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Times-Dispatch and Education Week.\r\n\r\n ","avatar":"https://secure.gravatar.com/avatar/a9390ffc82e66cee761ae45f61cef865?s=600&d=blank&r=g","twitter":"@Lisa_Fine","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"futureofyou","roles":["author"]},{"site":"stateofhealth","roles":["editor"]}],"headData":{"title":"Lisa Fine | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/a9390ffc82e66cee761ae45f61cef865?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/a9390ffc82e66cee761ae45f61cef865?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/lisafine"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"home","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_11563885":{"type":"posts","id":"news_11563885","meta":{"index":"posts_1591205157","site":"news","id":"11563885","score":null,"sort":[1499885624000]},"guestAuthors":[],"slug":"is-the-new-tobacco-tax-causing-a-drop-in-smoking-big-time-indicators-suggest","title":"Is the New Tobacco Tax Causing a Drop in Smoking? Big Time, Indicators Suggest","publishDate":1499885624,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{},"content":"\u003cp>Last fall, California voters approved the biggest increase in cigarette taxes since the state first began levying tobacco in the 1950s. Advocates for Proposition 56, which passed with a fairly overwhelming 64 percent of the vote, argued that a $2-per-pack tax hike would hurt pocketbooks enough to nudge millions of California smokers to quit, or at least to light up less frequently.\u003c/p>\n\u003cp>When the tax went into effect in April, smokers saw the average cost of a pack of cigarettes soar from under $6 to up to $9, making California one of the most expensive states in which to buy cigarettes. But the question then: Was that enough to force smokers to kick an increasingly expensive habit?\u003c/p>\n\u003cp>The early data suggest that yes, California cigarette sales have declined significantly since prices went up. In fact, the drop is even sharper than the state anticipated -- which could spell trouble for state coffers.\u003c/p>\n\u003cp>[cigtax]\u003c/p>\n\u003cp>Cigarette pack \"distributions\" -- tax lingo for a pack of cigarettes typically sold from a distributor to a retailer, and a good proxy for consumption -- dropped 56 percent year-over-year in the two months following the tax increase, according to data obtained from the California Department of Tax and Fee Administration and analyzed by CALmatters. That’s a decline of nearly 82 million packs.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“This is a big effect,” said Dr. Stanton Glantz, a researcher at UCSF's Center for Tobacco Control Research and Education. “I have felt for a long time where we’re getting to the point in California where smoking is so low that a couple of good shoves like this one, and we might be rid of it.”\u003c/p>\n\u003cp>Glantz and other tobacco experts cautioned that it is still far too early to make definitive conclusions: It’s difficult to draw inferences from two months of data, as both suppliers and consumers are still figuring out what they can and can’t afford.\u003c/p>\n\u003cp>Knowing that prices were about to rise, tobacco distributors and smokers also rushed to stockpile as many cigarettes as possible the month preceding the tax hike, deflating the April and May figures. California cigarette distributors sold nearly 104 million cigarette packs in March, by far the most of any month in the last two years.\u003c/p>\n\u003cp>[contextly_sidebar id=\"7wYFkDkJqpG5LX8BPIbgWZ6c23FJqkpm\"]\u003c/p>\n\u003cp>But even after adjusting for stockpiling, the tax hike appears to be having a major impact: Cigarette sales still dropped 23 percent year-over-year for the three-month period, including the pretax run-up.\u003c/p>\n\u003cp>Experts say cigarette consumption will likely rise slightly in the months ahead, before stabilizing in the next four to five months. Lower-income and younger smokers are typically the first to cut back in response to a tax hike.\u003c/p>\n\u003cp>But what’s beneficial for public health isn’t necessarily good for the state budget, at least in the near term.\u003c/p>\n\u003cp>Proposition 56 was supposed to generate an additional $1.3 billion in revenue for the state to shore up Medi-Cal, the state health insurance program for low-income Californians. In the two months since the tax has been in place, the state has raised a total of $182 million -- below what the Brown administration was expecting.\u003c/p>\n\u003cp>\"Sales are still more sluggish than had been originally anticipated,\" H.D. Palmer, spokesman for the Department of Finance, said via email. \"Given that we only have two months of data, it is too early to predict a trend. If the current trend holds, we would likely make a revision to our expected decline in consumption.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"B6j14NxRMaFQ9SqSivOZuj8kr97QZdE1\"]\u003c/p>\n\u003cp>How the new cigarette tax revenue would be spent became a \u003ca href=\"http://www.latimes.com/politics/la-pol-sac-tobacco-tax-budget-20170316-story.html\" target=\"_blank\" rel=\"noopener noreferrer\">hot-button issue\u003c/a> in state budget negotiations last month. Ultimately, legislators and Gov. Jerry Brown agreed to divide the new revenue between increased payments to physicians and general Medi-Cal expenses.\u003c/p>\n\u003cp>Palmer said that if cigarette tax revenues continue to come in lower than anticipated, the administration would need to identify an alternative revenue source or propose cutbacks to Medi-Cal.\u003c/p>\n\u003cp>Of course, tax revenue is just one side of the equation when it comes to the fiscal effects of the new cigarette tax. Savings from lower health care costs as more low-income smokers quit are not factored into the revenue side of the state budget.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://calmatters.org/\" target=\"_blank\" rel=\"noopener noreferrer\">CALmatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politic\u003c/em>s.\u003c/p>\n\n","blocks":[],"excerpt":"Two months after California enacted a new $2-per-pack tax, one cigarette sales indicator has dropped 56 percent -- further than the state expected.","status":"publish","parent":0,"modified":1499903494,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":732},"headData":{"title":"Is the New Tobacco Tax Causing a Drop in Smoking? Big Time, Indicators Suggest | KQED","description":"Two months after California enacted a new $2-per-pack tax, one cigarette sales indicator has dropped 56 percent -- further than the state expected.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11563885 https://ww2.kqed.org/news/?p=11563885","disqusUrl":"https://ww2.kqed.org/news/2017/07/12/is-the-new-tobacco-tax-causing-a-drop-in-smoking-big-time-indicators-suggest/","disqusTitle":"Is the New Tobacco Tax Causing a Drop in Smoking? Big Time, Indicators Suggest","source":"CALmatters","sourceUrl":"https://calmatters.org/","nprByline":"\u003cstrong>\u003ca href=\"https://calmatters.org/articles/author/matt-levin/\">Matt Levin\u003c/a>\u003c/strong>","path":"/news/11563885/is-the-new-tobacco-tax-causing-a-drop-in-smoking-big-time-indicators-suggest","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Last fall, California voters approved the biggest increase in cigarette taxes since the state first began levying tobacco in the 1950s. Advocates for Proposition 56, which passed with a fairly overwhelming 64 percent of the vote, argued that a $2-per-pack tax hike would hurt pocketbooks enough to nudge millions of California smokers to quit, or at least to light up less frequently.\u003c/p>\n\u003cp>When the tax went into effect in April, smokers saw the average cost of a pack of cigarettes soar from under $6 to up to $9, making California one of the most expensive states in which to buy cigarettes. But the question then: Was that enough to force smokers to kick an increasingly expensive habit?\u003c/p>\n\u003cp>The early data suggest that yes, California cigarette sales have declined significantly since prices went up. In fact, the drop is even sharper than the state anticipated -- which could spell trouble for state coffers.\u003c/p>\n\u003cp>[cigtax]\u003c/p>\n\u003cp>Cigarette pack \"distributions\" -- tax lingo for a pack of cigarettes typically sold from a distributor to a retailer, and a good proxy for consumption -- dropped 56 percent year-over-year in the two months following the tax increase, according to data obtained from the California Department of Tax and Fee Administration and analyzed by CALmatters. That’s a decline of nearly 82 million packs.\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>“This is a big effect,” said Dr. Stanton Glantz, a researcher at UCSF's Center for Tobacco Control Research and Education. “I have felt for a long time where we’re getting to the point in California where smoking is so low that a couple of good shoves like this one, and we might be rid of it.”\u003c/p>\n\u003cp>Glantz and other tobacco experts cautioned that it is still far too early to make definitive conclusions: It’s difficult to draw inferences from two months of data, as both suppliers and consumers are still figuring out what they can and can’t afford.\u003c/p>\n\u003cp>Knowing that prices were about to rise, tobacco distributors and smokers also rushed to stockpile as many cigarettes as possible the month preceding the tax hike, deflating the April and May figures. California cigarette distributors sold nearly 104 million cigarette packs in March, by far the most of any month in the last two years.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>But even after adjusting for stockpiling, the tax hike appears to be having a major impact: Cigarette sales still dropped 23 percent year-over-year for the three-month period, including the pretax run-up.\u003c/p>\n\u003cp>Experts say cigarette consumption will likely rise slightly in the months ahead, before stabilizing in the next four to five months. Lower-income and younger smokers are typically the first to cut back in response to a tax hike.\u003c/p>\n\u003cp>But what’s beneficial for public health isn’t necessarily good for the state budget, at least in the near term.\u003c/p>\n\u003cp>Proposition 56 was supposed to generate an additional $1.3 billion in revenue for the state to shore up Medi-Cal, the state health insurance program for low-income Californians. In the two months since the tax has been in place, the state has raised a total of $182 million -- below what the Brown administration was expecting.\u003c/p>\n\u003cp>\"Sales are still more sluggish than had been originally anticipated,\" H.D. Palmer, spokesman for the Department of Finance, said via email. \"Given that we only have two months of data, it is too early to predict a trend. If the current trend holds, we would likely make a revision to our expected decline in consumption.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>How the new cigarette tax revenue would be spent became a \u003ca href=\"http://www.latimes.com/politics/la-pol-sac-tobacco-tax-budget-20170316-story.html\" target=\"_blank\" rel=\"noopener noreferrer\">hot-button issue\u003c/a> in state budget negotiations last month. Ultimately, legislators and Gov. Jerry Brown agreed to divide the new revenue between increased payments to physicians and general Medi-Cal expenses.\u003c/p>\n\u003cp>Palmer said that if cigarette tax revenues continue to come in lower than anticipated, the administration would need to identify an alternative revenue source or propose cutbacks to Medi-Cal.\u003c/p>\n\u003cp>Of course, tax revenue is just one side of the equation when it comes to the fiscal effects of the new cigarette tax. Savings from lower health care costs as more low-income smokers quit are not factored into the revenue side of the state budget.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://calmatters.org/\" target=\"_blank\" rel=\"noopener noreferrer\">CALmatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politic\u003c/em>s.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11563885/is-the-new-tobacco-tax-causing-a-drop-in-smoking-big-time-indicators-suggest","authors":["byline_news_11563885"],"programs":["news_6944","news_72"],"categories":["news_1758","news_457","news_8","news_13"],"tags":["news_458","news_423","news_17286","news_2561"],"affiliates":["news_18481"],"featImg":"news_11563889","label":"source_news_11563885"},"stateofhealth_323714":{"type":"posts","id":"stateofhealth_323714","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"323714","score":null,"sort":[1493417816000]},"guestAuthors":[],"slug":"how-has-your-school-performed-in-vaccines","title":"How Has Your School Performed in Vaccines?","publishDate":1493417816,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Partly proud, partly mortified, Principal José Macias of the Sixty-First Street Elementary School in Los Angeles said that yes, it was true – his school had reported the biggest increase in the rate of fully vaccinated kindergarten students in the state. The number of kindergartners who met all vaccination requirements this year jumped by 82 percentage points at the school, according to data released this week.\u003c/p>\n\u003cp>“I’m glad,” Macias said, “but it also tells me we were low.”\u003c/p>\n\u003cp>Parents at Sixty-First Street Elementary support vaccinations for their children, Macias said, but follow-up is sketchy. That’s how the school ended up in 2015-16 with just 12 percent of its kindergartners up-to-date for all vaccinations. The remaining kindergartners – 88 percent of them – were admitted “conditionally” in 2015-16, meaning they had some but not all of the 10 immunizations required by the state, and promised to complete the rest. In 2016-17, the up-to-date vaccination rate for kindergartners at Sixty-First Street Elementary climbed to nearly 95 percent.\u003c/p>\n\u003cp>While Macias’ school reported the most dramatic upturn, new data from the California Department of Public Health show for the first time how individual schools contributed to a statewide increase in kindergarten vaccination rates to 95.6 percent.\u003c/p>\n\u003cp>\u003cem>Search this new \u003ca href=\"https://edsource.org/2017/vaccination-rates-by-school-in-california/580981\" target=\"_blank\">vaccination database\u003c/a>, created by EdSource, a nonprofit news site that focuses on education policy in the state, to see vaccination rates at individual schools.\u003cbr>\n\u003c/em>\u003cbr>\nThe new vaccination law, Senate Bill 277, took effect at the start of this school year, eliminating the ability of a parent to obtain a “personal belief exemption” to opt out of vaccinating their children attending public and private schools. But the removal of the personal belief exemption doesn’t account for the overall rise in vaccination rates, according to a summary report from the California Department of Public Health. Instead, schools and parents started to take immunization far more seriously, health officials say.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>International publicity about the Disneyland measles outbreak of 2014-15 brought the risk of contracting measles, which had been declared eradicated in the United States in 2000, back as a public health threat. As Senate Bill 277, authored by Sen. Richard Pan, D-Sacramento, wound its way through the Capitol, news reports highlighted testimony from parents who vowed never to vaccinate their children and testimony from parents who had seen the ravages of polio. A 6-year-old Marin County boy with leukemia, Rhett Krawitt, became the public face of the debate.