Congress Lifts Ban, Needle Exchanges Now Eligible for Federal Funds
New California Database to Help Doctors Spot Prescription Drug Abuse
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The center distributes 1.2 million syringes each year. ","credit":"Heidi de Marco/KHN","description":"A man counts his used needles before turning them in for new ones. at the Center for Harm Reduction on LA's Skid Row. The center distributes 1.2 million syringes each year. 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He has used his last clean syringe. Poor, who is homeless and addicted to methamphetamines, says coming to the downtown exchange puts his mind at ease: clean needles lower his risk for HIV.\u003c/p>\n\u003cp>“It is a very needed service, not just in downtown but anywhere drugs are an issue,” says Poor, a lanky, friendly man who is missing all of his teeth. “Thanks to needle exchange … I have stayed pretty healthy, which is a hard thing to do when you are injecting drugs.”\u003c/p>\n\u003cp>Needle exchanges like the one Poor visits could receive a financial boost this year \u003ca href=\"http://www.npr.org/2016/01/08/462412631/congress-ends-ban-on-federal-funding-for-needle-exchange-programs\" target=\"_blank\">following a decision by Congress \u003c/a>in January to lift a ban on federal funding. As abuse of prescription drugs and opiates continues to spread across the nation, more states are considering exchanges as a way to save lives.\u003c/p>\n\u003cp>Indiana, for instance, opened its first exchange after an HIV outbreak last year.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The change in federal policy, part of a spending bill approved earlier this month, allows funding only in areas where drug-related cases of hepatitis and HIV are rising or are likely to. State and city health departments will make that determination along with the federal Centers for Disease Control and Prevention, according to the legislation.\u003c/p>\n\u003cp>The money can be used to pay for staff and programs, but not for syringes.\u003c/p>\n\u003cp>“It is really an important and historic moment for us at syringe exchanges,” said Mark Casanova, executive director of Homeless Health Care Los Angeles, which runs the syringe exchange on Skid Row, known as the Center for Harm Reduction. “But it doesn’t go far enough.”\u003c/p>\n\u003cp>Casanova said about a third of his $350,000 budget for the exchange program is spent on the 1.2 million syringes he hands out each year, and he will have to continue relying heavily on private donations to pay for them.\u003c/p>\n\u003cp>Despite the restrictions, lifting the ban underscores a growing recognition that needle exchange programs can help reduce the the spread of infectious diseases, said Daniel Raymond, policy director for Harm Reduction Coalition.\u003c/p>\n\u003cp>“This is a huge victory,” said Raymond, whose national organization advocates and provides training for exchange programs. “It is in some way the last chapter of an era where syringe exchange was considered too volatile and too partisan [for policy makers] to come to a consensus.”\u003c/p>\n\u003cfigure id=\"attachment_149292\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"wp-image-149292 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/needle-exchange-1-400x267.jpg\" alt=\"The Center for Harm Reduction in Skid Row has a syringe exchange program, which provides treatment, prevention and disease management for injection drug users. \" width=\"400\" height=\"267\">\u003cfigcaption class=\"wp-caption-text\">The Center for Harm Reduction on LA's Skid Row has a syringe exchange program, which provides treatment, prevention and disease management for injection drug users. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Critics of needle programs counter that opening the door to federal funding could leave less money for treatment of people who want to get sober. The new law does not allot additional funds for the exchanges, but rather allows them to compete for existing drug program money.\u003c/p>\n\u003cp>“The dollars are precious these days,” said Calvina Fay, executive director of Drug Free America Foundation, a drug policy and prevention organization. “When we have people wanting to get clean and standing in line waiting for a treatment bed … the money could certainly be better spent.”\u003c/p>\n\u003cp>Needle exchanges began at the height of the AIDS epidemic and today number roughly 200 around the United States, including about 40 in California.\u003c/p>\n\u003cp>Using clean syringes continues to be the safest way to prevent transmission among injection drug users, according to a 2012 CDC report, which said the percentage of injection drug users infected with HIV dropped by half from the mid-1990s to 2009.\u003c/p>\n\u003cp>“Syringe programs have really been concentrated in large cities and have done an excellent job of preventing HIV infection where they have been implemented, but we now really need to move to address the new injectors that we see in small towns and in rural areas, particularly in Appalachia,” said Don Des Jarlais of the Icahn School of Medicine at Mount Sinai, who has spent 25 years studying the exchanges.