California
California surgeon general sets goal of reducing maternal mortality by 50%
California’s surgeon general has unveiled a new initiative to reduce maternal mortality and set a goal of halving the rate of deaths related to pregnancy and birth by December 2026.
Health officials say that more than 80% of maternal deaths nationwide are preventable. California has achieved a much lower rate of such deaths than the U.S., but maternal mortality resurged in recent years amid the COVID-19 pandemic, state data show.
“We have the lowest rate in the country. Now we can do better,” California Surgeon General Dr. Diana E. Ramos said in an interview.
Ramos was joined in announcing the effort Tuesday by First Partner Jennifer Siebel Newsom, the wife of Gov. Gavin Newsom.
In California, leading causes of such deaths include heart disease, bleeding, “behavioral health” issues such as mental illness and substance use, and infection. More than a fifth of pregnancy-related deaths in California occur the day of delivery, but the majority happen in the days, weeks and months that follow, according to state data.
The crisis has been especially stark among Black women, who have faced a maternal mortality rate more than three times that of white women in California. In Los Angeles County, there has been a public outcry in recent years over the deaths of women like April Valentine, 31, and Bridgette Burks, 32 — Black mothers who left behind devastated families.
Health researchers have faulted numerous factors for the higher rates of maternal mortality among Black women, including the physical effects on the body of enduring years of racism; higher rates of diabetes and other chronic conditions that increase risk; and inequities in the care received by Black patients.
California officials said they are also concerned about rising rates of maternal mortality among Latinos and Asian/Pacific Islander communities in the state.
The “Strong Start & Beyond” initiative, officials said, would help patients understand potential risks before they become pregnant and prompt earlier action to address hazards such as heart disease. It would also alert Californians to doula services and other programs intended to support people before, during and after birth.
Ramos said California had reached the lowest rate of maternal mortality in the nation through its system of reviewing maternal deaths and other efforts centered on hospitals, physicians and other healthcare professionals. Up until now, “the focus has been primarily on the healthcare setting,” she said.
But “if we keep on doing the same thing — just focusing on the healthcare team — we’re going to get the same results,” Ramos said. Health officials and experts decided they needed to bolster that work, “and that’s why we’re bringing in the patient.”
“It seems so simple, but oftentimes, the pregnant person doesn’t feel like they have a voice or they have the information they need to make informed decisions,” Ramos said.
U.S. Secretary of Health and Human Services Xavier Becerra said in a statement accompanying the launch of the new effort that “reducing maternal mortality isn’t a ‘should,’ it’s a ‘must.’ California gets it.”
The planned strategies outlined in the California Maternal Health Blueprint, released Tuesday, include a new questionnaire that patients can take at home to assess their risk of pregnancy complications and get recommendations for next steps based on their results.
As an obstetrician-gynecologist, Ramos said she found that it was often at their first prenatal appointment that a patient would first hear, “You’re going to be a high-risk patient.’ And more times than not, patients would say … ‘I wish I would have known that I could have done X, Y or Z to decrease my risk.’”
California officials also want all medical facilities in the state to use an existing screening tool for gauging the risk levels of pregnant patients.
Ramos said those results could help guide where patients go for births. Hospitals with limited resources could refer patients with a higher risk of complications — such as someone who “is going to be at risk for hemorrhage, is going to be at risk for ICU admission” — to the medical facilities best equipped to handle them.
The new effort comes as pregnant patients may face dwindling choices for hospital births: Nationally, roughly 1 in 25 obstetric units closed in 2021 and 2022, according to a March of Dimes report.
Under “the modern fee-for-service healthcare model … hospitals must fund round-the-clock capacity but are only reimbursed when their facilities and staff are in action,” wrote Dr. Anna Reinert, an assistant professor of clinical obstetrics and gynecology at USC’s Keck School of Medicine, in a recent op-ed.
