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    What You Should Look for in an Auto Body Shop

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    Reasons Gas Stations Charge for Compressed Air

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    What To Consider Before Repainting Your Classic Car

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    What Your Car’s Paint Color Says About You

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    Top Ways To Upgrade Your Electric Vehicle

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    Tips for Crossing Water in Your Jeep Wrangler

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    4 Helpful Tips for Giving Your Car a Glossy Finish

    4 Common Mistakes To Avoid With Car Restorations

    4 Common Mistakes To Avoid With Car Restorations

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    Signs That It Might Be Time To Get a New Car

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    Mistakes To Avoid When Starting Your Online Store

    Mistakes To Avoid When Starting Your Online Store

    Ways To Reduce Safety Hazards in the Office

    Ways To Reduce Safety Hazards in the Office

    How To Realistically Invest in Apartment Complexes

    How To Realistically Invest in Apartment Complexes

    Fighting housing shortage: Airbnb & Co should share more data with authorities to prevent fraud 

    Fighting housing shortage: Airbnb & Co should share more data with authorities to prevent fraud 

    How To Transition to Mass-Producing Your Product

    How To Transition to Mass-Producing Your Product

    How To Choose the Right Outdoor Lighting for Your Business

    How To Choose the Right Outdoor Lighting for Your Business

    Tips for Designing an Industrial-Style Restaurant

    Tips for Designing an Industrial-Style Restaurant

    Los Angeles implemented a new tax on luxurious real estate to finance affordable housing and combat homelessness

    Los Angeles implemented a new tax on luxurious real estate to finance affordable housing and combat homelessness

    Working shorter hours: 38 companies in the USA are testing the 4-day week

    Working shorter hours: 38 companies in the USA are testing the 4-day week

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    • Fashion
      Essential Tips for Planning a Great Fashion Show

      Essential Tips for Planning a Great Fashion Show

      Signs That Your Tuxedo Doesn’t Fit Right

      Signs That Your Tuxedo Doesn’t Fit Right

      Make a Bold Style Statement With These Wide-Leg Pants

      Make a Bold Style Statement With These Wide-Leg Pants

      Power Your Winter Workouts With The Best Zip Hoodies for Men

      Power Your Winter Workouts With The Best Zip Hoodies for Men

      The Ultimate Watch Buying Guide

      The Ultimate Watch Buying Guide

      Outdoor Enthusiasts, Take Note: These Watches Are as Tough as You

      Outdoor Enthusiasts, Take Note: These Watches Are as Tough as You

      Our 7 Favorite Field Jackets for Tackling Fall Weather

      Our 7 Favorite Field Jackets for Tackling Fall Weather

      The Best Leather Jackets for Guys – No Matter Your Budget

      The Best Leather Jackets for Guys – No Matter Your Budget

      Campus-Ready Backpacks for Storing *All* the Books

      Campus-Ready Backpacks for Storing *All* the Books

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        Energizing Foods and Drinks To Consume Before a Workout

        Energizing Foods and Drinks To Consume Before a Workout

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        Classic Beer Styles You Should Know How to Brew

        The Best Flour Alternatives That Work in Any Recipe

        The Best Flour Alternatives That Work in Any Recipe

        Cheese Tortellini in Creamy Marinara

        Cheese Tortellini in Creamy Marinara

        Unusual Products That Come From Animals and Their Uses

        Unusual Products That Come From Animals and Their Uses

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        Tips for Creating a Homemade Wine Cellar

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        How the Wine You Choose Can Help You have an Eco-Friendly Home

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          As Younger Children Increasingly Die by Suicide, Better Tracking and Prevention Is Sought

          Florida Gov. Ron DeSantis Injects Presidential Politics Into the Covid Vaccine Debate

          Florida Gov. Ron DeSantis Injects Presidential Politics Into the Covid Vaccine Debate

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          Tips for Fitting a Doctor’s Visit Into Your Busy Schedule

