-you-go-when-you-leave-the-hospital-but-are-homeless","audioDuration":null,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-weight: 400\">Suzanne Adams stood outside \u003ca href=\"http://www.catsinc.org/a-woman-s-place.html\" target=\"_blank\" rel=\"noopener\">A Woman’s Place\u003c/a>, a homeless drop-in center in San Francisco. Adams, who works there as a psychologist, pointed to the curb near the front entrance. It's where taxis regularly drop off homeless patients who have just been discharged from the hospital. \u003c/span>\u003c/p>\n\u003cp>\"Generally speaking the driver is kind enough to assist some of these women in exiting the vehicle and grabbing some of their belongings,\" Adams said. \"The patient or client enters in through our door sometimes bewildered and confused as to why they’re here.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Many of the women are elderly. Some have never been to A Woman's Place before the taxi drops them off, while others are regulars. Whatever the case, the center just isn’t prepared to take in medically fragile patients straight from the hospital, according to Adams. It’s not a clinic, and it’s not even a shelter. Women and families can stop in to take showers, do laundry or get counseling. There aren’t any beds, just a television set and lots of chairs. \u003c/span>\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1152\" target=\"_blank\" rel=\"noopener\">A bill\u003c/a> under consideration in Sacramento aims to address this practice, which some advocates call \"patient dumping.\" They say hospitals commonly discharge homeless patients by sending them to social service agencies or other nonprofits, and they do this without contacting those locations first.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Adams said this “dumping” happens at least once a week at A Woman's Place. One of the cases that haunts her involves an elderly woman who has a serious mental illness. Recently, the client had deteriorated so much that she couldn’t use the toilet alone. \u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"She wasn’t leaving the building under her own accord,\" Adams said. \"She wasn’t accessing food or water without the assistance of other people. She tried to pay me a dollar the other day to go buy her some ramen so that she could eat.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Adams sent the woman to the hospital, hoping psychiatric services would help. \u003c/span>\u003c/p>\n\u003cp>\"Unfortunately, less than 24 hours later, she returned here,\" Adams said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The same client was resting at the center on the day a KQED reporter visited, sitting in a black chair that she favors. Adams said the woman’s mental illness still wasn't well-controlled, so she couldn't speak coherently or consent to an interview. \u003c/span>\u003c/p>\n\u003cp>\"In an ideal world, she would be transferred to a 'board and care' or an assisted living facility, where they could manage her mental health as well as her medical health in a fashion that we simply don’t have the infrastructure for,\" Adams said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The legislation moving through the state Senate would require that patients be discharged to one of four \"safe and appropriate\" locations: their primary dwelling (as identified by the homeless patient), another health center or hospital, a nonprofit or social service agency that has given written consent to accept the patient, or an alternative spot that the patient has consented to go to, in writing. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003ca href=\"http://sd22.senate.ca.gov/\" target=\"_blank\" rel=\"noopener\">Sen. Ed Hernandez\u003c/a>, D-West Covina, introduced the bill. He said hospitals, as part of society, have obligations to homeless Californians. \u003c/span>\u003c/p>\n\u003cp>\"If they fall down and have a heart attack, and somebody sends them to the hospital, we’re required by law -- which is the humane thing to do -- to treat those individuals,\" said Hernandez, who is an optometrist and chair of the Senate Health Committee. He was referring to a federal law called \u003ca href=\"https://www.acep.org/news-media-top-banner/emtala/#sm.000005tj0xf3geeirxddg2ghqr9qa\" target=\"_blank\" rel=\"noopener\">EMTALA\u003c/a>, which mandates that emergency rooms accept and treat everyone, regardless of ability to pay.\u003c/p>\n\u003cp>But EMTALA doesn't address how patients are discharged from ERs. \"Once they’re treated, the humane thing is to figure out where we’re going to place them, as opposed to just leaving them out in the street immediately,\" Hernandez said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">His bill would require some additional work on the part of ER staffers at California hospitals, such as getting consent from a shelter where the hospital wants to send the patient. \u003c/span>\u003c/p>\n\u003cp>\"I can’t imagine that it’s going to be that costly to pick up the phone,\" Hernandez said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The legislation also lays out a checklist of things to do before discharge. For example, the patient must be hydrated, have recently eaten and be dressed in weather-appropriate clothing. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But hospitals are pushing back, saying the list is too specific, and doesn’t give hospital workers enough flexibility to decide what’s right for each patient. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003ca href=\"https://www.calhospital.org/profile/peggy-broussard-wheeler\" target=\"_blank\" rel=\"noopener\">Peggy Wheeler\u003c/a> is the vice president for rural health and governance for the \u003ca href=\"https://www.calhospital.org/\" target=\"_blank\" rel=\"noopener\">California Hospital Association\u003c/a>. She said the bill would put yet another burden on emergency care. \u003c/span>\u003c/p>\n\u003cp>\"Hospital ERs are overcrowded,\" Wheeler said. \"If we had to hold on to a patient in a bed in the ER, that’s one less bed, two less beds, three less beds that would be available for other members of the community that need to come in and use the ER.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Adams, the psychologist at A Woman’s Place, thinks the bill is a good step. But she said it doesn’t get at the \u003c/span>\u003cspan style=\"font-weight: 400\">root \u003c/span>\u003cspan style=\"font-weight: 400\">problem, which is that the Bay Area doesn’t have enough options for patients who still need help \u003c/span>\u003cspan style=\"font-weight: 400\">after\u003c/span>\u003cspan style=\"font-weight: 400\"> they leave the hospital. There aren’t enough nursing homes, rehabilitation units or assisted care programs for elderly, low-income or disabled patients. \u003c/span>\u003c/p>\n\u003cp>\"It’s a health insurance issue, it’s an aging issue, it’s a lack of infrastructure and funding,\" Adams said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Until that gets fixed, Adams fears many patients will continue to shuttle between hospitals, the shelter system and the street. \u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/363411/where-do-you-go-when-you-leave-the-hospital-but-are-homeless","authors":["8648"],"categories":["stateofhealth_11","stateofhealth_3012","stateofhealth_14","stateofhealth_2746"],"tags":["stateofhealth_3244","stateofhealth_3243","stateofhealth_2808","stateofhealth_719","stateofhealth_68","stateofhealth_2519","stateofhealth_3241","stateofhealth_3242"],"featImg":"stateofhealth_363413","label":"stateofhealth"},"stateofhealth_363352":{"type":"posts","id":"stateofhealth_363352","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"363352","score":null,"sort":[1524611677000]},"guestAuthors":[],"slug":"choice-of-bay-area-for-aids-conference-exposes-tension-among-activists","title":"Choice Of Bay Area For AIDS Conference Exposes Tension Among Activists","publishDate":1524611677,"format":"standard","headTitle":"California Healthline | State of Health | KQED News","labelTerm":{"term":3036,"site":"stateofhealth"},"content":"\u003cp>After George Ayala learned last month that San Francisco and Oakland had been chosen to co-host the \u003ca href=\"http://www.aids2020.org/About/Hosting-AIDS-2020\">International AIDS Conference in 2020\u003c/a>, he quickly \u003ca href=\"http://msmgf.org/global-networks-call-upon-ias-to-reevaluate-decision-to-bring-conference-to-us-in-2020/\">published a statement of disapproval. \u003c/a>\u003c/p>\n\u003cp>Ayala, an Oakland-based AIDS advocate, does not want the conference in his own city — or anywhere else in the United States, for that matter.\u003c/p>\n\u003cp>His statement of opposition and a second one drafted by colleagues at other AIDS organizations have been co-signed by hundreds of organizations and individuals in the United States and around the world.\u003c/p>\n\u003cp>Their biggest concern: long-standing U.S. visa policies will prevent many of the people most affected by AIDS and HIV, including \u003ca href=\"https://www.uscis.gov/ilink/docView/SLB/HTML/SLB/0-0-0-1/0-0-0-29/0-0-0-2006.html#0-0-0-202\">drug users and sex workers\u003c/a> who live in other countries, from attending the conference. They also worry about new restrictions affecting travel from Muslim countries.\u003c/p>\n\u003cfigure id=\"attachment_363357\" class=\"wp-caption alignnone\" style=\"max-width: 400px\">\u003cimg class=\"size-full wp-image-363357\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/04/georgeayala.jpg\" alt=\"\" width=\"400\" height=\"266\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/04/georgeayala.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/georgeayala-160x106.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/georgeayala-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/georgeayala-375x249.jpg 375w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003cfigcaption class=\"wp-caption-text\">Oakland-based activist George Ayala doesn't want the AIDS conference held in the Bay Area. He is executive director of the Global Forum on MSM & HIV. \u003ccite>(Photo courtesy of Nadia Rafif)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“In this day and age, I have to wonder why we support big international AIDS conferences happening in places that bar anyone,” said Ayala, executive director of the Global Forum on MSM [Men who have Sex with Men] & HIV.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>HIV/AIDS is far more prevalent in many countries, \u003ca href=\"https://www.cia.gov/library/publications/the-world-factbook/rankorder/2155rank.html\">especially in Sub-Saharan Africa\u003c/a>, than in the United States. Almost 19 percent of people ages 15 to 49 in South Africa are infected with HIV, as are more than 20 percent in some neighboring countries.\u003c/p>\n\u003cp>In the U.S., prevalence among the same demographic group hovers \u003ca href=\"https://www.reuters.com/article/us-aids-usa/under-1-percent-of-u-s-adults-have-hiv-report-idUSN2962453620080129\">around a half of 1 percent\u003c/a> — although that masks some stark disparities. Last year, the Centers for Disease Control and Prevention projected that \u003ca href=\"https://www.cdc.gov/nchhstp/newsroom/2016/croi-press-release-risk.html\">1 in 2 black men\u003c/a> in the U.S. who have sex with men were at risk of contracting HIV. Globally, \u003ca href=\"http://www.unaids.org/en/resources/fact-sheet\">nearly 37 million\u003c/a> people are living with HIV.\u003c/p>\n\u003cp>Ayala and other critics of the Bay Area location raise broader questions about the cost and frequency of a biennial event they say is enormously expensive and often excludes the very people it purports to represent.\u003c/p>\n\u003cp>The organizers of the conference and others who support the decision to bring it to the Bay Area say they understand these worries.\u003c/p>\n\u003cp>“Travel restrictions to the U.S. remain a significant concern for us,” said Mandy Sugrue, spokeswoman for the International AIDS Society, which organizes the conference.\u003c/p>\n\u003cp>However, Sugrue and other proponents of a San Francisco-Oakland conference venue argue that the politically liberal Bay Area offers a perfect platform for rebuking the Trump administration’s exclusionary immigration policies and its perceived retreat from leadership on AIDS policy.\u003c/p>\n\u003cp>In December, the administration \u003ca href=\"https://www.washingtonpost.com/news/to-your-health/wp/2017/12/29/trump-administration-fires-all-members-of-hivaids-advisory-council/?utm_term=.449b3fa38c17\">fired all remaining members\u003c/a> of the Presidential Advisory Council on HIV/AIDS, six months after a half-dozen others had resigned in protest. Trump officials have also proposed cutting national HIV/AIDS spending by more than $100 million and reducing the U.S. contribution to global funding by more than $1 billion.\u003c/p>\n\u003cp>“If there is any place in the U.S. where people can come and protest and rise up and have their voices heard … Oakland is it,” said Cynthia Carey-Grant, executive director of the Oakland-based group Women Organized to Respond to Life-Threatening Disease. She penned \u003ca href=\"http://www.womenhiv.org/why-oakland-for-iac-2020/\">a statement in support\u003c/a> of the conference location that has been signed by nearly a dozen individuals and groups.\u003c/p>\n\u003cp>Carey-Grant believes the contrast between upscale, predominantly white San Francisco and its decidedly poorer neighbor across the Bay offers a window on the disparities that pervade AIDS treatment and funding around the world – to the detriment of low-income communities of color.\u003c/p>\n\u003cp>Sofia Tobar (Courtesy of Sofia Tobar)\u003c/p>\n\u003cp>Sofia Tobar, a 50-year-old transgender woman from Oakland who was diagnosed with HIV in 1998, said the conference is an opportunity “for Oakland’s diverse humans to embrace people from other countries … and to also highlight what we’re lacking.” She is especially interested in speaking out against federal cuts to AIDS services and violence targeting the transgender community, she said.\u003c/p>\n\u003cp>Others say they are eager to honor San Francisco’s long history of battling AIDS.\u003c/p>\n\u003cp>Joe Hollendoner, CEO of \u003ca href=\"http://www.sfaf.org/\">San Francisco AIDS Foundation\u003c/a>, noted that the conference organizers have secured use of the Moscone Center, the central conference venue, free of charge. They will use the money they save to help more people attend, he said. His foundation, along with the San Francisco Travel Association, led the committee that submitted the successful conference bid.\u003c/p>\n\u003cp>The planners of the International AIDS Conference usually try to alternate venues between affluent and lower-income countries. The conference was last held in the United States in 2012 in Washington, D.C. In 2014, it was in Melbourne, Australia, and in 2016, in Durban, South Africa. This year, the conference will be in Amsterdam.\u003c/p>\n\u003cp>Conference organizers said they reached out to a number of lower-income countries to host the 2020 conference, but \u003ca href=\"http://www.aids2020.org/About/Hosting-AIDS-2020\">none submitted a bid\u003c/a>. As many as 20,000 people, perhaps more, are expected to attend the conference — and many cities cannot accommodate such a large gathering, they said. Sugrue, the International AIDS Society spokeswoman, said they are not considering changing the venue.\u003c/p>\n\u003cp>She said the location of major conference donors was not a factor in the 2020 venue decision.\u003c/p>\n\u003cp>Gilead Sciences Inc., which is based 20 miles from San Francisco and makes the HIV prevention drug Truvada, is one of the \u003ca href=\"http://www.aids2018.org/Sponsors-Exhibitors/Sponsors/Conference-sponsors-supporters\">top sponsors of this year’s conference\u003c/a>, as it was in 2016. Other big industry donors are not located in the Bay Area, including Johnson & Johnson, Merck and ViiV Healthcare, which specializes in HIV drugs. Funding for the 2020 conference has not yet been confirmed, Sugrue said.\u003c/p>\n\u003cp>Naina Khanna, the executive director of the Oakland-based Positive Women’s Network, said the fact that no developing countries submitted a bid isn’t enough to assuage her concern for the people who will likely be excluded. Khanna helped draft \u003ca href=\"https://docs.google.com/forms/d/e/1FAIpQLSfYsezkCUoHWc_8Sdo8WJJGKY518VSU6rnZXLuXpIMtgiJTuw/viewform\">a separate statement\u003c/a> demanding that the conference be relocated outside the U.S. More than 100 organizations and nearly as many individuals have signed the statement.\u003c/p>\n\u003cp>“Where is our commitment to actually holding the conference where the most people are impacted?” asked Ruth Morgan Thomas, global coordinator of the \u003ca href=\"http://www.nswp.org/\">Global Network of Sex Work Projects\u003c/a>, which includes 305 organizations representing sex workers in 85 countries.\u003c/p>\n\u003cp>Prior to the Washington, D.C., conference, the U.S. had lifted a ban on people with HIV entering the country, and many were hopeful that similar prohibitions against sex workers and drug users would also end. But they didn’t, and sex workers scrambled to organize a parallel conference in Kolkata, India, Morgan Thomas said. Drug users convened one in Kiev.\u003c/p>\n\u003cp>Khanna, of the Positive Women’s Network, said that the high cost of accommodations in the Bay Area will also make the conference inaccessible to many people within the United States — especially low-income African-Americans in the South, who are disproportionately burdened with the virus.\u003c/p>\n\u003cp>Marsha Martin, coordinating director of the Global Network of Black People Working in HIV, said she would have been happy had Bangkok or South America or even Atlanta been chosen to host the conference. “But if venues don’t submit bids, there’s nothing to do about it,” she said. So she’s treating the Bay Area conference as an opportunity to grapple with the big disparities in AIDS funding and to reinvigorate efforts in the U.S. to combat the disease.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“If we do bring it [to the Bay Area] and make it the best conference we can make it, then we win,” Martin said. “We show the world we are not giving up.”\u003c/p>\n\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1524611677,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":30,"wordCount":1321},"headData":{"title":"Choice Of Bay Area For AIDS Conference Exposes Tension Among Activists | KQED","description":"After George Ayala learned last month that San Francisco and Oakland had been chosen to co-host the International AIDS Conference in 2020, he quickly published a statement of disapproval. Ayala, an Oakland-based AIDS advocate, does not want the conference in his own city — or anywhere else in the United States, for that matter. His","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"363352 https://ww2.kqed.org/stateofhealth/?p=363352","disqusUrl":"https://ww2.kqed.org/stateofhealth/2018/04/24/choice-of-bay-area-for-aids-conference-exposes-tension-among-activists/","disqusTitle":"Choice Of Bay Area For AIDS Conference Exposes Tension Among Activists","nprByline":"Jocelyn Wiener","path":"/stateofhealth/363352/choice-of-bay-area-for-aids-conference-exposes-tension-among-activists","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>After George Ayala learned last month that San Francisco and Oakland had been chosen to co-host the \u003ca href=\"http://www.aids2020.org/About/Hosting-AIDS-2020\">International AIDS Conference in 2020\u003c/a>, he quickly \u003ca href=\"http://msmgf.org/global-networks-call-upon-ias-to-reevaluate-decision-to-bring-conference-to-us-in-2020/\">published a statement of disapproval. \u003c/a>\u003c/p>\n\u003cp>Ayala, an Oakland-based AIDS advocate, does not want the conference in his own city — or anywhere else in the United States, for that matter.\u003c/p>\n\u003cp>His statement of opposition and a second one drafted by colleagues at other AIDS organizations have been co-signed by hundreds of organizations and individuals in the United States and around the world.\u003c/p>\n\u003cp>Their biggest concern: long-standing U.S. visa policies will prevent many of the people most affected by AIDS and HIV, including \u003ca href=\"https://www.uscis.gov/ilink/docView/SLB/HTML/SLB/0-0-0-1/0-0-0-29/0-0-0-2006.html#0-0-0-202\">drug users and sex workers\u003c/a> who live in other countries, from attending the conference. They also worry about new restrictions affecting travel from Muslim countries.\u003c/p>\n\u003cfigure id=\"attachment_363357\" class=\"wp-caption alignnone\" style=\"max-width: 400px\">\u003cimg class=\"size-full wp-image-363357\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/04/georgeayala.jpg\" alt=\"\" width=\"400\" height=\"266\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/04/georgeayala.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/georgeayala-160x106.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/georgeayala-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/georgeayala-375x249.jpg 375w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003cfigcaption class=\"wp-caption-text\">Oakland-based activist George Ayala doesn't want the AIDS conference held in the Bay Area. He is executive director of the Global Forum on MSM & HIV. \u003ccite>(Photo courtesy of Nadia Rafif)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“In this day and age, I have to wonder why we support big international AIDS conferences happening in places that bar anyone,” said Ayala, executive director of the Global Forum on MSM [Men who have Sex with Men] & HIV.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>HIV/AIDS is far more prevalent in many countries, \u003ca href=\"https://www.cia.gov/library/publications/the-world-factbook/rankorder/2155rank.html\">especially in Sub-Saharan Africa\u003c/a>, than in the United States. Almost 19 percent of people ages 15 to 49 in South Africa are infected with HIV, as are more than 20 percent in some neighboring countries.\u003c/p>\n\u003cp>In the U.S., prevalence among the same demographic group hovers \u003ca href=\"https://www.reuters.com/article/us-aids-usa/under-1-percent-of-u-s-adults-have-hiv-report-idUSN2962453620080129\">around a half of 1 percent\u003c/a> — although that masks some stark disparities. Last year, the Centers for Disease Control and Prevention projected that \u003ca href=\"https://www.cdc.gov/nchhstp/newsroom/2016/croi-press-release-risk.html\">1 in 2 black men\u003c/a> in the U.S. who have sex with men were at risk of contracting HIV. Globally, \u003ca href=\"http://www.unaids.org/en/resources/fact-sheet\">nearly 37 million\u003c/a> people are living with HIV.\u003c/p>\n\u003cp>Ayala and other critics of the Bay Area location raise broader questions about the cost and frequency of a biennial event they say is enormously expensive and often excludes the very people it purports to represent.\u003c/p>\n\u003cp>The organizers of the conference and others who support the decision to bring it to the Bay Area say they understand these worries.\u003c/p>\n\u003cp>“Travel restrictions to the U.S. remain a significant concern for us,” said Mandy Sugrue, spokeswoman for the International AIDS Society, which organizes the conference.\u003c/p>\n\u003cp>However, Sugrue and other proponents of a San Francisco-Oakland conference venue argue that the politically liberal Bay Area offers a perfect platform for rebuking the Trump administration’s exclusionary immigration policies and its perceived retreat from leadership on AIDS policy.\u003c/p>\n\u003cp>In December, the administration \u003ca href=\"https://www.washingtonpost.com/news/to-your-health/wp/2017/12/29/trump-administration-fires-all-members-of-hivaids-advisory-council/?utm_term=.449b3fa38c17\">fired all remaining members\u003c/a> of the Presidential Advisory Council on HIV/AIDS, six months after a half-dozen others had resigned in protest. Trump officials have also proposed cutting national HIV/AIDS spending by more than $100 million and reducing the U.S. contribution to global funding by more than $1 billion.\u003c/p>\n\u003cp>“If there is any place in the U.S. where people can come and protest and rise up and have their voices heard … Oakland is it,” said Cynthia Carey-Grant, executive director of the Oakland-based group Women Organized to Respond to Life-Threatening Disease. She penned \u003ca href=\"http://www.womenhiv.org/why-oakland-for-iac-2020/\">a statement in support\u003c/a> of the conference location that has been signed by nearly a dozen individuals and groups.\u003c/p>\n\u003cp>Carey-Grant believes the contrast between upscale, predominantly white San Francisco and its decidedly poorer neighbor across the Bay offers a window on the disparities that pervade AIDS treatment and funding around the world – to the detriment of low-income communities of color.\u003c/p>\n\u003cp>Sofia Tobar (Courtesy of Sofia Tobar)\u003c/p>\n\u003cp>Sofia Tobar, a 50-year-old transgender woman from Oakland who was diagnosed with HIV in 1998, said the conference is an opportunity “for Oakland’s diverse humans to embrace people from other countries … and to also highlight what we’re lacking.” She is especially interested in speaking out against federal cuts to AIDS services and violence targeting the transgender community, she said.\u003c/p>\n\u003cp>Others say they are eager to honor San Francisco’s long history of battling AIDS.\u003c/p>\n\u003cp>Joe Hollendoner, CEO of \u003ca href=\"http://www.sfaf.org/\">San Francisco AIDS Foundation\u003c/a>, noted that the conference organizers have secured use of the Moscone Center, the central conference venue, free of charge. They will use the money they save to help more people attend, he said. His foundation, along with the San Francisco Travel Association, led the committee that submitted the successful conference bid.\u003c/p>\n\u003cp>The planners of the International AIDS Conference usually try to alternate venues between affluent and lower-income countries. The conference was last held in the United States in 2012 in Washington, D.C. In 2014, it was in Melbourne, Australia, and in 2016, in Durban, South Africa. This year, the conference will be in Amsterdam.\u003c/p>\n\u003cp>Conference organizers said they reached out to a number of lower-income countries to host the 2020 conference, but \u003ca href=\"http://www.aids2020.org/About/Hosting-AIDS-2020\">none submitted a bid\u003c/a>. As many as 20,000 people, perhaps more, are expected to attend the conference — and many cities cannot accommodate such a large gathering, they said. Sugrue, the International AIDS Society spokeswoman, said they are not considering changing the venue.\u003c/p>\n\u003cp>She said the location of major conference donors was not a factor in the 2020 venue decision.\u003c/p>\n\u003cp>Gilead Sciences Inc., which is based 20 miles from San Francisco and makes the HIV prevention drug Truvada, is one of the \u003ca href=\"http://www.aids2018.org/Sponsors-Exhibitors/Sponsors/Conference-sponsors-supporters\">top sponsors of this year’s conference\u003c/a>, as it was in 2016. Other big industry donors are not located in the Bay Area, including Johnson & Johnson, Merck and ViiV Healthcare, which specializes in HIV drugs. Funding for the 2020 conference has not yet been confirmed, Sugrue said.\u003c/p>\n\u003cp>Naina Khanna, the executive director of the Oakland-based Positive Women’s Network, said the fact that no developing countries submitted a bid isn’t enough to assuage her concern for the people who will likely be excluded. Khanna helped draft \u003ca href=\"https://docs.google.com/forms/d/e/1FAIpQLSfYsezkCUoHWc_8Sdo8WJJGKY518VSU6rnZXLuXpIMtgiJTuw/viewform\">a separate statement\u003c/a> demanding that the conference be relocated outside the U.S. More than 100 organizations and nearly as many individuals have signed the statement.\u003c/p>\n\u003cp>“Where is our commitment to actually holding the conference where the most people are impacted?” asked Ruth Morgan Thomas, global coordinator of the \u003ca href=\"http://www.nswp.org/\">Global Network of Sex Work Projects\u003c/a>, which includes 305 organizations representing sex workers in 85 countries.\u003c/p>\n\u003cp>Prior to the Washington, D.C., conference, the U.S. had lifted a ban on people with HIV entering the country, and many were hopeful that similar prohibitions against sex workers and drug users would also end. But they didn’t, and sex workers scrambled to organize a parallel conference in Kolkata, India, Morgan Thomas said. Drug users convened one in Kiev.\u003c/p>\n\u003cp>Khanna, of the Positive Women’s Network, said that the high cost of accommodations in the Bay Area will also make the conference inaccessible to many people within the United States — especially low-income African-Americans in the South, who are disproportionately burdened with the virus.\u003c/p>\n\u003cp>Marsha Martin, coordinating director of the Global Network of Black People Working in HIV, said she would have been happy had Bangkok or South America or even Atlanta been chosen to host the conference. “But if venues don’t submit bids, there’s nothing to do about it,” she said. So she’s treating the Bay Area conference as an opportunity to grapple with the big disparities in AIDS funding and to reinvigorate efforts in the U.S. to combat the disease.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“If we do bring it [to the Bay Area] and make it the best conference we can make it, then we win,” Martin said. “We show the world we are not giving up.