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You can follow her on Twitter: \u003ca title=\"https://twitter.com/laliferis\" href=\"https://twitter.com/laliferis\">@laliferis\u003c/a>","avatar":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g","twitter":"laliferis","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["subscriber"]},{"site":"futureofyou","roles":["subscriber"]},{"site":"stateofhealth","roles":["subscriber"]},{"site":"science","roles":["subscriber"]},{"site":"food","roles":["contributor"]}],"headData":{"title":"Lisa Aliferis | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/lisaaliferis"},"samharnett":{"type":"authors","id":"253","meta":{"index":"authors_1591205172","id":"253","found":true},"name":"Sam Harnett","firstName":"Sam","lastName":"Harnett","slug":"samharnett","email":"samharnett@gmail.com","display_author_email":false,"staff_mastheads":[],"title":"KQED Contributor","bio":"Sam Harnett covered tech and work at KQED. He is the co-creator of \u003cem>\u003ca href=\"http://www.theworldaccordingtosound.org\">The World According to Sound\u003c/a>,\u003c/em> a 90-second podcast that features different sounds and the stories behind them.\r\n\r\nBefore coming to KQED, Sam worked as an independent reporter who contributed regularly to \u003cem>The California Report, Marketplace,\u003c/em> \u003cem>The World \u003c/em>and NPR.","avatar":"https://secure.gravatar.com/avatar/2538b972ac02f2b9546c7a6c59a0f3d0?s=600&d=blank&r=g","twitter":"Samwharnett","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["edit_others_posts","subscriber"]},{"site":"stateofhealth","roles":["author"]},{"site":"science","roles":["editor"]},{"site":"quest","roles":["subscriber"]}],"headData":{"title":"Sam Harnett | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/2538b972ac02f2b9546c7a6c59a0f3d0?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/2538b972ac02f2b9546c7a6c59a0f3d0?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/samharnett"},"lairdharrison":{"type":"authors","id":"1367","meta":{"index":"authors_1591205172","id":"1367","found":true},"name":"Laird Harrison","firstName":"Laird","lastName":"Harrison","slug":"lairdharrison","email":"laird_harrison@yahoo.com","display_author_email":false,"staff_mastheads":[],"title":null,"bio":null,"avatar":"https://secure.gravatar.com/avatar/cd1a94b071427a71ecfcbc115c6b0efe?s=600&d=blank&r=g","twitter":null,"facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["subscriber"]}],"headData":{"title":"Laird Harrison | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/cd1a94b071427a71ecfcbc115c6b0efe?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/cd1a94b071427a71ecfcbc115c6b0efe?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/lairdharrison"},"sdirks":{"type":"authors","id":"7239","meta":{"index":"authors_1591205172","id":"7239","found":true},"name":"Sandhya Dirks","firstName":"Sandhya","lastName":"Dirks","slug":"sdirks","email":"sdirks@kqed.org","display_author_email":true,"staff_mastheads":[],"title":null,"bio":"Sandhya Dirks was the race and equity reporter at KQED. She approaches race and equity not as a beat, but as a fundamental lens for all investigative and explanatory reporting.\r\n\r\nSandhya covered policing, housing, social justice movements, and the shifting demographics of cities and suburbs.\r\n\r\nShe was the creator and co-host of the podcast American Suburb, about the transformation of suburbia into the most diverse space in American life. She was the editor for Truth Be Told, an advice show for and by people of color. \r\n\r\nHer stories about race, space, and belonging were part of KQED's So Well Spoken project, which won RNDTA's Kaleidoscope award, honoring outstanding achievements in the coverage of diversity.\r\n\r\nPrior to joining KQED in 2015, Sandhya covered the 2012 presidential election from the swing state of Iowa for Iowa Public Radio. At KPBS in San Diego, she broke the story of a sexual harassment scandal that led to the mayor's resignation.\r\n\r\nShe got her start in radio working on documentaries about Oakland that investigated the high drop-out rate in public schools and mistrust between the police and the community.\r\n\r\nSandhya lives in Oakland and believes all stories are stories about power.","avatar":"https://secure.gravatar.com/avatar/c0247cb15929cd4c197672fd73d45300?s=600&d=blank&r=g","twitter":"audiosand","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["subscriber"]},{"site":"stateofhealth","roles":["author"]}],"headData":{"title":"Sandhya Dirks | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/c0247cb15929cd4c197672fd73d45300?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/c0247cb15929cd4c197672fd73d45300?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/sdirks"},"scraig":{"type":"authors","id":"11327","meta":{"index":"authors_1591205172","id":"11327","found":true},"name":"Sarah Craig","firstName":"Sarah","lastName":"Craig","slug":"scraig","email":"scraig@KQED.org","display_author_email":false,"staff_mastheads":[],"title":"KQED Contributor","bio":"Sarah Craig is a freelance radio reporter and documentary photographer. She is currently working on \u003cem>Dreams of Dust\u003c/em>, @dreamsofdust, a multimedia project that documents stories of climate migration in California’s Central Valley, previously funded by the California Humanities. Her completed projects include \u003cem>\u003ca href=\"http://www.facesoffracking.org/\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Faces of Fracking\u003c/a>,\u003c/em> an investigation into the impact of fracking on the people and places of California, and \u003cem>\u003ca href=\"http://sarahcraig.visura.co/gulf-disaster-2\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">The Gulf Disaster\u003c/a>,\u003c/em> stories on the lives of fishermen in the aftermath of the BP spill. Her work has been published by Marketplace, KQED's Bay Curious and Q'ed Up podcasts, KQED's California Report Magazine, KALW's Crosscurrents, Grist.org, High Country News, Earth Island Journal, and others. Sarah received a B.A. in Geography at Vassar College and attended the \u003ca href=\"http://www.salt.edu/\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Salt Institute of Documentary Studies\u003c/a> in Portland, ME. She recently received an Excellence in Journalism Award from the NorCal Society of Professional Journalists for her documentary radio piece, \u003ca href=\"http://kalw.org/post/215-will-water-come#stream/0\">\"Will the Water Come.\"\u003c/a> Email: scraig@kqed.org Twitter: @sarahcraigmedia Website: sarahcraigmedia.com","avatar":"https://secure.gravatar.com/avatar/97f17950c828429d3df9f2907412a50b?s=600&d=blank&r=g","twitter":null,"facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["subscriber"]},{"site":"science","roles":["editor"]}],"headData":{"title":"Sarah Craig | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/97f17950c828429d3df9f2907412a50b?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/97f17950c828429d3df9f2907412a50b?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/scraig"},"rdillon":{"type":"authors","id":"11495","meta":{"index":"authors_1591205172","id":"11495","found":true},"name":"Raquel Maria Dillon","firstName":"Raquel Maria","lastName":"Dillon","slug":"rdillon","email":"rdillon@kqed.org","display_author_email":false,"staff_mastheads":[],"title":null,"bio":"Raquel Maria Dillon was a reporter and host for KQED News. Previously, she produced the daily statewide California Report, edited newscasts, and covered health and education stories. Before returning to the Bay Area in 2016, she worked in Los Angeles as a wire reporter and one-woman-band video journalist for the Associated Press, where she shot, edited and reported breaking news and features across the West. Her work has appeared online and in print around the globe, and also on NPR’s Morning Edition, All Things Considered, Here and Now, Marketplace, On The Media, and Studio 360. She previously edited and mentored up-and-coming reporters at KALW, produced social videos for Timeline.com, and was a local TV news videographer for KTVU and digital producer for KNTV. She got her start as a Radio News Trainee at KQED, produced a weekly public affairs roundtable show for OPB, and covered health and politics at New Hampshire Public Radio. She has a BA in political science from Barnard College and a MA in video journalism from UC Berkeley, where she was awarded the Faith Fancher Scholarship and a Student Emmy. She has received numerous local awards from the Associated Press and the Society of Professional Journalists.","avatar":"https://secure.gravatar.com/avatar/b8e02ae982913d0950df605910267c1b?s=600&d=blank&r=g","twitter":"RaquelMDillon","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["subscriber"]},{"site":"stateofhealth","roles":["editor"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["editor"]}],"headData":{"title":"Raquel Maria Dillon | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/b8e02ae982913d0950df605910267c1b?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/b8e02ae982913d0950df605910267c1b?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/rdillon"}},"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":"news","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":"/"}},"news_11674356":{"type":"posts","id":"news_11674356","meta":{"index":"posts_1591205157","site":"news","id":"11674356","score":null,"sort":[1528930676000]},"guestAuthors":[],"slug":"should-insurance-companies-have-to-cover-fertility-treatments-for-cancer-patients","title":"Should Insurance Companies Have to Cover Fertility Treatments for Cancer Patients?","publishDate":1528930676,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>When Alice Crisci was only 31 years old and working as a management consultant in Los Angeles, she was diagnosed with breast cancer.\u003c/p>\n\u003cp>Then, just as that was sinking in, her doctor gave her more bad news: It was highly likely that chemotherapy would leave her infertile.\u003c/p>\n\u003cp>Crisci had always wanted to have children. But the \u003ca href=\"https://www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/fertility-and-sexual-side-effects/fertility-and-women-with-cancer/how-cancer-treatments-affect-fertility.html\" target=\"_blank\" rel=\"noopener\">chemotherapy, radiation and surgery\u003c/a> could destroy her eggs and compromise her reproductive system.\u003c/p>\n\u003cp>Plus, she was about to spend years on powerful anti-tumor medications — taking away from her prime years for getting pregnant. Her doctors were eager to schedule surgery and start chemotherapy, and she needed to plan quickly.\u003c/p>\n\u003cp>Her 2008 diagnosis kicked off a flurry of research and high-stakes decisions.\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003cspan style=\"font-size: x-large\">'\u003cstrong>I had to decide on surgery, \u003c/strong>decide on the type of reconstruction, decide on the type of treatment in terms of chemo and the follow-up, and decide on fertility preservation, decide on a sperm donor.'\u003c/span>\u003ccite>Alice Crisci\u003c/cite>\u003c/aside>\n\u003cp>“I had to decide on surgery, decide on the type of reconstruction, decide on the type of treatment in terms of chemo and the follow-up, and decide on fertility preservation, decide on a sperm donor,” said Crisci, who is 41.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It's not just so simple as to do a lumpectomy or a mastectomy. Do I do a single or a double? Do I do fertility preservation or not? Do I do eggs alone or eggs and embryos? Do I split my cycle?”\u003c/p>\n\u003ch2>A lifetime of big decisions\u003c/h2>\n\u003cp>It's like this for a lot of cancer patients in their childbearing years — a lifetime of big decisions crammed into a couple of weeks, while oncologists urge them to hurry up, schedule surgery and begin chemo.\u003c/p>\n\u003cp>It used to be that cancer patients gave up on having children of their own, but with technological advances in reproductive medicine, there are options now. Many younger patients go through treatments to preserve their fertility; they extract eggs, bank sperm and freeze embryos.\u003c/p>\n\u003cp>But when cancer patients want a chance at parenthood, who pays for the expensive treatments?\u003c/p>\n\u003ch2>Who pays?\u003c/h2>\n\u003cp>Many states are \u003ca href=\"http://www.allianceforfertilitypreservation.org/advocacy/state-legislation\" target=\"_blank\" rel=\"noopener\">considering legislation\u003c/a> to require insurance companies to cover fertility preservation for cancer patients. California has so far left these decisions up to health insurance companies and state regulators. Patient advocates and doctors say that’s not fair to vulnerable cancer patients who want a chance at parenthood.\u003c/p>\n\u003cp>Crisci was determined to get through her cancer treatment and become a mom someday, but there was more bad news — the cost. Her insurance would pay for the surgery and chemo, but not for the hormone injections, egg extraction and the yearly fees for storing materials until she was healthy enough to try for a baby.\u003c/p>\n\u003caside class=\"alignright\">\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/futureofyou/442280/new-cancer-care-dilemma-patients-want-immunotherapy-even-when-evidence-is-lacking\" target=\"_blank\" rel=\"noopener\">New Cancer Care Dilemma: Patients Want Immunotherapy Even When Evidence Is Lacking\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>For men who get cancer, preserving sperm is just a couple of thousand dollars. But when it comes to reproduction, human anatomy isn't fair.\u003c/p>\n\u003cp>“It was a $20,000 expense I put on a credit card,\" Crisci said, adding that it was never even a question to her whether or not to take the financial risk.\u003c/p>\n\u003cp>When Crisci told her live-in boyfriend they had to work fast to freeze embryos, he balked, and they broke up. Now, she also had to choose a sperm donor too.\u003c/p>\n\u003cp>Crisci was lucky. She had health insurance and a good salary to pay back the debt she took on for fertility treatment. But she and other cancer patient advocates worry about how other young women just starting out in life without savings or credit will come up with the money needed for these treatments.\u003c/p>\n\u003ch2>Expensive treatments\u003c/h2>\n\u003cp>“Those costs are high for anyone — IVF, fertility treatments. It’s a challenging time, even more challenging financially,” said Joyce Reinecke, executive director of the Alliance for Fertility Preservation, a national organization based in the East Bay. “For a young person who maybe hasn't been working that long or is in college, it’s not feasible. They don’t have that choice to make if they don’t have that money.”\u003c/p>\n\u003cp>Reinecke was just married when she found out she had cancer. Now she has twin teenage daughters who are graduating from high school, but she remembers how daunting it felt to be fighting a deadly disease and trying to plan for a future she might not have.\u003c/p>\n\u003cp>For a long time, insurance companies didn’t cover infertility, or even consider it a disease. Now, the same treatments that preserve a cancer patient's fertility are often still lumped together with elective treatments paid for out of pocket.\u003c/p>\n\u003ch2>Luxury vs. quality of life\u003c/h2>\n\u003cp>“People saw this, I think, in part as more of a luxury thing whereas we see it as kind of part of one of the core values in medicine. We're trying to help people's quality of life — their ability to have a family,” said Dr. Joseph Letourneau, a reproductive medicine specialist at UCSF’s Center for Reproductive Medicine.\u003c/p>\n\u003cp>Patient advocates and doctors say insurance coverage and regulations need to catch up with medical technology and cover fertility preservation for cancer patients.\u003c/p>\n\u003cp>“This is medically necessary, and these services now, such as sperm banking and egg freezing, are really standard medical procedures and they are part of the standard of cancer care,” Reinecke said.\u003c/p>\n\u003caside class=\"alignright\">\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/stateofhealth/323065/hype-offers-hope-and-risks-to-cancer-patients\" target=\"_blank\" rel=\"noopener\">Hype Offers Hope -- and Risks -- to Cancer Patients\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>She has worked to pass laws that require insurance companies to cover fertility preservation. She has \u003ca href=\"http://www.allianceforfertilitypreservation.org/advocacy/state-legislation\" target=\"_blank\" rel=\"noopener\">succeeded in three states\u003c/a> (Maryland, Connecticut and Rhode Island), but not California.\u003c/p>\n\u003cp>Reinecke said signing fertility preservation coverage into law would give all cancer patients, not just the rich ones, an equal chance at fertility treatments.\u003c/p>\n\u003cp>In Sacramento, three fertility preservation bills were introduced in the state Legislature. One made it as far as Gov. Jerry Brown's desk \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201320140AB912\" target=\"_blank\" rel=\"noopener\">in 2013\u003c/a>, but he \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2017/09/2013_AB_912_Veto_Message.pdf\" target=\"_blank\" rel=\"noopener\">vetoed it\u003c/a>, saying he was reluctant to mandate any new insurance benefits just as Obamacare was coming into effect.