San Francisco, CA
CA lawmaker summons Blue Shield to discuss firefighter’s cancer treatment denial
The controversial insurance denial involving a veteran firefighter’s cancer treatment has drawn the ire of California Assemblymember Catherine Stefani, D-San Francisco, who has summoned top leaders from Blue Shield of California to meet with her and firefighter advocates on Monday to explain the rationale behind the private insurer’s recent actions.
Assemblymember Catherine Stefani, D-San Francisco, has requested Blue Shield executives to meet with her and firefighter advocates to explain the insurance company’s recent denial of cancer treatment for a longtime San Francisco firefighter.
I think it’s just reprehensible.
Assemblymember Catherine Stefani, D-San Francisco, speaking about Blue Shield’s denial of immunotherapy for longtime firefighter Ken Jones
“I think it’s just reprehensible,” Stefani told the NBC Bay Area Investigative Unit. “This firefighter is fighting for his life — he shouldn’t have to fight his insurance company to get the care he needs to prolong his life.”
Stefani said she was angered, frustrated, and saddened to learn Ken Jones, 71, had part of his cancer treatment recently denied by Blue Shield.
Jones, who retired from the San Francisco fire dept. in 2012, was diagnosed with Stage 4 lung cancer last year. His physician believes the disease is likely linked to Jones’ 17 years working as a firefighter amid smoke and ash.
Blue Shield, which administered Jones’ Medicare Advantage Plan, said it denied the immunotherapy Jones’ oncologist requested because FDA and Medicare guidelines only allow the treatment when it is used early as a “first-line therapy.” Blue Shield deemed Jones ineligible since he previously underwent other rounds of cancer medication.
We are committed to supporting our members with compassion and working with their doctors to help them access care and resources.
Blue Shield spokesperson
“Our hearts go out to individuals and their families who are facing a cancer diagnosis or navigating treatment,” a Blue Shield spokesperson previously wrote in a statement. “We are committed to supporting our members with compassion and working with their doctors to help them access care and resources.”
Jones’ oncologist. Dr. Matthew Gubens, views the immunotherapy he prescribed as a continuation of Jones’ initial treatment since it was never completed. Jones paused his chemo and immunotherapy in order to receive a pair of medical trials. However, when those experimental treatments didn’t deliver the results doctors had hoped, Gubens decided to get Jones back on immunotherapy, which Blue Shield denied.
After receiving Blue Shield’s denial letter, Gubens immediately called the number listed on the insurance document to lodge an appeal. After spending nearly three hours on the phone, however, he says he was never able to reach the appropriate person, so he submitted his appeal in writing, which Blue Shield ultimately denied.
“He couldn’t even get through,” Stefani said. “If he can’t, who can?”
Dr. Matthew Gubens, who is Ken Jones’ oncologist, heads the Thoracic Medical Oncology Clinic at UC San Francisco.
Stefani said she will ask Blue Shield executives to explain how they plan to prevent future patients and physicians from encountering the same problem when trying to phone the company to appeal a denial.
“At the very least, what I want to come out of this meeting … is a promise from Blue Shield to create a [phone] line or to a live person when it involves claims for our firefighters up and down the state,” she said. “If they fight me on it, I’ll legislate it.”
Stefani says her meeting is expected to include the insurance company’s vice president of state govt. affairs Andrew Kiefer, chief medical officer Ravy Kavasary, and lobbyist Alex Tourk. Representatives from San Francisco’s local firefighters union are also expected to attend.
Blue Shield did not immediately respond to NBC Bay Area’s request for comment regarding Stefani’s upcoming meeting with company leaders, but the company has previously stood by its decision to deny Jones’ immunotherapy, saying it followed FDA and Medicare guidelines.
“They seem to forget there’s a human being involved here that’s very sick and that needs help,” Stefani said. “I just don’t understand why they can’t do better.”
Catch up on our series now
Part 1:
Ken Jones, who spent 17 years as a San Francisco firefighter, is asking government officials to intervene after his city-provided insurance plan declined to approve a new course of treatment Jones’s oncologists believe would help slow down the progression of his stage 4 cancer.
Part 2:
A retired San Francisco firefighter, who spent nearly two decades willingly putting his life on the line for others, now finds himself fighting for survival while in a battle against his own insurance company. Senior Investigative Reporter Bigad Shaban reports.
