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California’s new budget invests in overlooked piece of health care puzzle: workers

BLACK VOICE NEWS — Is this the start of a new era for California’s health workforce? It sure looks like it. Gov. Gavin Newsom is poised to sign the largest, most comprehensive set of proposals in years to expand California’s health workforce pipeline—tapping $300 million in the 2019-20 budget to address an often overlooked threat to our health care system: a shortage of qualified health professionals.

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By Dr. Sandra Hernández and Raymond Baxter, Special to CALmatters

Is this the start of a new era for California’s health workforce? It sure looks like it.

Gov. Gavin Newsom is poised to sign the largest, most comprehensive set of proposals in years to expand California’s health workforce pipeline—tapping $300 million in the 2019-20 budget to address an often overlooked threat to our health care system: a shortage of qualified health professionals.

Our state has been acting boldly for years now on a variety of fronts to improve health and health care—from cutting the uninsured rate in half to reducing medical costs.

But coverage is not care, and for millions of Californians to access the care they need, we are going to need more workers, particularly workers who represent the communities they serve.

If investments in our workforce pipeline continue to lag behind rising demand, California is projected to face a shortfall of 4,100 primary care clinicians and 600,000 homecare workers by 2030, and will have only two-thirds of the psychiatrists it needs.

These shortfalls are already being felt in regions like the Inland Empire, San Joaquin Valley, and Los Angeles, where 7 million people live in federally-designated Health Professional Shortage Areas.

With these workforce challenges in mind, we were proud to serve as two of the five funders of the California Future Health Workforce Commission, a blue-ribbon panel of 24 experts from across the health system who met in 2017 and 2018 to study this issue.

The Commission’s final report, released in February, offered a detailed set of recommendations for recruiting, training, and deploying a new wave of health workers, especially those coming from and committed to working in underserved communities.

The total cost of these priority actions was pegged at $3 billion over 10 years, roughly $300 million per year. The commission estimated these investments would entirely eliminate the state’s primary care shortage, while improving diversity and ensuring we have more of the right types of workers, with the right skills, in the right places to meet the needs of our growing, aging and increasingly diverse population.

As we’ve watched Gov. Newsom during his first few months on the job, it’s heartening to see how committed he is to this issue. Declaring that he wants to be known as California’s “health care governor,” Newsom has made it clear the state can’t achieve his increasingly ambitious goals for increasing coverage and expanding access, especially for behavioral health, without closing the workforce gap.

Gov. Newsom has made preventive care, behavioral health, and care for aging Californians, the commission’s three focus areas, all top priorities. He has embraced the task of bolstering an industry that employs 1.4 million skilled workers.

As he put it in May: “I want to lower the cost curve, I want to deliver broader access and I want to improve quality, particularly on wellness and prevention, and move away from acute care and emergency care. I want to see how far we can push it with the state.”

With the support of overwhelming majorities in the Legislature, the newly-approved budget certainly does that. The final spending plan includes more than $300 million in new funding to bolster residency programs, improve primary care education and training in areas of unmet need, and implement a five-year plan for expanding the pipeline of mental health providers.

There is new backing for expansions of medical school facilities at UC-Riverside and UC-Merced, two major potential sources of primary care physicians in parts of the state that need them most.

And the budget also boosts the Medi-Cal loan repayment program by $120 million, increasing our current workforce’s ability to provide care to Medi-Cal beneficiaries.

In addition to this new funding, legislators are advancing more than a dozen substantive bills to address California’s health needs and improve the diversity of the workforce pipeline.

These include proposals to expand eligibility for physician loan repayment, increase the rural health workforce, expand the contributions of nurse practitioners, promote hiring of physician assistants, and engage community health workers, among many other ideas.

All of this attention cannot come soon enough, and we hope this is the beginning of a new era for the state’s health workforce system, one that will require ongoing public and private commitments for years to come.

California’s health needs may be growing, but with the right investments and the right policies, in the right places, we can make sure every community has the people and systems it needs to be healthy.

Dr. Sandra Hernández is president and chief executive officer of the California Health Care Foundation, info@chcf.org.Raymond Baxter is president and chief executive officer of the Blue Shield of California Foundation, Ray.Baxter@blueshieldcafoundation.org. They wrote this commentary for CALmatters, a public interest journalism venture committed to explaining how California’s Capitol works and why it matters.