\u003c/p>\n\u003cp>And state finance auditors announced they would be looking more closely at schools with high rates of kindergartners who were not fully immunized – who were “conditionally” enrolled – to evaluate whether these students were properly enrolled and legitimately eligible for state per-pupil funding, according to the California Department of Public Health summary report. Students who are not fully vaccinated run the risk of not being allowed to attend school.\u003c/p>\n\u003cp>When the law passed in 2015, staff at many schools launched a full court press to get every eligible incoming kindergartner vaccinated. Collecting immunization paperwork from parents rose to the top of the to-do list. Kimberly Wright, principal of Los Angeles’ Cienega Elementary School, said she made immunizations a permanent agenda item for her meetings with office staff. At the front counter, conversations with parents about vaccinations shifted in tone from a low-key reminder – “well, when you can do it,” Wright said, to “this is really important.” Staff made reminder calls to parents, and Wright kept a list of those with incomplete immunizations on her desk. Increases in vaccination rates at Cienega Elementary rose from 15 percent in 2015-16 to nearly 88 percent up-to-date in 2016-17.\u003c/p>\n\u003cp>“The vocabulary of the personal belief exemption seemed to imply it was a personal choice with only personal implications, when actually the effect on a community could be profound,” said Matt Willis, public health officer for Marin County.\u003c/p>\n\u003cp>Matt Willis, public health officer for Marin County, which had some of the highest rates of personal belief exemptions in the state, said that the debate about vaccinations shifted in Marin in part because of Rhett and his story. Chemotherapy had compromised Rhett’s immune system, making him unable to be vaccinated against certain diseases, and leaving him at risk for catching a disease from unvaccinated classmates. He stood on a wooden chair at a March 2015 meeting of the Marin County Board of Supervisors and urged supervisors to support Senate Bill 277 “so kids like me don’t get sick at school.”\u003c/p>\n\u003cp>“One key was reframing vaccinations entirely as a matter of community responsibility,” Willis said. “The vocabulary of the personal belief exemption seemed to imply it was a personal choice with only personal implications, when actually the effect on a community could be profound.”\u003c/p>\n\u003cp>In addition, Willis surveyed Marin parents in 2013 about their beliefs about vaccinations, and found that most were choosing to vaccinate their children against some but not all of the 10 diseases. “We weren’t necessarily dealing with a community that was frankly against vaccinations,” Willis said. “That offered hope.”\u003c/p>\n\u003cp>At Reed Elementary School, Rhett’s school, the percentage of kindergarten students who are up-to-date with vaccinations went from 92.5 percent in 2015-16 to 97 percent in 2016-17. “It was the education of the community,” said Nancy Lynch, superintendent of Reed Union School District in Marin County. “People stepped up.”\u003c/p>\n\u003cp>Vaccination rates remained low, unsurprisingly, at schools that offer independent study programs or oversee home-schooled students. Students in those programs are not required to be vaccinated, nor are students who receive special education services. Aside from those types of schools, Walnut Avenue Elementary School in Chino Valley Unified had one of the lowest rates of immunizations, with 33 percent of kindergarten students up-to-date on vaccinations in 2016-17. Sixty-seven percent were overdue for vaccinations, meaning they were late getting a scheduled vaccination. According to the California Department of Education, children overdue for one or more required immunizations are subject to exclusion from school until they meet the requirements. \u003c/p>\n\u003cp>Brenda Dunkle, a spokeswoman for Chino Valley Unified, said the district could not comment on vaccination rates because its director of health services is out of the office until early May.\u003c/p>\n\u003cp>In Orange County, Pamela Kahn, coordinator of health and wellness at the Orange County Department of Education, said that education about immunizations unfolded with every news cycle in 2015 as dozens of children and adults, most of whom were unvaccinated, contracted measles after visiting two Disney theme parks in Anaheim. \u003c/p>\n\u003cp>“No. 1 was the Disneyland measles outbreak,” she said. “This brought people’s attention to the fact that this does still happen.”\u003c/p>\n\u003cp>An exodus of students from schools to home schools to avoid vaccinations didn’t occur, Kahn said. “We knew there would be some,” she said, and there were.\u003c/p>\n\u003cp>Along with the statewide increase in the vaccination rate, the rate of medical exemptions also rose, from 0.2 percent to 0.5 percent. A medical exemption requires a letter from a doctor stating the health reasons why a child cannot be vaccinated against certain diseases; there is no official form.\u003c/p>\n\u003cp>“From a medical point of view, there are some letters that are kind of suspicious,” Kahn said. “For example, we get the same exemption letter, with the same language, for different kids, from the same doctor. It could be ‘a familial history of reactions to immunization.’ That could be a cousin, a third cousin. One person wrote that this child was exempt until a date that correlates to high school graduation. That’s odd.”\u003c/p>\n\u003cp>But the schools don’t question the exemption letters, she said. “We were advised that we are not the medical experts,” she said.\u003c/p>\n\u003cp>“I think people are still looking for avenues not to be vaccinated,” said Dr. Kenneth Cutler, public health officer for Nevada County, which also has had pockets of unvaccinated students. Kindergarten vaccination rates for the county reached 81 percent, up from 69 percent about five years ago, he said.\u003c/p>\n\u003cp>Some schools in the county reported high levels of medical exemptions and high levels of personal belief exemptions, which were carried over from last year when the students were in transitional kindergarten. The law states that those exemptions remained valid for kindergarten this year.\u003c/p>\n\u003cp>But Sharyn Turner, school health services coordinator at the office of the Nevada County Superintendent of Schools, said she did see signs of change in what has been a strong anti-vaccination culture at some schools. In those schools, she said, parents who opposed vaccinations shunned some pro-vaccination parents. But Turner’s vaccinated grandson now attends School of the Arts, which has a history of being popular with vaccine opponents, and she said the family has been welcomed. “You are no longer excluded because you vaccinate your child,” she said.\u003c/p>\n\u003cp>Others remain outliers in the vaccination landscape.\u003c/p>\n\u003cp>At the Mountain Oaks School in Calaveras County, where all students are in independent study or home-school programs, supplemented by on-site classes for those who are vaccinated, 39 percent of kindergartners were up-to-date on vaccinations. Fifty-seven percent did not have to be immunized because they are not receiving classroom instruction or they are receiving special education services. An additional 4.5 percent had a medical exemption.\u003c/p>\n\u003cp>Vaccinated students can attend group classes at school, including pottery and algebra, said Anne Colman, administrator of Mountain Oaks School.\u003c/p>\n\u003cp>“Despite that, the percentage of parents who don’t care that their kids can’t take classes at school is really high,” Colman said.\u003c/p>\n\u003cp>Unvaccinated students had to stay home from a recent outdoor adventure school trip, she said. “We’re trying very hard to err on the side of caution,” she said. “I do not want to be the administrator on the 11 o’clock news – ‘Plague outbreak after unvaccinated kids are let in.'”\u003c/p>\n\u003cp>“Our parents are nothing if they’re not rebels, and they have been for a gazillion years,” she said.\u003c/p>\n\u003cp>At Sixty-First Street Elementary, planning for next year’s kindergarten immunization checks are well underway. At school drop-off in the morning, Macias sticks his head into parents’ cars and tells them he wants their younger children as kindergartners next year, but they need to be vaccinated. School staff photocopy flyers with the locations of health care clinics, translate forms into Spanish, and offer, time and again, to help parents get the job done.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“The only thing we haven’t done is bring the doctor here,” Macias said.\u003c/p>\n\n","blocks":[],"excerpt":"New data from the California Department of Public Health show how individual schools contributed to a statewide increase in kindergarten vaccination rates.","status":"publish","parent":0,"modified":1493418819,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":34,"wordCount":1853},"headData":{"title":"How Has Your School Performed in Vaccines? | KQED","description":"New data from the California Department of Public Health show how individual schools contributed to a statewide increase in kindergarten vaccination rates.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"323714 https://ww2.kqed.org/stateofhealth/?p=323714","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/04/28/how-has-your-school-performed-in-vaccines/","disqusTitle":"How Has Your School Performed in Vaccines?","nprByline":"Jane Meredith Adams and Daniel J. Willis\u003cbr />\u003ca href=\"http://edsource.org\">Ed Source\u003c/a>","path":"/stateofhealth/323714/how-has-your-school-performed-in-vaccines","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Partly proud, partly mortified, Principal José Macias of the Sixty-First Street Elementary School in Los Angeles said that yes, it was true – his school had reported the biggest increase in the rate of fully vaccinated kindergarten students in the state. The number of kindergartners who met all vaccination requirements this year jumped by 82 percentage points at the school, according to data released this week.\u003c/p>\n\u003cp>“I’m glad,” Macias said, “but it also tells me we were low.”\u003c/p>\n\u003cp>Parents at Sixty-First Street Elementary support vaccinations for their children, Macias said, but follow-up is sketchy. That’s how the school ended up in 2015-16 with just 12 percent of its kindergartners up-to-date for all vaccinations. The remaining kindergartners – 88 percent of them – were admitted “conditionally” in 2015-16, meaning they had some but not all of the 10 immunizations required by the state, and promised to complete the rest. In 2016-17, the up-to-date vaccination rate for kindergartners at Sixty-First Street Elementary climbed to nearly 95 percent.\u003c/p>\n\u003cp>While Macias’ school reported the most dramatic upturn, new data from the California Department of Public Health show for the first time how individual schools contributed to a statewide increase in kindergarten vaccination rates to 95.6 percent.\u003c/p>\n\u003cp>\u003cem>Search this new \u003ca href=\"https://edsource.org/2017/vaccination-rates-by-school-in-california/580981\" target=\"_blank\">vaccination database\u003c/a>, created by EdSource, a nonprofit news site that focuses on education policy in the state, to see vaccination rates at individual schools.\u003cbr>\n\u003c/em>\u003cbr>\nThe new vaccination law, Senate Bill 277, took effect at the start of this school year, eliminating the ability of a parent to obtain a “personal belief exemption” to opt out of vaccinating their children attending public and private schools. But the removal of the personal belief exemption doesn’t account for the overall rise in vaccination rates, according to a summary report from the California Department of Public Health. Instead, schools and parents started to take immunization far more seriously, health officials say.\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>International publicity about the Disneyland measles outbreak of 2014-15 brought the risk of contracting measles, which had been declared eradicated in the United States in 2000, back as a public health threat. As Senate Bill 277, authored by Sen. Richard Pan, D-Sacramento, wound its way through the Capitol, news reports highlighted testimony from parents who vowed never to vaccinate their children and testimony from parents who had seen the ravages of polio. A 6-year-old Marin County boy with leukemia, Rhett Krawitt, became the public face of the debate.\u003c/p>\n\u003cp>And state finance auditors announced they would be looking more closely at schools with high rates of kindergartners who were not fully immunized – who were “conditionally” enrolled – to evaluate whether these students were properly enrolled and legitimately eligible for state per-pupil funding, according to the California Department of Public Health summary report. Students who are not fully vaccinated run the risk of not being allowed to attend school.\u003c/p>\n\u003cp>When the law passed in 2015, staff at many schools launched a full court press to get every eligible incoming kindergartner vaccinated. Collecting immunization paperwork from parents rose to the top of the to-do list. Kimberly Wright, principal of Los Angeles’ Cienega Elementary School, said she made immunizations a permanent agenda item for her meetings with office staff. At the front counter, conversations with parents about vaccinations shifted in tone from a low-key reminder – “well, when you can do it,” Wright said, to “this is really important.” Staff made reminder calls to parents, and Wright kept a list of those with incomplete immunizations on her desk. Increases in vaccination rates at Cienega Elementary rose from 15 percent in 2015-16 to nearly 88 percent up-to-date in 2016-17.\u003c/p>\n\u003cp>“The vocabulary of the personal belief exemption seemed to imply it was a personal choice with only personal implications, when actually the effect on a community could be profound,” said Matt Willis, public health officer for Marin County.\u003c/p>\n\u003cp>Matt Willis, public health officer for Marin County, which had some of the highest rates of personal belief exemptions in the state, said that the debate about vaccinations shifted in Marin in part because of Rhett and his story. Chemotherapy had compromised Rhett’s immune system, making him unable to be vaccinated against certain diseases, and leaving him at risk for catching a disease from unvaccinated classmates. He stood on a wooden chair at a March 2015 meeting of the Marin County Board of Supervisors and urged supervisors to support Senate Bill 277 “so kids like me don’t get sick at school.”\u003c/p>\n\u003cp>“One key was reframing vaccinations entirely as a matter of community responsibility,” Willis said. “The vocabulary of the personal belief exemption seemed to imply it was a personal choice with only personal implications, when actually the effect on a community could be profound.”\u003c/p>\n\u003cp>In addition, Willis surveyed Marin parents in 2013 about their beliefs about vaccinations, and found that most were choosing to vaccinate their children against some but not all of the 10 diseases. “We weren’t necessarily dealing with a community that was frankly against vaccinations,” Willis said. “That offered hope.”\u003c/p>\n\u003cp>At Reed Elementary School, Rhett’s school, the percentage of kindergarten students who are up-to-date with vaccinations went from 92.5 percent in 2015-16 to 97 percent in 2016-17. “It was the education of the community,” said Nancy Lynch, superintendent of Reed Union School District in Marin County. “People stepped up.”