\u003c/p>\n\u003ch2>Appeal and hope\u003c/h2>\n\u003cp>After the most recent attempt \u003ca href=\"https://californiahealthline.org/news/preserving-fertility-when-it-is-threatened-by-life-saving-medicine/\" target=\"_blank\" rel=\"noopener\">last year\u003c/a>, patient advocates decided to give up on new legislation and instead try to use existing regulations to get fertility preservation covered.\u003c/p>\n\u003cp>“This is a basic health care service that is medically necessary and therefore is covered. Then, whether an individual patient or not is entitled to that coverage, based on the medical facts of their case, is what's at hand,” Reinecke said.\u003c/p>\n\u003cp>State regulators say when insurance companies deny coverage, patients can file an appeal with the California Department of Managed Health Care in Sacramento, which regulates HMOs to make sure medically necessary basic health care services are covered. This appeals process, called an \u003ca href=\"https://www.dmhc.ca.gov/fileacomplaint/independentmedicalreviewandcomplaintreports.aspx\" target=\"_blank\" rel=\"noopener\">Independent Medical Review,\u003c/a> requires patients to just fill out an \u003ca href=\"https://www.dmhc.ca.gov/fileacomplaint/submitanindependentmedicalreviewcomplaintform.aspx\" target=\"_blank\" rel=\"noopener\">online form\u003c/a>.\u003c/p>\n\u003cp>Filing an appeal is free, but it still requires patients to pay thousands of dollars out of pocket for fertility preservation treatments, and hope they get reimbursed later by their insurance companies.\u003c/p>\n\u003cp>Time-sensitive appeals are supposed to be expedited and completed within a week, but doctors like Letourneau say it usually takes a couple of months to get a decision. Letourneau said when he walks patients through this process, he spends a lot of time on the phone with them trying to ease their worries about cancer treatment, fertility choices and financial risks.\u003c/p>\n\u003cp>So far, the handful of Californians who have filed these appeals have won. But they still have to wait even longer for their insurance company to reimburse them.\u003c/p>\n\u003cp>Letourneau said the appeals process if flawed because it serves only patients who have the time, money and savvy to try to overturn their insurance company’s decision. He worries about the many cancer patients who can’t afford to try or may not even know that an appeal is an option.\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003cspan style=\"font-size: x-large\">'\u003cstrong>For people who don't have those resources, you might not be able to count on hope\u003c/strong>, and you might then just not be able to have children, and that's just wrong.'\u003c/span>\u003ccite>Dr. Adams Dudley\u003c/cite>\u003c/aside>\n\u003cp>“Their cancer provider might look at them and say, ‘Gosh, I don't want to provide them the false hope that they could go freeze their eggs when it's going to be an out-of-pocket expense of $8,000 and I know they don’t have that.’ So why bring it up?” he said.\u003c/p>\n\u003cp>Oncologists and reproductive specialists are working together to serve patients, Letourneau said, and he’s hopeful that better coverage would mean \u003ca href=\"https://academic.oup.com/jnci/article/107/10/djv202/986599\" target=\"_blank\" rel=\"noopener\">more patients choose to treat their cancer more aggressively \u003c/a>— that they’ll feel better about taking anti-tumor medication longer, knowing there’s hope they can still get pregnant later on.\u003c/p>\n\u003cp>The Department of Managed Health Care stands by the appeals process, declining to answer questions about the many cancer patients who don’t have the time or money to file an appeal.\u003c/p>\n\u003ch2>'Cancer Patients Often Don't Have Time'\u003c/h2>\n\u003cp>A couple of months is an eternity when you’re treating cancer, according to Dr. Adams Dudley, a health policy expert with UCSF.\u003c/p>\n\u003cp>“For people who don't have those resources, you might not be able to count on hope, and you might then just not be able to have children, and that's just wrong,” Dudley said.\u003c/p>\n\u003cp>Patients shouldn’t be forced to choose between fighting cancer aggressively, the chance to have children and going into debt to preserve their fertility, he said.\u003c/p>\n\u003caside class=\"alignright\">\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/futureofyou/442273/therapy-made-from-patients-immune-system-shows-promise-for-advanced-breast-cancer\" target=\"_blank\" rel=\"noopener\">Therapy Made From Patient's Immune System Shows Promise For Advanced Breast Cancer\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>Dudley argues that leaving these decisions up to state regulators and a slow-moving bureaucracy isn’t fair to the vast majority of patients who don’t have thousands of dollars to risk on the chance of bearing their own children someday. And it means that everyone who'd benefit from extracting eggs isn’t getting the chance to do so, he said.\u003c/p>\n\u003cp>“The problem with this appeals process is that it takes time, and cancer patients often don't have time. Particularly the kinds of cancers that people of childbearing age get can be really aggressive, really terrible things that you need to get into and treat right away,” Dudley said.\u003c/p>\n\u003cp>The delay in covering an effective but expensive treatment is common in the field of reproductive health, Dudley added.\u003c/p>\n\u003cp>“If there were a new treatment that allowed you to have some really good outcome in almost any other disease, there wouldn't be an issue of whether or not it would be covered. We’d just cover it. We wouldn't say, ‘Oh, there are new chemotherapies that really improve your survival from cancer, but you can't have them because they’re too expensive.’ We don't do that generally. But we tend to treat reproductive health and mental health differently,” he said.\u003c/p>\n\u003cp>Dudley said state regulators and politicians should realize that the way insurers — governed by state regulators — treat reproductive health and fertility preservation has a huge impact on the lives of cancer patients.\u003c/p>\n\u003ch2>A happy ending for Alice\u003c/h2>\n\u003cp>For Alice Crisci, going into debt to pay for fertility treatment helped her get through the dark, lonely moments soon after her diagnosis. With each expensive injection of hormones, she was banking on the fact that her body still worked and that she would beat cancer, resume a normal life and eventually have a baby.\u003c/p>\n\u003cp>“The injections were a little bit painful, but I was in control. I was the one who got to do it. Nobody was doing it to me. And I felt like I was stimulating life force,” she said.\u003c/p>\n\u003cp>Crisci's story has a happy ending. She’s an \u003ca href=\"http://www.fertileaction.org/about/alices-story/\" target=\"_blank\" rel=\"noopener\">entrepreneur\u003c/a> living in San Carlos, and single mom to a curly-headed 4-year-old named Dante.\u003c/p>\n\u003cp>“I named him Dante because it means enduring. We certainly endured a lot to get to be together,” she said.\u003c/p>\n\u003cp>Crisci and other advocates want other cancer patients to have a chance at parenthood, too.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Since January, they’ve been pressing state regulators to issue a formal letter telling insurers that California considers fertility preservation to be medically necessary and therefore should be covered.\u003c/p>\n\n","blocks":[],"excerpt":"It used to be that cancer patients gave up on having children of their own. Now there are options — but who pays?","status":"publish","parent":0,"modified":1529085508,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":51,"wordCount":2078},"headData":{"title":"Should Insurance Companies Have to Cover Fertility Treatments for Cancer Patients? | KQED","description":"It used to be that cancer patients gave up on having children of their own. Now there are options — but who pays?","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Should Insurance Companies Have to Cover Fertility Treatments for Cancer Patients?","datePublished":"2018-06-13T22:57:56.000Z","dateModified":"2018-06-15T17:58:28.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11674356 https://ww2.kqed.org/news/?p=11674356","disqusUrl":"https://ww2.kqed.org/news/2018/06/13/should-insurance-companies-have-to-cover-fertility-treatments-for-cancer-patients/","disqusTitle":"Should Insurance Companies Have to Cover Fertility Treatments for Cancer Patients?","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/06/DillonFertilityPreservationTCRAM180612.mp3","path":"/news/11674356/should-insurance-companies-have-to-cover-fertility-treatments-for-cancer-patients","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Alice Crisci was only 31 years old and working as a management consultant in Los Angeles, she was diagnosed with breast cancer.\u003c/p>\n\u003cp>Then, just as that was sinking in, her doctor gave her more bad news: It was highly likely that chemotherapy would leave her infertile.\u003c/p>\n\u003cp>Crisci had always wanted to have children. But the \u003ca href=\"https://www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/fertility-and-sexual-side-effects/fertility-and-women-with-cancer/how-cancer-treatments-affect-fertility.html\" target=\"_blank\" rel=\"noopener\">chemotherapy, radiation and surgery\u003c/a> could destroy her eggs and compromise her reproductive system.\u003c/p>\n\u003cp>Plus, she was about to spend years on powerful anti-tumor medications — taking away from her prime years for getting pregnant. Her doctors were eager to schedule surgery and start chemotherapy, and she needed to plan quickly.\u003c/p>\n\u003cp>Her 2008 diagnosis kicked off a flurry of research and high-stakes decisions.\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003cspan style=\"font-size: x-large\">'\u003cstrong>I had to decide on surgery, \u003c/strong>decide on the type of reconstruction, decide on the type of treatment in terms of chemo and the follow-up, and decide on fertility preservation, decide on a sperm donor.'\u003c/span>\u003ccite>Alice Crisci\u003c/cite>\u003c/aside>\n\u003cp>“I had to decide on surgery, decide on the type of reconstruction, decide on the type of treatment in terms of chemo and the follow-up, and decide on fertility preservation, decide on a sperm donor,” said Crisci, who is 41.\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>“It's not just so simple as to do a lumpectomy or a mastectomy. Do I do a single or a double? Do I do fertility preservation or not? Do I do eggs alone or eggs and embryos? Do I split my cycle?”\u003c/p>\n\u003ch2>A lifetime of big decisions\u003c/h2>\n\u003cp>It's like this for a lot of cancer patients in their childbearing years — a lifetime of big decisions crammed into a couple of weeks, while oncologists urge them to hurry up, schedule surgery and begin chemo.\u003c/p>\n\u003cp>It used to be that cancer patients gave up on having children of their own, but with technological advances in reproductive medicine, there are options now. Many younger patients go through treatments to preserve their fertility; they extract eggs, bank sperm and freeze embryos.\u003c/p>\n\u003cp>But when cancer patients want a chance at parenthood, who pays for the expensive treatments?\u003c/p>\n\u003ch2>Who pays?\u003c/h2>\n\u003cp>Many states are \u003ca href=\"http://www.allianceforfertilitypreservation.org/advocacy/state-legislation\" target=\"_blank\" rel=\"noopener\">considering legislation\u003c/a> to require insurance companies to cover fertility preservation for cancer patients. California has so far left these decisions up to health insurance companies and state regulators. Patient advocates and doctors say that’s not fair to vulnerable cancer patients who want a chance at parenthood.\u003c/p>\n\u003cp>Crisci was determined to get through her cancer treatment and become a mom someday, but there was more bad news — the cost. Her insurance would pay for the surgery and chemo, but not for the hormone injections, egg extraction and the yearly fees for storing materials until she was healthy enough to try for a baby.\u003c/p>\n\u003caside class=\"alignright\">\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/futureofyou/442280/new-cancer-care-dilemma-patients-want-immunotherapy-even-when-evidence-is-lacking\" target=\"_blank\" rel=\"noopener\">New Cancer Care Dilemma: Patients Want Immunotherapy Even When Evidence Is Lacking\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>For men who get cancer, preserving sperm is just a couple of thousand dollars. But when it comes to reproduction, human anatomy isn't fair.\u003c/p>\n\u003cp>“It was a $20,000 expense I put on a credit card,\" Crisci said, adding that it was never even a question to her whether or not to take the financial risk.\u003c/p>\n\u003cp>When Crisci told her live-in boyfriend they had to work fast to freeze embryos, he balked, and they broke up. Now, she also had to choose a sperm donor too.\u003c/p>\n\u003cp>Crisci was lucky. She had health insurance and a good salary to pay back the debt she took on for fertility treatment. But she and other cancer patient advocates worry about how other young women just starting out in life without savings or credit will come up with the money needed for these treatments.\u003c/p>\n\u003ch2>Expensive treatments\u003c/h2>\n\u003cp>“Those costs are high for anyone — IVF, fertility treatments. It’s a challenging time, even more challenging financially,” said Joyce Reinecke, executive director of the Alliance for Fertility Preservation, a national organization based in the East Bay. “For a young person who maybe hasn't been working that long or is in college, it’s not feasible. They don’t have that choice to make if they don’t have that money.”\u003c/p>\n\u003cp>Reinecke was just married when she found out she had cancer. Now she has twin teenage daughters who are graduating from high school, but she remembers how daunting it felt to be fighting a deadly disease and trying to plan for a future she might not have.\u003c/p>\n\u003cp>For a long time, insurance companies didn’t cover infertility, or even consider it a disease. Now, the same treatments that preserve a cancer patient's fertility are often still lumped together with elective treatments paid for out of pocket.\u003c/p>\n\u003ch2>Luxury vs. quality of life\u003c/h2>\n\u003cp>“People saw this, I think, in part as more of a luxury thing whereas we see it as kind of part of one of the core values in medicine. We're trying to help people's quality of life — their ability to have a family,” said Dr. Joseph Letourneau, a reproductive medicine specialist at UCSF’s Center for Reproductive Medicine.\u003c/p>\n\u003cp>Patient advocates and doctors say insurance coverage and regulations need to catch up with medical technology and cover fertility preservation for cancer patients.\u003c/p>\n\u003cp>“This is medically necessary, and these services now, such as sperm banking and egg freezing, are really standard medical procedures and they are part of the standard of cancer care,” Reinecke said.\u003c/p>\n\u003caside class=\"alignright\">\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/stateofhealth/323065/hype-offers-hope-and-risks-to-cancer-patients\" target=\"_blank\" rel=\"noopener\">Hype Offers Hope -- and Risks -- to Cancer Patients\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>She has worked to pass laws that require insurance companies to cover fertility preservation. She has \u003ca href=\"http://www.allianceforfertilitypreservation.org/advocacy/state-legislation\" target=\"_blank\" rel=\"noopener\">succeeded in three states\u003c/a> (Maryland, Connecticut and Rhode Island), but not California.\u003c/p>\n\u003cp>Reinecke said signing fertility preservation coverage into law would give all cancer patients, not just the rich ones, an equal chance at fertility treatments.\u003c/p>\n\u003cp>In Sacramento, three fertility preservation bills were introduced in the state Legislature. One made it as far as Gov. Jerry Brown's desk \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201320140AB912\" target=\"_blank\" rel=\"noopener\">in 2013\u003c/a>, but he \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2017/09/2013_AB_912_Veto_Message.pdf\" target=\"_blank\" rel=\"noopener\">vetoed it\u003c/a>, saying he was reluctant to mandate any new insurance benefits just as Obamacare was coming into effect.\u003c/p>\n\u003ch2>Appeal and hope\u003c/h2>\n\u003cp>After the most recent attempt \u003ca href=\"https://californiahealthline.org/news/preserving-fertility-when-it-is-threatened-by-life-saving-medicine/\" target=\"_blank\" rel=\"noopener\">last year\u003c/a>, patient advocates decided to give up on new legislation and instead try to use existing regulations to get fertility preservation covered.\u003c/p>\n\u003cp>“This is a basic health care service that is medically necessary and therefore is covered. Then, whether an individual patient or not is entitled to that coverage, based on the medical facts of their case, is what's at hand,” Reinecke said.