“So if not enough deliveries are happening, expenses outweigh reimbursement. This drives hospitals to get out of the baby delivery business altogether,” Reinert wrote.
California has faced a wave of such closures in the last decade, including at many hospitals in Los Angeles County. A CalMatters analysis found that such closures had disproportionately affected Black, Latino and low-income communities. Among the latest hospitals to announce it would shut down a labor and delivery unit is USC Verdugo Hills Hospital in Glendale, which plans to halt maternity care on Nov. 20.
California
Southern California’s Christmas weather forecast keeps getting worse. What you need to know
The Pineapple Express storm bearing down on Southern California could bring heavy rain and strong winds throughout Christmas week, potentially triggering mudslides, downing trees and flooding not only freeways but also homes and businesses.
If the forecasts are right, this could be one of the stormiest Christmases in recent memory for Southern California. There’s an 80% chance downtown Los Angeles will get 2 or more inches of rain from Tuesday through Christmas Day. The last time downtown got 2 or more inches of rain over Christmas Eve and Christmas Day was in 1971.
Here’s what you need to know.
Timing
The peak of the system is expected Tuesday through Thursday, according to the National Weather Service.
There’s an 80% to 100% chance of rain in Los Angeles, Ventura, Santa Barbara and San Luis Obispo counties starting Tuesday night and lasting into Wednesday and Thursday.
Precipitation timing for Los Angeles, Ventura, Santa Barbara and San Luis Obispo counties.
(National Weather Service)
In Orange County, the Inland Empire and San Diego County, light showers are possible Tuesday, but the heaviest rainfall is expected Wednesday, with officials warning of heavy rainfall, increased flooding risks and possible mudslides. Flood and mudslide risks will continue Thursday.
Expected effects of the storm for Orange County, the Inland Empire and San Diego County.
(National Weather Service)
Worst-case scenario
Forecasters are warning that there’s a 40% chance of “very high” amounts of rain for Los Angeles, Ventura and southern Santa Barbara counties, and a 30% chance of the same for northern Santa Barbara County and San Luis Obispo County.
That scenario would see 4 or more inches of rain fall on the coast and in the valleys, with 8 or more inches in the mountains and foothills, Tuesday through Thursday. Peak rainfall rates would be half an inch to 1 inch per hour.
According to the National Weather Service, that could cause:
• Significant mudslides
• Flooded freeways
• Streams and rivers flooding over their banks
• Localized flooding that could rise above curbs and into homes and businesses
• Moderate coastal flooding in south-facing areas
• Downed trees and power lines
• Dangerous sea conditions
• Swiftwater rescues
Rainfall probabilities for Los Angeles, Ventura and southern Santa Barbara counties.
(National Weather Service)
Between Tuesday and Thursday, numerous areas have a high chance of seeing 3 or more inches of rain. There’s a 77% chance of that occurring in Anaheim and Yorba Linda, a 74% chance in Santa Ana, a 73% chance in Ontario, a 71% chance in Mission Viejo, a 69% chance in Irvine, a 68% chance in Chino, a 65% chance in Laguna Niguel and a 60% chance in San Clemente.
Rainfall probabilities for northern Santa Barbara County and San Luis Obispo County.
(National Weather Service)
‘High amounts’ of rain scenario
There’s also a 40% chance of “high amounts” of rain in L.A., Ventura and southern Santa Barbara counties, and a 50% chance of the same in northern Santa Barbara and San Luis Obispo counties. That scenario would entail 2 to 4 inches of rain falling along the coast and in the valleys, with 4 to 8 inches in the mountains and foothills.
Rain to that extent would risk flooding freeway lanes; causing minor coastal flooding, mudslides and debris flows; and potentially force swiftwater rescues in fast-moving rivers and streams.
Wind
There’s a potential for gusty winds from the south, said Robbie Munroe, meteorologist with the National Weather Service’s Oxnard office, which issues forecasts for L.A., Ventura, Santa Barbara and San Luis Obispo counties.