Part 3:
The head of San Francisco’s health oversight board determined Blue Shield acted appropriately in denying immunotherapy to a San Francisco firefighter suffering from Stage 4 cancer. Senior Investigative Reporter Bigad Shaban explains why some are angered by the decision and what they perceive as a lackluster investigation by a city official.
Part 4:
Longtime San Francisco firefighter Ken Jones believes he has found a way to receive the cancer treatment previously denied by Blue Shield under his Medicare Advantage plan. Senior Investigative Reporter Bigad Shaban explains.
Part 5:
Assemblymember Catherine Stefani (D-San Francisco) is scheduled to meet with Blue Shield of California executives and their lobbyist on Monday to discuss the high-profile insurance denial of longtime San Francisco firefighter Ken Jones. Senior Investigative Reporter Bigad Shaban explains.
Watch our entire investigative series
Contact The Investigative Unit
submit tips | 1-888-996-TIPS | e-mail Bigad
San Francisco, CA
Former 49ers defensive coordinator Robert Saleh ‘pumped’ for Dre Greenlaw’s return to San Francisco
The 49ers had an eventful offseason when it comes to roster acquisitions, with wide receivers Mike Evans and Christian Kirk marking the most exciting additions for most fans.
While bolstering the wide receiver room for Brock Purdy made more headlines around the NFL, 49ers fans rejoiced when San Francisco brought back star linebacker Dre Greenlaw. After signing a three-year, $31.5 million contract with the Denver Broncos before this past season, Greenlaw was released by the team after appearing in just eight games.
Despite the Broncos being out on Greenlaw, the Faithful and All-Pro linebacker Fred Warner have expressed excitement regarding the move. However, those around the Bay aren’t the only ones pleased by the move, as former defensive coordinator and first-year Tennessee Titans head coach Robert Saleh recently told the media how excited he was for Greenlaw.
“So happy for him,” Saleh said. “For Dre, good chance for him to get his feet back underneath him in a place where he’s familiar, knocking people around like he used to. I mean, he did it last year too, but pumped for Dre.”
Saleh, a former linebackers coach himself, coached Greenlaw during the 2019 and 2020 seasons with San Francisco.
The 28-year-old Greenlaw is heading into his eighth NFL season, totaling 498 tackles, 4.5 sacks and four interceptions.
It’s unclear how much he has left in the tank, but clearly the 49ers were willing to find out.
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San Francisco, CA
Elderly driver sentenced to probation in West Portal crash that killed family of 4
SAN JOSE, Calif. – An elderly driver who killed a family of four in San Francisco’s West Portal neighborhood two years ago was sentenced Friday to probation.
No jail time
What we know:
Mary Fong Lau, 80, learned in court that she will not serve any jail time or home detention for the March 2024 crash.
The collision killed Diego Cardoso de Oliveira, a 40-year-old father; his wife, Matilde Moncada Ramos Pinto, 38; their 1-year-old son, Joaquim; and their 3-month-old son, Caue. The family was waiting at a Muni bus stop at the time. They were headed to the zoo.
No contest plea
Lau pleaded no contest to four felony counts of vehicular manslaughter, and a judge accepted the plea.
The Superior Court judge said Lau’s age, remorse and lack of criminal history were factors in the sentencing decision. She was placed on probation for two years and is banned from driving for three years. She also has to complete 200 hours of community service.
2024 crash
The backstory:
Prosecutors said that on March 16, 2024, Lau was driving more than 70 mph in an SUV when she jumped a curb and struck the victims at a bus stop at Ulloa Street and Lenox Way.
Family, prosecutors criticize sentence
What they’re saying:
Friends and relatives of the victims said the sentence fell far short of the justice they were seeking.
District Attorney Brooke Jenkins also criticized the outcome.
“The court is not requiring Ms. Lau to even acknowledge her guilt,” Jenkins said. “Rather than requiring a guilty plea, the court decided it is sufficient for her to enter a no contest plea. That isn’t justice. That isn’t taking responsibility for the loss of four innocent lives.”
Jenkins added that Lau could eventually regain her driving privileges, which she called “troubling.”