\u003c/p>\n\u003cfigure id=\"attachment_149293\" class=\"wp-caption aligncenter\" style=\"max-width: 1919px\">\u003cimg class=\"size-full wp-image-149293\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/needle-exchange-6-e1455750248794.jpg\" alt=\"James Nolen, 65, gets his kit with needles, cotton balls and alcohol swabs at the Harm Reduction Center in Los Angeles.\" width=\"1919\" height=\"1281\">\u003cfigcaption class=\"wp-caption-text\">James Nolen, 65, gets his kit with needles, cotton balls and alcohol swabs at the Harm Reduction Center in Los Angeles. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Des Jarlais said federal funding should enable existing centers to expand and new ones to open.. “With the exception of a few states, there really has not been adequate funding of needle exchange programs in the US,” he said.\u003c/p>\n\u003cp>Libby Harrison, who manages the Cincinnati Exchange Project in Ohio, said it was “about damn time” for the change in federal policy.\u003c/p>\n\u003cp>“We’ve had the science on syringe exchange for almost 30 years. People and their politics getting in the way of science drives me crazy,” said Harrison, whose exchange has two staff members and is open three days a week in a region that has been hit hard by drug abuse.\u003c/p>\n\u003cp>Inside the lobby of the Harm Reduction Center in Los Angeles, customers wait in a line marked with red tape on the floor. A poster on the wall reads in big letters, “Needle exchange saves lives.”\u003c/p>\n\u003cp>At the front of the room, plastic bins are filled with syringes, sterile water ampoules, rubber bands, antibacterial ointment and alcohol swabs. An oversized, locked red bin sits nearby, and clients deposit dirty needles into it.\u003c/p>\n\u003cfigure id=\"attachment_149291\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"wp-image-149291 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/needle-exchange-9-400x599.jpg\" alt=\"Michael Poor, 47, visits the needle exchange at the Center for Harm Reduction, which is part of Homeless Healthcare Los Angeles, on a daily basis. He lives in a tent on Skid Row and is addicted to methamphetamine.\" width=\"400\" height=\"599\">\u003cfigcaption class=\"wp-caption-text\">Michael Poor, 47, visits the needle exchange at the Center for Harm Reduction, which is part of Homeless Healthcare Los Angeles, on a daily basis. He lives in a tent on Skid Row and is addicted to methamphetamine. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>They don’t need appointments, insurance or even identification. They simply answer a few questions, including whether they are homeless. When 26-year-old Eli Guerra walks up to the front counter, he tells the clerk he is out of needles. The clerk asks him what he uses now.\u003c/p>\n\u003cp>“Whatever I get my hands on,” he replies.\u003c/p>\n\u003cp>Guerra, who uses heroin, has been coming to the needle exchange for about a year but says he hopes this will be one of his last visits.\u003c/p>\n\u003cp>“This ain’t me, really,” he says. “I am really trying to stop.”\u003c/p>\n\u003cp>Chloe Blalock, program coordinator of the center, said she hopes federal funding will enable her to hire more people and expand services such as therapy, medical care, overdose prevention training and medication-assisted treatment. For now, she can afford to stay open only seven hours on weekdays and six on weekends.\u003c/p>\n\u003cp>“We should be open 24 hours,” she said. “From a public health standpoint, you want to make sure people have what they need — or more than what they need — no matter what.”\u003c/p>\n\u003cp>On a recent Tuesday, Dr. Rolando Tringale was at the center, teaching medical students about the health effects of drug use.\u003c/p>\n\u003cp>Tringale, who treats abscesses and wounds, explained why staffers hand out alcohol swabs. “This is an important part of harm reduction education, preventing skin-based infections,” he said.\u003c/p>\n\u003cp>Diamond Mendoza, a self-described homeless man who is addicted to heroin, said that since coming to the exchange he has learned a lot about injecting drugs more safely. He wipes his skin with alcohol before puncturing it. He goes to see the doctor whenever he gets a wound or an abscess. And he always uses clean needles, he said.\u003c/p>\n\u003cfigure id=\"attachment_149290\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"size-thumbnail wp-image-149290\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/needle-exchange-5-400x607.jpg\" alt=\"Heroin addict Diamond Mendoza, 49, dropped off a pile of syringes. “I usually bring about 40 needles at a time. I exchange my dirties for my cleans. And it’s really good here,” he said. \" width=\"400\" height=\"607\">\u003cfigcaption class=\"wp-caption-text\">Heroin addict Diamond Mendoza, 49, dropped off a pile of syringes. “I usually bring about 40 needles at a time. I exchange my dirties for my cleans. And it’s really good here,” he said. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I don’t have HIV because I am really careful,” said Mendoza, who exchanged 40 needles on a recent morning.\u003c/p>\n\u003cp>Michael Poor said he has been using drugs since getting hooked on Vicodin, when he was a registered nurse. At first, Poor said, he couldn’t get clean syringes and often reused and shared them.\u003c/p>\n\u003cp>“You had to use one that had been used 15 or 20 times,” he said.\u003c/p>\n\u003cp>He said he believes that’s how he became infected with hepatitis C.