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Telehealth Increases Access to Care for Medi-Cal Patients – Let’s Keep It OPINION

Telehealth may not make for a good Norman Rockwell painting, but it does make for good medicine. It’s an improvement, a step forward that helps us get healthier and close gaps in care.

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Nearly a century ago, a Norman Rockwell painting titled “Doctor and Doll” was published on the cover of the Saturday Evening Post, a popular American cultural magazine.

It depicted an older gentleman wearing a suit, doctor bag at his feet, pressing a stethoscope to the chest of a little girl’s toy doll. A cluttered desk and worn chair sit atop a forgettable rug. It’s an old image of health care in America. A country doctor caring for his neighbors via a “house call.”

Of course, we know it was not that simple. Healthcare was rudimentary compared to today’s standards – that is if you had access to care at all. Average life expectancy reflected that. If you were born white in 1929 you would be lucky to reach your 60s. If you were Black, you weren’t likely to reach your 50s.

While things are far from perfect, at least they have improved. Healthy lifestyles and modern medicine have made living into your 80s commonplace. Significant racial disparities remain, but the gap is closing. And the number of people with health coverage has never been higher.  But while Medi-Cal (the state sponsored coverage for people who have low-incomes) now covers nearly 14 million people, many still lack appropriate access to care.

Access to care is a complex issue, but sometimes it’s as simple as geography. Taking an hours-long bus ride across town to visit the doctor isn’t practical for most people. Add lost wages, a lack of childcare, and the fact that you don’t feel good, and it’s downright impossible.

Solutions available in employer-based health insurance for years, like virtual care through an app or over the telephone, haven’t been an option for people on Medi-Cal.

Until the pandemic.

When the federal and state governments declared emergency last Spring, federally qualified health centers like WellSpace Health were able to provide care virtually via telephone and video, a practice that had been prohibited previously.

Virtual care is wildly successful. Over the past two weeks, 5,015 patients accessed care remotely rather than visiting our health centers. Half of primary care visits and 85% of behavioral health visits were virtual. According to a statewide survey of community health centers, which serve 1 in 5 Californians, there has been a 75% decrease in no-show rates since the implementation of telehealth. A study conducted by the California Pan-Ethnic Health Network reported a significant number of patients from communities of color engaging in telehealth and having a high level of patient satisfaction.

As an internal medicine doctor and the chief medical officer WellSpace Health, it makes sense. Technology has given us the ability to conduct a modern day “house call.” We can go to the patient and break down significant barriers to care. If the patient requires a hands-on assessment or treatment, we can take that step. But frequently, especially in behavioral health, hands-on care is not necessary.

Our ability to provide virtual care under the emergency order will expire soon. Permanent authorization will require action by the Legislature and the governor through the budget process. Assembly Bill (AB) 32 by Assemblymember Cecilia Aguiar-Curry (D- Winters) provides the template for action.

In this budget cycle, the governor must take advantage of a once-in-a-lifetime opportunity to address inequality in our health care delivery system. By adopting the provisions of AB 32 into the FY21-22 final budget, it will guarantee that all Medi-Cal beneficiaries – regardless of where they seek care – can use all telehealth modalities, including telephonic care, indefinitely.

Telehealth may not make for a good Norman Rockwell painting, but it does make for good medicine. It’s an improvement, a step forward that helps us get healthier and close gaps in care.

It even brings back the house call.

Dr. Janine Bera is the chief medical officer for WellSpace Health and chair of the California Primary Care Association Telehealth Clinical Task Force.

Community

Asm. Corey Jackson Announces Launch of 24-Hour Childcare in His District

Assemblymember Corey Jackson has secured $2 million in state funding for a proposed childcare special district in Moreno Valley and Perris. This funding aims to establish a system providing 24-hour, seven-day-a-week childcare, which would be California’s first special district focused solely on childcare. The initiative seeks to address the area’s designation as a “childcare desert” and high costs for working families. The funding will cover startup, planning, and formation costs for the district. Read more about the specifics of this groundbreaking initiative.

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Assemblymember Corey Jackson (D-Moreno Valley). File photo.

Assemblymember Corey Jackson (D-Moreno Valley) has secured $2 million in state funding to launch a proposed childcare special district serving families in Moreno Valley and Perris, paving the way for a system designed to provide childcare 24 hours a day, seven days a week.

The Moreno Valley-Perris Childcare Special District would be the first special district in California focused specifically on childcare, according to Jackson’s office. The state funding will cover startup, planning, and formation costs and help the district meet requirements set by the Riverside Local Agency Formation Commission, or LAFCO.

The proposed district would coordinate a mixed-delivery childcare system that could include home-based and center-based care. The goal is to provide universal childcare for families who work overnight, early morning, or other nontraditional shifts.