The author wrote this for CALmatters, a public interest journalism venture committed to explaining how California’s Capitol works and why it matters.

This article originally appeared Black Voice News

African American News & Issues

Geoffrey’s Inner Circle Not included in Funding Support

We will ultimately be successful in our efforts to reach the goal of our fundraising campaign but will also ensure that the native Oakland community of African Americans will receive equal assistance and opportunity in this city.

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Athenian Nile Club founded in 1915 often presented their wealthy members in entertainment in Black face

Publisher’s note by Paul Cobb: Several years ago when writer MarvinX Jackmon and I asked Mayor Libby Schaaf and Councilmember Lynette Gibson McElhaney to name the downtown business district in honor of the historic Black achievements, Black Newspaper, Black Businesses, Art Galleries, Black Museum, Government Buildings, Arts and Entertainment venues, I asked the Mayor to make sure that Geoffrey’s Inner Circle would receive the same financial support and grants that the Fox Theatre and the Oakland Auditorium were receiving. I reminded her how I as the former director of OCCUR, had led a group of historical preservationists to save the Fox from a demolition wrecking ball, she said she liked the Malonga Arts Complex instead. We at the Oakland Post support Geoffrey’s Go Fund Me appeal https://gofund.me/b2541419 with a $1,000.00 donation and my wife Gay Plair Cobb and I urge others to join us either in-kind or with at least the donation of a “Tubman” ($20.00 bill). Geoffrey’s ironically was the original home of Oakland’s white power structure. (We have published a photo below of how those White wealthy leaders often met and entertained themselves by adorning themselves in Black Face at the former Athenian Nile Club ( now Geoffrey’s). And now that the same establishment is represented by the face of a Black man, his establishment is being whitewashed with neglect.

The Post has asked Mr. Pete to give his own opinion below.

Paul Mooney appeared at Geoffrey’s Inner Circle some 30 or more times over the years. His platform and message were always used to shed a light on the grave racial disparity and economic injustice that has, whether acknowledged or not, plagued this country since its inception. This racially aggressive ideology has also had its tangles in our dear city of Oakland. A disparity study illustrated by Dr. Eleanor Ramsey highlighted the glaring absence of African Americans in the city’s landscape of budgeted allotments for professional services, labor construction and city development.

Former entertainer Paul Mooney often performed at Geoffrey’s urging America to face-up to White racism

While I applaud Yoshi’s Oakland for reaching their goal in their most recent Go Fund Me efforts, it should be noted that Yoshi’s also received $5 million dollars in assistance from both the City and Port of Oakland to open a jazz entertainment venue at Jack London Square. Geoffrey’s Inner Circle, a live entertainment venue that began at Jack London Square, has been operating for 30 years. This offer was not extended to expand GIC or renovate, nor was it offered to any other Black Owned Business in the entertainment genre in Oakland.

The Fox Oakland was $50 million dollars over budget for its renovation project and most recently left the City of Oakland with a $78 million cost overrun.

When an African American Development Firm entered a bid on the Oakland Auditorium/ Kaiser Center, the city gave a white developer the contract and $12 million dollars in naming rights. This deal in its origin should not have had any monetary exchange whatsoever, naming rights included. The aforementioned developer has additionally secured a 99-year lease that will cost him a hefty $1 dollar. He will also receive tax credits to the tune of a $20-$40-million-dollars in subsidies. Go fund me has a different ring to it if you are non-black and vending with the City of Oakland it seems.

We will ultimately be successful in our efforts to reach the goal of our fundraising campaign but will also ensure that the native Oakland community of African Americans will receive equal assistance and opportunity in this city.

Thank you in advance for your support!

Geoffrey Pete
GoFundMe

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Bay Area

Holy Names University Celebrates New Teachers Completing Credentials

“I know very deeply what it means to be a teacher at any time but especially this past year. We wanted to do something special, and maybe this is starting a trend, to acknowledge all of  our credential program completers.”

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Holy Names University Website

Holy Names University’s School of Education held a Zoom celebration at the end of the school year on May 28 to recognize eight new teachers who completed their teaching credentials, successfully finishing their rigorous training in the midst of an extremely challenging pandemic year.