\u003c/p>\n\u003cp>Vaccination rates remained low, unsurprisingly, at schools that offer independent study programs or oversee home-schooled students. Students in those programs are not required to be vaccinated, nor are students who receive special education services. Aside from those types of schools, Walnut Avenue Elementary School in Chino Valley Unified had one of the lowest rates of immunizations, with 33 percent of kindergarten students up-to-date on vaccinations in 2016-17. Sixty-seven percent were overdue for vaccinations, meaning they were late getting a scheduled vaccination. According to the California Department of Education, children overdue for one or more required immunizations are subject to exclusion from school until they meet the requirements. \u003c/p>\n\u003cp>Brenda Dunkle, a spokeswoman for Chino Valley Unified, said the district could not comment on vaccination rates because its director of health services is out of the office until early May.\u003c/p>\n\u003cp>In Orange County, Pamela Kahn, coordinator of health and wellness at the Orange County Department of Education, said that education about immunizations unfolded with every news cycle in 2015 as dozens of children and adults, most of whom were unvaccinated, contracted measles after visiting two Disney theme parks in Anaheim. \u003c/p>\n\u003cp>“No. 1 was the Disneyland measles outbreak,” she said. “This brought people’s attention to the fact that this does still happen.”\u003c/p>\n\u003cp>An exodus of students from schools to home schools to avoid vaccinations didn’t occur, Kahn said. “We knew there would be some,” she said, and there were.\u003c/p>\n\u003cp>Along with the statewide increase in the vaccination rate, the rate of medical exemptions also rose, from 0.2 percent to 0.5 percent. A medical exemption requires a letter from a doctor stating the health reasons why a child cannot be vaccinated against certain diseases; there is no official form.\u003c/p>\n\u003cp>“From a medical point of view, there are some letters that are kind of suspicious,” Kahn said. “For example, we get the same exemption letter, with the same language, for different kids, from the same doctor. It could be ‘a familial history of reactions to immunization.’ That could be a cousin, a third cousin. One person wrote that this child was exempt until a date that correlates to high school graduation. That’s odd.”\u003c/p>\n\u003cp>But the schools don’t question the exemption letters, she said. “We were advised that we are not the medical experts,” she said.\u003c/p>\n\u003cp>“I think people are still looking for avenues not to be vaccinated,” said Dr. Kenneth Cutler, public health officer for Nevada County, which also has had pockets of unvaccinated students. Kindergarten vaccination rates for the county reached 81 percent, up from 69 percent about five years ago, he said.\u003c/p>\n\u003cp>Some schools in the county reported high levels of medical exemptions and high levels of personal belief exemptions, which were carried over from last year when the students were in transitional kindergarten. The law states that those exemptions remained valid for kindergarten this year.\u003c/p>\n\u003cp>But Sharyn Turner, school health services coordinator at the office of the Nevada County Superintendent of Schools, said she did see signs of change in what has been a strong anti-vaccination culture at some schools. In those schools, she said, parents who opposed vaccinations shunned some pro-vaccination parents. But Turner’s vaccinated grandson now attends School of the Arts, which has a history of being popular with vaccine opponents, and she said the family has been welcomed. “You are no longer excluded because you vaccinate your child,” she said.\u003c/p>\n\u003cp>Others remain outliers in the vaccination landscape.\u003c/p>\n\u003cp>At the Mountain Oaks School in Calaveras County, where all students are in independent study or home-school programs, supplemented by on-site classes for those who are vaccinated, 39 percent of kindergartners were up-to-date on vaccinations. Fifty-seven percent did not have to be immunized because they are not receiving classroom instruction or they are receiving special education services. An additional 4.5 percent had a medical exemption.\u003c/p>\n\u003cp>Vaccinated students can attend group classes at school, including pottery and algebra, said Anne Colman, administrator of Mountain Oaks School.\u003c/p>\n\u003cp>“Despite that, the percentage of parents who don’t care that their kids can’t take classes at school is really high,” Colman said.\u003c/p>\n\u003cp>Unvaccinated students had to stay home from a recent outdoor adventure school trip, she said. “We’re trying very hard to err on the side of caution,” she said. “I do not want to be the administrator on the 11 o’clock news – ‘Plague outbreak after unvaccinated kids are let in.'”\u003c/p>\n\u003cp>“Our parents are nothing if they’re not rebels, and they have been for a gazillion years,” she said.\u003c/p>\n\u003cp>At Sixty-First Street Elementary, planning for next year’s kindergarten immunization checks are well underway. At school drop-off in the morning, Macias sticks his head into parents’ cars and tells them he wants their younger children as kindergartners next year, but they need to be vaccinated. School staff photocopy flyers with the locations of health care clinics, translate forms into Spanish, and offer, time and again, to help parents get the job done.\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>“The only thing we haven’t done is bring the doctor here,” Macias said.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/323714/how-has-your-school-performed-in-vaccines","authors":["byline_stateofhealth_323714"],"categories":["stateofhealth_2746"],"tags":["stateofhealth_2722","stateofhealth_3101","stateofhealth_2808","stateofhealth_726","stateofhealth_2519","stateofhealth_31"],"featImg":"stateofhealth_323716","label":"stateofhealth"},"stateofhealth_322154":{"type":"posts","id":"stateofhealth_322154","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"322154","score":null,"sort":[1493136123000]},"guestAuthors":[],"slug":"should-california-agencies-work-together-to-negotiate-better-drug-prices","title":"Should California Agencies Work Together to Negotiate Better Drug Prices?","publishDate":1493136123,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Citing budget-busting drug costs, a California lawmaker wants state health programs to band together to negotiate better prices with drug companies.\u003c/p>\n\u003cp>Assemblymember David Chiu (D-San Francisco) has introduced a bill that would strengthen intra-agency collaboration on drug cost-saving strategies. Lawmakers will consider the bill at an Assembly Health Committee hearing on Tuesday.\u003c/p>\n\u003cp>“Californians and Americans are frustrated with the lack of progress around drug prices,” Chiu said, citing the uproar over EpiPen and hepatitis C medications.\u003c/p>\n\u003cp>He said state agencies should pool their efforts “so that we can leverage that consumer power and get the best deal for our money.”\u003c/p>\n\u003cp>While the proposed California Drug Costs Reduction Act does not mandate that various California health programs such as Medi-Cal or Covered California purchase drugs together, it would require administrators of those programs and 17 other state agencies to convene twice a year to strategize about ways to keep costs down.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Through the California Pharmaceutical Collaborative (CPC), state officials would consider a uniform state drug formulary and look at paying for drugs based on the value they bring to the health system.\u003c/p>\n\u003cp>A pharmaceutical collaborative by that name already exists within the California Department of General Services and purchases drugs for state prisons, hospitals and universities. This bill would significantly expand on those efforts.\u003c/p>\n\u003cp>Chiu says it’s unclear what the current program is doing, and if it has been successful in bringing down drug costs. The 2002 legislation that created the collaborative required only a few agencies to participate, and only one report back to the legislature in 2005.\u003c/p>\n\u003cp>A 2005 report from the California State Auditor suggested the Department of General Services could do more to bring down pharmaceutical costs for California.\u003c/p>\n\u003cp>A more recent analysis from the nonpartisan Legislative Analyst’s Office showed spending by the Department of General Services has increased at a relatively high rate — about 20 percent annually between 2012 and 2016, although that trend may have been skewed by the release of high-cost hepatitis C drugs during that time.\u003c/p>\n\u003cp>“I haven’t had transparency about the work that’s happened,” Chiu said. During a February 2017 California legislative hearing about drug prices, the lawmaker expressed frustration about not being able to get information about the workings of the CPC.\u003c/p>\n\u003cp>Chiu’s bill would require annual reports from the pharmaceutical collaborative, which the lawmaker says would ensure more accountability.\u003c/p>\n\u003cp>A spokesman with the Department of General Services, Brian Ferguson, wrote in a statement that it has been meeting “regularly” to create a “roadmap” to cut drug costs.\u003c/p>\n\u003cp>The proposal so far has no registered opposition. Priscilla VanderVeer, a spokeswoman with the drug company trade association Pharmaceutical Research and Manufacturers of America (PhRMA) had no comment on the proposal.\u003c/p>\n\u003cp>Other states such as Massachusetts have bulk purchasing programs for drugs, according to the National Academy for State Health Policy. And Oregon and Washington have joined together to create a bulk purchasing program. It is one of five multi-state pharmaceutical programs in the country, according to the National Conference of State Legislatures.\u003c/p>\n\u003cp>About a third of Californians have health care coverage through Medi-Cal alone. Together with Covered California, and the California Public Employees’ Retirement System (CalPERS), these agencies insure more than 16 million people.\u003c/p>\n\u003cp>Experts say the diverse ways state programs pay for drugs would make it hard to implement an across-the-board prescription drug purchasing system in California.\u003c/p>\n\u003cp>Ben Johnson, fiscal and policy analyst with the Legislative Analyst’s Office said that the Medi-Cal program has different rules for payment and coverage than the state’s prison system. Medi-Cal is also entitled to deep drug discounts that other state agencies don’t receive.\u003c/p>\n\u003cp>“A lot of work would have to be done to be able to actually harmonize and create a uniform system of drug procurement in the state,” Johnson said. His agency does not take positions on legislation.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Advocates for AIDS patients and retired people support the bill. The California Public Interest Research Group (CALPIRG), which sponsored the initial legislation to create the collaborative in 2002, supports the current proposal as well. In a letter to the bill’s author, the group said the measure would provide “additional tools and direction” and increase accountability on the state government’s actions to reduce drug prices.\u003c/p>\n\n","blocks":[],"excerpt":"Lawmakers will consider a plan to require administrators from about 20 state agencies to meet twice a year to strategize ways to keep costs down.","status":"publish","parent":0,"modified":1493136123,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":748},"headData":{"title":"Should California Agencies Work Together to Negotiate Better Drug Prices? | KQED","description":"Lawmakers will consider a plan to require administrators from about 20 state agencies to meet twice a year to strategize ways to keep costs down.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"322154 https://ww2.kqed.org/stateofhealth/?p=322154","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/04/25/should-california-agencies-work-together-to-negotiate-better-drug-prices/","disqusTitle":"Should California Agencies Work Together to Negotiate Better Drug Prices?","nprByline":"\u003cstrong>\u003ca href=\"http://californiahealthline.org/news/author/pauline-bartolone/\">Pauline Bartolone\u003c/strong>\u003c/a>\u003c/br>California HealthLine","path":"/stateofhealth/322154/should-california-agencies-work-together-to-negotiate-better-drug-prices","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Citing budget-busting drug costs, a California lawmaker wants state health programs to band together to negotiate better prices with drug companies.\u003c/p>\n\u003cp>Assemblymember David Chiu (D-San Francisco) has introduced a bill that would strengthen intra-agency collaboration on drug cost-saving strategies. Lawmakers will consider the bill at an Assembly Health Committee hearing on Tuesday.\u003c/p>\n\u003cp>“Californians and Americans are frustrated with the lack of progress around drug prices,” Chiu said, citing the uproar over EpiPen and hepatitis C medications.\u003c/p>\n\u003cp>He said state agencies should pool their efforts “so that we can leverage that consumer power and get the best deal for our money.”\u003c/p>\n\u003cp>While the proposed California Drug Costs Reduction Act does not mandate that various California health programs such as Medi-Cal or Covered California purchase drugs together, it would require administrators of those programs and 17 other state agencies to convene twice a year to strategize about ways to keep costs down.\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>Through the California Pharmaceutical Collaborative (CPC), state officials would consider a uniform state drug formulary and look at paying for drugs based on the value they bring to the health system.\u003c/p>\n\u003cp>A pharmaceutical collaborative by that name already exists within the California Department of General Services and purchases drugs for state prisons, hospitals and universities. This bill would significantly expand on those efforts.\u003c/p>\n\u003cp>Chiu says it’s unclear what the current program is doing, and if it has been successful in bringing down drug costs. The 2002 legislation that created the collaborative required only a few agencies to participate, and only one report back to the legislature in 2005.\u003c/p>\n\u003cp>A 2005 report from the California State Auditor suggested the Department of General Services could do more to bring down pharmaceutical costs for California.\u003c/p>\n\u003cp>A more recent analysis from the nonpartisan Legislative Analyst’s Office showed spending by the Department of General Services has increased at a relatively high rate — about 20 percent annually between 2012 and 2016, although that trend may have been skewed by the release of high-cost hepatitis C drugs during that time.\u003c/p>\n\u003cp>“I haven’t had transparency about the work that’s happened,” Chiu said. During a February 2017 California legislative hearing about drug prices, the lawmaker expressed frustration about not being able to get information about the workings of the CPC.\u003c/p>\n\u003cp>Chiu’s bill would require annual reports from the pharmaceutical collaborative, which the lawmaker says would ensure more accountability.\u003c/p>\n\u003cp>A spokesman with the Department of General Services, Brian Ferguson, wrote in a statement that it has been meeting “regularly” to create a “roadmap” to cut drug costs.\u003c/p>\n\u003cp>The proposal so far has no registered opposition. Priscilla VanderVeer, a spokeswoman with the drug company trade association Pharmaceutical Research and Manufacturers of America (PhRMA) had no comment on the proposal.