Jackson’s office says Moreno Valley is a certified “childcare desert,” with licensed childcare spaces available for only 15% of children with working parents. Infant care in Moreno Valley averages $2,776 a month, or about 35.7% of median household income. In Perris, licensed infant care can cost more than 60% of an individual worker’s gross median earnings, according to the assemblymember’s office.

“Securing this $2 million in startup funding is a monumental victory for the working-class families of Moreno Valley and Perris who have been trapped in a childcare desert for far too long,” Jackson said.

The proposal follows Jackson’s unsuccessful effort to establish the district through Assembly Bill 2083. The legislation would have created the district as a dependent special district covering Moreno Valley, Perris and their spheres of influence, with Riverside LAFCO responsible for reviewing its formation and boundaries.

The new funding allows the district’s formation to move forward without requiring mandatory contributions from local school districts and other stakeholders, according to Jackson’s office. His spokesperson, Daniel Peeden, said Jackson hopes the district can be operating by 2028.

The proposal has faced questions from some local officials. Moreno Valley City Councilmember Ed Delgado, who is running against Jackson for the 60th Assembly District seat, said he supports affordable childcare but questioned how the proposed district would operate and how much it would ultimately cost.

“Basically, he didn’t have a plan. We didn’t see a plan,” Delgado said, adding that officials had questions about operating costs, insurance and eligibility.

“It’s going to take a lot more than $2 million to create a special district to provide affordable childcare,” Delgado said.

Delgado has suggested working with existing childcare centers to subsidize costs for local families rather than creating a new agency.

Jackson’s office says the program will lower barriers to “workforce participation” and reduce “affordability anxiety” for young families. This landmark District is poised to trigger a virtuous cycle of economic upward mobility and long-term regional prosperity in the 60th Assembly District, his office added.

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Black History

IN MEMORIAM: The Rev. Leon “Sonny” Clark, Longtime Orange County Pastor and Community Leader, Dies at 72

Rev. Leon William “Sonny” Clark, the longtime pastor of New Spirit Baptist Church in Santa Ana and a prominent faith and community leader in Orange County, passed away on September 9 at the age of 72. Born in Bennettsville, South Carolina, Clark was a U.S. Navy veteran who dedicated his life to service. He served various Southern California churches before leading New Spirit Baptist Church for over 22 years, extending his work into counseling, mentoring, and civic engagement, and supporting the African American community. To learn more about his life and contributions, read more.

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The Rev. Leon “Sonny” Clark. File photo.

Rev. Leon William “Sonny” Clark, longtime pastor of New Spirit Baptist Church in Santa Ana and a respected faith and community leader in Orange County, died Sept. 9. He was 72.

Born Oct. 2, 1953, in Bennettsville, South Carolina, Clark was a U.S. Navy veteran who later built a life of service centered on family, faith, ministry, and community.

Clark began his formal ministry at Metropolitan Baptist Church in Altadena in 1978. After acknowledging his call to ministry in 1980, he preached his first sermon and went on to serve churches throughout Southern California, including Second Baptist Church in Riverside, Mount Vernon Baptist Church in Rubidoux, Antioch Missionary Baptist Church in Pomona, and Friendship Baptist Church in Yorba Linda.

In November 2003, Clark was called to lead New Spirit Baptist Church in Santa Ana, where he served as pastor for more than 22 years. His work extended beyond the pulpit through counseling, mentoring, civic engagement, and efforts to strengthen Orange County’s African American community.

Clark served on the Orange County Heritage Council and supported efforts to preserve and celebrate African American history and culture. He helped organize the Orange County Black History Parade and Unity Festival, served on the Interfaith Committee and the Orange County Transit Authority, and served as president of the Orange County Ministers Conference.

In 2024, the City of Santa Ana recognized Clark for his contributions to the community. He also received the Orange County Southern Baptist Association Hall of Faith Award and was previously honored as Pastor of the Year by the Orange County Heritage Council.

Clark is survived by his wife, Andrea Joyles Clark; six children, Shawn Williams, Le Ondra Clark Harvey, Kyla Coward, Joshua Clark, Marissa Clark and Ashley Clark; grandchildren and great-grandchildren; siblings; extended family; and the New Spirit Baptist Church congregation.

A wake will be held Thursday, Oct. 1, from 4 to 8 p.m. at New Spirit Baptist Church, 701 S. Sullivan St. in Santa Ana, with a remembrance service from 5 to 6:30 p.m.

A Celebration of Life will be held Friday, Oct. 2, at Friendship Baptist Church, 17145 Bastanchury Road in Yorba Linda. Viewing begins at noon, followed by the service at 1 p.m.

Burial will take place Monday, Oct. 5, at 10:15 a.m. at Riverside National Cemetery.