The credential completers were honored by Dr. Kimberly Mayfield, dean of the School of Education, who emphasized the humanistic and nurturing approach to teaching that is the hallmark of Holy Names.

Reflecting on the principles that motivate the HNU staff, she said, “We train our candidates to be effective no matter what the setting is. Although this (year’s conditions) were unique, our candidates were expertly prepared for it.”

“I know very deeply what it means to be a teacher at any time but especially this past year. We wanted to do something special, and maybe this is starting a trend, to acknowledge all of  our credential program completers.”

Mayfield explained that education and Oakland schools are a profound part of who she is. She is herself a former Oakland teacher; her mother was an Oakland teacher for many years; and her husband is currently an Oakland teacher.

“My hope and my charge for our candidates is not only to deliver the kind of education you’ve been trained to do but to really be sure that your classrooms are safe places for all students at your school,” Mayfield continued.

“When there are students who seem to be outliers and maybe don’t fit the picture of the school at large, that student fits the picture of success for you as a HNU graduate. Your classrooms become the safe places for all students, not just the students that are in your class or on your (rolls). That is the ethic of care that we’ve imparted.

“We are coming together in love and we want to recognize the good work that our HNU candidates have done.

She said that the Holy Names teachers are exceptional people. “When we do recruitment events, we always say we aren’t just training teachers to be teachers, we’re training teachers to be effective with our own children. When we look at who we want in the program, we are looking for candidates through those eyes. It’s a higher standard. Our relationship with you is forever.”

The eight Holy Names credential completers are:

  • Todd Brewer, who is completing a special education credential. He teaches 8th grade at Impact Academy;

    Todd Brewer

  • Mason Brown, who is completing his single subject in science. He teaches physics for 10th, 11th and 12th graders at East Bay Innovation Academy;

    Mason Brown

  • Angela Calderon, who is completing her special education credential. She has been teaching special education at Richmond High School;

    Angela Calderon

  • Jaron Epstein, who is completing a special education credential. He has been teaching 6th-8th grade in a special day class at West Oakland Middle School;

    Jaron Epstein

  • Alexander Niuatoa, who is earning a single subject physical education credential. He teaches 7th and 8th graders at Winton Middle School and 10th grade at Hayward High School.

    Alexander Niuatoa

  • Erica Nurse, who is receiving her multiple subjects credential. She has been teaching second grade at Tolenas Elementary School in Fairfield and gives private music instruction in Vallejo.

    Erica Nurse

  • Shazmine Randle, who is earning a special education credential. She teaches 6th through 8th graders at Creekside Middle School.

    Shazmine Randle

  • Mariya Snazina is earning a world languages credential. She teaches French at Castro Valley High School.

    Mariya Snazina

Each of the credential completers who attended the celebration will receive a $200 gift card, courtesy of a donation by the Teel Family Foundation, to help them buy supplies for their classrooms for the new school year.

Mayfield ended the ceremony by remembering the legacy of “really great educators who have gone before you: Dr. Fred Ellis, Margie Mayfield and Sylvester Hodges.”

“I want you to know that their energy is with you and supporting you as you go out and do really great work,” she said.

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Black Voice News

BOE Member Malia Cohen Raises Red Flag on Bank-Breaking Prop 19 Tax Costs

“The challenge is that it was voted upon and the election has been certified. So, it’s the law,” Cohen said during a virtual media news briefing with reporters from across the state on January 29 organized by California Black Media.

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Malia M. Cohen, the only African American member of the California Board of Equalization (BOE), has some critical concerns about the cost homeowners will have to bear because of Proposition 19, a constitutional amendment that took effect on Dec. 16, 2020.

 Cohen, who represents 10 million Californians in 23 counties on the board, is concerned with how Prop. 19 will affect Black and other minority homeowners across California. The BOE is the commission responsible for implementing the law.

“The challenge is that it was voted upon and the election has been certified. So, it’s the law,” Cohen said during a virtual media news briefing with reporters from across the state on January 29 organized by California Black Media.

In her commentary, Cohen discussed the ways the law will impact all property owners.

 “It not only affects our respective Black communities,” she told the reporters. “It affects all homeowners and property owners in the state of California. When people wake up there is going to be a massive coalition (to fight it) — possibly an uprising. People need to know what the real deal is.”