That risks toppling trees and power lines. On Tuesday night, Los Angeles could see peak gusts of 31 mph; Woodland Hills, 38 mph; Paso Robles, 52 mph; and San Luis Obispo, 53 mph.
“Avoid parking under trees,” the weather service said. “Secure loose outdoor objects.”
There’s a 65% chance of gusts exceeding 35 mph in Huntington Beach, a 60% chance in San Diego, a 45% chance in Big Bear Lake and Ramona, a 40% chance in Escondido and a 35% chance in Riverside, according to the weather service office in San Diego.
California
Immigrant truck drivers in limbo as feds deny California effort to reissue licenses
Thousands of immigrant drivers whose commercial driver’s licenses are set to expire next month were left bewildered and disappointed when news spread that California was planning on reissuing the licenses — only to learn federal regulators had not authorized doing so.
Amarjit Singh, a trucker and owner of a trucking company in the Bay Area, said he and other drivers were hopeful when word of California’s intentions reached them.
“We were happy [the California Department of Motor Vehicles] was going to reissue them,” he said. “But now, things aren’t so clear and it feels like we’re in the dark.”
Singh said he doesn’t know whether he should renew his insurance and permits that allow him to operate in different states.
“I don’t know if I’m going to have to look for another job,” he said. “I’m stuck.”
Singh is one of 17,000 drivers who were given 60-day cancellation notices on Nov. 6 following a federal audit of California’s non-domiciled commercial driver’s license program, which became a political flashpoint after an undocumented truck driver was accused of making an illegal U-turn and caused a crash in Florida that killed three people.
The nationwide program allows immigrants authorized to work in the country to obtain commercial driver’s licenses. But officials said the federal audit found that the California Department of Motor Vehicles had issued thousands of licenses with expiration dates that extended beyond the work permits, prompting federal officials to halt the program until the state was in compliance.
This week, the San Francisco Chronicle obtained a letter dated Dec. 10 from DMV Director Steve Gordon to the U.S Department of Transportation stating that the state agency had met federal guidelines and would begin reissuing the licenses.
In a statement to The Times, DMV officials confirmed that they had notified regulators and were planning to issue the licenses on Wednesday, but federal authorities told them Tuesday that they could not proceed.
DMV officials said they met with the Federal Motor Carrier Safety Administration, which oversees issuance of non-domiciled commercial driver’s licenses, to seek clarification about what issues remain unresolved.
A spokesperson for the Department of Transportation, which oversees the FMCSA, would only say that it was continuing to work with the state to ensure compliance.
The DMV is hopeful the federal government will allow California to move ahead, said agency spokesperson Eva Spiegel.
“Commercial drivers are an important part of our economy — our supply chains don’t move and our communities don’t stay connected without them,” Spiegel said. “DMV stands ready to resume issuing commercial driver’s licenses, including corrected licenses to eligible drivers. Given we are in compliance with federal regulations and state law, this delay by the federal government not only hurts our trucking industry, but it also leaves eligible drivers in the cold without any resolution during this holiday season.”
Bhupinder Kaur — director of operations at UNITED SIKHS, a national human and civil rights organization — said the looming cancellations will disproportionately impact Sikh, Punjabi, Latino and other immigrant drivers who are essential to California’s freight economy.
“I’ve spoken to truckers who have delayed weddings. I’ve spoken to truckers who have closed their trucking companies. I’ve spoken to truckers who are in this weird limbo of not knowing how to support their families,” Kaur said. “I myself come from a trucker family. We’re all facing the effects of this.”
Despite hitting a speed bump this week, Kaur said the Sikh trucking community remains hopeful.
“The Sikh sentiment is always to remain optimistic,” she said. “We’re not going to accept it — we’re just gonna continue to fight.”
California
Two Republicans lead race to be next California governor—New poll
Two Republican candidates are leading the latest poll in California’s gubernatorial race amid concerns that Democrats could be locked out of the general election in the solidly blue state.