\u003c/p>\n\u003cp>Other states such as Massachusetts have bulk purchasing programs for drugs, according to the National Academy for State Health Policy. And Oregon and Washington have joined together to create a bulk purchasing program. It is one of five multi-state pharmaceutical programs in the country, according to the National Conference of State Legislatures.\u003c/p>\n\u003cp>About a third of Californians have health care coverage through Medi-Cal alone. Together with Covered California, and the California Public Employees’ Retirement System (CalPERS), these agencies insure more than 16 million people.\u003c/p>\n\u003cp>Experts say the diverse ways state programs pay for drugs would make it hard to implement an across-the-board prescription drug purchasing system in California.\u003c/p>\n\u003cp>Ben Johnson, fiscal and policy analyst with the Legislative Analyst’s Office said that the Medi-Cal program has different rules for payment and coverage than the state’s prison system. Medi-Cal is also entitled to deep drug discounts that other state agencies don’t receive.\u003c/p>\n\u003cp>“A lot of work would have to be done to be able to actually harmonize and create a uniform system of drug procurement in the state,” Johnson said. His agency does not take positions on legislation.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Advocates for AIDS patients and retired people support the bill. The California Public Interest Research Group (CALPIRG), which sponsored the initial legislation to create the collaborative in 2002, supports the current proposal as well. In a letter to the bill’s author, the group said the measure would provide “additional tools and direction” and increase accountability on the state government’s actions to reduce drug prices.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/322154/should-california-agencies-work-together-to-negotiate-better-drug-prices","authors":["byline_stateofhealth_322154"],"categories":["stateofhealth_14"],"tags":["stateofhealth_2722","stateofhealth_2650","stateofhealth_2808","stateofhealth_2519"],"featImg":"stateofhealth_322155","label":"stateofhealth"},"stateofhealth_243273":{"type":"posts","id":"stateofhealth_243273","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"243273","score":null,"sort":[1475270484000]},"guestAuthors":[],"slug":"as-california-considers-marijuana-legalization-concerns-linger-over-labeling-edible-products","title":"As California Considers Marijuana Legalization, Concerns Linger Over Labeling Edible Products","publishDate":1475270484,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Californians may soon vote to legalize recreational marijuana, which means edible products containing the drug will be more widely available and could accidentally fall into the wrong hands.\u003c/p>\n\u003cp>Proposition 64 establishes warning labeling and packaging requirements for edible products containing marijuana. But public health advocates say the goodies, when taken out of their packaging, look just like regular candy and baked goods and could still easily be consumed by mistake or in excessive amounts.\u003c/p>\n\u003cp>\"Edibles are a huge problem,\" said Stanton Glantz, a professor of medicine at the University of California San Francisco and director of the Center for Tobacco Control Research and Education. \"They should not be made to look like candy. \"\u003c/p>\n\u003cp>In August, unmarked gummy candy containing marijuana sickened 19 people, who ate it unknowingly when it was served at a Quinceañera party in San Francisco. They were all taken to area hospitals and later released after experiencing symptoms including rapid heart rate, high blood pressure, dilated pupils, dizziness, light-headedness, nausea, lethargy and confusion, according to San Francisco Department of Public Health officials.\u003c/p>\n\u003cp>Thirteen of the those people were children ranging in age from 6 to 18, the health department said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A \u003ca href=\"http://archpedi.jamanetwork.com/article.aspx?articleid=2534480\" target=\"_blank\">2016 study\u003c/a> tracing admissions at Children's Hospital Colorado found that more kids were treated for accidental pot ingestion after legalization, increasing from 1.2 children per 100,000 population two years prior to legalization to 2.3 per 100,000 population two years after legalization, the \u003cem>Associated Press\u003c/em> reports.\u003c/p>\n\u003cp>\u003cstrong>Colorado's new 'universal symbol' labeling requirements\u003c/strong>\u003c/p>\n\u003cp>In Colorado, where marijuana is already legal, officials have just beefed up their warnings on edible marijuana products. Starting Saturday, edible marijuana products in Colorado must feature a diamond-shaped stamp with the letters THC on the packaging and even on the edible items themselves. THC, or tetrahydrocannabinol, is the main psychoactive ingredient in marijuana.\u003c/p>\n\u003cp>That way, the new \"universal symbol\" for food products containing marijuana will be seen on the products even after they are removed from packaging, the AP reports.\u003c/p>\n\u003cp>\"It's better than nothing,\" said Glantz, of San Francisco.\u003c/p>\n\u003cp>He said a symbol right on the edible product itself may help some adults who read and understand what THC means to avoid accidentally consuming the product. But he said he doesn't think it will do much to prevent small children from accidentally eating the products.\u003c/p>\n\u003cp>Colorado also has new packaging rules for edible marijuana products that are not possible to stamp. For example, marijuana containing sodas must come in small single-serve bottles, AP reports.\u003c/p>\n\u003cp>Marijuana legalization advocates say legalizing and regulating edible products will make them safer than when they were sold in the underground market.\u003c/p>\n\u003cp>“The imposition of sensible regulations on the cannabis industry, coupled with better public safety information and greater consumer responsibility and accountability, are the best strategies to address cannabis-specific health concerns due to the inadvertent ingestion or over-ingestion of edible products,” said Paul Armentano, deputy director of NORML, a marijuana legalization advocacy group based in Washington, D.C.\u003c/p>\n\u003cp>For those using marijuana for medical purposes, edible products can also be problematic.\u003c/p>\n\u003cp>\"I think edible marijuana is one of the least desirable ways to use the product,\" said Dr. Laurie Vollen, a medical marijuana specialist at Naturally Healing MD in Albany, CA. \"It is much more difficult to titrate, the THC is metabolized into a more sedating, longer acting and more psychoactive metabolite than regular THC, and it is where people get into trouble.\"\u003c/p>\n\u003cp>For patients who prefer an edible form of marijuana, she recommends tinctures or pills.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I hope California figures out how to prevent … mishaps,\" she said. \"As a physician, I don't recommend any kind of candy, cookie, or sweet with cannabis. Sweets are not healthy to begin with.\"\u003c/p>\n\n","blocks":[],"excerpt":"Public health advocates say when taken out of their packaging, the products look just like regular candy and baked goods and could be consumed by mistake.","status":"publish","parent":0,"modified":1475270809,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":648},"headData":{"title":"As California Considers Marijuana Legalization, Concerns Linger Over Labeling Edible Products | KQED","description":"Public health advocates say when taken out of their packaging, the products look just like regular candy and baked goods and could be consumed by mistake.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"243273 http://ww2.kqed.org/stateofhealth/?p=243273","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/09/30/as-california-considers-marijuana-legalization-concerns-linger-over-labeling-edible-products/","disqusTitle":"As California Considers Marijuana Legalization, Concerns Linger Over Labeling Edible Products","path":"/stateofhealth/243273/as-california-considers-marijuana-legalization-concerns-linger-over-labeling-edible-products","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Californians may soon vote to legalize recreational marijuana, which means edible products containing the drug will be more widely available and could accidentally fall into the wrong hands.\u003c/p>\n\u003cp>Proposition 64 establishes warning labeling and packaging requirements for edible products containing marijuana. But public health advocates say the goodies, when taken out of their packaging, look just like regular candy and baked goods and could still easily be consumed by mistake or in excessive amounts.\u003c/p>\n\u003cp>\"Edibles are a huge problem,\" said Stanton Glantz, a professor of medicine at the University of California San Francisco and director of the Center for Tobacco Control Research and Education. \"They should not be made to look like candy. \"\u003c/p>\n\u003cp>In August, unmarked gummy candy containing marijuana sickened 19 people, who ate it unknowingly when it was served at a Quinceañera party in San Francisco. They were all taken to area hospitals and later released after experiencing symptoms including rapid heart rate, high blood pressure, dilated pupils, dizziness, light-headedness, nausea, lethargy and confusion, according to San Francisco Department of Public Health officials.\u003c/p>\n\u003cp>Thirteen of the those people were children ranging in age from 6 to 18, the health department said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A \u003ca href=\"http://archpedi.jamanetwork.com/article.aspx?articleid=2534480\" target=\"_blank\">2016 study\u003c/a> tracing admissions at Children's Hospital Colorado found that more kids were treated for accidental pot ingestion after legalization, increasing from 1.2 children per 100,000 population two years prior to legalization to 2.3 per 100,000 population two years after legalization, the \u003cem>Associated Press\u003c/em> reports.\u003c/p>\n\u003cp>\u003cstrong>Colorado's new 'universal symbol' labeling requirements\u003c/strong>\u003c/p>\n\u003cp>In Colorado, where marijuana is already legal, officials have just beefed up their warnings on edible marijuana products. Starting Saturday, edible marijuana products in Colorado must feature a diamond-shaped stamp with the letters THC on the packaging and even on the edible items themselves. THC, or tetrahydrocannabinol, is the main psychoactive ingredient in marijuana.\u003c/p>\n\u003cp>That way, the new \"universal symbol\" for food products containing marijuana will be seen on the products even after they are removed from packaging, the AP reports.\u003c/p>\n\u003cp>\"It's better than nothing,\" said Glantz, of San Francisco.\u003c/p>\n\u003cp>He said a symbol right on the edible product itself may help some adults who read and understand what THC means to avoid accidentally consuming the product. But he said he doesn't think it will do much to prevent small children from accidentally eating the products.\u003c/p>\n\u003cp>Colorado also has new packaging rules for edible marijuana products that are not possible to stamp. For example, marijuana containing sodas must come in small single-serve bottles, AP reports.\u003c/p>\n\u003cp>Marijuana legalization advocates say legalizing and regulating edible products will make them safer than when they were sold in the underground market.\u003c/p>\n\u003cp>“The imposition of sensible regulations on the cannabis industry, coupled with better public safety information and greater consumer responsibility and accountability, are the best strategies to address cannabis-specific health concerns due to the inadvertent ingestion or over-ingestion of edible products,” said Paul Armentano, deputy director of NORML, a marijuana legalization advocacy group based in Washington, D.C.\u003c/p>\n\u003cp>For those using marijuana for medical purposes, edible products can also be problematic.\u003c/p>\n\u003cp>\"I think edible marijuana is one of the least desirable ways to use the product,\" said Dr. Laurie Vollen, a medical marijuana specialist at Naturally Healing MD in Albany, CA. \"It is much more difficult to titrate, the THC is metabolized into a more sedating, longer acting and more psychoactive metabolite than regular THC, and it is where people get into trouble.\"\u003c/p>\n\u003cp>For patients who prefer an edible form of marijuana, she recommends tinctures or pills.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I hope California figures out how to prevent … mishaps,\" she said. \"As a physician, I don't recommend any kind of candy, cookie, or sweet with cannabis. Sweets are not healthy to begin with.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/243273/as-california-considers-marijuana-legalization-concerns-linger-over-labeling-edible-products","authors":["11105"],"categories":["stateofhealth_14"],"tags":["stateofhealth_2722","stateofhealth_2968","stateofhealth_2840","stateofhealth_2925","stateofhealth_2808","stateofhealth_2519","stateofhealth_2960"],"featImg":"stateofhealth_243331","label":"stateofhealth"},"stateofhealth_240334":{"type":"posts","id":"stateofhealth_240334","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"240334","score":null,"sort":[1474570341000]},"guestAuthors":[],"slug":"california-should-strongly-consider-a-public-option-health-plan-insurance-commissioner-says","title":"Insurance Commissioner: California Should 'Strongly' Consider a Public Option Health Plan","publishDate":1474570341,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>With major insurers retreating from the federal health law’s marketplaces, California’s insurance commissioner said he supports a public option at the state level that could bolster competition and potentially serve as a test for the controversial idea nationwide.\u003c/p>\n\u003cp>“I think we should strongly consider a public option in California,” Insurance Commissioner Dave Jones said in a recent interview with California Healthline. “It will require a lot of careful thought and work, but I think it’s something that ought to be on the table because we continue to see this consolidation in an already consolidated health insurance market.”\u003c/p>\n\u003cp>Nationally, President Barack Obama and other prominent Democrats have revived the idea of the public option in response to insurers such as \u003ca href=\"http://www.washingtontimes.com/news/2016/aug/29/aetna-unitedhealth-pulling-out-of-obamacare-leavin/\" target=\"_blank\">Aetna Inc. and UnitedHealth Group Inc. pulling back\u003c/a> from the individual insurance market and many consumers facing double-digit rate hikes.\u003c/p>\n\u003cp>The notion of a publicly run health plan competing against private insurers in government exchanges was \u003ca href=\"http://content.healthaffairs.org/content/29/6/1117.full\" target=\"_blank\">hotly debated but ultimately dropped\u003c/a> from the Affordable Care Act when it passed in 2010.\u003c/p>\n\u003cp>Health insurers have long opposed the idea, and other critics fear it would lead to a full government-run system.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Most of the discussion surrounding a public option, however, has focused on a nationwide plan, not one emanating from a state. In July, Democratic presidential nominee Hillary Clinton said she would “pursue efforts to give Americans in every state in the country the choice of a public-option insurance plan.”\u003c/p>\n\u003cp>Jones offered few specifics on what a public option might look like in the Golden State.