\u003c/p>\n\u003cp>Poor said he has been coming to the center for about five years and stocks up so he can give clean needles to others. Staff members know him by name.\u003c/p>\n\u003cp>During his recent visit, he dumped about 35 used syringes into the red bin.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Minutes later, he was back out on the street, holding a small brown lunch bag filled with supplies.\u003c/p>\n\n","blocks":[],"excerpt":"Congress lifted a ban on federal funding for needle exchange programs. As abuse of prescription drugs and opiates spreads, more states are considering exchanges to save lives.\r\n","status":"publish","parent":0,"modified":1455751225,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":39,"wordCount":1472},"headData":{"title":"Congress Lifts Ban, Needle Exchanges Now Eligible for Federal Funds | KQED","description":"Congress lifted a ban on federal funding for needle exchange programs. As abuse of prescription drugs and opiates spreads, more states are considering exchanges to save lives.\r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Congress Lifts Ban, Needle Exchanges Now Eligible for Federal Funds","datePublished":"2016-02-17T23:20:25.000Z","dateModified":"2016-02-17T23:20:25.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"149223 http://ww2.kqed.org/stateofhealth/?p=149223","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/02/17/congress-lifts-ban-needle-exchanges-now-eligible-for-federal-funds/","disqusTitle":"Congress Lifts Ban, Needle Exchanges Now Eligible for Federal Funds","source":"California Healthline","sourceUrl":"http://californiahealthline.org/news/needle-exchanges-can-now-get-federal-funding/","nprByline":"Anna Gorman","path":"/stateofhealth/149223/congress-lifts-ban-needle-exchanges-now-eligible-for-federal-funds","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>LOS ANGELES — At precisely 8:30 a.m. on a Tuesday morning, the doors to the needle exchange on Skid Row open and the daily procession of injection drug users begins.\u003c/p>\n\u003cp>Michael Poor, 47, is one of the first customers. He has used his last clean syringe. Poor, who is homeless and addicted to methamphetamines, says coming to the downtown exchange puts his mind at ease: clean needles lower his risk for HIV.\u003c/p>\n\u003cp>“It is a very needed service, not just in downtown but anywhere drugs are an issue,” says Poor, a lanky, friendly man who is missing all of his teeth. “Thanks to needle exchange … I have stayed pretty healthy, which is a hard thing to do when you are injecting drugs.”\u003c/p>\n\u003cp>Needle exchanges like the one Poor visits could receive a financial boost this year \u003ca href=\"http://www.npr.org/2016/01/08/462412631/congress-ends-ban-on-federal-funding-for-needle-exchange-programs\" target=\"_blank\">following a decision by Congress \u003c/a>in January to lift a ban on federal funding. As abuse of prescription drugs and opiates continues to spread across the nation, more states are considering exchanges as a way to save lives.\u003c/p>\n\u003cp>Indiana, for instance, opened its first exchange after an HIV outbreak last year.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The change in federal policy, part of a spending bill approved earlier this month, allows funding only in areas where drug-related cases of hepatitis and HIV are rising or are likely to. State and city health departments will make that determination along with the federal Centers for Disease Control and Prevention, according to the legislation.\u003c/p>\n\u003cp>The money can be used to pay for staff and programs, but not for syringes.\u003c/p>\n\u003cp>“It is really an important and historic moment for us at syringe exchanges,” said Mark Casanova, executive director of Homeless Health Care Los Angeles, which runs the syringe exchange on Skid Row, known as the Center for Harm Reduction. “But it doesn’t go far enough.”\u003c/p>\n\u003cp>Casanova said about a third of his $350,000 budget for the exchange program is spent on the 1.2 million syringes he hands out each year, and he will have to continue relying heavily on private donations to pay for them.\u003c/p>\n\u003cp>Despite the restrictions, lifting the ban underscores a growing recognition that needle exchange programs can help reduce the the spread of infectious diseases, said Daniel Raymond, policy director for Harm Reduction Coalition.\u003c/p>\n\u003cp>“This is a huge victory,” said Raymond, whose national organization advocates and provides training for exchange programs. “It is in some way the last chapter of an era where syringe exchange was considered too volatile and too partisan [for policy makers] to come to a consensus.”\u003c/p>\n\u003cfigure id=\"attachment_149292\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"wp-image-149292 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/needle-exchange-1-400x267.jpg\" alt=\"The Center for Harm Reduction in Skid Row has a syringe exchange program, which provides treatment, prevention and disease management for injection drug users. \" width=\"400\" height=\"267\">\u003cfigcaption class=\"wp-caption-text\">The Center for Harm Reduction on LA's Skid Row has a syringe exchange program, which provides treatment, prevention and disease management for injection drug users. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Critics of needle programs counter that opening the door to federal funding could leave less money for treatment of people who want to get sober. The new law does not allot additional funds for the exchanges, but rather allows them to compete for existing drug program money.\u003c/p>\n\u003cp>“The dollars are precious these days,” said Calvina Fay, executive director of Drug Free America Foundation, a drug policy and prevention organization. “When we have people wanting to get clean and standing in line waiting for a treatment bed … the money could certainly be better spent.”\u003c/p>\n\u003cp>Needle exchanges began at the height of the AIDS epidemic and today number roughly 200 around the United States, including about 40 in California.\u003c/p>\n\u003cp>Using clean syringes continues to be the safest way to prevent transmission among injection drug users, according to a 2012 CDC report, which said the percentage of injection drug users infected with HIV dropped by half from the mid-1990s to 2009.\u003c/p>\n\u003cp>“Syringe programs have really been concentrated in large cities and have done an excellent job of preventing HIV infection where they have been implemented, but we now really need to move to address the new injectors that we see in small towns and in rural areas, particularly in Appalachia,” said Don Des Jarlais of the Icahn School of Medicine at Mount Sinai, who has spent 25 years studying the exchanges.\u003c/p>\n\u003cfigure id=\"attachment_149293\" class=\"wp-caption aligncenter\" style=\"max-width: 1919px\">\u003cimg class=\"size-full wp-image-149293\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/needle-exchange-6-e1455750248794.jpg\" alt=\"James Nolen, 65, gets his kit with needles, cotton balls and alcohol swabs at the Harm Reduction Center in Los Angeles.\" width=\"1919\" height=\"1281\">\u003cfigcaption class=\"wp-caption-text\">James Nolen, 65, gets his kit with needles, cotton balls and alcohol swabs at the Harm Reduction Center in Los Angeles. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Des Jarlais said federal funding should enable existing centers to expand and new ones to open.. “With the exception of a few states, there really has not been adequate funding of needle exchange programs in the US,” he said.\u003c/p>\n\u003cp>Libby Harrison, who manages the Cincinnati Exchange Project in Ohio, said it was “about damn time” for the change in federal policy.\u003c/p>\n\u003cp>“We’ve had the science on syringe exchange for almost 30 years. People and their politics getting in the way of science drives me crazy,” said Harrison, whose exchange has two staff members and is open three days a week in a region that has been hit hard by drug abuse.\u003c/p>\n\u003cp>Inside the lobby of the Harm Reduction Center in Los Angeles, customers wait in a line marked with red tape on the floor. A poster on the wall reads in big letters, “Needle exchange saves lives.”\u003c/p>\n\u003cp>At the front of the room, plastic bins are filled with syringes, sterile water ampoules, rubber bands, antibacterial ointment and alcohol swabs. An oversized, locked red bin sits nearby, and clients deposit dirty needles into it.\u003c/p>\n\u003cfigure id=\"attachment_149291\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"wp-image-149291 size-thumbnail\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/needle-exchange-9-400x599.jpg\" alt=\"Michael Poor, 47, visits the needle exchange at the Center for Harm Reduction, which is part of Homeless Healthcare Los Angeles, on a daily basis. He lives in a tent on Skid Row and is addicted to methamphetamine.\" width=\"400\" height=\"599\">\u003cfigcaption class=\"wp-caption-text\">Michael Poor, 47, visits the needle exchange at the Center for Harm Reduction, which is part of Homeless Healthcare Los Angeles, on a daily basis. He lives in a tent on Skid Row and is addicted to methamphetamine. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>They don’t need appointments, insurance or even identification. They simply answer a few questions, including whether they are homeless. When 26-year-old Eli Guerra walks up to the front counter, he tells the clerk he is out of needles. The clerk asks him what he uses now.\u003c/p>\n\u003cp>“Whatever I get my hands on,” he replies.\u003c/p>\n\u003cp>Guerra, who uses heroin, has been coming to the needle exchange for about a year but says he hopes this will be one of his last visits.\u003c/p>\n\u003cp>“This ain’t me, really,” he says. “I am really trying to stop.”\u003c/p>\n\u003cp>Chloe Blalock, program coordinator of the center, said she hopes federal funding will enable her to hire more people and expand services such as therapy, medical care, overdose prevention training and medication-assisted treatment. For now, she can afford to stay open only seven hours on weekdays and six on weekends.\u003c/p>\n\u003cp>“We should be open 24 hours,” she said. “From a public health standpoint, you want to make sure people have what they need — or more than what they need — no matter what.”\u003c/p>\n\u003cp>On a recent Tuesday, Dr. Rolando Tringale was at the center, teaching medical students about the health effects of drug use.\u003c/p>\n\u003cp>Tringale, who treats abscesses and wounds, explained why staffers hand out alcohol swabs. “This is an important part of harm reduction education, preventing skin-based infections,” he said.