Is Corporal Punishment Abuse? Why That’s A Loaded Question

Adrian Peterson has been suspended from all Minnesota Vikings activities since he was indicted on child abuse charges. (Dilip Vishwanat/Getty Images)

Adrian Peterson has been suspended from all Minnesota Vikings activities since he was indicted on child abuse charges. (Dilip Vishwanat/Getty Images)

By Gene Demby, NPR

Over the past week, Adrian Peterson, the Minnesota Vikings’ all-world running back and one of the NFL’s biggest stars, has become the face of corporal punishment in America. Peterson turned himself in to police over the weekend on charges of child abuse after he allegedly hit his son with a switch that left welts on his body.

Needless to say, people feel very differently about this subject. “I’m a black guy … I’m from the South,” Charles Barkley, the former NBA star, told a panel on CBS’ NFL Today. “Whipping — we do that all the time. Every black parent in the South is going to be in jail under those circumstances.”

Meanwhile, a visibly emotional Chris Carter, who once starred for the Vikings, argued on ESPN’s NFL Countdown that corporal discipline was outdated and wasn’t solely the province of black folks. “This goes across all racial lines, ethnicities, religious backgrounds,” Carter said. “People believe in disciplining their children. … It’s the 21st century. My mom was wrong. She did the best she could, but she was wrong about some of that stuff she taught me. And I promised my kids I won’t teach that mess to them. You can’t beat a kid to make them do what they wanna do.” Continue reading

Students Struggle to Access Mental Health Services on UC Campuses

Students at Sproul Plaza, UC Berkeley. (Henry Zbyszynski/Flickr)

Students at Sproul Plaza, UC Berkeley. In the last six years, the number of students seeking health at counseling centers has increased 37 percent across the UC system. (Henry Zbyszynski/Flickr)

Students throughout the University of California system are having trouble accessing mental health care, and health services directors are raising alarms that increased staffing and funding could be warranted to meet demand.

“The increased need for mental health services on our campuses is outstripping our ability to provide those services,” said Dr. John Stobo, senior vice president for health sciences and services for the University of California. “It is a major problem. It’s not only a problem for UC, this is a national issue.”

In the last six years, the number of students seeking help at university counseling centers has increased 37 percent, according to data presented at UC Regents board meeting on Thursday.

“This is real. Students are having difficulty accessing mental health services on campus,” said Dr. Gina Fleming, medical director for the UC Self-Insured Health Plans. “They’re waiting longer to get an appointment. They’re having fewer appointments within the course of therapy, and more are needing to be referred off campus.” Continue reading

SF Supervisor Proposes Funding Better Access to HIV Preventive Drug

The FDA panel approved Truvada, an antiretroviral drug for use by healthy people to prevent HIV infection. (Justin Sullivan: Getty Images)

Truvada is a drug approved by the FDA to prevent infection with HIV. (Justin Sullivan: Getty Images)

By Heather Boerner

San Francisco Supervisor David Campos announced Thursday that he would introduce a supplemental budget request at the Board of Supervisors meeting Tuesday for $807,000 to help bring a treatment to prevent HIV infection to those who could benefit from it. The treatment, pre-exposure prophylaxis or PrEP, consists of taking Truvada, an antiretroviral drug, every day. If the request is approved, San Francisco will follow the state of Washington in providing drug assistance for PrEP.

The goal is to dramatically reduce the number of new HIV infections. Dr. Robert Grant, a professor at UCSF’s Gladstone Institute and a lead researcher in determining the efficacy of Truvada in preventing HIV infection, said at a hearing at City Hall Thursday that informal estimates suggest that if just 6,000 San Franciscans at high risk for HIV infection were to take Truvada, the number of new infections in the city might drop from about 400 a year to 50..

Today, fewer than 1,000 San Franciscans are taking Truvada for HIV prevention. Continue reading

State Health Officials Say Enterovirus Now Sickening Children in California

(Getty Images)

(Getty Images)

State health officials have confirmed that a strain of virus that has been causing respiratory illness in children in other parts of the country is now spreading in California.