\u003c/p>\n\u003cp>“I don’t want to begin to prejudge it,” said Jones, an elected Democrat serving his second term as head of the state Department of Insurance, one of two insurance regulators in California. “I don’t know whether you would start in certain areas of the state and expand from there. I think there would be significant reservations about the state running it. There would be a wide variety of governance models you could come up with.”\u003c/p>\n\u003cp>Politically, the proposal may gain more traction in Sacramento than Washington with Democrats firmly in control of the state Legislature and many lawmakers eager to go beyond the boundaries of the federal health law. Depending on what form it took, a public option would require state legislation, some type of federal approval and some source of funding.\u003c/p>\n\u003cp>The idea of a California-style public option drew mixed reaction. Some consumer groups say they welcome another run at the public option after a disappointing outcome in 2010.\u003c/p>\n\u003cp>“We’re certainly very interested,” said Anthony Wright, executive director of Health Access California. “This is something we advocated for in its most ambitious form during the debate over health reform and there are elements of the proposal that could be adapted for California.”\u003c/p>\n\u003cp>Some health-policy experts questioned whether the proposal would backfire, ultimately reducing competition.\u003c/p>\n\u003cp>“I don’t know what would compel other insurers to stay in the market, so the public option could quickly become the only option,” said Katherine Hempstead, who directs the Robert Wood Johnson Foundation’s work on health insurance coverage. “I think that is only a clear win when the alternative is nothing.”\u003c/p>\n\u003cp>State Sen. Ed Hernandez (D-West Covina), chairman of the Senate Health Committee, said a public option could make sense in some underserved areas. But he said it may not address the problem of large health systems dictating high prices, and it could interfere with the progress made by the Covered California insurance exchange.\u003c/p>\n\u003cp>Covered California said 7.4 percent of its 1.4 million enrollees will only have two health plans to choose from for 2017. The state’s biggest markets of Los Angeles, San Francisco and Orange County all feature six to seven insurers.\u003c/p>\n\u003cp>“I don’t know if a public option will create a lower price [for] the consumer,” Hernandez said. “Covered California has done a good job of keeping rates fairly stable and it has enough plans.”\u003c/p>\n\u003cp>Health insurers agreed. “Covered California has arguably one of the strongest and most stable exchanges in the country. There is robust consumer choice so we don’t think we need to mess with something that isn’t broken,” said Nicole Evans, a spokeswoman for the California Association of Health Plans, a trade group.\u003c/p>\n\u003cp>For years, Jones has criticized the lack of competition in Covered California, and more recently he has opposed the mergers proposed by industry giants Anthem Inc. and Aetna Inc., saying they’re anticompetitive.\u003c/p>\n\u003cp>Anthem wants to acquire Cigna, while Aetna is trying to merge with Humana, but the U.S. Justice Department has sued to block both deals.\u003c/p>\n\u003cp>Covered California has fared better than many states in terms of insurer competition. Eleven health plans are participating in the state-run exchange for 2017, but UnitedHealth is dropping out after just one year in California’s individual market.\u003c/p>\n\u003cp>Consumer advocates had hoped UnitedHealth would become a strong rival to the state’s four largest insurers. Anthem, Blue Shield of California, Kaiser Permanente and Health Net (now a unit of Centene) account for 90 percent of the state’s exchange enrollment.\u003c/p>\n\u003cp>After modest 4 percent rate increases in 2015 and 2016, Covered California premiums are set to climb by 13.2 percent on average next year.\u003c/p>\n\u003cp>Jones said he anticipates that critics will cite the \u003ca href=\"http://www.npr.org/sections/health-shots/2015/11/26/456220743/many-health-co-ops-fold-others-survive-startup-struggles\" target=\"_blank\">failure of numerous co-ops across the country\u003c/a>as evidence a public option won’t work. But he said that criticism is unjustified because the Republican-led Congress eliminated crucial funding that many of the co-ops were depending on.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The co-ops are nonprofit insurers backed with federal loans and designed as an alternative to commercial health plans.\u003c/p>\n\n","blocks":[],"excerpt":"The notion of a publicly run health plan competing against private insurers in government exchanges was hotly debated but ultimately dropped from the Affordable Care Act.","status":"publish","parent":0,"modified":1474572234,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":992},"headData":{"title":"Insurance Commissioner: California Should 'Strongly' Consider a Public Option Health Plan | KQED","description":"The notion of a publicly run health plan competing against private insurers in government exchanges was hotly debated but ultimately dropped from the Affordable Care Act.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"240334 http://ww2.kqed.org/stateofhealth/?p=240334","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/09/22/california-should-strongly-consider-a-public-option-health-plan-insurance-commissioner-says/","disqusTitle":"Insurance Commissioner: California Should 'Strongly' Consider a Public Option Health Plan","nprByline":"\u003cstrong>Chad Terhune\u003cbr />\u003ca href=\"http://californiahealthline.org\"/> California Healthline\u003c/a>\u003c/strong>","path":"/stateofhealth/240334/california-should-strongly-consider-a-public-option-health-plan-insurance-commissioner-says","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>With major insurers retreating from the federal health law’s marketplaces, California’s insurance commissioner said he supports a public option at the state level that could bolster competition and potentially serve as a test for the controversial idea nationwide.\u003c/p>\n\u003cp>“I think we should strongly consider a public option in California,” Insurance Commissioner Dave Jones said in a recent interview with California Healthline. “It will require a lot of careful thought and work, but I think it’s something that ought to be on the table because we continue to see this consolidation in an already consolidated health insurance market.”\u003c/p>\n\u003cp>Nationally, President Barack Obama and other prominent Democrats have revived the idea of the public option in response to insurers such as \u003ca href=\"http://www.washingtontimes.com/news/2016/aug/29/aetna-unitedhealth-pulling-out-of-obamacare-leavin/\" target=\"_blank\">Aetna Inc. and UnitedHealth Group Inc. pulling back\u003c/a> from the individual insurance market and many consumers facing double-digit rate hikes.\u003c/p>\n\u003cp>The notion of a publicly run health plan competing against private insurers in government exchanges was \u003ca href=\"http://content.healthaffairs.org/content/29/6/1117.full\" target=\"_blank\">hotly debated but ultimately dropped\u003c/a> from the Affordable Care Act when it passed in 2010.\u003c/p>\n\u003cp>Health insurers have long opposed the idea, and other critics fear it would lead to a full government-run system.\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>Most of the discussion surrounding a public option, however, has focused on a nationwide plan, not one emanating from a state. In July, Democratic presidential nominee Hillary Clinton said she would “pursue efforts to give Americans in every state in the country the choice of a public-option insurance plan.”\u003c/p>\n\u003cp>Jones offered few specifics on what a public option might look like in the Golden State.\u003c/p>\n\u003cp>“I don’t want to begin to prejudge it,” said Jones, an elected Democrat serving his second term as head of the state Department of Insurance, one of two insurance regulators in California. “I don’t know whether you would start in certain areas of the state and expand from there. I think there would be significant reservations about the state running it. There would be a wide variety of governance models you could come up with.”\u003c/p>\n\u003cp>Politically, the proposal may gain more traction in Sacramento than Washington with Democrats firmly in control of the state Legislature and many lawmakers eager to go beyond the boundaries of the federal health law. Depending on what form it took, a public option would require state legislation, some type of federal approval and some source of funding.\u003c/p>\n\u003cp>The idea of a California-style public option drew mixed reaction. Some consumer groups say they welcome another run at the public option after a disappointing outcome in 2010.\u003c/p>\n\u003cp>“We’re certainly very interested,” said Anthony Wright, executive director of Health Access California. “This is something we advocated for in its most ambitious form during the debate over health reform and there are elements of the proposal that could be adapted for California.”\u003c/p>\n\u003cp>Some health-policy experts questioned whether the proposal would backfire, ultimately reducing competition.\u003c/p>\n\u003cp>“I don’t know what would compel other insurers to stay in the market, so the public option could quickly become the only option,” said Katherine Hempstead, who directs the Robert Wood Johnson Foundation’s work on health insurance coverage. “I think that is only a clear win when the alternative is nothing.”\u003c/p>\n\u003cp>State Sen. Ed Hernandez (D-West Covina), chairman of the Senate Health Committee, said a public option could make sense in some underserved areas. But he said it may not address the problem of large health systems dictating high prices, and it could interfere with the progress made by the Covered California insurance exchange.\u003c/p>\n\u003cp>Covered California said 7.4 percent of its 1.4 million enrollees will only have two health plans to choose from for 2017. The state’s biggest markets of Los Angeles, San Francisco and Orange County all feature six to seven insurers.\u003c/p>\n\u003cp>“I don’t know if a public option will create a lower price [for] the consumer,” Hernandez said. “Covered California has done a good job of keeping rates fairly stable and it has enough plans.”\u003c/p>\n\u003cp>Health insurers agreed. “Covered California has arguably one of the strongest and most stable exchanges in the country. There is robust consumer choice so we don’t think we need to mess with something that isn’t broken,” said Nicole Evans, a spokeswoman for the California Association of Health Plans, a trade group.\u003c/p>\n\u003cp>For years, Jones has criticized the lack of competition in Covered California, and more recently he has opposed the mergers proposed by industry giants Anthem Inc. and Aetna Inc., saying they’re anticompetitive.\u003c/p>\n\u003cp>Anthem wants to acquire Cigna, while Aetna is trying to merge with Humana, but the U.S. Justice Department has sued to block both deals.\u003c/p>\n\u003cp>Covered California has fared better than many states in terms of insurer competition. Eleven health plans are participating in the state-run exchange for 2017, but UnitedHealth is dropping out after just one year in California’s individual market.\u003c/p>\n\u003cp>Consumer advocates had hoped UnitedHealth would become a strong rival to the state’s four largest insurers. Anthem, Blue Shield of California, Kaiser Permanente and Health Net (now a unit of Centene) account for 90 percent of the state’s exchange enrollment.\u003c/p>\n\u003cp>After modest 4 percent rate increases in 2015 and 2016, Covered California premiums are set to climb by 13.2 percent on average next year.\u003c/p>\n\u003cp>Jones said he anticipates that critics will cite the \u003ca href=\"http://www.npr.org/sections/health-shots/2015/11/26/456220743/many-health-co-ops-fold-others-survive-startup-struggles\" target=\"_blank\">failure of numerous co-ops across the country\u003c/a>as evidence a public option won’t work. But he said that criticism is unjustified because the Republican-led Congress eliminated crucial funding that many of the co-ops were depending on.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The co-ops are nonprofit insurers backed with federal loans and designed as an alternative to commercial health plans.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/240334/california-should-strongly-consider-a-public-option-health-plan-insurance-commissioner-says","authors":["byline_stateofhealth_240334"],"categories":["stateofhealth_15"],"tags":["stateofhealth_38","stateofhealth_2722","stateofhealth_2935","stateofhealth_2808","stateofhealth_2519","stateofhealth_2934"],"featImg":"stateofhealth_240358","label":"stateofhealth"},"stateofhealth_239788":{"type":"posts","id":"stateofhealth_239788","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"239788","score":null,"sort":[1474484998000]},"guestAuthors":[],"slug":"when-a-lack-of-senior-housing-means-living-out-of-your-car","title":"When a Lack of Senior Housing Means Living Out of Your Car","publishDate":1474484998,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Marge Giaimo makes her way to a picnic table under the shadow of an oak tree. Santa Barbara's trees, like its oceans and mountains, are one thing she says she never tires of here. After losing her senior housing three years ago, this table is where she does her painting these days.\u003c/p>\n\u003cp>\"I feel very fortunate to have my car,\" Giaimo says. \"It's a little cramped, but it's softer than cement.\"\u003c/p>\n\u003cp>Of all her once-valued possessions, today her 20-year-old, gold Oldsmobile is her most important one. It is her home, and she keeps it as neat as a pin.\u003c/p>\n\u003cp>\"And then this is where I sleep,\" she says. \"I have the three pillows and I have sponges under there or foam to sleep on.\"\u003c/p>\n\u003cp>In the wealthy coastal city of Santa Barbara, north of Los Angeles, the demand for senior housing is so great the wait list is now closed. After all, California's senior population is expected to grow by 50 percent in the next decade.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>For the seniors left out in the cold, their only option is living in their cars.\u003c/p>\n\u003cp>\u003cstrong>'It's Hard To Walk Away'\u003c/strong>\u003c/p>\n\u003cp>\"It is a hidden population and a growing population,\" says Cassie Roach, who oversees Safe Parking, a city-funded program at the New Beginnings Counseling Center. \"And it is quite different from the street homeless.\"\u003c/p>\n\u003cp>Safe Parking has designated 115 parking spaces in church, county and city lots where people living in their cars — such as Giaimo — can park safely overnight.\u003c/p>\n\u003cp>Roach says many of those living in their cars have fallen upon hard times for the first time in their lives.\u003c/p>\n\u003cp>Among them is 61-year-old Lise MacFarlane. She is grateful for one of those Safe Parking spots.\u003c/p>\n\u003cp>\"I'm more comfortable sleeping now,\" MacFarlane says.\u003c/p>\n\u003cp>MacFarlane says she lost the home she grew up in last December after being evicted by the new owner.\u003c/p>\n\u003cp>\"I was sleeping in front of my house and the park,\" MacFarlane says. \"It's hard to walk away. That's it.\"\u003c/p>\n\u003cp>She shares her Toyota Highlander with her two dogs and a very large white cat named Willie.\u003c/p>\n\u003cp>\"They don't like being in the car all the time,\" MacFarlane says. \"They want to be in a home.