\u003c/p>\n\u003cp>Diamond Mendoza, a self-described homeless man who is addicted to heroin, said that since coming to the exchange he has learned a lot about injecting drugs more safely. He wipes his skin with alcohol before puncturing it. He goes to see the doctor whenever he gets a wound or an abscess. And he always uses clean needles, he said.\u003c/p>\n\u003cfigure id=\"attachment_149290\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"size-thumbnail wp-image-149290\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/needle-exchange-5-400x607.jpg\" alt=\"Heroin addict Diamond Mendoza, 49, dropped off a pile of syringes. “I usually bring about 40 needles at a time. I exchange my dirties for my cleans. And it’s really good here,” he said. \" width=\"400\" height=\"607\">\u003cfigcaption class=\"wp-caption-text\">Heroin addict Diamond Mendoza, 49, dropped off a pile of syringes. “I usually bring about 40 needles at a time. I exchange my dirties for my cleans. And it’s really good here,” he said. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I don’t have HIV because I am really careful,” said Mendoza, who exchanged 40 needles on a recent morning.\u003c/p>\n\u003cp>Michael Poor said he has been using drugs since getting hooked on Vicodin, when he was a registered nurse. At first, Poor said, he couldn’t get clean syringes and often reused and shared them.\u003c/p>\n\u003cp>“You had to use one that had been used 15 or 20 times,” he said.\u003c/p>\n\u003cp>He said he believes that’s how he became infected with hepatitis C.\u003c/p>\n\u003cp>Poor said he has been coming to the center for about five years and stocks up so he can give clean needles to others. Staff members know him by name.\u003c/p>\n\u003cp>During his recent visit, he dumped about 35 used syringes into the red bin.\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>Minutes later, he was back out on the street, holding a small brown lunch bag filled with supplies.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/149223/congress-lifts-ban-needle-exchanges-now-eligible-for-federal-funds","authors":["byline_stateofhealth_149223"],"categories":["stateofhealth_11"],"tags":["stateofhealth_2629","stateofhealth_313","stateofhealth_2519"],"featImg":"stateofhealth_149297","label":"source_stateofhealth_149223"},"stateofhealth_132232":{"type":"posts","id":"stateofhealth_132232","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"132232","score":null,"sort":[1451513633000]},"guestAuthors":[],"slug":"new-california-database-to-help-doctors-spot-prescription-drug-abuse","title":"New California Database to Help Doctors Spot Prescription Drug Abuse","publishDate":1451513633,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Long plagued by technical problems, the state’s prescription drug database has finally been overhauled. State officials will fully launch the new system Friday, Jan. 8, when all doctors will be automatically upgraded to the new system.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We had a single patient go to 116 prescribers over four years, and got 45,000 dosage units of controlled substances worth at least $850,000 on the street.'\u003ccite> Virginia Herold, state Board of Pharmacy \u003c/cite>\u003c/aside>\n\u003cp>Health officials now refer to prescription drug addiction as an epidemic. More Americans die from \u003ca href=\"http://www.cdc.gov/drugoverdose/data/overdose.html\" target=\"_blank\">prescription opioid overdose \u003c/a>than in \u003ca href=\"http://www.cdc.gov/motorvehiclesafety/impaired_driving/impaired-drv_factsheet.html\" target=\"_blank\">drunken-driving car crashes,\u003c/a> according to data from the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>California regulators have been preoccupied for years with doctor shoppers.\u003c/p>\n\u003cp>“We had a single patient go to 116 prescribers over four years, and went to 58 pharmacies and got 45,000 dosage units of controlled substances worth at least $850,000 on the street,” said Virginia Herold, executive officer of the state Board of Pharmacy.\u003c/p>\n\u003cp>Pharmacists are required to report all drugs they dispense in the state’s prescription drug database, known as the Controlled Substance Utilization Review and Evaluation System, or CURES.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But neither pharmacists nor doctors are required to check the database before dispensing or writing new prescriptions.\u003c/p>\n\u003cp>\"If any of those 58 pharmacies or 116 practitioners would have checked, they would have seen that the patient in front of them, that may have only been in there once every 30 days, was actually going to other places and to multiple prescribers to get the medication,\" Herold said.\u003c/p>\n\u003cp>Pharmacists and doctors have complained for years that the reason they don’t use the system is because of a long history of technical glitches. In the past, for example, doctors had to submit paper registration materials to the Department of Justice just to get a login and password, a process that took as long as six months for some doctors.\u003c/p>\n\u003cp>“There’s been a huge backlog at the DOJ,” said Molly Weedn, spokeswoman for the California Medical Association. “People want it to be a usable system, but in the past few years, it’s been severely understaffed and underfunded.”