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/363352/choice-of-bay-area-for-aids-conference-exposes-tension-among-activists","authors":["byline_stateofhealth_363352"],"categories":["stateofhealth_11","stateofhealth_2746"],"tags":["stateofhealth_2808","stateofhealth_313","stateofhealth_2519","stateofhealth_3075"],"affiliates":["stateofhealth_3036"],"featImg":"stateofhealth_363356","label":"stateofhealth_3036"},"stateofhealth_363143":{"type":"posts","id":"stateofhealth_363143","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"363143","score":null,"sort":[1524056426000]},"guestAuthors":[],"slug":"san-franciscos-newest-tool-to-prevent-opioid-overdoses-tests-drugs-starts-conversations","title":"San Francisco's Newest Tool to Prevent Opioid Overdoses Tests Drugs, Starts Conversations","publishDate":1524056426,"format":"audio","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>\u003cspan style=\"font-weight: 400\">The only way you’d know you’re passing by a needle exchange at Sixth and Mission streets in San Francisco is a black poster with white lettering that reads, \"Syringe Access Services.\" The words are topped with a rebellious-looking image of a skull with hypodermic needles as the crossbones.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">If you pause here, at the \u003c/span>\u003ca href=\"http://sfaf.org/client-services/syringe-access/\">\u003cspan style=\"font-weight: 400\">6th Street Harm Reduction Center\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, and look closer, you may also see a smaller sign with red and black lettering. It warns people who use methamphetamine and speed that there may be something unexpected in their drugs: the opioid fentanyl. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In February, three men were found dead outside a high school in San Francisco’s Haight-Ashbury neighborhood. They had been smoking meth, and city health officials believe the men did not know their drugs were laced with fentanyl. They died from opioid overdoses caused by the drug.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">While \u003c/span>\u003ca href=\"https://pdop.shinyapps.io/ODdash_v1/\">\u003cspan style=\"font-weight: 400\">California\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> has made some positive strides in the fight against opioids (the latest data show that prescriptions in the state are down), deaths from one particularly powerful opioid,\u003c/span>\u003ca href=\"https://www.cdc.gov/drugoverdose/opioids/fentanyl.html\"> \u003cspan style=\"font-weight: 400\">fentanyl\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, are up. As this opioid increasingly shows up in street drugs, California is fighting back with a new tool: easy-to-use test strips that can detect the presence of fentanyl in other drugs or substances.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">While the front room of the Harm Reduction Center in the South of Market looks like a standard needle exchange -- offering syringes, cotton balls and other accessories for injection drug use -- the rest of the center offers much more. Staffers give out Narcan (naloxone), a rescue drug that can reverse an opioid overdose and save a life. They also train clients how to properly use it. \u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">There are individual rooms for counseling and for medical care, and a larger lounge for group meetings or even movie nights. The center is a project of the\u003c/span>\u003ca href=\"http://sfaf.org/\"> \u003cspan style=\"font-weight: 400\">San Francisco AIDS Foundation\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">.\u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_363185\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-363185 size-medium\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/04/RS30265_IMG_8494-qut-800x600.jpg\" alt=\"Many clients first come to the 6th Street Harm Reduction Center to get supplies for drug use. Often clients will become more involved with groups, start seeking medical care, and eventually assistance in stopping drug use.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30265_IMG_8494-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30265_IMG_8494-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30265_IMG_8494-qut-768x576.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30265_IMG_8494-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30265_IMG_8494-qut-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30265_IMG_8494-qut-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30265_IMG_8494-qut-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30265_IMG_8494-qut-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30265_IMG_8494-qut-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Many clients first come to the 6th Street Harm Reduction Center to get supplies for drug use. Often clients will become more involved with groups, start seeking medical care, and eventually assistance in stopping drug use. \u003ccite>(Laura Klivans/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"font-weight: 400\">I met a woman who goes by the name Jade, 31, in a back room at the center. She has light hair, and pink and green eyeshadow. Jade was there for the \"Opiate User Lounge.\" Since Jade buys and uses illegal opioids, KQED is not identifying her legal name. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The lounge is a welcoming, nonjudgmental place where people who use opioids can access medical and mental health care. Staff also teach clients about overdoses and other health conditions associated with drug use. The idea is that eventually the lounge becomes a stop on the pathway for people who want to reduce or cease their opioid use. For Jade, though, the lounge simply feels like a place where she can hang out, read and rest, without anybody trying to fix her. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Jade was a teenager living with her family in Los Angeles when she was diagnosed with lupus, a disease in which the body’s immune system attacks its own organs and tissues. Lupus can cause intense joint pain.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Shortly after her diagnosis, her pain got so bad that she landed in the emergency room. Her treatment there was the first time she felt significant relief.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"They gave me some morphine,\" she said. \"And I was like 'Wow, I don’t want to die anymore.' Because I couldn’t escape the pain.\"\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But Jade said it became hard to alleviate her pain through prescriptions, and by her late teens, she had turned to heroin. She also liked the euphoria. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"You don’t feel pain at all, you really don’t,\" Jade said. \"As long as you are in that space, everything is not just copacetic but beautiful.\"\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">She first came to the 6th Street Harm Reduction Center seven years ago to get supplies from the needle exchange. Gradually, Jade became more involved with the center.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">She did a training on how to use naloxone, and now carries it regularly. Jade said she has used it to revive four people.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">These days, Jade keeps coming back to the center for the sense of community. After our interview, she helped pick up dirty needles on the streets outside, and then stayed afterward for pizza.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Jade still struggles with pain, and has legal prescriptions for opioids like morphine and methadone. But she supplements them with street drugs like heroin and fentanyl.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Fentanyl’s recent arrival in California is raising alarms across the state. Overdosing on any opioid is dangerous because the drug can slow or even stop a person's breathing. But Fentanyl is 30 to 50 times more powerful than heroin, making the overdose risk extremely high. Fentanyl was found in the bodies of both Prince and Tom Petty after they died. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">What makes fentanyl even more dangerous is that it is now being mixed into all kinds of drugs, often without the users' knowledge. It's been found in heroin, but also anti-anxiety medications like counterfeit Xanax, and illegal stimulants like cocaine and meth.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"That’s when it becomes scary,\" said Kristen Marshall, who runs overdose prevention and naloxone distribution for the\u003c/span>\u003ca href=\"http://harmreduction.org/\"> \u003cspan style=\"font-weight: 400\">Harm Reduction Coalition\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">. \"People aren’t expecting an opioid overdose and may not know what they’re seeing,\" she said. This is especially true for people who use drugs that are not opioids, because they have less tolerance for opioids’ effect on the body, and can overdose on a smaller amount.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"Those are people that are not prepared,\" Marshall said.\u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_363146\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-363146\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/04/RS30260_Kristen-Marshall-qut-800x600.jpg\" alt=\"Kristen Marshall leads overdose prevention and education for San Francisco's Department of Public Health. She stands outside the 6th Street Harm Reduction Center.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30260_Kristen-Marshall-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30260_Kristen-Marshall-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30260_Kristen-Marshall-qut-768x576.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30260_Kristen-Marshall-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30260_Kristen-Marshall-qut-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30260_Kristen-Marshall-qut-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30260_Kristen-Marshall-qut-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30260_Kristen-Marshall-qut-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30260_Kristen-Marshall-qut-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Kristen Marshall leads overdose prevention and education for San Francisco's Department of Public Health. She stands outside the 6th Street Harm Reduction Center. \u003ccite>(Laura Klivans/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"font-weight: 400\">Jade said she has seen the same thing happen with cocaine: \"People have been dying or overdosing because they are expecting cocaine and it’s not just cocaine. And they don’t have any tolerance.\"\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">So if fentanyl is often hidden in other drugs, how can you detect it?\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Terry Morris runs the Sixth Street center where Jade hangs out. In a counseling room at the center, she demonstrated how to use a fentanyl test strip.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"It's a really simple process, if anybody's ever used a home pregnancy test,\" Morris said, holding a slender 3-inch strip of paper.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Morris added water to a small metal cap. If she were testing with actual drugs, and not just demonstrating, she would mix drug residue into the water. Then Morris submerged one end of the test strip for 15 seconds, removed it and waited another 15 seconds.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"One line means fentanyl and two lines mean no fentanyl is present,\" she explained.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Since this was just a demonstration, two lines appeared, meaning the water she practiced with was fentanyl-free.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Each strip costs a dollar, but Morris gets them for free from the state. Last May, \u003c/span>\u003ca href=\"https://www.cdph.ca.gov/\">\u003cspan style=\"font-weight: 400\">the \u003c/span>\u003cspan style=\"font-weight: 400\">California Department of Public Health\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> began buying the strips and distributing them statewide to harm reduction centers like this one. It has spent $46,381 on the effort so far. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In San Francisco, five sites have been\u003c/span>\u003ca href=\"http://harmreduction.org/issues/fentanyl/\">\u003cspan style=\"font-weight: 400\"> trying out \u003c/span>\u003cspan style=\"font-weight: 400\">the test strips\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> since August 2017.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">So what happens if the test shows the presence of fentanyl? The strips don’t tell a drug user \u003c/span>\u003ci>\u003cspan style=\"font-weight: 400\">how much \u003c/span>\u003c/i>\u003cspan style=\"font-weight: 400\">fentanyl is there, just that it’s present.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Some people will not use drugs laced with fentanyl, Terry Morris said. But others will go ahead and use the drugs, she said. They’ll be able to use them differently, though, taking steps to reduce the risks.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"You can choose to use less of the drug,\" Morris said. \"You can choose to use a tiny bit of the drug and see how it affects you. You can choose to stagger your use\" -- meaning people in a group take turns and watch out for each other. Some people make sure that they have naloxone nearby, in case of an overdose.\u003c/span>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But the test strips offer more than a safety check, according to the staff members. The process requires users to simply \u003c/span>\u003ci>\u003cspan style=\"font-weight: 400\">pause\u003c/span>\u003c/i>\u003cspan style=\"font-weight: 400\">: while waiting for results, they often sit down and end up talking with counselors. Morris says those conversations are a way to encourage clients to check out other resources here, and perhaps to eventually stop using.\u003c/span>\u003c/p>\n\n","blocks":[],"excerpt":"As the powerful opioid fentanyl is increasingly showing up in the city's drug supply, needle exchanges are giving out strips to test for it.","status":"publish","parent":0,"modified":1524075108,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":36,"wordCount":1397},"headData":{"title":"San Francisco's Newest Tool to Prevent Opioid Overdoses Tests Drugs, Starts Conversations | KQED","description":"As the powerful opioid fentanyl is increasingly showing up in the city's drug supply, needle exchanges are giving out strips to test for it.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"363143 https://ww2.kqed.org/stateofhealth/?p=363143","disqusUrl":"https://ww2.kqed.org/stateofhealth/2018/04/18/san-franciscos-newest-tool-to-prevent-opioid-overdoses-tests-drugs-starts-conversations/","disqusTitle":"San Francisco's Newest Tool to Prevent Opioid Overdoses Tests Drugs, Starts Conversations","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/2018/04/KlivansFentanylTestStrips.mp3","path":"/stateofhealth/363143/san-franciscos-newest-tool-to-prevent-opioid-overdoses-tests-drugs-starts-conversations","audioDuration":null,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-weight: 400\">The only way you’d know you’re passing by a needle exchange at Sixth and Mission streets in San Francisco is a black poster with white lettering that reads, \"Syringe Access Services.\" The words are topped with a rebellious-looking image of a skull with hypodermic needles as the crossbones.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">If you pause here, at the \u003c/span>\u003ca href=\"http://sfaf.org/client-services/syringe-access/\">\u003cspan style=\"font-weight: 400\">6th Street Harm Reduction Center\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, and look closer, you may also see a smaller sign with red and black lettering. It warns people who use methamphetamine and speed that there may be something unexpected in their drugs: the opioid fentanyl. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In February, three men were found dead outside a high school in San Francisco’s Haight-Ashbury neighborhood. They had been smoking meth, and city health officials believe the men did not know their drugs were laced with fentanyl. They died from opioid overdoses caused by the drug.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">While \u003c/span>\u003ca href=\"https://pdop.shinyapps.io/ODdash_v1/\">\u003cspan style=\"font-weight: 400\">California\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> has made some positive strides in the fight against opioids (the latest data show that prescriptions in the state are down), deaths from one particularly powerful opioid,\u003c/span>\u003ca href=\"https://www.cdc.gov/drugoverdose/opioids/fentanyl.html\"> \u003cspan style=\"font-weight: 400\">fentanyl\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, are up. As this opioid increasingly shows up in street drugs, California is fighting back with a new tool: easy-to-use test strips that can detect the presence of fentanyl in other drugs or substances.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">While the front room of the Harm Reduction Center in the South of Market looks like a standard needle exchange -- offering syringes, cotton balls and other accessories for injection drug use -- the rest of the center offers much more. Staffers give out Narcan (naloxone), a rescue drug that can reverse an opioid overdose and save a life. They also train clients how to properly use it. \u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">There are individual rooms for counseling and for medical care, and a larger lounge for group meetings or even movie nights. The center is a project of the\u003c/span>\u003ca href=\"http://sfaf.org/\"> \u003cspan style=\"font-weight: 400\">San Francisco AIDS Foundation\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">.\u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_363185\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-363185 size-medium\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/04/RS30265_IMG_8494-qut-800x600.jpg\" alt=\"Many clients first come to the 6th Street Harm Reduction Center to get supplies for drug use. Often clients will become more involved with groups, start seeking medical care, and eventually assistance in stopping drug use.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30265_IMG_8494-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30265_IMG_8494-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30265_IMG_8494-qut-768x576.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30265_IMG_8494-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30265_IMG_8494-qut-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30265_IMG_8494-qut-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30265_IMG_8494-qut-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30265_IMG_8494-qut-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30265_IMG_8494-qut-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Many clients first come to the 6th Street Harm Reduction Center to get supplies for drug use. Often clients will become more involved with groups, start seeking medical care, and eventually assistance in stopping drug use. \u003ccite>(Laura Klivans/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"font-weight: 400\">I met a woman who goes by the name Jade, 31, in a back room at the center. She has light hair, and pink and green eyeshadow. Jade was there for the \"Opiate User Lounge.\" Since Jade buys and uses illegal opioids, KQED is not identifying her legal name. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The lounge is a welcoming, nonjudgmental place where people who use opioids can access medical and mental health care. Staff also teach clients about overdoses and other health conditions associated with drug use. The idea is that eventually the lounge becomes a stop on the pathway for people who want to reduce or cease their opioid use. For Jade, though, the lounge simply feels like a place where she can hang out, read and rest, without anybody trying to fix her. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Jade was a teenager living with her family in Los Angeles when she was diagnosed with lupus, a disease in which the body’s immune system attacks its own organs and tissues. Lupus can cause intense joint pain.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Shortly after her diagnosis, her pain got so bad that she landed in the emergency room. Her treatment there was the first time she felt significant relief.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"They gave me some morphine,\" she said. \"And I was like 'Wow, I don’t want to die anymore.' Because I couldn’t escape the pain.\"\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But Jade said it became hard to alleviate her pain through prescriptions, and by her late teens, she had turned to heroin. She also liked the euphoria. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"You don’t feel pain at all, you really don’t,\" Jade said. \"As long as you are in that space, everything is not just copacetic but beautiful.\"\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">She first came to the 6th Street Harm Reduction Center seven years ago to get supplies from the needle exchange. Gradually, Jade became more involved with the center.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">She did a training on how to use naloxone, and now carries it regularly. Jade said she has used it to revive four people.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">These days, Jade keeps coming back to the center for the sense of community. After our interview, she helped pick up dirty needles on the streets outside, and then stayed afterward for pizza.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Jade still struggles with pain, and has legal prescriptions for opioids like morphine and methadone. But she supplements them with street drugs like heroin and fentanyl.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Fentanyl’s recent arrival in California is raising alarms across the state. Overdosing on any opioid is dangerous because the drug can slow or even stop a person's breathing. But Fentanyl is 30 to 50 times more powerful than heroin, making the overdose risk extremely high. Fentanyl was found in the bodies of both Prince and Tom Petty after they died. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">What makes fentanyl even more dangerous is that it is now being mixed into all kinds of drugs, often without the users' knowledge. It's been found in heroin, but also anti-anxiety medications like counterfeit Xanax, and illegal stimulants like cocaine and meth.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"That’s when it becomes scary,\" said Kristen Marshall, who runs overdose prevention and naloxone distribution for the\u003c/span>\u003ca href=\"http://harmreduction.org/\"> \u003cspan style=\"font-weight: 400\">Harm Reduction Coalition\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">. \"People aren’t expecting an opioid overdose and may not know what they’re seeing,\" she said. This is especially true for people who use drugs that are not opioids, because they have less tolerance for opioids’ effect on the body, and can overdose on a smaller amount.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"Those are people that are not prepared,\" Marshall said.\u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_363146\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-363146\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/04/RS30260_Kristen-Marshall-qut-800x600.jpg\" alt=\"Kristen Marshall leads overdose prevention and education for San Francisco's Department of Public Health. She stands outside the 6th Street Harm Reduction Center.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30260_Kristen-Marshall-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30260_Kristen-Marshall-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30260_Kristen-Marshall-qut-768x576.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30260_Kristen-Marshall-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30260_Kristen-Marshall-qut-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30260_Kristen-Marshall-qut-960x720.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30260_Kristen-Marshall-qut-240x180.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30260_Kristen-Marshall-qut-375x281.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/RS30260_Kristen-Marshall-qut-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Kristen Marshall leads overdose prevention and education for San Francisco's Department of Public Health. She stands outside the 6th Street Harm Reduction Center. \u003ccite>(Laura Klivans/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"font-weight: 400\">Jade said she has seen the same thing happen with cocaine: \"People have been dying or overdosing because they are expecting cocaine and it’s not just cocaine. And they don’t have any tolerance.\"\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">So if fentanyl is often hidden in other drugs, how can you detect it?\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Terry Morris runs the Sixth Street center where Jade hangs out. In a counseling room at the center, she demonstrated how to use a fentanyl test strip.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"It's a really simple process, if anybody's ever used a home pregnancy test,\" Morris said, holding a slender 3-inch strip of paper.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Morris added water to a small metal cap. If she were testing with actual drugs, and not just demonstrating, she would mix drug residue into the water. Then Morris submerged one end of the test strip for 15 seconds, removed it and waited another 15 seconds.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"One line means fentanyl and two lines mean no fentanyl is present,\" she explained.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Since this was just a demonstration, two lines appeared, meaning the water she practiced with was fentanyl-free.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Each strip costs a dollar, but Morris gets them for free from the state. Last May, \u003c/span>\u003ca href=\"https://www.cdph.ca.gov/\">\u003cspan style=\"font-weight: 400\">the \u003c/span>\u003cspan style=\"font-weight: 400\">California Department of Public Health\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> began buying the strips and distributing them statewide to harm reduction centers like this one. It has spent $46,381 on the effort so far. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In San Francisco, five sites have been\u003c/span>\u003ca href=\"http://harmreduction.org/issues/fentanyl/\">\u003cspan style=\"font-weight: 400\"> trying out \u003c/span>\u003cspan style=\"font-weight: 400\">the test strips\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> since August 2017.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">So what happens if the test shows the presence of fentanyl? The strips don’t tell a drug user \u003c/span>\u003ci>\u003cspan style=\"font-weight: 400\">how much \u003c/span>\u003c/i>\u003cspan style=\"font-weight: 400\">fentanyl is there, just that it’s present.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Some people will not use drugs laced with fentanyl, Terry Morris said. But others will go ahead and use the drugs, she said. They’ll be able to use them differently, though, taking steps to reduce the risks.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\"You can choose to use less of the drug,\" Morris said. \"You can choose to use a tiny bit of the drug and see how it affects you. You can choose to stagger your use\" -- meaning people in a group take turns and watch out for each other. Some people make sure that they have naloxone nearby, in case of an overdose.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But the test strips offer more than a safety check, according to the staff members. The process requires users to simply \u003c/span>\u003ci>\u003cspan style=\"font-weight: 400\">pause\u003c/span>\u003c/i>\u003cspan style=\"font-weight: 400\">: while waiting for results, they often sit down and end up talking with counselors. Morris says those conversations are a way to encourage clients to check out other resources here, and perhaps to eventually stop using.\u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/363143/san-franciscos-newest-tool-to-prevent-opioid-overdoses-tests-drugs-starts-conversations","authors":["8648"],"categories":["stateofhealth_11","stateofhealth_2746","stateofhealth_13","stateofhealth_1"],"tags":["stateofhealth_3238","stateofhealth_2808","stateofhealth_3237","stateofhealth_3239","stateofhealth_2519","stateofhealth_3127"],"featImg":"stateofhealth_363147","label":"stateofhealth"},"stateofhealth_363257":{"type":"posts","id":"stateofhealth_363257","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"363257","score":null,"sort":[1523662153000]},"guestAuthors":[],"slug":"a-firefighter-in-san-diego-confronts-the-trauma-of-the-job","title":"A Firefighter in San Diego Confronts the Trauma of the Job","publishDate":1523662153,"format":"audio","headTitle":"California Healthline | State of Health | KQED News","labelTerm":{"term":3036,"site":"stateofhealth"},"content":"\u003cp>\u003cem>\u003ca href=\"http://itunes.apple.com/us/podcast/the-california-report-magazine/id1314750545?mt=2\" rel=\"noopener\" target=\"_blank\">Listen to this and more in-depth storytelling by subscribing to The California Report Magazine podcast.