Connect with us

San Francisco, CA

CA lawmaker summons Blue Shield to discuss firefighter’s cancer treatment denial

Published

on

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.”

Advertisement

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.”

Advertisement

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.

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.”

Advertisement

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.

Advertisement

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

Advertisement



Source link

San Francisco, CA

Iran conflict disrupts flights out of SFO

Published

on

Iran conflict disrupts flights out of SFO


SAN FRANCISCO (KRON) — Attacks on Iran by U.S. and Israeli forces have disrupted air travel across the Middle East, leading to thousands of flight cancellations and delays worldwide. The instability has reached the Bay Area, where international flights at San Francisco International Airport have been canceled or grounded. The travel disruptions followed retaliatory strikes […]



Source link

Continue Reading

San Francisco, CA

Hundreds Rally in San Francisco Against U.S.-Israel Strikes on Iran | KQED

Published

on

Hundreds Rally in San Francisco Against U.S.-Israel Strikes on Iran | KQED


She acknowledged that Iranian Americans hold a range of political views, including some who support U.S. intervention, but said she believes the future of Iran should be determined by its people.

“The Iranian people in Iran can decide the future of their country,” she said. “War, I don’t think, is going to help.”

Speaking to the crowd, Mortazavi challenged what she described as a narrative that Iranians broadly support U.S. and Israeli military action.

“They want you to believe that every Iranian … is cheering on the United States and Israel,” she said. “That is unequivocally false.”

Advertisement

She urged attendees to continue organizing beyond the rally and announced plans for additional demonstrations.

A demonstrator holds an Iranian flag as protesters gather outside the San Francisco Federal Building during a “Hands Off Iran” rally Feb. 28, 2026, in San Francisco. The demonstration called for an end to U.S. involvement in the strikes on Iran. (Gustavo Hernandez/KQED)

Dina Saadeh, an organizer with the Palestinian Youth Movement, said multiple groups mobilized quickly in response to the strikes.

“I’m angered today,” Saadeh told KQED. “People here don’t want to see our country engaged in more endless war.”

Saadeh described the protest as part of a broader effort to oppose sanctions, military escalation and what she called U.S. imperialism. She said participants were calling on elected officials to redirect public funds toward domestic needs.

“People want money for jobs and education, not for war and occupation,” she said.

Advertisement

KQED’s María Fernanda Bernal contributed to this story.



Source link

Continue Reading

San Francisco, CA

Sam Smith’s San Francisco Residency Charts New Course for the Castro

Published

on

Sam Smith’s San Francisco Residency Charts New Course for the Castro


If you purchase an independently reviewed product or service through a link on our website, The Hollywood Reporter may receive an affiliate commission.

Sam Smith has kicked off his residency at the Castro Theatre in San Francisco, with the singer’s 20-date stint helping to officially usher in a new era for the historic landmark.

First erected in 1922, the Castro closed in 2024 for a reported $41 million renovation project. But the century-old Spanish-style Baroque theatre is open for business — and music — once again, with its gilded ceiling and ornamental walls restored to its original design, while seating is now reconfigurable for different events, including 650 seats that can be removed to create more standing room space (like for Smith’s concert). More importantly, city officials hope the re-opening of the Castro Theatre will also help revive the predominantly queer neighborhood it sits in, which shares a name with the venerable venue.

“Do you guys realize how special this street is?” Smith asked the sold-out crowd, during night two of their residency last week. “I grew up in a village in the middle of f-ckin’ nowhere,” they shared. “I was the only gay in the village and yes I was very dramatic about it as well,” they added with a laugh.

Advertisement

“There is nothing like this street and nothing like the Castro and the community here,” Smith said. “I’ll never forget coming here when I was 20 years old, so reopening this theater now is such an honor.”

