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Opinion: Let’s help Alzheimer’s patients manage their own lives with dignity

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Opinion: Let’s help Alzheimer’s patients manage their own lives with dignity


As we mark Alzheimer’s Awareness Month during September, we honor the millions of Americans and their families navigating the profound challenges of this devastating disease. Yet, amidst our awareness, we must confront a harsh reality: California’s Medical Aid in Dying (MAID) law currently excludes those who may need it the most — individuals in the early to mid-stages of Alzheimer’s disease who still possess cognitive capacity.

In 2020, roughly 720,000 Californians, or 12 percent of those over 65, were living with Alzheimer’s. This number will rise as the size of this age group continues to increase. Despite this growing crisis, our laws fail to provide a compassionate option for those facing the terrifying loss of cognitive function. Many people in the early to mid-stages of Alzheimer’s retain the mental ability to make informed decisions about their end-of-life care but live in fear of a future where that ability is lost. They are aware of what lies ahead — a slow decline into confusion and dependency. Allowing these individuals access to California’s Medical Aid in Dying would enable them to make a proactive, dignified choice about their end-of-life care, preserving their autonomy.

California’s End of Life Option Act, passed in 2016, was a significant step forward in providing terminally ill adults with the choice to end their lives peacefully and on their own terms. However, the law’s requirement for mental competence at the time of request, and the ability to self-administer the medication, effectively excludes Alzheimer’s patients, whose cognitive decline is a hallmark of their illness. While Alzheimer’s is undeniably a terminal illness, its progression is unpredictable, making it nearly impossible for patients to time a request for California’s Medical Aid in Dying before losing their decision-making capacity.

This is more than a legal issue — it is a moral one. By excluding those with Alzheimer’s from accessing California’s Medical Aid in Dying, we are denying them the right to die with dignity, forcing them to endure a prolonged and often agonizing decline. My mother was among those denied this choice. Diagnosed with Alzheimer’s, she made the brave decision to travel to Switzerland, where she could end her life on her terms, with dignity, and surrounded by her daughters. The fact that she had to leave her home and country to achieve this is a travesty. No one should have to cross international borders to die with dignity.

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California has long been a leader in end-of-life care, but it is time to extend this compassion and dignity to individuals with Alzheimer’s disease. We must revise the End of Life Option Act to allow those in the early to mid-stages of Alzheimer’s, who still have cognitive capacity, to qualify for California’s Medical Aid in Dying. Many people with dementia would prefer a peaceful, dignified death over years of decline in a care facility, even if it means giving up good days to avoid bad years. They deserve the right to make this choice.

My mother’s journey to Switzerland was not just an act of self-determination; it was an indictment of a system that forced her to leave her home to die peacefully. It’s time to change the law so that people like my mother can choose to die with dignity in their own homes, surrounded by loved ones, without the need for international travel. We owe it to those facing the devastating reality of Alzheimer’s to provide them with the same end-of-life choices available to others with terminal illnesses.

This Alzheimer’s Awareness Month, let’s take action. It’s time to ensure that those with Alzheimer’s can live their final days with dignity, compassion and control.

Golemb is a founding member of A Better Exit, a nonprofit dedicated to expanding California’s End of Life Option Act. She lives in Kensington.

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SD Unified moves forward with layoffs of classified employees

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SD Unified moves forward with layoffs of classified employees


SAN DIEGO (KGTV) — Less than 3 weeks after the San Diego Unified School District finalized a new contract with teachers, the school board voted unanimously on Tuesday to move forward with layoff notices for other district employees.

The layoffs affect classified employees — workers who are employed by the district but are not teachers and are not certified. That includes bus drivers, custodians, special education and teacher aides, and cafeteria workers.

The district says it is eliminating 221 positions — 133 that are currently filled and 88 that are vacant — to save $19 million and help address a projected $47 million deficit for the next fiscal year.

Preliminary layoff notices will go out on March 15, with final notices by May 15.

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The district estimates about 200 classified employees will receive preliminary notices, but of them, about 70 are expected to lose their jobs based on union-negotiated bumping rules.