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>At 7:30 on a recent morning, Jeremy Forte, a firefighter in Imperial Beach, California, had just wrapped up a 48-hour shift. As the seven-member crew headed home, Forte drove right past a local bar that used to be a favorite haunt. A few years ago, he would have stopped for a drink, or two, or three -- and perhaps stayed on for hours. And he would have had plenty of company.\u003c/p>\n\u003cp>\"There’s nurses from the hospital there getting off work at the same time,\" Forte recalled. \"We’d be drinking with nurses, partying, having a good old time. And we didn’t think anything was wrong. That’s what people do, right? They get off work and have some drinks.\"\u003c/p>\n\u003cp>Jeremy is tall and lanky, with a thin mustache. He’s been a firefighter for 19 years. It’s grueling work, both physically and mentally. For a long time, drinking was how he coped.\u003c/p>\n\u003cp>\"Our motto was work hard, party hard,\" said Forte, now 39. \"We put in 16-hour days and then we’d go drink the rest of the night, and then probably get two hours of sleep. Wake up, you know, half-drunk and go back out on the fire line and fight these fires.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A few years ago, Forte's drinking got heavier. He started dabbling in cocaine. But he felt he still had it all under control, until he failed a random drug test at work.\u003c/p>\n\u003cp>Forte's station is part of the federal government: his crew fights fires and responds to emergencies in and around a \u003ca href=\"https://www.cnic.navy.mil/regions/cnrsw/installations/navbase_coronado.html\" target=\"_blank\" rel=\"noopener\">naval base\u003c/a> in Imperial Beach. The federal firefighting force has a zero-tolerance policy, and Forte was in danger of losing his job immediately.\u003c/p>\n\u003cp>\"They really could have ended my whole life by turning their backs on me and firing me,\" Forte said. \"And then at that point, I would lose my wife as well, and probably be living with my parents.\"\u003c/p>\n\u003cp>Forte grew up in West Covina. Two \u003ca href=\"http://www.lafd.org/\" target=\"_blank\" rel=\"noopener\">LAFD\u003c/a> firefighters lived on his block. Forte admired them, and loved seeing his next-door neighbors on the local news.\u003c/p>\n\u003cp>\"Doing that sort of thing really intrigued me,\" he recalled. Not only was the job itself exciting, but it also allowed the firefighters to spend plenty of time with their families when they were off-duty.\u003c/p>\n\u003cp>But not everyone believed he could do it. Forte was born with a birth defect: He’s missing some fingers on both hands, and others aren’t fully formed. His whole career, he’s had to prove that he can do everything a firefighter has to do: drive rigs, grip and haul hoses, rescue people.\u003c/p>\n\u003cp>Forte proved the doubters wrong.\u003c/p>\n\u003cfigure id=\"attachment_363270\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-363270\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/04/first-responder-trauma-2-800x534.jpg\" alt=\"\" width=\"800\" height=\"534\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Jeremy Forte, at fire station No. 14 in Imperial Beach, California, has been a firefighter for 19 years and struggles with PTSD and depression. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After 19 years as a firefighter, it has become crucial to his identity. Losing that career would have been absolutely devastating. After the drug test, Forte hired a private lawyer and asked the department and union for a second chance. He agreed to every condition of a yearlong probation, including enrolling in a recovery program and beginning therapy.\u003c/p>\n\u003cp>\"By the grace of God, I still have my job,\" Forte said. \"I still have people backing me.\"\u003c/p>\n\u003cp>During his recovery, Jeremy was diagnosed with post-traumatic stress disorder and depression. He wasn’t surprised to hear it, and he's not alone.\u003c/p>\n\u003cp>First responders have increased rates of PTSD, depression, substance abuse and suicide due to the stresses they are exposed to on the job. In a \u003ca href=\"http://www.phoenix.edu/about_us/media-center/news/uopx-releases-first-responder-mental-health-survey-results.html\" target=\"_blank\" rel=\"noopener\">recent survey\u003c/a>, 85 percent of first responders reported symptoms related to mental health issues, but only about a third of them sought out professional help.\u003c/p>\n\u003cp>Another \u003ca href=\"http://www.jems.com/articles/print/volume-40/issue-10/features/survey-reveals-alarming-rates-of-ems-provider-stress-and-thoughts-of-suicide.html?c=1\" target=\"_blank\" rel=\"noopener\">survey\u003c/a> revealed 6.6 percent of first responders had attempted suicide, and more than a third had considered suicide. In both cases, those rates are 10 times the national average.\u003c/p>\n\u003cp>\"I always thought, it’s a job, you go do it and you just deal with it, it goes away,\" Forte said. \"But it doesn’t.\"\u003c/p>\n\u003cp>The pain lingers and haunts. Forte learned that when he was 22, at his first job with the forest service. His team fought fires but also rescued backpackers -- and he was surprised by the violence that nature can cause.\u003c/p>\n\u003cp>\"There was a gentleman out camping in the middle of the forest in New Mexico,\" he recalled. \"A piece of the tree broke off and hit him in the neck and broke his neck. And as he hit the ground, he broke his leg. We had to fly there in a helicopter, basically to rescue him.\"\u003c/p>\n\u003cp>But by the time they got there, the hiker had died. It was the first time Forte saw a dead body on the job, a victim of a violent, random accident. The helicopter extracted the body, but then it grew too dark to come back for the hiker's friend, who was uninjured but traumatized and covered in blood. So Forte volunteered to stay with him all night in the woods.\u003c/p>\n\u003cp>After that incident, Forte started having nightmares.\u003c/p>\n\u003cp>\"The things that we see on the job aren’t what everyday people see and so they wouldn’t understand completely what we deal with, and how it can haunt us and stay with us the rest of our lives.\"\u003c/p>\n\u003cfigure id=\"attachment_363276\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/04/first-responder-trauma-5-800x534.jpg\" alt=\"\" width=\"800\" height=\"534\" class=\"size-medium wp-image-363276\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Firefighter Jeremy Forte prepares to perform drills on Jan. 9, 2018. Forte has been a firefighter for 19 years and says the job is grueling, both physically and mentally. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>It’s not that firefighters never talk about what they see. They do, but they don’t talk about the pain inside.\u003c/p>\n\u003cp>\"You don’t want to be seen as weak,\" he said. \"So instead ... we’d go have some drinks and joke about it, or, you know, talk about the situation still, but it’s over alcohol.\"\u003c/p>\n\u003cp>After hitting bottom, Jeremy moved his family to a wood cabin in Lake Arrowhead. It’s quiet there, and he can decompress when he isn’t at work.\u003c/p>\n\u003cp>Jeremy is now sober and back in the firehouse full-time. He tries to set an example for younger colleagues by sharing his story, and talking about his emotions more often.\u003c/p>\n\u003cp>\"The current fire crew that I work with now, we’re all very open together,\" he said. \"We’re very tight-knit and we talk about the stuff we see. ... We’re almost like our own counselors.\"\u003c/p>\n\u003cp>Often the men gather in the kitchen to make breakfast before the shift formally starts at 7:30 a.m. Some of the men set the table, while others slice mushrooms, make hash browns or scramble eggs.\u003c/p>\n\u003cp>It ends up being a slow shift, with no emergency calls, so the seven men on duty spend the day checking gear and running drills.\u003c/p>\n\u003cp>Before turning in for the night, they gather again at the kitchen table. Things get serious when the talk turns to suicide among firefighters.\u003c/p>\n\u003cp>Everyone in the room knows a firefighter who killed him or herself, or at least has heard about a recent case.\u003c/p>\n\u003cp>The shift captain, Richard Hernandez, complained that mental health information wasn’t part of the firefighter training.\u003c/p>\n\u003cp>\"There really hasn’t been any direction on how to work with that if somebody is having an issue,\" he said.\u003c/p>\n\u003cp>Hernandez said that his firefighters can get three visits with a counselor per year, but that’s not enough.\u003c/p>\n\u003cp>Another firefighter, Lindsey Nolan, said he wants to learn how to recognize signs or symptoms of PTSD in a co-worker.\u003c/p>\n\u003cp>\"I’d be a lot more comfortable approaching them and talking to them about what may or may not be going on\" if he had some training in it, Nolan said.\u003c/p>\n\u003cp>Another firefighter, Devin Boler, admitted it’s hard to know how -- or when -- to intervene.\u003c/p>\n\u003cp>\"Because we live together, and we’re with each other through Christmas and Thanksgiving and stuff like that, we have to be professional,\" Boler said. But there's also \"a family side to it, where you kind of have to check in with guys and see what’s going on, if they’re having a rough day.\"\u003c/p>\n\u003cp>Firefighters began talking about these issues more after the increase in mass public shootings, according to the \u003ca href=\"http://www.ffbha.org/\" target=\"_blank\" rel=\"noopener\">Firefighter Behavioral Health Alliance\u003c/a>, an Arizona-based nonprofit that provides mental health support and training for firefighters.\u003c/p>\n\u003ch2>A Bittersweet Milestone\u003c/h2>\n\u003cp>Forte has been making the long drive to a drug screening center, in National City, at least twice a month for the past year. It's part of his probation: submitting to a full year of random, and frequent, drug tests.\u003c/p>\n\u003cp>Today was his last visit, though. His probation is ending. Forte will still get random drug tests, but not as often.\u003c/p>\n\u003cp>\"I feel great,\" he said as he drove. \"Not like I’m going to go out and celebrate, if you know what I mean.\"\u003c/p>\n\u003cp>During the drive, Jeremy downed two large coffees. But despite the caffeine, he's too wound up to provide a urine sample. After a few hours, he succeeds, and finally walks out of that clinic for the last time.\u003c/p>\n\u003cp>\"It was a humbling process,\" he reflected, looking back at his year of probation. \"Ultimately, I wanted to get back on track for my family, for my job, for myself.\"\u003c/p>\n\u003cp>\"The biggest reason is my kids,\" he added. \"I wasn’t going to allow this to keep me down, and be some deadbeat dad that didn’t seek help.\"\u003c/p>\n\u003cp>Forte said the culture of silence among first responders has to end. So does the idea that emergency work is about being tough at all costs.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"Guys shouldn’t feel that way,\" he said. He wants firefighters to think about seeking counseling or mental health assistance as \"the manly thing to do.\"\u003c/p>\n\u003cfigure id=\"attachment_363271\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/04/first-responder-trauma-1-800x534.jpg\" alt=\"\" width=\"800\" height=\"534\" class=\"size-medium wp-image-363271\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Jeremy Forte, at fire station No. 14 in Imperial Beach, Calif., has been a firefighter for 19 years and struggles with PTSD and depression. (Heidi de Marco/KHN)\u003c/figcaption>\u003c/figure>\n\n","blocks":[],"excerpt":"Firefighter Jeremy Forte, who has battled PTSD, depression and substance abuse, says the culture of suffering in silence among first responders has to end.","status":"publish","parent":0,"modified":1523667364,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":50,"wordCount":1732},"headData":{"title":"A Firefighter in San Diego Confronts the Trauma of the Job | KQED","description":"Firefighter Jeremy Forte, who has battled PTSD, depression and substance abuse, says the culture of suffering in silence among first responders has to end.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"363257 https://ww2.kqed.org/stateofhealth/?p=363257","disqusUrl":"https://ww2.kqed.org/stateofhealth/2018/04/13/a-firefighter-in-san-diego-confronts-the-trauma-of-the-job/","disqusTitle":"A Firefighter in San Diego Confronts the Trauma of the Job","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcrmag/2018/04/FirefighterTrauma.mp3","nprByline":"\u003cstrong>\u003ca href=\"https://khn.org/news/author/heidi-de-marco/\">Heidi de Marco\u003c/a>\u003c/strong>\u003cbr>California Healthline","path":"/stateofhealth/363257/a-firefighter-in-san-diego-confronts-the-trauma-of-the-job","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003ca href=\"http://itunes.apple.com/us/podcast/the-california-report-magazine/id1314750545?mt=2\" rel=\"noopener\" target=\"_blank\">Listen to this and more in-depth storytelling by subscribing to The California Report Magazine podcast.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>At 7:30 on a recent morning, Jeremy Forte, a firefighter in Imperial Beach, California, had just wrapped up a 48-hour shift. As the seven-member crew headed home, Forte drove right past a local bar that used to be a favorite haunt. A few years ago, he would have stopped for a drink, or two, or three -- and perhaps stayed on for hours. And he would have had plenty of company.\u003c/p>\n\u003cp>\"There’s nurses from the hospital there getting off work at the same time,\" Forte recalled. \"We’d be drinking with nurses, partying, having a good old time. And we didn’t think anything was wrong. That’s what people do, right? They get off work and have some drinks.\"\u003c/p>\n\u003cp>Jeremy is tall and lanky, with a thin mustache. He’s been a firefighter for 19 years. It’s grueling work, both physically and mentally. For a long time, drinking was how he coped.\u003c/p>\n\u003cp>\"Our motto was work hard, party hard,\" said Forte, now 39. \"We put in 16-hour days and then we’d go drink the rest of the night, and then probably get two hours of sleep. Wake up, you know, half-drunk and go back out on the fire line and fight these fires.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A few years ago, Forte's drinking got heavier. He started dabbling in cocaine. But he felt he still had it all under control, until he failed a random drug test at work.\u003c/p>\n\u003cp>Forte's station is part of the federal government: his crew fights fires and responds to emergencies in and around a \u003ca href=\"https://www.cnic.navy.mil/regions/cnrsw/installations/navbase_coronado.html\" target=\"_blank\" rel=\"noopener\">naval base\u003c/a> in Imperial Beach. The federal firefighting force has a zero-tolerance policy, and Forte was in danger of losing his job immediately.\u003c/p>\n\u003cp>\"They really could have ended my whole life by turning their backs on me and firing me,\" Forte said. \"And then at that point, I would lose my wife as well, and probably be living with my parents.\"\u003c/p>\n\u003cp>Forte grew up in West Covina. Two \u003ca href=\"http://www.lafd.org/\" target=\"_blank\" rel=\"noopener\">LAFD\u003c/a> firefighters lived on his block. Forte admired them, and loved seeing his next-door neighbors on the local news.\u003c/p>\n\u003cp>\"Doing that sort of thing really intrigued me,\" he recalled. Not only was the job itself exciting, but it also allowed the firefighters to spend plenty of time with their families when they were off-duty.\u003c/p>\n\u003cp>But not everyone believed he could do it. Forte was born with a birth defect: He’s missing some fingers on both hands, and others aren’t fully formed. His whole career, he’s had to prove that he can do everything a firefighter has to do: drive rigs, grip and haul hoses, rescue people.\u003c/p>\n\u003cp>Forte proved the doubters wrong.\u003c/p>\n\u003cfigure id=\"attachment_363270\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-363270\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/04/first-responder-trauma-2-800x534.jpg\" alt=\"\" width=\"800\" height=\"534\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-2-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Jeremy Forte, at fire station No. 14 in Imperial Beach, California, has been a firefighter for 19 years and struggles with PTSD and depression. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After 19 years as a firefighter, it has become crucial to his identity. Losing that career would have been absolutely devastating. After the drug test, Forte hired a private lawyer and asked the department and union for a second chance. He agreed to every condition of a yearlong probation, including enrolling in a recovery program and beginning therapy.\u003c/p>\n\u003cp>\"By the grace of God, I still have my job,\" Forte said. \"I still have people backing me.\"\u003c/p>\n\u003cp>During his recovery, Jeremy was diagnosed with post-traumatic stress disorder and depression. He wasn’t surprised to hear it, and he's not alone.\u003c/p>\n\u003cp>First responders have increased rates of PTSD, depression, substance abuse and suicide due to the stresses they are exposed to on the job. In a \u003ca href=\"http://www.phoenix.edu/about_us/media-center/news/uopx-releases-first-responder-mental-health-survey-results.html\" target=\"_blank\" rel=\"noopener\">recent survey\u003c/a>, 85 percent of first responders reported symptoms related to mental health issues, but only about a third of them sought out professional help.\u003c/p>\n\u003cp>Another \u003ca href=\"http://www.jems.com/articles/print/volume-40/issue-10/features/survey-reveals-alarming-rates-of-ems-provider-stress-and-thoughts-of-suicide.html?c=1\" target=\"_blank\" rel=\"noopener\">survey\u003c/a> revealed 6.6 percent of first responders had attempted suicide, and more than a third had considered suicide. In both cases, those rates are 10 times the national average.\u003c/p>\n\u003cp>\"I always thought, it’s a job, you go do it and you just deal with it, it goes away,\" Forte said. \"But it doesn’t.\"\u003c/p>\n\u003cp>The pain lingers and haunts. Forte learned that when he was 22, at his first job with the forest service. His team fought fires but also rescued backpackers -- and he was surprised by the violence that nature can cause.\u003c/p>\n\u003cp>\"There was a gentleman out camping in the middle of the forest in New Mexico,\" he recalled. \"A piece of the tree broke off and hit him in the neck and broke his neck. And as he hit the ground, he broke his leg. We had to fly there in a helicopter, basically to rescue him.\"\u003c/p>\n\u003cp>But by the time they got there, the hiker had died. It was the first time Forte saw a dead body on the job, a victim of a violent, random accident. The helicopter extracted the body, but then it grew too dark to come back for the hiker's friend, who was uninjured but traumatized and covered in blood. So Forte volunteered to stay with him all night in the woods.\u003c/p>\n\u003cp>After that incident, Forte started having nightmares.\u003c/p>\n\u003cp>\"The things that we see on the job aren’t what everyday people see and so they wouldn’t understand completely what we deal with, and how it can haunt us and stay with us the rest of our lives.\"\u003c/p>\n\u003cfigure id=\"attachment_363276\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/04/first-responder-trauma-5-800x534.jpg\" alt=\"\" width=\"800\" height=\"534\" class=\"size-medium wp-image-363276\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-5-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Firefighter Jeremy Forte prepares to perform drills on Jan. 9, 2018. Forte has been a firefighter for 19 years and says the job is grueling, both physically and mentally. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>It’s not that firefighters never talk about what they see. They do, but they don’t talk about the pain inside.\u003c/p>\n\u003cp>\"You don’t want to be seen as weak,\" he said. \"So instead ... we’d go have some drinks and joke about it, or, you know, talk about the situation still, but it’s over alcohol.\"\u003c/p>\n\u003cp>After hitting bottom, Jeremy moved his family to a wood cabin in Lake Arrowhead. It’s quiet there, and he can decompress when he isn’t at work.\u003c/p>\n\u003cp>Jeremy is now sober and back in the firehouse full-time. He tries to set an example for younger colleagues by sharing his story, and talking about his emotions more often.\u003c/p>\n\u003cp>\"The current fire crew that I work with now, we’re all very open together,\" he said. \"We’re very tight-knit and we talk about the stuff we see. ... We’re almost like our own counselors.\"\u003c/p>\n\u003cp>Often the men gather in the kitchen to make breakfast before the shift formally starts at 7:30 a.m. Some of the men set the table, while others slice mushrooms, make hash browns or scramble eggs.\u003c/p>\n\u003cp>It ends up being a slow shift, with no emergency calls, so the seven men on duty spend the day checking gear and running drills.\u003c/p>\n\u003cp>Before turning in for the night, they gather again at the kitchen table. Things get serious when the talk turns to suicide among firefighters.\u003c/p>\n\u003cp>Everyone in the room knows a firefighter who killed him or herself, or at least has heard about a recent case.\u003c/p>\n\u003cp>The shift captain, Richard Hernandez, complained that mental health information wasn’t part of the firefighter training.\u003c/p>\n\u003cp>\"There really hasn’t been any direction on how to work with that if somebody is having an issue,\" he said.\u003c/p>\n\u003cp>Hernandez said that his firefighters can get three visits with a counselor per year, but that’s not enough.\u003c/p>\n\u003cp>Another firefighter, Lindsey Nolan, said he wants to learn how to recognize signs or symptoms of PTSD in a co-worker.\u003c/p>\n\u003cp>\"I’d be a lot more comfortable approaching them and talking to them about what may or may not be going on\" if he had some training in it, Nolan said.\u003c/p>\n\u003cp>Another firefighter, Devin Boler, admitted it’s hard to know how -- or when -- to intervene.\u003c/p>\n\u003cp>\"Because we live together, and we’re with each other through Christmas and Thanksgiving and stuff like that, we have to be professional,\" Boler said. But there's also \"a family side to it, where you kind of have to check in with guys and see what’s going on, if they’re having a rough day.\"\u003c/p>\n\u003cp>Firefighters began talking about these issues more after the increase in mass public shootings, according to the \u003ca href=\"http://www.ffbha.org/\" target=\"_blank\" rel=\"noopener\">Firefighter Behavioral Health Alliance\u003c/a>, an Arizona-based nonprofit that provides mental health support and training for firefighters.\u003c/p>\n\u003ch2>A Bittersweet Milestone\u003c/h2>\n\u003cp>Forte has been making the long drive to a drug screening center, in National City, at least twice a month for the past year. It's part of his probation: submitting to a full year of random, and frequent, drug tests.\u003c/p>\n\u003cp>Today was his last visit, though. His probation is ending. Forte will still get random drug tests, but not as often.\u003c/p>\n\u003cp>\"I feel great,\" he said as he drove. \"Not like I’m going to go out and celebrate, if you know what I mean.\"\u003c/p>\n\u003cp>During the drive, Jeremy downed two large coffees. But despite the caffeine, he's too wound up to provide a urine sample. After a few hours, he succeeds, and finally walks out of that clinic for the last time.\u003c/p>\n\u003cp>\"It was a humbling process,\" he reflected, looking back at his year of probation. \"Ultimately, I wanted to get back on track for my family, for my job, for myself.\"\u003c/p>\n\u003cp>\"The biggest reason is my kids,\" he added. \"I wasn’t going to allow this to keep me down, and be some deadbeat dad that didn’t seek help.\"\u003c/p>\n\u003cp>Forte said the culture of silence among first responders has to end. So does the idea that emergency work is about being tough at all costs.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Guys shouldn’t feel that way,\" he said. He wants firefighters to think about seeking counseling or mental health assistance as \"the manly thing to do.\"\u003c/p>\n\u003cfigure id=\"attachment_363271\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/04/first-responder-trauma-1-800x534.jpg\" alt=\"\" width=\"800\" height=\"534\" class=\"size-medium wp-image-363271\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-768x513.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-1200x801.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-1180x788.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-960x641.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/04/first-responder-trauma-1-520x347.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Jeremy Forte, at fire station No. 14 in Imperial Beach, Calif., has been a firefighter for 19 years and struggles with PTSD and depression. (Heidi de Marco/KHN)\u003c/figcaption>\u003c/figure>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/363257/a-firefighter-in-san-diego-confronts-the-trauma-of-the-job","authors":["byline_stateofhealth_363257"],"categories":["stateofhealth_11","stateofhealth_3012","stateofhealth_14","stateofhealth_2746","stateofhealth_1"],"tags":["stateofhealth_3240","stateofhealth_2519"],"affiliates":["stateofhealth_3036"],"featImg":"stateofhealth_363272","label":"stateofhealth_3036"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Consider-This-Podcast-Tile-703x703-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png","officialWebsiteLink":"http://freakonomics.com/","airtime":"SUN 1am-2am, SAT 3pm-4pm","meta":{"site":"radio","source":"WNYC"},"link":"/radio/program/freakonomics-radio","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519","tuneIn":"https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/","rss":"https://feeds.feedburner.com/freakonomicsradio"}},"fresh-air":{"id":"fresh-air","title":"Fresh Air","info":"Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.","airtime":"MON-FRI 7pm-8pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Fresh-Air-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/fresh-air/","meta":{"site":"radio","source":"npr"},"link":"/radio/program/fresh-air","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Fresh-Air-p17/","rss":"https://feeds.npr.org/381444908/podcast.xml"}},"here-and-now":{"id":"here-and-now","title":"Here & Now","info":"A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.","airtime":"MON-THU 11am-12pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Here-And-Now-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"http://www.wbur.org/hereandnow","meta":{"site":"news","source":"npr"},"link":"/radio/program/here-and-now","subsdcribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=426698661","tuneIn":"https://tunein.com/radio/Here--Now-p211/","rss":"https://feeds.npr.org/510051/podcast.xml"}},"how-i-built-this":{"id":"how-i-built-this","title":"How I Built This with Guy Raz","info":"Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png","officialWebsiteLink":"https://www.npr.org/podcasts/510313/how-i-built-this","airtime":"SUN 7:30pm-8pm","meta":{"site":"news","source":"npr"},"link":"/radio/program/how-i-built-this","subscribe":{"npr":"https://rpb3r.app.goo.gl/3zxy","apple":"https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2","tuneIn":"https://tunein.com/podcasts/Arts--Culture-Podcasts/How-I-Built-This-p910896/","rss":"https://feeds.npr.org/510313/podcast.xml"}},"inside-europe":{"id":"inside-europe","title":"Inside Europe","info":"Inside Europe, a one-hour weekly news magazine hosted by Helen Seeney and Keith Walker, explores the topical issues shaping the continent. No other part of the globe has experienced such dynamic political and social change in recent years.","airtime":"SAT 3am-4am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Inside-Europe-Podcast-Tile-300x300-1.jpg","meta":{"site":"news","source":"Deutsche Welle"},"link":"/radio/program/inside-europe","subscribe":{"apple":"https://itunes.apple.com/us/podcast/inside-europe/id80106806?mt=2","tuneIn":"https://tunein.com/radio/Inside-Europe-p731/","rss":"https://partner.dw.com/xml/podcast_inside-europe"}},"latino-usa":{"id":"latino-usa","title":"Latino USA","airtime":"MON 1am-2am, SUN 6pm-7pm","info":"Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg","officialWebsiteLink":"http://latinousa.