          The Shrinking Number of Primary Care Physicians Is Reaching a Tipping Point

          The Shrinking Number of Primary Care Physicians Is Reaching a Tipping Point

          Activist Misuses Federal Data to Make False Claim That Covid Vaccines Killed 676,000

          Activist Misuses Federal Data to Make False Claim That Covid Vaccines Killed 676,000

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          Illustrated Report: How Gun Violence Goes Viral

          A New Medicare Proposal Would Cover Training for Family Caregivers

          A New Medicare Proposal Would Cover Training for Family Caregivers

          New Alzheimer’s Drug Raises Hopes — Along With Questions

          New Alzheimer’s Drug Raises Hopes — Along With Questions

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          Blood Test That Screens for Cancer Raises Hopes, and Worries

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            Common Dog Owner Mistakes and How To Avoid Them

            Common Dog Owner Mistakes and How To Avoid Them

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            3 Reasons To Give an Antique or Vintage Engagement Ring

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            Outdoor Luxuries To Add to Your Backyard

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            Why the Friend of My Enemy is My Enemy

            Huge Money Mistakes New Parents Fall For

            Huge Money Mistakes New Parents Fall For

            Energizing Foods and Drinks To Consume Before a Workout

            Energizing Foods and Drinks To Consume Before a Workout

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            Hobbies That Stimulate Cognitive Function

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            How To Prevent Mold from Growing in a Sauna

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              Primaries underway for America’s third-largest party with grassroots and self-funded candidates

              Primaries underway for America’s third-largest party with grassroots and self-funded candidates

              Carbon capture draws millions in lobbying, billions in federal subsidies

              Carbon capture draws millions in lobbying, billions in federal subsidies

              United leads soaring airline industry lobbying spending

              United leads soaring airline industry lobbying spending

              Deep-pocketed dairy industry continues war on plant-based milk as FDA hears comments on new draft guidance

              Deep-pocketed dairy industry continues war on plant-based milk as FDA hears comments on new draft guidance

              Shein’s lobbying spending soars amid supply chain probes

              Shein’s lobbying spending soars amid supply chain probes

              Virginia legislative candidates in Richmond and Hampton Roads raked in millions in final primary sprint

              Virginia legislative candidates in Richmond and Hampton Roads raked in millions in final primary sprint

              Manchin outraises GOP challengers but has yet to announce 2024 plans

              Manchin outraises GOP challengers but has yet to announce 2024 plans

              Gallego outraises Sinema but falls far short of incumbent’s war chest in Arizona Senate race

              Gallego outraises Sinema but falls far short of incumbent’s war chest in Arizona Senate race

              Elon Musk outmuscled by Mark Zuckerberg’s money in politics

              Elon Musk outmuscled by Mark Zuckerberg’s money in politics

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                Ways To Invest in Real Estate With No Experience

                How To Make Your Rental Property More Eco-Friendly

                How To Make Your Rental Property More Eco-Friendly

                Things To Consider Before Investing in Real Estate Overseas

                Things To Consider Before Investing in Real Estate Overseas

                Incredible Areas in Florida To Buy a Vacation Home

                Incredible Areas in Florida To Buy a Vacation Home

                Helpful Home Staging Tips for Virtual Tours

                Helpful Home Staging Tips for Virtual Tours

                Ways To Decorate and Design a Lake House

                Ways To Decorate and Design a Lake House

                Challenges To Managing a Rental Property

                Challenges To Managing a Rental Property

                The Best Landlord: How To Show Tenants You Care

                The Best Landlord: How To Show Tenants You Care

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                The Best Locations To Invest in a Second Home

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                  What You Should Look for in an Auto Body Shop