Clark often shared a guiding principle that shaped his ministry: “Start where you are. Use what you have. Do what you can.”

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Business

From Historic Memories to New Possibilities: Oakland Celebrates Coliseum 60

More than 75 people gathered at Youth UpRising in East Oakland on Friday, September 18, for Coliseum 60, an event marking six decades of sports, entertainment, employment, and community memories at the Oakland-Alameda County Coliseum Complex. Held 60 years to the day after the Coliseum first opened, the celebration featured cultural performances and a mini-documentary highlighting its history. Speakers reflected on the venue’s significant role in the community and its future possibilities. Read more to learn about the individuals and stories honored during this special event.

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Quixote Atkins of VillageGIVE moderates a panel discussion at the Coliseum 60 celebration at Youth UpRising featuring Keith Brown, a member of IATSE Local 107; author, historian and former Black Panther Party member Tareka Lewis; and African American Sports and Entertainment Group President Ray Bobbitt.

More than 75 people gathered at Youth UpRising in East Oakland on Friday, Sept. 18, for Coliseum 60, a celebration honoring six decades of sports, entertainment, employment and community memories connected to the Oakland-Alameda County Coliseum Complex.

Held 60 years to the day after the Coliseum opened, the event carried the theme, “One Community. One Legacy. One Future. Forward Together.”

The celebration opened with the national anthem performed by sisters Anese Jade, Amina Benjamin and Zaza Benjamin. Diamano Coura West African Dance Company contributed African dance and drumming, bringing movement, rhythm and cultural expression to the program.

A mini documentary highlighted the Coliseum’s sports history and its broader role as an entertainment destination. Archival material recalled performances by Prince and Tina Turner, along with memorable games featuring the Warriors, Oakland A’s and Raiders.

“The Coliseum 60 is about much more than celebrating a building or looking back at 60 years of history,” said event organizer Quixote Atkins of VillageGIVE.

“It’s about the people who made that history possible: the families, workers, athletes, artists, community leaders, fans and generations who gathered there and created memories together.”

A panel exploring that history featured author, historian and former Black Panther Party member Tareka Lewis; stagehand and union representative Keith Brown; and Ray Bobbitt, president of the African American Sports and Entertainment Group AASEG. Lewis described her family as fourth-generation Bay Area pioneers.

“My family and Black families who arrived even earlier helped build the Bay Area, grew businesses and established culture here,” Lewis said. “This should be taught in the public schools.”

Lewis recalled Oakland’s influence on sports, music and literature, from the Raiders’ beginnings at Laney College to stars such as The Pointer Sisters and Rickey Henderson who attended Oakland public schools. She also advocated for school museums, historical timelines, entrepreneurship training and investments benefiting corridors such as Bancroft Avenue and High Street.

Keith Brown, a member of Local 107 of the International Alliance of Theater and Stage Employees (IATSE) who began working at the Coliseum in 2011, remembered the Ringling Bros. and Barnum & Bailey Circus, the Ice Capades, baseball bat giveaways and Nelson Mandela’s 1990 appearance.

“The special events are amazing, but it’s the workers that make the memories real for everyone,” Brown said. “They make the magic happen at the Coliseum.”

The program recognized longtime workers, including beer-stand manager Robert Preston, who served for 40 years, and Kenyatta Gentry, who worked as a vendor for 24 years and used her earnings to purchase her first apartment. Union workers Jose Gonzales and Carmen Sandoval were also honored. Speakers emphasized that Coliseum employment provided generations of residents with union wages and benefits.

Dr. Denise Saddler, the superintendent of the Oakland Unified School District (OUSD) was also honored. Saddler shared her family’s history of working at the Coliseum. 

District 7 Oakland City Councilmember Ken Houston discussed the complex ownership arrangements involving the city, county and private interests.

“This was the most complex deal of its kind in the country,” Houston said.

Prior to moving from the East Coast, Alameda County Supervisor and Coliseum Joint Powers Authority Chair Nate Miley recalled learning about Oakland through its three professional sports teams. As an elected official and public servant, Miley fought hard to keep the Golden State Warriors, Oakland As, and the Raiders, but he is hopeful for the future.

“The story is not over for the Coliseum,” Miley said. “We’re entering a new chapter.”

Bobbitt said the departure of three teams had once seemed unimaginable, but he maintained that Oakland’s future remains bright.

“Oakland is a cultural superpower worldwide,” Bobbitt said. “We’re going to write the future where we participate and drive the redevelopment.”

Bobbitt highlighted AASEG’s four-year partnership with Castlemont High School’s architecture program, which engages students in reimagining and creating redevelopment concepts for the Coliseum property. “The youth will always move us forward. They are the future.”

In closing, Atkins said, “September 18 is the celebration, but what we build together afterward is the legacy.”

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