BUY ONLINE

Tickets to Smith’s Castro residency quickly sold out when the shows were first announced but you can still find stubs on sites like StubHub, Vivid Seats and SeatGeek. New users can use the promo code THR30 to save $30 on orders of $300 and up at VividSeats.com. SeatGeek customers can use promo code HOLLYWOOD10 to save $10 at SeatGeek.com.

Advertisement

Smith’s San Francisco stint follows their “To Be Free: New York City,” residency which took place last fall at Brooklyn’s historic Warsaw club. Other artists set to play at the Castro this spring include Father John Misty, José González, Santigold and Lucy Dacus. The Castro will also help celebrate the 50th anniversary of the LGBTQ-themed Frameline Film Festival this June.

sam smith tickets vivid seats

ALSO AVAILABLE

Smith’s residency runs until March 14.

According to tourism officials and local businesses, Smith’s new Castro residency and the reopening of the theatre has already helped to bring in a number of new visitors to the area. Mat Schuster, the executive chef and owner of long-time neighborhood fixture, Canela, says business has been “very busy” in the last few weeks, crediting Smith’s show with bringing out new diners to the Spanish restaurant, which has been on Market Street since 2011. Other local hotspots like wine bar Bar49, the San Francisco outpost of Hi Tops, and the women’s sports bar, Rikki’s (named after Gay Games Federation founder Rikki Streicher), were all packed on a recent evening following Smith’s Castro concert.

Advertisement

According to San Francisco Tourism, the reopening of The Castro Theatre is poised to deliver “meaningful economic gains” to the surrounding neighborhood, which some stats estimating that the venue will draw more than 200,000 visitors annually.

With the Castro Theatre now open again, local officials are looking ahead to other upcoming celebrations, including a planned reimagining of the Castro and Market Street intersection into The Memorial at Harvey Milk Plaza, honoring the first openly gay elected official in California (and the inspiration for the 2009 Sean Penn film). Milk’s legacy is already enshrined at the San Francisco airport of course, with terminal 1 at SFO renamed as the “Harvey Milk Terminal;” the new memorial is scheduled to be completed by 2028. The annual Castro Street Fair, meantime, a community street celebration founded by Harvey Milk in 1974, will take place on the first weekend of October.

The reopening of the Castro comes amidst a busy few months for San Francisco, which recently saw a number of athletes and celebrities in town for the Super Bowl. Steph Curry’s new speakeasy, The Eighth Rule, was among the hotspots over the big game weekend and the basketball star’s bourbon-forward bar continues to be a hot reservation in the city. Opened in the fall, the bar is tucked away in a nondescript hallway inside the Westin St. Francis hotel in Union Square, offering an intimate and exclusive setting for the Golden State Warriors point guard’s Gentleman’s Cut Bourbon, which can be ordered on its own or as part of a six-course omakase-style cocktail tasting (we loved the clarified coconut milk punch and the truffle-vanilla whiskey sour). Of course, guests can also order cocktails a la carte, choosing from different bourbons and whiskeys, plus a full selection of other spirits.

Advertisement

Next door to The Eighth Rule is Bourbon Steak San Francisco, the latest outpost of Chef Michael Mina’s award-winning steakhouse. The restaurant marks the celebrity chef’s return to the Westin St. Francis, where he opened his first eponymous restaurant in 2004. In addition to its selection of steaks, seafood and caviar offerings (like Mina’s famous “caviar twinkee”), this Bourbon Steak outpost offers a family-style dining experience for six people, available through advance reservations. This is the only Bourbon Steak location to offer this communal table format.

New this month is the highly-anticipated opening of JouJou, an elevated French brasserie concept from the owners of the two Michelin-starred Lazy Bear. Located in the city’s Design District, JouJou is poised to be the next celebrity hangout, with its ornate dining room and marble-topped counters setting the scene for steak frites and star sightings alike. As chef David Barzelay told the San Francisco Chronicle when asked about the inspiration for JouJou: “It always feels like you’re just in a place where it’s happening.”



Source link

Continue Reading

Trending