                  What You Should Look for in an Auto Body Shop

                  Reasons Gas Stations Charge for Compressed Air

                  Reasons Gas Stations Charge for Compressed Air

                  What To Consider Before Repainting Your Classic Car

                  What To Consider Before Repainting Your Classic Car

                  What Your Car’s Paint Color Says About You

                  What Your Car’s Paint Color Says About You

                  Top Ways To Upgrade Your Electric Vehicle

                  Top Ways To Upgrade Your Electric Vehicle

                  Tips for Crossing Water in Your Jeep Wrangler

                  Tips for Crossing Water in Your Jeep Wrangler

                  4 Helpful Tips for Giving Your Car a Glossy Finish

                  4 Helpful Tips for Giving Your Car a Glossy Finish

                  4 Common Mistakes To Avoid With Car Restorations

                  4 Common Mistakes To Avoid With Car Restorations

                  Signs That It Might Be Time To Get a New Car

                  Signs That It Might Be Time To Get a New Car

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                  • Mercedes-Benz
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                • Business
                  Mistakes To Avoid When Starting Your Online Store

                  Mistakes To Avoid When Starting Your Online Store

                  Ways To Reduce Safety Hazards in the Office

                  Ways To Reduce Safety Hazards in the Office

                  How To Realistically Invest in Apartment Complexes

                  How To Realistically Invest in Apartment Complexes

                  Fighting housing shortage: Airbnb & Co should share more data with authorities to prevent fraud 

                  Fighting housing shortage: Airbnb & Co should share more data with authorities to prevent fraud 

                  How To Transition to Mass-Producing Your Product

                  How To Transition to Mass-Producing Your Product

                  How To Choose the Right Outdoor Lighting for Your Business

                  How To Choose the Right Outdoor Lighting for Your Business

                  Tips for Designing an Industrial-Style Restaurant

                  Tips for Designing an Industrial-Style Restaurant

                  Los Angeles implemented a new tax on luxurious real estate to finance affordable housing and combat homelessness

                  Los Angeles implemented a new tax on luxurious real estate to finance affordable housing and combat homelessness

                  Working shorter hours: 38 companies in the USA are testing the 4-day week

                  Working shorter hours: 38 companies in the USA are testing the 4-day week

                  Trending Tags

                  • Fashion
                    Essential Tips for Planning a Great Fashion Show

                    Essential Tips for Planning a Great Fashion Show

                    Signs That Your Tuxedo Doesn’t Fit Right

                    Signs That Your Tuxedo Doesn’t Fit Right

                    Make a Bold Style Statement With These Wide-Leg Pants

                    Make a Bold Style Statement With These Wide-Leg Pants

                    Power Your Winter Workouts With The Best Zip Hoodies for Men

                    Power Your Winter Workouts With The Best Zip Hoodies for Men

                    The Ultimate Watch Buying Guide

                    The Ultimate Watch Buying Guide

                    Outdoor Enthusiasts, Take Note: These Watches Are as Tough as You

                    Outdoor Enthusiasts, Take Note: These Watches Are as Tough as You

                    Our 7 Favorite Field Jackets for Tackling Fall Weather

                    Our 7 Favorite Field Jackets for Tackling Fall Weather

                    The Best Leather Jackets for Guys – No Matter Your Budget

                    The Best Leather Jackets for Guys – No Matter Your Budget

                    Campus-Ready Backpacks for Storing *All* the Books

                    Campus-Ready Backpacks for Storing *All* the Books

                    Trending Tags

                    • Food & Drink
                      Energizing Foods and Drinks To Consume Before a Workout

                      Energizing Foods and Drinks To Consume Before a Workout

                      Classic Beer Styles You Should Know How to Brew

                      Classic Beer Styles You Should Know How to Brew

                      The Best Flour Alternatives That Work in Any Recipe

                      The Best Flour Alternatives That Work in Any Recipe

                      Cheese Tortellini in Creamy Marinara

                      Cheese Tortellini in Creamy Marinara

                      Unusual Products That Come From Animals and Their Uses

                      Unusual Products That Come From Animals and Their Uses

                      Tips for Creating a Homemade Wine Cellar

                      Tips for Creating a Homemade Wine Cellar

                      How the wine you choose can help you have an eco-friendly home

                      How the Wine You Choose Can Help You have an Eco-Friendly Home

                      Rum and Cola Holiday Ham

                      Special Centerpieces for Holiday Celebrations

                      ChefsGiving 2020

                      This Holiday Season, How about Cooking for a Cause?