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/latino-usa","subscribe":{"npr":"https://rpb3r.app.goo.gl/xtTd","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Latino-USA-p621/","rss":"https://feeds.npr.org/510016/podcast.xml"}},"live-from-here-highlights":{"id":"live-from-here-highlights","title":"Live from Here Highlights","info":"Chris Thile steps to the mic as the host of Live from Here (formerly A Prairie Home Companion), a live public radio variety show. Download Chris’s Song of the Week plus other highlights from the broadcast. Produced by American Public Media.","airtime":"SAT 6pm-8pm, SUN 11am-1pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Live-From-Here-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.livefromhere.org/","meta":{"site":"arts","source":"american public media"},"link":"/radio/program/live-from-here-highlights","subscribe":{"apple":"https://itunes.apple.com/us/podcast/id1167173941","tuneIn":"https://tunein.com/radio/Live-from-Here-Highlights-p921744/","rss":"https://feeds.publicradio.org/public_feeds/a-prairie-home-companion-highlights/rss/rss"}},"marketplace":{"id":"marketplace","title":"Marketplace","info":"Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.","airtime":"MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.marketplace.org/","meta":{"site":"news","source":"American Public Media"},"link":"/radio/program/marketplace","subscribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201853034&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/APM-Marketplace-p88/","rss":"https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"}},"mindshift":{"id":"mindshift","title":"MindShift","tagline":"A podcast about the future of learning and how we raise our kids","info":"The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.","airtime":"MON-FRI 3am-9am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/morning-edition/","meta":{"site":"news","source":"npr"},"link":"/radio/program/morning-edition"},"onourwatch":{"id":"onourwatch","title":"On Our Watch","tagline":"Police secrets, unsealed","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":"1"},"link":"/podcasts/onourwatch","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1567098962","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw","npr":"https://rpb3r.app.goo.gl/onourwatch","spotify":"https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x","tuneIn":"https://tunein.com/radio/On-Our-Watch-p1436229/","stitcher":"https://www.stitcher.com/show/on-our-watch","rss":"https://feeds.npr.org/510360/podcast.xml"}},"on-the-media":{"id":"on-the-media","title":"On The Media","info":"Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us","airtime":"SUN 2pm-3pm, MON 12am-1am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png","officialWebsiteLink":"https://www.wnycstudios.org/shows/otm","meta":{"site":"news","source":"wnyc"},"link":"/radio/program/on-the-media","subscribe":{"apple":"https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2","tuneIn":"https://tunein.com/radio/On-the-Media-p69/","rss":"http://feeds.wnyc.org/onthemedia"}},"our-body-politic":{"id":"our-body-politic","title":"Our Body Politic","info":"Presented by KQED, KCRW and KPCC, and created and hosted by award-winning journalist Farai Chideya, Our Body Politic is unapologetically centered on reporting on not just how women of color experience the major political events of today, but how they’re impacting those very issues.","airtime":"SAT 6pm-7pm, SUN 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Our-Body-Politic-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://our-body-politic.simplecast.com/","meta":{"site":"news","source":"kcrw"},"link":"/radio/program/our-body-politic","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/our-body-politic/id1533069868","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5zaW1wbGVjYXN0LmNvbS9feGFQaHMxcw","spotify":"https://open.spotify.com/show/4ApAiLT1kV153TttWAmqmc","rss":"https://feeds.simplecast.com/_xaPhs1s","tuneIn":"https://tunein.com/podcasts/News--Politics-Podcasts/Our-Body-Politic-p1369211/"}},"pbs-newshour":{"id":"pbs-newshour","title":"PBS NewsHour","info":"Analysis, background reports and updates from the PBS NewsHour putting today's news in context.","airtime":"MON-FRI 3pm-4pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.pbs.org/newshour/","meta":{"site":"news","source":"pbs"},"link":"/radio/program/pbs-newshour","subscribe":{"apple":"https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2","tuneIn":"https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/","rss":"https://www.pbs.org/newshour/feeds/rss/podcasts/show"}},"perspectives":{"id":"perspectives","title":"Perspectives","tagline":"KQED's series of of daily listener commentaries since 1991","info":"KQED's series of of daily listener commentaries since 1991.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Perspectives-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/perspectives/","meta":{"site":"radio","source":"kqed","order":"15"},"link":"/perspectives","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/id73801135","npr":"https://www.npr.org/podcasts/432309616/perspectives","rss":"https://ww2.kqed.org/perspectives/category/perspectives/feed/","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"}},"planet-money":{"id":"planet-money","title":"Planet Money","info":"The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.","airtime":"SUN 3pm-4pm","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg","officialWebsiteLink":"https://www.npr.org/sections/money/","meta":{"site":"news","source":"npr"},"link":"/radio/program/planet-money","subscribe":{"npr":"https://rpb3r.app.goo.gl/M4f5","apple":"https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2","tuneIn":"https://tunein.com/podcasts/Business--Economics-Podcasts/Planet-Money-p164680/","rss":"https://feeds.npr.org/510289/podcast.xml"}},"politicalbreakdown":{"id":"politicalbreakdown","title":"Political Breakdown","tagline":"Politics from a personal perspective","info":"Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.","airtime":"THU 6:30pm-7pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Political Breakdown","officialWebsiteLink":"/podcasts/politicalbreakdown","meta":{"site":"radio","source":"kqed","order":"11"},"link":"/podcasts/politicalbreakdown","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/political-breakdown/id1327641087","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5Nzk2MzI2MTEx","npr":"https://www.npr.org/podcasts/572155894/political-breakdown","stitcher":"https://www.stitcher.com/podcast/kqed/political-breakdown","spotify":"https://open.spotify.com/show/07RVyIjIdk2WDuVehvBMoN","rss":"https://ww2.kqed.org/news/tag/political-breakdown/feed/podcast"}},"pri-the-world":{"id":"pri-the-world","title":"PRI's The World: Latest Edition","info":"Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.","airtime":"MON-FRI 2pm-3pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.pri.org/programs/the-world","meta":{"site":"news","source":"PRI"},"link":"/radio/program/pri-the-world","subscribe":{"apple":"https://itunes.apple.com/us/podcast/pris-the-world-latest-edition/id278196007?mt=2","tuneIn":"https://tunein.com/podcasts/News--Politics-Podcasts/PRIs-The-World-p24/","rss":"http://feeds.feedburner.com/pri/theworld"}},"radiolab":{"id":"radiolab","title":"Radiolab","info":"A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.","airtime":"SUN 12am-1am, SAT 2pm-3pm","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/radiolab1400.png","officialWebsiteLink":"https://www.wnycstudios.org/shows/radiolab/","meta":{"site":"science","source":"WNYC"},"link":"/radio/program/radiolab","subscribe":{"apple":"https://itunes.apple.com/us/podcast/radiolab/id152249110?mt=2","tuneIn":"https://tunein.com/radio/RadioLab-p68032/","rss":"https://feeds.wnyc.org/radiolab"}},"reveal":{"id":"reveal","title":"Reveal","info":"Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.","airtime":"SAT 4pm-5pm","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/reveal300px.png","officialWebsiteLink":"https://www.revealnews.org/episodes/","meta":{"site":"news","source":"npr"},"link":"/radio/program/reveal","subscribe":{"apple":"https://itunes.apple.com/us/podcast/reveal/id886009669","tuneIn":"https://tunein.com/radio/Reveal-p679597/","rss":"http://feeds.revealradio.org/revealpodcast"}},"says-you":{"id":"says-you","title":"Says You!","info":"Public radio's game show of bluff and bluster, words and whimsy. The warmest, wittiest cocktail party - it's spirited and civil, brainy and boisterous, peppered with musical interludes. Fast paced and playful, it's the most fun you can have with language without getting your mouth washed out with soap. Our motto: It's not important to know the answers, it's important to like the answers!","airtime":"SUN 4pm-5pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Says-You-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"http://www.saysyouradio.com/","meta":{"site":"comedy","source":"Pipit and Finch"},"link":"/radio/program/says-you","subscribe":{"apple":"https://itunes.apple.com/us/podcast/says-you!/id1050199826","tuneIn":"https://tunein.com/radio/Says-You-p480/","rss":"https://saysyou.libsyn.com/rss"}},"science-friday":{"id":"science-friday","title":"Science Friday","info":"Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.","airtime":"FRI 11am-1pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Science-Friday-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.wnycstudios.org/shows/science-friday","meta":{"site":"news","source":"npr"},"link":"/radio/program/science-friday","subscribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=73329284&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Science-Friday-p394/","rss":"http://feeds.wnyc.org/science-friday"}},"science-podcast":{"id":"science-podcast","title":"KQED Science News","tagline":"From the lab, to your ears","info":"KQED Science explores science and environment news, trends, and events from the Bay Area and beyond.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Science-News-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"https://ww2.kqed.org/science/category/science-podcast/","meta":{"site":"science","source":"kqed","order":"17"},"link":"/science/category/science-podcast","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqed-science-news/id214663465","google":"https://podcasts.google.com/feed/aHR0cDovL2Jsb2dzLmtxZWQub3JnL3NjaWVuY2UvZmVlZC8","stitcher":"https://www.stitcher.com/podcast/kqed-science-news","rss":"https://ww2.kqed.org/science/category/science-podcast/feed/podcast"}},"selected-shorts":{"id":"selected-shorts","title":"Selected Shorts","info":"Spellbinding short stories by established and emerging writers take on a new life when they are performed by stars of the stage and screen.","airtime":"SAT 8pm-9pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Selected-Shorts-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.pri.org/programs/selected-shorts","meta":{"site":"arts","source":"pri"},"link":"/radio/program/selected-shorts","subscribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=253191824&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Selected-Shorts-p31792/","rss":"https://feeds.megaphone.fm/selectedshorts"}},"snap-judgment":{"id":"snap-judgment","title":"Snap Judgment","info":"Snap Judgment (Storytelling, with a BEAT) mixes real stories with killer beats to produce cinematic, dramatic, kick-ass radio. Snap’s raw, musical brand of storytelling dares listeners to see the world through the eyes of another. WNYC studios is the producer of leading podcasts including Radiolab, Freakonomics Radio, Note To Self, Here’s The Thing With Alec Baldwin, and more.","airtime":"SAT 1pm-2pm, 9pm-10pm","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/snapJudgement.jpg","officialWebsiteLink":"https://snapjudgment.org","meta":{"site":"arts","source":"WNYC"},"link":"/radio/program/snap-judgment","subscribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=283657561&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Snap-Judgment-p243817/","rss":"https://feeds.feedburner.com/snapjudgment-wnyc"}},"soldout":{"id":"soldout","title":"SOLD OUT: Rethinking Housing in America","tagline":"A new future for housing","info":"Sold Out: Rethinking Housing in America","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Sold-Out-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Sold Out: Rethinking Housing in America","officialWebsiteLink":"/podcasts/soldout","meta":{"site":"news","source":"kqed","order":3},"link":"/podcasts/soldout","subscribe":{"npr":"https://www.npr.org/podcasts/911586047/s-o-l-d-o-u-t-a-new-future-for-housing","apple":"https://podcasts.apple.com/us/podcast/introducing-sold-out-rethinking-housing-in-america/id1531354937","rss":"https://feeds.megaphone.fm/soldout","spotify":"https://open.spotify.com/show/38dTBSk2ISFoPiyYNoKn1X","stitcher":"https://www.stitcher.com/podcast/kqed/sold-out-rethinking-housing-in-america","tunein":"https://tunein.com/radio/SOLD-OUT-Rethinking-Housing-in-America-p1365871/","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vc29sZG91dA"}},"ted-radio-hour":{"id":"ted-radio-hour","title":"TED Radio Hour","info":"The TED Radio Hour is a journey through fascinating ideas, astonishing inventions, fresh approaches to old problems, and new ways to think and create.","airtime":"SUN 3pm-4pm, SAT 10pm-11pm","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/tedRadioHour.jpg","officialWebsiteLink":"https://www.npr.org/programs/ted-radio-hour/?showDate=2018-06-22","meta":{"site":"news","source":"npr"},"link":"/radio/program/ted-radio-hour","subscribe":{"npr":"https://rpb3r.app.goo.gl/8vsS","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=523121474&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/TED-Radio-Hour-p418021/","rss":"https://feeds.npr.org/510298/podcast.xml"}},"tech-nation":{"id":"tech-nation","title":"Tech Nation Radio Podcast","info":"Tech Nation is a weekly public radio program, hosted by Dr. Moira Gunn. Founded in 1993, it has grown from a simple interview show to a multi-faceted production, featuring conversations with noted technology and science leaders, and a weekly science and technology-related commentary.","airtime":"FRI 10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Tech-Nation-Radio-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"http://technation.podomatic.com/","meta":{"site":"science","source":"Tech Nation Media"},"link":"/radio/program/tech-nation","subscribe":{"rss":"https://technation.podomatic.com/rss2.xml"}},"thebay":{"id":"thebay","title":"The Bay","tagline":"Local news to keep you rooted","info":"Host Devin Katayama walks you through the biggest story of the day with reporters and newsmakers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/The-Bay-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED The Bay","officialWebsiteLink":"/podcasts/thebay","meta":{"site":"radio","source":"kqed","order":"6"},"link":"/podcasts/thebay","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/the-bay/id1350043452","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM4MjU5Nzg2MzI3","npr":"https://www.npr.org/podcasts/586725995/the-bay","stitcher":"https://www.stitcher.com/podcast/kqed/the-bay","spotify":"https://open.spotify.com/show/4BIKBKIujizLHlIlBNaAqQ","rss":"https://feeds.megaphone.fm/KQINC8259786327"}},"californiareport":{"id":"californiareport","title":"The California Report","tagline":"California, day by day","info":"KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED The California Report","officialWebsiteLink":"/californiareport","meta":{"site":"news","source":"kqed","order":"9"},"link":"/californiareport","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-the-california-report/id79681292","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1MDAyODE4NTgz","npr":"https://www.npr.org/podcasts/432285393/the-california-report","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-the-california-report-podcast-8838","rss":"https://ww2.kqed.org/news/tag/tcram/feed/podcast"}},"californiareportmagazine":{"id":"californiareportmagazine","title":"The California Report Magazine","tagline":"Your state, your stories","info":"Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.","airtime":"FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Magazine-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/californiareportmagazine","meta":{"site":"news","source":"kqed","order":"10"},"link":"/californiareportmagazine","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/the-california-report-magazine/id1314750545","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz","npr":"https://www.npr.org/podcasts/564733126/the-california-report-magazine","stitcher":"https://www.stitcher.com/podcast/kqed/the-california-report-magazine","rss":"https://ww2.kqed.org/news/tag/tcrmag/feed/podcast"}},"theleap":{"id":"theleap","title":"The Leap","tagline":"What if you closed your eyes, and jumped?","info":"Stories about people making dramatic, risky changes, told by award-winning public radio reporter Judy Campbell.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/The-Leap-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED The Leap","officialWebsiteLink":"/podcasts/theleap","meta":{"site":"news","source":"kqed","order":"14"},"link":"/podcasts/theleap","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/the-leap/id1046668171","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM0NTcwODQ2MjY2","npr":"https://www.npr.org/podcasts/447248267/the-leap","stitcher":"https://www.stitcher.com/podcast/kqed/the-leap","spotify":"https://open.spotify.com/show/3sSlVHHzU0ytLwuGs1SD1U","rss":"https://ww2.kqed.org/news/programs/the-leap/feed/podcast"}},"masters-of-scale":{"id":"masters-of-scale","title":"Masters of Scale","info":"Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.","airtime":"Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://mastersofscale.com/","meta":{"site":"radio","source":"WaitWhat"},"link":"/radio/program/masters-of-scale","subscribe":{"apple":"http://mastersofscale.app.link/","rss":"https://rss.art19.com/masters-of-scale"}},"the-moth-radio-hour":{"id":"the-moth-radio-hour","title":"The Moth Radio Hour","info":"Since its launch in 1997, The Moth has presented thousands of true stories, told live and without notes, to standing-room-only crowds worldwide. Moth storytellers stand alone, under a spotlight, with only a microphone and a roomful of strangers. The storyteller and the audience embark on a high-wire act of shared experience which is both terrifying and exhilarating. Since 2008, The Moth podcast has featured many of our favorite stories told live on Moth stages around the country. For information on all of our programs and live events, visit themoth.org.","airtime":"SAT 8pm-9pm and SUN 11am-12pm","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/theMoth.jpg","officialWebsiteLink":"https://themoth.org/","meta":{"site":"arts","source":"prx"},"link":"/radio/program/the-moth-radio-hour","subscribe":{"apple":"https://itunes.apple.com/us/podcast/the-moth-podcast/id275699983?mt=2","tuneIn":"https://tunein.com/radio/The-Moth-p273888/","rss":"http://feeds.themoth.org/themothpodcast"}},"the-new-yorker-radio-hour":{"id":"the-new-yorker-radio-hour","title":"The New Yorker Radio Hour","info":"The New Yorker Radio Hour is a weekly program presented by the magazine's editor, David Remnick, and produced by WNYC Studios and The New Yorker. Each episode features a diverse mix of interviews, profiles, storytelling, and an occasional burst of humor inspired by the magazine, and shaped by its writers, artists, and editors. This isn't a radio version of a magazine, but something all its own, reflecting the rich possibilities of audio storytelling and conversation. Theme music for the show was composed and performed by Merrill Garbus of tUnE-YArDs.","airtime":"SAT 10am-11am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/The-New-Yorker-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.wnycstudios.org/shows/tnyradiohour","meta":{"site":"arts","source":"WNYC"},"link":"/radio/program/the-new-yorker-radio-hour","subscribe":{"apple":"https://itunes.apple.com/us/podcast/id1050430296","tuneIn":"https://tunein.com/podcasts/WNYC-Podcasts/New-Yorker-Radio-Hour-p803804/","rss":"https://feeds.feedburner.com/newyorkerradiohour"}},"the-takeaway":{"id":"the-takeaway","title":"The Takeaway","info":"The Takeaway is produced in partnership with its national audience. It delivers perspective and analysis to help us better understand the day’s news. Be a part of the American conversation on-air and online.","airtime":"MON-THU 12pm-1pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/The-Takeaway-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.wnycstudios.org/shows/takeaway","meta":{"site":"news","source":"WNYC"},"link":"/radio/program/the-takeaway","subscribe":{"apple":"https://itunes.apple.com/us/podcast/the-takeaway/id363143310?mt=2","tuneIn":"http://tunein.com/radio/The-Takeaway-p150731/","rss":"https://feeds.feedburner.com/takeawaypodcast"}},"this-american-life":{"id":"this-american-life","title":"This American Life","info":"This American Life is a weekly public radio show, heard by 2.2 million people on more than 500 stations. Another 2.5 million people download the weekly podcast. It is hosted by Ira Glass, produced in collaboration with Chicago Public Media, delivered to stations by PRX The Public Radio Exchange, and has won all of the major broadcasting awards.","airtime":"SAT 12pm-1pm, 7pm-8pm","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/thisAmericanLife.png","officialWebsiteLink":"https://www.thisamericanlife.org/","meta":{"site":"news","source":"wbez"},"link":"/radio/program/this-american-life","subscribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201671138&at=11l79Y&ct=nprdirectory","rss":"https://www.thisamericanlife.org/podcast/rss.xml"}},"truthbetold":{"id":"truthbetold","title":"Truth Be Told","tagline":"Advice by and for people of color","info":"We’re the friend you call after a long day, the one who gets it. Through wisdom from some of the greatest thinkers of our time, host Tonya Mosley explores what it means to grow and thrive as a Black person in America, while discovering new ways of being that serve as a portal to more love, more healing, and more joy.","airtime":"","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Truth-Be-Told-Podcast-Tile-360x360-1.jpg","imageAlt":"KQED Truth Be Told with Tonya Mosley","officialWebsiteLink":"https://www.kqed.ord/podcasts/truthbetold","meta":{"site":"news","source":"npr","order":"12"},"link":"/podcasts/truthbetold","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/truth-be-told/id1462216572","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS90cnV0aC1iZS10b2xkLXBvZGNhc3QvZmVlZA","npr":"https://www.npr.org/podcasts/719210818/truth-be-told","stitcher":"https://www.stitcher.com/s?fid=398170&refid=stpr","spotify":"https://open.spotify.com/show/587DhwTBxke6uvfwDfaV5N"}},"wait-wait-dont-tell-me":{"id":"wait-wait-dont-tell-me","title":"Wait Wait... Don't Tell Me!","info":"Peter Sagal and Bill Kurtis host the weekly NPR News quiz show alongside some of the best and brightest news and entertainment personalities.","airtime":"SUN 10am-11am, SAT 11am-12pm, SAT 6pm-7pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Wait-Wait-Podcast-Tile-300x300-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/wait-wait-dont-tell-me/","meta":{"site":"news","source":"npr"},"link":"/radio/program/wait-wait-dont-tell-me","subscribe":{"npr":"https://rpb3r.app.goo.gl/Xogv","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=121493804&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Wait-Wait-Dont-Tell-Me-p46/","rss":"https://feeds.npr.org/344098539/podcast.xml"}},"washington-week":{"id":"washington-week","title":"Washington Week","info":"For 50 years, Washington Week has been the most intelligent and up to date conversation about the most important news stories of the week. Washington Week is the longest-running news and public affairs program on PBS and features journalists -- not pundits -- lending insight and perspective to the week's important news stories.","airtime":"SAT 1:30am-2am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/washington-week.jpg","officialWebsiteLink":"http://www.pbs.org/weta/washingtonweek/","meta":{"site":"news","source":"pbs"},"link":"/radio/program/washington-week","subscribe":{"apple":"https://itunes.apple.com/us/podcast/washington-week-audio-pbs/id83324702?mt=2","tuneIn":"https://tunein.com/podcasts/Current-Affairs/Washington-Week-p693/","rss":"http://feeds.pbs.org/pbs/weta/washingtonweek-audio"}},"weekend-edition-saturday":{"id":"weekend-edition-saturday","title":"Weekend Edition Saturday","info":"Weekend Edition Saturday wraps up the week's news and offers a mix of analysis and features on a wide range of topics, including arts, sports, entertainment, and human interest stories. The two-hour program is hosted by NPR's Peabody Award-winning Scott Simon.","airtime":"SAT 5am-10am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Weekend-Edition-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/weekend-edition-saturday/","meta":{"site":"news","source":"npr"},"link":"/radio/program/weekend-edition-saturday"},"weekend-edition-sunday":{"id":"weekend-edition-sunday","title":"Weekend Edition Sunday","info":"Weekend Edition Sunday features interviews with newsmakers, artists, scientists, politicians, musicians, writers, theologians and historians. The program has covered news events from Nelson Mandela's 1990 release from a South African prison to the capture of Saddam Hussein.","airtime":"SUN 5am-10am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Weekend-Edition-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/weekend-edition-sunday/","meta":{"site":"news","source":"npr"},"link":"/radio/program/weekend-edition-sunday"},"world-affairs":{"id":"world-affairs","title":"World Affairs","info":"The world as we knew it is undergoing a rapid transformation…so what's next? Welcome to WorldAffairs, your guide to a changing world. We give you the context you need to navigate across borders and ideologies. Through sound-rich stories and in-depth interviews, we break down what it means to be a global citizen on a hot, crowded planet. Our hosts, Ray Suarez, Teresa Cotsirilos and Philip Yun help you make sense of an uncertain world, one story at a time.","airtime":"MON 10pm, TUE 1am, SAT 3am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/World-Affairs-Podcast-Tile-360x360-1.jpg ","officialWebsiteLink":"https://www.worldaffairs.org/","meta":{"site":"news","source":"World Affairs"},"link":"/radio/program/world-affairs","subscribe":{"apple":"https://itunes.apple.com/us/podcast/world-affairs/id101215657?mt=2","tuneIn":"https://tunein.com/radio/WorldAffairs-p1665/","rss":"https://worldaffairs.libsyn.com/rss"}},"on-shifting-ground":{"id":"on-shifting-ground","title":"On Shifting Ground with Ray Suarez","info":"Geopolitical turmoil. A warming planet. Authoritarians on the rise. We live in a chaotic world that’s rapidly shifting around us. “On Shifting Ground with Ray Suarez” explores international fault lines and how they impact us all. Each week, NPR veteran Ray Suarez hosts conversations with journalists, leaders and policy experts to help us read between the headlines – and give us hope for human resilience.","airtime":"MON 10pm, TUE 1am, SAT 3am","imageSrc":"https://ww2.kqed.org/app/uploads/2022/12/onshiftingground-600x600-1.png","officialWebsiteLink":"https://worldaffairs.org/radio-podcast/","meta":{"site":"news","source":"On Shifting Ground"},"link":"/radio/program/on-shifting-ground","subscribe":{"apple":"https://podcasts.apple.com/ie/podcast/on-shifting-ground/id101215657","rss":"https://feeds.libsyn.com/36668/rss"}},"hidden-brain":{"id":"hidden-brain","title":"Hidden Brain","info":"Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/hiddenbrain.jpg","officialWebsiteLink":"https://www.npr.org/series/423302056/hidden-brain","airtime":"SUN 7pm-8pm","meta":{"site":"news","source":"NPR"},"link":"/radio/program/hidden-brain","subscribe":{"apple":"https://itunes.apple.com/us/podcast/hidden-brain/id1028908750?mt=2","tuneIn":"https://tunein.com/podcasts/Science-Podcasts/Hidden-Brain-p787503/","rss":"https://feeds.npr.org/510308/podcast.xml"}},"city-arts":{"id":"city-arts","title":"City Arts & Lectures","info":"A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg","officialWebsiteLink":"https://www.cityarts.net/","airtime":"SUN 1pm-2pm, TUE 10pm, WED 1am","meta":{"site":"news","source":"City Arts & Lectures"},"link":"https://www.cityarts.net","subscribe":{"tuneIn":"https://tunein.com/radio/City-Arts-and-Lectures-p692/","rss":"https://www.cityarts.net/feed/"}},"white-lies":{"id":"white-lies","title":"White Lies","info":"In 1965, Rev. James Reeb was murdered in Selma, Alabama. Three men were tried and acquitted, but no one was ever held to account. Fifty years later, two journalists from Alabama return to the city where it happened, expose the lies that kept the murder from being solved and uncover a story about guilt and memory that says as much about America today as it does about the past.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/White-Lies-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/podcasts/510343/white-lies","meta":{"site":"news","source":"npr"},"link":"/radio/program/white-lies","subscribe":{"npr":"https://rpb3r.app.goo.gl/whitelies","apple":"https://podcasts.apple.com/podcast/id1462650519?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM0My9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/12yZ2j8vxqhc0QZyRES3ft?si=LfWYEK6URA63hueKVxRLAw","rss":"https://feeds.npr.org/510343/podcast.xml"}},"rightnowish":{"id":"rightnowish","title":"Rightnowish","tagline":"Art is where you find it","info":"Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Rightnowish-Podcast-Tile-500x500-1.jpg","imageAlt":"KQED Rightnowish with Pendarvis Harshaw","officialWebsiteLink":"/podcasts/rightnowish","meta":{"site":"arts","source":"kqed","order":"5"},"link":"/podcasts/rightnowish","subscribe":{"npr":"https://www.npr.org/podcasts/721590300/rightnowish","rss":"https://ww2.kqed.org/arts/programs/rightnowish/feed/podcast","apple":"https://podcasts.apple.com/us/podcast/rightnowish/id1482187648","stitcher":"https://www.stitcher.com/podcast/kqed/rightnowish","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMxMjU5MTY3NDc4","spotify":"https://open.spotify.com/show/7kEJuafTzTVan7B78ttz1I"}},"jerrybrown":{"id":"jerrybrown","title":"The Political Mind of Jerry Brown","tagline":"Lessons from a lifetime in politics","info":"The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED The Political Mind of Jerry Brown","officialWebsiteLink":"/podcasts/jerrybrown","meta":{"site":"news","source":"kqed","order":"16"},"link":"/podcasts/jerrybrown","subscribe":{"npr":"https://www.npr.org/podcasts/790253322/the-political-mind-of-jerry-brown","apple":"https://itunes.apple.com/us/podcast/id1492194549","rss":"https://ww2.kqed.org/news/series/jerrybrown/feed/podcast/","tuneIn":"http://tun.in/pjGcK","stitcher":"https://www.stitcher.com/podcast/kqed/the-political-mind-of-jerry-brown","spotify":"https://open.spotify.com/show/54C1dmuyFyKMFttY6X2j6r?si=K8SgRCoISNK6ZbjpXrX5-w","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9zZXJpZXMvamVycnlicm93bi9mZWVkL3BvZGNhc3Qv"}},"the-splendid-table":{"id":"the-splendid-table","title":"The Splendid Table","info":"\u003cem>The Splendid Table\u003c/em> hosts our nation's conversations about cooking, sustainability and food culture.