\u003c/p>\n\u003cp>State regulators say when insurance companies deny coverage, patients can file an appeal with the California Department of Managed Health Care in Sacramento, which regulates HMOs to make sure medically necessary basic health care services are covered. This appeals process, called an \u003ca href=\"https://www.dmhc.ca.gov/fileacomplaint/independentmedicalreviewandcomplaintreports.aspx\" target=\"_blank\" rel=\"noopener\">Independent Medical Review,\u003c/a> requires patients to just fill out an \u003ca href=\"https://www.dmhc.ca.gov/fileacomplaint/submitanindependentmedicalreviewcomplaintform.aspx\" target=\"_blank\" rel=\"noopener\">online form\u003c/a>.\u003c/p>\n\u003cp>Filing an appeal is free, but it still requires patients to pay thousands of dollars out of pocket for fertility preservation treatments, and hope they get reimbursed later by their insurance companies.\u003c/p>\n\u003cp>Time-sensitive appeals are supposed to be expedited and completed within a week, but doctors like Letourneau say it usually takes a couple of months to get a decision. Letourneau said when he walks patients through this process, he spends a lot of time on the phone with them trying to ease their worries about cancer treatment, fertility choices and financial risks.\u003c/p>\n\u003cp>So far, the handful of Californians who have filed these appeals have won. But they still have to wait even longer for their insurance company to reimburse them.\u003c/p>\n\u003cp>Letourneau said the appeals process if flawed because it serves only patients who have the time, money and savvy to try to overturn their insurance company’s decision. He worries about the many cancer patients who can’t afford to try or may not even know that an appeal is an option.\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003cspan style=\"font-size: x-large\">'\u003cstrong>For people who don't have those resources, you might not be able to count on hope\u003c/strong>, and you might then just not be able to have children, and that's just wrong.'\u003c/span>\u003ccite>Dr. Adams Dudley\u003c/cite>\u003c/aside>\n\u003cp>“Their cancer provider might look at them and say, ‘Gosh, I don't want to provide them the false hope that they could go freeze their eggs when it's going to be an out-of-pocket expense of $8,000 and I know they don’t have that.’ So why bring it up?” he said.\u003c/p>\n\u003cp>Oncologists and reproductive specialists are working together to serve patients, Letourneau said, and he’s hopeful that better coverage would mean \u003ca href=\"https://academic.oup.com/jnci/article/107/10/djv202/986599\" target=\"_blank\" rel=\"noopener\">more patients choose to treat their cancer more aggressively \u003c/a>— that they’ll feel better about taking anti-tumor medication longer, knowing there’s hope they can still get pregnant later on.\u003c/p>\n\u003cp>The Department of Managed Health Care stands by the appeals process, declining to answer questions about the many cancer patients who don’t have the time or money to file an appeal.\u003c/p>\n\u003ch2>'Cancer Patients Often Don't Have Time'\u003c/h2>\n\u003cp>A couple of months is an eternity when you’re treating cancer, according to Dr. Adams Dudley, a health policy expert with UCSF.\u003c/p>\n\u003cp>“For people who don't have those resources, you might not be able to count on hope, and you might then just not be able to have children, and that's just wrong,” Dudley said.\u003c/p>\n\u003cp>Patients shouldn’t be forced to choose between fighting cancer aggressively, the chance to have children and going into debt to preserve their fertility, he said.\u003c/p>\n\u003caside class=\"alignright\">\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/futureofyou/442273/therapy-made-from-patients-immune-system-shows-promise-for-advanced-breast-cancer\" target=\"_blank\" rel=\"noopener\">Therapy Made From Patient's Immune System Shows Promise For Advanced Breast Cancer\u003c/a>\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>Dudley argues that leaving these decisions up to state regulators and a slow-moving bureaucracy isn’t fair to the vast majority of patients who don’t have thousands of dollars to risk on the chance of bearing their own children someday. And it means that everyone who'd benefit from extracting eggs isn’t getting the chance to do so, he said.\u003c/p>\n\u003cp>“The problem with this appeals process is that it takes time, and cancer patients often don't have time. Particularly the kinds of cancers that people of childbearing age get can be really aggressive, really terrible things that you need to get into and treat right away,” Dudley said.\u003c/p>\n\u003cp>The delay in covering an effective but expensive treatment is common in the field of reproductive health, Dudley added.\u003c/p>\n\u003cp>“If there were a new treatment that allowed you to have some really good outcome in almost any other disease, there wouldn't be an issue of whether or not it would be covered. We’d just cover it. We wouldn't say, ‘Oh, there are new chemotherapies that really improve your survival from cancer, but you can't have them because they’re too expensive.’ We don't do that generally. But we tend to treat reproductive health and mental health differently,” he said.\u003c/p>\n\u003cp>Dudley said state regulators and politicians should realize that the way insurers — governed by state regulators — treat reproductive health and fertility preservation has a huge impact on the lives of cancer patients.\u003c/p>\n\u003ch2>A happy ending for Alice\u003c/h2>\n\u003cp>For Alice Crisci, going into debt to pay for fertility treatment helped her get through the dark, lonely moments soon after her diagnosis. With each expensive injection of hormones, she was banking on the fact that her body still worked and that she would beat cancer, resume a normal life and eventually have a baby.\u003c/p>\n\u003cp>“The injections were a little bit painful, but I was in control. I was the one who got to do it. Nobody was doing it to me. And I felt like I was stimulating life force,” she said.\u003c/p>\n\u003cp>Crisci's story has a happy ending. She’s an \u003ca href=\"http://www.fertileaction.org/about/alices-story/\" target=\"_blank\" rel=\"noopener\">entrepreneur\u003c/a> living in San Carlos, and single mom to a curly-headed 4-year-old named Dante.\u003c/p>\n\u003cp>“I named him Dante because it means enduring. We certainly endured a lot to get to be together,” she said.\u003c/p>\n\u003cp>Crisci and other advocates want other cancer patients to have a chance at parenthood, too.\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>Since January, they’ve been pressing state regulators to issue a formal letter telling insurers that California considers fertility preservation to be medically necessary and therefore should be covered.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11674356/should-insurance-companies-have-to-cover-fertility-treatments-for-cancer-patients","authors":["11495"],"programs":["news_72"],"categories":["news_457","news_8","news_13","news_356"],"tags":["news_2275","news_17617","news_23492","news_1054","news_23490","news_17041"],"featImg":"news_10348083","label":"news_72"},"futureofyou_442317":{"type":"posts","id":"futureofyou_442317","meta":{"index":"posts_1591205157","site":"futureofyou","id":"442317","score":null,"sort":[1528218044000]},"guestAuthors":[],"slug":"many-breast-cancer-patients-can-skip-chemo-study-finds","title":"Many Breast Cancer Patients Can Skip Chemo, Study Finds","publishDate":1528218044,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>Most women with the most common form of early-stage breast cancer can safely skip chemotherapy without hurting their chances of beating the disease, doctors are reporting from a landmark study that used genetic testing to gauge each patient’s risk.[contextly_sidebar id=\"BFMet48xKrp1h6NyWt3K8Xsz7gIOPSeq\"]\u003c/p>\n\u003cp>The study is the largest ever done of breast cancer treatment, and the results are expected to spare up to 70,000 patients a year in the United States and many more elsewhere the ordeal and expense of these drugs.\u003c/p>\n\u003cp>“The impact is tremendous,” said the study leader, Dr. Joseph Sparano of Montefiore Medical Center in New York. Most women in this situation don’t need treatment beyond surgery and hormone therapy, he said.\u003c/p>\n\u003cp>The study was funded by the National Cancer Institute, some foundations and proceeds from the U.S. breast cancer postage stamp. Results were discussed Sunday at an American Society of Clinical Oncology conference in Chicago and published by the New England Journal of Medicine. Some study leaders consult for breast cancer drugmakers or for the company that makes the gene test.\u003c/p>\n\u003cp>\u003cstrong>Moving Away From Chemo\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Cancer care has been evolving away from chemotherapy — older drugs with harsh side effects — in favor of gene-targeting therapies, hormone blockers and immune system treatments. When chemo is used now, it’s sometimes for shorter periods or lower doses than it once was.\u003c/p>\n\u003cp>For example, another study at the conference found that Merck’s immunotherapy drug Keytruda worked better than chemo as initial treatment for most people with the most common type of lung cancer, and with far fewer side effects.[contextly_sidebar id=\"sLig6uVQeZQDplnvMdLRkmGUnVlPvI7v\"]\u003c/p>\n\u003cp>The breast cancer study focused on cases where chemo’s value increasingly is in doubt: women with early-stage disease that has not spread to lymph nodes, is hormone-positive (meaning its growth is fueled by estrogen or progesterone) and is not the type that the drug Herceptin targets.\u003c/p>\n\u003cp>The usual treatment is surgery followed by years of a hormone-blocking drug. But many women also are urged to have chemo to help kill any stray cancer cells. Doctors know that most don’t need it, but evidence is thin on who can forgo it.\u003c/p>\n\u003cp>The study gave 10,273 patients a test called Oncotype DX, which uses a biopsy sample to measure the activity of genes involved in cell growth and response to hormone therapy, to estimate the risk that a cancer will recur.\u003c/p>\n\u003cp>\u003cstrong>What the Study Found\u003c/strong>\u003c/p>\n\u003cp>About 17 percent of women had high-risk scores and were advised to have chemo. The 16 percent with low-risk scores now know they can skip chemo, based on earlier results from this study.\u003c/p>\n\u003cp>The new results are on the 67 percent of women at intermediate risk. All had surgery and hormone therapy, and half also got chemo.[contextly_sidebar id=\"TPjTNdjmhxB5MX6ZoUQCtfkvBdzmJm43\"]\u003c/p>\n\u003cp>After nine years, 94 percent of both groups were still alive, and about 84 percent were alive without signs of cancer, so adding chemo made no difference.\u003c/p>\n\u003cp>Certain women 50 or younger did benefit from chemo; slightly fewer cases of cancer spreading far beyond the breast occurred among some of them given chemo, depending on their risk scores on the gene test.\u003c/p>\n\u003cp>\u003cstrong>Will People Trust the Results?\u003c/strong>\u003c/p>\n\u003cp>All women like those in the study should get gene testing to guide their care, said Dr. Richard Schilsky, chief medical officer of the oncology society. Oncotype DX costs around $4,000, which Medicare and many insurers cover. Similar tests including one called MammaPrint also are widely used.\u003c/p>\n\u003cp>Testing solved a big problem of figuring out who needs chemo, said Dr. Harold Burstein of the Dana-Farber Cancer Institute in Boston. Many women think “if I don’t get chemotherapy I’m going to die, and if I get chemo I’m going to be cured,” but the results show there’s a sliding scale of benefit and sometimes none, he said.\u003c/p>\n\u003cp>Dr. Lisa Carey, a breast specialist at the University of North Carolina’s Lineberger Comprehensive Cancer Center, said she would be very comfortable advising patients to skip chemo if they were like those in the study who did not benefit from it.[contextly_sidebar id=\"2pkXhBlSu04mLyMby8g8IUTSIxIwtjpB\"]\u003c/p>\n\u003cp>Dr. Jennifer Litton at MD Anderson Cancer Center in Houston, agreed, but said: “Risk to one person is not the same thing as risk to another. There are some people who say, ’I don’t care what you say, I’m never going to do chemo,’” and won’t even have the gene test, she said. Others want chemo for even the smallest chance of benefit.\u003c/p>\n\u003cp>Adine Usher, 78, who lives in Hartsdale, New York, joined the study 10 years ago at Montefiore and was randomly assigned to the group given chemo.\u003c/p>\n\u003cp>“I was a little relieved. I sort of viewed chemo as extra insurance,” she said. The treatments “weren’t pleasant,” she concedes. Her hair fell out, she developed an infection and was hospitalized for a low white blood count, “but it was over fairly quickly and I’m really glad I had it.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>If doctors had recommended she skip chemo based on the gene test, “I would have accepted that,” she said. “I’m a firm believer in medical research.”\u003c/p>\n\n","blocks":[],"excerpt":"Cancer care has been evolving away from chemotherapy — older drugs with harsh side effects — in favor of gene-targeting therapies, hormone blockers and immune system treatments. ","status":"publish","parent":0,"modified":1528211669,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":25,"wordCount":904},"headData":{"title":"Many Breast Cancer Patients Can Skip Chemo, Study Finds | KQED","description":"Cancer care has been evolving away from chemotherapy — older drugs with harsh side effects — in favor of gene-targeting therapies, hormone blockers and immune system treatments. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Many Breast Cancer Patients Can Skip Chemo, Study Finds","datePublished":"2018-06-05T17:00:44.000Z","dateModified":"2018-06-05T15:14:29.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"442317 https://ww2.kqed.org/futureofyou/?p=442317","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/06/05/many-breast-cancer-patients-can-skip-chemo-study-finds/","disqusTitle":"Many Breast Cancer Patients Can Skip Chemo, Study Finds","source":"Health","nprByline":"Marilynn Marchione\u003cbr />Associated Press","path":"/futureofyou/442317/many-breast-cancer-patients-can-skip-chemo-study-finds","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Most women with the most common form of early-stage breast cancer can safely skip chemotherapy without hurting their chances of beating the disease, doctors are reporting from a landmark study that used genetic testing to gauge each patient’s risk.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The study is the largest ever done of breast cancer treatment, and the results are expected to spare up to 70,000 patients a year in the United States and many more elsewhere the ordeal and expense of these drugs.\u003c/p>\n\u003cp>“The impact is tremendous,” said the study leader, Dr. Joseph Sparano of Montefiore Medical Center in New York. Most women in this situation don’t need treatment beyond surgery and hormone therapy, he said.\u003c/p>\n\u003cp>The study was funded by the National Cancer Institute, some foundations and proceeds from the U.S. breast cancer postage stamp. Results were discussed Sunday at an American Society of Clinical Oncology conference in Chicago and published by the New England Journal of Medicine. Some study leaders consult for breast cancer drugmakers or for the company that makes the gene test.\u003c/p>\n\u003cp>\u003cstrong>Moving Away From Chemo\u003c/strong>\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>Cancer care has been evolving away from chemotherapy — older drugs with harsh side effects — in favor of gene-targeting therapies, hormone blockers and immune system treatments. When chemo is used now, it’s sometimes for shorter periods or lower doses than it once was.\u003c/p>\n\u003cp>For example, another study at the conference found that Merck’s immunotherapy drug Keytruda worked better than chemo as initial treatment for most people with the most common type of lung cancer, and with far fewer side effects.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The breast cancer study focused on cases where chemo’s value increasingly is in doubt: women with early-stage disease that has not spread to lymph nodes, is hormone-positive (meaning its growth is fueled by estrogen or progesterone) and is not the type that the drug Herceptin targets.\u003c/p>\n\u003cp>The usual treatment is surgery followed by years of a hormone-blocking drug. But many women also are urged to have chemo to help kill any stray cancer cells. Doctors know that most don’t need it, but evidence is thin on who can forgo it.\u003c/p>\n\u003cp>The study gave 10,273 patients a test called Oncotype DX, which uses a biopsy sample to measure the activity of genes involved in cell growth and response to hormone therapy, to estimate the risk that a cancer will recur.\u003c/p>\n\u003cp>\u003cstrong>What the Study Found\u003c/strong>\u003c/p>\n\u003cp>About 17 percent of women had high-risk scores and were advised to have chemo. The 16 percent with low-risk scores now know they can skip chemo, based on earlier results from this study.\u003c/p>\n\u003cp>The new results are on the 67 percent of women at intermediate risk. All had surgery and hormone therapy, and half also got chemo.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>After nine years, 94 percent of both groups were still alive, and about 84 percent were alive without signs of cancer, so adding chemo made no difference.