                      Trending Tags

                      • Health

                        As Younger Children Increasingly Die by Suicide, Better Tracking and Prevention Is Sought

                        Florida Gov. Ron DeSantis Injects Presidential Politics Into the Covid Vaccine Debate

                        Florida Gov. Ron DeSantis Injects Presidential Politics Into the Covid Vaccine Debate

                        Tips for Fitting a Doctor’s Visit Into Your Busy Schedule

                        Tips for Fitting a Doctor’s Visit Into Your Busy Schedule

                        The Shrinking Number of Primary Care Physicians Is Reaching a Tipping Point

                        The Shrinking Number of Primary Care Physicians Is Reaching a Tipping Point

                        Activist Misuses Federal Data to Make False Claim That Covid Vaccines Killed 676,000

                        Activist Misuses Federal Data to Make False Claim That Covid Vaccines Killed 676,000

                        Illustrated Report: How Gun Violence Goes Viral

                        Illustrated Report: How Gun Violence Goes Viral

                        A New Medicare Proposal Would Cover Training for Family Caregivers

                        A New Medicare Proposal Would Cover Training for Family Caregivers

                        New Alzheimer’s Drug Raises Hopes — Along With Questions

                        New Alzheimer’s Drug Raises Hopes — Along With Questions

                        Blood Test That Screens for Cancer Raises Hopes, and Worries

                        Blood Test That Screens for Cancer Raises Hopes, and Worries

                        Trending Tags

                        • Lifestyle
                          Common Dog Owner Mistakes and How To Avoid Them

                          Common Dog Owner Mistakes and How To Avoid Them

                          3 Reasons To Give an Antique or Vintage Engagement Ring

                          3 Reasons To Give an Antique or Vintage Engagement Ring

                          Tim Ferris

                          Tim Ferriss’ Lifestyle Design: Unleashing Human Potential and Redefining Success

                          Outdoor Luxuries To Add to Your Backyard

                          Outdoor Luxuries To Add to Your Backyard

                          Strategy and business planning ideas. Chess gold on the board.

                          Why the Friend of My Enemy is My Enemy

                          Huge Money Mistakes New Parents Fall For

                          Huge Money Mistakes New Parents Fall For

                          Energizing Foods and Drinks To Consume Before a Workout

                          Energizing Foods and Drinks To Consume Before a Workout

                          Hobbies That Stimulate Cognitive Function

                          Hobbies That Stimulate Cognitive Function

                          How To Prevent Mold from Growing in a Sauna

                          How To Prevent Mold from Growing in a Sauna

                          Trending Tags

                          • Politics
                            Primaries underway for America’s third-largest party with grassroots and self-funded candidates

                            Primaries underway for America’s third-largest party with grassroots and self-funded candidates

                            Carbon capture draws millions in lobbying, billions in federal subsidies

                            Carbon capture draws millions in lobbying, billions in federal subsidies

                            United leads soaring airline industry lobbying spending

                            United leads soaring airline industry lobbying spending

                            Deep-pocketed dairy industry continues war on plant-based milk as FDA hears comments on new draft guidance

                            Deep-pocketed dairy industry continues war on plant-based milk as FDA hears comments on new draft guidance

                            Shein’s lobbying spending soars amid supply chain probes

                            Shein’s lobbying spending soars amid supply chain probes

                            Virginia legislative candidates in Richmond and Hampton Roads raked in millions in final primary sprint

                            Virginia legislative candidates in Richmond and Hampton Roads raked in millions in final primary sprint