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/The-Splendid-Table-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.splendidtable.org/","airtime":"SUN 10-11 pm","meta":{"site":"radio","source":"npr"},"link":"/radio/program/the-splendid-table"}},"racesReducer":{"5921":{"id":"5921","type":"apRace","location":"State of California","raceName":"U.S. House of Representatives, District 7","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":158422,"precinctsReportPercentage":98.97,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:48 PM","source":"AP","candidates":[{"candidateName":"Doris Matsui","candidateIncumbent":true,"candidateParty":"D","voteCount":89456,"isWinner":true},{"candidateName":"Tom Silva","candidateIncumbent":false,"candidateParty":"R","voteCount":48920,"isWinner":true},{"candidateName":"David Mandel","candidateIncumbent":false,"candidateParty":"D","voteCount":20046,"isWinner":false}],"winnerDateTime":"2024-03-09T01:00:38.194Z"},"5922":{"id":"5922","type":"apRace","location":"State of California","raceName":"U.S. House of Representatives, District 8","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":0,"uncontested":true,"precinctsReportPercentage":0,"eevp":0,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:20 PM","source":"AP","candidates":[{"candidateName":"Rudy Recile","candidateIncumbent":false,"candidateParty":"R","voteCount":0,"isWinner":true},{"candidateName":"John Garamendi","candidateIncumbent":true,"candidateParty":"D","voteCount":0,"isWinner":true}],"winnerDateTime":"2024-03-06T04:00:30.000Z"},"5924":{"id":"5924","type":"apRace","location":"State of California","raceName":"U.S. House of Representatives, District 10","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":185034,"precinctsReportPercentage":99.07,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:48 PM","source":"AP","candidates":[{"candidateName":"Mark DeSaulnier","candidateIncumbent":true,"candidateParty":"D","voteCount":121265,"isWinner":true},{"candidateName":"Katherine Piccinini","candidateIncumbent":false,"candidateParty":"R","voteCount":34883,"isWinner":true},{"candidateName":"Nolan Chen","candidateIncumbent":false,"candidateParty":"R","voteCount":19459,"isWinner":false},{"candidateName":"Joe Sweeney","candidateIncumbent":false,"candidateParty":"NPP","voteCount":7606,"isWinner":false},{"candidateName":"Mohamed Elsherbini","candidateIncumbent":false,"candidateParty":"NPP","voteCount":1821,"isWinner":false}],"winnerDateTime":"2024-03-09T01:02:32.415Z"},"5926":{"id":"5926","type":"apRace","location":"State of California","raceName":"U.S. House of Representatives, District 12","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":153801,"precinctsReportPercentage":98.88,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 20, 2024","timeUpdated":"4:41 PM","source":"AP","candidates":[{"candidateName":"Lateefah Simon","candidateIncumbent":false,"candidateParty":"D","voteCount":85905,"isWinner":true},{"candidateName":"Jennifer Tran","candidateIncumbent":false,"candidateParty":"D","voteCount":22964,"isWinner":true},{"candidateName":"Tony Daysog","candidateIncumbent":false,"candidateParty":"D","voteCount":17197,"isWinner":false},{"candidateName":"Stephen Slauson","candidateIncumbent":false,"candidateParty":"R","voteCount":9699,"isWinner":false},{"candidateName":"Glenn Kaplan","candidateIncumbent":false,"candidateParty":"D","voteCount":6785,"isWinner":false},{"candidateName":"Eric Wilson","candidateIncumbent":false,"candidateParty":"D","voteCount":4243,"isWinner":false},{"candidateName":"Abdur Sikder","candidateIncumbent":false,"candidateParty":"D","voteCount":2847,"isWinner":false},{"candidateName":"Ned Nuerge","candidateIncumbent":false,"candidateParty":"R","voteCount":2532,"isWinner":false},{"candidateName":"Andre Todd","candidateIncumbent":false,"candidateParty":"D","voteCount":1629,"isWinner":false}],"winnerDateTime":"2024-03-16T00:22:36.062Z"},"5928":{"id":"5928","type":"apRace","location":"State of California","raceName":"U.S. House of Representatives, District 14","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":125831,"precinctsReportPercentage":99.14,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 20, 2024","timeUpdated":"4:41 PM","source":"AP","candidates":[{"candidateName":"Eric Swalwell","candidateIncumbent":true,"candidateParty":"D","voteCount":83989,"isWinner":true},{"candidateName":"Vin Kruttiventi","candidateIncumbent":false,"candidateParty":"R","voteCount":22106,"isWinner":true},{"candidateName":"Alison Hayden","candidateIncumbent":false,"candidateParty":"R","voteCount":11928,"isWinner":false},{"candidateName":"Luis Reynoso","candidateIncumbent":false,"candidateParty":"R","voteCount":7808,"isWinner":false}],"winnerDateTime":"2024-03-12T00:51:36.366Z"},"5930":{"id":"5930","type":"apRace","location":"State of California","raceName":"U.S. House of Representatives, District 16","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":182135,"precinctsReportPercentage":98.91,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"April 3, 2024","timeUpdated":"3:04 PM","source":"AP","candidates":[{"candidateName":"Sam Liccardo","candidateIncumbent":false,"candidateParty":"D","voteCount":38489,"isWinner":true},{"candidateName":"Evan Low","candidateIncumbent":false,"candidateParty":"D","voteCount":30249,"isWinner":false},{"candidateName":"Joe Simitian","candidateIncumbent":false,"candidateParty":"D","voteCount":30249,"isWinner":false},{"candidateName":"Peter Ohtaki","candidateIncumbent":false,"candidateParty":"R","voteCount":23275,"isWinner":false},{"candidateName":"Peter Dixon","candidateIncumbent":false,"candidateParty":"D","voteCount":14673,"isWinner":false},{"candidateName":"Rishi Kumar","candidateIncumbent":false,"candidateParty":"D","voteCount":12377,"isWinner":false},{"candidateName":"Karl Ryan","candidateIncumbent":false,"candidateParty":"R","voteCount":11557,"isWinner":false},{"candidateName":"Julie Lythcott-Haims","candidateIncumbent":false,"candidateParty":"D","voteCount":11383,"isWinner":false},{"candidateName":"Ahmed Mostafa","candidateIncumbent":false,"candidateParty":"D","voteCount":5811,"isWinner":false},{"candidateName":"Greg Tanaka","candidateIncumbent":false,"candidateParty":"D","voteCount":2421,"isWinner":false},{"candidateName":"Joby Bernstein","candidateIncumbent":false,"candidateParty":"D","voteCount":1651,"isWinner":false}],"winnerDateTime":"2024-03-12T00:32:05.002Z"},"5931":{"id":"5931","type":"apRace","location":"State of California","raceName":"U.S. House of Representatives, District 17","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":117534,"precinctsReportPercentage":98.92,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:20 PM","source":"AP","candidates":[{"candidateName":"Ro Khanna","candidateIncumbent":true,"candidateParty":"D","voteCount":73941,"isWinner":true},{"candidateName":"Anita Chen","candidateIncumbent":false,"candidateParty":"R","voteCount":31539,"isWinner":true},{"candidateName":"Ritesh Tandon","candidateIncumbent":false,"candidateParty":"D","voteCount":5728,"isWinner":false},{"candidateName":"Mario Ramirez","candidateIncumbent":false,"candidateParty":"D","voteCount":4491,"isWinner":false},{"candidateName":"Joe Dehn","candidateIncumbent":false,"candidateParty":"Lib","voteCount":1835,"isWinner":false}],"winnerDateTime":"2024-03-08T01:50:53.956Z"},"5932":{"id":"5932","type":"apRace","location":"State of California","raceName":"U.S. House of Representatives, District 18","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":96302,"precinctsReportPercentage":98.93,"eevp":98.83,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 25, 2024","timeUpdated":"5:47 AM","source":"AP","candidates":[{"candidateName":"Zoe Lofgren","candidateIncumbent":true,"candidateParty":"D","voteCount":49323,"isWinner":true},{"candidateName":"Peter Hernandez","candidateIncumbent":false,"candidateParty":"R","voteCount":31622,"isWinner":true},{"candidateName":"Charlene Nijmeh","candidateIncumbent":false,"candidateParty":"D","voteCount":10614,"isWinner":false},{"candidateName":"Lawrence Milan","candidateIncumbent":false,"candidateParty":"D","voteCount":2712,"isWinner":false},{"candidateName":"Luele Kifle","candidateIncumbent":false,"candidateParty":"D","voteCount":2031,"isWinner":false}],"winnerDateTime":"2024-03-12T00:26:02.706Z"},"5963":{"id":"5963","type":"apRace","location":"State of California","raceName":"State House, District 2","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":139085,"precinctsReportPercentage":98.62,"eevp":98.6,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:20 PM","source":"AP","candidates":[{"candidateName":"Michael Greer","candidateIncumbent":false,"candidateParty":"R","voteCount":38079,"isWinner":true},{"candidateName":"Chris Rogers","candidateIncumbent":false,"candidateParty":"D","voteCount":27126,"isWinner":true},{"candidateName":"Rusty Hicks","candidateIncumbent":false,"candidateParty":"D","voteCount":25615,"isWinner":false},{"candidateName":"Ariel Kelley","candidateIncumbent":false,"candidateParty":"D","voteCount":19483,"isWinner":false},{"candidateName":"Frankie Myers","candidateIncumbent":false,"candidateParty":"D","voteCount":17694,"isWinner":false},{"candidateName":"Ted Williams","candidateIncumbent":false,"candidateParty":"D","voteCount":9550,"isWinner":false},{"candidateName":"Cynthia Click","candidateIncumbent":false,"candidateParty":"D","voteCount":1538,"isWinner":false}],"winnerDateTime":"2024-03-22T21:38:36.711Z"},"5972":{"id":"5972","type":"apRace","location":"State of California","raceName":"State House, District 11","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":99775,"precinctsReportPercentage":99,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:48 PM","source":"AP","candidates":[{"candidateName":"Lori Wilson","candidateIncumbent":true,"candidateParty":"D","voteCount":50085,"isWinner":true},{"candidateName":"Dave Ennis","candidateIncumbent":false,"candidateParty":"R","voteCount":26074,"isWinner":true},{"candidateName":"Wanda Wallis","candidateIncumbent":false,"candidateParty":"R","voteCount":14638,"isWinner":false},{"candidateName":"Jeffrey Flack","candidateIncumbent":false,"candidateParty":"D","voteCount":8978,"isWinner":false}],"winnerDateTime":"2024-03-08T02:01:24.524Z"},"5973":{"id":"5973","type":"apRace","location":"State of California","raceName":"State House, District 12","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":143532,"precinctsReportPercentage":99.19,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:38 PM","source":"AP","candidates":[{"candidateName":"Damon Connolly","candidateIncumbent":true,"candidateParty":"D","voteCount":111275,"isWinner":true},{"candidateName":"Andy Podshadley","candidateIncumbent":false,"candidateParty":"R","voteCount":17240,"isWinner":true},{"candidateName":"Eryn Cervantes","candidateIncumbent":false,"candidateParty":"R","voteCount":15017,"isWinner":false}],"winnerDateTime":"2024-03-21T00:25:32.262Z"},"5975":{"id":"5975","type":"apRace","location":"State of California","raceName":"State House, District 14","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":106997,"precinctsReportPercentage":99.06,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:48 PM","source":"AP","candidates":[{"candidateName":"Buffy Wicks","candidateIncumbent":true,"candidateParty":"D","voteCount":78678,"isWinner":true},{"candidateName":"Margot Smith","candidateIncumbent":false,"candidateParty":"D","voteCount":18251,"isWinner":true},{"candidateName":"Utkarsh Jain","candidateIncumbent":false,"candidateParty":"R","voteCount":10068,"isWinner":false}],"winnerDateTime":"2024-03-15T01:30:34.539Z"},"5976":{"id":"5976","type":"apRace","location":"State of California","raceName":"State House, District 15","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":97144,"precinctsReportPercentage":98.98,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:48 PM","source":"AP","candidates":[{"candidateName":"Sonia Ledo","candidateIncumbent":false,"candidateParty":"R","voteCount":30946,"isWinner":true},{"candidateName":"Anamarie Farias","candidateIncumbent":false,"candidateParty":"D","voteCount":29512,"isWinner":true},{"candidateName":"Monica Wilson","candidateIncumbent":false,"candidateParty":"D","voteCount":24775,"isWinner":false},{"candidateName":"Karen Mitchoff","candidateIncumbent":false,"candidateParty":"D","voteCount":11911,"isWinner":false}],"winnerDateTime":"2024-03-14T00:19:38.858Z"},"5977":{"id":"5977","type":"apRace","location":"State of California","raceName":"State House, District 16","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":0,"uncontested":true,"precinctsReportPercentage":0,"eevp":0,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:20 PM","source":"AP","candidates":[{"candidateName":"Joseph Rubay","candidateIncumbent":false,"candidateParty":"R","voteCount":0,"isWinner":true},{"candidateName":"Rebecca Bauer-Kahan","candidateIncumbent":true,"candidateParty":"D","voteCount":0,"isWinner":true}],"winnerDateTime":"2024-03-06T04:00:30.000Z"},"5978":{"id":"5978","type":"apRace","location":"State of California","raceName":"State House, District 17","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":111003,"precinctsReportPercentage":98.99,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"8:25 AM","source":"AP","candidates":[{"candidateName":"Matt Haney","candidateIncumbent":true,"candidateParty":"D","voteCount":90915,"isWinner":true},{"candidateName":"Manuel Noris-Barrera","candidateIncumbent":false,"candidateParty":"R","voteCount":13843,"isWinner":true},{"candidateName":"Otto Duke","candidateIncumbent":false,"candidateParty":"D","voteCount":6245,"isWinner":false}],"winnerDateTime":"2024-03-12T00:36:19.697Z"},"5979":{"id":"5979","type":"apRace","location":"State of California","raceName":"State House, District 18","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":86008,"precinctsReportPercentage":99.1,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 20, 2024","timeUpdated":"4:41 PM","source":"AP","candidates":[{"candidateName":"Mia Bonta","candidateIncumbent":true,"candidateParty":"D","voteCount":73040,"isWinner":true},{"candidateName":"Andre Sandford","candidateIncumbent":false,"candidateParty":"AIP","voteCount":4575,"isWinner":false},{"candidateName":"Mindy Pechenuk","candidateIncumbent":false,"candidateParty":"R","voteCount":4389,"isWinner":false},{"candidateName":"Cheyenne Kenney","candidateIncumbent":false,"candidateParty":"R","voteCount":4004,"isWinner":false}],"winnerDateTime":"2024-03-06T08:03:23.729Z"},"5980":{"id":"5980","type":"apRace","location":"State of California","raceName":"State House, District 19","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":113959,"precinctsReportPercentage":98.8,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:20 PM","source":"AP","candidates":[{"candidateName":"Catherine Stefani","candidateIncumbent":false,"candidateParty":"D","voteCount":64960,"isWinner":true},{"candidateName":"David Lee","candidateIncumbent":false,"candidateParty":"D","voteCount":33035,"isWinner":true},{"candidateName":"Nadia Flamenco","candidateIncumbent":false,"candidateParty":"R","voteCount":8335,"isWinner":false},{"candidateName":"Arjun Sodhani","candidateIncumbent":false,"candidateParty":"R","voteCount":7629,"isWinner":false}],"winnerDateTime":"2024-03-11T23:50:23.109Z"},"5981":{"id":"5981","type":"apRace","location":"State of California","raceName":"State House, District 20","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":0,"uncontested":true,"precinctsReportPercentage":0,"eevp":0,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 20, 2024","timeUpdated":"4:36 PM","source":"AP","candidates":[{"candidateName":"Liz Ortega","candidateIncumbent":true,"candidateParty":"D","voteCount":0,"isWinner":true}],"winnerDateTime":"2024-03-06T04:00:30.000Z"},"5982":{"id":"5982","type":"apRace","location":"State of California","raceName":"State House, District 21","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":0,"uncontested":true,"precinctsReportPercentage":0,"eevp":0,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:20 PM","source":"AP","candidates":[{"candidateName":"Mark Gilham","candidateIncumbent":false,"candidateParty":"R","voteCount":0,"isWinner":true},{"candidateName":"Diane Papan","candidateIncumbent":true,"candidateParty":"D","voteCount":0,"isWinner":true}],"winnerDateTime":"2024-03-06T04:00:30.000Z"},"5984":{"id":"5984","type":"apRace","location":"State of California","raceName":"State House, District 23","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":116963,"precinctsReportPercentage":98.91,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:20 PM","source":"AP","candidates":[{"candidateName":"Marc Berman","candidateIncumbent":true,"candidateParty":"D","voteCount":67106,"isWinner":true},{"candidateName":"Lydia Kou","candidateIncumbent":false,"candidateParty":"D","voteCount":23699,"isWinner":true},{"candidateName":"Gus Mattammal","candidateIncumbent":false,"candidateParty":"R","voteCount":13277,"isWinner":false},{"candidateName":"Allan Marson","candidateIncumbent":false,"candidateParty":"R","voteCount":12881,"isWinner":false}],"winnerDateTime":"2024-03-12T01:13:06.280Z"},"5987":{"id":"5987","type":"apRace","location":"State of California","raceName":"State House, District 26","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":72753,"precinctsReportPercentage":99.19,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:20 PM","source":"AP","candidates":[{"candidateName":"Patrick Ahrens","candidateIncumbent":false,"candidateParty":"D","voteCount":25036,"isWinner":true},{"candidateName":"Tara Sreekrishnan","candidateIncumbent":false,"candidateParty":"D","voteCount":19600,"isWinner":true},{"candidateName":"Sophie Song","candidateIncumbent":false,"candidateParty":"R","voteCount":15954,"isWinner":false},{"candidateName":"Omar Din","candidateIncumbent":false,"candidateParty":"D","voteCount":8772,"isWinner":false},{"candidateName":"Bob Goodwyn","candidateIncumbent":false,"candidateParty":"Lib","voteCount":2170,"isWinner":false},{"candidateName":"Ashish Garg","candidateIncumbent":false,"candidateParty":"NPP","voteCount":1221,"isWinner":false}],"winnerDateTime":"2024-03-13T21:06:29.070Z"},"5989":{"id":"5989","type":"apRace","location":"State of California","raceName":"State House, District 28","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":0,"uncontested":true,"precinctsReportPercentage":0,"eevp":0,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"5:10 PM","source":"AP","candidates":[{"candidateName":"Gail Pellerin","candidateIncumbent":true,"candidateParty":"D","voteCount":0,"isWinner":true},{"candidateName":"Liz Lawler","candidateIncumbent":false,"candidateParty":"R","voteCount":0,"isWinner":true}],"winnerDateTime":"2024-03-06T04:00:30.000Z"},"6010":{"id":"6010","type":"apRace","location":"State of California","raceName":"State House, District 49","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":0,"uncontested":true,"precinctsReportPercentage":0,"eevp":0,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:36 PM","source":"AP","candidates":[{"candidateName":"Mike Fong","candidateIncumbent":true,"candidateParty":"D","voteCount":0,"isWinner":true},{"candidateName":"Long Liu","candidateIncumbent":false,"candidateParty":"R","voteCount":0,"isWinner":true}],"winnerDateTime":"2024-03-06T04:00:30.000Z"},"6018":{"id":"6018","type":"apRace","location":"State of California","raceName":"U.S. House of Representatives, District 2","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":229348,"precinctsReportPercentage":99.05,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:38 PM","source":"AP","candidates":[{"candidateName":"Jared Huffman","candidateIncumbent":true,"candidateParty":"D","voteCount":169005,"isWinner":true},{"candidateName":"Chris Coulombe","candidateIncumbent":false,"candidateParty":"R","voteCount":37372,"isWinner":true},{"candidateName":"Tief Gibbs","candidateIncumbent":false,"candidateParty":"R","voteCount":18437,"isWinner":false},{"candidateName":"Jolian Kangas","candidateIncumbent":false,"candidateParty":"NPP","voteCount":3166,"isWinner":false},{"candidateName":"Jason Brisendine","candidateIncumbent":false,"candidateParty":"NPP","voteCount":1368,"isWinner":false}],"winnerDateTime":"2024-03-12T00:46:10.103Z"},"6020":{"id":"6020","type":"apRace","location":"State of California","raceName":"U.S. House of Representatives, District 4","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":187640,"precinctsReportPercentage":96.32,"eevp":96.36,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:20 PM","source":"AP","candidates":[{"candidateName":"Mike Thompson","candidateIncumbent":true,"candidateParty":"D","voteCount":118147,"isWinner":true},{"candidateName":"John Munn","candidateIncumbent":false,"candidateParty":"R","voteCount":56232,"isWinner":true},{"candidateName":"Andrew Engdahl","candidateIncumbent":false,"candidateParty":"D","voteCount":11202,"isWinner":false},{"candidateName":"Niket Patwardhan","candidateIncumbent":false,"candidateParty":"NPP","voteCount":2059,"isWinner":false}],"winnerDateTime":"2024-03-07T00:30:57.980Z"},"6025":{"id":"6025","type":"apRace","location":"State of California","raceName":"U.S. House of Representatives, District 9","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":121271,"precinctsReportPercentage":99.17,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"5:10 PM","source":"AP","candidates":[{"candidateName":"Josh Harder","candidateIncumbent":true,"candidateParty":"D","voteCount":60396,"isWinner":true},{"candidateName":"Kevin Lincoln","candidateIncumbent":false,"candidateParty":"R","voteCount":36346,"isWinner":true},{"candidateName":"John McBride","candidateIncumbent":false,"candidateParty":"R","voteCount":15525,"isWinner":false},{"candidateName":"Khalid Jafri","candidateIncumbent":false,"candidateParty":"R","voteCount":9004,"isWinner":false}],"winnerDateTime":"2024-03-12T00:49:44.113Z"},"6031":{"id":"6031","type":"apRace","location":"State of California","raceName":"U.S. House of Representatives, District 15","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":0,"uncontested":true,"precinctsReportPercentage":0,"eevp":0,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:20 PM","source":"AP","candidates":[{"candidateName":"Anna Kramer","candidateIncumbent":false,"candidateParty":"R","voteCount":0,"isWinner":true},{"candidateName":"Kevin Mullin","candidateIncumbent":true,"candidateParty":"D","voteCount":0,"isWinner":true}],"winnerDateTime":"2024-03-06T04:00:30.000Z"},"6035":{"id":"6035","type":"apRace","location":"State of California","raceName":"U.S. House of Representatives, District 19","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":203670,"precinctsReportPercentage":99.11,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 25, 2024","timeUpdated":"5:47 AM","source":"AP","candidates":[{"candidateName":"Jimmy Panetta","candidateIncumbent":true,"candidateParty":"D","voteCount":132540,"isWinner":true},{"candidateName":"Jason Anderson","candidateIncumbent":false,"candidateParty":"R","voteCount":58120,"isWinner":true},{"candidateName":"Sean Dougherty","candidateIncumbent":false,"candidateParty":"Grn","voteCount":13010,"isWinner":false}],"winnerDateTime":"2024-03-07T00:23:46.779Z"},"6066":{"id":"6066","type":"apRace","location":"State of California","raceName":"State House, District 3","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":0,"uncontested":true,"precinctsReportPercentage":0,"eevp":0,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"5:10 PM","source":"AP","candidates":[{"candidateName":"Jamie Gallagher","candidateIncumbent":true,"candidateParty":"R","voteCount":0,"isWinner":true},{"candidateName":"Aaron Draper","candidateIncumbent":false,"candidateParty":"D","voteCount":0,"isWinner":true}],"winnerDateTime":"2024-03-06T04:00:30.000Z"},"6067":{"id":"6067","type":"apRace","location":"State of California","raceName":"State House, District 4","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":0,"uncontested":true,"precinctsReportPercentage":0,"eevp":0,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:20 PM","source":"AP","candidates":[{"candidateName":"Cecilia Aguiar-Curry","candidateIncumbent":true,"candidateParty":"D","voteCount":0,"isWinner":true}],"winnerDateTime":"2024-03-06T04:00:30.000Z"},"6087":{"id":"6087","type":"apRace","location":"State of California","raceName":"State House, District 24","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":66643,"precinctsReportPercentage":99.19,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:20 PM","source":"AP","candidates":[{"candidateName":"Alex Lee","candidateIncumbent":true,"candidateParty":"D","voteCount":45544,"isWinner":true},{"candidateName":"Bob Brunton","candidateIncumbent":false,"candidateParty":"R","voteCount":14951,"isWinner":true},{"candidateName":"Marti Souza","candidateIncumbent":false,"candidateParty":"R","voteCount":6148,"isWinner":false}],"winnerDateTime":"2024-03-14T23:23:49.770Z"},"6088":{"id":"6088","type":"apRace","location":"State of California","raceName":"State House, District 25","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":69560,"precinctsReportPercentage":99.31,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:20 PM","source":"AP","candidates":[{"candidateName":"Ash Kalra","candidateIncumbent":true,"candidateParty":"D","voteCount":35821,"isWinner":true},{"candidateName":"Ted Stroll","candidateIncumbent":false,"candidateParty":"R","voteCount":18255,"isWinner":true},{"candidateName":"Lan Ngo","candidateIncumbent":false,"candidateParty":"D","voteCount":15484,"isWinner":false}],"winnerDateTime":"2024-03-14T02:40:57.200Z"},"6092":{"id":"6092","type":"apRace","location":"State of California","raceName":"State House, District 29","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":0,"uncontested":true,"precinctsReportPercentage":0,"eevp":0,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 25, 2024","timeUpdated":"5:47 AM","source":"AP","candidates":[{"candidateName":"Robert Rivas","candidateIncumbent":true,"candidateParty":"D","voteCount":0,"isWinner":true},{"candidateName":"J.W. Paine","candidateIncumbent":false,"candidateParty":"R","voteCount":0,"isWinner":true}],"winnerDateTime":"2024-03-06T04:00:30.000Z"},"6223":{"id":"6223","type":"apRace","location":"State of California","raceName":"U.S. House of Representatives, District 46","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":0,"uncontested":true,"precinctsReportPercentage":0,"eevp":0,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"5:16 PM","source":"AP","candidates":[{"candidateName":"Lou Correa","candidateIncumbent":true,"candidateParty":"D","voteCount":0,"isWinner":true},{"candidateName":"David Pan","candidateIncumbent":false,"candidateParty":"R","voteCount":0,"isWinner":true}],"winnerDateTime":"2024-03-06T04:00:30.000Z"},"6530":{"id":"6530","type":"apRace","location":"State of California","raceName":"State Senate, District 3","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":222193,"precinctsReportPercentage":98.99,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:48 PM","source":"AP","candidates":[{"candidateName":"Thom Bogue","candidateIncumbent":false,"candidateParty":"R","voteCount":61776,"isWinner":true},{"candidateName":"Christopher Cabaldon","candidateIncumbent":false,"candidateParty":"D","voteCount":59041,"isWinner":true},{"candidateName":"Rozzana Verder-Aliga","candidateIncumbent":false,"candidateParty":"D","voteCount":45546,"isWinner":false},{"candidateName":"Jackie Elward","candidateIncumbent":false,"candidateParty":"D","voteCount":41127,"isWinner":false},{"candidateName":"Jimih Jones","candidateIncumbent":false,"candidateParty":"R","voteCount":14703,"isWinner":false}],"winnerDateTime":"2024-03-15T01:24:31.539Z"},"6531":{"id":"6531","type":"apRace","location":"State of California","raceName":"State Senate, District 5","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":171623,"precinctsReportPercentage":99.09,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"5:10 PM","source":"AP","candidates":[{"candidateName":"Jim Shoemaker","candidateIncumbent":false,"candidateParty":"R","voteCount":74935,"isWinner":true},{"candidateName":"Jerry McNerney","candidateIncumbent":false,"candidateParty":"D","voteCount":57040,"isWinner":true},{"candidateName":"Carlos Villapudua","candidateIncumbent":false,"candidateParty":"D","voteCount":39648,"isWinner":false}],"winnerDateTime":"2024-03-13T20:07:46.382Z"},"6532":{"id":"6532","type":"apRace","location":"State of California","raceName":"State Senate, District 7","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":192446,"precinctsReportPercentage":98.72,"eevp":98.78,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:48 PM","source":"AP","candidates":[{"candidateName":"Jesse Arreguín","candidateIncumbent":false,"candidateParty":"D","voteCount":61837,"isWinner":true},{"candidateName":"Jovanka Beckles","candidateIncumbent":false,"candidateParty":"D","voteCount":34025,"isWinner":true},{"candidateName":"Dan Kalb","candidateIncumbent":false,"candidateParty":"D","voteCount":28842,"isWinner":false},{"candidateName":"Kathryn