\"\u003c/p>\n\u003cp>While most people are having dinner, MacFarlane rolls into her assigned church parking lot.\u003c/p>\n\u003cp>\"It's really hard sitting in the car watching people, watching people I know go by,\" she says, crying.\u003c/p>\n\u003cp>\u003cstrong>Safety And Support\u003c/strong>\u003c/p>\n\u003cp>The sun has gone down, but Giaimo's gold Oldsmobile is hard to miss. It's parked a few spaces away from a Honda CRV owned by 74-year-old Barbara Harvey.\u003c/p>\n\u003cp>\"We support one another very much,\" Harvey says.\u003c/p>\n\u003cp>\"She puts up with me,\" Giaimo responds.\u003c/p>\n\u003cp>\"There is no putting up with Marge, OK,\" Harvey says, laughing.\u003c/p>\n\u003cp>In this women-only lot, friendships are forged. There are seven designated spaces, and later in the evening a lot monitor stops by to check in on them.\u003c/p>\n\u003cp>By 7 a.m. they will need to be gone.\u003c/p>\n\u003cp>The sound of a trash truck heralds the morning in this parking lot. Giaimo and MacFarlane are getting ready to leave for the day.\u003c/p>\n\u003cp>\"It's dog walking time,\" Giaimo says. \"Did I drop something out my trunk?\"\u003c/p>\n\u003cp>\"I think you did,\" MacFarlane responds.\u003c/p>\n\u003cp>\"I can't find my brush. See, this is what we go through,\" Giaimo says, laughing. \"Where did I put my brush?\"\u003c/p>\n\u003cp>MacFarlane loads up her dogs as Willie the cat reluctantly makes room for them on the stacked blankets. Giaimo smiles and waves goodbye.\u003c/p>\n\u003cp>Giaimo's day continues with a shower at the Y. Then, she'll return to her picnic table.\u003c/p>\n\u003cp>The 75-year-old painter is on a wait list for senior housing in Santa Barbara. She's been told it could take another seven years.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003c/p>\n\n","blocks":[],"excerpt":"In the wealthy coastal city of Santa Barbara, north of Los Angeles, the demand for senior housing is so great the wait list is now closed. ","status":"publish","parent":0,"modified":1474505584,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":661},"headData":{"title":"When a Lack of Senior Housing Means Living Out of Your Car | KQED","description":"In the wealthy coastal city of Santa Barbara, north of Los Angeles, the demand for senior housing is so great the wait list is now closed. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"239788 http://ww2.kqed.org/stateofhealth/?p=239788","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/09/21/when-a-lack-of-senior-housing-means-living-out-of-your-car/","disqusTitle":"When a Lack of Senior Housing Means Living Out of Your Car","nprByline":"Gloria Hillard, NPR Shots","path":"/stateofhealth/239788/when-a-lack-of-senior-housing-means-living-out-of-your-car","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Marge Giaimo makes her way to a picnic table under the shadow of an oak tree. Santa Barbara's trees, like its oceans and mountains, are one thing she says she never tires of here. After losing her senior housing three years ago, this table is where she does her painting these days.\u003c/p>\n\u003cp>\"I feel very fortunate to have my car,\" Giaimo says. \"It's a little cramped, but it's softer than cement.\"\u003c/p>\n\u003cp>Of all her once-valued possessions, today her 20-year-old, gold Oldsmobile is her most important one. It is her home, and she keeps it as neat as a pin.\u003c/p>\n\u003cp>\"And then this is where I sleep,\" she says. \"I have the three pillows and I have sponges under there or foam to sleep on.\"\u003c/p>\n\u003cp>In the wealthy coastal city of Santa Barbara, north of Los Angeles, the demand for senior housing is so great the wait list is now closed. After all, California's senior population is expected to grow by 50 percent in the next decade.\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>For the seniors left out in the cold, their only option is living in their cars.\u003c/p>\n\u003cp>\u003cstrong>'It's Hard To Walk Away'\u003c/strong>\u003c/p>\n\u003cp>\"It is a hidden population and a growing population,\" says Cassie Roach, who oversees Safe Parking, a city-funded program at the New Beginnings Counseling Center. \"And it is quite different from the street homeless.\"\u003c/p>\n\u003cp>Safe Parking has designated 115 parking spaces in church, county and city lots where people living in their cars — such as Giaimo — can park safely overnight.\u003c/p>\n\u003cp>Roach says many of those living in their cars have fallen upon hard times for the first time in their lives.\u003c/p>\n\u003cp>Among them is 61-year-old Lise MacFarlane. She is grateful for one of those Safe Parking spots.\u003c/p>\n\u003cp>\"I'm more comfortable sleeping now,\" MacFarlane says.\u003c/p>\n\u003cp>MacFarlane says she lost the home she grew up in last December after being evicted by the new owner.\u003c/p>\n\u003cp>\"I was sleeping in front of my house and the park,\" MacFarlane says. \"It's hard to walk away. That's it.\"\u003c/p>\n\u003cp>She shares her Toyota Highlander with her two dogs and a very large white cat named Willie.\u003c/p>\n\u003cp>\"They don't like being in the car all the time,\" MacFarlane says. \"They want to be in a home.\"\u003c/p>\n\u003cp>While most people are having dinner, MacFarlane rolls into her assigned church parking lot.\u003c/p>\n\u003cp>\"It's really hard sitting in the car watching people, watching people I know go by,\" she says, crying.\u003c/p>\n\u003cp>\u003cstrong>Safety And Support\u003c/strong>\u003c/p>\n\u003cp>The sun has gone down, but Giaimo's gold Oldsmobile is hard to miss. It's parked a few spaces away from a Honda CRV owned by 74-year-old Barbara Harvey.\u003c/p>\n\u003cp>\"We support one another very much,\" Harvey says.\u003c/p>\n\u003cp>\"She puts up with me,\" Giaimo responds.\u003c/p>\n\u003cp>\"There is no putting up with Marge, OK,\" Harvey says, laughing.\u003c/p>\n\u003cp>In this women-only lot, friendships are forged. There are seven designated spaces, and later in the evening a lot monitor stops by to check in on them.\u003c/p>\n\u003cp>By 7 a.m. they will need to be gone.\u003c/p>\n\u003cp>The sound of a trash truck heralds the morning in this parking lot. Giaimo and MacFarlane are getting ready to leave for the day.\u003c/p>\n\u003cp>\"It's dog walking time,\" Giaimo says. \"Did I drop something out my trunk?\"\u003c/p>\n\u003cp>\"I think you did,\" MacFarlane responds.\u003c/p>\n\u003cp>\"I can't find my brush. See, this is what we go through,\" Giaimo says, laughing. \"Where did I put my brush?\"\u003c/p>\n\u003cp>MacFarlane loads up her dogs as Willie the cat reluctantly makes room for them on the stacked blankets. Giaimo smiles and waves goodbye.\u003c/p>\n\u003cp>Giaimo's day continues with a shower at the Y. Then, she'll return to her picnic table.\u003c/p>\n\u003cp>The 75-year-old painter is on a wait list for senior housing in Santa Barbara. She's been told it could take another seven years.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2016 NPR. To see more, visit http://www.npr.org/.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/239788/when-a-lack-of-senior-housing-means-living-out-of-your-car","authors":["byline_stateofhealth_239788"],"categories":["stateofhealth_11"],"tags":["stateofhealth_2722","stateofhealth_2808","stateofhealth_2928","stateofhealth_2519","stateofhealth_2929"],"featImg":"stateofhealth_239851","label":"stateofhealth"},"stateofhealth_236779":{"type":"posts","id":"stateofhealth_236779","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"236779","score":null,"sort":[1473785035000]},"guestAuthors":[],"slug":"california-could-soon-legalize-marijuana-but-pots-brain-effects-remain-a-mystery","title":"California Could Soon Legalize Marijuana But Pot’s Brain Effects Remain a Mystery","publishDate":1473785035,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cdiv id=\"storytext\" class=\"storytext storylocation linkLocation\">\n\u003cp>Five states are voting this fall on whether marijuana should be legal, like alcohol, for recreational use. That has sparked questions about what we know — and don't know — about marijuana's effect on the brain.\u003c/p>\n\u003cp>Research is scarce. The U.S. Drug Enforcement Agency classifies marijuana as a \u003ca href=\"https://www.dea.gov/druginfo/ds.shtml\">Schedule I drug\u003c/a>. That classification puts up barriers to conducting research on it, including a cumbersome \u003ca href=\"http://www.deadiversion.usdoj.gov/21cfr/cfr/1301/1301_18.htm\">DEA approval\u003c/a> application and a requirement that scientists \u003ca href=\"http://grants.nih.gov/grants/guide/notice-files/not99-091.html\">procure\u003c/a> very specific marijuana plants.\u003c/p>\n\u003cp>One long-term study in New Zealand compared the IQs of people at age 13 and then through adolescence and adulthood to age 38. Those who used pot heavily from adolescence onward showed an average 8 percent drop in IQ. People who never smoked, by contrast, showed slightly increased IQ.\u003c/p>\n\u003cp>Critics pounced on \u003ca href=\"http://www.pnas.org/content/109/40/E2657.full.pdf\">the study\u003c/a>, which was published in 2012, because it didn't adjust for many other things that affect IQ such as home life or family income. And there's no proof the IQ differences are due to pot.\u003c/p>\n\u003cp>One of those critics, \u003ca href=\"http://domstat.med.ucla.edu/pages/nicholas-jackson\">Nicholas Jackson\u003c/a>, now a senior statistician at the University of California, Los Angeles, wondered what would happen if he could rule out some of those elements by comparing twins.\u003c/p>\n\u003cp>\"Individuals that share the same genes, grew up in the same household, where the difference between them was that one of the twins was using marijuana and one was not,\" Jackson says.\u003c/p>\n\u003cp>Jackson and \u003ca href=\"https://www.researchgate.net/profile/Joshua_Isen\">Joshua Isen\u003c/a>, now an assistant professor of psychology at the University of South Alabama, conducted \u003ca href=\"http://www.pnas.org/content/113/5/E500.abstract\">a study\u003c/a> comparing IQ tests of twins age 9 to 12, before either had smoked marijuana, and then seven to 10 years later, after one had started.\u003c/p>\n\u003cp>\"If marijuana was causing IQ decline, what we would expect to see is that the twin who goes on and uses marijuana should have IQ deficits,\" Jackson says. \"We don't find that.\"\u003c/p>\n\u003cp>IQ scores for both twins varied slightly over time. And for twins who smoked marijuana, there was no significant difference in effect between daily and occasional use. So was the New Zealand finding wrong? The authors did not comment for this story, but have said that the twins study of teenagers does not address the effects of decades of heavy marijuana use.\u003c/p>\n\u003cp>Marijuana seems to affect a particular kind of intelligence, like short term retention of vocabulary words and other information that you might learn in school, says \u003ca href=\"http://www.albany.edu/psychology/20874.php\">Mitch Earleywine\u003c/a>, a professor of psychology at the University of Albany.\u003c/p>\n\u003cp>\"They haven't learned a whole lot of vocabulary words or they never learned the capital of Maine because they were high at school that day,\" he says. \"But when it comes to things that are more liquid intelligence, more fluid intelligence, they're usually pretty good at those because it requires just intelligence in the moment, so to speak.\"\u003c/p>\n\u003cp>It's not clear how marijuana use may keep Augusta from being filed next to \"capital of Maine\" in the brain. Some studies that \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3930618/\">compare brain scans\u003c/a> of teenagers who use marijuana to those who don't show thinner, less dense connections between lobes. \u003ca href=\"https://www.drugabuse.gov/about-nida/directors-page/biography-dr-nora-volkow\">Nora Volkow\u003c/a>, director of the National Institute on Drug Abuse, says brains with less connectivity don't work as well as they should.\u003c/p>\n\u003cp>\"You could expect that that will decrease your capacity to memorize things and to learn them which is necessary to you to actually further develop your cognitive abilities,\" she says.\u003c/p>\n\u003cp>Volkow says there's little proof that marijuana causes poor brain connections. Studies so far have not compared brains before and after pot. Maybe kids who are already having trouble in school are more likely to try marijuana. Still, she is convinced that marijuana is bad for the brains of adults who began smoking in their youth.\u003c/p>\n\u003cp>People who regularly smoked marijuana as teens, \"are achieving much less both in their education as well as their profession as well as their economic earnings,\" Volkow says. \"They also tend to be much more dissatisfied with life. Many studies have shown that.\"\u003c/p>\n\u003cp>NIDA is one of several agencies behind a major study that will map the effects of marijuana and other substances on brain development. The Adolescent Brain and Cognitive Development Study (ABCD) will follow 10,000 9- to 10- year-olds through early adulthood, using neuroimaging to map changes in the brain.\u003c/p>\n\u003cp>But as of now, the research suggests if you don't start young and don't use marijuana often, there's not much evidence of permanent harm to the brain. That's led some experts in marijuana brain science to say it might be OK to make pot legal, with strong oversight. That includes \u003ca href=\"http://drkevinhill.com/three-big-reasons-marijuana-is-misunderstood/\">Kevin Hill,\u003c/a> an assistant professor of psychiatry at Harvard Medical School.\u003c/p>\n\u003cp>\"I'm not sure how I would vote [on the Massachusetts ballot question] at this point. I want to see sensible marijuana policy that works, that gives people what they want while limiting risk,\" says Hill, who wrote \u003ca href=\"https://www.amazon.com/Marijuana-Unbiased-Truth-World%C2%92s-Popular/dp/1616495596\">Marijuana: The Unbiased Truth about the World's Most Popular Weed\u003c/a>.\u003c/p>\n\u003cp>Massachusetts is one of five states, including Arizona, California, Maine and Nevada, that will vote in November on legalizing recreational marijuana.\u003c/p>\n\u003cp>Hill would like to see stronger regulation of marijuana if it becomes legal, with limits on advertising and of edible products that attract children, as well as a higher rate of taxation than the proposed 12 percent. If Massachusetts approves marijuana for recreational use, it would not be legal for anyone under age 21, when most, but not all, brain development occurs.\u003c/p>\n\u003cp>\u003cem>This story is part of a reporting partnership with NPR, WBUR and \u003c/em>\u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a>.\u003c/p>\n\u003c/div>\n\u003cdiv class=\"tags\">\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":"The U.S. Drug Enforcement Agency's classification of Marijuana puts up barriers to conducting research on it.","status":"publish","parent":0,"modified":1473788862,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":23,"wordCount":937},"headData":{"title":"California Could Soon Legalize Marijuana But Pot’s Brain Effects Remain a Mystery | KQED","description":"The U.S. Drug Enforcement Agency's classification of Marijuana puts up barriers to conducting research on it.