 Cohen said she is planning other events similar to the news briefing she had with CBM. There, residents of California will begin to hear about “the first steps” they can take to become educated about how Prop.19 will hit their bottom lines. This is something she feels was not adequately explained to voters when the referendum was placed on the ballot last November.

 On Nov. 3, 2020, California voters approved Prop. 19, the “Home Protection for Seniors, Severely Disabled, Families, and Victims of Wildfire or Natural Disasters Act.”

 Although Prop. 19 was enacted in December, Cohen warns that a critical part of the legislation will take effect on February 16. Until that date, the state currently allows tax breaks for parent-child transfers. When parents give or sell real property to their children (or perhaps, grandchildren), that heir continues to pay property taxes at the same rate assessed on the home value as the parent.

 After February 16, Prop. 19 will eradicate the parent-child exclusion. Then, parents would still be able to transfer their house to a child, and the child may keep the parent’s assessed value. But the Prop. 19 law has added one critical condition: the child must move into the residence and make the property his or her own primary residence. If not, the property will be reassessed at what the current tax cost is for the home at that time.

 Cohen discussed the immediate property tax implications and how it might impede property owners’ intentions to create generational wealth by transferring their personal residence and other property they own to their children as part of their estate planning.

 BOE Tax Counsel Richard Moon also participated in the briefing.

 “What is required is that a child moving into the home must file a homeowner exemption and that needs to be done within a year of the transfer date,” Moon said. “The child has one year to move into the family home and maintain that family home in order to keep the exclusion. But if they move out after three years, the property would be assessed at that point.”

 Rates of Black homeownership in California and across the country are still far below that of Whites and other minorities. Critics of the law say the fact that Prop. 19 could set up even more barriers to African Americans owning homes – and straddle struggling families with additional financial burdens – is problematic. About 2.2 million Black people reside in California, around 5.5% of the state’s population. According to the U.S. Census Bureau, the rate of white American homeownership is over 73%, while that of African Americans stands at 41%, Black Enterprise magazine reported in 2019.

 According to data compiled by Lending Tree, the country’s leading online home loan marketplace, Los Angeles is one of the cities with the highest percentage of Black homeowners. Utah’s Salt Lake City, Texas’ San Antonio, Oregon’s Portland, and Northern California’s San Jose are also included on that list.

 African Americans primarily generate wealth through homeownership and home inheritances, according to data included in the Urban Institute’s “2019 Black Homeownership Gap: Research Trends and Why Growing Gap Matters” report.

 “Homeownership is currently the largest single source of wealth-building” among the Black population, the study stated. Between 2005 and 2008, over 240,000 African Americans lost their homes to foreclosure according to the Center for Responsible Lending.

 “The financial crisis triggered a massive destruction of wealth for African Americans,” Alanna McCargo, co-director of the Urban Institute’s Housing Finance Policy Center told the Washington Post in 2019. “Wealth is inextricably linked to housing, and that wealth gap is evident in figures for Black-owned property in this country.”

 The law, as it is written, would exclude from the term “purchase” and the phrase “change in ownership” for purposes of determining the “full cash value” of property in the purchase or transfer of a family home or family farm, for example.

 Hardy Brown, Publisher Emeritus of the Black Voice News in Riverside says some of the spirit of Prop. 19 may have been positive. The state intended to provide financial cover for the mostly white Californians living in fire- and flood-prone parts of the state in the event disaster happens. But what it ends up doing, he argues, is decimate the wealth of Blacks and other minorities.

 “It doesn’t help,” said Brown. “It might make a quick buck for campaign contributors or help the state to be a good neighbor to some people, but severely harms others in the process. What it really ends up doing is putting another law on the necks of Black people in the state of California. It will choke the breath right out of us.”

 Under its constitutional mandate, the BOE oversees the assessment practices of the state’s 58 county assessors, who are charged with establishing values for approximately 13.6 million properties each year.  

 “We are not talking about $25 million palaces in Malibu. We are talking about humble homes. Middle-class homes,” Cohen said. “I live in the Bay View community (of San Francisco). We’re talking about Baldwin Hills of Los Angeles or Encanto in San Diego and other communities throughout California. Homes that were purchased for $100,000 decades ago that now have a market value of over $1 million. These homes were paid for through hard work and could be potentially lost.”

 

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