                            Manchin outraises GOP challengers but has yet to announce 2024 plans

                            Manchin outraises GOP challengers but has yet to announce 2024 plans

                            Gallego outraises Sinema but falls far short of incumbent’s war chest in Arizona Senate race

                            Gallego outraises Sinema but falls far short of incumbent’s war chest in Arizona Senate race

                            Elon Musk outmuscled by Mark Zuckerberg’s money in politics

                            Elon Musk outmuscled by Mark Zuckerberg’s money in politics

                            Trending Tags

                            • Real Estate
                              Ways To Invest in Real Estate With No Experience

                              Ways To Invest in Real Estate With No Experience

                              How To Make Your Rental Property More Eco-Friendly

                              How To Make Your Rental Property More Eco-Friendly

                              Things To Consider Before Investing in Real Estate Overseas

                              Things To Consider Before Investing in Real Estate Overseas

                              Incredible Areas in Florida To Buy a Vacation Home

                              Incredible Areas in Florida To Buy a Vacation Home

                              Helpful Home Staging Tips for Virtual Tours

                              Helpful Home Staging Tips for Virtual Tours

                              Ways To Decorate and Design a Lake House

                              Ways To Decorate and Design a Lake House

                              Challenges To Managing a Rental Property

                              Challenges To Managing a Rental Property

                              The Best Landlord: How To Show Tenants You Care

                              The Best Landlord: How To Show Tenants You Care

                              The Best Locations To Invest in a Second Home

                              The Best Locations To Invest in a Second Home

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                              Rob Bonta Investigates Hospital Algorithms for Racial Bias

                              by Staff Writer
                              November 21, 2022
                              in Health
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                              By Mark Kreidler

                              SACRAMENTO — California Attorney General Rob Bonta sailed to victory in the Nov. 8 election, riding his progressive record on reproductive rights, gun control, and social justice reform. As he charts a course for his next four years, the 50-year-old Democrat wants to target racial discrimination in health care, including through an investigation of software programs and decision-making tools used by hospitals to treat patients.

                              Bonta, the first Filipino American to serve as the state’s top prosecutor, asked 30 hospital CEOs in August for a list of the commercial software programs their facilities use to support clinical decisions, schedule operating rooms, and guide billing practices. In exchange, he offered them confidentiality. His goal, Bonta told KHN, is to identify algorithms that may direct more attention and resources to white patients than to minorities, widening racial disparities in health care access, quality, and outcomes.

                              “Unequal access to our health care system needs to be combated and reversed, not carried forward and propagated, and algorithms have the power to do either,” Bonta said.

                              It’s too early to know what Bonta will find, and his office will not name the hospitals involved. The California Hospital Association said in a statement that such bias “has absolutely no place in medical treatment provided to any patient in any care setting” and declined to comment further.

                              Advocates have high hopes for what Bonta will find — and for the next four years. “We expect to see a lot more from him in this full term,” said Ron Coleman Baeza, managing director of policy for the California Pan-Ethnic Health Network. “There is much more work to do.”

                              Last year, Gov. Gavin Newsom appointed Bonta as attorney general after Xavier Becerra left the position to join the Biden administration as secretary of the U.S. Department of Health and Human Services. In the Nov. 8 election, which won him his first full term, Bonta faced Republican challenger Nathan Hochman, a former federal prosecutor who campaigned on prosecuting violent criminals and pulling the deadly synthetic opioid fentanyl off the streets. In contrast, Bonta advocated for gun control and decriminalizing lower-level drug offenses, and in January advised law enforcement officials not to prosecute women for murder when a fetus dies, even if their drug use contributed to the death.

                              In unofficial results, Bonta had about 59% of the statewide vote, compared with 41% for Hochman.

                              Bonta, formerly a state legislator representing the East Bay, will be eligible to run for a second full term, which could allow him to serve for nearly 10 years.