Four children — three in San Diego County and one in Ventura — have recently been discharged from the hospital after contracting enterovirus D68.

In a call Thursday afternoon with reporters, officials with the California Department of Public Health said that after a Centers for Disease Control warning earlier this month to be on alert for cases, the agency called for hospitals to send specimens from any children hospitalized with severe respiratory illness. That testing uncovered the four cases.

The children, who are both boys and girls, range in age from 2 to 13.

Enterovirus is in the same viral family as the rhinovirus, which causes the common cold, health officials said. Symptoms can include fever — although they hastened to add that fever may not be present. Runny nose, sneezing, coughing, and body and muscle aches are common. Some children may have difficulty breathing, especially children with a history of asthma. There is no vaccine against enterovirus.

Health officials said that more cases are anticipated after more testing is completed. “It’s a very good chance in the next week or so that we may identify several other places in the state that have positive cases right now,” said Dr. Carol Glaser with the agency’s center for infectious diseases. “Our lab has been receiving several dozen specimens throughout the state just in the last few days, and that work is ongoing.”

The illness is usually not severe, but health officials say parents should seek prompt medical attention for children with breathing difficulties, especially children with asthma. Three of the four Southern California hospitalizations were in children with asthma.

No deaths from enterovirus D68 have been reported nationally.

Advocacy Groups File Lawsuit Over Medi-Cal Backlog

(s_falkow: Flickr)

(s_falkow: Flickr)

By Anna Gorman, Kaiser Health News

California’s lingering backlog of Medi-Cal applications has left hundreds of thousands of people unable to access the health care they are entitled to receive, according to a lawsuit filed Wednesday by a coalition of health advocates and legal services groups.

A Tulare County man had applied for Medi-Cal but died of a pulmonary embolism while waiting for the state to confirm his eligibility.

The lawsuit, filed in Alameda County Superior Court, says the state is failing to process applications within 45 days as required by law. Some applicants have been waiting to receive their Medi-Cal cards since the end of last year, according to the suit. The applicants include children, pregnant women and adults with life-threatening health conditions, who advocates say are either postponing treatment or paying cash to see doctors.

Medi-Cal is the state’s version of Medicaid, the publicly funded health insurance program for low-income Americans. About 11 million people receive Medi-Cal benefits in California, including 2.2 million who applied since January. Roughly 350,000 applications are still pending. Continue reading

S.F. Supervisor Wiener Announces He’s Taking HIV Preventive Drug

San Francisco Supervisor Scott Wiener (left) says he started taking a drug to prevent HIV infection earlier this year. (Lisa Aliferis/KQED)

San Francisco Supervisor Scott Wiener (left) says he started taking a drug to prevent HIV infection earlier this year. (Lisa Aliferis/KQED)

San Francisco Supervisor Scott Wiener publicly announced Wednesday afternoon that he is taking Truvada, an FDA-approved drug that dramatically reduces the risk of HIV infection. He appears to the be the first public official to make such an announcement.

“My hope is that by disclosing my PrEP use… I can get more people thinking about PrEP as a possibility.”  

Wiener said he began taking the medication earlier this year. This preventive approach is also referred to as pre-exposure prophylaxis or PrEP.

“I am using PrEP as a personal health choice that I made in consultation with my physician,” he said in an interview at his office at City Hall. “My hope is that by disclosing my PrEP use publicly that I can help move the conversation forward and get more people thinking about PrEP as a possibility, and encouraging people to consult with their medical provider.”

Truvada combines two different drugs into a single pill that, when taken daily, can reduce the risk of HIV infection by more than 90 percent. It was approved by the FDA in 2012, and was developed by the Foster City company Gilead. Both the Centers for Disease Control and the World Health Organization recommend its use by people who are at high risk of HIV infection. Still, it is the subject of debate, especially within the gay community. Continue reading

Put Down the Heating Pad: Physical Therapists Say It Doesn’t Help

Physical therapy is about being, well, physical, new guidelines say. (Getty Images)

Physical therapy is about being, well, physical, new guidelines say. (Getty Images)

By Nancy Shute, NPR

I have fond memories of listening to NPR while lounging at the physical therapist’s with a heating pad on my shoulder. Don’t do that, the nation’s physical therapists’ association says.