\u003c/p>\n\u003cp>Certain women 50 or younger did benefit from chemo; slightly fewer cases of cancer spreading far beyond the breast occurred among some of them given chemo, depending on their risk scores on the gene test.\u003c/p>\n\u003cp>\u003cstrong>Will People Trust the Results?\u003c/strong>\u003c/p>\n\u003cp>All women like those in the study should get gene testing to guide their care, said Dr. Richard Schilsky, chief medical officer of the oncology society. Oncotype DX costs around $4,000, which Medicare and many insurers cover. Similar tests including one called MammaPrint also are widely used.\u003c/p>\n\u003cp>Testing solved a big problem of figuring out who needs chemo, said Dr. Harold Burstein of the Dana-Farber Cancer Institute in Boston. Many women think “if I don’t get chemotherapy I’m going to die, and if I get chemo I’m going to be cured,” but the results show there’s a sliding scale of benefit and sometimes none, he said.\u003c/p>\n\u003cp>Dr. Lisa Carey, a breast specialist at the University of North Carolina’s Lineberger Comprehensive Cancer Center, said she would be very comfortable advising patients to skip chemo if they were like those in the study who did not benefit from it.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Dr. Jennifer Litton at MD Anderson Cancer Center in Houston, agreed, but said: “Risk to one person is not the same thing as risk to another. There are some people who say, ’I don’t care what you say, I’m never going to do chemo,’” and won’t even have the gene test, she said. Others want chemo for even the smallest chance of benefit.\u003c/p>\n\u003cp>Adine Usher, 78, who lives in Hartsdale, New York, joined the study 10 years ago at Montefiore and was randomly assigned to the group given chemo.\u003c/p>\n\u003cp>“I was a little relieved. I sort of viewed chemo as extra insurance,” she said. The treatments “weren’t pleasant,” she concedes. Her hair fell out, she developed an infection and was hospitalized for a low white blood count, “but it was over fairly quickly and I’m really glad I had it.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>If doctors had recommended she skip chemo based on the gene test, “I would have accepted that,” she said. “I’m a firm believer in medical research.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/442317/many-breast-cancer-patients-can-skip-chemo-study-finds","authors":["byline_futureofyou_442317"],"categories":["futureofyou_1060","futureofyou_1062","futureofyou_73"],"tags":["futureofyou_264","futureofyou_1077","futureofyou_1189","futureofyou_61","futureofyou_215"],"collections":["futureofyou_1093","futureofyou_1097"],"featImg":"futureofyou_365499","label":"source_futureofyou_442317"},"news_11642405":{"type":"posts","id":"news_11642405","meta":{"index":"posts_1591205157","site":"news","id":"11642405","score":null,"sort":[1516240467000]},"guestAuthors":[],"slug":"the-bombs-last-blast","title":"The Bombs Last Blast","publishDate":1516240467,"format":"audio","headTitle":"Q’ed Up | KQED News","labelTerm":{"term":20407,"site":"news"},"content":"\u003cp>\u003cspan style=\"font-weight: 400\">The \u003c/span>\u003cspan style=\"font-weight: 400\">dropping of nuclear weapons feels somehow all too possible again. \u003c/span>\u003c/p>\n\u003cp>The shadow of nuclear war fell over Hawaii through a mistaken missile alert. North Korea claims it is test firing bombs. And the president of the United States is boasting on Twitter about the size of his nuclear button.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In telling ourselves the history of the atomic bomb, we can too often think they were only dropped on Hiroshima and Nagasaki. \u003c/span>\u003cspan style=\"font-weight: 400\">But there were other bombs that fell -- they just weren’t dropped on people. Not directly. They were dropped on islands. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Islands in the South Pacific. \u003c/span>\u003cspan style=\"font-weight: 400\">The Marshall Islands.\u003c/span>\u003c/p>\n\u003cp>But that doesn't mean they didn't cause lasting and devastating damage for the islanders -- and for their descendants.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n","blocks":[],"excerpt":"In telling ourselves the history of the atomic bomb, we can too often think they were only dropped on Hiroshima and Nagasaki. But there were other bombs that fell -- they just weren’t dropped on people. Not directly. They were dropped on Islands.\r\n\r\n","status":"publish","parent":0,"modified":1516297759,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":7,"wordCount":130},"headData":{"title":"The Bombs Last Blast | KQED","description":"In telling ourselves the history of the atomic bomb, we can too often think they were only dropped on Hiroshima and Nagasaki. But there were other bombs that fell -- they just weren’t dropped on people. Not directly. They were dropped on Islands.\r\n\r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"The Bombs Last Blast","datePublished":"2018-01-18T01:54:27.000Z","dateModified":"2018-01-18T17:49:19.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11642405 https://ww2.kqed.org/news/?p=11642405","disqusUrl":"https://ww2.kqed.org/news/2018/01/17/the-bombs-last-blast/","disqusTitle":"The Bombs Last Blast","audioUrl":"https://www.kqed.org/.stream/anon/radio/qed-up/2018/01/marshallesefinalthisone.mp3","WpOldSlug":"the-bombs-last-blast__trashed","path":"/news/11642405/the-bombs-last-blast","audioDuration":1493000,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-weight: 400\">The \u003c/span>\u003cspan style=\"font-weight: 400\">dropping of nuclear weapons feels somehow all too possible again. \u003c/span>\u003c/p>\n\u003cp>The shadow of nuclear war fell over Hawaii through a mistaken missile alert. North Korea claims it is test firing bombs. And the president of the United States is boasting on Twitter about the size of his nuclear button.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In telling ourselves the history of the atomic bomb, we can too often think they were only dropped on Hiroshima and Nagasaki. \u003c/span>\u003cspan style=\"font-weight: 400\">But there were other bombs that fell -- they just weren’t dropped on people. Not directly. They were dropped on islands. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Islands in the South Pacific. \u003c/span>\u003cspan style=\"font-weight: 400\">The Marshall Islands.\u003c/span>\u003c/p>\n\u003cp>But that doesn't mean they didn't cause lasting and devastating damage for the islanders -- and for their descendants.\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>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11642405/the-bombs-last-blast","authors":["11327","7239"],"programs":["news_20407"],"categories":["news_8"],"tags":["news_2275","news_17617","news_21080","news_21079"],"featImg":"news_11642410","label":"news_20407"},"news_11574201":{"type":"posts","id":"news_11574201","meta":{"index":"posts_1591205157","site":"news","id":"11574201","score":null,"sort":[1500649523000]},"guestAuthors":[],"slug":"the-painful-side-of-positive-health-care-marketing","title":"The Painful Side of Positive Health Care Marketing","publishDate":1500649523,"format":"audio","headTitle":"News Fix | KQED News","labelTerm":{"term":6944,"site":"news"},"content":"\u003cp>Lori Wallace is sitting on a couch with her 11-year-old son and his new pet snake. It’s burrowing under his armpit, as if it were afraid. But Wallace says it’s not.\u003c/p>\n\u003cp>“If he was terrified,” Wallace said, “he would be balled up. See, that is why they are called ball pythons. When they are scared, they turn into a little ball.”\u003c/p>\n\u003cp>Wallace is dying of breast cancer, but a stranger couldn’t tell. She has a pixie haircut and a warm tan. She’s vibrant and chatty and looks you right in the eyes when she talks. Wallace doesn’t shy away from what’s happening to her. She shows me her cracked feet. They bleed from the chemotherapy pills she takes.\u003c/p>\n\u003cp>She says she used to be a hopeful person, someone who believed you could fight through any misfortune. Then, seven years ago, she was diagnosed with breast cancer. Wallace was 39. Her son was 4. She couldn’t believe it.\u003c/p>\n\u003cp>Wallace, who lives in San Jose, says the chemotherapy treatment makes her brain foggy. She is now in her fifth round. Wallace is Stage 4, metastatic. The cancer has spread throughout her body. It’s going to kill her, she tells me.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“The median survival of a woman with metastatic breast cancer is 33 months,” Wallace says. “My 33 months would have been Dec. 6 last year. So I am on bonus time right now.”\u003c/p>\n\u003cp>As Wallace’s cancer has progressed, she has become more critical of what she sees as excessive positivity in health care marketing. It’s everywhere: TV ads, radio commercials, \u003ca href=\"https://serpninja.io/\">search engine campaigns\u003c/a>, billboards. The advertisements feature happy, healed patients and tell stories of miraculous recoveries. The messages are optimistic, about people beating steep odds. Wallace says the ads spread false hope, and for a patient like her they are a slap in the face.\u003c/p>\n\u003cp>A couple of decades ago you would not have seen ads like this. Hospitals and clinics did not advertise much to customers. Now, they are spending more and more each year on marketing.\u003c/p>\n\u003cp>Wallace pulls up an ad on her computer from \u003ca href=\"http://possible.ucsfbenioffchildrens.org\">UCSF Benioff Children’s Hospital\u003c/a>. It says “Amid a thousand maybes and a million nos, we believe in the profound and unstoppable power of yes.”\u003c/p>\n\u003cp>There is a similar kind of optimism at the heart of a lot of Bay Area health provider campaigns. Kaiser Permanente ads are constructed around the word “Thrive”; for Sutter Health it’s “Smile Out.” Wallace says the subtext of the ads is that those like her who get sick and will die maybe just aren’t being positive enough.\u003c/p>\n\u003caside class=\"pullquote alignright\">'I have said yes to every possible treatment. And the cancer doesn't care.' \u003ccite>Lori Wallace\u003c/cite>\u003c/aside>\n\u003cp>“I didn’t say yes to cancer,” Wallace says. “I have tried everything I can. I have done clinical trials. I have said yes to every possible treatment. And the cancer doesn't care.”\u003c/p>\n\u003cp>Karuna Jaggar is executive director of Breast Cancer Action. She says health care providers are following in the footsteps of other companies.\u003c/p>\n\u003cp>“It's the basics of marketing,\" Jaggar says. \"In order to sell products or services, you have to sell hope.\"\u003c/p>\n\u003cp>She says health care advertisers are now adopting the kind of optimistic messaging that really began in force with the pink ribbons and rosy depictions of breast cancer.\u003c/p>\n\u003cp>“Thirty years ago, breast cancer was the poster child of positive thinking,” Jaggar says. “Look good, feel better, don't let breast cancer get you down. Fight strong and be cheerful while you do it.”\u003c/p>\n\u003cp>Thirty or 40 years ago health care providers marketed to physicians more than consumers. The ads were drier, more factual, says Guy David, a professor of health care management at the University of Pennsylvania.\u003c/p>\n\u003cp>“When the ads are more consumer-facing as opposed to professional-facing, the content tends to be more passionate,” David says.\u003c/p>\n\u003cp>The ads tug at emotions, just like other advertising that’s trying to win over consumers. With increasing health care costs and choices, patients are shopping around for care. Tim Calkins is a professor of marketing at Northwestern University. He says these days hospitals have to sell themselves.\u003c/p>\n\u003cp>“Right now in health care if you don't have some leverage, if you don't have a brand people care about, if you don't have a reason for people to pick you over competitors, well then you are in a really tough spot,\" Calkins says.\u003c/p>\n\u003cp>Calkins says hospitals are spending more than ever on advertising and, as with other products, it’s filled with lots of promises. He says you don’t see the same promises in the pharmaceutical industry. Their ads are regulated by the FDA, which is why they have to list all those side effects and show scientific backing for their claims.\u003c/p>\n\u003cp>“Hospitals aren't held to any of those standards at all,” Calkins says. “So a hospital can go out and say this is where miracles happen. And here's Joe. Joe was about to die. And now Joe is going to live forever.”\u003c/p>\n\u003cp>Lori Wallace is not going to live forever. Before cancer, she says, she would have been attracted to the messages of hope. Now Wallace says she needs realism, acceptance of both the world’s beauty and its harshness. She wrote an essay about that for the women in her breast cancer support group.\u003c/p>\n\u003cp>The essay is titled “Fuck Silver Linings and Pink Ribbons.” Wallace reads me the whole piece from start to finish. We are sitting at the kitchen table. Her son is nearby with his pet snake.\u003c/p>\n\u003cp>Toward the middle of the essay Wallace writes, “My ovaries are gone and without them my skin is aging at hyperspeed. I have hot flashes and cold flashes. My bones ache. My libido is shot and my vagina is a desert.” The essay is open, funny and unflinching, just like Wallace.\u003c/p>\n\u003cp>Before I leave, she reads me the final paragraph. “I will try to be thankful for every laugh, hug and kiss, and other things, too. That is if my chemo brain allows me to remember.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“That’s what I wrote,” Wallace says. “That's what I wrote. Brutal honesty.”\u003c/p>\n\n","blocks":[],"excerpt":"Lori Wallace is dying of cancer, and she is tired of health care provider ads that tell stories of miraculous recoveries.","status":"publish","parent":0,"modified":1631134247,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":28,"wordCount":1103},"headData":{"title":"The Painful Side of Positive Health Care Marketing | KQED","description":"Lori Wallace is dying of cancer, and she is tired of health care provider ads that tell stories of miraculous recoveries.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"The Painful Side of Positive Health Care Marketing","datePublished":"2017-07-21T15:05:23.000Z","dateModified":"2021-09-08T20:50:47.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11574201 https://ww2.kqed.org/news/?p=11574201","disqusUrl":"https://ww2.kqed.org/news/2017/07/21/the-painful-side-of-positive-health-care-marketing/","disqusTitle":"The Painful Side of Positive Health Care Marketing","audioUrl":"http://www.kqed.org/.stream/anon/radio/RDnews/2017/07/HealthCareMarketing.mp3","path":"/news/11574201/the-painful-side-of-positive-health-care-marketing","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Lori Wallace is sitting on a couch with her 11-year-old son and his new pet snake. It’s burrowing under his armpit, as if it were afraid. But Wallace says it’s not.\u003c/p>\n\u003cp>“If he was terrified,” Wallace said, “he would be balled up. See, that is why they are called ball pythons. When they are scared, they turn into a little ball.”\u003c/p>\n\u003cp>Wallace is dying of breast cancer, but a stranger couldn’t tell. She has a pixie haircut and a warm tan. She’s vibrant and chatty and looks you right in the eyes when she talks. Wallace doesn’t shy away from what’s happening to her. She shows me her cracked feet. They bleed from the chemotherapy pills she takes.\u003c/p>\n\u003cp>She says she used to be a hopeful person, someone who believed you could fight through any misfortune. Then, seven years ago, she was diagnosed with breast cancer. Wallace was 39. Her son was 4. She couldn’t believe it.\u003c/p>\n\u003cp>Wallace, who lives in San Jose, says the chemotherapy treatment makes her brain foggy. She is now in her fifth round. Wallace is Stage 4, metastatic. The cancer has spread throughout her body. It’s going to kill her, she tells me.\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 median survival of a woman with metastatic breast cancer is 33 months,” Wallace says. “My 33 months would have been Dec. 6 last year. So I am on bonus time right now.”\u003c/p>\n\u003cp>As Wallace’s cancer has progressed, she has become more critical of what she sees as excessive positivity in health care marketing. It’s everywhere: TV ads, radio commercials, \u003ca href=\"https://serpninja.io/\">search engine campaigns\u003c/a>, billboards. The advertisements feature happy, healed patients and tell stories of miraculous recoveries. The messages are optimistic, about people beating steep odds. Wallace says the ads spread false hope, and for a patient like her they are a slap in the face.\u003c/p>\n\u003cp>A couple of decades ago you would not have seen ads like this. Hospitals and clinics did not advertise much to customers. Now, they are spending more and more each year on marketing.\u003c/p>\n\u003cp>Wallace pulls up an ad on her computer from \u003ca href=\"http://possible.ucsfbenioffchildrens.org\">UCSF Benioff Children’s Hospital\u003c/a>. It says “Amid a thousand maybes and a million nos, we believe in the profound and unstoppable power of yes.”