“This is someone who has demonstrated she can’t be trusted on the roads of California nor San Francisco,” she said.
Defense cites remorse
The other side:
Lau’s defense attorney said his client is remorseful.
“Ms. Lau feels the pain of this tragic loss,” attorney Seth Morris said. “She has taken accountability by pleading no contest and not requiring the case to go to trial, which could have taken years with an unknown outcome.”
He added that Lau hopes the plea will help begin the healing process for the victims’ families and the community.
The Source: Sentencing hearing for the defendant, Mary Fong Lau
San Francisco, CA
San Francisco Fought to Name a Major Street After Cesar Chavez. Will It Be Renamed Again? | KQED
Many Latino San Franciscans saw the dedication as an acknowledgment of the farmworker movement Chavez helped build.
But after allegations surfaced this week that the civil rights icon sexually abused multiple young girls, and United Farm Workers co-founder Dolores Huerta, as he led the movement in the 1960s and ’70s, politicians have quickly proposed stripping his name from dozens of streets, schools, parks and monuments, and the state holiday in his honor at the end of the month.
The revelations have raised questions about how to further the movement’s legacy, without Chavez as the figurehead.
“He was a symbol,” San Francisco State University labor historian John Logan said, “for a recognition of the farmworker movement, of the Chicano civil rights movement.”
“This [is an] incredibly important social movement and incredibly important worker movement,” he said, adding that now, it will be important “to find a way of trying to recognize those things without using his name.”
Reckoning with abuse
On Tuesday, The New York Times published an investigation revealing accounts from two women, now in their 60s, who said that they had been assaulted repeatedly by Chavez for years in the 1970s, beginning when they were 12 and 13, and he was in his 40s.
Huerta came forward with her own allegations that on two separate occasions in the 1960s, Chavez had pressured her into intercourse and later raped her.
Within hours, local officials and organizations across California launched efforts to strip Chavez’s name from public view. Sacramento’s mayor appointed city council members to rename Cesar Chavez Plaza in the state capital.
Fresno officials set a meeting for this week to remove Cesar Chavez Boulevard street signs and groups at San Francisco State and Sonoma State University announced plans to shroud his image and name on campus murals and on buildings.
Early Thursday, California Assembly Speaker Robert Rivas and Senate President Pro Tempore Monique Limón announced legislation that would rename the state holiday honoring Chavez at the end of March to Farmworkers Day.
“This moment calls for honesty. It calls for reflection. And it calls for a renewed commitment to the values that the farmworker movement was built on,” Rivas said, speaking on the California Assembly floor on Thursday.
While San Francisco leaders haven’t taken any concrete steps to strip Chavez’s name from the street, or from the public elementary school renamed in his honor around the same time, it seems more than likely in the coming weeks.
“My office will support community efforts to remove Cesar Chavez’s name from any District 9 institutions,” said Supervisor Jackie Fielder, who represents the Mission, which includes both sites.
“I think there should be no hesitation,” said former Supervisor Susan Leal, who served from 1993 to 1997, and helped lead the renaming effort.
A divisive renaming
Leal said the decision to name Army Street after Chavez was meant to acknowledge “unrecognized work of a lot of farmworkers.”
“The meaning of having Cesar Chavez Street is that it signifies we have a place here too,” Maria Paya, a grocer in the Mission District, told the Los Angeles Times that year.
But by the time the new street signs were unveiled that April, the decision had already sparked controversy, and a campaign to repeal the name change. Opponents put a citywide measure on that year’s general election ballot to restore the road’s name to Army Street.
The battle became one of the most divisive that election cycle, according to newspaper reports at the time, pitting residents of the then-predominantly Latino Mission District, backed by thousands of United Farm Workers volunteers who traveled from as far as Bakersfield to campaign, against wealthy, majority white Noe Valley residents and small business owners who said they had an affinity for their addresses, and the 140-year-old Army Street name.
The renaming came at a time of heightened anti-immigrant sentiment, Leal said, not unlike today. The year prior, California voters passed Proposition 187, which aimed to block undocumented immigrants from accessing most health care services, public education and social services.
“If you would come up with another San Franciscan who was not of the farmworker movement, I think he might’ve gotten more support. It was not unlike Prop. 187,” Leal said.
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