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"236779 http://ww2.kqed.org/stateofhealth/?p=236779","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/09/13/california-could-soon-legalize-marijuana-but-pots-brain-effects-remain-a-mystery/","disqusTitle":"California Could Soon Legalize Marijuana But Pot’s Brain Effects Remain a Mystery","nprByline":"Martha Bebinger \u003cbr />\u003ca href=\"http://www.npr.org/sections/health-shots/\">NPR Shots\u003c/a>","path":"/stateofhealth/236779/california-could-soon-legalize-marijuana-but-pots-brain-effects-remain-a-mystery","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cdiv id=\"storytext\" class=\"storytext storylocation linkLocation\">\n\u003cp>Five states are voting this fall on whether marijuana should be legal, like alcohol, for recreational use. That has sparked questions about what we know — and don't know — about marijuana's effect on the brain.\u003c/p>\n\u003cp>Research is scarce. The U.S. Drug Enforcement Agency classifies marijuana as a \u003ca href=\"https://www.dea.gov/druginfo/ds.shtml\">Schedule I drug\u003c/a>. That classification puts up barriers to conducting research on it, including a cumbersome \u003ca href=\"http://www.deadiversion.usdoj.gov/21cfr/cfr/1301/1301_18.htm\">DEA approval\u003c/a> application and a requirement that scientists \u003ca href=\"http://grants.nih.gov/grants/guide/notice-files/not99-091.html\">procure\u003c/a> very specific marijuana plants.\u003c/p>\n\u003cp>One long-term study in New Zealand compared the IQs of people at age 13 and then through adolescence and adulthood to age 38. Those who used pot heavily from adolescence onward showed an average 8 percent drop in IQ. People who never smoked, by contrast, showed slightly increased IQ.\u003c/p>\n\u003cp>Critics pounced on \u003ca href=\"http://www.pnas.org/content/109/40/E2657.full.pdf\">the study\u003c/a>, which was published in 2012, because it didn't adjust for many other things that affect IQ such as home life or family income. And there's no proof the IQ differences are due to pot.\u003c/p>\n\u003cp>One of those critics, \u003ca href=\"http://domstat.med.ucla.edu/pages/nicholas-jackson\">Nicholas Jackson\u003c/a>, now a senior statistician at the University of California, Los Angeles, wondered what would happen if he could rule out some of those elements by comparing twins.\u003c/p>\n\u003cp>\"Individuals that share the same genes, grew up in the same household, where the difference between them was that one of the twins was using marijuana and one was not,\" Jackson says.\u003c/p>\n\u003cp>Jackson and \u003ca href=\"https://www.researchgate.net/profile/Joshua_Isen\">Joshua Isen\u003c/a>, now an assistant professor of psychology at the University of South Alabama, conducted \u003ca href=\"http://www.pnas.org/content/113/5/E500.abstract\">a study\u003c/a> comparing IQ tests of twins age 9 to 12, before either had smoked marijuana, and then seven to 10 years later, after one had started.\u003c/p>\n\u003cp>\"If marijuana was causing IQ decline, what we would expect to see is that the twin who goes on and uses marijuana should have IQ deficits,\" Jackson says. \"We don't find that.\"\u003c/p>\n\u003cp>IQ scores for both twins varied slightly over time. And for twins who smoked marijuana, there was no significant difference in effect between daily and occasional use. So was the New Zealand finding wrong? The authors did not comment for this story, but have said that the twins study of teenagers does not address the effects of decades of heavy marijuana use.\u003c/p>\n\u003cp>Marijuana seems to affect a particular kind of intelligence, like short term retention of vocabulary words and other information that you might learn in school, says \u003ca href=\"http://www.albany.edu/psychology/20874.php\">Mitch Earleywine\u003c/a>, a professor of psychology at the University of Albany.\u003c/p>\n\u003cp>\"They haven't learned a whole lot of vocabulary words or they never learned the capital of Maine because they were high at school that day,\" he says. \"But when it comes to things that are more liquid intelligence, more fluid intelligence, they're usually pretty good at those because it requires just intelligence in the moment, so to speak.\"\u003c/p>\n\u003cp>It's not clear how marijuana use may keep Augusta from being filed next to \"capital of Maine\" in the brain. Some studies that \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3930618/\">compare brain scans\u003c/a> of teenagers who use marijuana to those who don't show thinner, less dense connections between lobes. \u003ca href=\"https://www.drugabuse.gov/about-nida/directors-page/biography-dr-nora-volkow\">Nora Volkow\u003c/a>, director of the National Institute on Drug Abuse, says brains with less connectivity don't work as well as they should.\u003c/p>\n\u003cp>\"You could expect that that will decrease your capacity to memorize things and to learn them which is necessary to you to actually further develop your cognitive abilities,\" she says.\u003c/p>\n\u003cp>Volkow says there's little proof that marijuana causes poor brain connections. Studies so far have not compared brains before and after pot. Maybe kids who are already having trouble in school are more likely to try marijuana. Still, she is convinced that marijuana is bad for the brains of adults who began smoking in their youth.\u003c/p>\n\u003cp>People who regularly smoked marijuana as teens, \"are achieving much less both in their education as well as their profession as well as their economic earnings,\" Volkow says. \"They also tend to be much more dissatisfied with life. Many studies have shown that.\"\u003c/p>\n\u003cp>NIDA is one of several agencies behind a major study that will map the effects of marijuana and other substances on brain development. The Adolescent Brain and Cognitive Development Study (ABCD) will follow 10,000 9- to 10- year-olds through early adulthood, using neuroimaging to map changes in the brain.\u003c/p>\n\u003cp>But as of now, the research suggests if you don't start young and don't use marijuana often, there's not much evidence of permanent harm to the brain. That's led some experts in marijuana brain science to say it might be OK to make pot legal, with strong oversight. That includes \u003ca href=\"http://drkevinhill.com/three-big-reasons-marijuana-is-misunderstood/\">Kevin Hill,\u003c/a> an assistant professor of psychiatry at Harvard Medical School.\u003c/p>\n\u003cp>\"I'm not sure how I would vote [on the Massachusetts ballot question] at this point. I want to see sensible marijuana policy that works, that gives people what they want while limiting risk,\" says Hill, who wrote \u003ca href=\"https://www.amazon.com/Marijuana-Unbiased-Truth-World%C2%92s-Popular/dp/1616495596\">Marijuana: The Unbiased Truth about the World's Most Popular Weed\u003c/a>.\u003c/p>\n\u003cp>Massachusetts is one of five states, including Arizona, California, Maine and Nevada, that will vote in November on legalizing recreational marijuana.\u003c/p>\n\u003cp>Hill would like to see stronger regulation of marijuana if it becomes legal, with limits on advertising and of edible products that attract children, as well as a higher rate of taxation than the proposed 12 percent. If Massachusetts approves marijuana for recreational use, it would not be legal for anyone under age 21, when most, but not all, brain development occurs.\u003c/p>\n\u003cp>\u003cem>This story is part of a reporting partnership with NPR, WBUR and \u003c/em>\u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a>.\u003c/p>\n\u003c/div>\n\u003cdiv class=\"tags\">\u003c/div>\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":"/stateofhealth/236779/california-could-soon-legalize-marijuana-but-pots-brain-effects-remain-a-mystery","authors":["byline_stateofhealth_236779"],"categories":["stateofhealth_166"],"tags":["stateofhealth_2902","stateofhealth_2722","stateofhealth_2808","stateofhealth_2907","stateofhealth_2906","stateofhealth_2901","stateofhealth_2622","stateofhealth_2519","stateofhealth_2898"],"featImg":"stateofhealth_236793","label":"stateofhealth"},"stateofhealth_171411":{"type":"posts","id":"stateofhealth_171411","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"171411","score":null,"sort":[1460405156000]},"guestAuthors":[],"slug":"gov-brown-signs-bill-increasing-paid-family-leave-benefits","title":"Gov. Brown Signs Bill Increasing Paid Family Leave Benefits","publishDate":1460405156,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Gov. Jerry Brown signed a bill \u003cspan class=\"aBn\">\u003cspan class=\"aQJ\">Monday\u003c/span>\u003c/span> that increases the amount of pay employers must give workers who take time off to care for their family.\u003c/p>\n\u003cp>Brown said he wants to create a \"more decent and empathetic kind of community.\"\u003c/p>\n\u003cp>Californians can take up to six weeks off work to bond with a new child or care for sick family members and receive 55 percent of their wages.\u003c/p>\n\u003cp>The measure increases the pay to 60 percent of wages starting in 2018 and creates a new classification for low-income workers to receive 70 percent of their pay.\u003c/p>\n\u003cp>There was little opposition voiced in the state Legislature. Last week Brown signed legislation boosting California's minimum wage to $15 an hour by 2022.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>San Francisco recently approved full pay during family leave and New York state extended partial pay from six weeks to 12.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n","blocks":[],"excerpt":"The measure increases the pay to 60 percent of wages starting in 2018 and allows low-income workers to receive 70 percent of their pay.","status":"publish","parent":0,"modified":1460408214,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":8,"wordCount":146},"headData":{"title":"Gov. Brown Signs Bill Increasing Paid Family Leave Benefits | KQED","description":"The measure increases the pay to 60 percent of wages starting in 2018 and allows low-income workers to receive 70 percent of their pay.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"171411 http://ww2.kqed.org/stateofhealth/?p=171411","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/04/11/gov-brown-signs-bill-increasing-paid-family-leave-benefits/","disqusTitle":"Gov. Brown Signs Bill Increasing Paid Family Leave Benefits","nprByline":"Associated Press","path":"/stateofhealth/171411/gov-brown-signs-bill-increasing-paid-family-leave-benefits","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Jerry Brown signed a bill \u003cspan class=\"aBn\">\u003cspan class=\"aQJ\">Monday\u003c/span>\u003c/span> that increases the amount of pay employers must give workers who take time off to care for their family.\u003c/p>\n\u003cp>Brown said he wants to create a \"more decent and empathetic kind of community.\"\u003c/p>\n\u003cp>Californians can take up to six weeks off work to bond with a new child or care for sick family members and receive 55 percent of their wages.\u003c/p>\n\u003cp>The measure increases the pay to 60 percent of wages starting in 2018 and creates a new classification for low-income workers to receive 70 percent of their pay.\u003c/p>\n\u003cp>There was little opposition voiced in the state Legislature. Last week Brown signed legislation boosting California's minimum wage to $15 an hour by 2022.\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>San Francisco recently approved full pay during family leave and New York state extended partial pay from six weeks to 12.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/171411/gov-brown-signs-bill-increasing-paid-family-leave-benefits","authors":["byline_stateofhealth_171411"],"categories":["stateofhealth_14"],"tags":["stateofhealth_2637","stateofhealth_2722","stateofhealth_2519"],"featImg":"stateofhealth_171412","label":"stateofhealth"},"stateofhealth_171345":{"type":"posts","id":"stateofhealth_171345","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"171345","score":null,"sort":[1460395988000]},"guestAuthors":[],"slug":"california-lawmakers-reviewing-proposal-to-speed-hospital-admissions-for-patients-in-pscyhiatric-crisis","title":"California's Dire Shortage of Hospital Beds for Patients in Psychiatric Crisis","publishDate":1460395988,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>When \u003ca href=\"http://californiahealthline.org/news/saving-amanda-one-familys-struggle-to-deal-with-a-daughters-mental-illness/\" target=\"_blank\">Pam Lipp’s 18-year-old daughter Amanda\u003c/a> needed to be admitted to a psychiatric hospital in 2010, she thought it would be easy to find her a bed.\u003c/p>\n\u003cp>Instead, Lipp says, “It was a nightmare.”\u003c/p>\n\u003caside class=\"pullquote alignright\">'If I hadn’t done what I did, our daughter would most likely have been discharged, back on the street with nowhere to go.'\u003cbr>\n\u003ccite> Pam Lipp\u003c/cite>\u003c/aside>\n\u003cp>Her daughter had been admitted to a psychiatric crisis center during an episode of psychosis but she could only stay there for 72 hours. Lipp asked the crisis center for help finding her a bed and was told she was on her own.\u003c/p>\n\u003cp>So Lipp plugged her phone into the wall in the waiting room and started calling one hospital after the next. They were all full. They wouldn’t reserve a spot when a bed opened, nor would they call to let her know. So she called each one every half hour to check. After eight hours, she found her daughter an open bed near their home in Fair Oaks, California.\u003c/p>\n\u003cp>Usually, it’s an emergency room staff or medical providers making such calls, rather than a patient or caregiver. The result, however, is the same: Finding an available inpatient psychiatric bed in the state of California can be extremely difficult. Many patients with acute psychiatric conditions spend days \u003ca href=\"http://www.npr.org/2011/04/13/135351760/mentally-ill-languish-in-hospital-emergency-rooms\" target=\"_blank\">deteriorating in hospital emergency departments\u003c/a> while they wait.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But how exactly to solve the problem has become a controversy in Sacramento.\u003c/p>\n\u003cp>\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB2743\" target=\"_blank\">An Assembly bill \u003c/a>backed by the California Psychiatric Association and the Steinberg Institute, a mental health policy organization, seeks to improve the process by establishing an online registry to collect and display information to help medical providers find psychiatric beds. But the California Hospital Association is staunchly opposed, saying that finding the right placement for a patient is much more complex than identifying an empty bed, and a registry could actually hinder efforts to get patients appropriate treatment.\u003c/p>\n\u003cp>The Assembly’s Committee on Health plans to hold the first hearing on the bill on April 12.\u003c/p>\n\u003cp>[contextly_sidebar id=\"3DVVdSD0eUzVhPbKvw2SFfjlfM0rBqT8\"]Under the proposed legislation, AB2743, facilities with psychiatric beds would be required to update the registry as the beds became available, and emergency medical providers would be able to log on to search for openings.\u003c/p>\n\u003cp>“A bed registry would eliminate the need for rounds and rounds of calls over hours and hours. Why not just cut that time out and go straight to the source?” asks Anna Hasselblad, public policy director at the Steinberg Institute.\u003c/p>\n\u003cp>California is facing a serious shortage of psychiatric beds, said Randall Hagar, director of government affairs for the California Psychiatric Association. As of 2013, there were 6,680 beds in the state — about 17 per 100,000 residents, according to a \u003ca href=\"http://www.calhospital.org/sites/main/files/file-attachments/6_-_psychbeddata.pdf\" target=\"_blank\">report from the hospital association\u003c/a>. Psychiatric experts recommend a minimum of 50 beds per 100,000. In 25 counties in the state, there were no psychiatric beds at all.\u003c/p>\n\u003cp>Adding beds is a long-term goal for many mental health advocates, but it’s a huge task that could take years.