Newsweek reached out to the California Democratic and Republican parties for comment via email.
Why It Matters
California is a solidly Democratic state that rarely elects Republicans to statewide office. However, Democrats are facing a potential challenge in next year’s gubernatorial race. The Golden State uses a unique “jungle primary” system where all candidates, regardless of their party, appear on the same ballot and the two candidates who receive the most votes advance to the general election. This means there is a possible, even if unlikely, scenario where two Republicans could advance to the general election and lock Democrats out of the race.
A string of recent polls suggests that could be a possibility in the race next year to replace retiring Governor Gavin Newsom, a Democrat, who cannot run for a third term due to term limits.
What To Know
California’s gubernatorial race has drawn the interest of several well-known Democrats in the state including Representative Eric Swalwell, former Representative Katie Porter, former Secretary of Health and Human Services (HHS) Xavier Becerra, businessman Tom Steyer, former Los Angeles Mayor Antonio Villaraigosa, Superintendent of Public Instruction Tony Thurmond and former Controller Betty Yee.
By contrast, two well-known Republicans—Riverside County Sheriff Chad Bianco and commentator Steve Hilton—are in the race.
The math problem for Democrats would be if the high number of Democrats split the vote in a way that allows Bianco and Hilton to narrowly advance to the general election. Early polls show that as a possibility, though there is still time for Democratic voters to coalesce around specific candidates before June’s primary.
On Thursday, pollster Civic Lens Research released a survey showing Bianco and Hilton advancing to the general election. Hilton led with just under 18 percent of the vote, while Bianco followed with about 14 percent.
Swalwell placed third with about 12 percent support, while Porter and Steyer followed with 9 and 7 percent support, respectively. Still, many voters are still unsure of who they are going to support—and could be decisive in the race. Thirty-one percent said they were undecided in the poll.
The poll surveyed 400 likely California primary voters via a web questionnaire sent by text message between December 14 and 16.
Other polls have also showed a Democratic lockout as a possibility. An Emerson College poll, which surveyed 1,000 likely voters from December 1-2, showed Bianco leading with 13 percent, while Hilton and Swalwell were tied at 12 percent. An FM3 poll showed Hilton lead with 18 percent, followed by Bianco and Swalwell at 17 percent. It surveyed 821 likely voters from November 30 to December 7 and had a margin of error of plus or minus four percentage points.
Zev Yaroslavsky, a former member of the Los Angeles County Board of Supervisors and director of the Los Angeles Initiative at the University of California, Los Angeles, told Newsweek polls are “largely reflecting name identification and party identification.”
“Voters are not focused on the June primary yet,” he said. “With only two Republicans in the mix along with half a dozen or more well-known Democrats, it is not surprising that most of the candidates are bunched up.”
Democratic and undecided voters are likely to “consolidate behind one or two prominent candidates” by the spring, Yaroslavsky said, noting that other candidates will either drop out or “just be relegated to electoral irrelevancy.”
“The top Democrat will assuredly receive far more than 13% in June. Republicans have a ceiling of what they can hope to get in California, and when Democratic and independent voters coalesce around on or two candidates, at least one of the leading Democratic candidates will come in first or second and advance to the general election. At that point, it’s the Democrats’ to lose,” he said.
What People Are Saying
Corrin Rankin, chairwoman of the California Republican Party, told Newsweek in November: “Poll after poll shows Californians are tired of the decades of failure and corruption by Democrats, and they are turning to Republicans for real solutions and leadership on issues like affordability, public safety, and homelessness.”
Rusty Hicks, chair of the California Democratic Party, told Newsweek in November: “We look forward to electing another Democrat as California’s next Governor in 2026.”
What Happens Next?
The primary is set for June 2, 2026, so candidates will spend the first half of next year making their case to voters to convince them they are the best option to lead the nation’s most populous state.
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