Lybarger","candidateIncumbent":false,"candidateParty":"D","voteCount":28041,"isWinner":false},{"candidateName":"Sandre Swanson","candidateIncumbent":false,"candidateParty":"D","voteCount":22862,"isWinner":false},{"candidateName":"Jeanne Solnordal","candidateIncumbent":false,"candidateParty":"R","voteCount":16839,"isWinner":false}],"winnerDateTime":"2024-03-16T00:58:11.533Z"},"6533":{"id":"6533","type":"apRace","location":"State of California","raceName":"State Senate, District 9","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":0,"uncontested":true,"precinctsReportPercentage":0,"eevp":0,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:20 PM","source":"AP","candidates":[{"candidateName":"Tim Grayson","candidateIncumbent":false,"candidateParty":"D","voteCount":0,"isWinner":true},{"candidateName":"Marisol Rubio","candidateIncumbent":false,"candidateParty":"D","voteCount":0,"isWinner":true}],"winnerDateTime":"2024-03-06T04:00:30.000Z"},"6534":{"id":"6534","type":"apRace","location":"State of California","raceName":"State Senate, District 11","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":228260,"precinctsReportPercentage":99.09,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:20 PM","source":"AP","candidates":[{"candidateName":"Scott Wiener","candidateIncumbent":true,"candidateParty":"D","voteCount":166592,"isWinner":true},{"candidateName":"Yvette Corkrean","candidateIncumbent":false,"candidateParty":"R","voteCount":34438,"isWinner":true},{"candidateName":"Cynthia Cravens","candidateIncumbent":false,"candidateParty":"D","voteCount":18513,"isWinner":false},{"candidateName":"Jing Xiong","candidateIncumbent":false,"candidateParty":"NPP","voteCount":8717,"isWinner":false}],"winnerDateTime":"2024-03-12T02:01:51.597Z"},"6535":{"id":"6535","type":"apRace","location":"State of California","raceName":"State Senate, District 13","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":227191,"precinctsReportPercentage":98.88,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:20 PM","source":"AP","candidates":[{"candidateName":"Josh Becker","candidateIncumbent":true,"candidateParty":"D","voteCount":167127,"isWinner":true},{"candidateName":"Alexander Glew","candidateIncumbent":false,"candidateParty":"R","voteCount":42788,"isWinner":true},{"candidateName":"Christina Laskowski","candidateIncumbent":false,"candidateParty":"R","voteCount":17276,"isWinner":false}],"winnerDateTime":"2024-03-12T01:56:24.964Z"},"6536":{"id":"6536","type":"apRace","location":"State of California","raceName":"State Senate, District 15","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":180231,"precinctsReportPercentage":98.81,"eevp":98.95,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"4:20 PM","source":"AP","candidates":[{"candidateName":"Dave Cortese","candidateIncumbent":true,"candidateParty":"D","voteCount":124440,"isWinner":true},{"candidateName":"Robert Howell","candidateIncumbent":false,"candidateParty":"R","voteCount":34173,"isWinner":true},{"candidateName":"Tony Loaiza","candidateIncumbent":false,"candidateParty":"R","voteCount":21618,"isWinner":false}],"winnerDateTime":"2024-03-13T01:15:45.365Z"},"6548":{"id":"6548","type":"apRace","location":"State of California","raceName":"State Senate, District 39","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":0,"uncontested":true,"precinctsReportPercentage":0,"eevp":0,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 20, 2024","timeUpdated":"4:55 PM","source":"AP","candidates":[{"candidateName":"Akilah Weber","candidateIncumbent":false,"candidateParty":"D","voteCount":0,"isWinner":true},{"candidateName":"Bob Divine","candidateIncumbent":false,"candidateParty":"R","voteCount":0,"isWinner":true}],"winnerDateTime":"2024-03-06T04:00:30.000Z"},"6611":{"id":"6611","type":"apRace","location":"State of California","raceName":"U.S. House of Representatives, District 11","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":188732,"precinctsReportPercentage":98.89,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 22, 2024","timeUpdated":"8:25 AM","source":"AP","candidates":[{"candidateName":"Nancy Pelosi","candidateIncumbent":true,"candidateParty":"D","voteCount":138285,"isWinner":true},{"candidateName":"Bruce Lou","candidateIncumbent":false,"candidateParty":"R","voteCount":16285,"isWinner":true},{"candidateName":"Marjorie Mikels","candidateIncumbent":false,"candidateParty":"D","voteCount":9363,"isWinner":false},{"candidateName":"Bianca Von Krieg","candidateIncumbent":false,"candidateParty":"D","voteCount":7634,"isWinner":false},{"candidateName":"Jason Zeng","candidateIncumbent":false,"candidateParty":"R","voteCount":6607,"isWinner":false},{"candidateName":"Jason Boyce","candidateIncumbent":false,"candidateParty":"D","voteCount":4325,"isWinner":false},{"candidateName":"Larry Nichelson","candidateIncumbent":false,"candidateParty":"R","voteCount":3482,"isWinner":false},{"candidateName":"Eve Del Castello","candidateIncumbent":false,"candidateParty":"R","voteCount":2751,"isWinner":false}],"winnerDateTime":"2024-03-12T00:31:55.445Z"},"8589":{"id":"8589","type":"apRace","location":"State of California","raceName":"U.S. Senate, Class I","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":7276537,"precinctsReportPercentage":99,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 25, 2024","timeUpdated":"5:47 AM","source":"AP","candidates":[{"candidateName":"Adam Schiff","candidateIncumbent":false,"candidateParty":"D","voteCount":2299507,"isWinner":true},{"candidateName":"Steve Garvey","candidateIncumbent":false,"candidateParty":"R","voteCount":2292414,"isWinner":true},{"candidateName":"Katie Porter","candidateIncumbent":false,"candidateParty":"D","voteCount":1115606,"isWinner":false},{"candidateName":"Barbara Lee","candidateIncumbent":false,"candidateParty":"D","voteCount":714408,"isWinner":false},{"candidateName":"Eric Early","candidateIncumbent":false,"candidateParty":"R","voteCount":240723,"isWinner":false},{"candidateName":"James Bradley","candidateIncumbent":false,"candidateParty":"R","voteCount":98180,"isWinner":false},{"candidateName":"Christina Pascucci","candidateIncumbent":false,"candidateParty":"D","voteCount":61755,"isWinner":false},{"candidateName":"Sharleta Bassett","candidateIncumbent":false,"candidateParty":"R","voteCount":54422,"isWinner":false},{"candidateName":"Sarah Liew","candidateIncumbent":false,"candidateParty":"R","voteCount":38483,"isWinner":false},{"candidateName":"Laura Garza ","candidateIncumbent":false,"candidateParty":"NPP","voteCount":34320,"isWinner":false},{"candidateName":"Jonathan Reiss","candidateIncumbent":false,"candidateParty":"R","voteCount":34283,"isWinner":false},{"candidateName":"Sepi Gilani","candidateIncumbent":false,"candidateParty":"D","voteCount":34056,"isWinner":false},{"candidateName":"Gail Lightfoot","candidateIncumbent":false,"candidateParty":"Lib","voteCount":33046,"isWinner":false},{"candidateName":"Denice Gary-Pandol","candidateIncumbent":false,"candidateParty":"R","voteCount":25494,"isWinner":false},{"candidateName":"James Macauley","candidateIncumbent":false,"candidateParty":"R","voteCount":23168,"isWinner":false},{"candidateName":"Harmesh Kumar","candidateIncumbent":false,"candidateParty":"D","voteCount":21522,"isWinner":false},{"candidateName":"David Peterson","candidateIncumbent":false,"candidateParty":"D","voteCount":21076,"isWinner":false},{"candidateName":"Douglas Pierce","candidateIncumbent":false,"candidateParty":"D","voteCount":19371,"isWinner":false},{"candidateName":"Major Singh","candidateIncumbent":false,"candidateParty":"NPP","voteCount":16965,"isWinner":false},{"candidateName":"John Rose","candidateIncumbent":false,"candidateParty":"D","voteCount":14577,"isWinner":false},{"candidateName":"Perry Pound","candidateIncumbent":false,"candidateParty":"D","voteCount":14134,"isWinner":false},{"candidateName":"Raji Rab","candidateIncumbent":false,"candidateParty":"D","voteCount":13558,"isWinner":false},{"candidateName":"Mark Ruzon","candidateIncumbent":false,"candidateParty":"NPP","voteCount":13429,"isWinner":false},{"candidateName":"Forrest Jones","candidateIncumbent":false,"candidateParty":"AIP","voteCount":13027,"isWinner":false},{"candidateName":"Stefan Simchowitz","candidateIncumbent":false,"candidateParty":"R","voteCount":12717,"isWinner":false},{"candidateName":"Martin Veprauskas","candidateIncumbent":false,"candidateParty":"R","voteCount":9714,"isWinner":false},{"candidateName":"Don Grundmann","candidateIncumbent":false,"candidateParty":"NPP","voteCount":6582,"isWinner":false}],"winnerDateTime":"2024-03-06T05:01:46.589Z"},"8686":{"id":"8686","type":"apRace","location":"State of California","raceName":"President,","raceDescription":"Top candidate wins seat.","raceType":"top1","totalVotes":3589127,"precinctsReportPercentage":99,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 25, 2024","timeUpdated":"5:48 AM","source":"AP","candidates":[{"candidateName":"Joe Biden","candidateIncumbent":true,"candidateParty":"D","voteCount":3200188,"isWinner":true},{"candidateName":"Marianne Williamson","candidateIncumbent":false,"candidateParty":"D","voteCount":145690,"isWinner":false},{"candidateName":"Dean Phillips","candidateIncumbent":false,"candidateParty":"D","voteCount":99981,"isWinner":false},{"candidateName":"Armando Perez-Serrato","candidateIncumbent":false,"candidateParty":"D","voteCount":42925,"isWinner":false},{"candidateName":"Gabriel Cornejo","candidateIncumbent":false,"candidateParty":"D","voteCount":41261,"isWinner":false},{"candidateName":"President Boddie","candidateIncumbent":false,"candidateParty":"D","voteCount":25373,"isWinner":false},{"candidateName":"Stephen Lyons","candidateIncumbent":false,"candidateParty":"D","voteCount":21008,"isWinner":false},{"candidateName":"Eban Cambridge","candidateIncumbent":false,"candidateParty":"D","voteCount":12701,"isWinner":false}],"winnerDateTime":"2024-03-06T04:12:27.559Z"},"8688":{"id":"8688","type":"apRace","location":"State of California","raceName":"President,","raceDescription":"Top candidate wins seat.","raceType":"top1","totalVotes":2466569,"precinctsReportPercentage":99,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 25, 2024","timeUpdated":"5:47 AM","source":"AP","candidates":[{"candidateName":"Donald Trump","candidateIncumbent":false,"candidateParty":"R","voteCount":1953947,"isWinner":true},{"candidateName":"Nikki Haley","candidateIncumbent":false,"candidateParty":"R","voteCount":430792,"isWinner":false},{"candidateName":"Ron DeSantis","candidateIncumbent":false,"candidateParty":"R","voteCount":35581,"isWinner":false},{"candidateName":"Chris Christie","candidateIncumbent":false,"candidateParty":"R","voteCount":20164,"isWinner":false},{"candidateName":"Vivek Ramaswamy","candidateIncumbent":false,"candidateParty":"R","voteCount":11069,"isWinner":false},{"candidateName":"Rachel Swift","candidateIncumbent":false,"candidateParty":"R","voteCount":4231,"isWinner":false},{"candidateName":"David Stuckenberg","candidateIncumbent":false,"candidateParty":"R","voteCount":3895,"isWinner":false},{"candidateName":"Ryan Binkley","candidateIncumbent":false,"candidateParty":"R","voteCount":3563,"isWinner":false},{"candidateName":"Asa Hutchinson","candidateIncumbent":false,"candidateParty":"R","voteCount":3327,"isWinner":false}],"winnerDateTime":"2024-03-06T04:13:19.766Z"},"81993":{"id":"81993","type":"apRace","location":"State of California","raceName":"U.S. Senate, Class I Unexpired Term","raceDescription":"Top candidate wins seat.","raceType":"top2","totalVotes":7358837,"precinctsReportPercentage":99,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 25, 2024","timeUpdated":"5:47 AM","source":"AP","candidates":[{"candidateName":"Steve Garvey","candidateIncumbent":false,"candidateParty":"R","voteCount":2444940,"isWinner":true},{"candidateName":"Adam Schiff","candidateIncumbent":false,"candidateParty":"D","voteCount":2155146,"isWinner":true},{"candidateName":"Katie Porter","candidateIncumbent":false,"candidateParty":"D","voteCount":1269194,"isWinner":false},{"candidateName":"Barbara Lee","candidateIncumbent":false,"candidateParty":"D","voteCount":863278,"isWinner":false},{"candidateName":"Eric Early","candidateIncumbent":false,"candidateParty":"R","voteCount":448788,"isWinner":false},{"candidateName":"Christina Pascucci","candidateIncumbent":false,"candidateParty":"D","voteCount":109421,"isWinner":false},{"candidateName":"Sepi Gilani","candidateIncumbent":false,"candidateParty":"D","voteCount":68070,"isWinner":false}],"winnerDateTime":"2024-03-06T04:31:08.186Z"},"82014":{"id":"82014","type":"apRace","location":"State of California","raceName":"Proposition, 1 - Behavioral Health Services Program","raceDescription":"Top candidate wins seat.","raceType":"top1","totalVotes":7221972,"precinctsReportPercentage":99,"eevp":99,"tabulationStatus":"Tabulation Paused","dateUpdated":"March 25, 2024","timeUpdated":"5:47 AM","source":"AP","candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":null,"voteCount":3624998,"isWinner":true},{"candidateName":"No","candidateIncumbent":false,"candidateParty":null,"voteCount":3596974,"isWinner":false}],"winnerDateTime":"2024-03-21T00:11:06.265Z"},"timeLoaded":"April 18, 2024 6:52 AM","nationalRacesLoaded":true,"localRacesLoaded":true,"overrides":[{"id":"5921","raceName":"U.S. House of Representatives, District 7","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"5922","raceName":"U.S. House of Representatives, District 8","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"5924","raceName":"U.S. House of Representatives, District 10","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"5926","raceName":"U.S. House of Representatives, District 12","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":"https://www.kqed.org/elections/results/alameda/congress-12th-district"},{"id":"5928","raceName":"U.S. House of Representatives, District 14","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"5930","raceName":"U.S. House of Representatives, District 16","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":"https://www.kqed.org/elections/results/california/congress-16th-district"},{"id":"5931","raceName":"U.S. House of Representatives, District 17","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"5932","raceName":"U.S. House of Representatives, District 18","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"5963","raceName":"State Assembly, District 2","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"5972","raceName":"State Assembly, District 11","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"5973","raceName":"State Assembly, District 12","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"5975","raceName":"State Assembly, District 14","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"5976","raceName":"State Assembly, District 15","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":"https://www.kqed.org/elections/results/contracosta/state-assembly"},{"id":"5977","raceName":"State Assembly, District 16","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"5978","raceName":"State Assembly, District 17","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"5979","raceName":"State Assembly, District 18","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"5980","raceName":"State Assembly, District 19","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"5981","raceName":"State Assembly, District 20","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"5982","raceName":"State Assembly, District 21","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"5984","raceName":"State Assembly, District 23","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":"https://www.kqed.org/elections/results/california/state-assembly-23rd-district"},{"id":"5987","raceName":"State Assembly, District 26","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":"https://www.kqed.org/elections/results/santaclara/state-assembly-26th-district"},{"id":"5989","raceName":"State Assembly, District 28","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"6010","raceName":"State Assembly, District 4","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"6018","raceName":"U.S. House of Representatives, District 2","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"6020","raceName":"U.S. House of Representatives, District 4","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"6025","raceName":"U.S. House of Representatives, District 9","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"6031","raceName":"U.S. House of Representatives, District 15","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"6035","raceName":"U.S. House of Representatives, District 19","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"6067","raceName":"State Assembly, District 4","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"6087","raceName":"State Assembly, District 24","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"6088","raceName":"State Assembly, District 25","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"6092","raceName":"State Assembly, District 29","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"6223","raceName":"U.S. House of Representatives, District 4","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"6530","raceName":"State Senate, District 3","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":"https://www.kqed.org/elections/results/california/state-senate-3rd-district"},{"id":"6531","raceName":"State Senate, District 5","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"6532","raceName":"State Senate, District 7","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":"https://www.kqed.org/elections/results/california/state-senate-7th-district"},{"id":"6533","raceName":"State Senate, District 9","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"6534","raceName":"State Senate, District 11","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"6535","raceName":"State Senate, District 13","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"6536","raceName":"State Senate, District 15","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"6611","raceName":"U.S. House of Representatives, District 11","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":""},{"id":"8589","raceName":"U.S. Senate (Full Term)","raceDescription":"Top two candidates advance to general election.","raceReadTheStory":"https://www.kqed.org/elections/results/california/senator"},{"id":"8686","raceName":"California Democratic Presidential Primary","raceDescription":"Candidates are competing for 496 delegates.","raceReadTheStory":"https://www.kqed.org/elections/results/president/democrat"},{"id":"8688","raceName":"California Republican Presidential Primary","raceDescription":"Candidates are competing for 169 delegates.","raceReadTheStory":"https://kqed.org/elections/results/president/republican"},{"id":"81993","raceName":"U.S. Senate (Partial/Unexpired Term)","raceDescription":"Top two candidates advance to general election."},{"id":"82014","raceName":"Proposition 1","raceDescription":"Bond and mental health reforms. Passes with majority vote.","raceReadTheStory":"https://www.kqed.org/elections/results/california/proposition-1"}],"AlamedaJudge5":{"id":"AlamedaJudge5","type":"localRace","location":"Alameda","raceName":"Superior Court Judge, Office 5","raceDescription":"Top candidate wins seat.","raceReadTheStory":"","raceType":"top1","timeUpdated":"7:02 PM","dateUpdated":"April 1, 2024","totalVotes":200601,"candidates":[{"candidateName":"Terry Wiley","candidateIncumbent":true,"candidateParty":"","voteCount":200601}]},"AlamedaJudge12":{"id":"AlamedaJudge12","type":"localRace","location":"Alameda","raceName":"Superior Court Judge, Office 12","raceDescription":"Top candidate wins seat.","raceReadTheStory":"","raceType":"top1","timeUpdated":"7:02 PM","dateUpdated":"April 1, 2024","totalVotes":240853,"candidates":[{"candidateName":"Mark Fickes","candidateIncumbent":false,"candidateParty":"","voteCount":133009},{"candidateName":"Michael P. Johnson","candidateIncumbent":false,"candidateParty":"","voteCount":107844}]},"AlamedaBoard2":{"id":"AlamedaBoard2","type":"localRace","location":"Alameda","raceName":"Board of Education, Trustee Area 2","raceDescription":"Top candidate wins seat.","raceReadTheStory":"","raceType":"top1","timeUpdated":"7:02 PM","dateUpdated":"April 1, 2024","totalVotes":33580,"candidates":[{"candidateName":"John Lewis","candidateIncumbent":false,"candidateParty":"","voteCount":6943},{"candidateName":"Angela Normand","candidateIncumbent":true,"candidateParty":"","voteCount":26637}]},"AlamedaBoard5":{"id":"AlamedaBoard5","type":"localRace","location":"Alameda","raceName":"Board of Education, Trustee Area 5","raceDescription":"Top candidate wins seat.","raceReadTheStory":"","raceType":"top1","timeUpdated":"7:02 PM","dateUpdated":"April 1, 2024","totalVotes":26072,"candidates":[{"candidateName":"Guadalupe \"Lupe\" Angulo","candidateIncumbent":false,"candidateParty":"","voteCount":7521},{"candidateName":"Janevette Cole","candidateIncumbent":true,"candidateParty":"","voteCount":13338},{"candidateName":"Joe Orlando Ramos","candidateIncumbent":false,"candidateParty":"","voteCount":5213}]},"AlamedaBoard6":{"id":"AlamedaBoard6","type":"localRace","location":"Alameda","raceName":"Board of Education, Trustee Area 6","raceDescription":"Top candidate wins seat.","raceReadTheStory":"","raceType":"top1","timeUpdated":"7:02 PM","dateUpdated":"April 1, 2024","totalVotes":30864,"candidates":[{"candidateName":"John Guerrero","candidateIncumbent":false,"candidateParty":"","voteCount":9989},{"candidateName":"Eileen McDonald","candidateIncumbent":true,"candidateParty":"","voteCount":20875}]},"AlamedaSup1":{"id":"AlamedaSup1","type":"localRace","location":"Alameda","raceName":"Board of Supervisors, District 1","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"top1","timeUpdated":"7:02 PM","dateUpdated":"April 1, 2024","totalVotes":41038,"candidates":[{"candidateName":"David Haubert","candidateIncumbent":true,"candidateParty":"","voteCount":41038}]},"AlamedaSup2":{"id":"AlamedaSup2","type":"localRace","location":"Alameda","raceName":"Board of Supervisors, District 2","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"top2","timeUpdated":"7:02 PM","dateUpdated":"April 1, 2024","totalVotes":31034,"candidates":[{"candidateName":"Elisa Márquez","candidateIncumbent":true,"candidateParty":"","voteCount":31034}]},"AlamedaSup4":{"id":"AlamedaSup4","type":"localRace","location":"Alameda","raceName":"Board of Supervisors, District 4","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"https://www.kqed.org/elections/results/alameda/supervisor-4th-district","raceType":"top2","timeUpdated":"7:02 PM","dateUpdated":"April 1, 2024","totalVotes":57007,"candidates":[{"candidateName":"Jennifer Esteen","candidateIncumbent":false,"candidateParty":"","voteCount":22400},{"candidateName":"Nate Miley","candidateIncumbent":true,"candidateParty":"","voteCount":34607}]},"AlamedaSup5":{"id":"AlamedaSup5","type":"localRace","location":"Alameda","raceName":"Board of Supervisors, District 5","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"https://www.kqed.org/elections/results/alameda/supervisor-5th-district","raceType":"top2","timeUpdated":"7:02 PM","dateUpdated":"April 1, 2024","totalVotes":81059,"candidates":[{"candidateName":"Ben Bartlett","candidateIncumbent":false,"candidateParty":"","voteCount":13518},{"candidateName":"Nikki Fortunato Bas","candidateIncumbent":false,"candidateParty":"","voteCount":27597},{"candidateName":"John J. Bauters","candidateIncumbent":false,"candidateParty":"","voteCount":16783},{"candidateName":"Ken Berrick","candidateIncumbent":false,"candidateParty":"","voteCount":7520},{"candidateName":"Omar Farmer","candidateIncumbent":false,"candidateParty":"","voteCount":1240},{"candidateName":"Gregory Hodge","candidateIncumbent":false,"candidateParty":"","voteCount":3419},{"candidateName":"Chris Moore","candidateIncumbent":false,"candidateParty":"","voteCount":7428},{"candidateName":"Gerald Pechenuk","candidateIncumbent":false,"candidateParty":"","voteCount":305},{"candidateName":"Lorrel Plimier","candidateIncumbent":false,"candidateParty":"","voteCount":3249}]},"AlamedaBoard7":{"id":"AlamedaBoard7","type":"localRace","location":"Alameda","raceName":"Flood Control & Water Conservation District Director, Zone 7, Full Term","raceDescription":"Top three candidates win seat.","raceReadTheStory":"","raceType":"top3","timeUpdated":"7:02 PM","dateUpdated":"April 1, 2024","totalVotes":134340,"candidates":[{"candidateName":"Alan Burnham","candidateIncumbent":false,"candidateParty":"","voteCount":15723},{"candidateName":"Sandy Figuers","candidateIncumbent":false,"candidateParty":"","voteCount":22454},{"candidateName":"Laurene K. Green","candidateIncumbent":false,"candidateParty":"","voteCount":30343},{"candidateName":"Kathy Narum","candidateIncumbent":true,"candidateParty":"","voteCount":23833},{"candidateName":"Seema Badar","candidateIncumbent":false,"candidateParty":"","voteCount":7468},{"candidateName":"Catherine Brown","candidateIncumbent":false,"candidateParty":"","voteCount":34519}]},"AlamedaAuditor":{"id":"AlamedaAuditor","type":"localRace","location":"Alameda","raceName":"Oakland Auditor","raceDescription":"Top candidate wins seat.","raceReadTheStory":"","raceType":"top1","timeUpdated":"7:02 PM","dateUpdated":"April 1, 2024","totalVotes":59227,"candidates":[{"candidateName":"Michael Houston","candidateIncumbent":true,"candidateParty":"","voteCount":59227}]},"AlamedaMeasureA":{"id":"AlamedaMeasureA","type":"localRace","location":"Alameda","raceName":"Measure A","raceDescription":"Alameda County. Civil service. Passes with majority vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"7:02 PM","dateUpdated":"April 1, 2024","totalVotes":282335,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":167903},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":114432}]},"AlamedaMeasureB":{"id":"AlamedaMeasureB","type":"localRace","location":"Alameda","raceName":"Measure B","raceDescription":"Alameda County. Recall rules. Passes with majority vote.","raceReadTheStory":"https://www.kqed.org/elections/results/alameda/measure-b","raceType":"yesNo","timeUpdated":"7:02 PM","dateUpdated":"April 1, 2024","totalVotes":282683,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":182200},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":100483}]},"AlamedaMeasureD":{"id":"AlamedaMeasureD","type":"localRace","location":"Alameda","raceName":"Measure D","raceDescription":"Oakland. Appropriations limit. Passes with majority vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"7:02 PM","dateUpdated":"April 1, 2024","totalVotes":79797,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":59852},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":19945}]},"AlamedaMeasureE":{"id":"AlamedaMeasureE","type":"localRace","location":"Alameda","raceName":"Measure E","raceDescription":"Alameda Unified School District. Parcel tax. Passes with 2/3 vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"7:02 PM","dateUpdated":"April 1, 2024","totalVotes":22692,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":17280},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":5412}]},"AlamedaMeasureF":{"id":"AlamedaMeasureF","type":"localRace","location":"Alameda","raceName":"Measure F","raceDescription":"Piedmont. Parcel tax. Passes with 2/3 vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"7:02 PM","dateUpdated":"April 1, 2024","totalVotes":4855,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":3673},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":1182}]},"AlamedaMeasureG":{"id":"AlamedaMeasureG","type":"localRace","location":"Alameda","raceName":"Measure G","raceDescription":"Albany Unified School District. Parcel tax. Passes with 2/3 vote. ","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"7:02 PM","dateUpdated":"April 1, 2024","totalVotes":5898,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":4651},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":1247}]},"AlamedaMeasureH":{"id":"AlamedaMeasureH","type":"localRace","location":"Alameda","raceName":"Measure H","raceDescription":"Berkeley Unified School District. Parcel tax. Passes with 2/3 vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"7:02 PM","dateUpdated":"April 1, 2024","totalVotes":33331,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":29418},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":3913}]},"AlamedaMeasureI":{"id":"AlamedaMeasureI","type":"localRace","location":"Alameda","raceName":"Measure I","raceDescription":"Hayward Unified School District. School bond. Passes with 55% vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"7:02 PM","dateUpdated":"April 1, 2024","totalVotes":21929,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":14151},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":7778}]},"AlamedaMeasureJ":{"id":"AlamedaMeasureJ","type":"localRace","location":"Alameda","raceName":"Measure J","raceDescription":"San Leandro Unified School District. School bond. Passes with 55% vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"7:02 PM","dateUpdated":"April 1, 2024","totalVotes":12338,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":7784},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":4554}]},"CCD2":{"id":"CCD2","type":"localRace","location":"Contra Costa","raceName":"Board of Supervisors, District 2","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:45 PM","dateUpdated":"March 28, 2024","totalVotes":45776,"candidates":[{"candidateName":"Candace Andersen","candidateIncumbent":true,"candidateParty":"","voteCount":45776}]},"CCD3":{"id":"CCD3","type":"localRace","location":"Contra Costa","raceName":"Board of Supervisors, District 3","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"top1","timeUpdated":"6:45 PM","dateUpdated":"March 28, 2024","totalVotes":25120,"candidates":[{"candidateName":"Diane