\u003c/p>\n\u003cp>There is a similar kind of optimism at the heart of a lot of Bay Area health provider campaigns. Kaiser Permanente ads are constructed around the word “Thrive”; for Sutter Health it’s “Smile Out.” Wallace says the subtext of the ads is that those like her who get sick and will die maybe just aren’t being positive enough.\u003c/p>\n\u003caside class=\"pullquote alignright\">'I have said yes to every possible treatment. And the cancer doesn't care.' \u003ccite>Lori Wallace\u003c/cite>\u003c/aside>\n\u003cp>“I didn’t say yes to cancer,” Wallace says. “I have tried everything I can. I have done clinical trials. I have said yes to every possible treatment. And the cancer doesn't care.”\u003c/p>\n\u003cp>Karuna Jaggar is executive director of Breast Cancer Action. She says health care providers are following in the footsteps of other companies.\u003c/p>\n\u003cp>“It's the basics of marketing,\" Jaggar says. \"In order to sell products or services, you have to sell hope.\"\u003c/p>\n\u003cp>She says health care advertisers are now adopting the kind of optimistic messaging that really began in force with the pink ribbons and rosy depictions of breast cancer.\u003c/p>\n\u003cp>“Thirty years ago, breast cancer was the poster child of positive thinking,” Jaggar says. “Look good, feel better, don't let breast cancer get you down. Fight strong and be cheerful while you do it.”\u003c/p>\n\u003cp>Thirty or 40 years ago health care providers marketed to physicians more than consumers. The ads were drier, more factual, says Guy David, a professor of health care management at the University of Pennsylvania.\u003c/p>\n\u003cp>“When the ads are more consumer-facing as opposed to professional-facing, the content tends to be more passionate,” David says.\u003c/p>\n\u003cp>The ads tug at emotions, just like other advertising that’s trying to win over consumers. With increasing health care costs and choices, patients are shopping around for care. Tim Calkins is a professor of marketing at Northwestern University. He says these days hospitals have to sell themselves.\u003c/p>\n\u003cp>“Right now in health care if you don't have some leverage, if you don't have a brand people care about, if you don't have a reason for people to pick you over competitors, well then you are in a really tough spot,\" Calkins says.\u003c/p>\n\u003cp>Calkins says hospitals are spending more than ever on advertising and, as with other products, it’s filled with lots of promises. He says you don’t see the same promises in the pharmaceutical industry. Their ads are regulated by the FDA, which is why they have to list all those side effects and show scientific backing for their claims.\u003c/p>\n\u003cp>“Hospitals aren't held to any of those standards at all,” Calkins says. “So a hospital can go out and say this is where miracles happen. And here's Joe. Joe was about to die. And now Joe is going to live forever.”\u003c/p>\n\u003cp>Lori Wallace is not going to live forever. Before cancer, she says, she would have been attracted to the messages of hope. Now Wallace says she needs realism, acceptance of both the world’s beauty and its harshness. She wrote an essay about that for the women in her breast cancer support group.\u003c/p>\n\u003cp>The essay is titled “Fuck Silver Linings and Pink Ribbons.” Wallace reads me the whole piece from start to finish. We are sitting at the kitchen table. Her son is nearby with his pet snake.\u003c/p>\n\u003cp>Toward the middle of the essay Wallace writes, “My ovaries are gone and without them my skin is aging at hyperspeed. I have hot flashes and cold flashes. My bones ache. My libido is shot and my vagina is a desert.” The essay is open, funny and unflinching, just like Wallace.\u003c/p>\n\u003cp>Before I leave, she reads me the final paragraph. “I will try to be thankful for every laugh, hug and kiss, and other things, too. That is if my chemo brain allows me to remember.”\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>“That’s what I wrote,” Wallace says. “That's what I wrote. Brutal honesty.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11574201/the-painful-side-of-positive-health-care-marketing","authors":["253"],"programs":["news_6944"],"categories":["news_457","news_8"],"tags":["news_21267","news_2275"],"featImg":"news_11574202","label":"news_6944"},"stateofhealth_90042":{"type":"posts","id":"stateofhealth_90042","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"90042","score":null,"sort":[1444241004000]},"guestAuthors":[],"slug":"marin-countys-breast-cancer-rate-has-plummeted-why","title":"Marin County's Breast Cancer Rate Has Plummeted. Why?","publishDate":1444241004,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>The breast cancer rate in Marin County -- once called the highest in the world -- is now at the lowest level since tracking started in 1988 and matches the statewide average, according to a \u003ca href=\"http://www.cpic.org/files/PDF/Cancer_Registry/Cancer_Data_and_Statistics/CPIC_Breast_Cancer_Marin_Update_2015-09-21.pdf\" target=\"_blank\">new analysis. \u003c/a>\u003c/p>\n\u003cp>The question, of course, is why.\u003c/p>\n\u003cp>\"A whole lot of people are scratching their heads over this one,\" said Tina Clarke, an epidemiologist with the Cancer Prevention Institute of California and the study's lead author.\u003c/p>\n\u003cp>To be fair, Clarke can explain part of the decline. But before we get into more detail on that, a bit of history.\u003c/p>\n\u003cp>In 1994, \u003ca href=\"http://www.zerobreastcancer.org/breast-cancer-in-marin\" target=\"_blank\">a report from CPIC \u003c/a>(then called Northern California Cancer Center) identified the high rate of breast cancer in Marin County, compared it to that of countries around the world and concluded that the Marin County rate was the highest.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Women in Marin, an affluent county, have \"a whole cluster of established risk factors for breast cancer,\" Clarke said. These risk factors tend to go along with being more affluent: later age of childbearing, if at all, and higher alcohol consumption. White women are at slightly higher risk of developing breast cancer than are women of other races or ethnicities.\u003c/p>\n\u003cp>Through the 1990s, breast cancer rates for non-Hispanic white women in Marin \u003ca href=\"http://www.marincounty.org/~/media/files/departments/bs/district-4/docs/faq_breast_cancer_in_marin.pdf?la=en\" target=\"_blank\">climbed 60 percent,\u003c/a> compared to 5 percent in other parts of the Bay Area. It reached its peak in 2001.\u003c/p>\n\u003cp>The rate started to fall after a \u003ca href=\"https://www.nhlbi.nih.gov/news/press-releases/2002/nhlbi-stops-trial-of-estrogen-plus-progestin-due-to-increased-breast-cancer-risk-lack-of-overall-benefit\" target=\"_blank\">major study was halted in 2002\u003c/a>, when researchers identified a link between use of hormone replacement therapy and breast cancer. Affluent women were also more likely to use hormone therapy.\u003c/p>\n\u003cp>Women abandoned the hormones in droves, and the breast cancer rate started to fall, in Marin and nationwide.\u003c/p>\n\u003cp>But Marin county's breast cancer rate still exceeded the statewide average until a second drop started in 2007. That's what researchers can't quite account for.\u003c/p>\n\u003cp>Clarke said it's likely due to a host of reasons -- perhaps women are exercising more or losing weight, two other factors that reduce risk of breast cancer. It's also possible women are consuming less alcohol, she said.\u003c/p>\n\u003cp>One factor they know is not responsible: the change in mammography screening guidelines. In 2009, a major government panel, the U.S. Preventive Services Task Force, \u003ca href=\"http://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/breast-cancer-screening\" target=\"_blank\">recommended women have fewer mammograms\u003c/a>. Researchers found no evidence that this recommendation has led to less breast cancer being found, in part because the incidence of ductal carcinoma in situ -- or DCIS -- is increasing.\u003c/p>\n\u003cp>\"The increased incidence of \u003cem>in situ \u003c/em>cancer suggests a decline in mammography screening likely is not a key factor contributing to the decline in invasive breast cancer in Marin County,\" Dr. Karly Kerlikowske, a UCSF epidemiologist said in a release.\u003c/p>\n\u003cp>Whatever the reason, \"We're really happy to see things trending in the right direction,\" Clarke said. \"We're obviously delighted to tell women in Marin County that the rates are similar to the rest of the state.\"\u003c/p>\n\u003cp>Since 2001, the breast cancer rate in Marin has dropped 31 percent. Mortality has also sharply declined. Since record-keeping began in 1988, the death rate from breast cancer has dropped 65 percent.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>An interesting footnote: Clarke said that monitoring incidence rates is based on county-level census data. It's highly likely, she said, that similarly affluent areas in California, like Palo Alto or West LA, might have had the same pattern of a higher rate -- fueled at least in part by hormone therapy -- and the decline that Marin has seen.\u003c/p>\n\n","blocks":[],"excerpt":"\"A whole lot of people are scratching their heads over this one,\" study author says.","status":"publish","parent":0,"modified":1444246966,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":589},"headData":{"title":"Marin County's Breast Cancer Rate Has Plummeted. Why? | KQED","description":""A whole lot of people are scratching their heads over this one," study author says.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Marin County's Breast Cancer Rate Has Plummeted. Why?","datePublished":"2015-10-07T18:03:24.000Z","dateModified":"2015-10-07T19:42:46.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"90042 http://ww2.kqed.org/stateofhealth/?p=90042","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/10/07/marin-countys-breast-cancer-rate-has-plummeted-why/","disqusTitle":"Marin County's Breast Cancer Rate Has Plummeted. Why?","path":"/stateofhealth/90042/marin-countys-breast-cancer-rate-has-plummeted-why","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The breast cancer rate in Marin County -- once called the highest in the world -- is now at the lowest level since tracking started in 1988 and matches the statewide average, according to a \u003ca href=\"http://www.cpic.org/files/PDF/Cancer_Registry/Cancer_Data_and_Statistics/CPIC_Breast_Cancer_Marin_Update_2015-09-21.pdf\" target=\"_blank\">new analysis. \u003c/a>\u003c/p>\n\u003cp>The question, of course, is why.\u003c/p>\n\u003cp>\"A whole lot of people are scratching their heads over this one,\" said Tina Clarke, an epidemiologist with the Cancer Prevention Institute of California and the study's lead author.\u003c/p>\n\u003cp>To be fair, Clarke can explain part of the decline. But before we get into more detail on that, a bit of history.\u003c/p>\n\u003cp>In 1994, \u003ca href=\"http://www.zerobreastcancer.org/breast-cancer-in-marin\" target=\"_blank\">a report from CPIC \u003c/a>(then called Northern California Cancer Center) identified the high rate of breast cancer in Marin County, compared it to that of countries around the world and concluded that the Marin County rate was the highest.\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>Women in Marin, an affluent county, have \"a whole cluster of established risk factors for breast cancer,\" Clarke said. These risk factors tend to go along with being more affluent: later age of childbearing, if at all, and higher alcohol consumption. White women are at slightly higher risk of developing breast cancer than are women of other races or ethnicities.\u003c/p>\n\u003cp>Through the 1990s, breast cancer rates for non-Hispanic white women in Marin \u003ca href=\"http://www.marincounty.org/~/media/files/departments/bs/district-4/docs/faq_breast_cancer_in_marin.pdf?la=en\" target=\"_blank\">climbed 60 percent,\u003c/a> compared to 5 percent in other parts of the Bay Area. It reached its peak in 2001.\u003c/p>\n\u003cp>The rate started to fall after a \u003ca href=\"https://www.nhlbi.nih.gov/news/press-releases/2002/nhlbi-stops-trial-of-estrogen-plus-progestin-due-to-increased-breast-cancer-risk-lack-of-overall-benefit\" target=\"_blank\">major study was halted in 2002\u003c/a>, when researchers identified a link between use of hormone replacement therapy and breast cancer. Affluent women were also more likely to use hormone therapy.\u003c/p>\n\u003cp>Women abandoned the hormones in droves, and the breast cancer rate started to fall, in Marin and nationwide.\u003c/p>\n\u003cp>But Marin county's breast cancer rate still exceeded the statewide average until a second drop started in 2007. That's what researchers can't quite account for.\u003c/p>\n\u003cp>Clarke said it's likely due to a host of reasons -- perhaps women are exercising more or losing weight, two other factors that reduce risk of breast cancer. It's also possible women are consuming less alcohol, she said.\u003c/p>\n\u003cp>One factor they know is not responsible: the change in mammography screening guidelines. In 2009, a major government panel, the U.S. Preventive Services Task Force, \u003ca href=\"http://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/breast-cancer-screening\" target=\"_blank\">recommended women have fewer mammograms\u003c/a>. Researchers found no evidence that this recommendation has led to less breast cancer being found, in part because the incidence of ductal carcinoma in situ -- or DCIS -- is increasing.\u003c/p>\n\u003cp>\"The increased incidence of \u003cem>in situ \u003c/em>cancer suggests a decline in mammography screening likely is not a key factor contributing to the decline in invasive breast cancer in Marin County,\" Dr. Karly Kerlikowske, a UCSF epidemiologist said in a release.\u003c/p>\n\u003cp>Whatever the reason, \"We're really happy to see things trending in the right direction,\" Clarke said. \"We're obviously delighted to tell women in Marin County that the rates are similar to the rest of the state.\"\u003c/p>\n\u003cp>Since 2001, the breast cancer rate in Marin has dropped 31 percent. Mortality has also sharply declined. Since record-keeping began in 1988, the death rate from breast cancer has dropped 65 percent.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>An interesting footnote: Clarke said that monitoring incidence rates is based on county-level census data. It's highly likely, she said, that similarly affluent areas in California, like Palo Alto or West LA, might have had the same pattern of a higher rate -- fueled at least in part by hormone therapy -- and the decline that Marin has seen.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/90042/marin-countys-breast-cancer-rate-has-plummeted-why","authors":["240"],"categories":["stateofhealth_12"],"tags":["stateofhealth_46","stateofhealth_2519","stateofhealth_461"],"featImg":"stateofhealth_90067","label":"stateofhealth"},"news_81158":{"type":"posts","id":"news_81158","meta":{"index":"posts_1591205157","site":"news","id":"81158","score":null,"sort":[1354034361000]},"guestAuthors":[],"slug":"a-m-splash-245","title":"A.M. Splash: Local Breast Cancer Clusters Seen; Reports Conflict on Cyber Monday; Feds Want Prison for Campaign Treasurer","publishDate":1354034361,"format":"aside","headTitle":"News Fix | KQED News","labelTerm":{"term":6944,"site":"news"},"content":"\u003cul>\n\u003cli>\u003ca href=\"http://www.sfgate.com/health/article/Bay-Area-breast-cancer-clusters-seen-4068698.php\">Bay Area breast cancer clusters seen\u003c/a> (SF Chronicle)\u003cbr>\n\u003cblockquote>\u003cp> Breast cancer clusters in California may not be limited to Marin County. New research released Tuesday identified four areas of the state that have rates of the disease 10 to 20 percent higher than the state average. Relying on U.S. census tracts rather than county-level data, researchers for the Public Health Institute's California Breast Cancer Mapping Project in Oakland were able to identify northern and southern Bay Area counties as \"areas of concern.\" The two other areas were located in Southern California. \u003c/p>\u003c/blockquote>\n\u003c/li>\n\n\u003cli>\u003ca href=\"http://www.sfgate.com/news/article/Cyber-Monday-not-biggest-or-best-deals-4068600.php\">Cyber Monday: not biggest or best deals\u003c/a> (SF Chronicle)\u003cbr>\n\u003cblockquote>\u003cp>It will undoubtedly be a huge boost for e-commerce, but Cyber Monday 2012 may not turn out to be the biggest online shopping day of this holiday season - or even provide the season's best deals. Pundits confidently predicted that this year's Cyber Monday would become the biggest online sales day in Internet history. Whether that is true won't be known until later this week. But it seems likely that prediction may prove false, because many online retailers were not putting all their chips on one shopping day - and neither were their customers. Indeed, the hype that attends Cyber Monday could stretch well into December this year.