\u003c/p>\n\u003cp>Funding for the database was slashed in 2009 when the economic recession hit, leaving the technical problems to linger. \u003ca href=\"http://audio.californiareport.org/archive/R201202140850/a\" target=\"_blank\">More cuts followed in 2012\u003c/a>.\u003c/p>\n\u003cp>In 2013, the state Legislature passed SB809, which charged doctors a $6 annual fee when renewing their medical license to provide funds for database improvements. The state slowly began rolling out CURES 2.0 this past summer, and after fixing a Web browser compatibility problem, will do so universally in the new year.\u003c/p>\n\u003cp>“The new system is more user-friendly,” said Deputy Attorney General Robert Sumner, who oversees IT projects for the Department of Justice. “It’s faster, it’s more responsive, it’s more intuitive.”\u003c/p>\n\u003cp>It also allows doctors to delegate searches to nurses, so a nurse can cue up a patient’s prescription drug record for the doctor prior to a consultation, and includes a number of patient alerts.\u003c/p>\n\u003cp>\"Physicians will automatically be told if, based on their prescription history, the algorithm has picked up that the patient might be at risk for doctor shopping,” Sumner said. “Whether or not you’ve gone to a number of different prescribers, whether or not you’ve been given a number of different prescriptions in volumes, and also the frequency at which you’ve been receiving prescriptions.”\u003c/p>\n\u003cp>Despite the improvements, safety advocate Bob Pack is still not satisfied. He says the only way the database will really work is if doctors are required to use it.\u003c/p>\n\u003cp>“I’ve been disappointed all along,” he said. “I’ve always believed it needed to be a mandatory requirement.”\u003c/p>\n\u003cp>In 2003, Pack’s \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/09/30/prop-46-was-inspired-by-tragic-accident-pits-doctors-against-lawyers/\" target=\"_blank\">two children were killed by a driver \u003c/a>who was high on prescription drugs, which she had obtained from multiple doctors. Ever since, Pack has pushed for redevelopment of the database, convincing his local representatives to write various bills, including SB809, which provided the funding to update the database, and \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/08/13/should-california-doctors-be-required-to-use-drug-monitoring-database/\" target=\"_blank\">a pending bill\u003c/a>, SB482, which would require doctors to consult a patient’s medical history before prescribing narcotics for the first time.\u003c/p>\n\u003cp>“I wanted this thing to be mandatory for the last nine years,” Pack said. “But the medical lobby keeps fighting this.”\u003c/p>\n\u003cp>The California Medical Association says it will wait to see how well the new system works before agreeing to any requirements.\u003c/p>\n\u003cp>“Before we make the system mandatory, let’s make sure it’s functional,” said Weedn.\u003c/p>\n\u003cp>While 49 states have a prescription drug database in one form or another, only about 10 states require doctors and pharmacists to check it before writing new prescriptions, including Kentucky and New York. Some studies show that the number of narcotic prescriptions written in those states went down after the mandate, and enrollment in addiction treatment went up, though it is unclear if some drug abusers may have turned to street drugs instead.\u003c/p>\n\u003cp>Congressman Mark DeSaulnier, D-California, who authored SB809 when he was a state assemblyman representing Walnut Creek, says he wants to bring some of these reforms to the national level, starting with incentivizing states to upgrade their systems.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>“\u003c/strong>These can be wonderful drugs,” he said, “but they're disastrous if not used right.”\u003c/p>\n\n","blocks":[],"excerpt":" More Americans die from prescription drug overdose than in drunken-driving car crashes, according to the CDC.","status":"publish","parent":0,"modified":1452115959,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":25,"wordCount":923},"headData":{"title":"New California Database to Help Doctors Spot Prescription Drug Abuse | KQED","description":" More Americans die from prescription drug overdose than in drunken-driving car crashes, according to the CDC.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"New California Database to Help Doctors Spot Prescription Drug Abuse","datePublished":"2015-12-30T22:13:53.000Z","dateModified":"2016-01-06T21:32:39.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"132232 http://ww2.kqed.org/stateofhealth/?p=132232","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/12/30/new-california-database-to-help-doctors-spot-prescription-drug-abuse/","disqusTitle":"New California Database to Help Doctors Spot Prescription Drug Abuse","path":"/stateofhealth/132232/new-california-database-to-help-doctors-spot-prescription-drug-abuse","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Long plagued by technical problems, the state’s prescription drug database has finally been overhauled. State officials will fully launch the new system Friday, Jan. 8, when all doctors will be automatically upgraded to the new system.