                              His wife, Democratic state Assembly member Mia Bonta, was among the public officials who discussed their abortion experiences after a leaked draft of a U.S. Supreme Court opinion that was published in May revealed the justices would likely repeal Roe v. Wade. After they did, the attorney general threatened legal action against local jurisdictions that tried to adopt abortion bans.

                              Bonta called health care a right for all Californians and said he wanted to help people of color and low-income communities get more access to doctors and treatments, as well as better care. “It’s something I’ve been actively working on as an elected official my entire career, and even before that,” said Bonta, whose father helped organize health clinics for Central Valley farmworkers.

                              But health equity remains an elusive goal, even as it has become a catchphrase among advocates, researchers, politicians, and health care executives. And as with most aspects of the state’s mammoth health care system, progress comes slowly.

                              The Newsom administration, for example, will require managed-care plans that sign new Medicaid contracts to hire a chief equity officer and pledge to reduce health disparities, including in pediatric and maternal care. The state’s Medicaid program, known as Medi-Cal, serves nearly 15 million people — most of whom are people of color. But those changes won’t come until 2024, at the earliest.

                              State lawmakers are also trying to minimize racial discrimination through legislation. In 2019, for example, they passed a law that mandates implicit bias training for health care providers serving pregnant women. Black women are three times as likely to die from having a baby as white women.

                              In recent years, researchers started warning that racial discrimination was baked into the diagnostic algorithms that doctors use to guide their treatment decisions. One model predicted a lower rate of success for vaginal births among Black and Hispanic women who previously had a cesarean delivery than among white women, but failed to take into account patients’ marital status and insurance type, both of which can affect the success rate of a vaginal birth. Another, used by urologists, assigned Black patients coming into emergency rooms with “flank pain” a lower likelihood of having kidney stones than non-Black patients — even though the software’s developers failed to explain why.

                              Some researchers likened such medical algorithms to risk assessment tools used in the criminal justice system, which can lead to higher bail amounts and longer prison sentences for Black defendants. “If the underlying data reflect racist social structures, then their use in predictive tools cements racism into practice and policy,” they wrote in the New England Journal of Medicine in 2020.

                              Bonta is seeking the hospital industry’s cooperation in his algorithm investigation by framing racial and ethnic disparities as injustices that require intervention. He said he believes that his inquiry is the first of its kind and that it falls under the California Department of Justice’s responsibility to protect civil rights and consumers. “We have a lot of depth,” he said of his 4,500-employee agency.

                              Coleman Baeza and other advocates for health care consumers said the attorney general should also monitor nonprofit hospital mergers to ensure that health care facilities don’t reduce beds in underserved communities and crack down on predatory medical lending, particularly in dental care.

                              “They violate existing consumer protections, and that falls squarely within the AG’s jurisdiction,” said Linda Nguy, a senior policy advocate for the Western Center on Law and Poverty.

                              Nguy urged Bonta to go after underperforming health plans when they fail to contract with enough providers so patients can get timely appointments, even though the California Department of Managed Health Care is the state’s main health insurance regulator.

                              “During covid, the health plans were essentially given a pause on reporting of their timely access. But that pause is over, and the plans have to meet these requirements,” Nguy said. “He can ask for that utilization data.”

                              Bonta remains circumspect on a particular issue related to race.

                              His office has been facilitating California’s reparations task force, which issued a nearly 500-page preliminary report this year that noted that Black Californians had shorter life expectancies and poorer health outcomes than other groups. In surveys of hospitals across the country, Black patients with heart disease “receive older, cheaper, and more conservative treatments” than white patients, the report said.

                              The task force could recommend cash compensation for Black Californians who can establish ties to enslaved ancestors, but Bonta hasn’t endorsed that plan. The final report is due in July.

                              “If we can move the needle, then we should,” Bonta said. “There are a whole set of different possible solutions, pathways to get there.”

                              KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

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                              This story can be republished for free (details).

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