\n\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cli>\u003ca href=\"http://www.insidebayarea.com/breaking-news/ci_22070318/cyber-monday-sales-up-27-percent\">Cyber Monday sales up more than 28 percent\u003c/a> (SJ Mercury News)\u003cbr>\n\u003cblockquote>\u003cp> New taxes collected on online sales could not slow the roll of the Cyber Monday phenom, which saw purchases jump 28 percent over last year. Some retail analysts had predicted that online tax rules that went into effect this year in California and other states would level the playing field for shopping malls and traditional brick-and-mortar stores that have watched customers disappear to Cyber Monday since it was created seven years ago as yet another day devoted to national consumerism. They were wrong. \"It doesn't look like they're having a lot of negative impact,\" said professor Dale Achabal, executive director of Santa Clara University's Retail Management Institute. \"What we're seeing is a shift in the way consumers are shopping, with a greater use of online for a significant percentage of their holiday purchases.\"\u003c/p>\u003c/blockquote>\n\u003c/li>\u003cli>\u003ca href=\"http://www.insidebayarea.com/breaking-news/ci_22072269/wells-fargo-launch-5-million-effort-provide-down\">Wells Fargo to launch $5 million effort to provide down payments for East Bay potential home buyers\u003c/a> (Oakland Tribune)\u003cbr>\n\u003cblockquote>\u003cp>Wells Fargo is hoping a new $5 million program will help hundreds of prospective home buyers in the East Bay come up with the thousands of dollars they typically need to make a down payment on a home, the bank said Tuesday. The banking giant is offering what it calls the CityLIFT program. It intends to help home purchasers in Oakland, Fremont, Hayward, Concord, Antioch, Bay Point, Brentwood, Pittsburg and Richmond, said Jim Foley, regional president for Wells Fargo's Greater East Bay region, which consists primarily of the East Bay and South Bay. \"This is the first time we are offering the program in the Bay Area,\" Foley said.\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cp>\u003ca href=\"http://www.insidebayarea.com/breaking-news/ci_22072710/silicon-valleys-dirty-secret-age-bias\">Silicon Valley's dirty secret: Age bias\u003c/a> (SJ Mercury News) \u003c/p>\n\u003cblockquote>\u003cp>When Randy Adams, 60, was looking for a chief-executive officer job in Silicon Valley last year, he got turned down from position after position that he thought he was going to nail -- only to see much younger, less-experienced men win out. Finally, before heading into his next interview, he shaved off his gray hair and traded in his loafers for a pair of Converse sneakers. The board hired him. Such are the pressures in Silicon Valley, where the start-up ethos extols fresh ideas and young programmers willing to toil through the night. Chief executives in their 20s, led by Facebook founder Mark Zuckerberg, are lionized, in part because of their youth. Many investors state bluntly that they prefer to see people under 40 in charge. Yet the youth worship undercuts another of Silicon Valley's cherished ideals: that anyone smart and driven can get ahead in what the industry likes to think of as an egalitarian culture. To many, it looks like simple age discrimination -- and it's affecting people who wouldn't fit any normal definition of old.\n\u003c/p>\u003c/blockquote>\n\u003cli>\u003ca href=\"http://www.insidebayarea.com/breaking-news/ci_22070183/recent-surge-killings-has-oakland-at-115-homicides\">Recent surge of killings has Oakland at 115 homicides, surpassing last year's count of 110\u003c/a> (Oakland Tribune)\u003cbr>\n\u003cblockquote>\u003cp>Fueled in part by the largest mass murder in the city's history, Oakland has surpassed last year's homicide tally. If the pace continues over the next five weeks, Oakland will have the highest number of killings since 2008, when 125 people were slain. \"Every life is sacred,\" Oakland Mayor Jean Quan said. \"That violence strikes the lives of so many people in Oakland is absolutely unacceptable, and it is our highest priority as public servants that we provide a safe life for everyone in our city.\" \u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cli>\u003ca href=\"http://www.sfgate.com/bayarea/article/Feds-want-8-year-prison-term-for-former-treasurer-4067556.php\">Feds want 8-year prison term for former treasurer\u003c/a> (SF Chronicle)\u003cbr>\n\u003cblockquote>\u003cp> Federal prosecutors are recommending an eight-year prison sentence for former campaign treasurer Kinde Durkee, who pleaded guilty in March to five charges of mail fraud in connection with the embezzlement of millions of dollars from her former clients. Those clients included hundreds of politicians and political groups across California, including U.S. Sen. Dianne Feinstein, who prosecutors said lost $4.5 million. Nearly all of Durkee's clients were Democrats.\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cli>\u003ca href=\"http://www.sfgate.com/bayarea/article/District-7-up-for-recount-if-cost-allows-4068499.php\">District 7 up for recount if cost allows\u003c/a> (SF Chronicle)\u003cbr>\n\u003cblockquote>\u003cp>A District Seven resident, backed by the labor groups that supported F.X. Crowley in his run for District Seven supervisor, officially asked for a recount of the close race Monday - but there may not actually be a new tallying of votes at all. That's because the independent expenditure committee backed by the San Francisco Labor Council isn't sure how much a recount would cost, but thinks it could be upward of $200,000. (To put things in perspective, the most money raised by a candidate in this year's supervisors races was $235,000; the average amount among the big fundraisers was around $120,000.)\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cli>\u003ca href=\"http://www.sfgate.com/bayarea/article/Occupy-protester-s-suit-charges-abuse-4068497.php\">Occupy protester's suit charges abuse\u003c/a> (SF Chronicle)\u003cbr>\n\u003cblockquote>\u003cp>An Army veteran who was clubbed by Oakland police during an Occupy protest, and later underwent surgery for a lacerated spleen, has sued the Alameda County sheriff's office for allegedly denying him medical care and mocking him during 18 painful hours in a county jail. After Kayvan Sabeghi was arrested and jailed in November 2011, sheriff's deputies ignored his complaints even as he lay on the floor vomiting, unable to move and begging for help, his lawyers said in a suit filed in Alameda County Superior Court last month.\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cli>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1354038096,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":12,"wordCount":1092},"headData":{"title":"A.M. Splash: Local Breast Cancer Clusters Seen; Reports Conflict on Cyber Monday; Feds Want Prison for Campaign Treasurer | KQED","description":"Bay Area breast cancer clusters seen (SF Chronicle) Breast cancer clusters in California may not be limited to Marin County. New research released Tuesday identified four areas of the state that have rates of the disease 10 to 20 percent higher than the state average. Relying on U.S. census tracts rather than county-level data, researchers","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"A.M. Splash: Local Breast Cancer Clusters Seen; Reports Conflict on Cyber Monday; Feds Want Prison for Campaign Treasurer","datePublished":"2012-11-27T16:39:21.000Z","dateModified":"2012-11-27T17:41:36.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"81158 http://ww2.kqed.org/news/?p=81158","disqusUrl":"https://ww2.kqed.org/news/2012/11/27/a-m-splash-245/","disqusTitle":"A.M. Splash: Local Breast Cancer Clusters Seen; Reports Conflict on Cyber Monday; Feds Want Prison for Campaign Treasurer","path":"/news/81158/a-m-splash-245","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cul>\n\u003cli>\u003ca href=\"http://www.sfgate.com/health/article/Bay-Area-breast-cancer-clusters-seen-4068698.php\">Bay Area breast cancer clusters seen\u003c/a> (SF Chronicle)\u003cbr>\n\u003cblockquote>\u003cp> Breast cancer clusters in California may not be limited to Marin County. New research released Tuesday identified four areas of the state that have rates of the disease 10 to 20 percent higher than the state average. Relying on U.S. census tracts rather than county-level data, researchers for the Public Health Institute's California Breast Cancer Mapping Project in Oakland were able to identify northern and southern Bay Area counties as \"areas of concern.\" The two other areas were located in Southern California. \u003c/p>\u003c/blockquote>\n\u003c/li>\n\n\u003cli>\u003ca href=\"http://www.sfgate.com/news/article/Cyber-Monday-not-biggest-or-best-deals-4068600.php\">Cyber Monday: not biggest or best deals\u003c/a> (SF Chronicle)\u003cbr>\n\u003cblockquote>\u003cp>It will undoubtedly be a huge boost for e-commerce, but Cyber Monday 2012 may not turn out to be the biggest online shopping day of this holiday season - or even provide the season's best deals. Pundits confidently predicted that this year's Cyber Monday would become the biggest online sales day in Internet history. Whether that is true won't be known until later this week. But it seems likely that prediction may prove false, because many online retailers were not putting all their chips on one shopping day - and neither were their customers. Indeed, the hype that attends Cyber Monday could stretch well into December this year.\n\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cli>\u003ca href=\"http://www.insidebayarea.com/breaking-news/ci_22070318/cyber-monday-sales-up-27-percent\">Cyber Monday sales up more than 28 percent\u003c/a> (SJ Mercury News)\u003cbr>\n\u003cblockquote>\u003cp> New taxes collected on online sales could not slow the roll of the Cyber Monday phenom, which saw purchases jump 28 percent over last year. Some retail analysts had predicted that online tax rules that went into effect this year in California and other states would level the playing field for shopping malls and traditional brick-and-mortar stores that have watched customers disappear to Cyber Monday since it was created seven years ago as yet another day devoted to national consumerism. They were wrong. \"It doesn't look like they're having a lot of negative impact,\" said professor Dale Achabal, executive director of Santa Clara University's Retail Management Institute. \"What we're seeing is a shift in the way consumers are shopping, with a greater use of online for a significant percentage of their holiday purchases.\"\u003c/p>\u003c/blockquote>\n\u003c/li>\u003cli>\u003ca href=\"http://www.insidebayarea.com/breaking-news/ci_22072269/wells-fargo-launch-5-million-effort-provide-down\">Wells Fargo to launch $5 million effort to provide down payments for East Bay potential home buyers\u003c/a> (Oakland Tribune)\u003cbr>\n\u003cblockquote>\u003cp>Wells Fargo is hoping a new $5 million program will help hundreds of prospective home buyers in the East Bay come up with the thousands of dollars they typically need to make a down payment on a home, the bank said Tuesday. The banking giant is offering what it calls the CityLIFT program. It intends to help home purchasers in Oakland, Fremont, Hayward, Concord, Antioch, Bay Point, Brentwood, Pittsburg and Richmond, said Jim Foley, regional president for Wells Fargo's Greater East Bay region, which consists primarily of the East Bay and South Bay. \"This is the first time we are offering the program in the Bay Area,\" Foley said.\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cp>\u003ca href=\"http://www.insidebayarea.com/breaking-news/ci_22072710/silicon-valleys-dirty-secret-age-bias\">Silicon Valley's dirty secret: Age bias\u003c/a> (SJ Mercury News) \u003c/p>\n\u003cblockquote>\u003cp>When Randy Adams, 60, was looking for a chief-executive officer job in Silicon Valley last year, he got turned down from position after position that he thought he was going to nail -- only to see much younger, less-experienced men win out. Finally, before heading into his next interview, he shaved off his gray hair and traded in his loafers for a pair of Converse sneakers. The board hired him. Such are the pressures in Silicon Valley, where the start-up ethos extols fresh ideas and young programmers willing to toil through the night. Chief executives in their 20s, led by Facebook founder Mark Zuckerberg, are lionized, in part because of their youth. Many investors state bluntly that they prefer to see people under 40 in charge. Yet the youth worship undercuts another of Silicon Valley's cherished ideals: that anyone smart and driven can get ahead in what the industry likes to think of as an egalitarian culture. To many, it looks like simple age discrimination -- and it's affecting people who wouldn't fit any normal definition of old.\n\u003c/p>\u003c/blockquote>\n\u003cli>\u003ca href=\"http://www.insidebayarea.com/breaking-news/ci_22070183/recent-surge-killings-has-oakland-at-115-homicides\">Recent surge of killings has Oakland at 115 homicides, surpassing last year's count of 110\u003c/a> (Oakland Tribune)\u003cbr>\n\u003cblockquote>\u003cp>Fueled in part by the largest mass murder in the city's history, Oakland has surpassed last year's homicide tally. If the pace continues over the next five weeks, Oakland will have the highest number of killings since 2008, when 125 people were slain. \"Every life is sacred,\" Oakland Mayor Jean Quan said. \"That violence strikes the lives of so many people in Oakland is absolutely unacceptable, and it is our highest priority as public servants that we provide a safe life for everyone in our city.\" \u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cli>\u003ca href=\"http://www.sfgate.com/bayarea/article/Feds-want-8-year-prison-term-for-former-treasurer-4067556.php\">Feds want 8-year prison term for former treasurer\u003c/a> (SF Chronicle)\u003cbr>\n\u003cblockquote>\u003cp> Federal prosecutors are recommending an eight-year prison sentence for former campaign treasurer Kinde Durkee, who pleaded guilty in March to five charges of mail fraud in connection with the embezzlement of millions of dollars from her former clients. Those clients included hundreds of politicians and political groups across California, including U.S. Sen. Dianne Feinstein, who prosecutors said lost $4.5 million. Nearly all of Durkee's clients were Democrats.\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cli>\u003ca href=\"http://www.sfgate.com/bayarea/article/District-7-up-for-recount-if-cost-allows-4068499.php\">District 7 up for recount if cost allows\u003c/a> (SF Chronicle)\u003cbr>\n\u003cblockquote>\u003cp>A District Seven resident, backed by the labor groups that supported F.X. Crowley in his run for District Seven supervisor, officially asked for a recount of the close race Monday - but there may not actually be a new tallying of votes at all. That's because the independent expenditure committee backed by the San Francisco Labor Council isn't sure how much a recount would cost, but thinks it could be upward of $200,000. (To put things in perspective, the most money raised by a candidate in this year's supervisors races was $235,000; the average amount among the big fundraisers was around $120,000.)\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cli>\u003ca href=\"http://www.sfgate.com/bayarea/article/Occupy-protester-s-suit-charges-abuse-4068497.php\">Occupy protester's suit charges abuse\u003c/a> (SF Chronicle)\u003cbr>\n\u003cblockquote>\u003cp>An Army veteran who was clubbed by Oakland police during an Occupy protest, and later underwent surgery for a lacerated spleen, has sued the Alameda County sheriff's office for allegedly denying him medical care and mocking him during 18 painful hours in a county jail. After Kayvan Sabeghi was arrested and jailed in November 2011, sheriff's deputies ignored his complaints even as he lay on the floor vomiting, unable to move and begging for help, his lawyers said in a suit filed in Alameda County Superior Court last month.\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cli>\n\u003c/ul>\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>\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\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/81158/a-m-splash-245","authors":["1367"],"programs":["news_6944"],"categories":["news_8"],"tags":["news_2275","news_3519","news_3729"],"label":"news_6944"},"news_72768":{"type":"posts","id":"news_72768","meta":{"index":"posts_1591205157","site":"news","id":"72768","score":null,"sort":[1344526281000]},"guestAuthors":[],"slug":"a-m-splash-180","title":"A.M. Splash: Richmond Air Reported Fine After Fire; Hundreds File Claims in Chevron Fire; Marin Breast Cancer Gene Investigated ","publishDate":1344526281,"format":"aside","headTitle":"News Fix | KQED News","labelTerm":{"term":6944,"site":"news"},"content":"\u003cul>\n\u003cli>\u003ca href=\"http://www.sfgate.com/bayarea/article/Richmond-air-quality-safe-analysis-says-3774298.php\"> Richmond air quality safe, analysis says\u003c/a> (SF Chronicle)\u003cbr>\n\u003cblockquote>\u003cp> Regulators say the black cloud that wafted over the Bay Area during Monday's fire at the Chevron oil refinery had no obvious negative effect on Richmond's air quality, a claim that raises serious questions about why more than 1,700 people ended up in emergency rooms.\u003c/p>\u003c/blockquote>\n\u003c/li>\u003cli>\u003ca href=\"http://www.sfgate.com/bayarea/article/Chevron-claims-seen-as-not-worth-trouble-3774300.php\">Chevron claims seen as not worth trouble\u003c/a> (SF Chronicle)\u003cbr>\n\u003cblockquote>\u003cp>Two days after toxic black smoke from the Chevron refinery fire enveloped Richmond, a second phenomenon swept through the city: the rush for money. More than 1,000 residents claiming to have coughs, nausea, scratchy throats and psychological trauma visited a downtown law office Wednesday in hopes of receiving a payout for their suffering.