Heat therapy, electrical stimulation, ultrasound and other “passive physical agents” almost never help, according to a list released Monday by the Choosing Wisely campaign. Instead, they siphon time and money away from what you really want from a physical therapist — an exercise program that will restore strength and mobility.

Well, this is certainly going to make physical therapy less restful.

But seeing as I’ve been to several physical therapists over the years and they’ve all used this stuff, the fact that the American Physical Therapy Association put passive physical agents on top of their list of things not to do seems like big news. Continue reading

Covered California Launches 2015 Outreach Campaign

Covered California executive director Peter Lee, seen here at a November, 2013, press conference. (Max Whittaker/Getty Images)

Covered California executive director Peter Lee, seen here at a November, 2013, press conference. (Max Whittaker/Getty Images)

Covered California, the state’s health insurance exchange, kicked off its marketing and outreach campaign Monday for the upcoming 2015 open enrollment period. Officials say they forecast enrolling 1.7 million people, about 500,000 more than are presently signed up.

Peter Lee, the agency’s executive director, acknowledged the work ahead. “It won’t be easy,” he said. “In many ways, it will be harder than last year.”

For starters, the next open enrollment runs three months compared to last year’s six month period when more than three million people signed up either for Covered California or to Medi-Cal, the state’s version of Medicaid. Continue reading

Autism Benefit Finally a Reality for Children on Medi-Cal

Jazzmon Wilson with her son Timothy, 6, who has autism. (Jeremy Raff/KQED)

Jazzmon Wilson with her son Timothy, 6, who has autism and has benefited greatly, Wilson says, from Applied Behavior Analysis therapy, now covered by Medi-Cal. (Jeremy Raff/KQED)

By David Gorn

California health officials Monday are launching a new benefit for thousands of children with autism who are covered by Medi-Cal, California’s low-income health program.

“He’s doing things other kids can do. And it’s those little moments, it makes you just so grateful.”

That makes California the first state in the nation to implement new federal standards on autism care.

The new benefit includes coverage of the clinical standard of care for autism treatment — Applied Behavior Analysis, also known as ABA therapy. That treatment has shown significant results for a cross-section of children with autism.

Of the 5 million children on Medi-Cal in California — that’s roughly half the state’s total children — there are an estimated 75,000  who likely have autism spectrum disorder. Of those children, experts expect about 12,000 children to access the new benefit, based on utilization figures from programs in other states. Continue reading

Remaining Uninsured Face Challenges in Cost and Simply Signing Up

Leaburn Alexander works two jobs and does not have health insurance. Here, he is on the start of his 3-hour commute home from the job he works as an overnight hotel janitor. (Lisa Morehouse/KQED)

Leaburn Alexander works two jobs and does not have health insurance. Here, he is on the start of his 3-hour commute home from the job he works as an overnight hotel janitor. (Lisa Morehouse/KQED)

By Lisa Morehouse

When the Affordable Care Act rolled out last fall, Californians enrolled in both Covered California and expanded Medi-Cal in high numbers. But there are still millions in the state without health insurance. Undocumented people don’t qualify for Obamacare benefits. Many others still find coverage too expensive, or face other obstacles in enrolling.

One of those people is Leaburn Alexander. I meet up with him at 6 a.m. as he is finishing his shift as the night janitor at a hotel near the San Francisco Airport. He clocks out just in time to catch the hotel’s shuttle back to SFO, where he will catch a bus.

“Right now I’m on the beginning of my commute,” he tells me. “After an eight hour shift, my commute is like 2 and a half hours.”

I accompany Alexander on his commute to East Palo Alto, about 20 miles south. It actually takes three hours, on the hotel shuttle plus three more buses. He does this commute 5 days a week. Continue reading