\u003c/p>\n\u003cp>“We have to use the beds we do have and we have to know where they are. It can be a hit or miss process. It needs to be more reliable,” said Hagar. “We’ve heard instances where people were told there were no beds when in fact it turns out later that there were. An online registry would fix that issue.”\u003c/p>\n\u003cp>It would also provide data on exactly what types of additional beds are needed and where, he said.\u003c/p>\n\u003cp>The hospital association is not convinced it would work.\u003c/p>\n\u003cp>“On first blush, if you are not in the trenches, it seems like the best and easiest solution in the entire world. But the reality is that the bill will really increase the amount of time and the frustration people have trying to locate psychiatric acute-levels of care in our state,” said Sheree Lowe, the hospital association’s vice president of behavioral health.\u003c/p>\n\u003cp>Beyond finding an open bed, staffers must also factor in the age, gender, illness and acuity of the patient.\u003c/p>\n\u003cp>“You have to take under consideration your staffing needs, the needs of the other patients, and the therapeutic milieu for the safety of all patients and all staff. And that’s not something you can put into a drop-down menu,” said Lowe.\u003c/p>\n\u003cp>Requiring hospital staffers to report all those changing dynamics in an online registry, she added, would be yet another administrative burden that could cut into hands-on patient care.\u003c/p>\n\u003cp>\u003ca href=\"http://www.calhospital.org/sites/main/files/file-attachments/6_-_psychbeddata.pdf\" target=\"_blank\">Many states \u003c/a>have some sort of computerized tracking system for psychiatric beds, but few are mandatory. Lowe points to a recent effort in Virginia to create a mandatory registry similar to the one being proposed in California as evidence that they don’t work.\u003c/p>\n\u003cp>In January, the \u003ca href=\"https://osig.virginia.gov/media/5277/2016-bhds-001-acute-psychiatric-and-community-services-board-bed-registry.pdf\" target=\"_blank\">Virginia state inspector general reported \u003c/a>that more than half of users of the online registry said it takes longer to find a bed for a patient than it did before the registry was established, in part because hospitals were not accurately updating information about their beds.\u003c/p>\n\u003cp>Hasselblad of the Steinberg Institute, however, said the issues with the Virginia system “is a little bit of a self-fulfilling prophesy. We have to get the buy-in from the people who will be updating the registry, because if you don’t believe it’s going to be useful to you, it’s not going to be useful to you.”\u003c/p>\n\u003cp>One solution, she said, would be to include a fine in the bill for hospitals that do not keep the registry updated. “Hospitals aren’t going to do this unless they’re absolutely mandated to.”\u003c/p>\n\u003cp>Despite the opposition of the hospital association, the emergency room doctors who staff their facilities are generally supportive of the bill. Holding psychiatric patients for days in the emergency department is “a worst case scenario for everyone involved,” said Elena Lopez-Gusman, executive director of the California chapter of the American College of Emergency Physicians.\u003c/p>\n\u003cp>And she said the hospitals with psychiatric beds may be making the problem worse by trying to reserve beds for patients with private insurance.\u003c/p>\n\u003cp>“Our physician members have reported a significant level of difficulty in getting what they feel is an accurate assessment of bed availability,” said Lopez-Gusman. “They might call the same facility in a short time for two different patients with different types of insurance, and get different answers on whether or not there’s a bed available. So our thought is that more transparency reduces the hospitals’ ability to hide available beds.”\u003c/p>\n\u003cp>Lowe of the hospital association denies that psychiatric hospitals are holding beds, which would be a violation of federal law.\u003c/p>\n\u003cp>Assemblymember Susan Talamantes Eggman, the Stockton Democrat who wrote the bill, said she believes the bill has a good chance of passing.\u003c/p>\n\u003cp>“We are very hopeful. There’s a good coalition, and everyone is talking about mental health these days,” she said. “This is a practical, small step we can take. It’s hard to argue against it.”\u003c/p>\n\u003cp>Pam Lipp, who struggled to find a bed for her daughter, said the idea of establishing a registry is “absolutely phenomenal.”\u003c/p>\n\u003cp>“Our situation is exactly the kind of situation that hopefully this bill will help,” she said.\u003c/p>\n\u003cp>“If I hadn’t done what I did, our daughter would most likely have been discharged, back on the street with nowhere to go, and we would have just repeated the cycle again. Maybe she wouldn’t have survived.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"http://khn.org/\">Kaiser Health News\u003c/a>, an editorially independent program of the \u003ca href=\"http://kff.org\" target=\"_blank\">Kaiser Family Foundation.\u003c/a>\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"A mandatory online registry would help doctors find open beds, but the hospital industry opposes it.","status":"publish","parent":0,"modified":1460578286,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":1323},"headData":{"title":"California's Dire Shortage of Hospital Beds for Patients in Psychiatric Crisis | KQED","description":"A mandatory online registry would help doctors find open beds, but the hospital industry opposes it.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"171345 http://ww2.kqed.org/stateofhealth/?p=171345","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/04/11/california-lawmakers-reviewing-proposal-to-speed-hospital-admissions-for-patients-in-pscyhiatric-crisis/","disqusTitle":"California's Dire Shortage of Hospital Beds for Patients in Psychiatric Crisis","nprByline":"Jenny Gold\u003cbr />\u003ca href=\"http://californiahealthline.org/\">California Healthline\u003c/a>","path":"/stateofhealth/171345/california-lawmakers-reviewing-proposal-to-speed-hospital-admissions-for-patients-in-pscyhiatric-crisis","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>When \u003ca href=\"http://californiahealthline.org/news/saving-amanda-one-familys-struggle-to-deal-with-a-daughters-mental-illness/\" target=\"_blank\">Pam Lipp’s 18-year-old daughter Amanda\u003c/a> needed to be admitted to a psychiatric hospital in 2010, she thought it would be easy to find her a bed.\u003c/p>\n\u003cp>Instead, Lipp says, “It was a nightmare.”\u003c/p>\n\u003caside class=\"pullquote alignright\">'If I hadn’t done what I did, our daughter would most likely have been discharged, back on the street with nowhere to go.'\u003cbr>\n\u003ccite> Pam Lipp\u003c/cite>\u003c/aside>\n\u003cp>Her daughter had been admitted to a psychiatric crisis center during an episode of psychosis but she could only stay there for 72 hours. Lipp asked the crisis center for help finding her a bed and was told she was on her own.\u003c/p>\n\u003cp>So Lipp plugged her phone into the wall in the waiting room and started calling one hospital after the next. They were all full. They wouldn’t reserve a spot when a bed opened, nor would they call to let her know. So she called each one every half hour to check. After eight hours, she found her daughter an open bed near their home in Fair Oaks, California.\u003c/p>\n\u003cp>Usually, it’s an emergency room staff or medical providers making such calls, rather than a patient or caregiver. The result, however, is the same: Finding an available inpatient psychiatric bed in the state of California can be extremely difficult. Many patients with acute psychiatric conditions spend days \u003ca href=\"http://www.npr.org/2011/04/13/135351760/mentally-ill-languish-in-hospital-emergency-rooms\" target=\"_blank\">deteriorating in hospital emergency departments\u003c/a> while they wait.\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>But how exactly to solve the problem has become a controversy in Sacramento.\u003c/p>\n\u003cp>\u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB2743\" target=\"_blank\">An Assembly bill \u003c/a>backed by the California Psychiatric Association and the Steinberg Institute, a mental health policy organization, seeks to improve the process by establishing an online registry to collect and display information to help medical providers find psychiatric beds. But the California Hospital Association is staunchly opposed, saying that finding the right placement for a patient is much more complex than identifying an empty bed, and a registry could actually hinder efforts to get patients appropriate treatment.\u003c/p>\n\u003cp>The Assembly’s Committee on Health plans to hold the first hearing on the bill on April 12.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Under the proposed legislation, AB2743, facilities with psychiatric beds would be required to update the registry as the beds became available, and emergency medical providers would be able to log on to search for openings.\u003c/p>\n\u003cp>“A bed registry would eliminate the need for rounds and rounds of calls over hours and hours. Why not just cut that time out and go straight to the source?” asks Anna Hasselblad, public policy director at the Steinberg Institute.\u003c/p>\n\u003cp>California is facing a serious shortage of psychiatric beds, said Randall Hagar, director of government affairs for the California Psychiatric Association. As of 2013, there were 6,680 beds in the state — about 17 per 100,000 residents, according to a \u003ca href=\"http://www.calhospital.org/sites/main/files/file-attachments/6_-_psychbeddata.pdf\" target=\"_blank\">report from the hospital association\u003c/a>. Psychiatric experts recommend a minimum of 50 beds per 100,000. In 25 counties in the state, there were no psychiatric beds at all.\u003c/p>\n\u003cp>Adding beds is a long-term goal for many mental health advocates, but it’s a huge task that could take years.\u003c/p>\n\u003cp>“We have to use the beds we do have and we have to know where they are. It can be a hit or miss process. It needs to be more reliable,” said Hagar. “We’ve heard instances where people were told there were no beds when in fact it turns out later that there were. An online registry would fix that issue.”\u003c/p>\n\u003cp>It would also provide data on exactly what types of additional beds are needed and where, he said.\u003c/p>\n\u003cp>The hospital association is not convinced it would work.\u003c/p>\n\u003cp>“On first blush, if you are not in the trenches, it seems like the best and easiest solution in the entire world. But the reality is that the bill will really increase the amount of time and the frustration people have trying to locate psychiatric acute-levels of care in our state,” said Sheree Lowe, the hospital association’s vice president of behavioral health.\u003c/p>\n\u003cp>Beyond finding an open bed, staffers must also factor in the age, gender, illness and acuity of the patient.\u003c/p>\n\u003cp>“You have to take under consideration your staffing needs, the needs of the other patients, and the therapeutic milieu for the safety of all patients and all staff. And that’s not something you can put into a drop-down menu,” said Lowe.\u003c/p>\n\u003cp>Requiring hospital staffers to report all those changing dynamics in an online registry, she added, would be yet another administrative burden that could cut into hands-on patient care.\u003c/p>\n\u003cp>\u003ca href=\"http://www.calhospital.org/sites/main/files/file-attachments/6_-_psychbeddata.pdf\" target=\"_blank\">Many states \u003c/a>have some sort of computerized tracking system for psychiatric beds, but few are mandatory. Lowe points to a recent effort in Virginia to create a mandatory registry similar to the one being proposed in California as evidence that they don’t work.\u003c/p>\n\u003cp>In January, the \u003ca href=\"https://osig.virginia.gov/media/5277/2016-bhds-001-acute-psychiatric-and-community-services-board-bed-registry.pdf\" target=\"_blank\">Virginia state inspector general reported \u003c/a>that more than half of users of the online registry said it takes longer to find a bed for a patient than it did before the registry was established, in part because hospitals were not accurately updating information about their beds.\u003c/p>\n\u003cp>Hasselblad of the Steinberg Institute, however, said the issues with the Virginia system “is a little bit of a self-fulfilling prophesy. We have to get the buy-in from the people who will be updating the registry, because if you don’t believe it’s going to be useful to you, it’s not going to be useful to you.”\u003c/p>\n\u003cp>One solution, she said, would be to include a fine in the bill for hospitals that do not keep the registry updated. “Hospitals aren’t going to do this unless they’re absolutely mandated to.”\u003c/p>\n\u003cp>Despite the opposition of the hospital association, the emergency room doctors who staff their facilities are generally supportive of the bill. Holding psychiatric patients for days in the emergency department is “a worst case scenario for everyone involved,” said Elena Lopez-Gusman, executive director of the California chapter of the American College of Emergency Physicians.\u003c/p>\n\u003cp>And she said the hospitals with psychiatric beds may be making the problem worse by trying to reserve beds for patients with private insurance.\u003c/p>\n\u003cp>“Our physician members have reported a significant level of difficulty in getting what they feel is an accurate assessment of bed availability,” said Lopez-Gusman. “They might call the same facility in a short time for two different patients with different types of insurance, and get different answers on whether or not there’s a bed available. So our thought is that more transparency reduces the hospitals’ ability to hide available beds.”\u003c/p>\n\u003cp>Lowe of the hospital association denies that psychiatric hospitals are holding beds, which would be a violation of federal law.\u003c/p>\n\u003cp>Assemblymember Susan Talamantes Eggman, the Stockton Democrat who wrote the bill, said she believes the bill has a good chance of passing.\u003c/p>\n\u003cp>“We are very hopeful. There’s a good coalition, and everyone is talking about mental health these days,” she said. “This is a practical, small step we can take. It’s hard to argue against it.”\u003c/p>\n\u003cp>Pam Lipp, who struggled to find a bed for her daughter, said the idea of establishing a registry is “absolutely phenomenal.”\u003c/p>\n\u003cp>“Our situation is exactly the kind of situation that hopefully this bill will help,” she said.\u003c/p>\n\u003cp>“If I hadn’t done what I did, our daughter would most likely have been discharged, back on the street with nowhere to go, and we would have just repeated the cycle again. Maybe she wouldn’t have survived.”\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>\u003cem>This story was produced by \u003ca href=\"http://khn.org/\">Kaiser Health News\u003c/a>, an editorially independent program of the \u003ca href=\"http://kff.org\" target=\"_blank\">Kaiser Family Foundation.\u003c/a>\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/171345/california-lawmakers-reviewing-proposal-to-speed-hospital-admissions-for-patients-in-pscyhiatric-crisis","authors":["byline_stateofhealth_171345"],"categories":["stateofhealth_14"],"tags":["stateofhealth_2721","stateofhealth_2722","stateofhealth_73","stateofhealth_2519"],"featImg":"stateofhealth_171476","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? 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