\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cli>\u003ca href=\"http://www.marinij.com/westmarin/ci_21266041/marin-breast-cancer-study-probes-vitamin-d-link\">Marin breast cancer study probes vitamin D link\u003c/a> (Marin Independent Journal)\u003cbr>\n\u003cblockquote>\u003cp> Vitamin D may provide a clue in determining why Marin County women are afflicted with one of the highest breast cancer rates in the nation, a preliminary study headed by a veteran Point Reyes Station scientist indicates. The new study involving a small sample of Marin women suggests that a genetic trait involving a receptor that activates vitamin D may be a factor.\u003c/p>\u003c/blockquote>\n\u003c/li>\u003cli>\u003ca href=\"http://losangeles.sbnation.com/2012/8/8/3228710/misty-may-treanor-kerri-walsh-jennings-beach-volleyball-womens-gold-medal\">Beach Volleyball Women's Gold Medal Match: Misty May-Treanor And Kerri Walsh-Jennings Champions Again\u003c/a> (SB Nation Los Angeles)\u003cbr>\n\u003cblockquote>\u003cp>It was all Misty May-Treanor and Kerri Walsh-Jennings. Once they got to their third straight final, they were not about to be denied. The Long Beach State grad May-Treanor along with her Stanford partner Walsh-Jennings dominated their USA counterparts Jennifer Kessy and April Ross (who went to school at USC and hail from the Los Angeles area), winning in straight sets 21-16, 21-16. It's their third straight gold medal.\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cli>\u003ca href=\"http://www.mercurynews.com/business/ci_21273035/google-agrees-pay-22-5-million-bypassing-apple\">Google agrees to pay $22.5 million for bypassing Apple users' security settings\u003c/a> (SJ Mercury News)\u003cbr>\n\u003cblockquote>\u003cp>Google will pay $22.5 million to settle charges that it bypassed the privacy settings of customers using Apple's Safari browser, the U.S. Federal Trade Commission said on Thursday. The deal ends an FTC probe into allegations that Google used computer code known as \"cookies\" to trick Apple's Safari browser on iPhones and iPads, so that Google could monitor users who had blocked such tracking.\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cli>\u003ca href=\"http://www.sfgate.com/education/article/UC-report-on-anti-Semitism-draws-ire-3774302.php\">UC report on anti-Semitism draws ire\u003c/a> (SF Chronicle)\u003cbr>\n\u003cblockquote>\u003cp>Katherine Orr had just started her freshman year at UC Berkeley last August when she was stunned to see five students in military fatigues carrying what looked like rifles and stopping students at Sather Gate... To students who regard Israel as an essential Jewish homeland, this event and others like it that are staged each year on University of California campuses seem hostile... says a new report by a UC fact-finding team seeking to understand Jewish students' experiences... But to students who oppose Israeli policies... some recommendations by the team... have become a new subject for protest. More than 2,200 students, faculty and alumni - many of them Jewish - have signed a petition asking UC President Mark Yudof to set aside the report.\n\u003c/p>\u003c/blockquote>\n\u003c/li>\n\n\u003cli>\u003ca href=\"http://www.sfgate.com/bayarea/article/Warren-Winkelstein-Jr-physician-dies-3774137.php\">\n\u003cp>Warren Winkelstein Jr., physician, dies\u003c/p>\u003c/a> (SF Chronicle)\n\u003cblockquote>\u003cp> Warren Winkelstein Jr., a dedicated public health physician whose rigorous research among gay men early in the AIDS epidemic established sexual activity as the direct cause of the disease, died at his home in Point Richmond on July 22. He was 90.\u003c/p>\n\u003c/blockquote>\n\u003c/li>\u003cli>\u003ca href=\"http://www.mercurynews.com/ci_21272431/facebook-taking-big-steps-expand-into-second-campus?IADID=Search-www.mercurynews.com-www.mercurynews.com\"> Facebook taking big steps to expand into second campus in Menlo Park\u003c/a>(SJ Mercury News)\u003cbr>\n\u003cblockquote>\u003cp>In a move that shows it's ready to expand to its \"West Campus\" on the other side of Bayfront Expressway in Menlo Park, Facebook has asked the state to approve its plan for cleaning up soil contaminated with PCBs and other toxic chemicals.\u003c/p>\u003c/blockquote>\n\u003c/li>\n\n\u003cli>\u003ca href=\"http://www.sfgate.com/bayarea/article/Berkeley-residents-fight-for-post-office-3774136.php\">Berkeley residents fight for post office\u003c/a> (SF Chronicle)\u003cbr>\n\u003cblockquote>\u003cp>Berkeley has slapped a \"priority\" sticker on saving its downtown post office after the U.S. Postal Service announced plans last month to sell the neoclassical landmark. The City Council, mayor's office and Rep. Barbara Lee, D-Oakland, have all vowed to fight the sale of the downtown building, where Berkeley residents have been buying stamps and mailing packages since 1914.\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cli>\u003ca href=\"http://www.insidebayarea.com/oakland-tribune/ci_21267380\">California legislators poised to order state audit of parks department\u003c/a> (Oakland Tribune)\u003cbr>\n\u003cblockquote>\u003cp>Legislators on Wednesday ordered the state auditor to investigate the \"culture of deception and entitlement\" that enabled the Department of Parks and Recreation to hide $54 million in special funds revenues over a dozen years. The department has been under fire since it was revealed it had stashed $54 million in two special funds -- at the same time private donations were being solicited to keep dozens of parks from closing. The director of the department, Ruth Coleman, resigned and her deputy was fired, though the secret stash began 12 years ago.\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cli>\u003ca href=\"http://www.pressdemocrat.com/article/20120808/ARTICLES/120809556/1350?Title=Tribe-seeks-800M-in-Rohnert-Park-casino-financing\">Tribe seeks $800 million in Rohnert Park casino financing\u003c/a> (Santa Rosa Press Democrat)\u003cbr>\n\u003cblockquote>\u003cp>The tribe building a Las Vegas-style casino next to Rohnert Park is seeking $800 million in financing, according to Standard & Poor's, which has given the tribe's bonds a higher-risk credit rating. That's the largest sum yet stated for the Federated Indians of Graton Rancheria project on Wilfred Avenue — one of Sonoma County's largest-ever developments.\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1344536232,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":14,"wordCount":865},"headData":{"title":"A.M. Splash: Richmond Air Reported Fine After Fire; Hundreds File Claims in Chevron Fire; Marin Breast Cancer Gene Investigated | KQED","description":"Richmond air quality safe, analysis says (SF Chronicle) Regulators say the black cloud that wafted over the Bay Area during Monday's fire at the Chevron oil refinery had no obvious negative effect on Richmond's air quality, a claim that raises serious questions about why more than 1,700 people ended up in emergency rooms. Chevron claims","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"A.M. Splash: Richmond Air Reported Fine After Fire; Hundreds File Claims in Chevron Fire; Marin Breast Cancer Gene Investigated ","datePublished":"2012-08-09T15:31:21.000Z","dateModified":"2012-08-09T18:17:12.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"72768 http://ww2.kqed.org/news/?p=72768","disqusUrl":"https://ww2.kqed.org/news/2012/08/09/a-m-splash-180/","disqusTitle":"A.M. Splash: Richmond Air Reported Fine After Fire; Hundreds File Claims in Chevron Fire; Marin Breast Cancer Gene Investigated ","path":"/news/72768/a-m-splash-180","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cul>\n\u003cli>\u003ca href=\"http://www.sfgate.com/bayarea/article/Richmond-air-quality-safe-analysis-says-3774298.php\"> Richmond air quality safe, analysis says\u003c/a> (SF Chronicle)\u003cbr>\n\u003cblockquote>\u003cp> Regulators say the black cloud that wafted over the Bay Area during Monday's fire at the Chevron oil refinery had no obvious negative effect on Richmond's air quality, a claim that raises serious questions about why more than 1,700 people ended up in emergency rooms.\u003c/p>\u003c/blockquote>\n\u003c/li>\u003cli>\u003ca href=\"http://www.sfgate.com/bayarea/article/Chevron-claims-seen-as-not-worth-trouble-3774300.php\">Chevron claims seen as not worth trouble\u003c/a> (SF Chronicle)\u003cbr>\n\u003cblockquote>\u003cp>Two days after toxic black smoke from the Chevron refinery fire enveloped Richmond, a second phenomenon swept through the city: the rush for money. More than 1,000 residents claiming to have coughs, nausea, scratchy throats and psychological trauma visited a downtown law office Wednesday in hopes of receiving a payout for their suffering.\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cli>\u003ca href=\"http://www.marinij.com/westmarin/ci_21266041/marin-breast-cancer-study-probes-vitamin-d-link\">Marin breast cancer study probes vitamin D link\u003c/a> (Marin Independent Journal)\u003cbr>\n\u003cblockquote>\u003cp> Vitamin D may provide a clue in determining why Marin County women are afflicted with one of the highest breast cancer rates in the nation, a preliminary study headed by a veteran Point Reyes Station scientist indicates. The new study involving a small sample of Marin women suggests that a genetic trait involving a receptor that activates vitamin D may be a factor.\u003c/p>\u003c/blockquote>\n\u003c/li>\u003cli>\u003ca href=\"http://losangeles.sbnation.com/2012/8/8/3228710/misty-may-treanor-kerri-walsh-jennings-beach-volleyball-womens-gold-medal\">Beach Volleyball Women's Gold Medal Match: Misty May-Treanor And Kerri Walsh-Jennings Champions Again\u003c/a> (SB Nation Los Angeles)\u003cbr>\n\u003cblockquote>\u003cp>It was all Misty May-Treanor and Kerri Walsh-Jennings. Once they got to their third straight final, they were not about to be denied. The Long Beach State grad May-Treanor along with her Stanford partner Walsh-Jennings dominated their USA counterparts Jennifer Kessy and April Ross (who went to school at USC and hail from the Los Angeles area), winning in straight sets 21-16, 21-16. It's their third straight gold medal.\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cli>\u003ca href=\"http://www.mercurynews.com/business/ci_21273035/google-agrees-pay-22-5-million-bypassing-apple\">Google agrees to pay $22.5 million for bypassing Apple users' security settings\u003c/a> (SJ Mercury News)\u003cbr>\n\u003cblockquote>\u003cp>Google will pay $22.5 million to settle charges that it bypassed the privacy settings of customers using Apple's Safari browser, the U.S. Federal Trade Commission said on Thursday. The deal ends an FTC probe into allegations that Google used computer code known as \"cookies\" to trick Apple's Safari browser on iPhones and iPads, so that Google could monitor users who had blocked such tracking.\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cli>\u003ca href=\"http://www.sfgate.com/education/article/UC-report-on-anti-Semitism-draws-ire-3774302.php\">UC report on anti-Semitism draws ire\u003c/a> (SF Chronicle)\u003cbr>\n\u003cblockquote>\u003cp>Katherine Orr had just started her freshman year at UC Berkeley last August when she was stunned to see five students in military fatigues carrying what looked like rifles and stopping students at Sather Gate... To students who regard Israel as an essential Jewish homeland, this event and others like it that are staged each year on University of California campuses seem hostile... says a new report by a UC fact-finding team seeking to understand Jewish students' experiences... But to students who oppose Israeli policies... some recommendations by the team... have become a new subject for protest. More than 2,200 students, faculty and alumni - many of them Jewish - have signed a petition asking UC President Mark Yudof to set aside the report.\n\u003c/p>\u003c/blockquote>\n\u003c/li>\n\n\u003cli>\u003ca href=\"http://www.sfgate.com/bayarea/article/Warren-Winkelstein-Jr-physician-dies-3774137.php\">\n\u003cp>Warren Winkelstein Jr., physician, dies\u003c/p>\u003c/a> (SF Chronicle)\n\u003cblockquote>\u003cp> Warren Winkelstein Jr., a dedicated public health physician whose rigorous research among gay men early in the AIDS epidemic established sexual activity as the direct cause of the disease, died at his home in Point Richmond on July 22. He was 90.\u003c/p>\n\u003c/blockquote>\n\u003c/li>\u003cli>\u003ca href=\"http://www.mercurynews.com/ci_21272431/facebook-taking-big-steps-expand-into-second-campus?IADID=Search-www.mercurynews.com-www.mercurynews.com\"> Facebook taking big steps to expand into second campus in Menlo Park\u003c/a>(SJ Mercury News)\u003cbr>\n\u003cblockquote>\u003cp>In a move that shows it's ready to expand to its \"West Campus\" on the other side of Bayfront Expressway in Menlo Park, Facebook has asked the state to approve its plan for cleaning up soil contaminated with PCBs and other toxic chemicals.\u003c/p>\u003c/blockquote>\n\u003c/li>\n\n\u003cli>\u003ca href=\"http://www.sfgate.com/bayarea/article/Berkeley-residents-fight-for-post-office-3774136.php\">Berkeley residents fight for post office\u003c/a> (SF Chronicle)\u003cbr>\n\u003cblockquote>\u003cp>Berkeley has slapped a \"priority\" sticker on saving its downtown post office after the U.S. Postal Service announced plans last month to sell the neoclassical landmark. The City Council, mayor's office and Rep. Barbara Lee, D-Oakland, have all vowed to fight the sale of the downtown building, where Berkeley residents have been buying stamps and mailing packages since 1914.\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cli>\u003ca href=\"http://www.insidebayarea.com/oakland-tribune/ci_21267380\">California legislators poised to order state audit of parks department\u003c/a> (Oakland Tribune)\u003cbr>\n\u003cblockquote>\u003cp>Legislators on Wednesday ordered the state auditor to investigate the \"culture of deception and entitlement\" that enabled the Department of Parks and Recreation to hide $54 million in special funds revenues over a dozen years. The department has been under fire since it was revealed it had stashed $54 million in two special funds -- at the same time private donations were being solicited to keep dozens of parks from closing. The director of the department, Ruth Coleman, resigned and her deputy was fired, though the secret stash began 12 years ago.\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003cli>\u003ca href=\"http://www.pressdemocrat.com/article/20120808/ARTICLES/120809556/1350?Title=Tribe-seeks-800M-in-Rohnert-Park-casino-financing\">Tribe seeks $800 million in Rohnert Park casino financing\u003c/a> (Santa Rosa Press Democrat)\u003cbr>\n\u003cblockquote>\u003cp>The tribe building a Las Vegas-style casino next to Rohnert Park is seeking $800 million in financing, according to Standard & Poor's, which has given the tribe's bonds a higher-risk credit rating. That's the largest sum yet stated for the Federated Indians of Graton Rancheria project on Wilfred Avenue — one of Sonoma County's largest-ever developments.\u003c/p>\u003c/blockquote>\n\u003c/li>\n\u003c/ul>\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>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/72768/a-m-splash-180","authors":["1367"],"programs":["news_6944"],"categories":["news_8"],"tags":["news_2928","news_2275","news_424","news_2918","news_3729","news_579"],"label":"news_6944"},"news_55358":{"type":"posts","id":"news_55358","meta":{"index":"posts_1591205157","site":"news","id":"55358","score":null,"sort":[1328319909000]},"guestAuthors":[],"slug":"statement-from-komen-reverses-decision-on-planned-parenthood-funding","title":"S.F. Chapter of Komen Foundation Urges Continued Support of Organization; Statement from Komen Reverses Decision on Planned Parenthood Funding","publishDate":1328319909,"format":"aside","headTitle":"News Fix | KQED News","labelTerm":{"term":6944,"site":"news"},"content":"\u003cfigure id=\"attachment_55368\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/02/Flickr.jpg\">\u003cimg class=\"size-medium wp-image-55368\" title=\"Flickr\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/02/Flickr-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Photo: Jason Pier/Flickr\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>UPDATE: 5:45 p.m.:\u003c/strong> The San Francisco chapter of Susan G. Komen for the Cure is urging its donors to continue supporting the breast cancer charity.\u003c/p>\n\u003cp>After a \u003ca href=\"http://www.washingtonpost.com/blogs/plum-line/post/breaking-two-dozen-senators-call-on-komen-to-reverse-planned-parenthood-decision/2012/02/02/gIQA5EPnkQ_blog.html\">storm of criticism\u003c/a>, the foundation announced Friday that it’s scrapping plans to pull breast-screening funds from the group Planned Parenthood, which is under Congressional investigation.\u003c/p>\n\u003cp>Maria Sousa, executive director of the Komen's Bay Area affiliate says her office received a flood of angry phone calls.