\u003c/p>\n\u003caside class=\"pullquote alignright\">'We had a single patient go to 116 prescribers over four years, and got 45,000 dosage units of controlled substances worth at least $850,000 on the street.'\u003ccite> Virginia Herold, state Board of Pharmacy \u003c/cite>\u003c/aside>\n\u003cp>Health officials now refer to prescription drug addiction as an epidemic. More Americans die from \u003ca href=\"http://www.cdc.gov/drugoverdose/data/overdose.html\" target=\"_blank\">prescription opioid overdose \u003c/a>than in \u003ca href=\"http://www.cdc.gov/motorvehiclesafety/impaired_driving/impaired-drv_factsheet.html\" target=\"_blank\">drunken-driving car crashes,\u003c/a> according to data from the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>California regulators have been preoccupied for years with doctor shoppers.\u003c/p>\n\u003cp>“We had a single patient go to 116 prescribers over four years, and went to 58 pharmacies and got 45,000 dosage units of controlled substances worth at least $850,000 on the street,” said Virginia Herold, executive officer of the state Board of Pharmacy.\u003c/p>\n\u003cp>Pharmacists are required to report all drugs they dispense in the state’s prescription drug database, known as the Controlled Substance Utilization Review and Evaluation System, or CURES.\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 neither pharmacists nor doctors are required to check the database before dispensing or writing new prescriptions.\u003c/p>\n\u003cp>\"If any of those 58 pharmacies or 116 practitioners would have checked, they would have seen that the patient in front of them, that may have only been in there once every 30 days, was actually going to other places and to multiple prescribers to get the medication,\" Herold said.\u003c/p>\n\u003cp>Pharmacists and doctors have complained for years that the reason they don’t use the system is because of a long history of technical glitches. In the past, for example, doctors had to submit paper registration materials to the Department of Justice just to get a login and password, a process that took as long as six months for some doctors.\u003c/p>\n\u003cp>“There’s been a huge backlog at the DOJ,” said Molly Weedn, spokeswoman for the California Medical Association. “People want it to be a usable system, but in the past few years, it’s been severely understaffed and underfunded.”\u003c/p>\n\u003cp>Funding for the database was slashed in 2009 when the economic recession hit, leaving the technical problems to linger. \u003ca href=\"http://audio.californiareport.org/archive/R201202140850/a\" target=\"_blank\">More cuts followed in 2012\u003c/a>.\u003c/p>\n\u003cp>In 2013, the state Legislature passed SB809, which charged doctors a $6 annual fee when renewing their medical license to provide funds for database improvements. The state slowly began rolling out CURES 2.0 this past summer, and after fixing a Web browser compatibility problem, will do so universally in the new year.\u003c/p>\n\u003cp>“The new system is more user-friendly,” said Deputy Attorney General Robert Sumner, who oversees IT projects for the Department of Justice. “It’s faster, it’s more responsive, it’s more intuitive.”\u003c/p>\n\u003cp>It also allows doctors to delegate searches to nurses, so a nurse can cue up a patient’s prescription drug record for the doctor prior to a consultation, and includes a number of patient alerts.\u003c/p>\n\u003cp>\"Physicians will automatically be told if, based on their prescription history, the algorithm has picked up that the patient might be at risk for doctor shopping,” Sumner said. “Whether or not you’ve gone to a number of different prescribers, whether or not you’ve been given a number of different prescriptions in volumes, and also the frequency at which you’ve been receiving prescriptions.”\u003c/p>\n\u003cp>Despite the improvements, safety advocate Bob Pack is still not satisfied. He says the only way the database will really work is if doctors are required to use it.\u003c/p>\n\u003cp>“I’ve been disappointed all along,” he said. “I’ve always believed it needed to be a mandatory requirement.”\u003c/p>\n\u003cp>In 2003, Pack’s \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/09/30/prop-46-was-inspired-by-tragic-accident-pits-doctors-against-lawyers/\" target=\"_blank\">two children were killed by a driver \u003c/a>who was high on prescription drugs, which she had obtained from multiple doctors. Ever since, Pack has pushed for redevelopment of the database, convincing his local representatives to write various bills, including SB809, which provided the funding to update the database, and \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/08/13/should-california-doctors-be-required-to-use-drug-monitoring-database/\" target=\"_blank\">a pending bill\u003c/a>, SB482, which would require doctors to consult a patient’s medical history before prescribing narcotics for the first time.\u003c/p>\n\u003cp>“I wanted this thing to be mandatory for the last nine years,” Pack said. “But the medical lobby keeps fighting this.”\u003c/p>\n\u003cp>The California Medical Association says it will wait to see how well the new system works before agreeing to any requirements.\u003c/p>\n\u003cp>“Before we make the system mandatory, let’s make sure it’s functional,” said Weedn.