Burgis","candidateIncumbent":true,"candidateParty":"","voteCount":25120}]},"CCD5":{"id":"CCD5","type":"localRace","location":"Contra Costa","raceName":"Board of Supervisors, District 5","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"https://www.kqed.org/elections/results/contracosta/supervisor-5th-district","raceType":"top2","timeUpdated":"6:45 PM","dateUpdated":"March 28, 2024","totalVotes":37045,"candidates":[{"candidateName":"Mike Barbanica","candidateIncumbent":false,"candidateParty":"","voteCount":14338},{"candidateName":"Jelani Killings","candidateIncumbent":false,"candidateParty":"","voteCount":5683},{"candidateName":"Shanelle Scales-Preston","candidateIncumbent":false,"candidateParty":"","voteCount":12993},{"candidateName":"Iztaccuauhtli Hector Gonzalez","candidateIncumbent":false,"candidateParty":"","voteCount":4031}]},"CCMeasureA":{"id":"CCMeasureA","type":"localRace","location":"Contra Costa","raceName":"Measure A","raceDescription":"Martinez. Appoint City Clerk. Passes with a majority vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:45 PM","dateUpdated":"March 28, 2024","totalVotes":11513,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":7554},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":3959}]},"CCMeasureB":{"id":"CCMeasureB","type":"localRace","location":"Contra Costa","raceName":"Measure B","raceDescription":"Antioch Unified School District. School bond. Passes with 55% vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:45 PM","dateUpdated":"March 28, 2024","totalVotes":17971,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":10397},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":7574}]},"CCMeasureC":{"id":"CCMeasureC","type":"localRace","location":"Contra Costa","raceName":"Measure C","raceDescription":"Martinez Unified School District. Parcel tax. Passes with 2/3 vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:45 PM","dateUpdated":"March 28, 2024","totalVotes":9230,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":6917},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":2313}]},"CCMeasureD":{"id":"CCMeasureD","type":"localRace","location":"Contra Costa","raceName":"Measure D","raceDescription":"Moraga School District. School bond. Passes with 55% vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:45 PM","dateUpdated":"March 28, 2024","totalVotes":6007,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":4052},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":1955}]},"MarinD2":{"id":"MarinD2","type":"localRace","location":"Marin","raceName":"Board of Supervisors, District 2","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"https://www.kqed.org/elections/results/marin/supervisor-2nd-district","raceType":"top2","timeUpdated":"6:54 PM","dateUpdated":"March 27, 2024","totalVotes":18466,"candidates":[{"candidateName":"Brian Colbert","candidateIncumbent":false,"candidateParty":"","voteCount":7971},{"candidateName":"Heather McPhail Sridharan","candidateIncumbent":false,"candidateParty":"","voteCount":4851},{"candidateName":"Ryan O'Neil","candidateIncumbent":false,"candidateParty":"","voteCount":2647},{"candidateName":"Gabe Paulson","candidateIncumbent":false,"candidateParty":"","voteCount":2997}]},"MarinD3":{"id":"MarinD3","type":"localRace","location":"Marin","raceName":"Board of Supervisors, District 3","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"top1","timeUpdated":"6:54 PM","dateUpdated":"March 27, 2024","totalVotes":13274,"candidates":[{"candidateName":"Stephanie Moulton-Peters","candidateIncumbent":true,"candidateParty":"","voteCount":13274}]},"MarinD4":{"id":"MarinD4","type":"localRace","location":"Marin","raceName":"Board of Supervisors, District 4","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"top1","timeUpdated":"6:54 PM","dateUpdated":"March 27, 2024","totalVotes":12986,"candidates":[{"candidateName":"Dennis Rodoni","candidateIncumbent":true,"candidateParty":"","voteCount":10086},{"candidateName":"Francis Drouillard","candidateIncumbent":false,"candidateParty":"","voteCount":2900}]},"MarinLarkspurCC":{"id":"MarinLarkspurCC","type":"localRace","location":"Marin","raceName":"Larkspur City Council (Short Term)","raceDescription":"Top candidate wins seat.","raceReadTheStory":"","raceType":"top1","timeUpdated":"6:54 PM","dateUpdated":"March 27, 2024","totalVotes":4176,"candidates":[{"candidateName":"Stephanie Andre","candidateIncumbent":false,"candidateParty":"","voteCount":2514},{"candidateName":"Claire Paquette","candidateIncumbent":false,"candidateParty":"","voteCount":1008},{"candidateName":"Lana Scott","candidateIncumbent":false,"candidateParty":"","voteCount":654}]},"MarinRossCouncil":{"id":"MarinRossCouncil","type":"localRace","location":"Marin","raceName":"Ross Town Council","raceDescription":"Top three candidates win seat.","raceReadTheStory":"","raceType":"top3","timeUpdated":"6:54 PM","dateUpdated":"March 27, 2024","totalVotes":1740,"candidates":[{"candidateName":"Charles William \"Bill\" Kircher, Jr.","candidateIncumbent":false,"candidateParty":"","voteCount":536},{"candidateName":"Mathew Salter","candidateIncumbent":false,"candidateParty":"","voteCount":502},{"candidateName":"Shadi Aboukhater","candidateIncumbent":false,"candidateParty":"","voteCount":187},{"candidateName":"Teri Dowling","candidateIncumbent":false,"candidateParty":"","voteCount":515}]},"MarinMeasureA":{"id":"MarinMeasureA","type":"localRace","location":"Marin","raceName":"Measure A","raceDescription":"Tamalpais Union High School District. School bond. Passes with 55% vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:54 PM","dateUpdated":"March 27, 2024","totalVotes":45345,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":24376},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":20969}]},"MarinMeasureB":{"id":"MarinMeasureB","type":"localRace","location":"Marin","raceName":"Measure B","raceDescription":"Petaluma Joint Union High School District. Parcel tax. Passes with 2/3 vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:54 PM","dateUpdated":"March 27, 2024","totalVotes":132,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":62},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":70}]},"MarinMeasureC":{"id":"MarinMeasureC","type":"localRace","location":"Marin","raceName":"Measure C","raceDescription":"Belvedere. Appropriation limit. Passes with majority vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:54 PM","dateUpdated":"March 27, 2024","totalVotes":870,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":679},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":191}]},"MarinMeasureD":{"id":"MarinMeasureD","type":"localRace","location":"Marin","raceName":"Measure D","raceDescription":"Larkspur. Rent stabilization. Passes with majority vote.","raceReadTheStory":"https://www.kqed.org/elections/results/marin/measure-d","raceType":"yesNo","timeUpdated":"6:54 PM","dateUpdated":"March 27, 2024","totalVotes":4955,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":2573},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":2382}]},"MarinMeasureE":{"id":"MarinMeasureE","type":"localRace","location":"Marin","raceName":"Measure E","raceDescription":"Ross. Special tax. Passes with 2/3 vote.","raceReadTheStory":"https://www.kqed.org/elections/results/marin/measure-e","raceType":"yesNo","timeUpdated":"6:54 PM","dateUpdated":"March 27, 2024","totalVotes":874,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":683},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":191}]},"MarinMeasureF":{"id":"MarinMeasureF","type":"localRace","location":"Marin","raceName":"Measure F","raceDescription":"San Anselmo. Flood Control and Water Conservation District. Passes with majority vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:54 PM","dateUpdated":"March 27, 2024","totalVotes":5193,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":3083},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":2110}]},"MarinMeasureG":{"id":"MarinMeasureG","type":"localRace","location":"Marin","raceName":"Measure G","raceDescription":"Bel Marin Keys Community Services District. Special tax. Passes with 2/3 vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:54 PM","dateUpdated":"March 27, 2024","totalVotes":830,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":661},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":169}]},"MarinMeasureH":{"id":"MarinMeasureH","type":"localRace","location":"Marin","raceName":"Measure H","raceDescription":"Marinwood Community Services District. Appropriations limit, fire protection. Passes with a majority vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:54 PM","dateUpdated":"March 27, 2024","totalVotes":1738,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":1369},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":369}]},"MarinMeasureI":{"id":"MarinMeasureI","type":"localRace","location":"Marin","raceName":"Measure I","raceDescription":"Marinwood Community Services District. Appropriations limit, parks. Passes with a majority vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:54 PM","dateUpdated":"March 27, 2024","totalVotes":1735,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":1336},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":399}]},"NapaD2":{"id":"NapaD2","type":"localRace","location":"Napa","raceName":"Board of Supervisors, District 2","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"top1","timeUpdated":"6:50 PM","dateUpdated":"April 3, 2024","totalVotes":8351,"candidates":[{"candidateName":"Liz Alessio","candidateIncumbent":false,"candidateParty":"","voteCount":6340},{"candidateName":"Doris Gentry","candidateIncumbent":false,"candidateParty":"","voteCount":2011}]},"NapaD4":{"id":"NapaD4","type":"localRace","location":"Napa","raceName":"Board of Supervisors, District 4","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"https://www.kqed.org/elections/results/napa/supervisor-4th-district","raceType":"top1","timeUpdated":"6:50 PM","dateUpdated":"April 3, 2024","totalVotes":7306,"candidates":[{"candidateName":"Amber Manfree","candidateIncumbent":false,"candidateParty":"","voteCount":3913},{"candidateName":"Pete Mott","candidateIncumbent":false,"candidateParty":"","voteCount":3393}]},"NapaD5":{"id":"NapaD5","type":"localRace","location":"Napa","raceName":"Board of Supervisors, District 5","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"https://www.kqed.org/elections/results/napa/supervisor-5th-district","raceType":"top1","timeUpdated":"6:50 PM","dateUpdated":"April 3, 2024","totalVotes":5356,"candidates":[{"candidateName":"Mariam Aboudamous","candidateIncumbent":false,"candidateParty":"","voteCount":2379},{"candidateName":"Belia Ramos","candidateIncumbent":true,"candidateParty":"","voteCount":2977}]},"NapaMeasureD":{"id":"NapaMeasureD","type":"localRace","location":"Napa","raceName":"Measure D","raceDescription":"Howell Mountain Elementary School District. School bond. Passes with 55% vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:50 PM","dateUpdated":"April 3, 2024","totalVotes":741,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":367},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":374}]},"NapaMeasureU":{"id":"NapaMeasureU","type":"localRace","location":"Napa","raceName":"Measure U","raceDescription":"Lake Berryessa Resort Improvement District. Appropriations limit. Passes with majority vote. ","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:50 PM","dateUpdated":"April 3, 2024","totalVotes":86,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":63},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":23}]},"NapaMeasureU1":{"id":"NapaMeasureU1","type":"localRace","location":"Napa","raceName":"Measure U","raceDescription":"Yountville. Appropriations limit. Passes with majority vote. ","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:50 PM","dateUpdated":"April 3, 2024","totalVotes":925,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":793},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":132}]},"SFJudge1":{"id":"SFJudge1","type":"localRace","location":"San Francisco","raceName":"Superior Court Judge, Seat 1","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"https://www.kqed.org/elections/results/sanfrancisco/superior-court-seat-1","raceType":"top1","timeUpdated":"6:50 PM","dateUpdated":"March 21, 2024","totalVotes":202960,"candidates":[{"candidateName":"Michael Begert","candidateIncumbent":true,"candidateParty":"","voteCount":124943},{"candidateName":"Chip Zecher","candidateIncumbent":false,"candidateParty":"","voteCount":78017}]},"SFJudge13":{"id":"SFJudge13","type":"localRace","location":"San Francisco","raceName":"Superior Court Judge, Seat 13","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"https://www.kqed.org/elections/results/sanfrancisco/superior-court-seat-13","raceType":"top1","timeUpdated":"6:50 PM","dateUpdated":"March 21, 2024","totalVotes":202386,"candidates":[{"candidateName":"Jean Myungjin Roland","candidateIncumbent":false,"candidateParty":"","voteCount":90012},{"candidateName":"Patrick S. Thompson","candidateIncumbent":true,"candidateParty":"","voteCount":112374}]},"SFPropA":{"id":"SFPropA","type":"localRace","location":"San Francisco","raceName":"Proposition A","raceDescription":"Housing bond. Passes with 2/3 vote.","raceReadTheStory":"https://www.kqed.org/elections/results/sanfrancisco/proposition-a","raceType":"yesNo","timeUpdated":"6:50 PM","dateUpdated":"March 21, 2024","totalVotes":225187,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":158497},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":66690}]},"SFPropB":{"id":"SFPropB","type":"localRace","location":"San Francisco","raceName":"Proposition B","raceDescription":"Police staffing. Passes with majority vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:50 PM","dateUpdated":"March 21, 2024","totalVotes":222954,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":61580},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":161374}]},"SFPropC":{"id":"SFPropC","type":"localRace","location":"San Francisco","raceName":"Proposition C","raceDescription":"Transfer tax exemption. Passes with majority vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:50 PM","dateUpdated":"March 21, 2024","totalVotes":220349,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":116311},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":104038}]},"SFPropD":{"id":"SFPropD","type":"localRace","location":"San Francisco","raceName":"Proposition D","raceDescription":"Ethics laws. Passes with majority vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:50 PM","dateUpdated":"March 21, 2024","totalVotes":222615,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":198584},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":24031}]},"SFPropE":{"id":"SFPropE","type":"localRace","location":"San Francisco","raceName":"Proposition E","raceDescription":"Police policies. Passes with majority vote.","raceReadTheStory":"https://www.kqed.org/elections/results/sanfrancisco/proposition-e","raceType":"yesNo","timeUpdated":"6:50 PM","dateUpdated":"March 21, 2024","totalVotes":222817,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":120529},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":102288}]},"SFPropF":{"id":"SFPropF","type":"localRace","location":"San Francisco","raceName":"Proposition F","raceDescription":"Drug screening. Passes with majority vote.","raceReadTheStory":"https://www.kqed.org/elections/results/sanfrancisco/proposition-f","raceType":"yesNo","timeUpdated":"6:50 PM","dateUpdated":"March 21, 2024","totalVotes":224004,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":130214},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":93790}]},"SFPropG":{"id":"SFPropG","type":"localRace","location":"San Francisco","raceName":"Proposition G","raceDescription":"Eighth-grade algebra. Passes with majority vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:50 PM","dateUpdated":"March 21, 2024","totalVotes":222704,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":182066},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":40638}]},"SMJudge4":{"id":"SMJudge4","type":"localRace","location":"San Mateo","raceName":"Superior Court Judge, Office 4","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"top1","timeUpdated":"6:56 PM","dateUpdated":"April 4, 2024","totalVotes":108919,"candidates":[{"candidateName":"Sarah Burdick","candidateIncumbent":false,"candidateParty":"","voteCount":108919}]},"SMD1":{"id":"SMD1","type":"localRace","location":"San Mateo","raceName":"Board of Supervisors, District 1","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"https://www.kqed.org/elections/results/sanmateo/supervisor-1st-district","raceType":"top1","timeUpdated":"6:56 PM","dateUpdated":"April 4, 2024","totalVotes":29650,"candidates":[{"candidateName":"Jackie Speier","candidateIncumbent":false,"candidateParty":"","voteCount":20353},{"candidateName":"Ann Schneider","candidateIncumbent":false,"candidateParty":"","voteCount":9297}]},"SMD4":{"id":"SMD4","type":"localRace","location":"San Mateo","raceName":"Board of Supervisors, District 4","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"https://www.kqed.org/elections/results/sanmateo/supervisor-4th-district","raceType":"top2","timeUpdated":"6:56 PM","dateUpdated":"April 4, 2024","totalVotes":22725,"candidates":[{"candidateName":"Antonio Lopez","candidateIncumbent":false,"candidateParty":"","voteCount":5730},{"candidateName":"Lisa Gauthier","candidateIncumbent":false,"candidateParty":"","voteCount":10358},{"candidateName":"Celeste Brevard","candidateIncumbent":false,"candidateParty":"","voteCount":1268},{"candidateName":"Paul Bocanegra","candidateIncumbent":false,"candidateParty":"","voteCount":1909},{"candidateName":"Maggie Cornejo","candidateIncumbent":false,"candidateParty":"","voteCount":3460}]},"SMD5":{"id":"SMD5","type":"localRace","location":"San Mateo","raceName":"Board of Supervisors, District 5","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"top1","timeUpdated":"6:56 PM","dateUpdated":"April 4, 2024","totalVotes":19937,"candidates":[{"candidateName":"David Canepa","candidateIncumbent":true,"candidateParty":"","voteCount":19937}]},"SMMeasureB":{"id":"SMMeasureB","type":"localRace","location":"San Mateo","raceName":"Measure B","raceDescription":"County Service Area #1 (Highlands). Special tax. Passes with 2/3 vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:56 PM","dateUpdated":"April 4, 2024","totalVotes":1549,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":1360},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":189}]},"SMMeasureC":{"id":"SMMeasureC","type":"localRace","location":"San Mateo","raceName":"Measure C","raceDescription":"Jefferson Elementary School District. Parcel tax. Passes with 2/3 vote","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:56 PM","dateUpdated":"April 4, 2024","totalVotes":12234,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":8543},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":3691}]},"SMMeasureE":{"id":"SMMeasureE","type":"localRace","location":"San Mateo","raceName":"Measure E","raceDescription":"Woodside Elementary School District. School bond. Passes with 55% vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:56 PM","dateUpdated":"April 4, 2024","totalVotes":1392,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":910},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":482}]},"SMMeasureG":{"id":"SMMeasureG","type":"localRace","location":"San Mateo","raceName":"Measure G","raceDescription":"Pacifica School District. School bond. Passes with 55% vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:56 PM","dateUpdated":"April 4, 2024","totalVotes":11548,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":7067},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":4481}]},"SMMeasureH":{"id":"SMMeasureH","type":"localRace","location":"San Mateo","raceName":"Measure H","raceDescription":"San Carlos School District. School bond. Passes with 55% vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:56 PM","dateUpdated":"April 4, 2024","totalVotes":9938,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":6283},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":3655}]},"SCJudge5":{"id":"SCJudge5","type":"localRace","location":"Santa Clara","raceName":"Superior Court Judge, Office 5","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"top1","timeUpdated":"7:05 PM","dateUpdated":"April 4, 2024","totalVotes":301953,"candidates":[{"candidateName":"Jay Boyarsky","candidateIncumbent":false,"candidateParty":"","voteCount":142549},{"candidateName":"Nicole M. Ford","candidateIncumbent":false,"candidateParty":"","voteCount":52147},{"candidateName":"Johnene Linda Stebbins","candidateIncumbent":false,"candidateParty":"","voteCount":107257}]},"SCD2":{"id":"SCD2","type":"localRace","location":"Santa Clara","raceName":"Board of Supervisors, District 2","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"https://www.kqed.org/elections/results/santaclara/supervisor-2nd-district","raceType":"top2","timeUpdated":"7:05 PM","dateUpdated":"April 4, 2024","totalVotes":44059,"candidates":[{"candidateName":"Corina Herrera-Loera","candidateIncumbent":false,"candidateParty":"","voteCount":10519},{"candidateName":"Jennifer Margaret Celaya","candidateIncumbent":false,"candidateParty":"","voteCount":2394},{"candidateName":"Madison Nguyen","candidateIncumbent":false,"candidateParty":"","voteCount":12794},{"candidateName":"Betty Duong","candidateIncumbent":false,"candidateParty":"","voteCount":14031},{"candidateName":"Nelson McElmurry","candidateIncumbent":false,"candidateParty":"","voteCount":4321}]},"SCD3":{"id":"SCD3","type":"localRace","location":"Santa Clara","raceName":"Board of Supervisors, District 3","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"top1","timeUpdated":"7:05 PM","dateUpdated":"April 4, 2024","totalVotes":42549,"candidates":[{"candidateName":"Otto Lee","candidateIncumbent":true,"candidateParty":"","voteCount":42549}]},"SCD5":{"id":"SCD5","type":"localRace","location":"Santa Clara","raceName":"Board of Supervisors, District 5","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"https://www.kqed.org/elections/results/santaclara/supervisor-5th-district","raceType":"top2","timeUpdated":"7:05 PM","dateUpdated":"April 4, 2024","totalVotes":88712,"candidates":[{"candidateName":"Margaret Abe-Koga","candidateIncumbent":false,"candidateParty":"","voteCount":37172},{"candidateName":"Sally J. Lieber","candidateIncumbent":false,"candidateParty":"","voteCount":21962},{"candidateName":"Barry Chang","candidateIncumbent":false,"candidateParty":"","voteCount":6164},{"candidateName":"Peter C. Fung","candidateIncumbent":false,"candidateParty":"","voteCount":17892},{"candidateName":"Sandy Sans","candidateIncumbent":false,"candidateParty":"","voteCount":5522}]},"SCSJMayor":{"id":"SCSJMayor","type":"localRace","location":"Santa Clara","raceName":"San José Mayor","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"top1","timeUpdated":"7:05 PM","dateUpdated":"April 4, 2024","totalVotes":167064,"candidates":[{"candidateName":"Matt Mahan","candidateIncumbent":true,"candidateParty":"","voteCount":144701},{"candidateName":"Tyrone Wade","candidateIncumbent":false,"candidateParty":"","voteCount":22363}]},"SCSJD2":{"id":"SCSJD2","type":"localRace","location":"Santa Clara","raceName":"San José City Council, District 2","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"top2","timeUpdated":"7:05 PM","dateUpdated":"April 4, 2024","totalVotes":14131,"candidates":[{"candidateName":"Joe Lopez","candidateIncumbent":false,"candidateParty":"","voteCount":4950},{"candidateName":"Pamela Campos","candidateIncumbent":false,"candidateParty":"","voteCount":3436},{"candidateName":"Vanessa Sandoval","candidateIncumbent":false,"candidateParty":"","voteCount":2719},{"candidateName":"Babu Prasad","candidateIncumbent":false,"candidateParty":"","voteCount":3026}]},"SCSJD4":{"id":"SCSJD4","type":"localRace","location":"Santa Clara","raceName":"San José City Council, District 4","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"top1","timeUpdated":"7:05 PM","dateUpdated":"April 4, 2024","totalVotes":14322,"candidates":[{"candidateName":"Kansen Chu","candidateIncumbent":false,"candidateParty":"","voteCount":5931},{"candidateName":"David Cohen","candidateIncumbent":true,"candidateParty":"","voteCount":8391}]},"SCSJD6":{"id":"SCSJD6","type":"localRace","location":"Santa Clara","raceName":"San José City Council, District 6","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"top2","timeUpdated":"7:05 PM","dateUpdated":"April 4, 2024","totalVotes":25108,"candidates":[{"candidateName":"David Cohen","candidateIncumbent":false,"candidateParty":"","voteCount":9875},{"candidateName":"Alex Shoor","candidateIncumbent":false,"candidateParty":"","voteCount":3850},{"candidateName":"Angelo \"A.J.\" Pasciuti","candidateIncumbent":false,"candidateParty":"","voteCount":2688},{"candidateName":"Michael Mulcahy","candidateIncumbent":false,"candidateParty":"","voteCount":8695}]},"SCSJD8":{"id":"SCSJD8","type":"localRace","location":"Santa Clara","raceName":"San José City Council, District 8","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"top2","timeUpdated":"7:05 PM","dateUpdated":"April 4, 2024","totalVotes":21462,"candidates":[{"candidateName":"Tam Truong","candidateIncumbent":false,"candidateParty":"","voteCount":6982},{"candidateName":"Domingo Candelas","candidateIncumbent":true,"candidateParty":"","voteCount":8466},{"candidateName":"Sukhdev Singh Bainiwal","candidateIncumbent":false,"candidateParty":"","voteCount":5513},{"candidateName":"Surinder Kaur Dhaliwal","candidateIncumbent":false,"candidateParty":"","voteCount":501}]},"SCSJD10":{"id":"SCSJD10","type":"localRace","location":"Santa Clara","raceName":"San José City Council, District 10","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"top2","timeUpdated":"7:05 PM","dateUpdated":"April 4, 2024","totalVotes":22799,"candidates":[{"candidateName":"George Casey","candidateIncumbent":false,"candidateParty":"","voteCount":8805},{"candidateName":"Arjun Batra","candidateIncumbent":true,"candidateParty":"","voteCount":8354},{"candidateName":"Lenka Wright","candidateIncumbent":false,"candidateParty":"","voteCount":5640}]},"SCMeasureA":{"id":"SCMeasureA","type":"localRace","location":"Santa Clara","raceName":"Measure A","raceDescription":"Santa Clara. Appointed city clerk. Passes with majority vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"7:05 PM","dateUpdated":"April 4, 2024","totalVotes":20315,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":6580},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":13735}]},"SCMeasureB":{"id":"SCMeasureB","type":"localRace","location":"Santa Clara","raceName":"Measure B","raceDescription":"Santa Clara. Appointed police chief. Passes with majority vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"7:05 PM","dateUpdated":"April 4, 2024","totalVotes":20567,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":5680},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":14887}]},"SCMeasureC":{"id":"SCMeasureC","type":"localRace","location":"Santa Clara","raceName":"Measure C","raceDescription":"Sunnyvale School District. School bond. Passes with 55% vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"7:05 PM","dateUpdated":"April 4, 2024","totalVotes":14656,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":10261},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":4395}]},"SolanoD15":{"id":"SolanoD15","type":"localRace","location":"Solano","raceName":"Superior Court Judge, Department 15","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"","timeUpdated":"7:08 PM","dateUpdated":"March 28, 2024","totalVotes":81709,"candidates":[{"candidateName":"Mike Thompson","candidateIncumbent":false,"candidateParty":"","voteCount":36844},{"candidateName":"Bryan J. Kim","candidateIncumbent":false,"candidateParty":"","voteCount":44865}]},"SolanoD1":{"id":"SolanoD1","type":"localRace","location":"Solano","raceName":"Board of Supervisors, District 1","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"https://www.kqed.org/elections/results/solano/supervisor-1st-district","raceType":"","timeUpdated":"7:08 PM","dateUpdated":"March 28, 2024","totalVotes":13786,"candidates":[{"candidateName":"Michael Wilson","candidateIncumbent":false,"candidateParty":"","voteCount":6401},{"candidateName":"Cassandra James","candidateIncumbent":false,"candidateParty":"","voteCount":7385}]},"SolanoD2":{"id":"SolanoD2","type":"localRace","location":"Solano","raceName":"Board of Supervisors, District 2","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"","timeUpdated":"7:08 PM","dateUpdated":"March 28, 2024","totalVotes":19903,"candidates":[{"candidateName":"Monica Brown","candidateIncumbent":true,"candidateParty":"","voteCount":10951},{"candidateName":"Nora Dizon","candidateIncumbent":false,"candidateParty":"","voteCount":3135},{"candidateName":"Rochelle Sherlock","candidateIncumbent":false,"candidateParty":"","voteCount":5817}]},"SolanoD5":{"id":"SolanoD5","type":"localRace","location":"Solano","raceName":"Board of Supervisors, District 5","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"","timeUpdated":"7:08 PM","dateUpdated":"March 28, 2024","totalVotes":17888,"candidates":[{"candidateName":"Mitch Mashburn","candidateIncumbent":true,"candidateParty":"","voteCount":11210},{"candidateName":"Chadwick J. Ledoux","candidateIncumbent":false,"candidateParty":"","voteCount":6678}]},"SolanoEducation":{"id":"SolanoEducation","type":"localRace","location":"Solano","raceName":"Sacramento County Board of Education","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"","timeUpdated":"7:08 PM","dateUpdated":"March 28, 2024","totalVotes":3650,"candidates":[{"candidateName":"Heather