Bumping allows employees with more seniority to move into another position in the same classification, thereby “bumping” a less senior employee out of that role.

Lupe Murray, an early childhood special education parafacilitator with the district, said the news came as a shock after the teacher strike was called off.

“When the strike was called off, I’m like, ‘Yes!’ So then when I got the email from the Superintendent, I’m like, ‘Wait, what?’ So, I think everyone was shocked,” Murray said.

The district says it sends out annual layoff notices, as all districts in the state do.

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Before Tuesday’s board meeting, classified employees rallied outside, made up of CSEA (California School Employees Association) Chapters OTBS 788, Paraeducators 759, and OSS 724. They were joined by parents, students, and the San Diego & Imperial Counties Labor Council, AFL-CIO.

Miguel Arellano, a paraeducator independence facilitator with San Diego Unified and a representative of San Diego Paraeducators Cahpter 759.

“What do we want? No layoffs! When do we want it? Now!” the crowd chanted.

Arellano said he felt compelled to act when he learned about the potential layoffs.

“The first thing that went through my mind was that I need to speak up. I need to protect these people,” Arellano said.

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Inside the meeting, the board heard emotional, at times tearful testimony from classified employees before voting unanimously to move forward with the layoff schedule.

Superintendent Fabi Bagula said the district has tried to protect classrooms from the cuts.

“We have tried our best to only, I mean, to not touch the school. Or the classroom. But now it’s at the point where it’s getting a little bit harder,” Bagula said. “What I’m still hoping, or what I’m still working toward, because we’re still in negotiations, is that we’re able to actually come to a win-win, where there’s positions and availability and maybe even promotions for folks that are impacted.”

Arellano warned the layoffs could have a direct impact on students.

“We are already spread thin, so, with more of a case load, it’s going to be impossible to be able to service all the students that we need to have,” Arellano said.

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Follow ABC 10News Anchor Max Goldwasser on InstagramFacebook, and Twitter.

This story was reported on-air by a journalist and has been converted to this platform with the assistance of AI. Our editorial team verifies all reporting on all platforms for fairness and accuracy.





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Scripps Oceanography granted $15M for deep sea, glacier science

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Scripps Oceanography granted M for deep sea, glacier science


The Fund for Science and Technology, a new private foundation, granted Scripps Institution of Oceanography at UC San Diego $15 million for ocean science Tuesday.

FFST, funded by the estate of the late Microsoft co-founder Paul Allen, was started in 2025 with a commitment to invest at least $500 million over four years to “propel transformative science and technology for people and the planet.”

“Scripps Institution of Oceanography at UC San Diego is pushing boundaries for exploration and discovery across the global ocean,” Chancellor Pradeep Khosla said. “This visionary support from the Fund for Science and Technology will enable Scripps researchers to advance our understanding of our planet, which has meaningful implications for communities around the world.”

The grant, the largest of its kind since Scripps joined UCSD in 1960, will go toward research in three areas: monitoring of environmental DNA and other biomolecules in marine ecosystems, adding to the Argo network of ocean observing robots, and enhancing the study of ocean conditions beneath Antarctica’s Thwaites Glacier, often referred to as the “Doomsday Glacier.”

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Scripps Institution of Oceanography has used Argo floats for more than two decades to track climate impacts in our oceans. NBC 7 meteorologist Greg Bledsoe reports.

“The Fund for Science and Technology was created to support transformational science in the search of answers to some of the planet’s most complex questions,” said Dr. Lynda Stuart, president and CEO at the fund. “Scripps has a long tradition of leadership at the frontiers of ocean and climate science, and this work builds on that legacy — strengthening the tools and insights needed to understand our environment at a truly global and unprecedented scale.”

Scripps Director Emeritus Margaret Leinen will use a portion of the grant in her analysis of eDNA — free-floating fragments of DNA shed by organisms into the environment — in understudied parts of the ocean to collect crucial baseline data on marine organisms, according to a statement from Scripps.

“In many regions, we know very little about the microbial communities that form the base of the ocean food web or that make deep sea ecosystems so unique,” Leinen said. “Without data, we can’t predict how these communities are going to respond to climate change or what the consequences might be. That’s a vulnerability — and this funding will help us begin to address it.”