\u003c/p>\n\u003cp>While 49 states have a prescription drug database in one form or another, only about 10 states require doctors and pharmacists to check it before writing new prescriptions, including Kentucky and New York. Some studies show that the number of narcotic prescriptions written in those states went down after the mandate, and enrollment in addiction treatment went up, though it is unclear if some drug abusers may have turned to street drugs instead.\u003c/p>\n\u003cp>Congressman Mark DeSaulnier, D-California, who authored SB809 when he was a state assemblyman representing Walnut Creek, says he wants to bring some of these reforms to the national level, starting with incentivizing states to upgrade their systems.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>“\u003c/strong>These can be wonderful drugs,” he said, “but they're disastrous if not used right.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/132232/new-california-database-to-help-doctors-spot-prescription-drug-abuse","authors":["3205"],"categories":["stateofhealth_11","stateofhealth_13"],"tags":["stateofhealth_2629","stateofhealth_2519"],"featImg":"stateofhealth_132282","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? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Consider-This-Podcast-Tile-703x703-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png","officialWebsiteLink":"http://freakonomics.com/","airtime":"SUN 1am-2am, SAT 3pm-4pm","meta":{"site":"radio","source":"WNYC"},"link":"/radio/program/freakonomics-radio","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519","tuneIn":"https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/","rss":"https://feeds.feedburner.com/freakonomicsradio"}},"fresh-air":{"id":"fresh-air","title":"Fresh Air","info":"Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.","airtime":"MON-FRI 7pm-8pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Fresh-Air-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/fresh-air/","meta":{"site":"radio","source":"npr"},"link":"/radio/program/fresh-air","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Fresh-Air-p17/","rss":"https://feeds.npr.org/381444908/podcast.xml"}},"here-and-now":{"id":"here-and-now","title":"Here & Now","info":"A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.","airtime":"MON-THU 11am-12pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Here-And-Now-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"http://www.wbur.org/hereandnow","meta":{"site":"news","source":"npr"},"link":"/radio/program/here-and-now","subsdcribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=426698661","tuneIn":"https://tunein.com/radio/Here--Now-p211/","rss":"https://feeds.npr.org/510051/podcast.xml"}},"how-i-built-this":{"id":"how-i-built-this","title":"How I Built This with Guy Raz","info":"Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png","officialWebsiteLink":"https://www.npr.org/podcasts/510313/how-i-built-this","airtime":"SUN 7:30pm-8pm","meta":{"site":"news","source":"npr"},"link":"/radio/program/how-i-built-this","subscribe":{"npr":"https://rpb3r.app.goo.gl/3zxy","apple":"https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2","tuneIn":"https://tunein.com/podcasts/Arts--Culture-Podcasts/How-I-Built-This-p910896/","rss":"https://feeds.npr.org/510313/podcast.xml"}},"inside-europe":{"id":"inside-europe","title":"Inside Europe","info":"Inside Europe, a one-hour weekly news magazine hosted by Helen Seeney and Keith Walker, explores the topical issues shaping the continent. No other part of the globe has experienced such dynamic political and social change in recent years.","airtime":"SAT 3am-4am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Inside-Europe-Podcast-Tile-300x300-1.jpg","meta":{"site":"news","source":"Deutsche Welle"},"link":"/radio/program/inside-europe","subscribe":{"apple":"https://itunes.apple.com/us/podcast/inside-europe/id80106806?mt=2","tuneIn":"https://tunein.com/radio/Inside-Europe-p731/","rss":"https://partner.dw.com/xml/podcast_inside-europe"}},"latino-usa":{"id":"latino-usa","title":"Latino USA","airtime":"MON 1am-2am, SUN 6pm-7pm","info":"Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg","officialWebsiteLink":"http://latinousa.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/latino-usa","subscribe":{"npr":"https://rpb3r.app.goo.gl/xtTd","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Latino-USA-p621/","rss":"https://feeds.npr.org/510016/podcast.xml"}},"live-from-here-highlights":{"id":"live-from-here-highlights","title":"Live from Here Highlights","info":"Chris Thile steps to the mic as the host of Live from Here (formerly A Prairie Home Companion), a live public radio variety show. 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Updated Monday through Friday at about 3:30 p.m. PT.","airtime":"MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.marketplace.org/","meta":{"site":"news","source":"American Public Media"},"link":"/radio/program/marketplace","subscribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201853034&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/APM-Marketplace-p88/","rss":"https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"}},"mindshift":{"id":"mindshift","title":"MindShift","tagline":"A podcast about the future of learning and how we raise our kids","info":"The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. 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