\u003c/p>\n\u003cp>\"Many people said to us, 'We're not going to donate any money to you,' and that is really heartbreaking,\" said Sousa. \"We are the only national breast cancer organization that funds local clinics and hospitals to provide services for low-income women.\"\u003c/p>\n\u003cp>Sousa says her chapter proposed Komen's new funding policy, which now will only disqualify grant applications from groups convicted of criminal wrong doing.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>UPDATE 2:40 p.m.:\u003c/strong> Local Planned Parenthood groups are applauding the decision to reinstate funding to the family planning organization. Some Planned Parenthood officials blamed the initial decision to cut funding on pressure from abortion foes.\u003c/p>\n\u003cp>Lupe Rodriguez, who works with the Planned Parenthood affiliate that serves Alameda, Santa Clara and San Mateo counties, spoke with KQED's Mina Kim.\u003c/p>\n\u003cp>\"People around the country and from our own community proved that they're really dedicated to the cause. That was very heartening to us and we heard that in the supporters who made phone calls to us, and expressed their concern about this decision.\"\u003c/p>\n\u003cp>\u003cstrong>Original Post:\u003c/strong> \u003ca href=\"http://ww5.komen.org/aboutus/aboutus.html\" target=\"_blank\">Susan G. Komen for the Cure\u003c/a> \u003ca href=\"http://www.npr.org/blogs/health/2012/02/03/146344674/in-reversal-komen-reinstates-funding-for-planned-parenthood\" target=\"_blank\">announced\u003c/a> Friday morning that it will reinstate funding to \u003ca href=\"http://www.plannedparenthood.org/\" target=\"_blank\">Planned Parenthood\u003c/a>. The declaration comes after days of \u003ca href=\"http://storify.com/antderosa/komen-backs-down-over-planned-parenthood-defunding\" target=\"_blank\">heated public discourse\u003c/a> about Susan G. Komen's announcement earlier in the week that it would stop funding grants for Planned Parenthood, who provides breast cancer screenings in addition to other reproductive health services.\u003c/p>\n\u003cp>Komen said its original move was not politically motived but rather intended to \"fulfill our fiduciary duty to our donors by not funding grant applications made by organizations under investigation.\"\u003c/p>\n\u003cp>Below is the statement in full.\u003c/p>\n\u003cp>Senator Barbara Boxer (D-Calif.) issued a statement regarding the reversal:\u003c/p>\n\u003cblockquote>\u003cp>\u003cspan style=\"font-family: 'Times New Roman';font-size: small\">“It’s a great day when our deeply held belief that breast cancer can only be wiped out if we all work together has triumphed over right-wing politics.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-family: 'Times New Roman';font-size: small\">“I hope the American people understand that there are still many fights ahead over ensuring that women continue to have access to the full range of health care they need and deserve, including birth control.”\u003c/span>\u003c/p>\u003c/blockquote>\n\u003cp>For more coverage on the issue, check out these news articles:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"http://blogs.kqed.org/stateofhealth/2012/02/03/komen-will-continue-funding-planned-parenthood-at-least-for-now/\">Komen Will Continue Funding Planned Parenthood...At Least For Now\u003c/a> (KQED State of Health)\u003c/li>\n\u003cli>\u003ca href=\"http://www.theatlantic.com/health/archive/2012/02/top-susan-g-komen-official-resigned-over-planned-parenthood-cave-in/252405/\">Top Susan G. Komen Official Resigned Over Planned Parenthood Cave In\u003c/a> (The Atlantic)\u003c/li>\n\u003cli>\u003ca href=\"http://www.theatlantic.com/health/archive/2012/02/who-is-behind-susan-g-komens-split-from-planned-parenthood/252327/\">Who Is Behind Susan G. Komen's Split With Planned Parenthood?\u003c/a> (The Atlantic)\u003c/li>\n\u003cli>\u003ca href=\"http://www.npr.org/blogs/health/2012/02/03/146344674/in-reversal-komen-reinstates-funding-for-planned-parenthood\">In Reversal, Komen to Continue Planned Parenthood Funding\u003c/a> (NPR Shots)\u003c/li>\n\u003cli>\u003ca href=\"http://www.npr.org/blogs/health/2012/02/02/146258585/komen-says-efficiency-not-politics-drove-planned-parenthood-change?ps=sh_stcathdl\">Komen Says Efficiency, not Politics Drove Planned Parenthood Change\u003c/a> (NPR Shots)\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Statement from Susan G. Komen Board of Directors and Founder and CEO Nancy G. Brinker\u003c/strong>\u003c/p>\n\u003cp>We want to apologize to the American public for recent decisions that cast doubt upon our commitment to our mission of saving women’s lives.\u003c/p>\n\u003cp>The events of this week have been deeply unsettling for our supporters, partners and friends and all of us at Susan G. Komen. We have been distressed at the presumption that the changes made to our funding criteria were done for political reasons or to specifically penalize Planned Parenthood. They were not.\u003c/p>\n\u003cp>Our original desire was to fulfill our fiduciary duty to our donors by not funding grant applications made by organizations under investigation. We will amend the criteria to make clear that disqualifying investigations must be criminal and conclusive in nature and not political. That is what is right and fair.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\n\u003cp>We will amend the criteria to make clear that disqualifying investigations must be criminal and conclusive in nature and not political. That is what is right and fair.\u003c/p>\n\u003c/aside>\n\u003cp>Our only goal for our granting process is to support women and families in the fight against breast cancer. Amending our criteria will ensure that politics has no place in our grant process. We will continue to fund existing grants, including those of Planned Parenthood, and preserve their eligibility to apply for future grants, while maintaining the ability of our affiliates to make funding decisions that meet the needs of their communities.\u003c/p>\n\u003cp>\u003c!--more-->It is our hope and we believe it is time for everyone involved to pause, slow down and reflect on how grants can most effectively and directly be administered without controversies that hurt the cause of women. We urge everyone who has participated in this conversation across the country over the last few days to help us move past this issue. We do not want our mission marred or affected by politics – anyone’s politics.\u003c/p>\n\u003cp>Starting this afternoon, we will have calls with our network and key supporters to refocus our attention on our mission and get back to doing our work. We ask for the public’s understanding and patience as we gather our Komen affiliates from around the country to determine how to move forward in the best interests of the women and people we serve.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>We extend our deepest thanks for the outpouring of support we have received from so many in the past few days and we sincerely hope that these changes will be welcomed by those who have expressed their concern.\u003c/p>\n\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1328320482,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":927},"headData":{"title":"S.F. Chapter of Komen Foundation Urges Continued Support of Organization; Statement from Komen Reverses Decision on Planned Parenthood Funding | KQED","description":"UPDATE: 5:45 p.m.: The San Francisco chapter of Susan G. Komen for the Cure is urging its donors to continue supporting the breast cancer charity. After a storm of criticism, the foundation announced Friday that it’s scrapping plans to pull breast-screening funds from the group Planned Parenthood, which is under Congressional investigation. Maria Sousa, executive","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"S.F. Chapter of Komen Foundation Urges Continued Support of Organization; Statement from Komen Reverses Decision on Planned Parenthood Funding","datePublished":"2012-02-04T01:45:09.000Z","dateModified":"2012-02-04T01:54:42.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"55358 http://ww2.kqed.org/news/?p=55358","disqusUrl":"https://ww2.kqed.org/news/2012/02/03/statement-from-komen-reverses-decision-on-planned-parenthood-funding/","disqusTitle":"S.F. Chapter of Komen Foundation Urges Continued Support of Organization; Statement from Komen Reverses Decision on Planned Parenthood Funding","path":"/news/55358/statement-from-komen-reverses-decision-on-planned-parenthood-funding","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_55368\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/02/Flickr.jpg\">\u003cimg class=\"size-medium wp-image-55368\" title=\"Flickr\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/02/Flickr-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Photo: Jason Pier/Flickr\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>UPDATE: 5:45 p.m.:\u003c/strong> The San Francisco chapter of Susan G. Komen for the Cure is urging its donors to continue supporting the breast cancer charity.\u003c/p>\n\u003cp>After a \u003ca href=\"http://www.washingtonpost.com/blogs/plum-line/post/breaking-two-dozen-senators-call-on-komen-to-reverse-planned-parenthood-decision/2012/02/02/gIQA5EPnkQ_blog.html\">storm of criticism\u003c/a>, the foundation announced Friday that it’s scrapping plans to pull breast-screening funds from the group Planned Parenthood, which is under Congressional investigation.\u003c/p>\n\u003cp>Maria Sousa, executive director of the Komen's Bay Area affiliate says her office received a flood of angry phone calls.\u003c/p>\n\u003cp>\"Many people said to us, 'We're not going to donate any money to you,' and that is really heartbreaking,\" said Sousa. \"We are the only national breast cancer organization that funds local clinics and hospitals to provide services for low-income women.\"\u003c/p>\n\u003cp>Sousa says her chapter proposed Komen's new funding policy, which now will only disqualify grant applications from groups convicted of criminal wrong doing.\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>\u003cstrong>UPDATE 2:40 p.m.:\u003c/strong> Local Planned Parenthood groups are applauding the decision to reinstate funding to the family planning organization. Some Planned Parenthood officials blamed the initial decision to cut funding on pressure from abortion foes.\u003c/p>\n\u003cp>Lupe Rodriguez, who works with the Planned Parenthood affiliate that serves Alameda, Santa Clara and San Mateo counties, spoke with KQED's Mina Kim.\u003c/p>\n\u003cp>\"People around the country and from our own community proved that they're really dedicated to the cause. That was very heartening to us and we heard that in the supporters who made phone calls to us, and expressed their concern about this decision.\"\u003c/p>\n\u003cp>\u003cstrong>Original Post:\u003c/strong> \u003ca href=\"http://ww5.komen.org/aboutus/aboutus.html\" target=\"_blank\">Susan G. Komen for the Cure\u003c/a> \u003ca href=\"http://www.npr.org/blogs/health/2012/02/03/146344674/in-reversal-komen-reinstates-funding-for-planned-parenthood\" target=\"_blank\">announced\u003c/a> Friday morning that it will reinstate funding to \u003ca href=\"http://www.plannedparenthood.org/\" target=\"_blank\">Planned Parenthood\u003c/a>. The declaration comes after days of \u003ca href=\"http://storify.com/antderosa/komen-backs-down-over-planned-parenthood-defunding\" target=\"_blank\">heated public discourse\u003c/a> about Susan G. Komen's announcement earlier in the week that it would stop funding grants for Planned Parenthood, who provides breast cancer screenings in addition to other reproductive health services.\u003c/p>\n\u003cp>Komen said its original move was not politically motived but rather intended to \"fulfill our fiduciary duty to our donors by not funding grant applications made by organizations under investigation.\"\u003c/p>\n\u003cp>Below is the statement in full.\u003c/p>\n\u003cp>Senator Barbara Boxer (D-Calif.) issued a statement regarding the reversal:\u003c/p>\n\u003cblockquote>\u003cp>\u003cspan style=\"font-family: 'Times New Roman';font-size: small\">“It’s a great day when our deeply held belief that breast cancer can only be wiped out if we all work together has triumphed over right-wing politics.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-family: 'Times New Roman';font-size: small\">“I hope the American people understand that there are still many fights ahead over ensuring that women continue to have access to the full range of health care they need and deserve, including birth control.”\u003c/span>\u003c/p>\u003c/blockquote>\n\u003cp>For more coverage on the issue, check out these news articles:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"http://blogs.kqed.org/stateofhealth/2012/02/03/komen-will-continue-funding-planned-parenthood-at-least-for-now/\">Komen Will Continue Funding Planned Parenthood...At Least For Now\u003c/a> (KQED State of Health)\u003c/li>\n\u003cli>\u003ca href=\"http://www.theatlantic.com/health/archive/2012/02/top-susan-g-komen-official-resigned-over-planned-parenthood-cave-in/252405/\">Top Susan G. Komen Official Resigned Over Planned Parenthood Cave In\u003c/a> (The Atlantic)\u003c/li>\n\u003cli>\u003ca href=\"http://www.theatlantic.com/health/archive/2012/02/who-is-behind-susan-g-komens-split-from-planned-parenthood/252327/\">Who Is Behind Susan G. Komen's Split With Planned Parenthood?\u003c/a> (The Atlantic)\u003c/li>\n\u003cli>\u003ca href=\"http://www.npr.org/blogs/health/2012/02/03/146344674/in-reversal-komen-reinstates-funding-for-planned-parenthood\">In Reversal, Komen to Continue Planned Parenthood Funding\u003c/a> (NPR Shots)\u003c/li>\n\u003cli>\u003ca href=\"http://www.npr.org/blogs/health/2012/02/02/146258585/komen-says-efficiency-not-politics-drove-planned-parenthood-change?ps=sh_stcathdl\">Komen Says Efficiency, not Politics Drove Planned Parenthood Change\u003c/a> (NPR Shots)\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Statement from Susan G. Komen Board of Directors and Founder and CEO Nancy G. Brinker\u003c/strong>\u003c/p>\n\u003cp>We want to apologize to the American public for recent decisions that cast doubt upon our commitment to our mission of saving women’s lives.\u003c/p>\n\u003cp>The events of this week have been deeply unsettling for our supporters, partners and friends and all of us at Susan G. Komen. We have been distressed at the presumption that the changes made to our funding criteria were done for political reasons or to specifically penalize Planned Parenthood. They were not.\u003c/p>\n\u003cp>Our original desire was to fulfill our fiduciary duty to our donors by not funding grant applications made by organizations under investigation. We will amend the criteria to make clear that disqualifying investigations must be criminal and conclusive in nature and not political. That is what is right and fair.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\n\u003cp>We will amend the criteria to make clear that disqualifying investigations must be criminal and conclusive in nature and not political. That is what is right and fair.\u003c/p>\n\u003c/aside>\n\u003cp>Our only goal for our granting process is to support women and families in the fight against breast cancer. Amending our criteria will ensure that politics has no place in our grant process. We will continue to fund existing grants, including those of Planned Parenthood, and preserve their eligibility to apply for future grants, while maintaining the ability of our affiliates to make funding decisions that meet the needs of their communities.\u003c/p>\n\u003cp>\u003c!--more-->It is our hope and we believe it is time for everyone involved to pause, slow down and reflect on how grants can most effectively and directly be administered without controversies that hurt the cause of women. We urge everyone who has participated in this conversation across the country over the last few days to help us move past this issue. We do not want our mission marred or affected by politics – anyone’s politics.\u003c/p>\n\u003cp>Starting this afternoon, we will have calls with our network and key supporters to refocus our attention on our mission and get back to doing our work. We ask for the public’s understanding and patience as we gather our Komen affiliates from around the country to determine how to move forward in the best interests of the women and people we serve.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>We extend our deepest thanks for the outpouring of support we have received from so many in the past few days and we sincerely hope that these changes will be welcomed by those who have expressed their concern.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/55358/statement-from-komen-reverses-decision-on-planned-parenthood-funding","authors":["236"],"programs":["news_6944"],"tags":["news_2275","news_18543","news_2173","news_2274","news_2272"],"label":"news_6944"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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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. 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You ask the questions. You decide what Bay Curious investigates. 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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. 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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. 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