Using autonomous samplers that can collect ocean water for eDNA analysis, as well as conventional sampling, scientists will use tools to “reveal the biology of the open ocean and polar regions.”

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According to Scripps, the international Argo program has more than 4,000 floats that drift with currents and periodically dive to measure temperature, salinity and pressure. Standard floats can record data up to depths of 2,000 meters (6,560 feet), while newer Deep Argo floats can dive to 6,000 meters (19,685 feet).

The grant funding announced Tuesday will allow for Scripps to deploy around 50 Deep Argo floats along with Woods Hole Oceanographic Institution and NOAA’s Pacific Marine Environmental Laboratory.

Sarah Purkey, physical oceanographer at Scripps and Argo lead, said this leap forward in deep ocean monitoring comes at a crucial time because the deep sea has warmed faster than expected over the last two decades.

Thwaites Glacier is Antarctica’s largest collapsing glacier and contains enough ice to raise global sea level by roughly two feet if it were to collapse entirely. According to Scripps, prior expeditions led by scientist Jamin Greenbaum discovered anomalously warm water beneath the glacier’s ice shelf — contributing to melting from below. Greenbaum now seeks to collect water samples and other measurements from beneath Thwaites’ ice tongue to disentangle the drivers of its rapid melting.

This season’s Antarctic fieldwork will “test hypotheses about the drivers of Thwaites’ rapid melt with implications for sea-level rise projections,” the statement from Scripps said.

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“The ocean holds answers to some of the most pressing questions about our planet’s future, but only if we can observe it,” said Meenakshi Wadhwa, director of Scripps Institution of Oceanography and vice chancellor for marine sciences at UCSD. “This historic grant will help ocean scientists bring new tools and approaches to parts of the ocean we’ve barely begun to explore.”



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Southern California’s Jewish community reacts to war in the Middle East

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Southern California’s Jewish community reacts to war in the Middle East


The Jewish community in Southern California is sharing their fears and hopes following the weekend’s strikes on Iran and retaliatory attacks on Israel, U.S. military bases and other targets in the Middle East.

The exchange of missiles in the Middle East is having a devasting effect on Iran’s defense capability, but retaliatory strikes in the region are taking a toll. 

“Weapons of enormous capacity that are targeting civilian areas,” said Elan Carr, CEO of Los Angeles-based Israeli American Council.

Carr says toppling the Iranian regime, taking out its nuclear capabilities and freeing the Iranian people from this oppressive rule should have been done decades ago.

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“This is about seeing the most evil regime, the world chief state sponsored terrorism to no longer have the ability to do what it’s been doing,” Carr said.

Sara Brown, regional director of the American Jewish Committee, said the U.S. and Israel are concentrating strikes on Iran’s missile sites and military industrial complex. Iran’s retaliatory strikes are focused on many civilian targets.

“We are hearing from our partners from around the region, who are terrified,” Brown said. “Across the Middle East right now, I think there is a tremendous amount of fear, but also hope and also resolve.”

AJC is the advocacy arm for Jewish people globally. Many members and partner groups are in harm’s way. Brown says the risk is great, but the potential reward is world changing.

“That Iranian people will get to choose leadership for themselves, that we will finally see a pathway forward for peace across the Middle East,” Brown said.

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If wars of the past hadn’t produced lasting peace, then why now? Carr says Iran’s nuclear capabilities are destroyed and Iran’s military and proxies are weakened after Israel’s response to the Oct. 7 Hamas ambush.

“No more terrorist network throughout the Middle East. Think of what that could mean. Think of the normalization we could see,” Carr said.

President Donald Trump expects fighting to last several weeks. Some critics are concerned about a drawn-out conflict that could spread.

Carr is not convinced.

“Who is going to enter a war against the U.S. and Israel? Russia is plenty busy. China has no interest in jeopardizing itself this way,” Carr said.

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Besides the six Americans killed as of Monday night, government officials say 11 people were killed in retaliatory strikes in Israel.



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