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
Headlines, June 30 – Streetsblog San Francisco
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San Francisco, CA
Anza expedition celebrates 250th anniversary in San Francisco
June 27, 1776, was a momentous day for the Bay Area, California, and the world as 240 men, women, and children arrived mostly by foot from Mexico to what is now called San Francisco to set up camp and lay the groundwork for the future.
The “traveling village” is known as the Anza Expedition.
On Saturday, the 250th anniversary of the event was commemorated on Pershing Square at the Presidio of San Francisco in a two-hour ceremony.
The celebration opened with piercing fifes and thundering drums from the Young Patriots Fife & Drum Corps from Pleasanton, as a nod to America’s quincentennial.
But it was then followed up by a Spanish hymn, sung by musicians, dressed in 18th-century Spanish Colonial attire, including the garb of soldado, vaquero, pioneers, military, and indigenous peoples. The song is known as “Alabado” and it was sung by the ancestors as they made their long journey to the Bay.
A proclamation on a scroll was then read with gusto by local actor Dane Andrew, who was portraying the Spanish trailblazer Lt. Colonel Juan Bautista de Anza.
The message was loud and clear: When it comes to history in the Bay Area, Spain swings a big sword.
“People don’t realize in California our early Spanish history. While on the East Coast was becoming a brand-new U.S.A. was a small part. Actually, Spain owned a large part of the West Coast,” remarked Andrew.
The Anza Expedition established the first reliable overland route from Mexico to what was then known as Alta California, claiming San Francisco Bay for the Spanish Crown.
In 1776, the expedition’s leaders established both the Presidio as well as Mission San Francisco de Asis, which is known today as Mission Dolores.
In the crowd, the direct descendants of those who traveled the long, arduous route, including 98-year-old Eddie Grijalva of Vallejo. He was accompanied by his wife Lydia and her son Jeff.
“What an honor to be here and to remember my ancestor,” exclaimed Grijalva.
The event was coordinated by the nonprofit Los Californianos. The nonprofit represents the direct descendants of those who were part of the Anza Expedition. Its documented purpose includes efforts “to preserve the heritage of early Hispanic Californians in Alta California, to conduct research on genealogy, and to provide an accurate and authentic interpretation of Alta California’s history”
Carol Eber represents the group and is the co-chair of the event. She told us the group is thrilled to celebrate its heritage along with the quincentennial of the United States.
“We have a celebration on the East Coast. We wanted to have the 250th celebration on the West Coast as well as recognizing history was made on both coasts,” noted Eber.
During the ceremony, the crowd recited the Pledge of Allegiance and heard from Superintendent David A. Smith, who is with the Golden Gate National Recreation Area.
There were also presentations from the Daughters of the American Revolution and a group called “Our American Patriots”. The keynote speech was delivered by Professor Damian Bacich. He focused on San Francisco’s Spanish-American Legacy.
Also on hand for the festivities, the Consul General of Mexico Marco Mena. Mena told CBS News Bay Area that this was his first visit to Presidio and found it beautiful. He was pleased to be invited.
“The Anza expedition is very related to Mexico, especially to the states of Sonora and Sinaloa,” Mena explained.
As the Presidio ceremony was underway, a mass was said at Mission Dolores. The event concluded with a Roll Call, which was the reading of the names who those who walked on the route in 1776.
Descendants, including Grijalva, placed a flower in a memorial wreath as children were asked to blow bubbles for expedition members named without descendants.
Afterwards, participants went on docent-led tours of the Presidio’s Heritage Gallery and also were invited to tour the site of the Spanish Presidio Chapel.
San Francisco, CA
San Francisco rolls out heightened security measures ahead of World Cup knockout match, 4th of July
The city of San Francisco is taking heightened police and security measures in advance of two major events in the Bay Area this week – the 4th of July and the first knockout round of the FIFA World Cup.
Mayor Daniel Lurie hosted a press conference Monday to address the public on how the city plans to manage the overlapping swarms of soccer fans and 4th of July revelers.
“No matter the occasion, our top priority, and my top priority, remains the same: keeping San Francisco residents and visitors alike safe,” said Lurie.
The two events would be major draws for crowds independently, but combined, and with special occasions marking both, the city wants to ensure that security is a top priority.
The World Cup has already brought hundreds of thousands of people from across the country and the world to the Bay Area, but this week’s game at Levi’s Stadium in Santa Clara is especially notable for the San Francisco as the host city and the United States as a host nation. The stadium, renamed San Francisco Bay Area Stadium for the duration of the World Cup, will host the knockout round match between the U.S. and Bosnia and Herzegovina on Wednesday.
Official fan zones and watch parties for the U.S. match, as well as for Mexico’s match against Ecuador on Tuesday, will be held at multiple locations in San Francisco, including at Thrive City at the Chase Center and at the Pier 39 Fan Zone.
This year’s 4th of July in San Francisco, which already boasts large crowds across the city each year, will have another draw as the city prepares to celebrate the nation’s 250th birthday. The city will be hosting a fireworks show on the Golden Gate Bridge on Saturday night – only the third time that pyrotechnics have ever been set off from the iconic San Francisco landmark. Fireworks will be launched off the two towers of the bridge and from barges in the water.
The Golden Gate Bridge show will be the only official one in the city – fireworks are illegal in San Francisco.
Authorities advised attendees to use public transportation and to leave plenty of time on both ends of their travel for traffic and delays. Caltrans has announced road closures and detours on U.S. Highway 101 and the entire Golden Gate Bridge for the fireworks show.
San Francisco Police Chief Derrick Lew said the department is collaborating with multiple state and local agencies to keep people safe, and that police officers have had their days off cancelled to meet the staffing needs that July 4 will require.
“This week will be safe because that’s what we’ve been doing every day,” Lurie said. “It is a glorious time to be here in San Francisco.”
Lurie cited past heavily attended events like Sunday’s San Francisco Pride Parade and Super Bowl 60 in February as examples of the city’s successful management of major crowds.
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