Davis","candidateIncumbent":true,"candidateParty":"","voteCount":2960},{"candidateName":"Shazleen Khan","candidateIncumbent":false,"candidateParty":"","voteCount":690}]},"SolanoMeasureA":{"id":"SolanoMeasureA","type":"localRace","location":"Solano","raceName":"Measure A","raceDescription":"Benicia. Hotel tax. Passes with majority vote.","raceReadTheStory":"https://www.kqed.org/elections/results/solano/measure-a","raceType":"yesNo","timeUpdated":"7:08 PM","dateUpdated":"March 28, 2024","totalVotes":10136,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":7869},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":2267}]},"SolanoMeasureB":{"id":"SolanoMeasureB","type":"localRace","location":"Solano","raceName":"Measure B","raceDescription":"Benicia. Sales tax. Passes with majority vote.","raceReadTheStory":"https://www.kqed.org/elections/results/solano/measure-b","raceType":"yesNo","timeUpdated":"7:08 PM","dateUpdated":"March 28, 2024","totalVotes":10164,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":7335},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":2829}]},"SolanoMeasureC":{"id":"SolanoMeasureC","type":"localRace","location":"Solano","raceName":"Measure C","raceDescription":"Benicia Unified School District. School bond. Passes with 55% vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"7:08 PM","dateUpdated":"March 28, 2024","totalVotes":10112,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":6316},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":3796}]},"SolanoMeasureN":{"id":"SolanoMeasureN","type":"localRace","location":"Solano","raceName":"Measure N","raceDescription":"Davis Joint Unified School District. Parcel tax. Passes with 2/3 vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"7:08 PM","dateUpdated":"March 28, 2024","totalVotes":15,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":5},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":10}]},"SonomaJudge3":{"id":"SonomaJudge3","type":"localRace","location":"Sonoma","raceName":"Superior Court Judge, Office 3","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"top1","timeUpdated":"6:51 PM","dateUpdated":"March 29, 2024","totalVotes":115405,"candidates":[{"candidateName":"Kristine M. Burk","candidateIncumbent":false,"candidateParty":"","voteCount":79498},{"candidateName":"Beki Berrey","candidateIncumbent":false,"candidateParty":"","voteCount":35907}]},"SonomaJudge4":{"id":"SonomaJudge4","type":"localRace","location":"Sonoma","raceName":"Superior Court Judge, Office 4","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"top1","timeUpdated":"6:51 PM","dateUpdated":"March 29, 2024","totalVotes":86789,"candidates":[{"candidateName":"Paul J. Lozada","candidateIncumbent":false,"candidateParty":"","voteCount":86789}]},"SonomaJudge6":{"id":"SonomaJudge6","type":"localRace","location":"Sonoma","raceName":"Superior Court Judge, Office 6","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"top1","timeUpdated":"6:51 PM","dateUpdated":"March 29, 2024","totalVotes":117990,"candidates":[{"candidateName":"Omar Figueroa","candidateIncumbent":false,"candidateParty":"","voteCount":42236},{"candidateName":"Kenneth English","candidateIncumbent":false,"candidateParty":"","voteCount":75754}]},"SonomaD1":{"id":"SonomaD1","type":"localRace","location":"Sonoma","raceName":"Board of Supervisors, District 1","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"top1","timeUpdated":"6:51 PM","dateUpdated":"March 29, 2024","totalVotes":30348,"candidates":[{"candidateName":"Rebecca Hermosillo","candidateIncumbent":false,"candidateParty":"","voteCount":23958},{"candidateName":"Jonathan Mathieu","candidateIncumbent":false,"candidateParty":"","voteCount":6390}]},"SonomaD3":{"id":"SonomaD3","type":"localRace","location":"Sonoma","raceName":"Board of Supervisors, District 3","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"https://www.kqed.org/elections/results/sonoma/supervisor-3rd-district","raceType":"top1","timeUpdated":"6:51 PM","dateUpdated":"March 29, 2024","totalVotes":16312,"candidates":[{"candidateName":"Chris Coursey","candidateIncumbent":true,"candidateParty":"","voteCount":11346},{"candidateName":"Omar Medina","candidateIncumbent":false,"candidateParty":"","voteCount":4966}]},"SonomaD5":{"id":"SonomaD5","type":"localRace","location":"Sonoma","raceName":"Board of Supervisors, District 5","raceDescription":"Candidate with majority vote wins seat. If no candidate reaches majority, top two candidates advance to runoff in general election.","raceReadTheStory":"","raceType":"top1","timeUpdated":"6:51 PM","dateUpdated":"March 29, 2024","totalVotes":23356,"candidates":[{"candidateName":"Lynda Hopkins","candidateIncumbent":true,"candidateParty":"","voteCount":23356}]},"SonomaMeasureA":{"id":"SonomaMeasureA","type":"localRace","location":"Sonoma","raceName":"Measure A","raceDescription":"Cotati-Rohnert Park Unified School District. Parcel tax. Passes with 2/3 vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:51 PM","dateUpdated":"March 29, 2024","totalVotes":13756,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":10320},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":3436}]},"SonomaMeasureB":{"id":"SonomaMeasureB","type":"localRace","location":"Sonoma","raceName":"Measure B","raceDescription":"Petaluma Joint Union High School District. Parcel tax. Passes with 2/3 vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:51 PM","dateUpdated":"March 29, 2024","totalVotes":24877,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":15795},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":9082}]},"SonomaMeasureC":{"id":"SonomaMeasureC","type":"localRace","location":"Sonoma","raceName":"Measure C","raceDescription":"Fort Ross School District. School bond. Passes with 55% vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:51 PM","dateUpdated":"March 29, 2024","totalVotes":286,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":159},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":127}]},"SonomaMeasureD":{"id":"SonomaMeasureD","type":"localRace","location":"Sonoma","raceName":"Measure D","raceDescription":"Harmony Union School District. School bond. Passes with 55% vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:51 PM","dateUpdated":"March 29, 2024","totalVotes":1925,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":1089},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":836}]},"SonomaMeasureE":{"id":"SonomaMeasureE","type":"localRace","location":"Sonoma","raceName":"Measure E","raceDescription":"Petaluma City (Elementary) School District. Parcel tax. Passes with 2/3 vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:51 PM","dateUpdated":"March 29, 2024","totalVotes":11133,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":7622},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":3511}]},"SonomaMeasureG":{"id":"SonomaMeasureG","type":"localRace","location":"Sonoma","raceName":"Measure G","raceDescription":"Rincon Valley Union School District. School bond. Passes with 55% vote.","raceReadTheStory":"","raceType":"yesNo","timeUpdated":"6:51 PM","dateUpdated":"March 29, 2024","totalVotes":14577,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":8668},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":5909}]},"SonomaMeasureH":{"id":"SonomaMeasureH","type":"localRace","location":"Sonoma","raceName":"Measure H","raceDescription":"Sonoma County. Sales tax. Passes with majority vote.","raceReadTheStory":"https://www.kqed.org/elections/results/sonoma/measure-h","raceType":"yesNo","timeUpdated":"6:51 PM","dateUpdated":"March 29, 2024","totalVotes":145261,"candidates":[{"candidateName":"Yes","candidateIncumbent":false,"candidateParty":"","voteCount":89646},{"candidateName":"No","candidateIncumbent":false,"candidateParty":"","voteCount":55615}]}},"radioSchedulesReducer":{},"listsReducer":{"posts/stateofhealth?category=place-matters":{"isFetching":false,"latestQuery":{"from":0,"postsToRender":9},"tag":null,"vitalsOnly":true,"totalRequested":9,"isLoading":false,"isLoadingMore":true,"total":676,"items":["stateofhealth_364223","stateofhealth_363838","stateofhealth_363815","stateofhealth_363769","stateofhealth_363681","stateofhealth_363411","stateofhealth_363352","stateofhealth_363143","stateofhealth_363257"]}},"recallGuideReducer":{"intros":{},"policy":{},"candidates":{}},"savedPostsReducer":{},"pfsSessionReducer":{},"siteSettingsReducer":{},"subscriptionsReducer":{},"termsReducer":{"about":{"name":"About","type":"terms","id":"about","slug":"about","link":"/about","taxonomy":"site"},"arts":{"name":"Arts & Culture","grouping":["arts","pop","trulyca"],"description":"KQED Arts provides daily in-depth coverage of the Bay Area's music, art, film, performing arts, literature and arts news, as well as cultural commentary and criticism.","type":"terms","id":"arts","slug":"arts","link":"/arts","taxonomy":"site"},"artschool":{"name":"Art School","parent":"arts","type":"terms","id":"artschool","slug":"artschool","link":"/artschool","taxonomy":"site"},"bayareabites":{"name":"KQED food","grouping":["food","bayareabites","checkplease"],"parent":"food","type":"terms","id":"bayareabites","slug":"bayareabites","link":"/food","taxonomy":"site"},"bayareahiphop":{"name":"Bay Area Hiphop","type":"terms","id":"bayareahiphop","slug":"bayareahiphop","link":"/bayareahiphop","taxonomy":"site"},"campaign21":{"name":"Campaign 21","type":"terms","id":"campaign21","slug":"campaign21","link":"/campaign21","taxonomy":"site"},"checkplease":{"name":"KQED food","grouping":["food","bayareabites","checkplease"],"parent":"food","type":"terms","id":"checkplease","slug":"checkplease","link":"/food","taxonomy":"site"},"education":{"name":"Education","grouping":["education"],"type":"terms","id":"education","slug":"education","link":"/education","taxonomy":"site"},"elections":{"name":"Elections","type":"terms","id":"elections","slug":"elections","link":"/elections","taxonomy":"site"},"events":{"name":"Events","type":"terms","id":"events","slug":"events","link":"/events","taxonomy":"site"},"event":{"name":"Event","alias":"events","type":"terms","id":"event","slug":"event","link":"/event","taxonomy":"site"},"filmschoolshorts":{"name":"Film School Shorts","type":"terms","id":"filmschoolshorts","slug":"filmschoolshorts","link":"/filmschoolshorts","taxonomy":"site"},"food":{"name":"KQED food","grouping":["food","bayareabites","checkplease"],"type":"terms","id":"food","slug":"food","link":"/food","taxonomy":"site"},"forum":{"name":"Forum","relatedContentQuery":"posts/forum?","parent":"news","type":"terms","id":"forum","slug":"forum","link":"/forum","taxonomy":"site"},"futureofyou":{"name":"Future of You","grouping":["science","futureofyou"],"parent":"science","type":"terms","id":"futureofyou","slug":"futureofyou","link":"/futureofyou","taxonomy":"site"},"jpepinheart":{"name":"KQED food","relatedContentQuery":"trending/food,bayareabites,checkplease","parent":"food","type":"terms","id":"jpepinheart","slug":"jpepinheart","link":"/food","taxonomy":"site"},"liveblog":{"name":"Live Blog","type":"terms","id":"liveblog","slug":"liveblog","link":"/liveblog","taxonomy":"site"},"livetv":{"name":"Live TV","parent":"tv","type":"terms","id":"livetv","slug":"livetv","link":"/livetv","taxonomy":"site"},"lowdown":{"name":"The Lowdown","relatedContentQuery":"posts/lowdown?","parent":"news","type":"terms","id":"lowdown","slug":"lowdown","link":"/lowdown","taxonomy":"site"},"mindshift":{"name":"Mindshift","parent":"news","description":"MindShift explores the future of education by highlighting the innovative – and sometimes counterintuitive – ways educators and parents are helping all children succeed.","type":"terms","id":"mindshift","slug":"mindshift","link":"/mindshift","taxonomy":"site"},"news":{"name":"News","grouping":["news","forum"],"type":"terms","id":"news","slug":"news","link":"/news","taxonomy":"site"},"perspectives":{"name":"Perspectives","parent":"radio","type":"terms","id":"perspectives","slug":"perspectives","link":"/perspectives","taxonomy":"site"},"podcasts":{"name":"Podcasts","type":"terms","id":"podcasts","slug":"podcasts","link":"/podcasts","taxonomy":"site"},"pop":{"name":"Pop","parent":"arts","type":"terms","id":"pop","slug":"pop","link":"/pop","taxonomy":"site"},"pressroom":{"name":"Pressroom","type":"terms","id":"pressroom","slug":"pressroom","link":"/pressroom","taxonomy":"site"},"quest":{"name":"Quest","parent":"science","type":"terms","id":"quest","slug":"quest","link":"/quest","taxonomy":"site"},"radio":{"name":"Radio","grouping":["forum","perspectives"],"description":"Listen to KQED Public Radio – home of Forum and The California Report – on 88.5 FM in San Francisco, 89.3 FM in Sacramento, 88.3 FM in Santa Rosa and 88.1 FM in Martinez.","type":"terms","id":"radio","slug":"radio","link":"/radio","taxonomy":"site"},"root":{"name":"KQED","image":"https://ww2.kqed.org/app/uploads/2020/02/KQED-OG-Image@1x.png","imageWidth":1200,"imageHeight":630,"headData":{"title":"KQED | News, Radio, Podcasts, TV | Public Media for Northern California","description":"KQED provides public radio, television, and independent reporting on issues that matter to the Bay Area. We’re the NPR and PBS member station for Northern California."},"type":"terms","id":"root","slug":"root","link":"/root","taxonomy":"site"},"science":{"name":"Science","grouping":["science","futureofyou"],"description":"KQED Science brings you award-winning science and environment coverage from the Bay Area and beyond.","type":"terms","id":"science","slug":"science","link":"/science","taxonomy":"site"},"stateofhealth":{"name":"State of Health","parent":"science","type":"terms","id":"stateofhealth","slug":"stateofhealth","link":"/stateofhealth","taxonomy":"site"},"support":{"name":"Support","type":"terms","id":"support","slug":"support","link":"/support","taxonomy":"site"},"thedolist":{"name":"The Do List","parent":"arts","type":"terms","id":"thedolist","slug":"thedolist","link":"/thedolist","taxonomy":"site"},"trulyca":{"name":"Truly CA","grouping":["arts","pop","trulyca"],"parent":"arts","type":"terms","id":"trulyca","slug":"trulyca","link":"/trulyca","taxonomy":"site"},"tv":{"name":"TV","type":"terms","id":"tv","slug":"tv","link":"/tv","taxonomy":"site"},"voterguide":{"name":"Voter Guide","parent":"elections","alias":"elections","type":"terms","id":"voterguide","slug":"voterguide","link":"/voterguide","taxonomy":"site"},"stateofhealth_11":{"type":"terms","id":"stateofhealth_11","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"11","found":true},"relationships":{},"included":{},"name":"Community Health","slug":"place-matters","taxonomy":"category","description":"\r\n\r\nFrom rural California to urban neighborhoods, where you live affects your health","featImg":null,"headData":{"title":"Community Health Archives | KQED Arts","description":"From rural California to urban neighborhoods, where you live affects your health","ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null,"imageData":{"ogImageSize":{"file":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","width":1200,"height":630},"twImageSize":{"file":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"},"twitterCard":"summary_large_image"}},"ttid":11,"isLoading":false,"link":"/stateofhealth/category/place-matters"},"stateofhealth_1":{"type":"terms","id":"stateofhealth_1","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"1","found":true},"relationships":{},"included":{},"name":"Uncategorized","slug":"uncategorized","taxonomy":"category","description":null,"featImg":null,"headData":{"title":"Uncategorized Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":1,"isLoading":false,"link":"/stateofhealth/category/uncategorized"},"stateofhealth_3260":{"type":"terms","id":"stateofhealth_3260","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3260","found":true},"relationships":{},"included":{},"name":"caregiving","slug":"caregiving","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"caregiving Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3269,"isLoading":false,"link":"/stateofhealth/tag/caregiving"},"stateofhealth_3023":{"type":"terms","id":"stateofhealth_3023","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3023","found":true},"relationships":{},"included":{},"name":"hospice","slug":"hospice","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"hospice Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3032,"isLoading":false,"link":"/stateofhealth/tag/hospice"},"stateofhealth_2519":{"type":"terms","id":"stateofhealth_2519","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"2519","found":true},"relationships":{},"included":{},"name":"News","slug":"news","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"News Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":2528,"isLoading":false,"link":"/stateofhealth/tag/news"},"stateofhealth_3030":{"type":"terms","id":"stateofhealth_3030","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3030","found":true},"relationships":{},"included":{},"name":"philanthropy","slug":"philanthropy","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"philanthropy Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3039,"isLoading":false,"link":"/stateofhealth/tag/philanthropy"},"stateofhealth_3261":{"type":"terms","id":"stateofhealth_3261","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3261","found":true},"relationships":{},"included":{},"name":"Zen Hospice Project","slug":"zen-hospice-project","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"Zen Hospice Project Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3270,"isLoading":false,"link":"/stateofhealth/tag/zen-hospice-project"},"stateofhealth_2746":{"type":"terms","id":"stateofhealth_2746","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"2746","found":true},"relationships":{},"included":{},"name":"Public Health","slug":"public-health","taxonomy":"category","description":null,"featImg":null,"headData":{"title":"Public Health Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":2755,"isLoading":false,"link":"/stateofhealth/category/public-health"},"stateofhealth_2808":{"type":"terms","id":"stateofhealth_2808","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"2808","found":true},"relationships":{},"included":{},"name":"featured","slug":"featured","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"featured Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":2817,"isLoading":false,"link":"/stateofhealth/tag/featured"},"stateofhealth_3254":{"type":"terms","id":"stateofhealth_3254","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3254","found":true},"relationships":{},"included":{},"name":"naloxone","slug":"naloxone","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"naloxone Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3263,"isLoading":false,"link":"/stateofhealth/tag/naloxone"},"stateofhealth_3253":{"type":"terms","id":"stateofhealth_3253","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3253","found":true},"relationships":{},"included":{},"name":"Narcan","slug":"narcan","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"Narcan Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3262,"isLoading":false,"link":"/stateofhealth/tag/narcan"},"stateofhealth_2656":{"type":"terms","id":"stateofhealth_2656","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"2656","found":true},"relationships":{},"included":{},"name":"Opioids","slug":"opioids","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"Opioids Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":2665,"isLoading":false,"link":"/stateofhealth/tag/opioids"},"stateofhealth_3255":{"type":"terms","id":"stateofhealth_3255","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3255","found":true},"relationships":{},"included":{},"name":"overdose","slug":"overdose","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"overdose Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3264,"isLoading":false,"link":"/stateofhealth/tag/overdose"},"stateofhealth_3251":{"type":"terms","id":"stateofhealth_3251","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3251","found":true},"relationships":{},"included":{},"name":"Modoc County","slug":"modoc-county","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"Modoc County Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3260,"isLoading":false,"link":"/stateofhealth/tag/modoc-county"},"stateofhealth_3252":{"type":"terms","id":"stateofhealth_3252","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3252","found":true},"relationships":{},"included":{},"name":"rural hospitals","slug":"rural-hospitals","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"rural hospitals Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3261,"isLoading":false,"link":"/stateofhealth/tag/rural-hospitals"},"stateofhealth_3036":{"type":"terms","id":"stateofhealth_3036","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3036","found":true},"relationships":{},"included":{},"name":"California Healthline","slug":"california-healthline","taxonomy":"affiliate","description":null,"featImg":null,"headData":{"title":"California Healthline Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3045,"isLoading":false,"link":"/stateofhealth/affiliate/california-healthline"},"stateofhealth_14":{"type":"terms","id":"stateofhealth_14","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"14","found":true},"relationships":{},"included":{},"name":"Policy","slug":"policy","taxonomy":"category","description":"Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed","featImg":null,"headData":{"title":"Policy Archives | KQED Arts","description":"Actions by people in power – lawmakers, regulators and the like – can make a difference to your health, for better or for worse. We keep you informed","ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":14,"isLoading":false,"link":"/stateofhealth/category/policy"},"stateofhealth_3250":{"type":"terms","id":"stateofhealth_3250","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3250","found":true},"relationships":{},"included":{},"name":"Cedarville","slug":"cedarville","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"Cedarville Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3259,"isLoading":false,"link":"/stateofhealth/tag/cedarville"},"stateofhealth_3249":{"type":"terms","id":"stateofhealth_3249","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3249","found":true},"relationships":{},"included":{},"name":"rural hospital","slug":"rural-hospital","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"rural hospital Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3258,"isLoading":false,"link":"/stateofhealth/tag/rural-hospital"},"stateofhealth_3237":{"type":"terms","id":"stateofhealth_3237","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3237","found":true},"relationships":{},"included":{},"name":"fentanyl","slug":"fentanyl","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"fentanyl Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3246,"isLoading":false,"link":"/stateofhealth/tag/fentanyl"},"stateofhealth_3012":{"type":"terms","id":"stateofhealth_3012","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3012","found":true},"relationships":{},"included":{},"name":"Mental Health","slug":"mental-health","taxonomy":"category","description":null,"featImg":null,"headData":{"title":"Mental Health Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3021,"isLoading":false,"link":"/stateofhealth/category/mental-health"},"stateofhealth_3244":{"type":"terms","id":"stateofhealth_3244","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3244","found":true},"relationships":{},"included":{},"name":"A Woman's Place","slug":"a-womans-place","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"A Woman's Place Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3253,"isLoading":false,"link":"/stateofhealth/tag/a-womans-place"},"stateofhealth_3243":{"type":"terms","id":"stateofhealth_3243","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3243","found":true},"relationships":{},"included":{},"name":"Ed Hernandez","slug":"ed-hernandez","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"Ed Hernandez Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3252,"isLoading":false,"link":"/stateofhealth/tag/ed-hernandez"},"stateofhealth_719":{"type":"terms","id":"stateofhealth_719","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"719","found":true},"relationships":{},"included":{},"name":"Homelessness","slug":"homelessness","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"Homelessness Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":720,"isLoading":false,"link":"/stateofhealth/tag/homelessness"},"stateofhealth_68":{"type":"terms","id":"stateofhealth_68","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"68","found":true},"relationships":{},"included":{},"name":"Mental Health","slug":"mental-health","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"Mental Health Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":68,"isLoading":false,"link":"/stateofhealth/tag/mental-health"},"stateofhealth_3241":{"type":"terms","id":"stateofhealth_3241","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3241","found":true},"relationships":{},"included":{},"name":"patient discharge","slug":"patient-discharge","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"patient discharge Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3250,"isLoading":false,"link":"/stateofhealth/tag/patient-discharge"},"stateofhealth_3242":{"type":"terms","id":"stateofhealth_3242","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3242","found":true},"relationships":{},"included":{},"name":"patient dumping","slug":"patient-dumping","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"patient dumping Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3251,"isLoading":false,"link":"/stateofhealth/tag/patient-dumping"},"stateofhealth_313":{"type":"terms","id":"stateofhealth_313","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"313","found":true},"relationships":{},"included":{},"name":"HIV/AIDS","slug":"hivaids","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"HIV/AIDS Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":314,"isLoading":false,"link":"/stateofhealth/tag/hivaids"},"stateofhealth_3075":{"type":"terms","id":"stateofhealth_3075","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3075","found":true},"relationships":{},"included":{},"name":"San Francisco","slug":"san-francisco","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"San Francisco Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3084,"isLoading":false,"link":"/stateofhealth/tag/san-francisco"},"stateofhealth_13":{"type":"terms","id":"stateofhealth_13","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"13","found":true},"relationships":{},"included":{},"name":"Tests & Treatments","slug":"tests-treatments","taxonomy":"category","description":"Information and new research about advances in discovering and treating diseases and conditions.","featImg":null,"headData":{"title":"Tests & Treatments Archives | KQED Arts","description":"Information and new research about advances in discovering and treating diseases and conditions.","ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":13,"isLoading":false,"link":"/stateofhealth/category/tests-treatments"},"stateofhealth_3238":{"type":"terms","id":"stateofhealth_3238","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3238","found":true},"relationships":{},"included":{},"name":"6th Street Harm Reduction Center","slug":"6th-street-harm-reduction-center","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"6th Street Harm Reduction Center Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3247,"isLoading":false,"link":"/stateofhealth/tag/6th-street-harm-reduction-center"},"stateofhealth_3239":{"type":"terms","id":"stateofhealth_3239","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3239","found":true},"relationships":{},"included":{},"name":"Harm Reduction Coalition","slug":"harm-reduction-coalition","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"Harm Reduction Coalition Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3248,"isLoading":false,"link":"/stateofhealth/tag/harm-reduction-coalition"},"stateofhealth_3127":{"type":"terms","id":"stateofhealth_3127","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3127","found":true},"relationships":{},"included":{},"name":"opioid epidemic","slug":"opioid-epidemic","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"opioid epidemic Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3136,"isLoading":false,"link":"/stateofhealth/tag/opioid-epidemic"},"stateofhealth_3240":{"type":"terms","id":"stateofhealth_3240","meta":{"index":"terms_1591234321","site":"stateofhealth","id":"3240","found":true},"relationships":{},"included":{},"name":"first responder trauma","slug":"first-responder-trauma","taxonomy":"tag","description":null,"featImg":null,"headData":{"title":"first responder trauma Archives | KQED Arts","description":null,"ogTitle":null,"ogDescription":null,"ogImgId":null,"twTitle":null,"twDescription":null,"twImgId":null},"ttid":3249,"isLoading":false,"link":"/stateofhealth/tag/first-responder-trauma"}},"userAgentReducer":{"userAgent":"claudebot","isBot":true},"userPermissionsReducer":{"wpLoggedIn":false},"localStorageReducer":{},"browserHistoryReducer":[],"eventsReducer":{},"fssReducer":{},"tvDailyScheduleReducer":{},"tvWeeklyScheduleReducer":{},"tvPrimetimeScheduleReducer":{},"tvMonthlyScheduleReducer":{},"userAccountReducer":{"routeTo":"","showDeleteConfirmModal":false,"user":{"userId":"","isFound":false,"firstName":"","lastName":"","phoneNumber":"","email":"","articles":[]}},"youthMediaReducer":{},"checkPleaseReducer":{"filterData":{},"restaurantData":[]},"reframeReducer":{"attendee":null},"location":{"pathname":"/stateofhealth/category/place-matters","previousPathname":"/"}}
